Sawubona bathandi be-inthanethi abathandekayo, wamukelekile kubhulogi yolwazi lwezempilo yokugaya ukudla, sizokwembula isihloko mayelana ne-cecal appendicitis.
Kuyisifo esithinta i-cecum kanye ne-vermiform appendix, okubangela ukuvuvukala kanye nokutheleleka. Kuyimbangela evame kakhulu yobuhlungu besisu kubantu abangaphansi kweminyaka engu-50 kanye nembangela yesibili evame kakhulu kubantu abangaphezu kweminyaka engu-50.
Lesi simo singaba sibi kakhulu futhi sidinga ukunakekelwa kwezokwelapha okusheshayo ohlelweni lokunakekelwa kwempilo lukahulumeni noma oluzimele. Kulesi sihloko, sizohlola izimbangela, izimpawu, kanye nezinketho zokwelapha i-appendicitis, ngenhloso yokunciphisa izinkinga ezivela ekubambezelekeni kokufuna ukunakekelwa kwezokwelapha.
Kungakhathaliseki ukuthi unezinhlungu zesisu noma umane nje ufuna ukwazi ngalesi simo, joyina nathi ukuze uthuthuke njengoba siqhubeka nokusihlola. "kubhalwe ngabantu, ngenxa yabantu" ezweni lokucasuka kwe-appendicular cecal.
Y uma ukhulelweSizophinde sibhekane nezinto eziphathelene nokucasuka kwe-appendix ngesikhathi sokukhulelwa. Ngakho-ke, ake singene futhi Ake sifunde kabanzi mayelana nokuvuvukala kwe-appendicular cecal kanye nendlela okungelashwa ngayo ngempumelelo. Ngakho-ke ake siqhubeke!
I-Cecal appendicitis
I-Cecal appendicitis yisimo esingavamile kodwa esibi kakhulu esingase senzeke lapho i-cecum, ingxenye yamathumbu amakhulu, ivuvukala futhi iholela ekubeni khona kwe-appendicitis.
Kulinganiselwa ukuthi kuzokwenzeka e- 2-4% yazo zonke izimo ze-appendicitis, okwenza kube yisimo esingavamile.
Kubonakala ngobuhlungu besisu kanye nokuzwela okukhulu okutholakala engxenyeni engezansi kwesokudla, kanti ezinye izimpawu ezivamile ukucanuzela kwenhliziyo nokuhlanza, umkhuhlane kanye nokulahlekelwa yisifiso sokudla.
Uma ingelashwa ekuqaleni kokugula, i-cecal appendicitis ingaholela ezinkingeni ezinkulu, njengokubhoboka kwe-appendiceal kanye namathumbu, okuvame ukuholela ku-septicemia (ukutheleleka okuvamile okudluliselwa yigazi elingcolile).
Ukunakekelwa kwezokwelapha okukhethekile ngesikhathi esifanele ezibhedlela noma emitholampilo kubalulekile ekuxilongweni nasekulashweni, okuvame ukuhilela ukuhlinzwa ukuze kususwe i-appendix evuvukele.
Ukuvama kwezinombolo kungahlukahluka kuye ngendawo noma ezinye izici, kodwa uma sekuqashelwe, isinyathelo kumele sithathwe ngokushesha ukuze kugwenywe izinkinga ezinkulu zempilo.
Manje sizoqhubeka nokuphendula umbuzo ovame ukubuzwa kodokotela yiziguli noma imindeni yazo ngokubonisana noma emagumbini ezimo eziphuthumayo esibhedlela:
Kuyini i-cecal appendicitis?
Ukucasuka kwe-cecal kuyinto uhlobo lokuvuvukala kanye nokutheleleka kwe-appendix etholakala eduze kwasekuqaleni kwamathumbu amakhuluKungenzeka kunoma yimuphi ubudala, okwenza kube yisimo esiphuthumayo sezokwelapha. kudinga ukuxilongwa okusheshayo kanye nokwelashwa ukugwema izinkinga.
Lesi sihloko sihlola izimbangela, the izimpawu, ukuxilongwa kanye nokubikezela kwe-cecal appendicitis, okunikeza ulwazi olubalulekile ngale mbangela evamile yobuhlungu obukhulu besisu.
Umsuka we-cecal appendicitis ngokuyinhloko ukuvinjelwa ngaphakathi kwesithoLokhu kuvinjelwa kungabangelwa izici ezahlukahlukene, njengokuqongelela kwendle eqinile, izinto zangaphandle, noma izicubu ze-lymphoid ezivuvukele.
Uma i i-appendix ivinjiweAmabhaktheriya ayaphumelela ukuzala, okubangela ukutheleleka kanye nokuvuvukala okulandelayo kwezicubu ezizungezile, okuhlanganisa ne-cecum.
Ukuqonda izizathu eziyisisekelo zalokhu Ukuvuvukala kwesithasiselo se-vermiform kubalulekile ekuqapheleni izici eziyingozi futhi usebenzise izinyathelo zokuvimbela.
Uma izimbangela eziyinhlokoNjengochwepheshe bezempilo, singaphatha kangcono futhi siphathe abantu abanalesi simo, sinciphise amathuba okuba nezinkinga futhi sithuthukise imiphumela yeziguli.
Izimbangela ze-cecal appendicitis
I-Cecal appendicitis yisifo esibangelwa yi-a ukuvinjelwa kwe-appendicularokubangela ukuvuvukala kanye nokutheleleka. Izimbangela ezivamile zale nkinga zifaka phakathi ukunqwabelana kwendle eqinile, izinto zangaphandle (ama-parasites, imbewu), ngisho nama-tumors.
Kunezici eziningi eziyingozi ezingaba nomthelela ekukhuleni kwe-cecal appendicitis, njenge isizinda somndeni lesi sifo, i-system ye-inmunitario debilitado futhi ezithile trastornos emathunjini.
Ukuqaphela lezi zimbangela ezingaba khona kusiza ekuxilongweni nasekwelapheni le nkinga ye-cecum, njenge-vermiform appendix.
I-Las izithiyo ku-appendix Ukuvaleka kuvame ukubangelwa yindle eqinile, okuvimbela ukugeleza okuvamile kwemfucuza. Ngaphezu kwalokho, izinto zangaphandle, njengembewu noma izingcezu zokudla, zingabangela ukuvaleka. Lokhu kungaholela ekuqongeleleni kwamagciwane, okubangela ukutheleleka nokuvuvukala.
Ngalokho, izimila kanye nokukhula ngaphakathi kwe-appendix Zingaba futhi yimbangela. Ukuqonda le mithombo engaba khona kungasiza ekuboneni izici eziyingozi kanye nezinyathelo zokuvimbela.
Umlando womndeni we-cecal appendicitis uyisici esibalulekile emathubeni okuthola lesi sifo.
Ezinye izinto eziyingozi yilezi: amasosha omzimba abuthakathaka, njengalawo abantu abane-HIV/AIDS noma abelashwa ngamakhemikhali, kanye nabanye abantu abanesifo sikashukela. Izinkinga zesisu ezifana nesifo sikaCrohn noma i-ulcerative colitis.
Ngokuqaphela lezi zici eziyingozi, abantu bangathatha izinyathelo zokuphatha impilo yabo futhi banciphise amathuba abo okuthola i-cecal appendicitis. Ngakolunye uhlangothi, Abantu kufanele baqaphele imibonisonjengobuhlungu besisu, umkhuhlane, kanye nokufuna usizo lwezokwelapha ngokushesha uma kudingeka.
Ku inkambo yokukhulelwa Kungenzeka ukuthi ukucasuka kwe-appendicular ye-cecalKufanele kuqashelwe ukuthi ngemva kwezinyanga ezintathu zokukhula kwengane, i-uterine fundus iphuma e-pelvic fossa ngakho-ke Lokhu kusunduza i-viscera yangaphakathi kwesisu iye engxenyeni engenhla yesisu.
Ngakho-ke, indawo yokwakheka kwesitho se-vermiform appendicular ikhuphuka isuka engxenyeni engezansi kwesokudla iye engxenyeni engezansi kanye nengxenye ephezulu yesisu kwesokudla, izindawo lapho ziveza khona ukuzwela okukhulu ekucindezelweni kwedijithali.
Izimpawu
Uma kukhulunywa nge ukucasuka kwe-appendicular ye-cecalUbuhlungu besisu buwuphawu olubonakalayo. Lokhu kungakhululeki kuvame ukuqala ngaphezu kwenkaba ngaphambi kokuya esiswini esingezansi kwesokudla. Kuvame ukuchazwa ngokuthi ubuhlungu obukhulu nobuqhubekayo okwanda ngokunyakaza.
Ezinye izikhalazo ezivamile yilezi: Isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, ngisho nomkhuhlane ophansi. Uma kwenzeka noma yikuphi kwalokhu, kubalulekile ukubonisana nodokotela ngokushesha okukhulu.
Ukuqinisekisa ukutholakala kokucasuka kwe-appendicular cecal, ukuhlolwa kwegazi ukuhlola inani eliphezulu lamaseli amhlophe egazi. Ngaphezu kwalokho, kungase kube nezinguquko emikhubeni yamathumbu, njengokuthi uhudo, ukuqunjelwa, ukwanda kwegesi, kanye nokuqunjelwa.
Kodwa-ke, kubalulekile ukukhumbula ukuthi lokhu kungakhululeki kungaba uphawu lwezinye izifo zesisu, ngakho-ke kubalulekile vakashela uchwepheshe wezempilo edolobheni ukuthola ukuxilongwa okufanele futhi okufika ngesikhathi.
Inqubo evamile ye-cecal appendicitis iwukuba i-appendectomy ukususa i-appendix evuvukele. Ngemva kokuhlinzwa, kubalulekile ukuqapha ngokucophelela inqubo yokuphulukiswa. Ngesikhathi sokuhlinzwa isikhathi sokululamaKungase kube nokungakhululeki nobuhlungu eduze kwendawo yokusikwa, kodwa kuzothuthuka kancane kancane ngokuhamba kwesikhathi.
Kubalulekile futhi Landela imiyalelo kadokotela mayelana nokunakekelwa ngemva kokuhlinzwaLokhu kuhlanganisa ukuphuza imithi ebhalwe ngudokotela kanye nokuya emihlanganweni yokulandelela. Ngokwelashwa nokunakekelwa okufanele, abantu bangalindela ukululama okuphelele kwi-cecal appendicitis.
Ukuxilongwa
La Ukuhlonza ukucasuka kwe-appendicular ye-cecal kuyisinyathelo esibalulekile ekunqumeni uhlelo lokwelashwa olufanele yesimo. Ukuze bahlole futhi baxilonge ngokunembile lesi simo, ochwepheshe bezempilo kumele basebenzise izindlela ezahlukahlukene zomzimba nezokuhlola.
Ingxenye evamile ye ukuhlola kokuqala Umlando wezokwelapha wesiguli uyahlolwa, kwenziwa ukuhlolwa okuphelele ngokomzimba, bese Hlola ingxenye engezansi kwesokudla yesisu ukuze ubone ukuthi sithambile yini futhi sithambile yini..
Ngakolunye uhlangothi, kungenzeka ukusebenzisa Ukuhlolwa kwelebhu, njengokuhlolwa kwegazi eliphelele kanye nezimpawu zokuvuvukala, ukuthola izimpawu zokutheleleka noma ukuvuvukala. izifundo zezithombeI-Ultrasound, noma i-computed tomography (CT), ngokuvamile iyithuluzi lokuxilonga eliqondile kakhulu lokuvuvukala kwe-appendenceal cecal futhi linganikeza umbono oningiliziwe wesitho se-appendenceal kanye nendawo esizungezile.
Ngaphezu kwalokho, i ikota yesisu engezansi kwesokudla Inikeza ulwazi olubalulekile mayelana nosayizi, indawo, kanye nokubonakala kwe-appendix. Inkomba ephezulu yokusola kanye nendlela yokuxilonga ejulile kubalulekile ekutholeni ngokufanele amacala okuphazamiseka kwe-appendix ye-cecal.
Indawo engezansi uhlangothi lwesokudla lwesisu Lokhu ngezinye izikhathi kungenza ukuxilongwa kube nzima, njengoba izifo zingafana neze- ezinye izifo zesisu noma izifo zabesifazaneNgakho-ke, gxila okubalulekile komphumela ukuqinisekisa ukuxilongwa okunembile kanye nokwelashwa ngesikhathi esifanele.
ukuxilongwa okuhlukile
I-Cecal appendicitis ukuvuvukala kwe-cecum okungaba nzima ukukuthola nokwelapha ngempumelelo. Ngokuvamile kuveza izimpawu ezifana nezezinye izifo, njenge... isifo samathumbu esivuvukalayo, i-diverticulitis yekholoni elikhuphukayo, ngisho ne-vermiform appendicitis.
Ukuxilongwa okuhlukile kubalulekile ukuze kutholakale umsuka wobuhlungu be-cecal futhi kufanele kwenziwe ngokunaka imininingwane ngezifundo zezithombe, izivivinyo zelebhu kanye nomlando wezokwelapha.
Ukwelashwa kwe-cecal appendicitis kuvame ukuhilela ukuhlinzwa noma ama-antibiotic, kuye ngesimo esiyingqayizivele sesiguli.
Nakuba kuyisifo esingavamile sokuvuvukala kwamathumbu, i-cecal appendicitis ingaholela ezinkingeni ezinkulu uma ingelashwa kusenesikhathi, okwenza ukuxilongwa nokwelashwa ngesikhathi esifanele kubaluleke nakakhulu empilweni iyonke.
Ukwelapha
Umbuso we- ukucasuka kwe-appendicular ye-cecal Ukuqinisekisa umphumela owanelisayo kubalulekile. Ngokuvamile kunconywa ukuthi Ukungenelela kokuhlinzwa ngokushesha nje lapho ukuxilongwa sekuqinisekisiwe. Ukwelashwa okuyinhloko kwalesi sifo i-appendectomy, okuhlanganisa ukususa i-appendix evuvukele.
Lokhu kungenziwa ngokuhlinzwa okuvamile okuvulekile noma ukuhlinzwa kwe-laparoscopic okungenasidingo. kuye ngokuthi inkinga ibucayi kangakanani kanye nesimo sesiguli esijwayelekile ngesikhathi sokuxilongwa.
Uma kwenzeka i-appendix iqhuma, kungase kudingeke ezinye izinyathelo, njengokukhipha amanzi emathunjini noma ukunikeza ama-antibiotic ukuvimbela ukutheleleka. Kubalulekile ukufuna usizo lwezokwelapha ngokushesha ukuze ugweme izinkinga ezingaba khona futhi wenze kube lula ukululama.
I-Los ukunakekelwa kwangemva kokuhlinzwa Ziyadingeka futhi ekwelapheni ukucasuka kwe-appendicular cecal. Ngemva kokwelashwa i-appendectomyIziguli zizoqashwa ukuze kubhekwe noma yiziphi izimpawu zezinkinga, njengokutheleleka noma ukwakheka kwamathumba.
Ukwelashwa kwe ubuhlungu nokunakekelwa kwamanxeba Lezi futhi ziyizinyathelo ezibalulekile enkambisweni yokululama. Imithi yobuhlungu kufanele ithathwe njengoba kuyalelwe, futhi indawo yokuhlinzwa kufanele igcinwe ihlanzekile futhi yomile.
Kubalulekile ukuhlonipha imikhawulo yemisebenzi, izincomo zokudla, kanye nemithi enqunywe uchwepheshe wezempilo ukuqinisekisa ukwelulama okuhle nokunciphisa ingozi yezinkinga zangemva kokuhlinzwa.
Ngiyazi nami Bahlela ama-aphoyintimenti okulandelela njalo ukuqapha intuthuko yesiguli nokwelapha noma yikuphi ukukhubazeka noma izinkinga. Ngohlelo lokwelapha nokunakekelwa okufanele, isibikezelo kulabo abahlushwa yi-cecal appendicitis ngokuvamile siba sihle, futhi iningi labo lithola ukululama okuphelele.
Isibikezelo
Ukubikezela kokucasuka kwe-appendiceal ye-cecal kuncike kakhulu ekusheshisweni kokwelashwa kanye nobukhali bokuvuvukala. ukuxilongwa okusheshayo nokususwa kwe-appendix ye-cecal evuvukele Zingavimbela ukubhoboka noma ukwakheka kwamathumba.
Kodwa-ke, ukuhlehlisa ukunakekelwa kwezokwelapha noma ukungasinaki lesi simo kwenza isimo sibe sibi kakhulu futhi kwandisa ingozi yokuba i-peritonitis noma i-sepsisKubalulekile ukuthi abantu ababhekene nokungakhululeki funa usizo lwezokwelapha ngaphandle kokulibala ukuze uthole umphumela ongcono kakhulu.
Ngokuvamile, ngemva kwe- ukususwa kwesitho se-appendicular Uma i-cecum ithintekile, isibikezelo sihamba kahle kakhulu. Iningi leziguli se lulama ingqikithi ngaphandle kwemiphumela ehlala njalo. Lo msebenzi, obizwa ngokuthi i-appendectomyNgokuvamile kwenziwa kusetshenziswa amasu angangenisi kakhulu, njenge-laparoscopy, okuholela ekusikeni okuncane, ubuhlungu obuncane ngemva kokuhlinzwa, kanye nokuphulukiswa okusheshayo.
Ngemva kwenqubo, iziguli zivame ukuqhubeka nemisebenzi yazo evamile zingakapheli izinsuku ezimbalwa noma isonto. Kubalulekile ukuqinisekisa ukwelulama okufanele nokugwema izinkinga ezingaba khona Landela imiyalelo yangemva kokuhlinzwa enikezwe yithimba lezempilo futhi ube khona kuzo zonke izikhathi zokulandelela. Ngokunakekelwa okufanele kwezokwelapha nangokulandela iseluleko sangemva kokuhlinzwa, isibikezelo se-cecal appendicitis ngokuvamile sihle kakhulu.
Ukuvimbela ukuvuvukala kwamangqamuzana obuchopho
I-Cecal appendicitis yisimo esingavamile kodwa esibucayi esidinga usizo lwezokwelapha ngokushesha. Kwenzeka lapho i-appendix, etholakala ku-cecum lapho amathumbu amancane ehlangana khona namathumbu amakhulu, ivuvukala futhi itheleleke.
Lesi simo singavinjelwa futhi singafinyelelwa ngokushintsha indlela yokuphila, njengokulungisa ukudla kwakho nokwandisa amazinga akho okuzivocavoca umzimba.
Ukukhuluphala ngokweqile kuye kwahlotshaniswa nengozi eyengeziwe yokuba ne-appendicitis, ngakho-ke ukugcina isisindo esinempilo ngokudla okunempilo kanye nokuzivocavoca umzimba kunganciphisa ingozi yokuba nalesi simo.
Yidla ukudla okucebile ngezakhamzimba kanye Gwema ukudla okucutshunguliwe, ukudla okuguqulwe izakhi zofuzo, noma ukudla okunamafutha amaningi agcwele kanye ne-fiber encane yokudla.Kubalulekile ukugcina umzimba usesimweni esihle kakhulu somzimba.
Ngaphezu kwalokho, qinisa imisipha yakho ngokuzivocavoca njalo kwenhliziyo nobuchopho njengokubhukuda, ukugijima, ukugibela ibhayisikili, noma landela uhlelo lokufaneleka komzimba Zisiza ekuthuthukiseni impilo iyonke futhi zinciphise ukucindezeleka ohlelweni lokugaya ukudla, okuyizinto ezibalulekile ekuvimbeleni i-cecal appendicitis.
Isiphetho
Ekugcineni kwalokho okubalulekile, I-Cecal appendicitis, eyaziwa nangokuthi ukuvuvukala kwesitho se-vermiform appendicular eduze kwe-cecum, okubangela i-typhlitis, kuyisimo sokuthi kudinga ukunakekelwa okusheshayo nokwelashwa.
Uma izimbangela, ziyaqashelwa izimpawu Futhi uma kutholakala ukuthi isifo sitholakale ngesikhathi esifanele, abantu bangathuthukisa kakhulu amathuba abo okululama.
Izinketho ukwelashwa Izimpawu zokucasuka kwe-appendicular cecal zingahluka kuye ngokuthi isimo sibucayi kangakanani, kodwa ukususwa kwe-appendix ngokuhlinzwa Lena ngokuvamile yindlela evame kakhulu. Ngokuthuthuka kobuchwepheshe bezokwelapha kanye namasu okuhlinzwa, isibikezelo seziguli ezine-appendicitis ngokuvamile siyathandeka.
Noma kunjalo, kubalulekile ukuqaphela lokho ukulibazisa noma ukunganaki izifo Kungaholela ezinkingeni nasezimweni ezisongela ukuphila. Ngakho-ke, kubalulekile ukuthi abantu ababhekene nobuhlungu besisu noma okunye ukungakhululeki okuhlobene nabo baxhumane nochwepheshe wezempilo wendawo ngokushesha.
Ngokuvamile, ngokusebenzisa ukuqwashisa, ukutholwa kusenesikhathi, kanye nokungenelela kwezokwelapha okufaneleUmthelela wokuvuvukala kwe-appendicular cecal ungancishiswa, okuvumela abantu ukuthi baphinde bathole impilo yabo kanye nenhlalakahle.
Sifinyelele endaweni yobunye ngokwabelana ngolwazi lwezempilo lokuvimbela mayelana nokucasuka kwe-cecal ngokusebenzisa amanethiwekhi omphakathi, futhi ukusebenzisana kuqinisekisa ukuthi umndeni, abangani, kanye nabantu abaningi bayazuza ngolwazi lokungakhululeki futhi bafuna usizo lwezokwelapha ukuze bagweme izinkinga ezinkulu.
Ngiyabonga ngokuvakashela ibhulogi ethi: Impilo Yokugaya Ukudla, ukwangana kobuzalwane kuze kube yilapho uthumela okulandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Cecal appendicitis.