Tus thawj cov tsos mob ntawm hnyuv tws nyob rau hauv ib tug me nyuam 10 xyoo

Menyuam xiam oob khab yeej ib txwm lub sij hawm los ua. Tshwj xeeb tshaj yog thaum nws tawm los rau phais pathologies lag luam yuav tsum tau nyob rau hauv uas tus me nyuam. Tu siab, cov kab mob tshwm sim nyob rau hauv cov me nyuam thiab cov laus uas tib zaus. Cov feem ntau phais pathology - nws yog mob hnyuv tws. Nws yuav tshwm sim thaum twg los tau muaj hnub nyoog. Yog hais tias ib tug me nyuam muaj 10 xyoo mob plab, koj yuav tsum coj nws heev kom zoo zoo. Tom qab tag nrho, qhov ua rau tsis xis nyob yuav ua kub lug appendix. Nyob rau hauv qhov tseeb, hnyuv tws yog tsis suav tias yog ib tug mob loj. Txawm li cas los lig no pab yuav ua tau kom mob.

Yuav ua li cas yog tus kab mob no?

Txhua tus niamtxiv yuav tsum paub cov tsos mob ntawm hnyuv tws nyob rau hauv ib tug me nyuam 10 xyoo. Tom qab tag nrho, tsis muaj ib tug yog tiv thaiv kab mob los ntawm tus kab mob no. Ntxiv mus, nyob rau hauv no muaj hnub nyoog nws yog ib qho. Mob hnyuv tws yog pom tias yuav ua tau ib tug inflammatory tus kab mob. Nws tshwm sim vim txoj kev loj hlob ntawm pathological teb nyob rau hauv lub tuam tsev ntawm lub cecum - appendix. Feem ntau, qhov no txoj cai yog tsis muab kev koom tes nyob rau hauv lub digestive muaj nuj nqi, li ntawd, nws tshem tawm yuav tsum tsis txhob ntshai tus me nyuam niam thiab txiv. Cuaj kaum, nyob rau ntawm lub lub slightest suspicion ntawm o ntawm lub appendix yuav tsum tau saib thiab hu tsheb thauj neeg mob. Lub ntsiab ntawm cov tsos mob hnyuv tws nyob rau hauv ib tug me nyuam ntawm 10 xyoo - nws yog ib qhov mob nyob rau hauv lub plab mog thiab kub ib ce. Cov heev thiab qhov chaw ntawm tsis xis nyob tej zaum yuav txawv nyob ntawm seb cov yam ntxwv ntawm tus kab mob. Yog li ntawd, ib tug atypical soj ntsuam daim duab tsis tau txhais hais tias tus me nyuam yog tsis muaj mob ntawm lub appendix.

Ua rau mob hnyuv tws nyob rau hauv cov me nyuam 10 xyoo

Lub mechanism ntawm tshwm sim ntawm hnyuv tws yog pom tias yuav tau kawm tsis yog yuav xaus. Nws yog lub npe hu hais tias tus ntawv ntxiv muaj nyob rau hauv nws ib feem cov lymphoid cov ntaub so ntswg, yog li ingress ntawm cov kab mob los yog kab mob rau hauv lub cev ntawm cov ua hais inflammatory cov tshuaj tiv thaiv.

Mob hnyuv tws nyob rau hauv cov me nyuam 10 xyoo nyob rau hauv feem ntau yog txuam nrog malnutrition. Nws yog ntseeg hais tias kev siv ntawm ib co cov khoom ua rau yus "paug" ntawm txoj hnyuv, nyob rau hauv particular appendix. Qhov no yog hais txog mus rau lub txais tos ntawm cov zaub mov noob thiab ceev nrog tus neeg zoo li, tej daim, salted crackers, thiab hais txog. D. Muab hais tias cov me nyuam siv cov khoom no ntau heev, cov tsos mob ntawm hnyuv tws nyob rau hauv ib tug me nyuam ntawm 10 xyoo yog tsis xav tsis thoob.

Lwm vim li cas yog lub allergic ntawm cov teeb meem kab mob hauv cov hlab ntsha. Feem ntau cov feem ntau nws yog cai yog hais tias muaj yog mob foci ntawm kab mob. Cov no muaj xws cov kab mob xws li kho hniav caries, tonsillitis, sinusitis. Los ntawm kev txo lub cev rog ntawm microbial hais yuav tau txais mus rau hauv cov ntshav. Lawm, nyob rau hauv cov ntaub ntawv no nws teb mus rau lub appendix. Tseeb, nyob rau hauv lub cev muaj ntau ntau lymphocytes thiab macrophages.

Txawm li cas los ntawm qhov ua rau ntawm o (txuam nrog cov teeb meem microbes los yog khoom noj khoom haus residues) txoj kev loj hlob hnyuv tws tib yam. Cov uas ua lymphoid cov ntaub so ntswg hypertrophy appendix nce nyob rau hauv loj, muaj ib tug stagnation ntawm dej, edema thiab o.

Yuav ua li cas kom paub txog cov tsos mob ntawm hnyuv tws nyob rau hauv cov me nyuam 10-11 xyoo?

Tej yam tshwm sim ntawm o ntawm lub appendix tej zaum yuav txawv. Cuaj kaum, muaj ib co raug cov tsos mob uas tshwm sim ntau tshaj. Paub qhov txawv cov nram qab no cov tsos mob ntawm hnyuv tws nyob rau hauv cov me nyuam 10 xyoo ntawm lub hnub nyoog:

1. Mob plab. Localization nyob rau qhov chaw ntawm lub appendix. Nyob rau hauv feem ntau, nws yog nyob rau hauv txoj cai iliac cheeb tsam. Tab sis qhov no yog tsis ib txwm rooj plaub. Faib ib co atypical localization ntawm lub appendix. Cov lawv - lub pelvic kab noj hniav, ob lub raum, sab plab mog. Yog li ntawd, qhov chaw ntawm lub mob tej zaum yuav txawv.
2. Nce lub cev kub. Nyob rau hauv uncomplicated hnyuv tws nws yog 37-38 degrees.
3. Xeev siab. Qhov no cov tsos mob tej zaum yuav tshwm sim txawm ua ntej lub rov tshwm sim ntawm kev mob thiab nrog tag nrho cov ua sawv ntawm o ntawm lub appendix.
4. Ntuav. Ib txhia tsis cai. Feem ntau cov feem ntau ntuav tsis muaj ntau tshaj li 1-2 lub sij hawm.

Tus thawj cov tsos mob ntawm hnyuv tws nyob rau hauv ib tug me nyuam ntawm 10 xyoo - tsis qab los noj mov, thiab mob nyob rau hauv lub plab cheeb tsam. Cov tsos mob yuav tshwm sim ua ntej tshaj lwm tus. Nyob rau hauv lub sij hawm uas ua raws li lawv tau ntau xyoo qhov raug soj ntsuam daim duab. Mob yog tsiv mus rau sab xis iliac cheeb tsam, lub cev kub ntawm lub nce.

Lub degree ntawm heev ntawm hnyuv tws

3 faib heev ntawm o ntawm lub appendix. Lawv nyob ntawm seb lub morphological daim duab ntawm lub cov appendix. Txhua yam ntawm lawv sib haum mus rau ib qho kev soj ntsuam ces. Me me hnyuv tws tshwm sim nyob rau hauv catarrh. Nws yog yus muaj los ntawm tsis heev heev mob, ua npaws li subfebrile. Cov kev mob ntawm tus me nyuam yog txaus siab, muaj yog xeev siab thiab tsis qab los noj mov.

Qhov nruab nrab heev ntawm lub purulent rwj mob hnyuv tws. Nws yog sau tseg nram qab no cov tsos mob: kub cev mus txog 38 ° C, amplification mob (paroxysmal nyob rau hauv cov xwm) deterioration.

Ib tug nyuaj theem no tshwm sim thaum gangrenous inflammations. Qhov no hom ntawm hnyuv tws yog yus muaj los ntawm necrosis ntawm lub appendix. Nyob rau hauv cov ntaub ntawv no, nws yog feem ntau perforation thiab allergic ntawm cuam tshuam ntaub so ntswg mus rau hauv lub peritoneal kab noj hniav. Cov tsos mob ntawm hnyuv tws nyob rau hauv ib tug me nyuam 10 xyoo nyob rau ntawm no theem yog qhia nyob rau hauv unbearable mob thoob plaws lub plab mog, ua rau kom nyob rau hauv lub cev kub rau 39-40 degrees. Xws li ib tug lub xeev ua rau txoj kev loj hlob ntawm cov teeb meem.

Cov tsos mob ntawm tus mob ntawm lub appendix

Nyob rau hauv tas li ntawd mus soj ntsuam manifestation ntawm ib tug plurality ntawm tej tsos mob, los pab tshawb nrhiav mob hnyuv tws. Paub lawv yuav tsum tsis txhob tsuas cov kws kho mob, tab sis kuj cov niam txiv. Tseeb, ua tsaug rau kev soj ntsuam xyuas tsawg kawg yog 1-2 tsos mob tej zaum yuav xav tias o ntawm lub appendix. Nyob rau hauv qhov tseeb, tej yam tshwm sim ntawm hnyuv tws yog ntau tshaj 100. Nyob rau hauv phais xyaum siv ib ob peb ntawm lawv (txog 5-7). Faib raws li nram no cov kev tshwm sim ntawm hnyuv tws:

1. Seb mob Sawv Rov Los. Nws yog cov tsos mob thaum lub sij hawm tus ntiv tes ntawm cov epigastric cheeb tsam mus rau sab plab mog. No lub zog yog muab piv nrog rau cov ncab ntawm lub tsho.
2. Seb mob Bartome-Michelson. Tus neeg mob nteg nyob rau sab laug. Lub hauv caug ib tug me nyuam yuav tsum tau bent. Nyob rau palpation ntawm lub cecum cai ce.
3. Seb mob Sitkovskiy. Nws txiav ntaqwm yav dhau los tej hais txog ntawm hnyuv tws. Qhov txawv yog hais tias muaj yog tsis muaj mob rau palpation ntawm lub plab mog (thaum koj tig mus rau ntawm koj sab laug).
4. Psoas kos npe rau. Tus me nyuam yuav tsum pw rau ntawm koj rov qab nrog ob txhais ceg bent ntawm lub hauv caug pob qij txha. Thaum tsa txoj cai ceg thiab ob lub palpation ntawm lub cecum, nce morbidity tshwm sim.
5. Seb mob Rovzinga. Yus muaj los ntawm ib tug intensification ntawm qhov mob ntawm palpation ntawm sab laug iliac cheeb tsam (sigmoid nyuv). Nyob rau hauv tas li ntawd, tus kws kho mob ua ntiv tes zog, raws li yog hais thawb lub sau gases upwards.
6. Lub ntsiab seb mob dab tsi yog suav tias yog SHCHetkina-Blumberg. Nws yog tense nqaij ntshiv ntawm lub anterior mob plab phab ntsa rau palpation cai iliac cheeb tsam tus ntiv tes xoo. Tus ntse tso tawm ntawm nws ua nce mob. Qhov no cov tsos mob yog tsis tshua cai nyob rau hauv me me mus rau mob loj tsawv heev ntawm hnyuv tws. Feem ntau cov feem ntau nws tshwm sim, yog hais tias muaj yog ib tug loj hlob ntawm cov teeb meem (gangrenous o, peritonitis).

Mob hnyuv tws: Cov tsos mob rau cov me nyuam 10 xyoo duab ntawm tus me nyuam tus neeg mob

Ntau cov niam txiv yuav tig mus rau hauv internet qhov chaw nyob rau hauv ib tug deterioration ntawm tus me nyuam tus mob. Cov ntaub ntawv muab tso rau kev kho mob qhov chaw yog feem ntau tswv txhim khu kev qha, tab sis nyob rau hauv txhua rooj plaub nws tseem ceeb heev raws li sai li sai tau nrhiav kev pab kho mob. Tsuas yog ib tug kws kho mob rau cov tsos mob los 100% paub meej tias cov pathology, yog tias muaj. Diam duab ntawm cov me nyuam mob, muab tso rau hauv ib tsab xov xwm yuav tsuas muab ib tug ntxhib lub tswv yim ntawm qhov teeb meem.

diagnostics

Cov niam txiv yog pab kom paub yuav ua li cas qhia hais tias mob hnyuv tws nyob rau hauv cov me nyuam. Nyob rau hauv tas li ntawd mus rau lub kev soj ntsuam kom paub txog tus kab mob no thiab mus saib cov kev tsos mob yog ib qho tseem ceeb laboratory diagnostics. Muab hais tias cov tsos mob ntawm hnyuv tws yuav zoo li ntau lwm yam mob (gastritis, adnexitis, pyelonephritis), raws li tsuas yog nyob rau kev tsis txaus siab thiab kev soj ntsuam yog tsis yooj yim sua.

Yog hais tias koj xav tias o ntawm lub appendix yog tsim nyog los ua tus KLA thiab urinalysis. Qhov tseem ceeb tshaj qhia yog suav tias yog leukocytosis. Yog hais tias nws yog tam sim no nyob rau hauv tus neeg mob cov ntshav, tus mob "hnyuv tws" yog xav tau txhim khu kev qha. Lub OAM tau cai leucocyturia kab mob. Yog hais tias tus kws kho mob muaj xav phem cais tsis hais txog cov mob, ua ib tug mob plab ultrasound.

operative txoj kev kho

Lub tsuas kho mob rau hnyuv tws yog xav tau phais. Nyob rau hauv tej rooj plaub, nws yog nqa tawm laparoscopically. Ntau zaus tshaj qhib phais yog tau siv ib tug oblique incision nyob rau hauv txoj cai iliac cheeb tsam. Vermiform appendix yog raug ntiab tawm thiab muab txiav tawm nyob puag. Hlab ntsha coagulate. Qhov seem hauv paus ntawm lub appendix ua tib zoo sutured rau txoj hnyuv.

Kev tiv thaiv ntawm o ntawm lub appendix

Kom tsis txhob o ntawm lub appendix, koj yuav tsum noj txoj cai, tswj kev tiv thaiv. Cov me nyuam yog tsis pom zoo kom noj cov noob thiab neeg rau, ceev ceev khoom noj khoom haus. Nws yuav tsum tau tseem yuav raws sij hawm tsau tshuaj foci kab mob.