Appendicitis: symptoms i loko o nā mākua. Symptoms o ka huʻi appendicitis i loko o nā mākua

Appendicitis (appendicitis) - mea he hoʻoʻino kaʻina o ka uuku i paiiaʻi o ka cecum, i paiiaʻi na kapa. Ka hua'ōlelo "i paiiaʻi na", unuhi 'ia mai Roma o ia hoʻi, "appendage" a pau "itis" pili i ka li nui.

Wahi a ka 'ikepili helu, i waena o nā mea a pauʻoki lāʻau lapaʻau appendicitis ma ke alapine (frequency) laha o ka maʻi i kahi o 89% o ka hihia a me ka mea i loko o ka wahi mua. Loa pinepine ia ia lŘlŘ ma opiopio hana makahiki kanaka ma waena o 18 a me ka 35 o kona mau makahiki. Ke prevalence o keia maʻi iwaena o na wahine i loko o 2 manawa kiʻekiʻe ma mua ia o na kanaka.

Mea Maluna

Appendicitis ke hana i ka huʻi a me ka maʻi 'ano apau loa. Ka huʻi palapala Ua maheleia i catarrhal maʻi holo ana a me ka luku nui, a, ma ka huli, hiki ke lawe kekahi mau 'ano apau loa.

• abscess;
• phlegmonous-ulcer;
• apostematoznuyu;
• gangrenous.

Maʻi appendicitis Ua i puunaueia i loko o kekahi mau 'ano apau loa. Ua hiki e:

• koena;
• iniiaiie maʻi;
• recurrent.

A pau kēia mau ano o ka maʻi appendicitis OAOOUIEeE sclerotic a atrophic keʻano o ka hanaʻana i loko o ka i paiiaʻi. Hiki i hoʻomaka ai overgrowth o ka granulation'aʻaʻa i loko o ka pā o ka i paiiaʻi na a me kona lumen, ke kahua o adhesions ma waena o ka serousʻili lahilahi a puni. Ma ka hihia o ke hoʻomāhuahua i loko o ka lumen o ka i paiiaʻi o serous loli cyst ho okumu ia lŘlŘ.

Appendicitis i loko o nā keiki a me nā mākua: 'ehaʻeha ka, Symptoms a me ka lapaʻau

Loa pinepine,ʻeha ma ka abdomen o nā mea maʻi e imi hoʻolohe koke, akā, ma hope o kekahi mau hola paha i mau lā. O ke kumu ho i ka mea i ka mua hoailona o ka appendicitis i loko o nā mākua hoʻomōhala i nā me i maopopo. Aia nā hihia ma ka hoomaopopo ana i ka hana i ho'ākāka 'āpana o ka eha IIeEeAIEUAA. I ka loaa ana eha ka lapaʻauʻia kaʻeha e ho'ōki a make, a manao wale ia ulia neʻe a me ka hohonu hanu a me ka puʻu.

Appendicitis: symptoms i loko o nā mākua

• A eia i ka eha, a ua IIeEeAIEUIeXAIIUE ma na hora mua i loko o ka piko, a laila, iho i ka akau.
• Nausea a me ka luaʻi hoʻokahi.
• Mahuahua ma ke kino ana wela i ka subfebrile.

Inā ua symptoms (hoailona) o ka appendicitis i loko o nā mākua i hōʻike i ia mea,ʻaʻole e pono i ka manaolana i na mea a pau, e noonoo iho. Oe Pono, e kahea aku i ka ambulance. An inā pilikia ka haumāna ma ke 'o kauka ke maʻalahi ka hoʻoholo' ia i kekahi mea pepehi weliweli ana i ka pono koke hospitalization, like appendicitis. Symptoms i loko o nā mākua, e like me ua oleloia, hiki ke lubricated. E möakäka hou i kaʻike, ma mua o ka hōʻeaʻana mai o ka 'inikua ka hoʻoponopono-ʻike, hiki ke hana.

Kēia Ua hana like penei: ma ka akau haahaa wahi o ka abdomen mea pono i ka ikaika e kaomi me nā manamana lima elua ( 'inideka a me ka waena), i kaʻeha e ole e ikeia. A laila, na manamana maʻemaʻe, a me ka eha, piʻi pū ia. Inā ua maikaʻi ia o ka hōʻike, 'o ia hoʻi, na mea a pau e hana i ho'ākāka 'ia ma, kekahi i e noho nausea, a ma kekahi mau hihia ka luaʻi, a, ka hapanui o nā mea a pau, i kēia mau mea i ka mua hoailona o ka appendicitis i loko o nā mākua. Mākou e kakau ia mau mea i loko o aku au mamuli.

symptomatology

Inā i kaʻike, "appendicitis" symptoms i loko o nā mākua hiki e iki blurred, akā, ka mea, e like penei:

1. Mua, he mea abdominal eha, i ua ole maopopo IIeEeAIEUIeXAIIUE. Ua hiki ke hoike mai ia ia iho i loko o ka piko, epigastric paha i kekahi eiei? Ano (puni ka abdomen). Pain mea ikaika, ka mea hiki i kekahi manawa e cramping. Ma hope o ka hola a me ka uuku oi, ka mea, ua i kia ma ka abdomen ma ka akau. Kēia symptom ua kapaia pohupani hale eha Kocher-Volchkov. Irradiation o kaʻeha ua IeAUPIIe, IAa IO i mālama. He mea hiki wale i ka wa a ka atypical wahi o ka i paiiaʻi. Ma keia hihia, ai ka eha i e hāʻawiʻia i loko o ka groin a me ka lumbar māhele 'āina.
2. Hoʻomanawanui iki mai ana i kona'ōpū. Kēia symptom ua kapaia anorexia.
3. Ma hope o ka eha e hoʻomōhala ana i nausea, a hiki e hoʻokahi ka luaʻi. Mau symptoms o appendicitis i loko o nā mākua i reflexive ma ka ano a me ka hoʻomohala like me ka hopena o ka hookaawale ana o ka peritoneum.
4. Ua hiki ke ku haʻahaʻa-papa kuni, akā, ka mea, aole e mau hana. Na hoailona o ka huʻi appendicitis i loko o nā mākua e like me ke kuni, a me ka luaʻi anorexia symptom kapa Murphy.

I ka hiki e kēia mau symptoms i loko o ka hoʻomanawanui huʻi appendicitis. I kekahi manawa, i kēia mau mea i ka papa kuhikuhiE symptoms o appendicitis i loko o nā mākua pu ma pinepine urination, noho kāna hana (diarrhea), kokololio pāpaʻa , a me ka pohihihi keia hihia, he hoomahuahua i ka puʻe. Other uncharacteristic symptoms o ka maʻi kānāwai i loko o ka kūpuna, nā keiki a me ka hapai wāhine, e like me atypical wahi o ka i paiiaʻi o ka cecum. He aha nō nā'ōuli o ka appendicitis i loko o nā mākua i hoʻomaka ai oi pinepine, ua nānā 'mākou. Ano, e ka kamailio e pili ana i ke 'o ka ulu ana o ka maʻi i loko o nā wāhine, e like me noonoo i ka pilikia ka mea, hāpai i hāpai keiki.

'Oʻike, o ka appendicitis i loko o na wahine

Ma ka nani hapalua o ke kanaka i ka manawa o ka hewa i loko o kaʻike, o keia maʻi, uaʻoi kona kiʻekiʻe ma mua i loko o nā kānaka. O ke kumu ho i ka mea i ka manao i ke kūpono 'ana o ka maʻi hiki ke pioloke me kaʻeha ma menstruation a eha naoh ka wā i li nui i loko o gynecologic pelvic nā loko. Kēia hewa i hana ka wā i atypical wahi o ka i paiiaʻi.

No ka hou pololei hopeʻike, i loko o ka haukapila i kekahi wahine'ē aʻe ma mua o ka surgeon e huli hou aku a me ka gynecologist. Keʻano symptom o ka li nui o ka i paiiaʻi o ka gynecological pathology o ka mea i loko o ka la mahope hihia, i ka luaʻi, nausea a me ka noho i ole typical.

Nā symptoms o appendicitis i hapai wahine

Na hoailona o ka appendicitis i kanaka makua wahine i ka ia me na kanaka. Ke koe Ua hapai wāhine. E like me ka 'ikepili helu, ka mea hiki wale mai o ka appendicitis i hāpai keiki mea e pili ana 5%. Ma ka nani hapalua o ke kanaka, a ua hele aku e lilo i ka makuwahine, i ka atypical palapala (i loko o ka hihia o ka pohupani hale o ka i paiiaʻi) hiki ke malama i keia maʻi.

ʻike, o ka appendicitis i hāpai keiki ana, aole i i pilikia. Nā symptoms i ka ia like no nā mākua. Pilikia i ala mai ma ka hope trimester o ka hāpai keiki, ina ke ano o ka eha ua cramping ma ka ano. E hoomanawanui i kamaʻilioʻana, e lawe i kekahi mea, hoʻoikaika ihola kulou e moe ana ma luna o kou hoʻi me nā wāwae kulou ma na kuli, a tighten i ka abdomen wāwae. Ka ehaeha ua IIeEeAIEUIeXAIIUE ka hapanui i loko o ka akau iliac māhele 'āina, akā, ma nā kahua o ka hoʻonaʻauao ma hope o ka hāpai keiki i hōʻike' luna. ¶ A i loko o ka mahina hope o ka hāpai keiki e hopohopo nei o kaʻoki lāʻau lapaʻau lapaau o appendicitis a me postoperative hoʻopulapula. No ia mea, ia mea paʻakikī nui e diagnose pololei.

Kumu o ka appendicitis i hāpai keiki

Kēia maʻi aicieeaao aie i ka mea i loko o ka wā o ka gestation bebe nui hoonee aku uterus mea e loli i ke cecum a me ka hoʻololi 'ana i kona kulana. Nō hoʻi, kahi i paiiaʻi hiki ke discriminated hoonee aku uterus, kūpono i loko o Nyos koko maloko. Kēia kekahi manawa, hiki aku i ka hoʻoʻino a hiki gangrene. Ke kumu o ka appendicitis i hapai wahine nei i ka loli i loko o hormonal pae. I loko o ka hanau keiki na wahine pinepine ana aʻe 'o ka noho, o constipation, a hiki i kāhea i kēia pathology.

Pehea mea pepehi appendicitis i hāpai keiki?

Ka mea, ua maopopo i kekahiʻoki lāʻau lapaʻau 'uao, o ka oi aku ia mea, ua lawe mai i loko o ka abdomen o ka wahine hapai hiki i miscarriage a premature hanau. Akā, 'ē aʻe ma mua o ia ia mea pilikia i ka ana ma lalo nei:

• ulu ai ke fetal hypoxia;
• premature poe o ke keiki a me ka fetus ma ka poe oo hoi;
• hanana o ka huʻi intestinal iaʻi;
• postoperative maʻiʻaʻai;
• 'aʻe' ana o uterine contractions i ka hana;
• kahe ana ke koko i loko o ka postpartum au.

Pela, ua noʻonoʻo mākou a pau i ka hiki symptoms o appendicitis, a me na hoailona o ka maʻi i loko o nā mākua. Ano, e ka nānā aku i nā hiʻona o ke kūpono 'ana o ka maʻi i loko o nā keiki.

Nā symptoms o appendicitis ma mua keiki

Symptoms i na keiki ma lalo o ke kula makahiki e like me na symptoms o ka maʻi i loko o nā mākua. Oe hiki wale nō ke kākau i ia na nā mea maʻi pinepine lawe i kekahi mea, hoʻoikaika ihola kulou, ma i ka nui o ka eha ua hoemiia. Ka mea, moe iho ma luna o kona hoʻi 'ole'ākauʻaoʻao. Eia kekahi, i ka mehana i ka 38 degere a hiki kiʻekiʻe. Ka lāʻau ikiʻai wale Aʻole 'Aʻohe i ka mahuahua ma ke kino mahana, a he nui ka māmā holo.

I ka nana aku la au, mai ku una ha i ka lua i hōʻike mai nā hua elelo, keʻokeʻo ka penaʻana i ka makana. Kata hōʻailona o ke elelo maloo. Kēia e hōʻike i ke kūpono 'ana o ka maʻi a me ka gangrenous peritonitis. Keiki i kēia makahiki i ia i kali hou aku; no ka noho i loko o kēia maʻi.

Nā symptoms o appendicitis i kahi mau keiki liilii

I hāʻawe manaoia na hoailona o ka maʻi i ke mahuʻi mua i loko o ka kēia hihia.

• ke hea nei ke keiki a me ka mea e nānā.
• Pono wāwae kao pulls i ka opu a me ka curls mai.
• Mahana i opiopio nā mea maʻi me ka appendicitisʻike pinepine wela ma luna o 38 degere, e hiki e mai i ka 40.
• Ka lāʻau ikiʻai pinepine, a hoʻopili like e hoala mai i ka mahana.
• Wai pā holoi, pinepine.
• Urination hiki e ola a me ka palpitations. I ka hemo o pēpē ke hea nei.
• I na keiki opiopio, ka luaʻi hiki ke hai.
• A keiki fidgety, aole e ai, hiki ole hiamoe, mau noi e inu.

He aha nō nā'ōuli o ka appendicitis i loko o nā mākua a me nā keiki i laila, ua e ike. E noonoo oe i ka hiki pilikia ka hopena o keia maʻi.

complications

Ma kekahi mau hihia, i ka maʻi ua huikau ma ka, penei keʻano o ka hanaʻana.

• abdominal abscess, a hiki e appendicular, subdiaphragmatic, Douglas mezhkishechny paha ke kaumaha ma muli o ka IIeEeAIEUAA;
• pelvic thrombophlebitis a iliac aa koko, e hiki i ka mea nui ana - pulmonary embolism;
• peritonitis, ma ka hihia o ka rupture o ka i paiiaʻi;
• ho okumu ana o postoperative infiltration;
• ka hooulu ana o adhesions i loko o ka postoperative au, a hiki kāhea intestinal iaʻi.

lapaʻau

Inā he mau hoailona o ka appendicitis li nui i loko o nā mākua a me na keiki, ka mea, ua hoike like appendectomy hiki ke hana wikiwiki, oa i ka wehe 'ana o ka i paiiaʻi na, i mea e pale complications nui o ka maʻi. Keia hana ua hana ma luna o ka pōpilikia e muli - i loko o na hora hope o pololeiʻike.

Ma ke kahua o ka mālama '-haukapila mālama ua paipai moe koena. Ua Ua pololei papaia ka loaa ana i kekahi ai a me ka mea inu. Mai lawe eha relievers, laxatives a me ka 'ē aʻe ai' e möakäka hou i kaʻike, hope loa, ana anu a me ka wela.

Once ka pololeiʻike, ua kau aku "appendicitis" (symptoms i loko o nā mākua a me nā keiki e like me ka ho'ākāka 'ia ma luna), i ke ahonui ua waiho ia ma kaʻoki lāʻau lapaʻau mokuna, a lawe appendectomy. Kēia hana i loko o uncomplicated hana laparoscopically.

Hope a ka hoomanawanui no kekahi mau hola hoololiia a hiki i ka mālama nui malama mokuna, ma ia mea ma lalo a eia i 'inikua hooponopono. Once ka hoʻomanawanui eia ka mea hope e haele oukou pela mai ka anesthesia, ka mea, ua hoololiia no kaʻoki lāʻau lapaʻau 'Oihana. Ma ka 5th lā ana e lawe aku oe stitches, a laila 'o ia nā mea maʻi i ka outpatient lapaau.

Ma ka huikau papa o ka maʻi koe i ka hoʻomanawanui i loko o ka haukapila, a me kona hoike, e e hoopanee a ka hoʻopau o undesirable ka hopena, a noaaeeecaoee o ka mau kulana.

Outlook

Ma uncomplicated papa o ka maʻi a me ka 'āwīwī competently hana ana o ke hoʻoweliweli' e ola nei,ʻaʻole appendicitis. Full e hana ana nona iho o ka hoʻomanawanui ua hou ma hope o 4 pule.

Nā kumu o nā complications o appendicitis, e like me ka rula, e hoʻopaneʻe 'ia ana ke komo, a lohi i ka hana. I loa na mea hiki a hiki alakai i ka make.