Appendicitis yog ib qho mob ntawm cov hnyuv ntawm qhov cecum, uas yog hu ua "appendicitis". Tus kabmob no yog hais txog cov kabmob uas tshwm sim hauv kev mob plab heev, thiab tshwm sim rau cov txiv neej, pojniam thiab menyuam.
Cov kev txaus ntshai tshaj plaws ntawm kev loj hlob ntawm cov neeg muaj hnub nyoog 20 txog 40 xyoo, tiam sis mob hnyuv rau hauv cov poj niam muaj ntau tshaj 2 zaus ntau dua li cov txiv neej.
Tus kab mob hnoos qoob loo yog dab tsi?
Phlegmonous appendicitis yog ib qho ntawm cov theem ntawm kev loj hlob ntawm tus kab mob. Cov kws kho mob paub 3 theem ntawm kev mob ntawm kev hno daim ntawv:
- catarrhal - muaj ib qho thickening ntawm cov phab ntsa thiab me me;
- Purulent - nyob rau ntawm phab ntsa thiab nyob rau hauv lub kab noj hniav ntawm lub appendage muaj purulent kev - kev dab; mob ntau dua li cov kab mob qaub ncaug;
- phlegmonous - lub thickening thiab kev nce nyob rau hauv tus txheej txheem tsim, tus neeg mob pom ib tug muaj zog suppuration nyob rau hauv cheeb tsam no; daim ntawv no twb yog lub neej txoj sia - dhau li ntawm ob peb teev tom qab daim ntawv qhia appendix tau tuaj yeem tawg.
Ua rau mob hlwb hnyuv tws
Phlegmonous appendicitis yog ib qho ntawm cov kab mob ntawm tus kab mob, thiab yog li ntawd vim li cas nws txoj kev loj hlob dag thaum tsis muaj kev kho mob ntawm thawj theem, thiab raws li qhov tsim nyog tau, nyob rau hauv kev loj hlob ntawm cov teeb meem.
Thawj zaug ntawm tag nrho, kev loj hlob ntawm phlegmonous appendicitis yog cuam tshuam los ntawm thrombosis ntawm appendix vessels. Qhov no tshwm sim tawm tsam tom qab ntawm tus mob ntxiv rau hauv cov cheeb tsam no thiab kev pabcuam, uas ua rau nws xav tau vim yog lub compression ntawm cov leeg. Yog li, qhov tseem ceeb ntawm phlegmonous daim ntawv yog qhov muaj cov txheej txheem inflammatory, kev ua raws ntawm lub purulent theem, thaum tsis muaj kev kho mob, thiab ntxiv tsim ib phlegmonous daim ntawv hem txoj kev tawg ntawm txoj kev.
Vim li cas appendicitis tshwm sim, cov kws kho mob tseem tsis tau teb kom yog - qee qhov ntseeg tias vim li cas rau activating tus kab mob cov, lwm tus pom qhov ua rau ntawm blockage ntawm lub lumen - qhov no yog hu ua neeg kho tshuab ziag. Raws li nws, cov kab mob bacterial flora ntawm txoj hnyuv (suav 500 hom kab mob thiab cov hu ua fungi) cuam tshuam rau cov hnyuv vim yog necrosis, uas yog vim muaj kev sib txuam ntawm cov leeg pob txha, thiab qhov tshwm sim, cov kab mob kis tau rau thaj tsam necrotic, uas thaum kawg ua rau phlegmonous theem. Tsis tas li ntawd, ntau tus kws kho mob hais tias muaj lwm yam ua tau - piv txwv li, helminthiasis, qog nqaij hlav, nqos tawm txawv teb chaws lub cev.
Cov tsos mob ntawm tus mob mob hnyuv
Phlegmonous appendicitis tuaj yeem ua rau lub zos serous peritonitis yog tias txoj kev sib faib. Tias yog vim li cas nws thiaj li pom zoo kom tshem nws ntawm ib theem thaum ntxov ntawm tus kab mob.
Ua ntej tshaj plaws, mob hnyuv tia yog mob loj heev nyob rau sab xis ntawm lub plab. Nws nws thiaj li ua kom tiav, thiab vim hais tias txoj kev ywj pheej, tshwj xeeb yog nrog los ntawm suppuration, tus neeg muaj kub cev, muaj kev qaug zog thiab mob taub hau. Tsis tas li ntawd, tus neeg mob yuav tsim xeev siab thiab ntuav.
Thaum thawj tus kab mob ntawm koj tus mob koj yuav tsum tau hu rau lub tsheb tos neeg mob rau tsev kho mob.
Kev kho mob ntawm phlegmonous appendicitis
Phlegmonous appendicitis yuav tsum raug tshem tawm ntawm qhov mob. Qhov no yog ib theem tsis yooj yim, uas ua rau muaj kev pheej hmoo txawm tias nyob rau ntawm kev ua haujlwm ntawm lub sijhawm ua haujlwm ua ntej kev loj hlob ntawm peritonitis . Lub lag luam yog ua raws li tshuaj loog xwb thiab kav ntev li 40 feeb. Yog tias muaj kev vam meej, tus neeg mob rov qab muaj txhij txhua.
Rov ua hauj lwm nrog phlegmonous appendicitis
Tus neeg mob tau rov qab huv hauv ib lub hlis. Yog tias qhov kev ua haujlwm niaj hnub ua tiav, ces muaj 10-centimeter veneer muaj xim tawv burgundy li ntawm 6 lub hlis. Yog hais tias nws tau nqa tawm
Kev noj zaubmov nrog mob hnyuv tws
Tom qab tshem tawm ntawm qhov mob hnyuv tws, tus neeg mob yuav tsum tsis txhob tuaj nyob hauv:
- cov khoom haus luam yeeb;
- nqaij;
- coarse, kib thiab rog khoom noj khoom haus;
- ntse spices;
- carbonated dej thiab pickles.
Khoom noj khoom haus yuav tsum yog los ntawm cov khoom noj uas crushed, kua zaub, cov qos yaj ywm tom qab, kua txiv hmab txiv ntoo, cov txiv hmab txiv ntoo thiab zaub.