Appendicitis Gangrenous: Izimbangela, Izimpawu, Sifo

appendicitis Gangrenous - kuyinto zokugula ukuthi libhekene izicubu necrosis we esekugcineni ye-ingxenye kanye ejwayelekile isithombe emtholampilo esenza ukuba ukuhlukanisa kwezinye izinhlobo ukuvuvukala ngqo esithasiselweni. Ngokuvamile-ke kwenzeka babazi kuphakamisa sezingeni elithuthukile nemiphumela engathí sina yempilo. Yingakho kubalulekile ngokushesha usizo udokotela, ezobheka ukuthi izimbangela inqubo sokugembula futhi zibeka ukwelashwa.

Uhlolojikelele

appendicitis Gangrenous - uhlobo ubovu inqubo ukuvuvukala okufana, esekelwe ukufihla ekubhujisweni engelapheki. Ngokuvamile izinguquko imvelo necrotic kuyagcinwa ezindaweni elincane isithasiselo saleli Bhayibheli. ukuvuvukala Gangrenous kuwuhlobo okufana acute lesi sifo futhi livela kuphela esigabeni esithile sokuthuthuka (izinsuku ezingu-2-3 ukuvuvukala).

Ziyini izimbangela eziyinhloko zalokhu yentuthuko isifo

Acute appendicitis gangrenous eba lapho ukuvuvukala kunqubo ningagcini emini kuqala. Khona-ke ubalekela ukuzwela ejwayelekile kwalapho, ngakho ubuhlungu inganyamalala. Iziguli eziningi banqume ukuthi ingozi isidlulile, kungaba luhlehliswe isikhathi esithile ukubona udokotela. Ukunganakwa okunjalo impilo yabo kungaholela peritonitis.

The main engcupheni okuvela izifo zibala ochwepheshe elandelayo:

• yobudala Abadala.
• Ukwakheka amahlule.
• Isifo sokuqina kwemithambo yegazi kwemithambo yegazi emathunjini.

Zonke lezi zici abonisa ukuthi izimbangela ngokushesha zezifo okubizwa ngokuthi thuthuva microcirculatory. Bona abhekwa umphumela ukuphazamiseka kwegazi, njengoba phetho - necrosis ithambo. Okunye izakhi pathogenesis (ukutheleleka autoaggression amangqamuzana okuzivikela) zihlangene kuphela ithuba lesibili, kuphela ezihlanganisiwe egunjini lokuhlolwa kwezifo.

Yini izimpawu kubonisa zokugula?

Esigabeni acute lapho siphindiwe ukuhlanza, okuyinto njalo kokuzama isiguli futhi engalethi impumuzo eside elindelwe. Ngenxa ukudakwa ngenxa ukuthuthukiswa putrefactive ukuvuvukala inqubo lokushisa angahlala evamile noma encishisiwe.

appendicitis Gangrenous kuzibonakalisa ifomu yalesi sifo of "sikelo ezinobuthi." Isiguli uzwakalise tachycardia (kwenhliziyo-100 ngomzuzu), kodwa izinga lokushisa aliphumi.

ulimi lesiguli esomile nge enamathela isici aphuzi. Endabeni eyinhloko gangrenous izimpawu appendicitis kungahluka kancane:

• ukungakhululeki Buhlungu ngakwesokudla esifundeni iliac, ngokungazelelwe okubonakala futhi ngokushesha luyaphela.
• Esiswini kanzima, ubuhlungu.
• isimo wesiguli uthathwa njengomgcini sina.

Uma umuntu ongawamukeli ukwelashwa okufanele ngesikhathi esifanele, bese lolu hlobo sifo eba gangrenous kakade, isithasiselo perforated. I zokugula libhekene perforation odongeni ngqo isithasiselo saleli Bhayibheli. Phakathi ikhefu wakubo umuntu ahlangabezane sebuhlungwini obunzima, okuyinto ngokuhamba kwesikhathi kancane kancane zasakazekela esiswini. Ngenxa yokwanda ukudakwa lokushisa likhuphuka, kukhona tachycardia sobala. Ulimi kuba eyomile kakhulu, enamathela Uthola tint sinombala. Isiguli uhlushwa ukuhlanza ezinzima.

izinyathelo zokuxilonga

Uma une izimpawu ngenhla, kufanele ngaphandle kokulibala ukufuna usizo lukadokotela. Uma usola ukuthi lokhu Uchwepheshe zokugula ekuqaleni uqhuba behlolwa isiguli. Palpation ngokuvamile baphawula esishubile odongeni besisu, esiswini ngokulinganisela zingavuvukalanga. Ngabe sengabelwa uchungechunge ukuhlolwa laboratory, kuhlanganise igazi ukuhlaziywa umchamo. Ngaphezu kwalokho, kungase kudingeke ukuba ultrasound,-X-ray kanye computed tomography. Ngokusekelwe imiphumela cwaningo udokotela ingaqinisekisa sitholakele appendicitis gangrenous.

zokwelapha

Ukwelashwa kuhilela ukususwa kuhlinzwa ka isithasiselo saleli Bhayibheli. Appendectomy wenziwa ngendlela yendabuko, noma laparoscopy.

Esimweni sokuqala, udokotela kususa isithasiselo ngokusebenzisa imbobo ogangeni besisu. Ngokuvamile, ukwenza inqubo enjalo wenziwa usebenzisa izinzwa.

Ukusebenza kokuba appendicitis ngu laparoscopy ezahlukene kuhlasimulise encane. Udokotela ohlinzayo kwenza eziningana punctures encane e odongeni kwamathumbu lapho ukubeka izinsimbi zokukhwabanisa. Into ebaluleke kakhulu sazo laparoscope - ngamapayipi ngekhamera ku ukuphela. Phakathi ukusebenza, udokotela uthola isithombe kusuka computer yakhe, okukuvumela ukuba afeze izinqubo olunembile kakhulu kuhlinzwa.

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa

Isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa in iziguli uphethwe lalivamile inezici eziningana:

• Ukusetshenziswa kwezidakamizwa elwa namagciwane kanye analgesics.
• Ukumnika yokwelapha ngokukhishwa kobuthi egazini usebenzisa refortane usawoti izixazululo, glucose, bese-albumin.
• ukuhlolwa kwegazi Daily.
• Prevention izilonda kanye nezinkinga thromboembolic. Esikhathini esiyiminyaka nasezinkingeni ezilandela ngemva kokuhlinzwa kweziguli iqondiswa esiswini uketshezi blocker ( "Kvamatel", "Omez"), anticoagulants ( "Clexane").
• Ligation Daily nokugeza amanxeba.
• ikhasi lesikhwama sasekhaya, massage ekhethekile, ukuphefumula umzimba.

Ukusebenza appendicitis - it is a ukuhlinzwa okukhulu. Ukuvimbela ukuthuthukiswa yezinkinga esikhathini esizayo, kufanele usebenzise imihlahlandlela ngezansi.

Ake sixoxe umsoco

Ngenxa yalesi zokugula libhekene nezinkinga peristalsis emathunjini, ngakho emva kokuhlinzwa Ukudla kumele inikezwe ukunakekelwa okukhethekile.

Ngosuku lokuqala kuvunyelwe ukusetshenziswa nonfat yogurt, lamanzi esiphethu ngaphandle amagesi alula futhi inkukhu umhluzi. Ngosuku lwesibili, uma kwaba ngemva kwezikhathi zokulotshwa op ayiyona inkimbinkimbi ngu imiphumela emibi ekudleni ungakwazi ukwengeza okhamiwe wahlanganiswa amazambane, iphalishi ketshezi amanzi cottage shizi Casserole. Ngosuku olulandela amandla adingekayo ukuze ehlukahlukene ngaphakathi Ukudla №5. Kungcono ukuba ayeke okunamafutha, ukudla okubabayo nokubhema.

yezinkinga cishe

Lokhu zokugula ubhekwa kuyingozi kakhulu njengoba kungaholela anobungozi ukuba nezinkinga zempilo. Ikakhulukazi ezibucayi inqubo enjalo seziguli ezisencane.

Yimiphi imiphumela emibi ongaba kuhambisane appendicitis gangrenous?

1. Ubovu peritonitis. Lesi isimo esiyingozi edinga ngokushesha kuhlinzwa. Uma usizo alinikezi ngesikhathi esifanele, ubuthi igazi singenzeka.
2. INGENA ISINYENYELA Appendicular. Esithasiselweni avuvukele kancane kancane bakha nhlanganisela zendawo ehlanganisa ogxile lezitho nezicubu. Lo magazini njalo kudinga ukwelashwa eside olandelanayo.
3. thrombophlebitis Septic. Ukuvuvukala iyakhula odongeni emithambo yegazi. Ngenxa yalokho, it kuholela ekwakhekeni amahlule e mafutha anciphisa isikhala esingaphakathi we emthanjeni.
4. Endaweni ubovu ithumba. zokwakheka ezifana advantageously ukuthuthukisa endaweni diaphragm.

Akufanele kwesokunxele appendicitis ingagadiwe. Ubovu okufana gangrenous yalesi sifo sidinga ukwelashwa ngokushesha. Uma kungenjalo, kwandisa amathuba yezinkinga ngisho nokufa. esiyingozi nakakhulu ukuvuvukala izingane, zonke izinqubo sokugembula izikhathi eziningana ngokushesha.