Ib qho ntawm cov kab mob uas zoo tshaj plaws uas yuav tsum tau muaj kev phais mob hauv plab yog qhov mob ntawm daim ntawv qhia appendix. Lub cev no yog txheej txheem ntawm lub cecum ntawm daim ntawv xiav. Tus kab mob nws tus kheej yog hu ua appendicitis - qhov ua rau mob yuav txawv, tab sis, raws li txoj cai, lawv yog ntawm ib qho kev kis mob.
Qhov ua rau mob ntawm tus mob hnyuv hauv cov poj niam
Qhov tseeb pes tsawg uas ua rau muaj tus kab mob nyob rau hauv cov lus nug tsis pom. Cov kws kho mob tsuas yog tswj xyuas kom paub tseeb tias qhov kev txiav txim siab yog ua los ntawm 2 yam:
- muaj cov kab mob pathogenic hauv cov hnyuv;
- occlusion ntawm appendix.
Muaj ob peb tswv yim yooj yim, yog vim li cas appendicitis mob thiab inflames:
- Endocrine theory qhia tias qhov outgrowth ntawm lub cecum pib muaj hlwb uas tsim muaj hormone-mediator ntawm inflammatory kev.
- Raws li cov kev tshawb xyuas kabmob nws ntseeg tau tias qhov mob hnyuv tws yog ib hom kabmob uas tshwm sim tawm tsam cov kab mob typhoid, parasitic infections, tuberculosis, iersiniosis , amebiasis.
- Raws li cov hom phiaj kev tshawb fawb, cov kab ntsig microflora yog qhib kom ua huaj lwm thiab pib tawm ntawm cov kab mob hauv plab hnyuv lumen los ntawm ntau yam, parasites, txawv teb chaws lub cev.
- Cov kab mob vascular piav qhia txog mob hnyuv (appendicitis) ua ib qho teeb meem ntawm tus kab mob vasculitis.
Ua rau mob hnyuv tws
Tus kab mob uas tau piav qhia sai sai, dhau mus txog 4 theem:
- Catarrhal. Qaug zuj zus thiab tuab ntawm cov phab ntsa appendix, pib tau yog tias tsis muaj cov tsos mob, los yog nrog me ntsis palpable mob hauv plab;
- Purulent. Muaj li ib qhov kev xav ntawm qhov muag ntawm sab xis, nyob rau qee qhov chaw sab hauv sab hauv ntawm cov pob zeb ntawm cov cecum muaj purulent foci;
- Flegious. Cov ntawv appendix yog yuav luag nkaus xwb thiab siv cov kua paug, uas yog vim li cas nws nce hauv qhov ntim;
- Sib tw ntawm qhov appendage. Cov theem pib sai sai, cia nyob rau hauv 2-3 teev tom qab qhov tshuaj theem rov qab. Cov ntawv hnyav tawg yog vim li cas ntawm kev siab ntev thiab qhov kev tiv thaiv ntawm cov pob txha.
Yog li, mob appendicitis tshwm sim los ntawm kev sau ntawm exudate nrog ib tug high concentration ntawm pathogenic microflora thiab tuag hlwb leukocyte.
Vim li cas thiaj yuav appendectomy excised?
Tom qab cov mob ntawm cov hnyuv tws tau tshwm sim, cov txheej txheem yog irreversible, yog li ntawd, nws tsis tuaj yeem kho cov kab mob appendicitis nrog txoj kev txhawj xeeb. Qhov kev daws teeb meem nkaus xwb yog qhov kev phais mob uas yuav tsum ua kom tiav cov txheej txheem ntawm cov cecum.
Nws tuaj yeem ua tau los ntawm ntau txoj hau kev, nyob ntawm theem ntawm tus kab mob kev loj hlob, zoo li qee qhov kev mob ntawm tus neeg mob. Cov no yog cov kev kuaj pom los yog tsis tuaj yeem, cov fusion nrog lwm yam hauv nruab nrog cev thiab cov cheeb tsam ntawm txoj hnyuv.
Txog hnub, kev phais minimally yog kev nce qib. Laparoscopic txoj kev ua haujlwm yog ua rau muaj ntau dua, uas tsis muaj kab noj ua pob
Nws yuav tsum tau muab sau tseg tias qhov kev kawm tau zoo tshaj plaws yog cov lus paj ntshua nplaim paj hlwb. Kev phais kev kho nyob rau hauv txoj kev no muaj nyob rau hauv qhov tseeb uas nkag mus rau appendix yog tsim los ntawm ntuj qhib nyob rau hauv tib neeg lub cev los ntawm cov cuab yeej tshwj xeeb saj, qhov txiav yog tsuas yog ua rau ntawm phab ntsa ntawm tsim nyog hauv nruab nrog. Qhov no tso cai rau tsis tau tsuas yog qhov tsis tuaj yeem kho cov kabmob uas tsis zoo nkauj nyob rau hauv daim ntawv ntawm scars thiab nti, tab sis kuj ho txo lub sij hawm tom qab ntawm tus neeg mob rov qab.