I-appendicitis engapheli yisifo esingavamile ngokwanele, ngokungafani ne-acute form of pathology. I-appendix iyinhlangano ye-caecum, ebonakala sengathi iyakhiwe futhi yenza emzimbeni inamba yemisebenzi yesibili, phakathi kwayo:
- ukuvikelwa kwamathumbu kusuka ezincane ze-pathogenic ngenxa yobuningi bezicubu ze-lymphoid;
- ukuhlukaniswa kwamathumbu amancane kusuka ebusweni;
- ukukhiqizwa kwama-enzyme okudingekile ukugaya ukudla (amylase, lipase);
- synthesis of hormone ezithinta ama-peristalsis emathunjini, njll.
Izimbangela ze-appendicitis engapheli
Kukholelwa ukuthi ukuvuvukala okungapheli kwesithasiselo kungase kuphakame ngenxa yokuphulukiswa kokuhlaselwa kwe-appendicitis enzima ngaphandle kokungenelela kokuhlinzwa noma nge-appendectomy engaphelele. Ngaphezu kwalokho, leli hlobo lesi sifo liqala ngokuyinhloko, ngokuqeda isigaba esiyingozi, ngenxa yezinqubo ezithathelwanayo emgodini wesisu ngemuva kwesivikelo somzimba esinciphile. Ukuthuthukiswa kokuvuvukala okungapheli kuhlinzekwa yizingqikithi zesithasiselo, ukutholakala kokunamathela, ama-cysts, izicubu ezingenayo i-lymphoid, kanye nezinkinga zokujikeleza.
Kumele uqaphele ukuthi ngaphambili kwakungabaza ukuthi kukhona yini i-appendicitis engapheli, kodwa namuhla izimpawu zalesi simo sesifo, ezibonakala ngezinqubo eziphuthumayo, zichazwe ngokucacile. Ake sicabangele ukuthi yiziphi izimpawu zokufaka ama-appendicitis okungapheli kwabesifazane abadala, nokuthi lokhu kuguliswa kanjani.
Izimpawu ze-appendicitis engapheli kwabesifazane abadala
Nge-appendicitis engapheli yesikhathi esigcwele lapho kusetshenzwa khona i-cecum, izinguquko ze-atrophic and sclerotic zingathuthuka, izibazi kanye nokunamathela kubonakala, okuholela ekuvalweni kwe-lumen nokuguqulwa kwesithasiselo, ukunamathela kwamatheksi azungezile. Ukubonakaliswa okuyinhloko kwempilo kunjengokulandelayo:
- ubuhlungu obukhulu okubuhlungu obuvame ukuvela e-ileum noma eduze nendawo yomhlaba, ikakhulukazi ngemva kokuzikhandla ngokomzimba, ukuhlukunyezwa, ukukhwehlela okukhulu, ukungalungi kokudla (kwezinye iziguli ubuhlungu buhlala njalo);
- ukuhlaselwa yisicashu , ukuhlanza;
- izinkinga zesitoreji.
Ngezinye izikhathi kunezibonakaliso ezivela ezingxenyeni zomzimba, okungukuthi:
- ukuvuthwa njalo ;
- ukukhathazeka emgqeni;
- ukuzwa okungazwakalayo, ubuhlungu ngesikhathi sokulala.
Ukushisa komzimba kuvamile ezimweni eziningi, nakuba kungase kuphakame ukushisa komzimba kusihlwa.
Izimpawu ze-appendicitis engapheli zingabangela ukukhathazeka okungaphezu konyaka owodwa, kanti njalo kungenzeka ukuthi ushintsho lwesifo lube luhlobo oluthile. Uma ukuqhuma ukuvuvukala okungapheli kwesithasiselo kubonakala:
- ubuhlungu obukhulu kakhulu esiswini, okwandiswa ngcindezi;
- ukungezwani kwodonga lwangaphakathi lwesisu;
- ukushisa komzimba okwandisiwe;
- ukoma;
- i-nausea enzima, njll.
Lezi zimpawu ziyisibonakaliso sokunakekelwa okuphuthumayo, ngoba lesi sifo sisongela ukuthuthukiswa kwesilonda noma ukukhwabanisa kwesithasiselo.
Ukwelashwa kwesilwane esingenamkhawulo
Indlela eyinhloko yokwelapha lolu hlobo lwesifo yisifo sokuhlinzwa (appendectomy). Ezimweni ezingavamile, i-conservative
Ukwelashwa ukususa isithasiselo kungenziwa ngokusebenzisa indlela yama-classic laparoscopic noma indlela yokugcina yesimanje endoscopic engadingi isikhathi eside sokuvuselela. Ngesikhathi esifanayo, ama-antibiotic aphinde alawulwe (ngokuvamile ayenziwa nge-intramuscularly) ukugwema izinkinga.