Kodi inunso mwadzidzidzi mumamva kupweteka kumanja kwa mimba yanu? Sindikudziwa ngati ndi appendicitis!

Kodi munayamba mwaganizapo kuti m'mimba mwanu, kumbali yakumanja ya matumbo anu akuluakulu, muli kachigawo kakang'ono kofanana ndi thumba pafupifupi kutalika kwa chala chaching'ono? Ndicho chimene timachitcha appendix . Nthawi zambiri, sichimativutitsa. Koma nthawi zina, ngati appendix iyi itupa ndi kutenga matenda, ndi pamene vuto lotchedwa appendicitis limachitika. Izi zitha kukhala zovuta pang'ono, choncho tiyeni tikambirane lero.

Nchifukwa chiyani appendicitis ndi vuto lalikulu?

Mwachidule, appendicitis ndi kutupa kwa appendicitis yanu. Tangoganizirani, ngati ndowe zanu, zomwe zimadutsa m'matumbo anu akuluakulu, zalowa mkamwa mwa appendix yaying'ono iyi, kapena ngati kachilombo kena kalowa ndi kukayambitsa matenda, appendix imayamba kutupa. Ngati kutupa kumeneku kukuchulukirachulukira, appendicitis ikhoza kuphulika! Ndicho chinthu choopsa kwambiri.

Ngati appendix yaphulika, majeremusi onse omwe ali mkati mwake amafalikira m'mimba. Tikutcha izi peritonitis . Matendawa amathanso kufalikira m'magazi ndikuyambitsa matenda monga sepsis , omwe amatha kukhala pachiwopsezo. Ichi ndichifukwa chake appendix imachotsedwa opaleshoni (appendectomy) nthawi yomweyo appendicitis ikakhala. Appendix si chiwalo chofunikira m'thupi lathu, kotero simudzamva kutayika kulikonse mukachichotsa.

Kodi appendicitis yoopsa komanso yosatha ndi chiyani?

Matenda a appendicitis nthawi zambiri amakhala ovuta kwambiri . Izi zikutanthauza kuti amayamba mwadzidzidzi ndipo amakula mofulumira. Uwu ndi mtundu wa appendicitis womwe timalankhula komanso timauona kwambiri.

Komabe, palinso mtundu wosowa kwambiri wotchedwa chronic appendicitis . Pankhaniyi, appendix imatupa pang'ono kwa nthawi yayitali, nthawi ndi nthawi. Koma sizimakula mofulumira monga momwe zimakhalira ndi acute appendicitis. Chifukwa chake, nthawi zina zimakhala zovuta kuzizindikira. Komabe, mtundu uliwonse wa appendicitis uyenera kuonedwa mozama. Ngati muli ndi ululu wopitirira m'mimba ndipo simukudziwa chomwe chikuyambitsa, muyenera kuwona dokotala. Chifukwa appendicitis yosatha ingakhalenso yoopsa nthawi iliyonse. Chifukwa chake, madokotala amachiza zonse ziwiri mwanjira yomweyo.

Kodi appendicitis ndi yofala bwanji?

Matenda a appendicitis opweteka kwambiri ndi matenda ofala kwambiri , makamaka kwa anthu azaka zapakati pa 10 ndi 30. Matendawa amapezeka kwambiri kwa ana aang'ono, koma amathanso kukhudza ana aang'ono. M'mayiko ngati United States, pafupifupi 5% ya anthu amakhala ndi matenda a appendicitis m'moyo wawo wonse. Ndi chifukwa chachikulu cha opaleshoni yadzidzidzi ya ululu wa m'mimba. Matenda a appendicitis osatha amapezeka pang'ono chabe, pafupifupi 1%.

Kodi zizindikiro za appendicitis ndi ziti?

Zizindikiro zazikulu za appendicitis ndi kupweteka m'mimba, nseru, komanso kusowa chilakolako cha chakudya.Pali njira yeniyeni ya zizindikiro izi zomwe zimapangitsa kuti zikhale zosavuta kuzindikira appendicitis. Koma, mwatsoka, theka lokha la anthu omwe ali ndi appendicitis amawonetsa zizindikiro zodziwika bwino izi. Ana aang'ono, okalamba, ndi amayi apakati amatha kukumana ndi zizindikiro izi mosiyana.

Zizindikiro zoyamba za appendicitis

Izi ndi zomwe zimachitika nthawi zambiri:

1. Choyamba, ululu umayamba pakati pa mimba, mozungulira mchombo . Izi zitha kukhalapo kwa kanthawi kenako n’kutha.

2. Pakatha maola angapo, ululu umakula kwambiri, ndipo nseru ndi kusanza zimayamba.

3. Pakatha maola angapo, nseru imachepa ndipo ululu umapita kumunsi kumanja kwa mimba , komwe kuli appendix. Ululu umakulirakulira pamalo amodzi ndipo umapitirira kukula.

Zizindikiro zina zomwe zingatheke

Anthu ena pambuyo pake akhoza kukhala ndi zizindikiro izi:

• Malungo: Pafupifupi 40% ya anthu akhoza kutenga malungo. Izi zikutanthauza kuti chitetezo cha mthupi lanu chayamba kugwira ntchito. Kapena mwina kutupa kukuchulukirachulukira ndipo matenda akufalikira.
• Malaise: Mungamve ngati simuli bwino, mulibe chidwi ndi chilichonse, ndipo mukufuna kukhala pabedi. Monga momwe mukumvera mukamadwala.
• Kutupa/kutupa m'mimba: Mimba yanu ingamve ngati yatupa kapena yodzaza. Izi nthawi zambiri sizimakhala zoopsa kwenikweni, ndipo zingakhale chizindikiro chakuti appendix yanu yaphulika.
• Mavuto a mkodzo: Mungamve ngati mukufunika kukodza pafupipafupi kapena mwadzidzidzi mukumva kufunikira kukodza. Izi zitha kuchitika ngati mitsempha yolumikizidwa ndi chikhodzodzo yayamba chifukwa cha appendicitis.
• Kufooka kwa matumbo: Pamene magazi akupita ku appendix asinthidwa, matumbo amatha kuima kwakanthawi. Anthu ena amatha kudzimbidwa komanso kuvutika kutulutsa mpweya. Angaganize kuti vutoli lidzatha ngati atatuluka chopondapo.
• Kutsegula m'mimba: Anthu ena amatha kukhala ndi matumbo ambiri komanso kuyenda matumbo pafupipafupi. Izi zitha kukhala chifukwa cha kutupa kwa appendix, komwe kungayambitsenso matumbo akuluakulu omwe ali pafupi.

Kodi mungathe kuwona ngati pali appendicitis kunyumba?

Ngati mukuganiza kuti muli ndi appendicitis, muyenera kuonana ndi dokotala kuti akakuthandizeni. Komabe, pali zizindikiro zingapo zomwe madokotala amagwiritsa ntchito pothandiza kuzindikira appendicitis. Malo omwe ululu uli ndi wofunika kwambiri. Nthawi zambiri umayamba m'mimba yakumanja ndikusunthira kumunsi kumanja. Komabe, anthu ena amatha kumva ululu m'malo ena. Madokotala amafufuza zinthu monga:

• Chizindikiro cha McBurney:Mfundo ya McBurney ndi pamene appendix nthawi zambiri imakhala. Ngati ikupweteka mukayikanikiza, ndicho chinthu choyamba chomwe dokotala angayang'ane. Mutha kupeza mfundo iyi pojambula mzere kuchokera ku fupa la m'chiuno kupita ku khosi lanu, pafupifupi gawo limodzi mwa magawo atatu a njira yotsika (pafupifupi mainchesi awiri) kuchokera pamzerewo.
• Chizindikiro cha Blumberg: Ululu womwe umawonjezeka mukakanikiza malo opweteka kenako n’kuchotsa dzanja lanu. Izi zimatchedwanso rebound tenderness .
• Chizindikiro cha Dunphy: Ululu womwe umawonjezeka mukamatsokomola.
• Chizindikiro cha Rovsing: Kupweteka kumbali yakumanja ya mimba mukakanikiza mbali yakumanzere.
• Chizindikiro cha Psoas: Ngati appendicitis yanu ili kumbuyo (osati kutsogolo) kwa matumbo anu akuluakulu, appendicitis ikhoza kukhudza minofu yanu ya psoas . Kenako mungamve kupweteka popinda chiuno chanu chakumanja. Ngati dokotala ayesa kutambasula kapena kutembenuza chiuno chanu chakumanja kupita kunja, chimatchedwa chizindikiro cha psoas . Ngati chikupweteka mukachizungulira mkati, chimatchedwa chizindikiro cha obturator .

Chofunika kwambiri: Ngakhale mutadziwa zizindikiro izi, musayese kudziyesa nokha. Ngati muli ndi ululu wosazolowereka m'mimba, pitani kwa dokotala nthawi yomweyo.

Ndi matenda ena ati omwe angasokonezedwe ndi appendicitis?

Zizindikiro za appendicitis zimatha kufanana ndi matenda ena ambiri, makamaka mwa akazi. Popeza mimba yanu ya m'munsi ili pafupi ndi chiuno chanu, matenda omwe amakhudza ziwalo zanu za m'chiuno amatha kumveka ngati appendicitis. Ziwalo izi zimaphatikizapo mkodzo wanu ndi njira yoberekera ya akazi. Ziwalo zina za m'mimba za m'munsi zimathanso kukhudzidwa.

Matenda ena omwe angasokonezedwe mosavuta ndi appendicitis ndi awa:

• Matenda otupa m'chiuno (PID)
• Endometriosis
• Chiphuphu cha mazira
• Mwala wa impso
• Matenda a mkodzo (UTI)
• Pancreatitis
• Matenda a kutupa m'matumbo (IBD)
• Diverticulitis ya m'matumbo
• Matenda a m'mimba (Gastroenteritis)
• Kutsekeka kwa m'mimba

Kodi zifukwa za appendicitis ndi ziti?

Chifukwa cha kukula kwa appendix ndi momwe ilili, imatha kutsekeka mosavuta komanso kutenga matenda. Matumbo anu akuluakulu ndi kwawo kwa mabakiteriya ambiri. Ngati mabakiteriya ambiriwa atsekeredwa mkati mwa appendix, amatha kuchulukana ndikuyambitsa matenda. Nthawi zina appendicitis imayamba ndi matenda, ndipo nthawi zina matendawa amakhala achiwiri. Appendix ikatupa, kutsegula kwake kumatha kutseka, zomwe zimapangitsa kuti mabakiteriya ambiri atsekedwe mkati.

Zina mwa zifukwa zazikulu zomwe zimayambitsa kutupa, kutsekeka, ndi matenda a appendix ndi izi:

• Miyala ya Appendix / Fecaliths / Appendicoliths: Zidutswa zolimba, zokhala ndi calcium yambiri (zomwe zimatchedwanso fecaliths kapena appendicoliths ) zimatha kukhala mu appendix. Zili ndi mabakiteriya ndipo zimatha kugwiranso mabakiteriya omwe ali kale mkati.
• Lymphoid hyperplasia: Dongosolo la lymphatic , lomwe ndi gawo la chitetezo chamthupi chanu, limapanga maselo oyera amagazi ndikuwatulutsa m'thupi lanu kuti alimbane ndi matenda. Izi zingayambitse kutupa kwa ma lymph nodes mu appendix yanu, ngakhale pali matenda kwina m'thupi lanu. Minofu yotupa iyi imatha kutseka appendix ndikuyambitsa matenda mkati.
• Matenda a m'matumbo: Kutupa kwa m'matumbo , kaya chifukwa cha matenda kapena matenda monga IBD , kungakhudze appendix. Matendawa amatha kufalikira, ndipo kutupa kumatha kukwiyitsa appendix.

Zina zomwe zingayambitse appendix yotsekedwa ndi izi:

• Zotupa
• Tizilombo toyambitsa matenda
• Matenda a cystic fibrosis

Nchifukwa chiyani appendicitis yosatha imachitika?

Lingaliro la matenda a appendicitis osatha ndilakuti china chake chimayambitsa kutupa pang'ono kwa nthawi yayitali. Kungakhale matenda a nthawi yayitali monga IBD , kapena kungakhale kukula pang'ono kwa mabakiteriya. Kapena kungakhale kutsekeka kwa appendix komwe kumamatira kenako n'kubwereranso. Kutupa kwa nthawi yayitali kungayambitse lymphoid hyperplasia , kapena pakapita nthawi, minofu ya chilonda mu appendix.

Kodi appendicitis ndi cholowa?

Ngati wina m'banja mwanu wakhala ndi appendicitis, inunso muli pachiwopsezo chachikulu chotenga matendawa. Koma chifukwa chenicheni sichikudziwika bwino. Appendicitis si yobadwa nayo, koma zina mwa zinthu zomwe zimayambitsa matendawa zitha kukhala ndi zotsatira za majini.

Kodi kupsinjika maganizo kungayambitse matenda a appendicitis?

Mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, kupsinjika kwakukulu komwe kumachitika chifukwa cha matenda aakulu kungayambitse kuchepa kwa magazi kupita ku matumbo (matumbo ischemia) . Matendawa , otchedwa ischemic colitis, sangakhudze kwambiri appendix.

Kodi chakudya chingayambitse appendicitis?

Pakhala malipoti osowa okhudza mbewu kapena mtedza wosagayidwa womwe umakakamira mu appendix, zomwe zimapangitsa kutupa. Komabe, nthawi zambiri, kudya zakudya zokhala ndi ulusi wambiri kumachepetsa chiopsezo cha appendicitis.

Kodi mavuto omwe angakhalepo chifukwa cha appendicitis ndi ati?

Matenda a appendicitis angayambitse mavuto aakulu mwachangu. Ndicho chifukwa chake madokotala amaona kuti ndi vuto ladzidzidzi. Mavuto amatha kukulirakulira pakapita nthawi, koma nthawi zina samachitika mofanana.

Mavuto (magawo) akhoza kukhala motere:

• Kuchepa kwa kuyenda kwa magazi ndi kufa kwa minofu (Ischemia ndi necrosis): Kutupa kwakukulu kwa appendix kumapangitsa kuti magazi asiye kupitako (ischemia) , zomwe zimapangitsa kutupa kwina, ndipo pamapeto pake minofuyo imayamba kufa (necrosis) .
• Kuboola/kuboola: Minofu ikayamba kufa, matendawa amatha kufalikira. Amatha kufalikira mkati ngati kuboola , kapena amatha kufalikira mwachangu kudzera mu kuphulika kapena kuboola kwa appendix.
• Chifuwa/phlegmon: Poyamba, matendawa sangafalikire kupitirira appendix. Angatuluke ngati thumba kunja kwa appendix. Kapena chotupa chotchedwa phlegmon chingapangidwe mozungulira appendix. Ziphuphu zimenezi zingakhale ndi matenda, koma zimatha kuphulika.
• Matenda a m'mimba ndi kufalikira kwa matenda: Matendawa akafalikira mpaka pakhungu la m'mimba (peritoneal cavity - peritonitis) , amatha kufalikira ku ziwalo zina ndipo pamapeto pake mpaka m'magazi (septicemia) . Ngati matendawa afalikira mpaka m'magazi, angayambitse matenda monga sepsis ndi septic shock , zomwe zingakhale zoopsa pa moyo.

Kodi matenda a appendicitis amawapeza bwanji?

Dokotala adzakufunsani za ululu wanu ndi zizindikiro zina. Adzakuyesani mosamala ndikufufuza zizindikiro za appendicitis (monga kupweteka mukakanikiza pamimba panu, chotupa cholimba m'mimba mwanu). Ngati muli ndi zizindikiro zachizolowezi, adzatha kuzindikira vutoli mwachangu. Apo ayi, adzafunika kuchita mayeso ambiri kuti atsimikizire appendicitis.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira appendicitis?

Mayeso a appendicitis nthawi zambiri amaphatikizapo mayeso a magazi ndi zithunzi . Mayeso a magazi amatha kusonyeza zizindikiro za kutupa (monga kuchuluka kwa maselo oyera m'magazi , kuchuluka kwa mapuloteni a C-reactive ) ndipo angathandize kuzindikira matenda. Kujambula m'mimba ndi ultrasound kapena CT scan kungachitike.Mayeso ojambulira zithunzi, monga amodzi, angasonyeze ngati appendix yatupa. Dokotala angalamulenso mayeso ena kuti athetse matenda ena.

Kodi appendicitis ingathe kuchira yokha?

N'zotheka, koma sizingatheke. Ngati chifukwa cha appendicitis chatha mwadzidzidzi, chingathetsedwe chokha. Mwachitsanzo, ngati china chake chalowa mu appendicitis chikudutsa m'matumbo, kapena ngati matenda omwe adayambitsa kutupa kwa lymph nodes atha mwadzidzidzi. Komabe, musaganize kuti izi zidzachitika, ngakhale ululu utachepa.

Kodi mankhwala a appendicitis ndi ati?

Popeza appendicitis ndi yadzidzidzi, imachiritsidwa m'chipinda chodzidzimutsa. Chithandizo chanthawi zonse chimaphatikizapo mankhwala ndi opaleshoni. Komabe, nthawi zina, mankhwala okha ndi okwanira.

Mankhwala

Pafupifupi aliyense amene ali ndi appendicitis adzafunika kupatsidwa maantibayotiki . Ngakhale mutakhala kuti mulibe matenda, appendicitis nthawi zambiri imayambitsa matenda. Nthawi zambiri kupatsidwa maantibayotiki musanachite opaleshoni kuti mupewe matenda.

Ngati muli ndi appendicitis yofatsa msanga, dokotala wanu angasankhe kukupatsani maantibayotiki ndikuyang'anira zizindikiro zanu. Ngati muli pachiwopsezo chachikulu cha opaleshoni, mungafune kuganizira njira iyi. Komabe, madokotala nthawi zambiri amalangiza izi chifukwa ngati appendicitis sichotsedwa, appendicitis ikhoza kubwereranso.

Mungafunikenso kuchepetsa ululu . Izi zitha kuperekedwa kudzera mu IV (saline yomwe imaperekedwa mumtsempha womwe uli m'dzanja lanu) . Ngati mukuchitidwa opaleshoni, mudzapatsidwa mankhwala oletsa ululu , kotero simudzakhala ndi chikumbumtima panthawi ya opaleshoni.

Opaleshoni

Mukapezeka ndi appendicitis, nthawi ndi yofunika kwambiri. Appendicitis yanu imatha kuphulika mkati mwa maola 36 kuchokera pamene mwayamba kudwala. Madokotala nthawi zambiri amakonza kuti appendicitis ichitike mkati mwa maola 24 kuchokera pamene mwapezeka ndi matendawa. Appendectomy ndi imodzi mwa opaleshoni zofala kwambiri padziko lonse lapansi. Madokotala nthawi zambiri amatha kuchita izi pogwiritsa ntchito njira zochepa zowononga, monga opaleshoni ya laparoscopic . Ndiko kuti, opaleshoni yomwe imaphatikizapo kudula pang'ono m'mimba ndikuyika kamera ndi zida zofewa.

Ngati muli ndi vuto lililonse, dokotala wa opaleshoni adzakupatsani chithandizo nthawi yomweyo ndi opaleshoniyo. Ngati pali mavuto, mungafunike opaleshoni yotsegula m'mimba. Pambuyo pa opaleshoniyo, adzatsuka ndi kuyeretsa mkati mwa mimba yanu ndi mankhwala oyeretsera.

Palibe zotsatirapo zoyipa pambuyo pochotsa appendix. Madokotala sakudziwa ngati appendix imagwira ntchito. Ngati ikugwira ntchito, ndi yaying'ono kwambiri. Mwina imathandiza kupanga ma antibodies ali mwana.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa appendectomy?

Ngati munachitidwa opaleshoni ya laparoscopic appendectomy, mutha kupita kunyumba tsiku lomwelo. Ngati munali ndi mavuto, kapena ngati munachitidwa opaleshoni yotseguka, mungafunike kukhala m'chipatala kwa masiku angapo. Mungafunike mankhwala opweteka kwa masiku oyamba mutabwerera kunyumba. Anthu ambiri amachira kwathunthu pakatha milungu isanu ndi umodzi.

Kodi chiyembekezo cha vutoli n'chiyani?

Ngati mwagwidwa ndi kulandira chithandizo msanga, chiyembekezo chimakhala chabwino kwambiri. Anthu ambiri amachira mwachangu komanso mokwanira. Ngati mwakhala ndi vuto la appendicitis yovuta, nthawi yanu yochira ingakhale yayitali pang'ono. Mungafunike kulandira chithandizo mobwerezabwereza cha matenda omwe afalikira kupitirira appendicitis. Appendicitis yochiritsidwa ndi maantibayotiki yokha ili ndi chiopsezo cha 40% chobwereranso. Appendicitis yosachiritsidwa ili ndi chiopsezo cha 50% cha imfa.

Kodi ndi liti pamene muyenera kupeza upangiri wa dokotala pa vuto la appendicitis?

Matenda a Appendicitis nthawi zonse amakhala adzidzidzi!

Ngati muli ndi zizindikiro izi kapena zizindikiro za appendicitis, funsani dokotala nthawi yomweyo:

• Ululu m'mimba pansi pa dzanja lamanja.
• Ngati kupweteka m'mimba kukukulirakulira pang'onopang'ono.
• Ngati muli ndi nseru ndi/kapena malungo pamodzi ndi kupweteka m'mimba.
• Ngati zikupweteka mukakanikiza mimba yanu kapena mukayika dzanja lanu pa iyo.

Mwina simungaganizire za appendicitis yanu mpaka tsiku lina itapweteka. Ngati zimenezo zitachitika, palibe nthawi yodikira - muyenera kupita kuchipatala nthawi yomweyo. Appendicitis ndi yoopsa, koma ndi yofala. Ngati mukufuna opaleshoni yadzidzidzi, mumakhala m'manja mwa akatswiri. Izi zikatha, simudzadandaulanso za appendicitis.

Zinthu zomwe tiyenera kukumbukira kuchokera munkhaniyi (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikambirane zinthu zofunika kwambiri zomwe takambirana:

• Matenda a appendicitis ndi vuto ladzidzidzi. Ngati muli ndi zizindikiro monga kupweteka kwambiri m'mimba mwanu, nseru, ndi malungo, mwina ndi matenda a appendicitis.
• Musataye nthawi. Ngati muli ndi zizindikiro, pitani kwa dokotala nthawi yomweyo. Chifukwa sizitenga nthawi kuti appendix iphulike.
• Pali njira zochizira. Njira yodziwika kwambiri ndi kuchotsa appendix mwa opaleshoni (appendectomy) . Izi nthawi zambiri zimachitika kudzera m'mabala ang'onoang'ono (laparoscopic) .
• Ikhoza kuchiritsidwa. Ngati mutalandira chithandizo mwachangu, mutha kuchira kwathunthu ndikubwerera ku moyo wabwinobwino.
• Musachite mantha, koma khalani maso. Ndikofunikira kudziwa za appendicitis. Chitanipo kanthu mwamsanga mukangoganiza kuti zizindikiro zake ndi zoona.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

` Appendicitis, kupweteka m'mimba, appendix, ululu m'mimba, appendicitis, opaleshoni yadzidzidzi, peritonitis