Iyo cecum inopera mune zvinyorwa zvinyorwa zvevermiform. Ichi chikamu chemuviri chinonzi rudimentary uye chinonzi appendicitis, chinangwa chebasa chacho chisati chajekeswa. Izvo zvinyorwa zvinotapira kuvhiringidzika kunowanikwa kune imwe nguva, kusanganisira nguva yecheche.
Panogona kunge kune appendicitis mumwana here?
Icho chakaongororwa chirwere chepfungwa chinowanikwa chinowanzoonekwa mune vana, zvikurukuru makore mashanu nemashanu. Vamwe vabereki nevana, vachicherechedza zviratidzo zvechirwere, kusava nechokwadi kana kune chibereko chekubatsira mwana ane gore rimwechete. Mhinduro yemubvunzo uyu yakanaka. Zvimwe zvidimbu dzimwe nguva zvinoputirwa kunyange muzvitsva.
Appendicitis muvana - zvinokonzera
Kunyange zvakadaro hapana chiremba anogona kunyatsojekesa chaiwo izvo zvinokonzera chinorondedzwa chirwere. Zvichireva, zvikonzero zvekuvhiringidza kwezvinyorwa zvinowanikwa panguva imwecheteyo yemamiriro maviri:
- kudziviswa kwezvinyorwa;
- kuvapo kwepathogenic microflora mu caecum.
Zvakanaka appendicitis kuvana
Kuvharwa kwechirongwa chechivara chinogona kuitika nekuda kwezvikonzero zvakawanda. Appendicitis muvana inotanga ne:
- miviri yevatorwa mu caecum;
- parasitic infestations;
- hyperplasia of lymphoid follicles;
- kuberekwa kusakanganiswa munharaunda kana nzvimbo yenhengo;
- fecal matombo.
Kuvhiringidza kwezvinyorwa zvececum kunotanga mushure mekubatanidzwa kwebhakitiriya. Izvi zvinotungamirirwa nemamiriro anotevera:
- kuderedza zvirwere;
- mabasa akaderera emuviri;
- zvirwere zvinoputika munzvimbo dziri pedyo.
Kusingaperi appendicitis muvana
Nechepfungwa, pane chimiro chakazvimirira uye chechipiri chemhando iyi yemararamiro. Vanachiremba vakawanda vanoramba kuti chirwere chisingaperi chine kupisa kwezvinyorwa, nokuti chirwere chinorwara chenguva dzose chinosanganisira kubviswa kwechirongwa chinoparadza. Nzira dzokuchengetedza dzekuchengetedza uye zviitiko zvekusununguka kusinganzwisisiki kwehutano hwehutachiona hahupo.
Kazhinji vana vanove nechipiri chisingagumi kuputika kwezvinyorwa - zviratidzo zvechirwere zvinowanikwa mwedzi yakawanda mushure mekushanda. Zviratidzo zvechirwere zvakangofanana nemamiriro ezvinhu akaoma, asi zvishoma zvinotaurwa, "zvakashata". Nokuda kwekugadzirwa kwechimiro chechirwere ichi, zvinokosha kuti uve nechigutsa kubva pakusanyiswa kwechiwedzera, anenge 2 cm murefu.
Appendicitis mumwana - zviratidzo
Zvakaoma kufungidzira chirwere chinoonekwa sevana, kunyanya achiri muduku, kana mwana asingakwanisi kutsanangura zvakajeka zvaanonzwa. Zviratidzo zvekuvhiringidza kwezvinyorwa mumwana hazvisi zvishoma pane zvakanyanya kune munhu mukuru. Chirwere-kufanana nenzira yevana inowanzotarisirwa kwete munzvimbo inowanikwa, nzvimbo yakarurama yeakac. Angave ane zvimwe zvirongwa:
- retrocecal - mushure mececum;
- hepatic - pedyo ne gallbladder;
- pamba - munzvimbo yechiuno.
Nemhaka yemhando dzakadaro, vabereki vakawanda havazivi maitiro ekugadzirisa appendicitis mumwana , uye kubatanidza zviratidzo zvinowanzo muvana vane zvirwere zvine chimiro chakafanana chechipatara. Nokuda kwechikonzero ichi, zvakakosha kuti usaedza kuita kuti uzviongorore iwe pachako uye shandisa nzira dzokurapa kumusha. Kana pane chero zviratidzo zvinoshungurudza, iwe unofanira kubva uchingosangana nomudzidzisi akakodzera.
Zviratidzo zvekutanga zve appendicitis muvana
Chirwere chemapiriniki chepakutanga chechirwere chinotaridzika mumararamiro uye hupenyu hwakanaka hwemwana. Zviratidzo zvekutanga zvine appendicitis zvinosanganisira:
- kusafarira;
- kugona;
- kutsamwa;
- kuora kwekudya;
- capriciousness;
- stool disorders;
- nausea ;
- kurutsa;
- dehydration ;
- kuwedzera kwekushisa kwemuviri;
- kurwadziwa mukati mamuviri, kuderera shure.
Mucheche zvakanyanya kuoma kufungidzira appendicitis - zviratidzo mucheche:
- nguva dzose kuchema kusinganzwi;
- lethargy;
- kutendeukira kurutivi rworuboshwe;
- kusava nenzara;
- kurutsa;
- kudzivisa kugunzva;
- achiedza kuvhomora makumbo ake, akafugama pamabvi, kumudumbu.
Pain mu appendicitis
Chiratidzo chinorondedzerwa chechirwere chinogona kuwanikwa munzvimbo dzakasiyana dzomuviri, zvichienderana nenzvimbo yevermiform appendage. Zviratidzo zve appendicitis muvana zvinosanganisira zvinorwadza chirwere, chinonzwika mune imwe yenzvimbo dzinotevera:
- epigastrium;
- akapoteredza muvini;
- nzvimbo yakarurama yakac;
- lowering the abdomen;
- lower back;
- kumusoro kwepisis kana mukumera;
- pedyo nechiropa.
Kazhinji mwana wacho haakwanisi kunyatsotsanangura zvakananga kuti anonzwa kurwadziwa, uye anongotaura kumadziro ose. Kushushikana kusingafadzi mune dzimwe nguva dzimwe nguva kunopisa kune dzimwe nhengo dzomuviri:
- perineum;
- shure;
- nhengo dzepabonde;
- dumbu;
- tsoka;
- ureter;
- rectum.
Kutya ne appendicitis
Kupisa hakusi kuonekwa sechiratidzo chaicho chekuvhiringidza kwemaitiro ekudzivirira vana. Kuyera kwekushisa kwemuviri hakusi nzira yakarurama yekuziva kuti appendicitis mumwana. Izvo zvinokonzerwa nehutachiwana pahuduku hunofambira mberi nekukurumidza, saka maitiro ezvirwere zvezvirwere zvezvirwere zvezvirwere hazvisi nguva dzose anokwanisa kuita mazviri zvinowanzoita sefivha kana fevha. Kazhinji kutonhora kunowanzoenderana nechigadziro - zviratidzo zvevana zvinongogumira kuburikidza nekurwadziwa uye dyspeptic disorders. Utsi hunoitika pamatanho akazotevera, apo zvinyorwa zvinoputika.
Zviratidzo zve peritonitis ne appendicitis
Nemhaka yezvinetso zvakajeka mukuongorora hutachiona huripo, vana vazhinji vanopinda kliniki kakatova nechikamu chakasimba chechirwere. Peritonitis ne appendicitis pazera remakore (makore maviri kusvika ku5) inowedzera pakarepo, dzimwe nguva kubva panguva yekuputika kusvika kune imwe nzira inotora maawa mashomanana chete. Zviratidzo zvakananga zvechiitiko ichi:
- utsi hwembiri yakakwirira kwazvo, kusvika kuma40 degrees;
- zvakanyanya kubhururuka mudumbu;
- kureba kweganda;
- stool retention;
- kushungurudza zvakanyanya munzvimbo dzose dzemuviri;
- kurutsa kukuru.
Matambudziko e-appendicitis muvana
Ichi chirwere chinonyatsodzidzwa nevarapi vezvechiremba uye ndeyeboka revanhu vane chirwere chinoshandiswa zvakanaka. Chikonzero chekuti appendicitis inogona kuva yakaoma ndeyekuti zviratidzo zvevana zvakange zvisingatauri kana kuonekwa zvakanyanyisa. Mumamiriro ezvinhu akadaro, kupisa kunopfuurira nekukurumidza uye kunotungamirira kumigumisiro ine ngozi. Appendicitis mumwana inogona kukanganisa matambudziko anotevera:
- kubvumira - kubvumira mudumbu;
- sepsis - kupinda muropa repathogenic mabhakitiriya, kukuvadza kukuru;
- kukanganiswa kwezvinyorwa - peritonitis;
- kudziviswa kwemukati - kudzivirira ;
- zvinyorwa zvinyorwa-kupera kwechiremera che peritoneum;
- kubatana kwekubatanidza - kupararira kwezvibatanidza.
Nzira yekufungidzira sei kuputika kwezvinyorwa?
Dhinda, crumple uye unzwe mudumbu kuvana vane kusava nechokwadi kwezvirwere zvinorondedzerwa zvakanyatsorambidzwa. Kuvhiringidza kwegadziriro yekecum kunofanira kuonekwa nemumwe nyanzvi, saka, pane zvishomanana zviratidzo zvechirwere, zvinokosha kuti utaure kamwe chete nekliniki. Zvinokwanisika kufungidzira hutachiona nezvimwe zviratidzo zvakaratidzwa.
Nzira yekuziva kubhurwa kwezvinyorwa muvana - miedzo yakajeka:
- Przewalski. Izvo zvakaoma kana zvinorwadza kuti mwana atore gumbo rake rokurudyi.
- Rizvan. Nekudzivirira kwakadzika, kushushikana kusingafadzi munharaunda yeiacac kunowedzera.
- Sitkovsky. Kuwedzererwa kwekutambudzika muhomwe yepamusoro kune rumwe rutivi rworuboshwe.
- Karavaeva. Kuwedzera kunetseka panguva yekukanganiswa.
- Zatler. Kucheka marwadzo munharaunda yeiacac apo gumbo rakarurama rakagadziriswa rinosimudzwa munzvimbo yekugara.
Uyezve, kuwedzera kwekuwedzera kunosimbiswa nezviratidzo zvakajeka zvevana zvakanyorwa pamusoro apa. Kana mwana ane chimwe kana zvimwe zvezviratidzo izvi, zvakakosha kuti utumire pakarepo boka rezvehutano rinokurumidza. Pasina kurapa kwakakwana, chirwere chinoputika chichafambira mberi nokukurumidza, kutsamwisa peritonitis nezvimwe zvinetso zvinokuvadza.
Chipatara chinoshandisa nzira dzekubatsira kuongorora appendicitis muvana:
- ultrasound exam;
- radiography;
- Irrigoscopy ;
- kombiyuta kana magnetic resonance imaging;
- radionuclide analysis.
Apo kunzwisiswa kwakarurama kwekusiyanisa hakugoni kuwanika, uye hukama hwemwana hunowedzera nokukurumidza, laparoscopy inokurudzirwa. Izvi zvinoshandiswa zvishoma zvisingasviki zvokuvhiya zvinotitendera kuti tiongorore mamiriro ezvinyorwa nekamera kadiki. Kazhinji kuongororwa kweparoscopy kunoshandiswa kugadzirisa kurapa.
Kuvhiya kwechidimbu
Kubviswa kwechiwedzerero kunorayirwa mushure memakore mashoma emishonga inorwisa mabhakitiriya. Mishonga inorwisa mishonga inobatsira kubvisa kuvhiringidza kwezvinyorwa uye kunyoresa kukanganisa kwayo, kuderedza zviratidzo zvechirwere. Kupindira kwokuvhiya kunogona kuitwa nenzira mbiri:
- Vhura (classical) nzira. Muchikamu chezasi chemuviri chidiki chiduku chinoshandiswa ne scalpel, kuburikidza necho chidimbu chakabatwa chinobviswa. Ronda racho rinogunun'una, dzimwe nguva mvura inoiswa mukati mayo kuti isunungure vanhu vakawanda uye mvura yakawanda. Pashure pokunge zvachose kubvisa zviratidzo zvehutachiona, bhuti rinobviswa, uye kupfeka kusina mishonga nemishonga kunoshandiswa kuchirwere chinoporesa.
- Laparoscopic method. Chiremba anovhiya anowana kuwanika kwechiwedzera pane 2-4 punctures. Mumwe wavo anotanga kamera shoma, mamwe - mashandisirwo akasiyana-siyana. Iyi nzira yekuvhiya haina kunetseka uye inoratidzwa nenguva shomanana yekudzorera, asi yakakodzera chete mamiriro ezvinhu ari nyore ekuwedzera kwevana, apo pasina zviratidzo zve peritonitis uye kupera kwezvinyorwa zvakaitika.