Appendicitis

Mune ino blog, iwe unowana nzwisiso yezvikonzero & zviratidzo zveAppendicitis. Zvakare, dzidza nezve yakanakisa Appendicitis kurapwa muIndia.

tsananguro

The appendicitis ndiko kuzvimba kwe appendix. Appendix ihomwe diki, yakaita sehonye iripo panotangira ura. Inowanzoita 5 kusvika 10 cm kureba. Basa reapendix harizivikanwi asi mamwe masayendisiti anoti rinoshanda sedura remabhakitiriya akanaka. Vamwe vanodavira kuti ibasa rasara risina maturo kubva mukushanduka-shanduka kwevanhu. Nzvimbo ye apendix inosiyana pakati pevanhu.

Appendicitis injodzi yekurapa inoda kutariswa nekukurumidza. Ichowo ndicho chinonyanya kukonzera kuvhiyiwa kwedumbu. Appendicitis inogona kuitika chero zera uye inobata zvakaenzana varume nevakadzi. Zvisinei, inowanzoitika zvishoma muvarume vane makore 15 kusvika ku25 okuberekwa. Zvidzidzo zvenguva pfupi yapfuura zvakaratidza kuderedzwa kwenhamba yezviitiko zve appendicitis munyika dzekumadokero. Chiitiko chenyika dzeAsia neAfrica chinogona kunge chakaderera. Asi nhamba chaidzo dzinobva kunyika idzi hadzipo. Kuwanda kwe appendicitis kwakaderera mutsika umo kudya kwepamusoro-fiber kunopedzwa nguva dzose.

Appendicitis inoitika apo kuvhara kwe appendix kunokonzera kuti ive nehutachiona uye inopisa. Iyo appendix inova yakazvimba, ine utachiona uye inorwadza mumamiriro ezvinhu aya. Kuzvimba kunogonawo kupararira kune zvimiro zvemuviri zvakatenderedza appendix.

Marwadzo anokonzeresa uye zviratidzo zvinogona kutevedzera mamwe mamiriro akadai Urinary turakiti chirwere kana ronda remudumbu. Nekudaro, appendicitis idambudziko rekukurumidzira rinoda kurapwa nekukurumidza. Kuongororwa kwe appendicitis inovimba zvakanyanya neruzivo rwachiremba. Kuongororwa kunoitwa kubva muzviratidzo zvemuviri zvemurwere uye kuferefetwa. Marwadzo munzvimbo yekurudyi yezasi yedumbu chiratidzo chinowanzoitika chakabatana neappendicitis. Investigations like ultrasound uye bvunzo dzerabhoritari dzinoitwa kuti dziwedzere kuongororwa uye nekutarisa kwakajeka kweappendicitis. Kurapa kwe appendicitis kunosanganisira mishonga yekudzora hutachiona uye kubviswa kwe appendix nekuvhiyiwa. Kuvhiya kubvisa appendix kunonzi appendectomy. Kana kurapwa kwe appendicitis kwakanonoka, ipapo murwere anogona kutanga matambudziko senge perforation, abscess uye peritonitis.

Zvinokonzera

• Chikonzero chaicho chinoita kuti vamwe vanhu vaite appendicitis hazvizivikanwi. Zvinhu zvakati wandei senge kuvharika kwe appendix, hutachiona, chikafu uye nhoroondo yemhuri zvinozivikanwa kubatsira.
• Appendicitis inowanzokonzerwa nekuvharwa kwe appendix nefecal mass, stricture (kurembera), zvinhu zvekunze, uye makonye, ​​kuwedzera kwe lymphoid tissue, zvirwere, kukuvara, uye mamota.
• Kuvapo kwefecal mass, muviri wekune dzimwe nyika kana hutachiona hwehutachiona hunokonzera kuzvimba uye kutsamwa mune appendix. Iko kuvhara mu appendix kunokonzera kuwedzera kwekugadzirwa kwemucus iyo inoshandisa kudzvinyirira kukuru pamadziro e appendix. Kudzvinyirirwa kwepamusoro pamadziro ekuvhenekera kwe appendix kunokonzera thrombosis (kuumbwa kwe kuvhara ropa) yetsinga diki dzeropa.
• Rudzi rwemukati rwe appendix kazhinji rune akati wandei lymphoid tishu. Aya ndiwo maunganidzwa emasero ekudzivirira anonzi lymphocytes. Aya ma-lymphoid tishu anogona kukura muzvirwere zvemukati senge chirwere chinoputika chirwere, gwirikwiti, amoebiasis uye zvirwere zvehutachiona. Izvi zvinogonawo kukonzera kuvhara kwe appendix.
• Zvipembenene zvakadai se threadworms uye flukes zvinogona kukonzera kuvhara kwe appendix. Kuvharika kweappendix kwakaratidzwawo mukukuvadzwa semaronda epfuti padumbu uye nemudziyo wakarasika we intrauterine contraceptive seCuT. Zvirwere zvakadai tuberculosis uye kenza dzinogona kukonzera appendicitis.
• Kuwedzera kudzvinyirira kunoderedza kuyerera kweropa kune tishu. Ropa rakakwana rinodiwa kuti masero arambe aine hutano. Kushaikwa kweropa kunokonzera kufa kwesero uye necrosis ye appendix. Kana izvi zvikaitika, mabhakitiriya anogona kuwanda mukati mechubhu ye appendix yakavharwa. Sezvo hutachiona huchiwanda, masero ekudzivirira uye ekuputika semasero machena eropa (WBC) anoungana panzvimbo yehutachiona uye maitiro ese anokonzera kuzvimba.
• Iko kuzvimba kunogona kuita kuti appendix iwedzere uye irwadze. Inogona zvakare kupararira kune matishu uye zvimiro zvakangotenderedza appendix uye kukonzera hutachiona, thrombosis, uye necrosis.
• Kana ikasiiwa isina kurapwa, appendix ine utachiona kana kuzvimba inoputika (perforate) ichirasira zvinhu zvine utachiona mugomba redumbu zvokonzera peritonitis. Dzimwe nguva bundu rakazara urwa (homwe yepus inovakwa mumatissue) inoumbwa kunze kweiyo appendix yakatsva. Nekuda kwezvipingamupinyi izvi, appendicitis idambudziko rekukurumidzira rinoda kuvhiyiwa kubviswa kweiyo appendix.

zviratidzo

Appendicitis zviratidzo zvinoumba classic triad yemarwadzo emudumbu, kurutsa, uye fever. Asi iyi mharidzo yakajairika inogona kusaunzwa muzviitiko zvese.

Marwadzo emudumbu ndicho chiratidzo chinowanzoitika cheappendicitis. Kazhinji, marwadzo anotanga pakati pedumbu uye gare gare anoshandura kudivi rezasi rekurudyi, uko appendix inowanzowanikwa. Marwadzo anogona kuwedzera kana nzvimbo iyo appendix iripo yakatsikirirwa kana uchikosora kana kufamba. Muacute appendicitis, munhu anenge abatwa nechirwere ichi anonzwa kurwadziwa kwakanyanya izvo zvinoita kuti akotamise muviri wake nekupeta makumbo ake pachipfuva.

Nzvimbo yeanatomic ye appendix inosiyana zvakanyanya pakati pevanhu. Nzvimbo yemarwadzo anokonzerwa ne appendicitis uye zviratidzo zvinosanganiswa zvinogonawo kusiyana maererano. Apendikisi yakazvimba pedyo nedundira inogona kushatirisa dundira uye kukonzera weti kunorwadza. Kana iyo appendix ikawedzera kumashure, kuzvimba kunogona kutsamwisa tsinga uye tsandanyama kumashure uye kukonzera kuoma kwekufamba.

Zvimwe zviratidzo zve appendicitis ndizvo

• chimhepo
• Nausea uye kurutsa
• Kufirwa kwechido
• Marwadzo akatenderedza guvhu
• Bloating
• Kakawanda uye kurwadza weti

Appendicitis zviratidzo zvinosiyana pakati pevanhu vakasiyana uye zvichienderana nenguva yekuzvimba. Zvichienderana nenguva yezviratidzo uye kuvapo kwezvinetso appendicitis inogona kurongerwa seyakaoma, isingaperi, inodzokororwa kana yakaoma appendicitis.

Acute appendicitis

Acute appendicitis kunoitika apo zviratidzo zvinongoerekana zvaonekwa uye zvine kusimba kwakanyanya. Inotora maawa 24 kusvika ku48. Ichi ndicho zvikonzero zvinowanzoitika zvekuvhiyiwa kwemudumbu mu appendicitis.

Chisingaperi appendicitis

Zvinoitika kana kuzvimba kwe appendix kunoramba kusingazivikanwe uye zviratidzo zvinogara kusvika kumavhiki matatu. Zviratidzo zvinogona kuonekwa uye kupera. Kazhinji, chisingaperi appendicitis chinoonekwa kana kusimba kwemarwadzo kunowedzera uye murwere anouya seacute appendicitis.

Recurrent appendicitis

Inowanikwa apo murwere ane zvikamu zvakawanda zvekurwadziwa kwepazasi kwedumbu nekuda kweappendicitis.

Complicated appendicitis

Kana ikasiiwa isina kurapwa, appendix ine utachiona kana kuzvimba inoputika kana kuboora ichiraura zvinhu zvine utachiona mugomba redumbu. Complicated appendicitis inoitika apo appendix inoputika nekuda kwekuwedzera kudzvinyirira mukati mayo kana apo appendix inorasikirwa neropa rayo rose uye inoita gangrenous. Appendicular abscess inoumbwa apo pus inoungana mukati mesaga munharaunda iri pedyo ne appendix.

Appendix ine abscess inogonawo kuboora kana kuputika. Zvinhu zvinotapukira zvinogona kupararira mukati medumbu remudumbu uye kukonzera peritonitis (kuzvimba mukati memadziro emimba).

Zviratidzo zve appendicitis zvinogona kutevedzerwa nemamiriro mashomanana. Izvi zvinosanganisira

• Utachiona hwechibereko uye zvivako zvakapoteredza
• Matombo muurinary tract
• Urinary tract infections
• Endometriosis
• Utachiona hwematumbu
• Gallbladder dombo uye utachiona

Risk Factors

• zera: Ngozi ye appendicitis yakawanda muvechiri kuyaruka uye vechidiki (makore gumi nemashanu kusvika makumi maviri nemashanu).
• Gender: Murume ane njodzi huru pane yemukadzi
• Kurwara: Chirwere chemudumbu chinowedzera mukana we appendicitis
• Trauma: Kukuvara kwemukati kune appendix kwakawedzera njodzi ye appendicitis
• Low fiber kudya: Kudya kwakaderera kwefiber kunokonzera kuvimbiswa uye inoita kuti imwe tsvina ipinde muappendix inoenda kuappendicitis.

kuongorora chirwere

Appendicitis inoonekwa nachiremba nekutora nhoroondo yemurwere, kuongorora muviri uye nekuferefeta.

Kuongorora kwepanyama

Munguva yekuongorora kwemuviri, chiremba anotarisa zviratidzo zvinokosha zvakadai se blood pressure, tembiricha yemuviri, mwero wekufema uye kurova kwemoyo. Chiremba aizoitawo ongororo yakadzama yedumbu uye kuona nzvimbo yairwadza. Varwere vane appendicitis vane fivha, kuwedzera kurova kwemwoyo, kurwadziwa mudumbu rezasi rekurudyi, uye kuderera kwekufamba kwematumbu.

Laboratory test

• Kuongorora ropa: Ropa rinoedzwa kuona chena sero reropa (WBC), kuverenga. Kuwedzera kweWBC count chiratidzo chinozivikanwa cheutachiona.
• Mamwe ma laboratory bvunzo inogona kudiwa kubvisa zvirwere zvenhengo dzemudumbu senge chiropa neitsvo kana kuona zvinonetsa. Miedzo iyi inosanganisira
• CRP kana C-reactive protein yakasimudzwa mune yakaoma appendicitis
• Muedzo weti inoitwa kuona weti zvirwere uye kidney stones. Izvi zvinogona zvakare kutevedzera zviratidzo zveappendicitis. Pus masero anogona kuonekwa muweti mune zvimwe zviitiko zve appendicitis.
• Chiropa basa bvunzo
• Amylase bvunzo kuona zvirwere zvepancreas zvinogona kutevedzera appendicitis
• A mimba yekuedzwa inokurudzirwa kuvakadzi nokuti zviratidzo zve appendicitis zvinogona kutevedzerwa ne ectopic pregnancy.

Imaging test

• Abdominal ultrasound: Iyo ultrasound ndiyo yekutanga kuferefetwa kwesarudzo mune varwere vanofungidzirwa kuti vane appendicitis. Nyanzvi yezvemagariro evanhu inoshandisa muchina weultrasound kuona appendix uye kuvapo kwezvinonetsa.
• CT Scan: A CT scan inonyanya kuoma kupfuura ultrasound. Inogona kuona appendicitis muvarwere vanouya zviratidzo zveatypical uye iyo appendix iri kuseri kwedumbu guru.
• X-ray (barium enema): Inobatsira chiremba kuti aongorore rectum yemurwere, ura hukuru uye chikamu chezasi chedumbu. Mvura inonzi barium inopiwa kumurwere nenzira yerectal enema. Zvadaro X-ray yemudumbu inoitwa kuti iongorore dumbu, kuvharwa mu appendix uye kuona kusazadza appendix. Muedzo uyu hausi kuitwa zvakanyanya iye zvino.

mabatiro

Mishonga

Mishonga inorayirwa kune varwere vane appendicitis munyoro. Mimwe yemishonga, iyo chiremba wako anogona kukupa iwe kana uine appendicitis munyoro, ndeiyi:

• Antibiotics: Kuderedza hutachiona hwehutachiona
• Vanouraya marwadzo: Kuderedza kuoma kwemarwadzo

Surgery

Kurapa kweAppendicitis kunonyanya kusanganisira kubviswa kwekuvhiya kweappendix (appendectomy). Chiremba anovhiya achabvisa appendix nekushandisa imwe yenzira mbiri: kuvhurika kana laparoscopic kuvhiyiwa.

a) Open appendectomy

Munguva ye appendectomy yakazaruka, kuchekwa kamwe chete kunoitwa munzvimbo yezasi yeguvhu kubvisa appendix. Nekudaro, nzira iyi yakatsiviwa zvakanyanya nekuvhiya kwelaparoscopic.

b) Laparoscopic appendectomy

Kuvhiyiwa kweLaparoscopic kunoda zvidimbu zvidiki uye hazvinyanyi kupindira. Chiremba anovhiya matatu madiki madiki (imwe neimwe 1/4 - 1/2 inch) uye anoisa laparoscope (diki teresikopu yakabatana nevhidhiyo kamera) kuburikidza necannula mune imwe yekuchekwa. Inobatsira chiremba wokuvhiya kuti ave nemaonero akakudzwa nhengo dzomukati paterevhizheni. Mamwe macannula akati wandei anoiswa kuburikidza nemamwe machekwa uye appendix inobviswa. Kuvhiyiwa kweLaparoscopic kunosanganisira madiki madiki uye nguva yekupora ipfupi.

Mishonga yemarwadzo nemishonga inorwisa mabhakitiriya inogona kurongerwa mushure mekuvhiyiwa.

Zvakanakira zve laparoscopic appendectomy

• Kugara muchipatara kwenguva pfupi
• Kuderera kwechirwere cheronda
• Mavanga madiki
• Zvinetso zve appendectomy:
• Bleeding
• Utachiona hwemaronda
• Kukuvadza kune nhengo dziri pedyo ne appendix

Chii chinofanira kuitwa nemurwere asati aitwa appendectomy?

Kana murwere akarongerwa appendectomy, anofanira kutevera mazano aya kudzivirira matambudziko:

• Dzivisa kudya kana kunwa chero chinhu 8 maawa asati avhiyiwa.
• Ipa ruzivo rwakakwana nezvehutano hwako hwekare kune chiremba anovhiya.
• Udza chiremba anovhiya kana iwe uine sensitivity kune chero mushonga kana latex.
• Udza chiremba anovhiya nezvese mishonga uye zvekuwedzera zvauri kutora.
• Udza chiremba anovhiya, kana uri kutora aspirin kana anticoagulant mishonga, sezvo inokanganisa kuvhara kweropa. Chiremba anogona kukukumbira kuti urege kutora mushonga usati wavhiyiwa.

Chii chinofanira kuitwa murwere mushure mekusununguka?

• Murwere anofanira kutarisira zvakanaka mushure mekuburitswa muchipatara. Inobatsira kudzivirira zvirwere uye inobatsira mukukurumidza kupora.
• Dzivisa basa rinonetesa.
• Chengetedza kuchekwa kwakachena uye kwakaoma.
• Zorora zvakakwana kusvikira chiremba arayira murwere kuti adzokere kubasa uye kumabasa emazuva ose.
• Bvunza chiremba nekukurumidza kana murwere aine fivha, kurutsa, kurwadziwa, uye kutsvuka panzvimbo yaakachekwa kana zvimwe zviratidzo.

dziviriro

• High-fiber kudya: Kusanganisira chikafu chine fiber chakaita sembatatisi, mhodzi dzeflakisi, maarumondi mbishi, howa nezvimwewo zvinobatsira kudzivirira appendicitis. Kudya kwakapfuma mufiber content kunobatsira kudzivirira kuvharika kweappendix nefecal matter.
• Kukurumidza kurapwa: Kana pane zviratidzo zvinogona kuratidza appendicitis, kuenda kuna chiremba uye kutevera mazano ekurapa kunogona kudzivirira matambudziko e appendicitis kubva.
• Dietary fiber inonzi inoderedza kuvharika kweappendix nefecal matter.

FAQs

• Ndeipi mhedzisiro yenguva refu yeappendectomy?

Hapana matambudziko enguva refu anosanganiswa neappendectomy. Unogona kutangazve basa rako mavhiki maviri kusvika matanhatu mushure mekuvhiyiwa. Zvisinei, zvakakosha kutevera mararamiro ane hutano kune hutano hwakanaka.

• Kuvhiya ndiyo chete nzira yekurapa appendicitis?

Kwete. Appendicitis isina kusimba inogona kurapwa nemishonga inorwisa mabhakitiriya uye marwadzo. Zvisinei, varwere vane appendicitis yakaoma vanoda kuvhiyiwa kubviswa kwe appendix kudzivirira mamwe matambudziko uye zvirwere.

• Ndeupi chiremba wandinofanira kubvunza kune appendicitis?

Iwe unofanirwa kubvunza chiremba, chiremba mukuru, kana gastroenterologist ye appendicitis.

• Ko appendicitis inogona kuitika panguva yekuzvitakura? Kana hongu, kurapwa kupi?

Appendicitis inogona kuitika mukati mechikamu chechipiri kana chechitatu chemimba. Inogona kukonzera kurasikirwa kwe fetal nekuda kwekusangana nemvura inotapukira. Kuongororwa uye kurapwa kunoramba kwakafanana kune murwere ane pamuviri uye chero mumwe murwere. Zvisinei, kutarisirwa kwokuwedzera kuchadiwa. Chiremba, chiremba mukuru, uye gynecologist vanonyatso tarisa murwere.

• Ndezvipi zvirwere zvinogona kukonzera zviratidzo zvakafanana neAppendicitis?

Meckel's diverticulitis, pelvic inflammatory disease (PID), zvirwere zvinoputika zvekurudyi kumusoro kwedumbu, kurudyi-sided diverticulitis, zvirwere zveitsvo, uye ectopic nhumbu mamwe emamiriro ezvinhu anotevedzera zviratidzo zveappendicitis.

Apollo Hospitals ine akanakisa appendicitis kurapwa vanachiremba muIndia. Kuti uwane akanakisa appendicitis vanachiremba muguta rako riri pedyo, shanyira zvinongedzo pazasi:

Appendicitis vanachiremba muBangalore

Appendicitis vanachiremba muChennai

Appendicitis vanachiremba muHyderabad

Appendicitis vanachiremba muDelhi

Appendicitis vanachiremba muMumbai