Hnub no, kev mus ntsib kws kho mob ntau zaus nrog kev tsis txaus siab ntawm cov teeb meem hauv plab hnyuv tsuas yog nce ntxiv. Ib qho ntawm cov kab mob feem ntau yog o thiab rupture ntawm appendix. Nws yog qhov txaus ntshai tshwj xeeb thaum qhov no tshwm sim, thiab tsis muaj kev cuam tshuam kev phais raws sijhawm. Hauv qhov xwm txheej zoo li no, txhua yam tuaj yeem xaus rau hauv kev tuag.
Yuav ua li cas hauv lub cev?
Cov txheej txheem inflammatory siv sijhawm li 3 hnub, thaum lub sijhawm catarrhal thiab purulent (qee zaum gangrenous) hloov pauv. Yog tias tsis muaj kev ua haujlwm nyob rau lub sijhawm no, kev tawg yuav tshwm sim.
Cov tsos mob tseem ceeb yog qhov kev xav tias ib yam dab tsi hauv tau kis mus, qhov sov so hauv plab. Qhov tshwm sim loj tshaj plaws yog diffuse peritonitis, uas tuaj yeem ua rau tuag taus.
Ib tug neeg tsis muaj kev tiv thaiv los ntawm qhov teeb meem no txhua lub hnub nyoog.
Yuav ua li cas thiaj li muaj kev sib tawg?
Qhov laj thawj tseem ceeb ntawm kev mob plab hnyuv rupture yog ib qho kev ua haujlwm ntawm tus neeg mob plab hnyuv, piv txwv li, qhov muaj qhov kink hauv daim ntawv ntxiv.
rau lwm tusyog vim li cas muaj xws li:
- kaw cov txheej txheem ntawm caecum nrog quav thiab / lossis pob zeb;
- nkag mus rau hauv daim ntawv ntxiv ntawm lub cev txawv teb chaws;
- kab mob kab mob;
- malignant thiab benign neoplasms;
- tshuab thiab lwm yam kev raug mob ntawm lub plab kab noj hniav.
Tsis kawg tab sis tsis tsawg kawg yog kev noj zaub mov tsis txaus, vim tias cov tshuaj lom thiab cov khoom tsis zoo sib sau ua ke hauv cov ntawv ntxiv.
Symptomatics
Thaum thawj theem ntawm kev loj hlob ntawm tus kab mob, qhov mob tshwm sim hauv lub plab, uas maj mam nkag mus rau hauv plab plab ntawm sab xis.
Lwm cov tsos mob ntawm cov kab mob ruptured appendix muaj xws li:
- nce hauv lub cev kub (txog 40 degrees);
- xeev siab, nquag hloov ua ntuav;
- xav txias;
- mob plab, dag ntxias kom tso quav;
- xav tshee hnyo.
Mob hauv thaj tsam lumbar tuaj yeem tshwm sim. Qhov mob hauv plab mob hnyav zuj zus thiab tom qab ntawd ploj mus. Qhov no tshwm sim tawm tsam keeb kwm yav dhau los ntawm qhov tseeb tias cov hlab ntsha xaus yog ib ntus tuag tes tuag taw. Feem ntau, cov tsos mob ntawm intoxication yuav raug hais.
ntsuas ntsuas
Txawm hais tias cov tsos mob ntawm tus mob appendicitis rupture yeej ib txwm hais tau zoo heev, nyob rau hauv txhua rooj plaub lawv tuaj yeem ua cov tsos mob ntawm lwm tus kab mob. Ua ntej tshaj plaws, kev kuaj ntshav yog ua, uas yuav qhia cov lej ntawm leukocytes, lawv qhov nce hais lus pom zoo ntawm qhov tseeb tias muaj teeb meem nrog cov ntawv ntxiv.
Kev ntsuas ntsuas yog tsim los tshem tawm qhov ua tau ntawm gastritis, pyelonephritis, urolithiasis, plab hnyuv thiab lwm yam pathologies.
Tus yam ntxwv ntawm cov tsos mob thiab kev kuaj mob ntawm cov poj niam
Ntxiv rau cov tsos mob tshwm sim, hauv cov poj niam, qhov mob tuaj yeem tawm mus rau sab laug. Lawv haj yam ua rau luag los yog hnoos.
Ib yam tsos mob ntawm ruptured appendicitis hauv cov poj niam cev xeeb tub yog ua tsis taus pa hnyav heev. Nyob rau lub sijhawm zoo li no, qhov tseem ceeb tshaj plaws yog tsis txhob cuam tshuam qhov mob los ntawm kab mob appendicitis nrog kev mob hnyav. Tej zaum kuj yuav muaj zog ntawm lub plab, vim qhov tseeb tias nws cov phab ntsa yog overstressed.
Rau cov poj niam kuj yog tus cwj pwm los ntawm kev tsis noj mov thaum lub sijhawm no. Feem ntau muaj qhov tsis muaj zog. Feem ntau, cov tsos mob tshwm sim thaum yav tav su thiab ua tiav thaum hmo ntuj.
Tom qab lub hlis thib plaub ntawm cev xeeb tub, kev kuaj mob ntawm cov kab mob appendicitis tshwm sim. Thaum lub sij hawm no, lub tsev me nyuam loj tuaj, lub appendix txav los ze zog mus rau lub siab. Yog li ntawd, nws yog ib qho nyuaj heev kom paub qhov txawv o ntawm biliary ib ntsuj av ntawm appendicitis. Cov txheej txheem kuaj pom tau zoo yog suav tias yog ultrasound lossis MRI, hauv qhov xwm txheej hnyav, x-rays.
Peculiarities of diagnosis in me
Nws yog qhov txaus los ua kom yooj yim rau cov tsos mob lom thiab mob plab hnyuv, tshwj xeeb tshaj yog thaum nws los txog rau menyuam yaus hnub nyoog qis dua 3 xyoos. Nws tseem tsis tau paub meej tias nws muaj dab tsi thiab qhov twg nws mob. Los ntawm txoj kev, appendicitis yog qhov thib plaub hauv cov npe ntawm kev kuaj mob tsis raug rau thaum yau. Tus me nyuam cov tsos mob thiabcov laus yog tib yam. Thiab qhov sib txawv ntawm yuav luag 50% ntawm cov neeg mob yog vim kev kuaj mob lig. Raws li txoj cai, tus kab mob no tau kuaj pom zoo los ntawm ultrasound, nrog rau txoj kev no tsuas muaj 5% yuam kev.
Raws li kev txheeb cais, nyob rau lub sijhawm tom qab phais hauv 5% ntawm cov menyuam yaus muaj plab hnyuv. Cov ntaub ntawv ntawm cov tsos mob ntawm tus mob abscess kuj poob siab, nws tau pom hauv 15-20% ntawm cov menyuam mos.
Raws li qhov no, tsis txhob quav ntsej koj tus menyuam tus cwj pwm txawv txav. Tshwj xeeb tshaj yog tias nws yws ntawm qhov mob hauv plab thaum nruab hnub, thiab nws muaj raws plab. Tus menyuam puas tshaib plab, khiav tsis tau thiab dhia vim mob, tsis xav taug kev? Tag nrho cov tsos mob no tuaj yeem paub meej tias muaj cov txheej txheem inflammatory nyob rau hauv daim ntawv ntxiv, yog li lawv yuav tsum tsis txhob raug ignored.
Koj tuaj yeem kuaj xyuas tom tsev ua ntej lub tsheb thauj neeg mob tuaj txog. Tus me nyuam muab tso rau ntawm nws nraub qaum, thiab nws yuav tsum khoov nws lub hauv caug. Tom qab ntawd, koj yuav tsum nias koj tus ntiv tes rau ntawm lub plab mog ntawm sab xis thiab tawm sai sai. Yog hais tias qhov mob hnyav, ces nws yuav luag 100% tias cov no yog cov teeb meem nrog cov ntawv ntxiv.
Kev pab ib zaug
Ntev npaum li cas tuaj yeem mob appendicitis ua ntej nws tawg? Kwv yees li 1-3 hnub. Nws tuaj yeem kuaj xyuas qhov mob ntawm cov kab mob ntxiv rau 10-12 teev txij li lub sijhawm pib tshwm sim. Yog tias tsis ntsuas tam sim no, ces nyob rau hauv ib hnub lossis ob lub phab ntsa raug rhuav tshem, tom qab ntawd tag nrho cov ntsiab lus tau muab pov rau hauv lub plab kab noj hniav.
Thaum thawj cov cim tshwm simkoj yuav tsum hu lub tsheb thauj neeg mob tam sim ntawd thiab txwv txoj kev mus los ntawm tus neeg mob. Koj tsis tuaj yeem noj tam sim no, koj tuaj yeem haus dej huv tsuas yog me me xwb. Tsis muaj teeb meem koj yuav tsum noj tshuaj thiab ua kom sov rau thaj tsam ntawm daim ntawv ntxiv. Hauv qhov xwm txheej hnyav, koj tuaj yeem ua qhov txias txias. Nrog rau cov kab mob no, tsis muaj kev kho neeg pej xeem yuav pab tau, tsuas yog kev phais yog ib qho kev daws teeb meem zoo thiab tshem tawm txoj kev pheej hmoo ntawm cov teeb meem.
kev phais mob raws sijhawm yog tus yuam sij rau lub neej zoo nyob rau yav tom ntej.
Muaj feem cuam tshuam
Rupture ntawm daim ntawv ntxiv tuaj yeem ua rau ob yam teeb meem. Qhov tsis zoo tshaj plaws yog qhov pom ntawm abscesses (abscesses) nyob ze ntawm cov txheej txheem thiab hauv cov ntaub so ntswg ze.
Qhov tshwm sim phem tshaj plaws yog mob plab kab noj hniav (peritonitis), tom qab sepsis thiab tuag. Peritonitis ua rau muaj ntau yam kab mob uas ua rau tus neeg mob tuag. Nws tuaj yeem yog pylephlebitis, uas yog, o ntawm lub siab leeg. Tus kab mob no tseem nyob mus ib txhis.
Peritonitis tuaj yeem ua rau mob meningitis. Nyob rau hauv cov ntaub ntawv no, cov kab mob nkag mus rau hauv cov hlab ntsha, tam sim ntawd kis thoob plaws hauv lub cev thiab tsim metastatic foci. Ntxiv nrog rau lub hlwb, microbes tuaj yeem nkag mus rau hauv lub plhaub sab nraud ntawm lub plawv cov leeg, ces endocarditis tshwm. Kev nkag mus ntawm cov kab mob mus rau hauv cov pob txha cov ntaub so ntswg ua rau cov tsos mob ntawm osteomyelitis.
Nws tsis suav nrog qhov tshwm sim ntawm thrombophlebitis lossis appendicular infiltrate, uas yog, soldering ntawm cov ntaub so ntswg hauv cov hnyuv loj lossis me.
Tshuaj kho mob plab hnyuv ruptured
Yuav ua li cas kho cov kab mob no hu ua? Muaj ob txoj hauv kev uas kws phais neeg siv:
- Public method. Kev ua haujlwm yuav siv sijhawm 60 feeb. Ib qho kev txiav yog tsim los ntawm 4 mus rau 15 centimeters, thiab cov txheej txheem raug tshem tawm.
- Laparoscopic txheej txheem. Hauv qhov no, plaub qhov kev txiav me me yog ua, lub koob yees duab tau ntxig los ntawm ib qho, thiab cov twj paj nruag los ntawm lwm qhov peb.
Zoo ntawm qhov kev puas tsuaj rau lub plab kab noj hniav, kev tshem tawm cov kua paug thiab tso kua dej tuaj yeem ua tiav.
Rehabilitation period
Tom qab tus kab mob appendicitis tau ruptured thiab ib qho kev phais tau ua tiav, nws raug tso cai rov ua haujlwm lub cev muaj zog tsuas yog hnub ob. Koj yuav tsum tau ua raws li kev noj zaub mov nruj, uas tso cai rau kev siv kefir, haus rosehip thiab tshuaj yej.
Nyob rau tsib hnub tom ntej no, kua zaub pureed thiab qos yaj ywm, cereals maj mam qhia, lub sij hawm no lub motility ntawm lub plab yuav tsum tau tag nrho rov qab. Yog tias tsis muaj teeb meem, tom qab lub sijhawm no koj tuaj yeem rov qab mus rau koj li kev noj zaub mov zoo.
Nrog rau kev noj haus, tus neeg mob yuav tsum tau noj tshuaj tua kab mob thiab tshuaj kho mob. Kev kho detoxification kuj tseem ua tiav. Nyob rau lub sijhawm txij hnub tim 4 txog rau hnub tim 6 txij lub sijhawm ua haujlwm, cov stitches raug tshem tawm.
Tsis ua raws li cov kev cai tom qab tau pom zoo tuaj yeem ua rau inguinal hernia lossiskab mob nplaum.
