Gangrenous appendicitis: Sanadin, Alamun, ganewar asali

Gangrenous appendicitis - shi ne mai Pathology cewa halin da nama necrosis na appendix da rabi da kuma wani hali na asibiti hoto cewa yale mu mu bambance shi daga sauran siffofin kumburi kai tsaye a cikin appendix. Mafi sau da yawa da shi ya auku sa samun abinci tsokani isasshe ɓullo da tsanani kiwon lafiya sakamakon. Wannan shi ne dalilin da ya sa yana da muhimmanci da sauri nemi taimako daga likita, wanda zai ƙayyade da Sanadin pathological aiwatar da rubũta jiyya.

Overview

Gangrenous appendicitis - wani irin surkin jini kumburi tsari bambance-bambancen, dangane boye komowar halaka. Mafi sau da yawa canje-canje a necrotic yanayi ne kiyaye a kananan yankunan da appendix. Gangrenous kumburi ne wani nau'i na m bambance-bambancen da cutar da kuma bayyana ne kawai a wani mataki na cin gaban (2-3 kwanaki kumburi).

Babban Sanadin cutar ci gaba

M gangrenous appendicitis tasowa a lokacin da kumburi tsari a cikin tsari ba ya lura a lokacin rana ta farko. Sa'an nan vuya al'ada ji na ƙwarai daga jijiya endings, don haka zafi iya bace. Mutane da yawa marasa lafiya yanke cewa hatsarin ya wuce, shi za a iya dage don wani lokaci zuwa ganin likita. Irin wannan sakaci nasu kiwon lafiya na iya kai mu ga peritonitis.

Babban hadarin dalilai ga abin da ya faru na wannan cututtuka sun hada da wadannan kwararru:

• Mazan shekaru.
• Da samuwar jini clots.
• Atherosclerosis na arteries na hanji.

Duk wadannan abubuwan da suka nuna cewa, nan da nan Sanadin cutar ne da ake kira microcirculatory disturbances. Suna dauke su sakamakon rushewa daga jini wurare dabam dabam, kamar yadda wani sakamako - necrosis daga kashi. Sauran abubuwa na pathogenesis (kamuwa autoaggression rigakafi Kwayoyin) an shiga kawai a karo na biyu bi da bi, kawai da tabi Pathology.

Abin da alamu sun nuna wani Pathology?

A cikin m lokaci can an maimaita amai, wanda aka kullum m da mãsu haƙuri kuma ba ya kawo dogon-jiran taimako. Saboda maye saboda ci gaban da putrefactive kumburi tsari da zazzabi iya zama al'ada, ko a rage.

Gangrenous appendicitis bayyana kanta a cikin nau'i na ciwo na "mai guba almakashi." A haƙuri ya bayyana tachycardia (zuciya rate game da 100 lashe da minti), amma da yawan zafin jiki ba ya tashi.

haƙuri da harshe ne bushe da halayyar yellowish shafi. A cikin hali na farko gangrenous appendicitis cututtuka na iya bambanta da ɗan:

• M rashin jin daɗi a dama iliac yankin, wanda ba zato ba tsammani bayyana da kuma huce.
• Ciki wuya, mai raɗaɗi.
• A haƙuri da yanayin ne a matsayin tsanani.

Idan wani mutum bai sami isasshen kuma dace magani, to, wannan nau'i na cutar tasowa riga gangrenous, perforated appendix. A Pathology ne halin da perforation na bango kai tsaye zuwa cikin appendix. A lokacin da ya nan da nan hutu mutum abubuwan da ciwo mai tsanani, wanda a kan lokaci hankali yada a ko'ina cikin ciki. Saboda kara maye zafin jiki yakan, akwai bayyananne tachycardia. Harshen wãyi bushe sosai, shafi acquires brownish tint. A haƙuri shan wahala daga mai tsanani amai.

diagnostic matakan

Idan kana da sama da bayyanar cututtuka, ya kamata ka ba tare da bata lokaci ba don su nemi taimako daga likita. Idan ka zargin cewa wannan Pathology gwani da farko gudanar da wani jiki jarrabawa na haƙuri. Palpation yawanci lura da tashin hankali na ciki bango, da ciki moderately kumbura. Sa'an nan sanya jerin dakin gwaje-gwaje gwaje-gwaje, ciki har da jini da fitsari bincike. Bugu da ƙari, za ka iya bukatar duban dan tayi, X-ray, kuma lissafta tomography. Bisa ga sakamakon da ƙididdiga likita zai iya tabbatar da ganewar asali gangrenous appendicitis.

kwantar da hankali

Far ya shafi m kau da appendix. Appendectomy aka yi a cikin gargajiya hanya, ko ta laparoscopy.

A cikin farko case, likita ta kawar da appendix ta hanyar wani incision a ciki bango. Yawanci, irin wannan hanya aka yi amfani da janar maganin sa barci.

Operation na da ciwon appendicitis da laparoscopy daban-daban kananan hankali. Likita sa da dama kankanin punctures a ciki bango ta hanyar abin da ya sa da kayan for magudi. A mafi muhimmanci na wadannan ne laparoscope - a tube tare da kyamara a karshen. A lokacin aiki, likita na'am da image daga ta kwamfuta allo, barin ku da wani sashe mafi m m hanyoyin.

A postoperative zamani

A postoperative zamani a marasa lafiya tare da fairly na kowa ganewar asali yana da dama fasali:

• A amfani da antibacterial kwayoyi da kuma analgesics.
• Jiko detoxification far amfani da gishiri mafita refortane, glucose, kuma albumin.
• Daily jini gwaje-gwaje.
• Rigakafin ulcers da thromboembolic rikitarwa. A cikin postoperative lokaci da marasa lafiya gudanar ciki mugunya shafi ( "Kvamatel", "Omez"), anticoagulants ( "Clexane").
• Daily ligation da kuma wanka da raunuka.
• Jiki far, musamman tausa, numfashi bada.

Operation appendicitis - shi ne mai tsanani tiyata. Don hana ci gaban da rikitarwa a nan gaba, ya kamata ka yi amfani da jagororin ba a kasa.

Bari mu magana game da abinci mai gina jiki

Domin wannan Pathology ne halin da matsaloli tare da hanji hanginsu, don haka bayan tiyata rage cin abinci ya kamata a ba musamman da hankali.

A rana ta farko a halatta yin amfani nonfat yogurt, ma'adinai ruwa ba tare da haske gas da kaza broth. A rana ta biyu, idan post-dau lokaci ba wuya da illar a rage cin abinci zai iya ƙara mashed dankali, porridge ruwa ruwa da kuma gida cuku casserole. A rana bayan da ikon zama dole ya sarrafa a cikin ganyayyaki №5. Yana da kyau a ba da m, yaji abinci da kuma shan taba.

m rikitarwa

Wannan Pathology aka dauke su matukar hatsari kamar yadda za a iya kai wa ga quite kawo hadari ga kiwon lafiya rikitarwa. Musamman m irin tsari ga matasa marasa lafiya.

Abin da mummunan sakamakon za a iya tare da gangrenous appendicitis?

1. Surkin jini peritonitis. Wannan shi ne wani hatsari yanayin da bukatar nan da nan m baki. Idan taimakon ba ya samar da dace, jini guba na iya faruwa.
2. Appendicular infiltrate. A cikin inflamed appendix hankali kafa wani gida conglomerate kunshi yawanci na gabobin da kyallen takarda. Wannan batu ko da yaushe bukatar wani dogon lokacin da ra'ayin mazan jiya far.
3. Kwamin na tara thrombophlebitis. A kumburi tsari ne masu tasowa, a cikin venous bango. A sakamakon haka, shi take kaiwa ga samuwar jini clots a lumen na jijiya.
4. Local surkin jini ƙurji. Irin wannan tsarin advantageously ci gaba a cikin diaphragm yankin.

Bai kamata a bar unattended appendicitis. Surkin jini gangrenous bambance-bambancen da wannan cuta bukatar nan da nan magani. In ba haka ba, shi qara da alama na da rikitarwa har ma da mutuwa. Musamman m ne kumburi daga cikin yara, su duka pathological tafiyar matakai ne sau da yawa sauri.