Mlembi: Lewis Jackson
Tsiku La Chilengedwe: 10 Meyi 2021
Sinthani Tsiku: 17 Novembala 2024
Anonim
Chilichonse Chimene Muyenera Kudziwa Zokhudza Appendicitis - Thanzi
Chilichonse Chimene Muyenera Kudziwa Zokhudza Appendicitis - Thanzi

Zamkati

Chidule

Appendicitis imachitika pamene zakumapeto zanu zikutupa. Itha kukhala yovuta kapena yayitali.

Ku United States, appendicitis ndiye chifukwa chofala kwambiri cha kupweteka m'mimba komwe kumachitika chifukwa cha opaleshoni. Opitilira 5% aku America amaziwona nthawi ina m'miyoyo yawo.

Appendicitis ikapanda kuchitidwa, imatha kupangitsa kuti zakumapeto zanu ziphulike. Izi zitha kupangitsa kuti mabakiteriya atsegulire m'mimba mwanu, zomwe zitha kukhala zowopsa ndipo nthawi zina zitha kupha.

Werengani kuti mudziwe zambiri zamatenda, matenda, ndi chithandizo cha appendicitis.

Zizindikiro za appendicitis

Ngati muli ndi appendicitis, mutha kukhala ndi chimodzi kapena zingapo mwa izi:

  • kupweteka m'mimba mwako kapena mozungulira batani lanu
  • kupweteka kumunsi kumanja kwa mimba yako
  • kusowa chilakolako
  • kudzimbidwa
  • nseru
  • kusanza
  • kutsegula m'mimba
  • kudzimbidwa
  • kutupa m'mimba
  • kulephera kupititsa mafuta
  • malungo ochepa

Kupweteka kwa Appendicitis kumatha kuyamba ngati kuponda pang'ono. Nthawi zambiri zimakhala zolimba komanso zovuta pakapita nthawi. Itha kuyamba m'mimba mwanu kapena m'mabatani, musanapite kumunsi chakumanja kwamimba yanu.


Ngati mwadzimbidwa ndipo mukuganiza kuti mwina muli ndi appendicitis, pewani kumwa mankhwala otsegulitsa m'mimba kapena kugwiritsa ntchito enema. Mankhwalawa atha kupangitsa kuti zakumapeto zanu ziphulike.

Lumikizanani ndi dokotala wanu ngati muli ndi mtima wabwino kumanja kwanu komanso zizindikilo zina za appendicitis. Appendicitis itha kukhala yachipatala mwachangu. Pezani zomwe mukufuna kuti muzindikire izi.

Zomwe zimayambitsa matenda

Nthaŵi zambiri, chifukwa chenicheni cha appendicitis sichidziwika. Akatswiri akukhulupirira kuti imayamba pomwe gawo lazowonjezera limalephereka, kapena kutsekedwa.

Zinthu zambiri zitha kukulepheretsani zowonjezera zanu, kuphatikiza:

  • chopondapo cholimba
  • kukulitsa ma follicles a lymphoid
  • nyongolotsi za m'mimba
  • kuvulala koopsa
  • zotupa

Zowonjezera zanu zikatsekedwa, mabakiteriya amatha kuchuluka mkati mwake. Izi zitha kupangitsa kupanga mafinya ndi kutupa, komwe kumatha kubweretsa kupsinjika kowawa m'mimba mwanu.

Zina zimayambitsanso kupweteka m'mimba. Dinani apa kuti muwerenge zina mwazomwe zingayambitse zowawa m'mimba mwanu chakumanja.


Kuyesa kwa appendicitis

Ngati dokotala akukayikira kuti mwina muli ndi appendicitis, adzakuyesani. Adzawunika kukoma mtima kumunsi chakumanja kwa mimba yanu ndi kutupa kapena kukhazikika.

Kutengera zotsatira za kuyezetsa kwanu, dokotala wanu atha kuyitanitsa mayeso amodzi kapena angapo kuti awone ngati pali appendicitis kapena kuti athetse zina zomwe zingayambitse matenda anu.

Palibe mayeso amodzi omwe amapezeka kuti apeze appendicitis. Ngati dokotala wanu sangazindikire zina zomwe zimayambitsa matenda anu, amatha kuzindikira kuti chifukwa chake ndi appendicitis.

Kuwerengera kwathunthu kwa magazi

Kuti muwone ngati muli ndi matenda, dokotala wanu atha kuyitanitsa kuchuluka kwa magazi (CBC). Kuti achite izi, amatenga magazi anu ndikuwatumiza ku labu kuti akawunikenso.

Appendicitis nthawi zambiri imatsagana ndi matenda a bakiteriya. Matenda omwe amapezeka mumkodzo kapena ziwalo zina m'mimba amathanso kuyambitsa zizindikilo zofanana ndi za appendicitis.

Mayeso amkodzo

Pofuna kuthana ndi matenda amkodzo kapena miyala ya impso monga zomwe zingayambitse matenda anu, dokotala akhoza kugwiritsa ntchito urinalysis. Izi zimadziwikanso kuti kuyesa mkodzo.


Dokotala wanu amatenga mkodzo wanu womwe udzafufuzidwe mu labu.

Mayeso apakati

Ectopic pregnancy ikhoza kulakwitsa chifukwa cha appendicitis. Zimachitika dzira la umuna likamadzilowetsa mu chubu, osati chiberekero. Izi zitha kukhala zachipatala mwadzidzidzi.

Ngati dokotala akukayikira kuti mutha kukhala ndi ectopic pregnancy, amatha kuyesa mayeso. Kuti achite izi, amatenga mkodzo kapena magazi anu. Angagwiritsenso ntchito transvaginal ultrasound kuti aphunzire komwe dzira la umuna lakhazikika.

Kuyesa kwapelvic

Ngati ndinu wamkazi, zizindikilo zanu zimatha kubwera chifukwa cha matenda otupa m'mimba, chotupa cha mazira, kapena vuto lina lomwe limakhudza ziwalo zanu zoberekera.

Kuti muwone ziwalo zanu zoberekera, adokotala amatha kuyesa mayeso m'chiuno.

Pakati pa mayeso awa, adzayang'ana kumaliseche, maliseche, ndi khomo pachibelekeropo. Ayang'ananso chiberekero chanu ndi mazira ambiri pamanja. Amatha kusonkhanitsa nyemba kuti ayesedwe.

Mayeso amalingaliro am'mimba

Kuti muwone ngati pulogalamu yanu yatupa, adokotala atha kuyitanitsa mayeso am'mimba mwanu. Izi zitha kuwathandizanso kuzindikira zina zomwe zingayambitse zizindikilo zanu, monga chotupa m'mimba kapena kukhudzika kwazinyalala.

Dokotala wanu akhoza kuyitanitsa chimodzi kapena zingapo za mayesero otsatirawa:

  • m'mimba ultrasound
  • X-ray m'mimba
  • m'mimba CT scan
  • Kujambula kwa m'mimba kwa MRI

Nthawi zina, mungafunike kusiya kudya chakudya kwakanthawi musanayezedwe. Dokotala wanu akhoza kukuthandizani kuphunzira momwe mungakonzekerere.

Mayeso ojambula pachifuwa

Chibayo m'munsi m'munsi mwa mapapo anu mungayambitsenso zizindikiro zofananira ndi appendicitis.

Ngati dokotala akuganiza kuti mwina muli ndi chibayo, atha kuyitanitsa X-ray pachifuwa. Angathenso kuyitanitsa CT scan kuti apange zithunzi zambiri zamapapu anu.

Kodi dokotala angagwiritse ntchito ultrasound kuti adziwe appendicitis?

Ngati dokotala akukayikira kuti mwina muli ndi appendicitis, atha kuyitanitsa m'mimba mwa ultrasound. Kuyesa kulingalira uku kungawathandize kuwunika ngati ali ndi zotupa, abscess, kapena mavuto ena ndi zowonjezera zanu.

Dokotala wanu amathanso kuyitanitsa mayeso ena azithunzi. Mwachitsanzo, atha kuyitanitsa CT scan. Ultrasound imagwiritsa ntchito mafunde akumveka pafupipafupi kupanga zithunzi za ziwalo zanu, pomwe CT scan imagwiritsa ntchito radiation.

Poyerekeza ndi ultrasound, CT scan imapanga zithunzi zambiri za ziwalo zanu. Komabe, pali zoopsa zina zokhudzana ndi kuwonetseredwa kwa radiation ndi CT scan. Dokotala wanu akhoza kukuthandizani kuti mumvetsetse zabwino zomwe zingachitike komanso zoopsa za mayeso osiyanasiyana ojambula.

Njira zochiritsira za appendicitis

Kutengera ndi momwe muliri, dongosolo la chithandizo chamankhwala la appendicitis lingaphatikizepo chimodzi kapena zingapo zotsatirazi:

  • opaleshoni kuchotsa zakumapeto zanu
  • ngalande ya singano kapena opaleshoni kukhetsa chotupa
  • maantibayotiki
  • amachepetsa ululu
  • Zamadzimadzi IV
  • zakudya zamadzi

Nthawi zambiri, appendicitis imatha kukhala bwino popanda kuchitidwa opaleshoni. Koma nthawi zambiri, mumafunika opaleshoni kuti muchotse zakumapeto. Izi zimadziwika kuti appendectomy.

Ngati muli ndi chotupa chomwe sichinaphulike, dokotala wanu amatha kuchiza chotupacho musanamuchite opaleshoni. Poyamba, akupatsani maantibayotiki. Kenako adzagwiritsa ntchito singano kukhetsa mafinya.

Opaleshoni ya appendicitis

Pofuna kuchiza matenda opatsirana pogonana, dokotala wanu amatha kugwiritsa ntchito mtundu wa opaleshoni yotchedwa appendectomy. Mukamachita izi, akuchotsani zakumapeto. Ngati zakumapeto zanu zaphulika, zidzatsukanso m'mimba mwanu.

Nthawi zina, dokotala wanu amatha kugwiritsa ntchito laparoscopy kuti achite maopareshoni ochepa. Nthawi zina, angafunike kugwiritsa ntchito maopareshoni otseguka kuti achotse zakumapeto zanu.

Monga opaleshoni iliyonse, pali zoopsa zina zomwe zimakhudzana ndi appendectomy. Komabe, kuopsa kwa appendectomy ndikocheperako kuposa kuopsa kwa appendicitis osachiritsidwa. Dziwani zambiri za zoopsa zomwe zingachitike ndi opaleshoniyi.

Pachimake appendicitis

Acute appendicitis ndi vuto lalikulu komanso mwadzidzidzi la appendicitis. Zizindikiro zimayamba kukula mwachangu.

Amafuna chithandizo chamankhwala mwachangu. Ngati sanalandire chithandizo, atha kupangitsa kuti zakumapeto zanu ziphulike. Izi zitha kukhala zovuta komanso zakupha.

Pachimake appendicitis chofala kwambiri kuposa matenda a appendicitis. Phunzirani zambiri za kufanana ndi kusiyana pakati pa izi.

Matenda opatsirana

Matenda a appendicitis sakhala ofala kwambiri kuposa appendicitis. Nthawi zambiri appendicitis, zizindikilozo zimatha kukhala zochepa. Amatha kutha asanadziwikenso pakadutsa milungu, miyezi, kapenanso zaka.

Mtundu wa appendicitis ungakhale wovuta kuwazindikira. Nthawi zina, sichimapezeka mpaka itayamba kukhala appendicitis yovuta.

Matenda a appendicitis atha kukhala owopsa. Pezani zomwe mukufuna kuzindikira ndikuchiza vutoli.

Appendicitis mwa ana

Ana pafupifupi 70,000 amadwala appendicitis chaka chilichonse ku United States. Ngakhale ndizofala kwambiri pakati pa anthu azaka zapakati pa 15 ndi 30, zimatha kukula msinkhu uliwonse.

Mwa ana ndi achinyamata, appendicitis nthawi zambiri imayambitsa matenda am'mimba pafupi ndi mchombo. Kupweteka kumeneku kumatha kukulirakulira ndikusunthira kumunsi kumanja kwamimba ya mwana wanu.

Mwana wanu amathanso:

  • amataya njala
  • kukhala ndi malungo
  • kumva kunyansidwa
  • kusanza

Ngati mwana wanu ali ndi matenda a appendicitis, pitani kuchipatala nthawi yomweyo. Dziwani chifukwa chake ndikofunikira kupeza chithandizo chamankhwala.

Nthawi yobwezeretsa appendicitis

Nthawi yanu yobwezeretsa appendicitis itengera zinthu zingapo, kuphatikiza:

  • thanzi lanu lonse
  • kaya mukukhala ndi zovuta kuchokera ku appendicitis kapena opaleshoni
  • mtundu wa mankhwala omwe mumalandira

Ngati mwachitidwa ma laparoscopic kuti muchotse zakumapeto, mutha kutulutsidwa mchipatala patadutsa maola ochepa mutamaliza opaleshoni kapena tsiku lotsatira.

Ngati mwachitidwa opareshoni, muyenera kukhala nthawi yayitali kuchipatala kuti mupezenso bwino pambuyo pake. Opaleshoni yotseguka ndi yovuta kwambiri kuposa opaleshoni ya laparoscopic ndipo imafunikira chisamaliro chotsatira.

Musanachoke kuchipatala, wothandizira zaumoyo wanu akhoza kukuthandizani kuphunzira momwe mungasamalire malo anu ocheperako. Akhoza kukupatsani mankhwala opha tizilombo kapena othandizira kupweteka kuti athandizire kuchira kwanu. Angakulimbikitseninso kuti musinthe zakudya, kupewa zinthu zovuta, kapena kusintha zina ndi zina pamoyo wanu watsiku ndi tsiku mukamachira.

Zitha kutenga milungu ingapo kuti muyambe kuchira ndi opaleshoni. Mukakhala ndi zovuta, kuchira kwanu kumatha kutenga nthawi yayitali. Phunzirani za njira zina zomwe mungagwiritse ntchito polimbikitsanso.

Appendicitis ali ndi pakati

Acute appendicitis ndimavuto osafunikira kwambiri omwe amafunika kuchitidwa opaleshoni panthawi yapakati. Zimakhudza pafupifupi 0.04 mpaka 0.2 peresenti ya amayi apakati.

Zizindikiro za appendicitis zitha kukhala zolakwika chifukwa chazovuta zomwe zimakhalapo pakubadwa. Mimba imathandizanso kuti zakumapeto zanu zisunthe m'mimba mwanu, zomwe zingakhudze komwe kumakhalako zowawa zokhudzana ndi matendawa. Izi zitha kupangitsa kuti zikhale zovuta kuzindikira.

Njira zochiritsira mukakhala ndi pakati zingaphatikizepo chimodzi kapena zingapo zotsatirazi:

  • opaleshoni kuchotsa zakumapeto zanu
  • ngalande ya singano kapena opaleshoni kukhetsa chotupa
  • maantibayotiki

Kuchedwa kuzindikira ndi kulandira chithandizo kumatha kukulitsa chiopsezo chanu chazovuta, kuphatikizapo kupita padera.

Zowopsa za appendicitis

Appendicitis imatha kubweretsa zovuta zazikulu. Mwachitsanzo, zitha kuyambitsa thumba la mafinya omwe amadziwika kuti ndi chotupa kuti apange mu zowonjezera zanu. Chotupachi chimatha kutulutsa mafinya ndi mabakiteriya m'mimba mwanu.

Appendicitis itha kubweretsanso chowonjezera chophukacho. Zakumapeto zanu zikaphulika, zimatha kutulutsa zonyansa ndi mabakiteriya m'mimba mwanu.

Ngati mabakiteriya amathira m'mimba mwanu, amatha kupangitsa kuti m'mimba mwanu mutenge kachilomboka ndikutupa. Izi zimadziwika kuti peritonitis, ndipo zimatha kukhala zowopsa kwambiri, ngakhale kupha.

Matenda a bakiteriya amathanso kukhudza ziwalo zina m'mimba mwanu. Mwachitsanzo, mabakiteriya ochokera mu chotupa kapena chowonjezerapo amatha kulowa mu chikhodzodzo kapena m'matumbo. Itha kuyendanso m'magazi anu kupita mbali zina za thupi lanu.

Pofuna kupewa kapena kuthetsa mavutowa, dokotala wanu akhoza kukupatsani mankhwala opha tizilombo, opaleshoni, kapena mankhwala ena. Nthawi zina, mutha kukhala ndi zovuta zina kapena zovuta zamankhwala. Komabe, zoopsa zomwe zimadza chifukwa cha maantibayotiki ndi opaleshoni zimakhala zochepa kwambiri kuposa zovuta zomwe zingakhalepo chifukwa chosagwiritsa ntchito matendawa.

Kupewa appendicitis

Palibe njira yotsimikizika yopewera appendicitis. Koma mutha kuchepetsa chiopsezo chanu chokhala nacho mwakudya zakudya zopatsa mphamvu. Ngakhale kuti kafukufuku wambiri amafunikira pazomwe angathe kudya, appendicitis siyodziwika kwenikweni m'maiko omwe anthu amadya zakudya zopatsa thanzi.

Zakudya zomwe zili ndi fiber zambiri ndi izi:

  • zipatso
  • masamba
  • mphodza, nandolo zogawanika, nyemba, ndi nyemba zina
  • oatmeal, mpunga wabulauni, tirigu wathunthu, ndi mbewu zina zonse

Dokotala wanu amathanso kukulimbikitsani kuti mutenge chowonjezera cha fiber.

Onjezani fiber ndi

  • kukonkha oat chinangwa kapena nyongolosi ya tirigu pa chimanga cham'mawa, yogurt, ndi saladi
  • kuphika kapena kuphika ndi ufa wa tirigu wathunthu momwe zingathere
  • kusinthanitsa mpunga woyera ndi mpunga wofiirira
  • kuwonjezera nyemba za impso kapena nyemba zina ku saladi
  • kudya zipatso zatsopano za mchere

Zowopsa za appendicitis

Appendicitis imatha kukhudza aliyense. Koma anthu ena atha kukhala ndi vuto lotere kuposa ena. Mwachitsanzo, zoopsa za appendicitis ndizo:

  • Zaka: Appendicitis nthawi zambiri imakhudza anthu azaka zapakati pa 15 ndi 30.
  • Kugonana: Appendicitis imafala kwambiri mwa amuna kuposa akazi.
  • Mbiri ya banja: Anthu omwe ali ndi mbiri ya banja la appendicitis ali pachiwopsezo chachikulu chotenga matendawa.

Ngakhale kufufuza kwina kuli kofunika, zakudya zopanda mafuta zingapangitsenso chiopsezo cha appendicitis.

Mitundu ya appendicitis

Appendicitis imatha kukhala yovuta kapena yayitali. Pakakhala zovuta za appendicitis, zizindikilo zimayamba kukhala zazikulu ndipo zimayamba mwadzidzidzi. Nthawi zambiri, zizindikilozo zimatha kukhala zolimba ndipo zimatha kubwera kwa milungu ingapo, miyezi, kapena zaka.

Vutoli limatha kukhalanso losavuta kapena lovuta. Pakakhala zovuta za appendicitis, palibe zovuta. Milandu yovuta imakhudza zovuta, monga chotupa kapena chowonjezera.

Appendicitis ndi mankhwala apakhomo

Lumikizanani ndi dokotala nthawi yomweyo ngati mukukumana ndi matenda a appendicitis. Ndi vuto lalikulu lomwe limafuna chithandizo chamankhwala. Ndipo sizotetezeka kudalira mankhwala azakuchipatala.

Mukachitidwa opaleshoni kuti muchotse zakumapeto, dokotala wanu angakupatseni maantibayotiki ndi othandizira kuti muchepetse ululu kuti muchepetse vuto lanu. Kuphatikiza pa kumwa mankhwala monga mwalamulidwa, zitha kuthandiza:

  • pumulani kwambiri
  • imwani madzi ambiri
  • yendani koyenda tsiku lililonse
  • pewani ntchito yovuta ndikukweza zinthu zolemera mpaka dokotala atanena kuti ndibwino kutero
  • sungani malo anu opangira maopareshoni oyera ndi owuma

Nthawi zina, dokotala akhoza kukulimbikitsani kuti musinthe zakudya zanu. Ngati mukumva nseru mutachitidwa opaleshoni, zingathandize kudya zakudya zopanda pake monga toast ndi mpunga wamba. Ngati mwadzimbidwa, zingathandize kutenga chowonjezera cha fiber.

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