Appendicitis:ʻike, a me ka lapaau. Palena pauʻike, ka huʻi appendicitis

Li nui o ka i paiiaʻi na - he maʻi i na mea he nui o mākou i wale ma ka lohe. Mawaena o na symptoms i mea ma luna o nā kānaka a pau o ka lehelehe - heʻoi kaʻeha i loko o ka abdomen. Eia naʻe nā leoʻeha symptomatology o ka maʻi 'aʻole e kaupalena'. A hiki apuepue ia ma na wahi appendicitis ia lŘlŘ i loko o ka kūpuna kanaka, he eha. A mea nui manawa e hoʻolohe i nā appendicitis symptoms i loko o oe a me ke aloha kanaka, a koke imi 'inikua noonoo a me ka hoʻolako' eleu akamai kōkua. Appendicitisʻike, a maupaʻa i ka helu o nā haʻawina, ke alakai i ka peritonitis, i ka huli i ia i ke kumu o ka make.

Kumu o ka appendicitis

hiki ole kauka haawi aku i ka kūlike loa ia i ai i ke kumu i kekahi mau kanaka i wela ai i paiiaʻi. Naʻe, ka mea, ua manaoio aku i ka impetus no ka hooulu ana i ka maʻi, he pilikia i nā naʻau liʻiliʻi, fecal pohaku, ilo infestation, constipation, hāpai keiki, a'āno'ē? Acaeoey kaʻina. Kūponoʻai hiki i kāhea li nui o ka i paiiaʻi o ka cecum. 'Aʻole no ka mea i loko o koʻu wā kamaliʻi i haʻiʻia mākou iʻino na anoano i alakai i kaʻoki kino, e wehe i ka i paiiaʻi.

Ma kekahi hihia he mea hiki ole i ka hoʻopale 'mai appendicitis. Me ka formidableʻike, i loko o ka haukapila haule like keiki na keiki hou, no laila, kiʻekiʻe loa, a ola ui kanaka. Appendicitis,ʻike, a i mea e differentiate i ka maʻi, mai ka helu o nā ola pilikia e kauoha kokeʻoki lāʻau lapaʻau 'uao.

Kahua o ka hoʻonaʻauao o? Acaeoey o appendicitis

Li nui o ka i paiiaʻi i kona kumu, a Logical ka hopena. Huʻi appendicitisʻike, i ka loaʻa o ka helu o nā hanana e kuhikuhi i pilikia a me ka differentiation maʻi, hele ma kekahi mau kahua o ka hoʻonaʻauao, kela mea keia mea o ka i ae a hiki i ka hope smoothly. Ka mea, e:

• Catarrhal appendicitis. Ma keia kahua o ka hoʻoʻino kaʻina komo ai wale no ka i paiiaʻi.
• 'Ilikai ke kahua me ua wehewehe aku e kekahi e holumua ai li nui o ka mucousʻili lahilahi iniiaiie lesion. Iloko o keia manawa, ma o ka lumen o ka i paiiaʻi loaʻa keʻokeʻo koko keena a me ke koko.
• I ka anu u phlegmonous wela ai i paiiaʻi na a pau, a me ka mea mawaho iwi kaʻina.
• Abscess-ulcer ke kahua me ua wehewehe aku ma ka helehelena o ulcers ma ka mucosa o ka i paiiaʻi.
• Ka hope ke kahua - gangrenous, wehewehe aku ma ka necrosis kaʻina paia, a wāwahi i kona Contents i loko o ka peritoneal lua.

E manao ana, mai ka hoʻomaka o ka li nui a hiki i ke kahua o ka hanana o ka peritonitis mea pono mau eha paha lā, a laila, nīnau aku i ke kauka nana e hana i ki ina hana like o kaʻike, o ka appendicitis, ia mea e pono ai ka wā kaʻimiʻana i nā symptoms mua o ka maʻi.

Common symptoms o ka huʻi appendicitis i loko o nā mākua

Like kekahi'ē aʻe mai, he li nui o ka i paiiaʻi o ka cecum i kona mau symptoms. General huʻi appendicitis symptoms hilinaʻi ma luna o ke kahua o ka li nui, kaʻinaʻia, a hiki i ka hoʻomanawanui i ka makahiki. Ma ke kahua mua o ka huʻi appendicitis nausea, hookahi paha puana ka luaʻi, a, e like ai kaʻapu kōheoheo, 'aʻole e lawe mai i kekahi ke ola. Ke kanaka hoʻomaka e hoʻopiʻi o ka loa a me ka luhi malaise, lilo o ka ikaika loa ka makemake, a me kekahi mau pilikia me ka defecation. Diagnosing appendicitis i loko o nā mākua i kēia kahua mea kokoke hiki ole, e like me kēia mau kāna hana i wehewehe aku no keʻano o ka huʻi a me ka maʻi maʻi.

I kekahi kahua - kainuʻu pūʻia me ka hoʻopā o ke elelo, mua pulu, maloʻo hope. hoʻomanawanui mehana i 38 degere, a me rectal kino mahana,ʻaʻole ma luna o 1, a ma kekahi mau degere. Pelvic henua kaʻina hiki aku ai i ka lua pā holoi; ka i paiiaʻi ua ke aupuni 'o kokoke koke i ka bladder, ma o na la urinary kāna hana. Loss o ka ikaika loa ka makemake, a me anorexia, kaulana i loko o 90% o ka hihia o ka li nui o ka i paiiaʻi o ka cecum. Inā ka hoʻomanawanui mau e ai maʻamau, oe e paha pono i ka palena pauʻike, o ka huʻi appendicitis, a e hoike mai i kekahi maʻi me ka like symptoms.

i nā symptoms

Ua haawiia i na symptoms mea ano no ka helu ana i nā maʻi, he pololeiʻike, i loko o ke kakahiaka nui hora loa paʻakikī. Eia naʻe, ma hope o 4 hora i na symptoms align kūloko, hiki e differentiate li nui o ka i paiiaʻi na, a me ka hoʻolako i ka mea e pono ai mālama 'ana i ka hoʻomanawanui. Ka mea, e:

• Nagging hoopaa hoi i eha. A me kaʻeha i palpable i ke kūpono 'ana o kekahi mau symptoms. Ua Ua IIeEeAIEUIeXAIIUE paha ma ka abdomen, a ma ka umbilical a me ka pono iliac māhele 'āina. A hiki i ka pelvic wahi o ka i paiiaʻi na eha ia lŘlŘ ma luna o ka vagina, a ma ka predpechenochnom - i loko o ke keena quadrant. Akā, i ke ehuehu o ka hapanui o na kumu ao i ka ai-kapaia symptom Kocher, ka wā o ka eha no kekahi mau hola o epigastric oni ana iloko o ka akau iliac māhele 'āina.
• Ke kiʻekiʻe o ka eha progresses mai nagging i huʻi, i kekahi manawa, e haawi ana i ka wahine wahi, ma lalo hoʻi paha ka pololei ke ki kala. Vividly e hoomanawanui i haha aku discomfort i ka hele a me ka puʻu. Pinepine, kauka noi aku i ke ahonui e cough, e pololei hooholo i ke 'ano a me ka wahi o ka IIeEeAIEUAA o ka eha.
• Ka ehaeha ua emi ana ia? Ua mea no hoi kekahi o na symptoms o ka maʻi, ai ia mau moʻolelo i ka necrosis o nā aʻalolo keena ma ke kaʻina. Ma ke aha ka symptom mea keia formidable ma mua mea hōʻemi ano o ka hoʻomanawanui a me ka peritonitis.
• O Hōʻike peritonitis a abdominal paia Muscle stress (i loko o ka hihia o ke kanana nei retrotsekalnogo kaʻina hana hoʻoponoponoʻana o Kamehameha lumborum). Ka wā e hoʻopā aku i ka'ōpū nāʻiʻo reflexively hoemi, hōʻike ana i ka li nui ua hiki i ka visceral peritoneum.
• Hypertension ia lŘlŘ ili, ma ka akau iliac māhele 'āina.
• ʻO nāʻiʻo o ka hapa akau o ka abdomen e like me ka lag ma ka hanu 'ana, e hoike ana i ke Muscle hoʻopilikia.
• I ka wīwī nā mea maʻi piko iki 'oni iki ma kaʻaoʻao'ākau.
• Diagnosing appendicitis i loko o ka hale kikowaena palpation. He nui iho la ia e kau puʻe ma ka iliac māhele 'āina a me ka ikaika huki i ka palaki - ka eha kokeʻoi loa maila.
• Rectal ninaninau hōʻike eha o ka appendicitis rectum. More kaʻoi loa, kona alo pa.

Additional ano o kaʻike, ma ka hale

E huai ae pathological reflexes a me differentiation maʻi i na ano a me ia mea:

• Symptom Dubois - ola ka waiʻona ma ke me ka puʻe ma ka occipital wahi vagus nā aʻalolo.
• Symptom Moscow - oi pono akau haumāna.
• No hoi, he mau mea nui i loko o ka abdomen, ua e ma i ke kumu o ka twinge o appendicitis. Akā, ka mea ike i ka kiko'ī wahi o ke kauka, pela no oe e kali no ka mea ana ambulance.

Appendicitis i Keiki

Pilikia i diagnosing appendicitis i loko o nā keiki o ia ka mea, i no ka mea, o ko lākou mau makahiki hiki ole kamailio e pili ana i kā lākou mau manaʻo. Ma keia hihia, i ka muli iho i ke keiki, me ka wikiwiki kahe maʻi. Kokoke a pau na keiki i ka nohona ma symptoms o appendicitis, no ke aha la ina kekahi o ia mau mea e pono ai e huli i ka hoʻomalu i mea. Mua, i ke keiki hoʻololi i kona kohu pono hana ekolu pohaku i ka neʻe 'Imi, e lilo ia lethargic a me ka apathetic. Ma hope, eia hoi na hana mana e ae e differentiate i ka maʻi.

Keiki keiki hōʻole i ka umauma a me ka hue, fontanelle e poholo, ke alelo i maloo. E hōʻoia i ka mea, he ikaika hoʻopilikia i loko o ka iliac akau māhele. ʻike, o ka huʻi appendicitis i loko o nā keiki, a ua ka mālamaʻana i ke kahua o ke keiki. IeAUPIIe, IAa IO, keiki mea ma kaʻaoʻao'ākau a me na kuli laila kūlou ihola. Mua keiki ke noho, e kalele ana i mua.

Ma palpation ke kauka akau iliac keiki instinctively tightens ka abdomen pono wāwae, a pushes ke kauka i ka lima aku. Diagnosing appendicitis i loko o na keiki o ke kamaliʻi a me ke kula makahiki mau ka loaʻa o ka nīnau "kahi i eha?". Mea maʻa mau, kuhikuhi mai la lakou i ke keiki a hiki i ka piko. Ma ka papa o ka maʻiʻeha hiki ke hoʻoneʻe i loko o ka aina o ka wela ai i paiiaʻi. Lethargy, nausea, ka luaʻi, constipation, mua i ka hoouka kaua o ka eha, tachycardia, a me ka wela i kekahi symptoms o ka li nui chervovidnogo kaʻina.

Huʻi appendicitis ma expectant makuwahine

Hapai nā wāhine i ole'ōnaehana paleʻea i ka meaʻawaʻawa loa ka maʻi e like appendicitis. ʻike, ua huikau ma ka mea i ka mau symptoms e like me abdominal eha, nausea a me ka luaʻi, e ano o kaʻawahia i loko o nā kahua o ka hoʻonaʻauao kakahiaka o ka hāpai keiki. Me ka ulu ana o ka uterus, e hooholo i ke kūpono 'ana o nā symptoms o ka maʻi i oi pilikia. hiki ole kekahi ki ina hana like o kaʻike, a huʻi appendicitis i loko o ka lua a me ke kolu trimesters haawi aku i ka hopena. No ka laʻana, symptoms o peritoneal mea ukiuki loa i paa, me ka eha ole IIeEeAIEUIeXAIIUE ma ka akau iliac'āina, a me nā luna, palpation ineffective hālāwai hoʻolohe manaʻo kaʻina o ka uhi ana i ka ulu uterus. No ka mea, o keia, aching, hoopaa paha cramping kaʻeha paha e kuhihewa no symptoms o kokoke miscarriage.

Ua haawiia ka ka manaʻo pohihihi o kaʻike, o ka appendicitis i hapai wahine, e ike koke hele i ka haukapila hookolokolo, a haawi i ka mea e ho'āʻo ai i pololei ho oholo i ka ano o ka pilikia, me ka hanaʻino a aole hoi me ka expectant makuahine a me kona bebe. Kēia Appendicitis? Palena pauʻike, e kōkua hōʻoia i ka pololeiʻike, a me ka hōʻoleʻia kāna mea. Hoikehonua, lapaau apono 'oe, e wehe i ka i paiiaʻi i hāpai keiki me ka hewa i ka ola. I ka papa kuhikuhiE ano o ka pomaikai - 'eleuʻike, a me ka Kāohiʻana o nā complications e like me peritonitis. Eia naʻe, ma ka hihia o ka abscess a gangrenous appendicitis pono he Caesarean pauku. Wale laila, ka mea hiki ke wehe i ka i paiiaʻi na, hoʻomaʻemaʻe i ka abdominal lua, a, e hoola i ka wahine.

Appendicitis i loko o ka kūpuna

Appendicitis ia lŘlŘ ma mua kanaka, i ka noho pilikia loa. Keia mea aie a hiki i ka Wear o aneane pau na symptoms o ka maʻi. Pain maʻi pale ua poorly i olelo iaʻaneʻane ole dizuricheskie a me dyspeptic kāna hana, i ka mahana koe maʻamau. Mai Mai olelo mua kanaka, a ua typical o ka kaua o ka huʻi appendicitis tachycardia, leukocytosis a mahuahua ESR. Aie i ka makahiki o ka sagging abdominal paia 'Aʻole e hōʻike a me ke kūlana pale naoh ma ka aoao o ka abdominal nāʻiʻo. I mea no ke aha la mua nā mea maʻi e like maopopo i hiki e pane i kekahi loli ma o ko lakou kulana. Ma ka mea iki e hoʻohuoiʻia o ka li nui o ka i paiiaʻi na pono e kapa aku i kekahi kauka nana e e hiki ke alakai i ka piha ninaninau o ka hoʻomanawanui.

complications o appendicitis

Ka huʻi ano o ka maʻi i i ka make ana o ka mea i paiiaʻi na, a me kekahi noho'na makaainana i ulu amputations. Ma keia hihia, purulent nā paʻi hua kekahi, ma kela aoao o ke kaʻina hana i hiki aku ai i ka kūloko paha generalized li nui o ka peritoneum. I ka flegmoznoy palapala e ulu empyema, purulent lesions palahalaha ae i ka peritoneum, rectum a puni'aʻaʻa. Ua 'ano apau loa he purulent lesions, hiki momona.

No emi nui hopena hooweliweli thrombosis i paiiaʻi na, hoʻonāukiukiʻana mai o ka ulu ana o septic thrombophlebitis o ka nū aa koko a me nā lālā. Ua hele aku ai i occlusion o na aa koko o ke ake, a me ka hooulu ana o ka hana i ho'ākāka 'purulent aku aat. Ua haawiia mau complications, e pono appendicitis Pono e hoʻomaka koke, me ke kali "no ka la apopo" a i manao ia "paha, e lawe wahi."

maʻi appendicitis

Aia ka ia i ka mea like me ka maʻi, e makemake ana ia ma mua o huʻi appendicitis. Ke? Aaieou,ʻike, a me ka hana o ka maʻi oko, mai ke kiʻi o ka huʻi li nui o ka i paiiaʻi. I ka mea maʻi palapala - ia mea heʻilihune o ka loaa ana huʻi li nui. I i paiiaʻi i hoʻomaka ai dystrophic a sclerotic keʻano o ka hanaʻana pu ma ka'aʻaʻa luku. Aat i hoʻomaka ai, a hoola, ho okumu i scars a me adhesions, hiki i ulcers a me infiltrates. Ma kekahi mau hihia, maʻi appendicitis hiki aku ai i ka mea i ke kaʻina ua hoohuliia i loko o ka cyst, a wanaao ae mea ole emi pilikia ma mua o ka Hopu o ka i paiiaʻi. Ua mea waiwai 'ana i kumumanaʻo i ka maʻi palapala - ka kŰia loa pohihihi keia, nana wale i ka 1 mai o 100 hihia. E manaʻoʻoe i maʻi appendicitis? ʻike, lapaau, a hahai-lāʻau kākoʻo i wahi i loko o ka haukapila.

lapaʻau '

Diagnosing appendicitis i loko o ka hale e e like pololei me he kikowaena, a me ka mahope mahele lāʻau o ka lapaʻauʻia, no ka laʻana, mai kaʻapu kōheoheo ke alakai i ka lono kaumaha hopena. Kēia eʻAʻole complicate wale i kaʻike,, akā, i worsen i ka hoʻomanawanui ka kulana. Appendicitis, palena pauʻike, a hiki i kekahi mea i mea hiki ma ka hale, 'aʻole i tolerate naʻu. Ma mua o ka hōʻeaʻana mai o nā kauka hiki ole lawe i kekahi laau a pili i ka paio hahana maoli nō pale a hiki i ka loli ana o kŰia wahi, imi e höʻike aku i ka discomfort. Kēia "mālama" e pili ana i ke ahonui o ke alakai i premature peritonitis a me nā mea hiki complications.

Oe e lawe i ka haukapila me ka ka muaʻike, o ka appendicitis? Ultrasoundʻike, o ka appendicitis e ae e differentiate i ka maʻi, a no ka lawe 'eleu' ana i ka pakele ana i ka pilikia. I hoʻohana 'ia i loko o kaʻike, o ka radiography abdominal Me tomography, irrigoscopy. Ma hope o kaʻoki kino, ua hoohehee maemae au ia, a me ka morphological ano o ka maʻi ua lawe mai histological ninaninau.

lapaʻau o appendicitis

Mea maʻa mau, appendage o ka cecum hoolilo o me ke kōkua o keʻoki kino. Loa pinepine hoʻohana iaoia laparotomic appendectomy, kahi i wela i paiiaʻi wehe 'ia ma ka pā abdominal pauku dissected. I ka mea i hana ma muli o ka liʻiliʻi lua haʻalele i scars, a me ke noi e leie aku ka telescoping şarkı e e pololeiʻoki kino hiki. Hoemiia ka lōʻihi like 'ole o ka postoperative wā, minimizing i ka manawa kūpono o adhesions a me ka hooulu ana o ka maʻi ano o ka maʻi.

Antibiotic Inc ma hope oʻoki kino ua häʻawi mai ma ka hihia o pelvic hoʻoʻino exudate. I ka catarrhal ano o antibiotics mea,ʻaʻole i hoʻohana. A ano o ka me ka makaʻu no i koe ma hope oʻoki kino, e leie aku e hooholo pono i ka i paiiaʻi na weheʻia, ma ka hihia o ka hui 'ana i ka haukapila me ka like symptoms i loko o ka wā e hiki mai foreseeable. Ia mea ke kumu i loko o ka 'ē aʻe ana i loko o ka iliac māhele' āina i paiiaʻi na loa wehe, a hiki ina ka mea, ua i wela ai, no laila, i ole e alakai hewa i ka kekahi hoʻomalu. Appendicitis,ʻike, a me ka hana a e e lawelawe 'ia me ka hikiwawe e loaa - he "kekahi-aku" maʻi. I mea no ke aha la i loko o ka hihia o ka hai symptoms e leka uila i ka poe akamai i ka poe e e hiki ke kuhikuhi i ka maʻi me ka like symptoms.