Bayanin na asibiti
Mafi rinjaye (95%) na marasa lafiya da appendicitis suna da wadannan bayyanar cututtuka:
• ciwo - daɗaɗaɗɗya, sa'an nan kuma an gano;
• asarar ci.
Duk da haka, cikin kimanin rabin marasa lafiya, alamun "hankula" na appendicitis na iya haifar da wasu cututtuka masu kamala na ɓangaren ciki. A cikin yara ƙanana da tsofaffi, sau da yawa akwai hadaddun ƙwayoyin cututtukan da ba su da cikakkiyar ganewa waɗanda suka samo asali a wasu lokuta na tsarin ilimin lissafi, wanda zai kara hadarin rikitarwa. Shafin da ake amfani da su a kullum shine a cikin ƙananan ƙananan ƙananan ƙwayar, wanda ya ƙayyade ma'anar baƙin ciki a cikin appendicitis. Lokacin da bayanan ya kasance a bayan bayanan a cikin kwakwalwa, za a iya jin zafi idan an bincika dubun. A akasin wannan, a yayin da ake ciki, cirewa daga bayanan da ke cikin shafi ta mahaifa mai ciki ciki zuwa sama yana amsa zuwa ga mafi girma daga cikin ƙananan zafi.
Kwayoyin cututtuka na Classic Applicicitis
• Sakamakon ciwo a cikin ƙananan ciki ko a cikin cibiya, tare da tashin zuciya, vomiting da asarar ci.
• Jigilar hijirar na ciwo zuwa ƙananan ƙananan ƙananan ƙwayar ciki (zuwa maƙallin McBurney), ƙara yawan ciwo tare da matsa lamba a kan peritoneum da mai rauni
matsa lamba (alama ce ta Shchetkin-Blumberg).
• Durative strain na ƙuƙwarar ciki na masu haƙuri a lokacin palpation ko tari.
• Low zazzabi: yanayin jiki a cikin kewayon 37.7-38.3 ° C.
• Ƙara yawan yawan leukocytes cikin jini (leukocytosis).
Ana gano yawan ganewar asali bisa ga tarihin da kuma alamun asibiti na cutar. Hoto na hoto mai girma appendicitis tasowa sosai, yawanci a cikin ƙasa da sa'o'i 24. Ya bayyanar cututtuka na ƙarshe fiye da sa'o'i 48, rashin ganewar asali na appendicitis ba shi yiwuwa. Ƙwararrun gwaje-gwaje don tabbatar da appendicitis ba su wanzu, ƙarin gwaje-gwajen sun kasance cikin shakka a cikin ganewar asali.
Hanyar bincike
• Ana gwada gwaje-gwaje na laboratory da fasaha na fasaha don ware wasu ƙananan cututtuka na zafi fiye da tabbatar da appendicitis.
• Laparoscopy - jarraba ɓangaren ciki ta amfani da kayan aiki endoscopic tare da kyamarar bidiyo.
• Hanyoyin dan-adam yana da amfani a mahimmancin ganewar asali na appendicitis da ilimin gynecology (misali, ƙonewa daga jikin jikin kwakwalwa).
Kwararrun likita na iya gane asalin appendicitis kawai akan tarihin da asibiti na cutar, amma a lokacin 15% na aiki don mummunan appendicitis an gano cewa dalilin "mummunan ciki" wani cututtuka ne, ko kuma babu wani tsarin ilimin kwayoyin halitta. Rashin samar da kulawa mai kyau don ƙwaƙwalwar ƙwayar cuta yana fama da damuwa mai tsanani, saboda haka a cikin lokuta marasa shakka, likitocin likitoci suna da alaka da tiyata. Harkashi (fargajewa) na lulluran ɗaukar hoto yana haifar da ƙara yawan matsa lamba a ciki kuma yana lalata ƙwayar mucous. A karkashin waɗannan yanayi, kwayoyin dake zaune a cikin hanji suna iya shiga cikin bango na shafi kuma suna haifar da kumburi. Saboda tarawa a cikin lumen na ƙwaƙwalwar ƙwaƙwalwar ƙwayoyi, matsa lamba a ciki yana ƙaruwa tare da ɗaukar jini. Tare da ci gaban gangrene, raguwa na bangon bangon zai yiwu.
Sanadin abubuwa
An yi imani da cewa tushen farko na appendicitis shine ulceration na mucosa, mai yiwuwa saboda kamuwa da cuta da microbe mai yersinia. Rashin ƙaddamarwa na shafukan yanar gizo ya fi sau da yawa ya haifar da coprolitis (ƙwaƙwalwar ƙwayoyi game da filaye na shuka). Wasu dalilai sun haɗa da:
• ciwo na ciki;
• Tumors;
• rubutun kwayoyin lymphatic a cikin bango na intestinal cikin cututtuka.
Samun asibiti a cikin ci gaba da ci gaba da sauri a hankali. Tare da ƙarshen ganewar asali, tsarin zai iya rushe bango na tsari tare da fitar da abubuwan ciki a cikin rami na ciki (perforation).
Sakamakon
• Tare da raguwa daga cikin shafukan, hoto na ƙwayar ƙwayar cuta a cikin ɓangaren ciki (peritonitis) yana tasowa, wanda zai iya haifar da sakamakon mutuwa.
• Tare da cigaba da hankali, yana yiwuwa ya rufe shafin yanar gizon tare da babban gland site tare da samuwar ƙananan ƙwayoyi.
Abun ƙwayar cuta
• Ƙwararren ƙwayar cuta tana nufin cututtuka mafi yawan gaske a yara da ƙuruciyarsu; Abinda ke faruwa tsakanin maza ya fi yadda mata ke yi (rabo 3: 2).
• Ƙarƙashin ƙananan ƙwayar cuta yana faruwa a ƙuruciya da tsofaffi, tare da ƙari ƙwayar matsaloli daban-daban.
• Yayinda al'amuran appendicitis a duniya ke raguwa. Dalilin wannan dalili ba'a san shi ba, amma ƙananan yanayin ilimin lissafi a kasashe masu tasowa (musamman ma a wasu yankuna na Asiya) suna nuna wani tasiri mai mahimmanci.
Hanyar hanyar magance mummunan aikace-aikace shine ƙananan cirewa daga cikin ƙwaƙwalwar ƙaƙa (anendectomy). A yau, ayyukan da aka samu na laparoscopic sun zama tartsatsi.
Fast dawowa
Bayan tiyata, marasa lafiya sukan dawo da sauri. Rashin ƙaddamar da kamuwa da cuta an rage shi ta hanyar kula da maganin rigakafi. Idan akwai ƙananan ƙwayar, dole ne a shafe shi. Likita mai zurfi da ke dauke da cecum ko ƙananan ƙwayar hanji yana buƙatar kauda duk abinda ke ciki na ƙananan ƙwayar kuma ta hanyar ɗaukar matsanancin jiki (kawar da lumen na ƙananan hanji a farfajiya).
Tsarin kariya
A lokacin aikin, ana ganin shinge na ciki da hanji don bincika pathology. Alal misali, likitan likita zai iya gano wani abu mai wuya - wanda ake kira Meckel diverticulum (ƙananan ƙananan bango na ƙananan hanji). Koda a cikin babu alamun kumburi, dole ne a cire shi don hana yiwuwar rikicewa.