Ngaba nawe ngequbuliso uziva iintlungu kwicala lasekunene lesisu sakho? Andazi ukuba yi-appendicitis na!

Ngaba wakha wacinga ukuba ngaphakathi esiswini sakho, ukuba nditsho kanye, kwicala lasekunene lamathumbu akho amakhulu, kukho inxalenye encinci efana nengxowa elingana nobude bomnwe omncinci? Yiloo nto siyibiza ngokuba yi-appendix . Ngokwesiqhelo, ayisiphazamisi. Kodwa ngamanye amaxesha, ukuba le appendix iyadumba kwaye yosuleleke, kulapho kuvela khona imeko ebizwa ngokuba yi -appendicitis . Oku kunokuba yingozi kancinci, ngoko masithethe ngayo namhlanje.

Kutheni i-appendicitis ingxamisekile kangaka?

Ngamafutshane, i-appendicitis kukudumba kwe-appendix yakho. Khawucinge nje, ukuba ilindle lakho, elihamba lisiya emathunjini akho amakhulu, linamathela emlonyeni wale appendix incinci, okanye ukuba intsholongwane ethile ingena ize iyosulele, i-appendix iqala ukudumba. Ukuba oku kudumba kuyanda, i-appendix inokuqhuma! Yiyo loo nto iyingozi kakhulu.

Ukuba i-appendix iyaqhuma, zonke iintsholongwane ezikuyo ziyasasazeka ziye esiswini. Siyibiza ngokuba yi -peritonitis . Olu sulelo lunokusasazeka luye egazini luze lubangele iimeko ezifana ne -sepsis , ezinokuba yingozi ebomini. Yiyo loo nto i-appendix isuswa ngotyando (appendectomy) kwangoko nje xa i-appendicitis isenzeka. I-appendix ayilolungu libalulekileyo emzimbeni wethu, ngoko awuyi kuva kulahlekelwa emva kokuba isusiwe.

Yintoni i-appendicitis ebukhali nengapheliyo?

I-Appendicitis idla ngokuba yimeko ebukhali . Oko kuthetha ukuba iqala ngequbuliso ize ibe mandundu ngokukhawuleza. Olu luhlobo lwe-appendicitis esithetha ngalo nesilubona kakhulu.

Nangona kunjalo, kukwakho nohlobo olungaqhelekanga kakhulu olubizwa ngokuba yi -chronic appendicitis . Kule meko, i-appendix idumba kancinci ixesha elide, ngamanye amaxesha. Kodwa ayibi mbi ngokukhawuleza njengakwi-acute appendicitis. Ke ngoko, ngamanye amaxesha kunzima ukuyifumanisa. Nangona kunjalo, naluphi na uhlobo lwe-appendicitis kufuneka luthathwe nzulu. Ukuba unentlungu engapheliyo esiswini kwaye awuyazi imbangela, ngokuqinisekileyo kufuneka ubone ugqirha. Kuba i-chronic appendicitis nayo inokuba yi-acute nangaliphi na ixesha. Ke ngoko, oogqirha banyanga zombini ngendlela efanayo.

Ixhaphake kangakanani i-appendicitis?

I-appendicitis ebukhali yimeko eqhelekileyo kakhulu , ingakumbi kubantu abaphakathi kweminyaka eli-10 ukuya kwengama-30. Ixhaphake kakhulu kubantwana abancinci, kodwa inokuchaphazela nabantwana abancinci. Kumazwe afana ne-United States, malunga ne-5% yabantu baya kuba ne-appendicitis ebomini babo. Yiyo eyona nto iphambili yotyando olungxamisekileyo lweentlungu zesisu. I-appendicitis engapheliyo yenzeka ngepesenti encinci kuphela, malunga ne-1%.

Ziziphi iimpawu ze-appendicitis?

Iimpawu eziphambili ze-appendicitis ziintlungu zesisu, isicaphucaphu, kunye nokuphelelwa ngumdla wokutya.Kukho uhlobo oluthile lwezi mpawu olukwenza kube lula ukuqaphela i-appendicitis. Kodwa, ngelishwa, sisiqingatha sabantu abane-appendicitis kuphela ababonisa ezi mpawu ziqhelekileyo. Abantwana abancinci, abantu abadala, kunye nabasetyhini abakhulelweyo banokuzibona ngendlela eyahlukileyo ezi mpawu ziqhelekileyo.

Iimpawu zokuqala ze-appendicitis

Oku kwenzeka rhoqo:

1. Okokuqala, intlungu iqala embindini wesisu, ejikeleze inkaba . Oku kungathatha ixesha elide, kubuye kudlule.

2. Emva kweeyure ezimbalwa, intlungu iba qatha ngakumbi, kwaye isicaphucaphu nokuhlanza kuqala.

3. Emva kweeyure ezimbalwa, isicaphucaphu siyaphela kwaye intlungu iya kwicala elisezantsi lasekunene lesisu , kanye apho kukho i-appendix. Intlungu igxile kwindawo enye kwaye iyaqhubeka nokukhula.

Ezinye iimpawu ezinokwenzeka

Abanye abantu banokuba nezi mpawu kamva:

• Umkhuhlane: Malunga nama-40% abantu banokufumana umkhuhlane. Oku kuthetha ukuba inkqubo yomzimba wakho yokuzikhusela iqalisa ukusebenza. Okanye kusenokwenzeka ukuba ukudumba kuyanda kwaye usulelo lusasazeka.
• UMalaise: Usenokuziva ungaphilanga kakuhle, ungenamdla kwinto ethile, kwaye uzive ufuna ukuhlala ebhedini. Njengaxa ugula.
• Ukudumba/ukudumba kwesisu: Isisu sakho sinokuziva sidumbile okanye sigcwele. Oku kudla ngokuba luphawu olungenzulu kangako, kwaye kungaba luphawu lokuba i-appendix yakho idumbile.
• Iingxaki zomchamo: Usenokuziva ngathi kufuneka uchame rhoqo okanye ngequbuliso uzive ufuna ukuchama. Oku kunokwenzeka ukuba imithambo-luvo edibene nesinyi ivuselelwa yi-appendicitis.
• Ukukhubazeka kwamathumbu: Xa ukuhamba kwegazi ukuya kwi-appendix kuguqulwa, ukusebenza kwamathumbu kunokuyeka okwethutyana. Abanye abantu banokuba nokuqhinwa kunye nobunzima bokuphuma komoya. Basenokuvakalelwa kukuba ingxaki iza kuphela ukuba bagxothwa.
• Urhudo: Abanye abantu banokuba nengxaki yokuzikhupha kakhulu amathumbu kunye nokuhamba rhoqo kwamathumbu. Oku kusenokuba ngenxa yokudumba kwe-appendix, enokushukumisa amathumbu amakhulu akufutshane.

Ngaba ungajonga i-appendicitis ekhaya?

Ukuba ukrokrela ukuba une-appendicitis, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze ayixilonge. Nangona kunjalo, kukho iimpawu ezimbalwa ezisetyenziswa ngoogqirha ukunceda ekuxilongeni i-appendicitis. Indawo ekuyo intlungu ibaluleke kakhulu. Kuqhelekile ukuba iqale esiswini sasekunene ize iye kwicala lasekunene elingezantsi. Nangona kunjalo, abanye abantu banokuziva iintlungu kwezinye iindawo. Oogqirha bakhangela izinto ezinje:

• Uphawu lukaMcBurney:Ingongoma kaMcBurney kukuba i-appendix iqhele ukuba khona. Ukuba ibuhlungu xa uyicinezela, yiloo nto yokuqala ugqirha aza kuyikhangela. Ungayifumana le ngongoma ngokuzoba umgca ukusuka kwithambo lesinqe ukuya emqolo wakho, malunga nesithathu sendlela esezantsi (malunga nee-intshi ezimbini) ukusuka kuloo mgca.
• Uphawu lukaBlumberg: Intlungu eyandayo xa ucinezela indawo ebuhlungu uze ususe isandla sakho. Oku kukwabizwa ngokuba yi-rebound tenderness .
• Uphawu lukaDunphy: Intlungu eyandayo xa ukhohlela.
• Uphawu lukaRovsing: Intlungu kwicala lasekunene lesisu xa ucinezela kwicala lasekhohlo.
• Uphawu lwe-Psoas: Ukuba i-appendix yakho ingasemva (hayi phambi) kwamathumbu akho amakhulu, i-appendicitis inokuba ichaphazela izihlunu zakho ze-psoas . Emva koko ungaziva iintlungu ngokugoba isinqe sakho sasekunene. Ukuba ugqirha uzama ukolula okanye ukujikelezisa isinqe sakho sasekunene ngaphandle, sibizwa ngokuba luphawu lwe-psoas . Ukuba kubuhlungu xa usijikelezisa ngaphakathi, sibizwa ngokuba luphawu lwe-obturator .

Eyona nto ibalulekileyo: Nokuba uyazi ezi mpawu, musa ukuzama ukuzixilonga. Ukuba unentlungu engaqhelekanga esiswini, bonana nogqirha ngokukhawuleza.

Ziziphi ezinye izifo ezinokudidaniswa ne-appendicitis?

Iimpawu ze-appendicitis zinokufana nezinye iimeko ezininzi, ingakumbi kubasetyhini. Ngenxa yokuba isisu sakho esisezantsi sikufutshane nomngxuma wakho we-pelvic, iimeko ezichaphazela amalungu akho e-pelvic zinokuvakala ngathi zifana ne-appendicitis. Ezi zitho ziquka inkqubo yakho yomchamo kunye nenkqubo yokuzala yabasetyhini. Ezinye izitho ezisezantsi zesisu nazo zinokuchaphazeleka.

Ezinye izifo ezinokudideka lula ne-appendicitis zezi:

• Isifo sokudumba kwepelvic (PID)
• I-Endometriosis
• I-cyst ye-ovarian
• Ilitye lezintso
• Usulelo lomchamo (UTI)
• I-Pancreatitis
• Isifo samathumbu esivuthayo (IBD)
• I-Diverticulitis yekholoni
• I-Gastroenteritis (usulelo lwamathumbu)
• Ukuvaleka kwamathumbu

Zithini izizathu ze-appendicitis?

Ngenxa yobukhulu be-appendix kunye nendlela ebekwe ngayo, inokuthi ivaleke kwaye yosuleleke lula. Amathumbu akho amakhulu ahlala kwiintsholongwane ezininzi. Ukuba uninzi lwezi ntsholongwane lunamathela ngaphakathi kwi-appendix, zinokuphindaphindeka kwaye zibangele usulelo. Ngamanye amaxesha i-appendicitis iqala ngosulelo, kwaye ngamanye amaxesha usulelo luba lolwesibini. Xa i-appendix idumba, umngxuma wayo ungavaleka, okuvumela iintsholongwane ezininzi ukuba zinamathele ngaphakathi.

Ezinye zezona zinto ziphambili ezibangela ukudumba, ukuvaleka, kunye nosulelo lwe-appendix zezi:

• Amatye esihlomelo / IiFecaliths / IiAppendicoliths: Iziqwenga zendle eqinileyo, ezityebileyo ngecalcium (ezikwabizwa ngokuba ziifecaliths okanye iiappendicoliths ) zinokungena kwiappendix. Ziqulathe iintsholongwane kwaye zinokubamba iintsholongwane esele zingaphakathi.
• I-Lymphoid hyperplasia: Inkqubo ye-lymphatic , eyinxalenye yenkqubo yakho yokuzikhusela, ivelisa iiseli ezimhlophe zegazi kwaye izikhuphele kwizicubu zakho ukuze zilwe nosulelo. Oku kunokubangela ukuba ii-lymph nodes kwi-appendix yakho zidumbe, nokuba kukho usulelo kwenye indawo emzimbeni wakho. Le tissue idumbileyo inokuthintela i-appendix kwaye ibangele ukuba usulelo lukhule ngaphakathi.
• I-Colitis: Ukudumba kwamathumbu amakhulu , nokuba kubangelwa lusulelo okanye yimeko efana ne -IBD , kunokuchaphazela i-appendix. Usulelo lunokusasazeka, kwaye ukudumba kunokucaphukisa i-appendix.

Ezinye izizathu ezinokubangela i-appendix evaliweyo ziquka:

• Iithumba
• Iintsholongwane
• Icystic fibrosis

Kutheni kukho i-appendicitis engapheliyo?

Ingcamango engasemva kwe-appendicitis engapheliyo kukuba kukho into ebangela ukudumba okuncinci ixesha elide. Isenokuba yimeko yexesha elide efana ne -IBD , okanye ingaba kukukhula okuncinci kwebhaktheriya. Okanye ingaba kukuvaleka kwe-appendix okubambekayo kuze kubuye. Ukudumba kwexesha elide kunokukhokelela kwi- lymphoid hyperplasia , okanye ngokuhamba kwexesha, izicubu zesilonda kwi-appendix.

Ingaba i-appendicitis idluliselwa njengelifa?

Ukuba kukho umntu kusapho lwakho okhe waba ne-appendicitis, nawe usenokuba sengozini enkulu yokuba nayo. Kodwa isizathu esichanekileyo asicaci. I-Appendicitis ngokwayo ayilofuzo, kodwa ezinye zezinto ezibangela le ngxaki zinokuba nefuthe kwimfuza.

Ngaba uxinzelelo lungabangela i-appendicitis?

Amathuba okuba oku kwenzeke aphantsi kakhulu. Nangona kunjalo, uxinzelelo olukhulu lomzimba olubangelwa kukugula kakhulu lunokubangela ukuncipha kokuhamba kwegazi ukuya emathunjini (i-intestinal ischemia) . Le meko , ebizwa ngokuba yi-ischemic colitis, ayinakuyichaphazela kangako i-appendix.

Ngaba ukutya kungabangela i-appendicitis?

Kukho iingxelo ezingaqhelekanga zokuba imbewu okanye i-nut engacolekiyo inamathela kwi-appendix, nto leyo ebangela ukudumba. Nangona kunjalo, ngokubanzi, ukutya okune-fiber eninzi kunciphisa umngcipheko we-appendicitis.

Ziziphi iingxaki ezinokubakho ze-appendicitis?

I-Appendicitis ingakhokelela ngokukhawuleza kwiingxaki ezinkulu kakhulu . Yiyo loo nto oogqirha beyithatha njengengxamiseko. Iingxaki zinokuba mandundu ngokuhamba kwexesha, kodwa azisoloko zisenzeka ngendlela efanayo.

Iingxaki (amanqanaba) zinokuba ngolu hlobo:

• Ukuncipha kokuhamba kwegazi kunye nokufa kwezicubu (Ischemia kunye ne-necrosis): Ukudumba okukhulu kwe-appendix kubangela ukuba ukuhanjiswa kwegazi kuyo kume (ischemia) , okubangela ukudumba okungakumbi, kwaye ekugqibeleni izicubu ziqale ukufa (necrosis) .
• Ukubola/ukugqobhoka: Xa izicwili ziqala ukufa, usulelo lunokusasazeka. Lunokusasazeka ngaphakathi njenge -gangrene , okanye lunokusasazeka ngokukhawuleza ngokuqhekeka okanye ukugqobhoka kwe-appendix.
• Ithumba/i-phlegmon: Ekuqaleni, usulelo lusenokungasasazeki ngaphaya kwe-appendix. Lunokuvela njengethumba ngaphandle kwe-appendix. Okanye iqhuma elibizwa ngokuba yi-phlegmon linokuvela lijikeleze i-appendix. La maqhuma anokuba nosulelo, kodwa anokugqabhuka.
• I-Peritonitis kunye nosulelo olusasazekayo: Xa usulelo lusasazeka luye kulwelo lwesisu (i-peritoneal cavity - i-peritonitis) , lunokusasazeka luye kwamanye amalungu omzimba kwaye ekugqibeleni luye kutsho egazini (i-septicemia) . Ukuba usulelo lusasazeka luye kulwelo olusasazekayo, lunokubangela iimeko ezifana ne -sepsis kunye ne-septic shock , ezinokuba yingozi ebomini.

Ifunyanwa njani i-appendicitis?

Ugqirha uza kukubuza ngentlungu yakho kunye nezinye iimpawu. Baza kwenza uvavanyo lomzimba olucokisekileyo baze bajonge iimpawu zomzimba ze-appendicitis (umzekelo, iintlungu xa ucinezela isisu sakho, iqhuma eliqinileyo esiswini sakho). Ukuba uneempawu eziqhelekileyo, baya kukwazi ukufumanisa imeko ngokukhawuleza. Ngaphandle koko, kuya kufuneka benze uvavanyo olongezelelekileyo ukuqinisekisa i-appendicitis.

Ziziphi iimvavanyo ezisetyenziselwa ukuxilonga i-appendicitis?

Uvavanyo lwe-appendicitis ludla ngokuquka uvavanyo lwegazi kunye novavanyo lwemifanekiso . Uvavanyo lwegazi lunokubonisa iimpawu zokudumba (umz., ukwanda kwenani leeseli ezimhlophe zegazi , ukwanda kweproteni ye-C-reactive ) kwaye lunokunceda ekufumaneni usulelo. Kunokwenziwa i -ultrasound yesisu okanye i-CT scan.Uvavanyo lokufota, olufana nolunye, lunokubonisa ukuba i-appendix idumbile. Ugqirha angayalela novavanyo olongezelelweyo ukuze athintele ezinye iimeko.

Ngaba i-appendicitis ingaphola ngokwayo?

Kunokwenzeka, kodwa akunakwenzeka. Ukuba unobangela we-appendicitis uphela ngequbuliso, unokuziphelela. Umzekelo, ukuba into ebambeke kwi-appendix idlula emathunjini, okanye ukuba usulelo olubangele ukudumba kwe-lymph nodes luphela ngequbuliso. Nangona kunjalo, musa ukucinga ukuba oku kuya kwenzeka, nokuba intlungu iyaphela.

Ziziphi iindlela zonyango lwe-appendicitis?

Ngenxa yokuba i-appendicitis yimeko engxamisekileyo, inyangwa kwigumbi likaxakeka. Unyango oluqhelekileyo luquka amayeza kunye notyando. Nangona kunjalo, kwiimeko ezinqabileyo kakhulu, amayeza odwa anganelanga.

Amayeza

Phantse wonke umntu one-appendicitis kuya kufuneka anikwe amayeza okubulala iintsholongwane . Nokuba awunaso isifo kwasekuqaleni, i-appendicitis idla ngokuba sisifo esibangela usulelo. Kuqhelekile ukuba unikwe amayeza okubulala iintsholongwane ngaphambi kotyando ukuthintela usulelo.

Ukuba unesifo se-appendicitis esincinci kwangethuba, ugqirha wakho unokugqiba ekubeni akunike amayeza okubulala iintsholongwane aze ajonge iimpawu zakho. Ukuba usemngciphekweni omkhulu wotyando, ungathanda ukuqwalasela olu khetho. Nangona kunjalo, oogqirha abalucebisi kangako olu khetho kuba ukuba i-appendicitis ayisuswanga, amathuba okuba i-appendicitis ibuye kwakhona aphezulu.

Usenokufuna nokunciphisa iintlungu . Oku kunokunikezelwa nge- IV (ityuwa efakwa emthanjeni osengalweni yakho) . Ukuba utyando, uza kunikwa i-anesthesia jikelele , ukuze ungabi sezingqondweni ngexesha lotyando.

Utyando

Wakuba ufunyaniswe une-appendicitis, ixesha libaluleke kakhulu. I-appendicitis yakho inokuqhuma kwiiyure ezingama-36 emva kweempawu zakho zokuqala. Oogqirha botyando badla ngokucwangcisa i-appendectomy kwiiyure ezingama-24 emva kokuba uxilongiwe. I-Appendectomy lolunye lotyando oluqhelekileyo olwenziwa kwihlabathi liphela. Oogqirha botyando badla ngokukwenza oku ngeendlela ezingafunekiyo, njengotyando lwe-laparoscopic . Oko kukuthi, utyando olubandakanya ukwenza imingxunya embalwa esiswini kunye nokufaka ikhamera kunye nezixhobo ezithambileyo.

Ukuba uneengxaki, ugqirha uza kuzinyanga ngexesha lotyando. Ukuba kukho iingxaki, kunokufuneka wenze utyando oluvulekileyo lwesisu. Emva kotyando, baza kuhlamba baze bacoce ingaphakathi lesisu sakho ngesisombululo esingenazintsholongwane.

Akukho ziphumo zimbi emva kokususa i-appendix. Oogqirha abaqinisekanga nokuba i-appendix yenza nantoni na. Ukuba iyenza, incinci kakhulu. Mhlawumbi inceda ekwenzeni ii-antibodies ngexesha lobuntwana.

Kuthatha ixesha elingakanani ukuphola emva kokususwa kwe-appendectomy?

Ukuba ubunokuhlinzwa okulula kwe-laparoscopic appendectomy, unokukwazi ukuya ekhaya ngaloo mini inye. Ukuba ubuneengxaki, okanye ukuba ubunokuhlinzwa okuvulekileyo, unokufuna ukuhlala esibhedlele iintsuku ezimbalwa. Usenokufuna amayeza entlungu kwiintsuku zokuqala emva kokuba ubuyile ekhaya. Uninzi lwabantu luyaphila ngokupheleleyo kwiiveki ezintandathu.

Iyintoni ikamva lale meko?

Ukuba ufunyenwe kwaye wanyangwa kwangethuba, ikamva lihle kakhulu. Uninzi lwabantu luyaphila ngokukhawuleza nangokupheleleyo. Ukuba ukhe waba ne-appendicitis enzima, ixesha lakho lokuchacha linokuba lide kancinci. Kusenokufuneka ufumane unyango oluphindaphindwayo lwezifo ezisasazeke ngaphaya kwe-appendicitis. I-Appendicitis enyangwa ngamayeza okubulala iintsholongwane yodwa inomngcipheko we-40% wokuphinda ivele. I-appendicitis enganyangwanga inomngcipheko we-50% wokufa.

Ufanele ufune nini iingcebiso zonyango nge-appendicitis?

I-Appendicitis isoloko iyinto engxamisekileyo!

Ukuba unayo nayiphi na kwezi mpawu okanye iimpawu ze-appendicitis, funa ingcebiso kagqirha ngokukhawuleza:

• Intlungu kwicala lasekunene elisezantsi lesisu.
• Ukuba intlungu yesisu iyanda kancinci kancinci.
• Ukuba unesicaphucaphu kunye/okanye umkhuhlane kunye nentlungu yesisu.
• Ukuba kubuhlungu xa ucinezela isisu sakho okanye ubeka isandla sakho kuso.

Mhlawumbi awusoze ucinge nge-appendix yakho de ibe buhlungu ngenye imini. Ukuba oko kuyenzeka, akukho xesha lokulinda – kufuneka uye esibhedlele ngoko nangoko. I-Appendicitis imbi kakhulu, kodwa ixhaphakile. Ukuba udinga utyando olungxamisekileyo, usezandleni ezinamava. Xa oku kuphelile, awusayi kuphinda ukhathazeke nge-appendicitis kwakhona.

Izinto esifanele sizikhumbule kweli bali (Umyalezo Wokubuyela Ekhaya)

Kulungile, masiphinde sichaze ezona zinto zibalulekileyo esithethe ngazo:

• I-Appendicitis yimeko engxamisekileyo. Ukuba uneempawu ezifana nentlungu eqatha kwicala lasekunene lesisu sakho, isicaphucaphu, kunye nomkhuhlane, isenokuba yi-appendicitis.
• Musa ukuchitha ixesha. Ukuba uneempawu, bonana nogqirha ngoko nangoko. Kuba akuthathi xesha lide ukuba i-appendix iqhume.
• Kukho unyango. Eyona nkqubo ixhaphakileyo kukususa i - appendectomy ngotyando. Oku kudla ngokwenziwa ngokusikwa okuncinci (laparoscopic) .
• Inganyangeka. Ukuba ufumana unyango ngokukhawuleza, ungaphila ngokupheleleyo kwaye ubuyele kubomi obuqhelekileyo.
• Musa ukoyika, kodwa qaphela. Kubalulekile ukuba uqaphele i-appendicitis. Thatha inyathelo ngokukhawuleza xa ukrokrela iimpawu.

Ndiyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!

I- Appendicitis, iintlungu zesisu, i-appendix, iintlungu zesisu, i-appendixectomy, utyando olungxamisekileyo, i-peritonitis