I-Appendicitis ukuvuvukala kwesithasiselo se-cecum, okuthiwa i-appendicitis. Lesi sifo sibhekisela kuma-pathologies avamile kakhulu akhulayo emgodini wesisu, futhi angenzeka kumadoda, abesifazane nezingane.
Izingozi ezingcono kakhulu zokuthuthukiswa kwabantu kusukela eminyakeni engu-20 kuya kweyama-40, kepha ukuqina okunamandla kwabesifazane kukhula kaningi ngaphezu kwamadoda.
Iyini i-appendicitis ye-phlegmonous?
I-appendicitis ye-phlegmon yisinye sezigaba zokuthuthukiswa kwesifo. Odokotela bahlukanisa izigaba ezintathu zokuvuvukala kwesithasiselo:
- i-catarrhal - kukhona ukuqina okuncane kwezindonga nokuvuvukala okuncane;
- I-Purulent - ezindongeni nasemgodini we-appendage kunezinqubo ezihlanzekile - izinqubo; ubuhlungu bubizwa kakhulu kune-catarrhal;
- i-phlegmonous - ukuqina nokunyuka kwenqubo kuqhubeka, isiguli sithola ukuxhaswa okunamandla kule ndawo; le fomu isivele isongela ukuphila - kungakapheli amahora ambalwa isithasiselo singaphula.
Izimbangela ze-appendicitis ye-phlegmonous
I-appendicitis ye-phlegmon yisinye sezigaba zesifo, ngakho-ke izizathu zokuthuthukiswa kwayo zikhona lapho kungekho khona ukwelashwa kwezigaba zokuqala, futhi ngenxa yalokho, ekuthuthukiseni izinkinga.
Okokuqala, ukuthuthukiswa kwe-appendicitis ye-phlegmonous kuthinteka yi-thrombosis yeziqukathi zesithasiselo. Lokhu kwenzeka ngokumelene nesizinda sokuvuvukala okwandayo kule ndawo kanye nokususwa, okwakhiwa ngakho ngenxa yokucindezelwa kwemithanjeni. Ngakho-ke, imbangela eyinhloko yefomu le-phlegmonous ukukhona kwenqubo yokuvuvukala, ukubambelela kwesigaba sokuhlanzeka, ngokungabikho kokwelashwa, nokuqhubeka nokwenza ifomu elihle lokusongela inqubo.
Okwenziwe i-appendicitis, odokotela abakwazanga ukuphendula ngokunembile - abanye bakholelwa ukuthi isizathu sokuvuselela izitshalo zebhaktheriya, abanye babone imbangela yokuvimba kwe-lumen - lokhu kubizwa ngokuthi yi-mechanical theory. Ngokusho kwakhe, isitshalo se-bacterial of the intestine (esinezinhlobo ezingu-500 zama-bacteria kanye nesibungulu) sithinta isithasiselo ngenxa ye-necrosis, eqala ngenxa yokucindezelwa kwemivimbo ye-intraorganic, futhi ngenxa yalokho, ama-bacteria ahlasela izindawo eziphathelene ne-necrotic, ekugcineni eholela esiteji sezinhle. Futhi, odokotela abaningi bathi kunezinye izimbangela ezibangelwayo - isibonelo, helminthiasis, izicubu, zigwinya izidumbu zangaphandle.
Izimpawu zohlelo lokusebenza olujulile
I-appendicitis ye-phlegmonous ingalalisa endaweni ye-serous peritonitis uma inqubo ihlukana. Yingakho kunconywa ukuba ususe ekuqaleni kwesifo.
Okokuqala, i-appendicitis ibonakala ubuhlungu obukhulu ngakwesokudla kwesisu. Ekugcineni yakha, futhi ngenxa yenqubo yokuvuvukala, ikakhulukazi ephelezelwa ukuxhaswa, umuntu unomkhuhlane, kunobuthakathaka obuvamile kanye nokukhanda ikhanda. Ngaphezu kwalokho, isiguli singase sibe nesicoco nokuhlanza.
Ngesibonakaliso sokuqala sesifo udinga ukubiza i-ambulensi yokubhedlela.
Ukwelashwa kwesifiso se-phlegmonous
I-appendicitis ye-phlegmonous idinga ukususwa kwe-appendage. Lesi yisigaba esinzima, esinikeza ingozi ngisho nokuhlinzekwa kokunakekelwa kokusebenza okufike ngesikhathi ngaphambi kokuthuthukiswa kwe- peritonitis . Ukusebenza kwenziwa ngaphansi kwe-anesthesia jikelele futhi kuqhubeka cishe imizuzu engama-40. Uma uphumelele, isiguli sibuyiselwe ngokugcwele.
Isikhathi se-postoperative nge-appendicitis e-phlegmonous
Isiguli sibuyiselwe ngokugcwele ngaphakathi kwenyanga. Uma ukuqhutshwa komsebenzi kwenziwa, i- suture yesentimitha engu-10 inombala we-burgundy zingakapheli izinyanga eziyisithupha. Uma kwenzeka
Ukudla nge-appendicitis enesisindo esibucayi
Ngemuva kokuzizwa kwe-appendicitis, isiguli akufanele samukelwe:
- imikhiqizo yokubhema;
- inyama;
- ukudla okunamafutha, okuthosiwe namafutha;
- izinongo ezibukhali;
- iziphuzo ze-carbonate nama-pickle.
Ukudla kufanele kuvele emikhiqizweni echotshoziwe, isobho, amazambane ahlambulukile, okusanhlamvu kwamanzi, izithelo ezivuthiwe nemifino.