Gangrenous appendicitis: 'ehaʻeha ka, Symptoms,ʻike,

Gangrenous appendicitis - mea he pathology i ua wehewehe aku ma 'aʻaʻa necrosis o ka i paiiaʻi o ka Hoʻohana, a me ka typical lapaʻau kiʻi e leie aku mākou e differentiate ia, mai nā ano o ka li nui 'ana i loko o ka i paiiaʻi. Loa pinepine ka mea, mākaukau kaua paha ma ke hākilo loa hoʻonāukiukiʻana mai o lawa ka ulu mea ola hopena. I mea no ke aha la ia e koke imi i ke kōkua o ke kauka, ka mea e hoʻoholo i nā kumu o ka pathological kaʻina, a i hoakaka ia hana mea nui.

Overview

Gangrenous appendicitis - he ano o ka purulent li nui kaʻina Lolina, ma muli i huna irreversible ka make. Ka hapanui pinepine loli ma necrotic ano e malama i mau mea liʻiliʻi o ka i paiiaʻi. Gangrenous aat mea heʻano o ka huʻi Lolina o ka maʻi, a akaka i ka kekahi kahua o kona? Acaeoey (2-3 lā li nui) wale.

I ka papa kuhikuhiE kumu o ka maʻi ulu

Huʻi gangrenous appendicitis e hoʻomōhala ana i ka wā i ka hoʻoʻino kaʻina hana i loko o ka kaʻina i ike i ka lā mua. Alaila, nalo maʻamau pā lonoaʻili o nā aʻalolo a hāʻule pahū wale, no laila, kaʻeha e nalo. He nui nā mea maʻi hooholo i ka pilikia i hala, ka mea hiki keʻula a no kekahi manawa, e ike i ke kauka. Oia malama ole i ko lakou mau ola ke alakai i ka peritonitis.

I ka papa kuhikuhiE kamepiula kumumea no ka hanana o ia mau maʻi nā ka penei hoʻomalu.

• Mua makahiki.
• I ke kahua o ke koko clots.
• Atherosclerosis o na arteries o ka naʻau liʻiliʻi.

A pau kēia mau kumumea ka hōʻike i ka koke kumu o ka maʻi i ka ai-kapaia microcirculatory ka haunaele. Ka mea, i manaoia e ia i ka hopena o ka hoʻohuikau o ke koko holo, me ka a no - necrosis o ka iwi. Other oihana mua o ka pathogenesis (maʻiʻaʻai autoaggression'ōnaehana paleʻea aeee) e hui wale i loko o ka lua o ka huli, compounding pathology wale no.

He aha nā hōʻailona hōʻike he pathology?

Ma ka huʻi pae malaila ua hai ka luaʻi, a ua mau no ka maluhiluhi i ke ahonui a me ka malama ole lawe lōʻihi-kakali ke ola. No ka mea, o ka intoxication aie a hiki i ka ulu ana o putrefactive hoʻoʻino kaʻina mahana e noho maʻamau a hoemiia.

Gangrenous appendicitis hoike mai ai ia ia iho i loko o ka palapala o ka maʻi pale o "ʻawahia'ūpā." Ke hoomanawanui Ua kaheaia tachycardia (naau kōmi ma kahi o 100 kui iho oe a no minuke), akā, i ka mahana, aole ia i ala.

ke hoʻomanawanui i ka elelo mea maloʻo me ke ano yellowish ka penaʻana. Ma ka hihia o iniiaiie gangrenous appendicitis symptoms e oko i kekahi mau mea:

• Ola discomfort ma ka akau iliac aina, i kokeʻikea a koke subsides.
• Abdomen paakiki, ola.
• Ke hoomanawanui i ka ke ano ua manao like ia mea.

Inā he kanaka, aole ia e loaa kūpono a me ka 'eleu lapaʻau, a laila, i kēia palapala no ka maʻi e hoʻomōhala ana i ua gangrenous, perforated i paiiaʻi. Ke pathology Ua wehewehe aku ma perforation o ka pa ana i ka i paiiaʻi. I loko nō o kona kokeʻoluʻolu o kekahi kanaka inā pilikia ka haumāna nui ka eha, a ma manawa ke kiʻekiʻe o palahalaha ae ma ka abdomen. No ka mea, o ka hoʻoulu intoxication mahana pii, he mea i maopopo tachycardia. Ke alelo lilo loa maloo, ka penaʻana loaʻa iā ia kekahi he brownish tint. Ke hoomanawanui poino mai loa ka luaʻi.

PalekanaEND_LINK ana

Inā 'oe i ka mea ma luna o symptoms, oe e me ke kali, eʻimi i kōkua mai i ka kauka. Inā 'oe hāʻupu aʻe i kēia pathology hoʻomalu initially e lawelawe ai i ka physical ninaninau o ka hoʻomanawanui. Palpation ana malama hoʻopilikia o ka abdominal paia, i ka'ōpū moderately pehu. A laila, hāʻawi i ka moʻo o ke keʻena hoʻokolohua ho'āʻo ma, a me ke koko a me ka mimi Ka Ikepili. Eia kekahi, e hiki pono i ka ultrasound, X-Ray a Me tomography. Ma muli o ka hopena o kālailai ke kauka ke hoopaa i kaʻike, o gangrenous appendicitis.

therapies

Inc komo aiʻoki lāʻau lapaʻau ana o ka i paiiaʻi. Appendectomy ua hana ia ma ka hana kuʻuna ala, a ma ka laparoscopy.

Ma ka hihia mua, i ke kauka e lawe aku oe i ka i paiiaʻi ma ka incision i loko o ka abdominal paia. Nō kāu, e like me ka hana ua hana ka hoʻohana 'ana mau anesthesia.

Hana o ka appendicitis ma laparoscopy okoa uuku traumatic. Ke surgeon i kekahi mau moku punctures ma ka abdominal pa ma i, e kau i ka mea no ka manipulation. Ka loa nui o kēia mau mea i ka laparoscope - he Tube me ka pahupaʻiwikiō ma luna o ka hopena. Iloko o ka hana, ke kauka loaa ana i ke kiʻi, mai kona kamepiula pale, hiki oe e lawe mai i ka loa pololeiʻoki lāʻau lapaʻau kaʻina hana.

Ka postoperative manawa

Ke postoperative manawa i loko o nā mea maʻi i 'ano like me kaʻike, he mau hiʻona:

• Ka hoʻohana a antibacterial ai 'a me analgesics.
• Infusion detoxification Inc hoʻohana paʻakai pāʻoihana refortane, monakō koko, a me ka albumin.
• Kela la i keia koko e ho'āʻo ai.
• Kāohiʻana o nā ulcers a me thromboembolic complications. Ma ka postoperative wā o nā mea maʻi lawelawe gastric secretion blocker ( "Kvamatel", "Omez"), anticoagulants ( "Clexane").
• Kela la i keia ligation a me ka holoi ana o ka palapū.
• Helu Inc, kūikawā lomilomi, hanu kino.

Hana appendicitis - ia mea he nuiʻoki kino. E pale aku i ka ulu ana o complications i loko o ka wā e hiki mai, oe e hoʻohana i nā lula i haawiia mai ma lalo nei.

E ka kamailio e pili ana i kino

No keia pathology ua wehewehe aku ma ka pilikia a me ka intestinal peristalsis, no laila, ma hope oʻoki kinoʻai e e haawiia mai kūikawā noonoo.

Ma ka lā mua Ke aeia'ku nei ia hoʻohana 'nonfat yogurt, mea pōhaku i ka wai me ka malamalama kinoea a me ka moa kai. Ma ka lua o ka lā, inā ua ole huikau ma ka hopena maikaʻi 'ole i loko o kaʻai i ka lāʻau kū-operative wā nui ana ke hooloihi Masa uala, porridge wai a ka wai a me ka neoneo ka waiū casserole. I ka lā ma hope o ka mana pono e na¯ 'i loko o kaʻai №5. E aho e haawi aku i ka waʻa, spicy ai a me ka uwahi ana.

paha complications

Kēia pathology ua manaoia e e weliweli loa me ka mea hiki ke alakai i kokoke pilikia ke ola complications. Pakahi aku la ia pilikia i ka kaʻina hana no ka opiopio nā mea maʻi.

He aha hopena maikaʻi 'hopena hiki ke ukali e gangrenous appendicitis?

1. Purulent peritonitis. He He mea pepehi ana i ka pono kokeʻoki lāʻau lapaʻau 'uao. Inā ke kökua 'aʻole e hoʻolako i nā manaʻoi hoʻokoe', ke koko kaʻapu kōheoheo hiki ke kānāwai.
2. Appendicular infiltrate. I ka wela ai i paiiaʻi i nā hana i ka kūloko conglomerate iloko olaila puleʻAmelika, o nā loko a me nā'aʻaʻa. Kēia pukana mau pono i ka lōʻihi-makahiki makeʻe kulana Inc.
3. Septic thrombophlebitis. O hoʻoʻino kaʻina ua ulu i loko o ka venous paia. E like me ka hopena, e hele aku ai i ke kahua o ke koko clots i loko o ka lumen o ke aa koko.
4. Local purulent abscess. Ia me ka ho okumu advantageously hoʻomōhala i loko o ka diaphragm wahi.

E ole e waiho unattended appendicitis. Purulent gangrenous Lolina o keia maʻi pono koke lapaau. I ole ia, ka mea maoli i ka likelihood o complications, a hiki i ka make. No ka mea o ka li nui o na keiki, ka mea a pau pathological keʻano o ka hanaʻana i kekahi mau manawa wikiwiki.