Gangrenous appendicitis: Zoyambitsa, Zizindikiro, Matendawa

Gangrenous appendicitis - ndi kudwala kuti amakhala ndi minofu necrosis ya zowonjezera ya gawo ndi ambiri matenda chithunzi kuti amatilola kusiyanitsa mitundu ina kutupa mwachindunji kumapeto. Nthawi zambiri izi zimachitika bwinobwino amakwiya mokwanira anayamba mavuto aakulu thanzi. N'chifukwa chake n'kofunika mwamsanga atithandize dokotala, amene adzaona zimayambitsa ndondomeko pathological ndi mankhwala mankhwala.

mwachidule

Gangrenous appendicitis - mtundu wa purulent kutupa ndondomeko zosinthika, zochokera kubisala chiwonongeko sizingasinthe. Nthawi zambiri kusintha chikhalidwe necrotic ali anaona m'madera ka kumapeto. Gangrenous kutupa ndi mtundu wa zosinthika pachimake matenda ndi imapezeka pa siteji zina za chitukuko (masiku 2-3 kutupa).

Zimayambitsa chachikulu cha chitukuko matenda

Pachimake gangrenous appendicitis akufotokozera pamene yotupa ndondomeko mwa njira mwaonapo pa tsiku loyamba. Mwamsanga tilinazo wabwinobwino wa molekezera mitsempha, kotero ululu kutha. odwala ambiri amaganiza kuti ngozi zadutsa, izo zikhoza kulephereka kwa nthawi kuwona dotolo. Chotero kunyalanyaza thanzi lawo kungachititse kuti peritonitis.

Waukulu Zifukwa kwa pakutchulidwa cha matenda monga a akatswiri zotsatirazi:

• Achikulire zaka.
• Mapangidwe magazi kuundana.
• Atherosclerosis a mitsempha ya intestine pa.

Mfundo zonsezi zikusonyeza kuti zimayambitsa atangochimwa matenda otchedwa chisokonezo microcirculatory. Amaonedwa chifukwa cha kusokonezeka kwa magazi, monga Motero - necrosis fupa. zinthu zina za pathogenesis (matenda autoaggression maselo mthupi) likugwirizana okha pamapeto chachiwiri, kupatula kwa Kuwonjezera pa vuto kudwala.

Kodi zizindikiro zikuonetsa kudwala?

Mu gawo pachimake kumeneko akubwerezedwa kusanza, amene nthawi zonse yotopetsa wodwala, wosatenga mpumulo yaitali. Chifukwa cha kuledzera chifukwa cha chitukuko cha putrefactive yotupa ndondomeko kutentha akhoza kukhala zachilendo kapena yafupika.

Gangrenous appendicitis kumaonekera mwa mawonekedwe a matenda a "lumo poizoni." Wodwala kuzimwera tachycardia (kugunda kwa mtima 100 kumenyedwa pa mphindi), koma kutentha sasefukira.

lilime wodwalayo youma ndi khalidwe chikasu ❖ kuyanika. Pankhani ya pulayimale gangrenous zizindikiro appendicitis zingasiyane penapake:

• Kupweteka kusapeza mu lamanja iliac dera, amene Mwadzidzidzi ndi umatsika msanga.
• Pamimba zovuta, chopweteka.
• alili amaonedwa akuluakulu.

Ngati munthu salandira chithandizo chokwanira yake, ndiye mawonekedwe matenda akufotokozera kale gangrenous, perforated zakumapeto. kudwala The amakhala ndi perforation a linga mwachindunji kumapeto. Panthawi yopuma lake munthu amakhala ululu, omwe pa nthawi pang'onopang'ono anafalikira m'dziko pamimba. Chifukwa cha kuchuluka auka kuledzera kutentha, pali tachycardia zoonekeratu. Lilime amakhala ouma kwambiri, ❖ kuyanika amapeza ndi kulocha brownish. Wodwala akudwala kusanza kwambiri.

miyeso matenda

Ngati muli zizindikiro pamwamba, muyenera mwamsanga pofuna thandizo kwa dokotala. Ngati mukukayikira kuti katswiri kudwala poyamba amachititsa kudzifufuza thupi la wodwalayo. Palpation zambiri zimachitika mavuto a linga m'mimba, m'mimba amtengo kutupa. Anatumizidwa mndandanda wa mayesero choyezera, kuphatikizapo magazi ndi kusanthula mkodzo. Komanso, mungafunike ultrasound, X-ray ndi yopangidwa tomography. Yachokera pa zotsatira za kufufuza dokotala otsimikiza matenda a appendicitis gangrenous.

zochiritsira

Therapy kumafuna kuchotsa opaleshoni ya kumapeto. Appendectomy imagwiridwa mu njira ya makolo, kapena laparoscopy.

Mbali yoyamba, dokotala amachotsa zakumapeto kudzera ang'ambe thupilo la mpanda m'mimba. Childs, ndondomeko otere anachita ntchito mankhwala ochititsa dzanzi ambiri.

Ntchito ndi appendicitis ndi laparoscopy zoopsa zosiyanasiyana zolowa. Dokotalayo zimapangitsa punctures angapo kakang'ono khoma m'mimba mwa moika zida kwa mpheto. Ofunika kwambiri awa ndi laparoscope - chubu ndi kamera pa mapeto. Pa ntchito, adokotala amalandira fano kwa kompyuta ake, kulola inu mukakwaniritse molondola kwambiri popanga munthu opaleshoni.

Nthawi postoperative

Nthawi postoperative odwala ndi matenda zofala lili ndi zinthu zingapo:

• Kugwiritsa ntchito mankhwala antibacterial ndi analgesics.
• Kulowetsedwa detoxification mankhwala pogwiritsa ntchito njira mchere refortane, shuga, ndi albumin.
• Daily magazi mayesero.
• Kuteteza zilonda ndi mavuto thromboembolic. Mu nthawi postoperative odwala kutumikiridwa chapamimba katulutsidwe blocker ( "Kvamatel", "Omez"), anticoagulants ( "Clexane").
• Daily ligation ndi kutsuka mabala.
• mankhwala thupi, kutikita wapadera, kupuma kokoka.

Opaleshoni appendicitis - ndi opaleshoni yaikulu. Pofuna kupewa chitukuko cha mavuto m'tsogolo, muyenera kugwiritsa ntchito malangizo anapatsidwa pansipa.

Tiyeni tikambirane za zakudya

Pakuti kudwala imeneyi amakhala ndi mavuto ndi peristalsis matumbo, kotero pambuyo opaleshoni zakudya ayenera mwapadera.

Pa tsiku loyamba amaloledwa kugwiritsa ntchito nonfat yogurt, madzi mchere popanda mpweya wopepuka ndi msuzi nkhuku. Pa tsiku lachiwiri, ngati nthawi pambuyo kugwira ntchito ndi kumva mwa mavuto mu chakudya mukhoza kuwonjezera yosenda mbatata, phala madzi madzi ndi kanyumba tchizi casserole. Tsiku pambuyo mphamvu zotithandiza kusiyanitsa mu zakudya №5. Ndi bwino kusiya aliwonse, zakudya zokometsera ndi kusuta.

zosokonezeka Nkosatheka

kudwala Izi akuti ndi yoopsa kwambiri monga kungachititse kuti oopsa kwambiri mavuto thanzi. Yovuta kwambiri ngati ndondomeko achinyamata amene akudwala.

zotsatira zoipa akhoza limodzi ndi appendicitis gangrenous?

1. Purulent peritonitis. Ichi ndi chikhalidwe oopsa amene amafuna yomweyo alowererepo pa opaleshoni. Ngati chithandizo sasamalira yake, magazi poizoni angayambe.
2. Appendicular adzalowerera. Mu zakumapeto chofuna pang'onopang'ono anapanga yense m'dera wopangidwa ambiri ziwalo ndipo zimakhala. Nkhani imeneyi nthawi zonse kumafuna nthawi yaitali ndiwofatsa mankhwala.
3. Septic thrombophlebitis. The ndondomeko yotupa kuchitikanso mu khoma venous. Chifukwa, izo kumabweretsa mapangidwe a magazi kuundana mu lumen wa mtsempha.
4. Local purulent abscess. formations amenewa advantageously kukhala m'dera zakulera.

Sayenera sizikugwiridwa appendicitis. Purulent gangrenous zosinthika za matenda amafuna mankhwala mwamsanga. Apo ayi, kumachititsa matendawo ndipo ngakhale imfa. Makamaka oopsa ndi kutukusira kwa ana, iwo njira zonse pathological ali kangapo mofulumira.