I-appendicitis enhle ivela ngezigaba ezine. Omunye wabo u-phlegmonous. Iza emva kwesigaba se-purulent futhi ihlanganisa wonke umuthi, lapho amaphakheji e-pus axhumene nomunye. Uma inqubo yokuhlinza ingenziwanga ngesikhathi, i-appendicitis enamandla e-phlegmonous ingabangela ukuphumelela nge-serous peritonitis yendawo yangakini nezinye izinkinga, kuze kube umphumela obulalayo.
Izimpawu ze-appendicitis enhle kakhulu
Uma isiguli sithuthukisa i-appendicitis enamandla kakhulu, lezi zimpawu ezilandelayo zivela:
- izinhlungu ezikhukhumezayo, ezikhukhumeza futhi eziphazamisayo (ngokuvamile zihlala ngakwesokudla kwesisu);
- Isiyaluyalu (ukuhlanza kuvame ukuvela);
- ukuphakama okubukhali kokushisa okungaphezu kwama-38 degrees;
- ubuthakathaka;
- ukuthuthumela;
- i-tachycardia engaphezu kuka-90 beats ngomzuzu.
Uma i-appendicitis inendawo yesikhumba noma i-retrocecal, i-dysuria ingaqala. Lokhu ukwephula ukuchama, okubangelwa ukucindezelwa kwe-urethra. Kanti futhi ezigulini ezinalesi sifo, udonga lwe-muscular of the tummy lukhulu kakhulu futhi ubuhlungu buqiniswa kakhulu lapho isundu sincindezelwe ngokumelene nesisu.
Ukuxilongwa kwe-appendicitis enhle kakhulu ye-phlegmonous
Ukuxilongwa kwangaphambi kwesikhathi kwenziwa isiguli ngesisekelo sohlolo. Kubaluleke kakhulu kuze kube manje leli phuzu lingayithathi imithi yokwelashwa. Lokhu kungabangela izinkinga ngenkathi kuxilongwa futhi kuzosiza ekuthuthukiseni izinkinga zesifo. Futhi kule nkathi yesikhathi kubalulekile ukukhipha ukusetshenziswa kokudla kanye noketshezi.
Ngemuva kokuhlolwa, ukuhlolwa kwelabhorethri kwenziwa. I-micro-umkhiqizo wegazi nge-appendicitis e-phlegmonous iqukethe inombolo eyengeziwe ye-leukocytes. Ngokuningi kwabo, oweqisayo ukuvuvukala. Ezinye iziguli zibekwe i- ultrasound yesigxobo esiswini kanye ne-X-rays. Basiza ekuboneni ukuba khona kwezilonda ku-mucosa yesithasiselo nge-appendicitis ye-phlegmonous-ulcerative.
Ukunakekelwa kohlelo lokusebenza oluhle lwe-appendicitis
Ukuze uvimbele ukuvuvukala okunamandla emithanjeni yesibindi, i-sepsis yesisu noma i-serous peritonitis yendawo, i-appendicitis ye-phlegmonous kufanele ilashwe kuphela ngendlela yokusebenza. I-appendectomy yangaphambilini yenziwa, izinkinga ezincane isiguli esizobe nazo futhi kube lula ukuvuselela isikhathi sokuvuselela. Ehlinzweni lanamuhla, i-appendicitis ihlelwe ngezindlela eziningana:
- Appendectomy ye-Laparoscopic yenziwa kuphela ngezigaba zokuqala zokuvuvukala.
- Umsebenzi we-Transluminal - ukususwa ngezingubo eziguquguqukayo nezibucayi ngokuzifaka esiswini noma ngesiswini.
- Ukwelashwa kwenziwa ngokunqunywa kwesisu.
- I-Appendectomy ezigulini ezingenaso ukukhuluphala zenziwa ngaphansi kwe-anesthesia yendawo. Ezinganeni nakubantu abanesisindo esikhulu, ukuhlinzwa okunjalo kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Uma kungekho izinkinga, ukususwa akuhlali isikhathi esingaphezu kwemizuzu engama-40.
Ukubuyiselwa ngemuva kokufaka i-appendicitis e-phlegmonous
Esikhathini se-postoperative emva kokususwa kwe-appendicitis ye-phlegmonous kuyadingeka:
- Qaphela ukuphumula okuqinile.
- Gcina imvamisa yokukhipha amathumbu.
- Ukuhlambalaza izitho ngeqoqo lokuzivocavoca umzimba okuphakanyiswa udokotela.
Futhi, emva kokususwa kwe-appendicitis ye-phlegmonous, ukudla okukhethekile kufanele kugcinwe amasonto ambalwa. Kubalulekile ukukhipha imikhiqizo enamafutha, ebukhali kakhulu, emanzini kanye nokubhema. Udinga izingxenye ezincane. Awukwazi ukuphuza iziphuzo ze-carbonated, udle ubhontshisi kanye neminye imikhiqizo edala ukupholisa.
Ukungahambisani nokudla emva kokufaka i-appendicitis enamandla kuyoholela ekucaseni intathu. Ngenxa yalokho, ukudla kuzobekwa kahle, futhi umuntu uzothola umuzwa wokuzihlambalaza nobuhlungu obunzima emkhakheni wokuhlinzwa.