Zowonjezera

Appendicitis ndimomwe pulogalamu yanu imawotchera. Zowonjezerazo ndi thumba laling'ono lomwe limalumikizidwa m'matumbo akulu.

Appendicitis ndi chifukwa chofala kwambiri cha opaleshoni yadzidzidzi. Vutoli limapezeka nthawi zambiri pomwe zakumapeto zimatsekedwa ndi ndowe, chinthu chakunja, chotupa kapena tiziromboti nthawi zina.

Zizindikiro za appendicitis zimatha kusiyanasiyana. Kungakhale kovuta kuzindikira kuti matendawa ali ndi ana, achikulire, komanso azimayi azaka zoberekera.

Chizindikiro choyamba nthawi zambiri chimakhala chopweteka mozungulira pamimba kapena chapakati pamimba. Ululu ukhoza kukhala wocheperako poyamba, koma umakhala wolimba komanso wolimba. Muthanso kukhala ndi njala, nseru, kusanza, ndi kutentha thupi pang'ono.

Ululu umasunthira kumunsi chakumanja kwa mimba yako. Ululu umakonda kuyang'ana pamalo molunjika pamwamba pazowonjezera zotchedwa McBurney point. Izi zimachitika kawirikawiri patadutsa maola 12 mpaka 24 matenda atayamba.

Kupweteka kwanu kumatha kukulirakulira mukamayenda, kutsokomola, kapena kusuntha mwadzidzidzi. Zizindikiro zamtsogolo zimaphatikizapo:

• Kuzizira ndikugwedezeka
• Malo olimba
• Kutsekula m'mimba
• Malungo
• Nseru ndi kusanza

Wothandizira zaumoyo wanu akhoza kukayikira appendicitis kutengera zizindikilo zomwe mumafotokoza.

Wopereka chithandizo adzayesa thupi.

• Ngati muli ndi appendicitis, kupweteka kwanu kudzawonjezeka pamene m'mimba mwanu chakumanja mwapanikizika.
• Ngati zakumapeto zanu zaphulika, kukhudza gawo lamimba kumatha kubweretsa zowawa zambiri ndikupangitsani kuti mulimbitse minofu yanu.
• Kuyezetsa magazi kumatha kupeza kukoma kumanja kwa rectum yanu.

Kuyezetsa magazi nthawi zambiri kumawonetsa kuchuluka kwama cell oyera. Kuyerekeza mayeso omwe angathandize kuzindikira kuti appendicitis ndi awa:

• CT scan pamimba
• Ultrasound pamimba

Nthawi zambiri, dokotalayo amachotsa zakumapeto mukangokupezani.

Ngati CT scan ikuwonetsa kuti muli ndi abscess, mutha kuchiritsidwa ndi maantibayotiki poyamba. Mudzachotsedwa zakumapeto pomwe matenda ndi kutupa zidzatha.

Mayeso omwe amagwiritsidwa ntchito pozindikira kuti appendicitis siabwino. Zotsatira zake, ntchitoyo imatha kuwonetsa kuti zakumapeto zanu sizachilendo. Zikatero, dokotalayo amachotsa zakumapeto ndikufufuza m'mimba mwanu pazifukwa zina zomwe zimakupweteketsani.

Anthu ambiri amachira msanga atachitidwa opaleshoni ngati zowonjezera zimachotsedwa zisanaphule.

Zakumapeto zanu zikaphulika musanachite opaleshoni, kuchira kumatha kutenga nthawi yayitali. Mwinanso mumakhala ndi mavuto, monga:

• Chotupa
• Kutsekedwa kwa matumbo
• Matenda mkati mwa mimba (peritonitis)
• Matenda a chilonda pambuyo pa opaleshoni

Itanani omwe akukuthandizani ngati mukumva kupweteka kumunsi kumanja kwanuko, kapena zizindikilo zina za appendicitis.

• Zizindikiro zanyengo wamkulu - kuwonera kutsogolo
• Dongosolo m'mimba
• Appendectomy - mndandanda
• Zowonjezera

Cole MA, Huang RD. Pachimake appendicitis. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 83.

Sarosi GA. Zowonjezera. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 120.

Sifri CD, Madoff LC. Zowonjezera. Mu: Bennett E, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 80.

Smith MP, Katz DS, Lalani T, ndi al. Makhalidwe oyenera a ACR kumunsi kwakumapeto kwa ma quadrant - okayikira appendicitis. Ultrasound Q. 2015; 31 (2): 85-91. PMID: 25364964 www.ncbi.nlm.nih.gov/pubmed/25364964.