I-appendicitis engapheliyo isifo esingafanekiyo, ngokungafani nesimo esiyingozi se-pathology. Isihlomelo siyinxalenye ye-caecum, enokubonakala kweso sibulala kwaye senza emzimbeni inani lemisebenzi yesibini, phakathi kwayo:
- ukukhuselwa kwamathumbu avela kuma-pathogenic microorganms ngenxa yobungqina beethambo ze-lymphoid;
- ukwahlukaniswa kwamathumbu amancinci ukusuka kunzima;
- ukuveliswa kwee-enzyme eziyimfuneko ekutyeni ukutya (amylase, lipase);
- ukuhlanganiswa kwama-hormone okuchaphazela intestinal peristalsis, njl.
Izizathu ze-appendicitis engapheliyo
Kukholelwa ukuba ukuvutha okungapheli kwesihlomelo kungavela ngenxa yokuphulukana nokuhlaselwa kwe-appendicitis enobuchule ngaphandle kwongenelelo olusetyenziswayo okanye nge-appendectomy engaphelelanga. Ukongeza, le fomu yesifo ngokuthe xaxa ikhula ngokukodwa, ngokugqithisa isigaba esicacileyo, ngenxa yeenkqubo ezithathelwanayo kwisigxina esiswini esisemgangathweni yokunciphisa umzimba. Ukuphuhliswa kwesifo esingapheliyo kuququzelelwa ngokugqithiseleyo kwesongezelelo, ukubonakala kwamanyathelo, i-cysts, i-hyperplastic lymphoid tissue, kunye neengxaki zomjikelezo.
Kubalulekile ukuba uqaphele ukuba ngaphambili kwakungabaza ukuba ngaba kukhona i-appendicitis engapheliyo, kodwa namhlanje iimpawu zale fomu yesifo, ezibonakaliswe iinkqubo ezicothayo, zichazwe ngokucacileyo. Makhe sicinge ngeempawu ze-appendicitis engapheliyo kwabasetyhini abadala kunye nendlela oku kuphathwa ngayo.
Iimpawu ze-appendicitis engapheliyo kwabasetyhini abadala
Nge-appendicitis engapheliyo kwangexesha elide kwinkqubo ye-cecum, utshintsho lwe-atrophic and sclerotic luya kuphuhla, izikhonkwane kunye nokuxhamla kubonakala, okukhokelela ekuvalweni kwe-lumen kunye nokuhlengahlengiswa kwesihlomelo, ukunamathela kwayo kumathambo ajikelezayo. Imbonakalo ebalulekileyo ye-pathology yile ndlela ilandelayo:
- Iintlungu ezithe zincinci zibuhlungu ngokuphindaphindiweyo kwi-ileum okanye kufuphi nommandla wendawo, ngokukodwa emva kokuzikhandla ngokomzimba, ukuchasana, ukukhwehlela okukhulu, ukungalungi kokutya (kwezinye izigulane iintlungu ziqhubekayo);
- ukuhlaselwa kwesicukuso , ukuhlanza;
- izifo zesebe.
Ngamanye amaxesha kukho iimpawu ezivela kumalungu epilvic, oku:
- ukucoca rhoqo ;
- ukukhathazeka kwi-rectum;
- ukungonwabi, ukubuhlungu ngexesha lokulala.
Iqondo lokushisa lomzimba liqhelekile kwiimeko ezininzi, nangona kukho ukunyuka kokushisa komzimba ngokuhlwa.
Izibonakaliso ze-appendicitis ezingapheliyo zingabangela ingxaki ngaphezu konyaka omnye, kwaye kukho ukuhlala kwimeko yesimo esibi. Xa ukugqithisa kwesifo esingapheliyo sesilathisi siyaqwalaselwa:
- ubuhlungu obukhulu besisu esiswini, ukwanda ngokuxinzelelo;
- ukuxhatshazwa kwindonga yangaphambili yesisu;
- ukwanda kweqondo lomzimba;
- unxaniwe;
- isicathulo esikhulu, njl
Le miqondiso ibonisa ukuba unyango olungxamisekileyo, ngenxa yokuba esi sifo sisongela ukuphuhliswa kwesigqirha okanye ukuphazamiseka kwesihlomelo.
Unyango lwe-appendicitis engapheliyo
Indlela ephambili yokuphatha le fomu yesifo isifo sokusetyenziswa (appendectomy). Kwiimeko ezinqabileyo, i-conservative
Ugqirha ukususa isihlomelo singenziwa ngokusebenzisa indlela ye-laparoscopic yeklastiki okanye indlela ekhoyo ye-endoscopic yangoku engadingi ixesha elide lokuvuselela. Ngexesha elifanayo, iilayotiyotiki nazo zilawulwa (ngokuqhelekileyo zithintela i-intramuscularly) ukuphepha iingxaki.