To the symptoms of a severe appendicitis, admit it. Gostriy appendicitis

Appendicitis is one of the most common Gostrich Zahvoryuvan, Scho vimagak is practical in a large variety of extremes surgical engagement... Firing of a worm-like outgrowth at the time of an hourly appearance of pathology and lesions can be the cause of peritonitis, and the whole process clogs the life of the patient. With a severe appendicitis, the symptomatology of the ailment is severe, as at the first stage of the look at the ailing snake, let it go. A provincial symptom of ailment is, in fact, the turbulence is practically in the first years of the development of appendicitis.

In case of severe appendicitis, it is practically impossible to develop pain in a wormlike appendage. Ignite reaction and build up the body before the nerves start to get rid of the end and the ailment. The more intensely flared, the more the more intensely manifested more. Localization of uncomfortable perceptions can also be found on the step ignition process.

Some of them are localized only in the upper sides of the abdomen. In some cases of sickly visions of the front of the abdomen, buying gas, dyspepsia. In addition, as the gas comes in, it can decrease its intensity three times, and then it grows again. Discomfort in the epigastria and close to the navel persists for the period from 4 to 24 years old, while the ailment moves down, so that in the right of the club area.

For the installation of a viral diagnosis of a drug, it is important to determine the nature of the pain. In case of gross appendicitis for the development of a sickly syndrome in a large number of cases, the following signs are characteristic:

• Discomfort builds up. If there is a bile in the abdominal area, it is sharp, it immediately manifests itself as a swivel symptomatology and does not pass, then it is necessary to cut through the curves, gostry pancreatitis, Cholecystitis and illness.
• The list of development of the appendix is ​​flushed with a clear localization of the pain. The stench has a spilled character, there are some ailments near the navel, in some people in the epigastric day.
• Through a few days, through a couple of days, aversion to change to the right of the club area. Because of this, the main discomfort begins in every moment of the pain, it becomes permanent, dull and negatively reflects on the self-esteem of people.
• When there is a state of appendicitis, the soreness will be felt, like a lyudin's cough, chhak, viconu rіzki ruhi.

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Features of appendicitis with vaginosis

In some cases of pain when the appendix is ​​inflamed, the floor is intense, but the sick person is tempted to lie without a collapse. The change in the position of the body and on the floor with the feet immediately increases the discomfort. In case of appendicitis with typical problems, the soreness does not go into the second order of the opening of the door. With atypical inflamed irradiation is possible. As the flabbiness of the verse, then don’t wait to tell us about the self-completion of the stage. The rise of the nerve endings of navpaky can be summed up by a great ignition process, in which such a serious process for health is accelerated, such as the perforation of the new one into the empty space and the onset of peritonitis.

A bit of a classy picture burned with appendicitis, it will appear before the hour of vaginosity. Through the growth of the uterus, the organization changes and the nature of the main symptoms changes. Pain in case of appendicitis in a vaginal woman may be restructuring in the groin club area, and because the stench is not very strong.

The nature of the growing pains to lie down and form the growth of the worm-like outgrowth. One of the appendages is known to be atypical, and it is not necessary to immediately display the diagnosis correctly.

Pain in case of appendicitis in fallow growth

The zone of self-rotated ailments with appendicitis can be found in the fallowness from the growth of the growth. Likars, when looking around, they are guilty of blame, those who have apendix in some people grow up in an atypical scene black empty... A collection of classy picture is practically ignorant of nothing to be seen as a typical appendicitis. To be able to develop in the epigastria or the umbilical region. But then, the ailment is not in the right of the club area, but in the middle of the belly, where the worm-like growth is being removed. The sophisticated diagnostics and development signifies those who are ill in cases of attachment of the worm-like growth to the organs of the small pelvis. Tobto fired up the appendix can provoke and fired up the order to find organs and viclikati signs of their strikes.

• If the appendix is ​​spreading in the pelvic area, then the ailment is growing in the very bottom of the abdomen on the right or in the area of ​​the bosom.
• With the middle roztashuvanny of the appendix, the umbilical region will be hunted.
• When roztashuvanny appendix backwards from the intestine, the patient is presented in the main scarg in the area across. Some of them are more radiated in the crotch, to the right, steeply, callous statues of the organ. A similar clinical picture is similar to the pathology of sevodia, and it is important for the doctor to correctly differentiate between illnesses.
• When roztashuvanny appendix in the subhepatic space, the nature of the pain can be nagaduvati pechinkova kolka.
• One of the appendix is ​​located on the left side and the ailment manifests itself in the other club area.

Appendicitis is the most severe surgical disease of etching organs, and one of the most insecure. Nebezpeka zhvoryuvannya polyagaє, persh for everything, in its shvidkoplinnіstі and inevitability appear serious, menacing for life accelerated. Imovirnist stuck with a host of appendicitis with a stretch of life to reach the temple. Vin is diagnosed in 5-10% of people.

Appendicitis can be found in any case and in people, whether it is a status. However, the statistics show that most often people get excited about 5-40 years of age. In the middle of the sickness of 20-40 births, twice as many women, not of the choloviks, at that hour, in the middle of the ailments, up to 20 years of age, the choloviks are overtaken. Women who are generally ill are often choloviks. After 40 years of age, the incidence of illness will change significantly, but not become zero. To that, appendicitis can develop in young people. Also appendicitis is diagnosed in children younger than 5 years.

describe the ailment

Apendicitis is called an inflammation of the wormlike appendage - the appendix, which is rosted in the lower part of the intestine. In a normal stanі the appendix is ​​a small tube with a diameter of 7-10 mm and a half-length of 50-150 mm. You will see from the intestine, when you step by step, you sound, and there is no way to pass.

The functions of the appendix are definitely not defined. Earlier, the appendix looked like a simple rudiment, the suspicions of a man in his distant creatures of ancestors with a grassy race and functionally darmed. Now it is important to remember that it plays an important role in endocrine and immune processes, as well as in the formation of intestinal microflora. It has been reported that people with an appendix may have problems with a sufficient amount of brown microorganisms in the intestines. However, all the same the appendix cannot be carried to the number of vital organs, without such organisms it is impossible to develop.

The rule is that the appendix is ​​filled with a gostrian character. As a result of ailments, there will accumulate in adolescence, which cannot be clearly called through the adolescence of the adolescent. The appendix grows in size and becomes sick. In the end bag, to produce until the opening of the wall of the appendix and call it pus. Tse, in its own heart, is pulling for itself peritonitis (burning of the queue), sepsis, or abscesses in the black empty, as in the high world of ymovirnosty can lead to a lethal result. Naivazhchim accelerated є pylephlebitis - to lead to an important defeat of the liver, the firing of the vorticity, lethality in case of a particular temporality.

Chvoroba is against the backdrop of a shyness and a triviality for no more than 2-4 days, a little longer. Symptoms of self-induced illnesses of patients with appendicitis are infrequent. In some cases, near the affected appendix, there may be a decrease in infiltration from navkolishnyh tissues, the process of illumination may lead to an abscess. Tom's ailment vimaga lykarskogo involvement і operative treatment. With a free time lіkuvannі, the prognosis of hospitality.

Occurrence and chronic appendicitis, which is characterized either by appendicitis or by familiar symptoms, are typical for a severe appendicitis. The frequency of the winners' stan is about 100 times higher than that of the gostry. As a rule, it’s not vimag of operational treatment.

Gostrian appendicitis extends into simple (catarrhal) and destructive, which will clog up with accelerated disease. Without a definite treatment of prostate appendicitis, it may even turn into destructive.

The main stages of development of appendicitis:

• catarrhal
• Phlegmonous
• gangrenous
• perforated

cause

The reasons for the diagnosis of appendicitis in grown-ups have not yet been precisely established. However, it should be agreed that there is no single cause of appendicitis, which is beyond the reach of all patients. In a skin ailment, the reason can be our own. In large cases of appendicitis, there is a blockage of the entrance of the vermiform appendix into the rectum. The causes of blockage can be small - for example, eating into the growth of fecal stones or third-party ones. You can get a wickedness and healings of the upper part of the sprout through the adhesion processes, such as the inherited cholecystitis or enteritis.

There is also a great role in the diagnosis of appendicitis and bacteria - enterococcus, streptococcus, staphylococcus and intestinal stick. Most often both factors are given. Stir in the place of the growth to produce the weakening of its internal immunity and the introduction of ailing bacteria into the mucus membrane. This is also the theory, which is why the main cause of appendicitis is the spasm of the vermilion, which is to live the worm-like outgrowth with blood. One more there is a reason- injuries to the abdominal area, as they pulled after themselves a little or a displacement of the growth.

The frequency of the diagnosis of appendicitis in vaginal women has also been adjusted - through the enlargement of the enlargement, which is caused by the increase in the size of the uterus. In the case of those who are sick, the uterus can be easily transferred from the uterus to the appendix.

symptoms

For early diagnosis of appendicitis, the symptoms may be more significant. Х knowledge permits the emergence of a disease of the shlunkovo-intestinal tract, but it does not seem to cause the appearance of the appendix.

The main signs of appendicitis in adults include:

• Gostry b_l in the stomach, including when there is an onslaught
• Temperature adjustment
• nudotu
• blues

The first symptoms and signs of a severe appendicitis do not allow to unambiguously identify the disease. A handful of ailments can be masked for a reason, I’m not so safe, and people can take an attack of appendicitis for nirkovy colka or gastritis.

head symptom appendicitis - persistent pain in the abdomen. As a rule, a sharp bill is unsuccessful, most often at night or a lie. At the catarrhal stage, a sprinkle of sprinkles is poured all over the belly, or it appears in the upper part of it (in the epigastric period). A little bit more to concentrate in the right lower part of the abdomen, below the navel and trocha vische stegna (in the club area).

The process of relocation of pain is called a symptom of Kocher and one of the main signs of an ailment. Most of the patients are aware of appendicitis itself, and not about any one who is ill. shlunkovo-intestinal tract... The whole process is carried out by stretching out a decade long after a cob of ailment. The nature of the pain in an hour also changes, the stench fills up, becomes pulsating and weak. Bіl will accommodate with a smile and a cough, a deep breath, three verses when turning to the right side, or in the position, if the legs are bent to the belly. You can also see it in the right leg and feel when walking. When an attack on the club area is over, you should not be aware of it, but if you live quickly, then there will be a strong beat. The tension of the heart is evident.

With the development of the disease, maybe for a decade or so, you can feel it. And let me tell you not about lykuvannya, but about necrosis of tissue of the stem of the adrenaline, including the end of the nerves. However, the onslaught on the club area yak and earlier it was superbly large. During the whole stage, make sure to see the perforation of the wall, to grow on the line and turn, to be able to do it in a rich development.

Slid mothers on uvaz, so inodi the appendix can be worn out, so in this kind of ailment there will be a part of the abdomen. In some cases, pain can be seen in the right rib, in the area of ​​the pubis, pelvis, across.

Symptoms of appendicitis in older adults also include changes in the intestinal tract. Persh for everything, price nudota. In some cases, there may be blues and carry, but not lodging. However, diarrhea with appendicitis is characteristic, the first for everything, for children, the grown-ups develop more. It is also a sign of style, seeing dryness in the mouth. With a non-standard position of the outgrowth, there may be an overlap of the severance (dysuria). Often, tachycardia is indicated - up to 90-100 strokes in chilin.

In the cob phase, the temperature changes slightly - up to + 37-38 ºС. Years later, the temperature can drop to normal, protest in the final stage, before I break out the pus, it will rise to high indicators - + 39-40 ºС. If there is a lot of pain, it will be easy to do it.

If you have appendicitis in young people, the symptoms may be erased and uncomfortable right up to the transition to a destructive stage. The pain can be dull in nature, the tediousness is insignificant, but such a specialty, yak temperature adjusted, May be in the middle of the day. However, this does not mean that appendicitis is easier in Lithuanian people. Nawpaki, in the summer season, it is more often possible to prevent an accelerated appendicitis.

Difficult diagnosis of appendicitis in small children (up to 5 years). It is tied together with that, which is a sign of appendicitis in older adults, it turns out to be chitkish, not in children. Inodi appendicitis in a child masquerades as a simple dislocation of a shlunka. More often, it is not localized in the club area, and that hour the child cannot explain why he is living in pain. In general, there are signs of such signs, such as an increase in temperature up to +38 ºС, lining of language, diarrhea. However, all the symptoms can be found in the case of those who are ill, that child needs to be shown fakhivtsev.

Atypes of form of appendicitis

Also, there is a small number of forms of atypical appendicitis, for which symptoms can be seen as standard.

• Emіpіema. The form of appendicitis with a general development, with which the symptom of Kocher is visible, and immediately appears in the club area.
• Retrocecal appendicitis. It is characterized by faint signs of a zapalennya queue, a bright stiletto. Pain is often seen in the area across and radiates to the area of ​​the quilting.
• Free appendicitis. maє classic cool picture, I still see pain in the club area.
• Pelvic appendicitis. More characteristic for women. It is indicated that there is a slight increase in temperature, dysuria, which passes into the navel.

What is the need to work with a suspicion for appendicitis?

When there is a suspicion for appendicitis, the patient is ill. Let’s wait for the beast to get rid of it, be it persistent pain in the abdominal area, but do not pass for 6 years. Before looking around the drug, it is not a matter of taking antibiotics, but also of slunk-intestinal drugs, and especially analgesics, since all of them can create a classic picture and make it difficult to diagnose. The installation of the grilka on rightly abdomen, splinters of ailment dazed the warmth of the building, speed up the development of ailments. The indications are post_lny mode. Slid utrimatisya to the reception of the uzhi. When a doctor comes, it is necessary to tell you about all the symptoms, about those who live to hurt, and allow you to look around.

diagnostics

For diagnostics, a visual look and palpation should be taken in the first place. The main symptoms are є stresses live, soreness in the right lower th part. However, the methods do not depend on the need. There are also diagnostics methods, such as ultrasound, MRI and computer tomography, blood and blood analysis. When re-examining the blood analysis, the main respect for the animals is for changes in the level of leukocytes in the blood (leukocytosis). It can also be performed laparoscopically diagnostics through the opening in the abdominal wall.

If the disease is diagnosed, it can be slowed down, and there are some symptoms of acute appendicitis that are quite similar to those of the intestinal tract. Before them gostry gastroenteritis, pancreatitis, virazka (especially in times of tearing), intestinal or nirkovy kolki, firing processes of the uterus, stretching or opening of the abdominal mucosa are mentioned. Therefore, it is important to differentiate appendicitis from among those who are ill, as in most cases there is no term prompt engagement.

lykuvannya

Appendicitis surgical method... Vin polyagaє at the visible apendix (operative apendectomy). For some people, they can overdose the therapy for additional antibiotics. In one way and one conservatively, without a visible growth, antibiotics are generally recognized. As a rule, before you go into that kind of fall, as opposed to being shown before the operation.

The operation from the visualization of the growth is carried out either by a traditional way, with an additional open development, or by a laparoscopic method. The first 12 years of operation have gone to the end of the post-regime and the uniqueness of the reception. In the recent period, there is also a possibility of therapy for the inheritance of antibiotics for additional antibiotics. The triviality of the main period is that an operation was carried out at the stage of the ailment of the bul, and it was necessary to become 1-2 times.

Apendicitis or inflammation of the worm-like outgrowth of the small intestine (appendix) is a widened pathology, as it is only for additional surgical operation.

Appendix - tse internal organ, You want to be in the lower right side of the abdomen.

Before a group, a risik can enter both grown-ups and children, repairing from a 3-ric vіku. Symptoms in case of appendicitis appear in fallowness from the stage of illness and from the patient (young women are sick more often, less people and young people).

Especially not safe appendicitis for vaginal and for children.

The first sign of appendicitis in women and children is a beating in the stomach

The main and head symptom of appendicitis with the classic roztashuvanny - post-prickly (innocent) bile, Yaka will be repaired quickly, without a very widespread reason, often in the other half of the day.

Some are characterized by a soreness in the area of ​​the navel and in the lower region.

Lyudin can't walk easily in this camp. When walking, when coughing, and when people laugh, they start to attack with severe pain. Alone, if you can get sickness, you can lie in the singing position on the right side, or on the back, it is meaningful to feel sickness.

Yaksho roztashuvannya appendix atypove(Retrocecal appendicitis develops in 5% -12% of cases, and pelvic appendicitis in 8 - 19%), then most of the cases of epigastrium (this is the name of the epigastric region) are not located in the lower right side of the stomach, across the abdomen, but 'ї in abundance due to the peculiarities of the rosette of the appendix. I would like to know, like in case of acute appendicitis, a sharp incidence of post-ejaculation, a prickly mark, in these droplets it is often possible to prevent an increase in symptoms, the stench swells weakly, through a very clever picture I get caught up.

With pelvic appendix roztashuvanny(The slime of the intestine is removed in the area of ​​the small pelvis and not too close to the cuticle and to the rectum). Most of them seem to have an unacceptable character and are similar to those, which are spared when the organs of the sechostatic system are ignited.

Important! Yakshcho bіl sharp verse і znika, so can you tell us about the ear of the process of death nerve cells stems of growth. This is a sign of the fact that there will be peritonitis (which is accompanied by even more severe pain, weakness, feverishness and the second time), which can lead to slowness and death. Tom, with adolescence for appendicitis, require terminovo viclicati I will help the shvidka.

Development stages abo vidi appendicitis

The zagalny term for the development of appendicitis is 48 years old or two dobi. If you want to create a lot of passion, it’s not safe for people’s life.

Classification of forms of gross appendicitis behind the stage of its development is advancing:

1. classic appendicitis to repent from the questioning of friendly minds for the development of pathogenic microflora, as a result of which there is an ignition process on the mucous ball of the shell of the inner stems of the spine. It is a catarrhal stage, with symptoms of prikhovani. Vaughn go over to the surface form, if you can see the burning in the fire. The cob stage is trivial in the first 12 years of attack.
2. Other phlegmonous stage- if you repair destructive changes, they can lead to ignition processes in all tissues of the appendix. If a person flames up a sickness and a headache, symptoms or symptoms appear. The first sign is typical for the right-wing club area. Buvak, how to see the statement of decilkoh vognisch fired up, to talk about phlegmonous virazkovy appendicitis. The trivial stage is close to 36 years old and to fix the next day after a corncob. For an hour, it is not easy for people to see appendicitis.
3. Gangrenous form, the destructive stage is running Defeat, if through necrosis (death) of tissue of the sprout there is a loss of sensitivity and in people they become aware of a lot of vision. The perforated stage is on the way - cutting through (cutting) or perforating the walls to produce peritoneal peritonitis (when you go out from the appendix, having drunk it into the empty hole). It’s worth it, it’s a good time for a guest to come, and death doesn’t happen.

chronic appendicitis Developed in 1% of vipads, often in young women. With a lot of incapacitation of a worm-like outgrowth, an action, more often than not, develops. The head symptom is the strengthening of sickly appearances in the right club area with physical problems, for an hour there is a spongy of black mucus during defecation or for an hour of coughing.

Boo, the symptoms of chronic appendicitis are hurting people for some time. Zahvoryuvannya can be transformed into a gostru form by stretching out a period of time. Such a person has a conservative stagnation, so it is known that the process of blood circulation is fired up and updated (taking antibiotics, children and food for years)

Before the hour of periodical aggravation, there appears to be tediousness and bloating, and also to prevent the development of style (constipation, or infestation) and symptoms of severe appendicitis. For lіkuvannya shy away from the operation of the visible appendix (apendectomy).

Most of the reasons for appendicitis and prophylaxis

Possible reasons for appendicitis:

Prevention of appendicitis:

Zmіna klіnіchnoi pictures of the grown-ups in years

Symptoms of appendicitis in children

The starting hour for the development of ailments in children is less nagato, less in adults and triv 24 - 36 years. In the table below, there is information about the manifestation of ailments for the three main groups, if the presence of ailments appears in the presence of appendicitis. It is practically impossible to develop appendicitis in children of the same age, and in children (from 11 to 18 years), symptoms are similar to signs of ailment in older children.

Important! As soon as the child has been sick for 6 years, the temperature is the same as signs of appendicitis;

Diagnosis of appendicitis - symptoms by authors

Diagnostics come in to fix it, so that I can get rid of the data about the bad things and to look around. What are the methods for stasis, for diagnosing appendicitis? At the bottom, the symptoms are indicated by the authors, and there is little information about those who are changing them.

author key symptom	how to change	If the symptom is positive (Diagnose appendicitis)	Scheme
Schotkina Blumberg	Likar onslaught with the right hand on the right of the club area, then quickly release the hand.	Lyudina sees a strong bile, if the license is open to her hand.
Kocher (Symptom of migratic pain)	The most important symptom. Bil to fix in the epigastric dilyantsi (belly button) and go to the right lower half of the abdomen
Voskresensky (Chemise symptom)	Hirurg with the left hand pulls the patient's shirt below. It is ailment to rob a glib side, and at the same time the lykar is to hold the fingers of the hand towards the upper cranial dilyantsi to the right.	From the hour to the fall of the hand in the very end, without cutting from the black wall, there is a sharp bile
Bartomier - Michelson	Sickness to play on liviy bik. Likar onslaught on the place, appendicitis develops.	Feel the soreness for an hour of palpation
Rovzinga (Rovsinga)	Hirurg onslaught with the fingers of the hand on the left abdominal area, and at the end of the hour, with the right hand, carry out the shipment along the rectum. Relocation of gases in the production area of ​​the plant.	There is a bile near the right club area (the development of a burnt appendix of a wiklik bil).
Rozdolsky (Mendel)	The patient is lying on the back. The one who is to look around, the vison is easier to tap with her fingers on the anterior cranial wall in the right club area.	There is a b_l.
Sitkovsky	Lyudin play on liviy bik.	It is to come to the right of the club area.
Ivanova	Rip up from the navel to the most visible part of the pelvis on the right.	On the right is less, nіzh zlіva
Ostrovsky	In the position of lying, the right leg of the sick person is straight, to walk down to 130 ° C and settle down in the same position, and then quickly start up.	To hurt in the right club area.
Aaron	Likar onslaught in the right club area	In the district
Volkovich	Sickness to fuck with to the left side	Become familiar with the area of ​​the worm-like outgrowth
Krimova	Likar to conduct palpation of the final opening of the inguinal canal	There is a beat in the right half of the abdomen below
Obraztsova	Zastosovyut for diagnostics of gross retrocecal appendicitis. The patient, lying on the back, has a straight right leg.	There are more
Cope	Zastosovyut for the diagnosis of pelvic appendicitis. Є two types of reversals of this symptom: The sickness to lie on the left boat. Likar lead a straight right leg back (so people can knit a club m'yaz). Sickness to lie on the back. The right leg is bent in the colony, if there is more, the symptom is positive.	There is a bile at the mice of roztashuvannya appendicitis
Gabaya	Analogous to the symptom of Shchetkin Blumberg, (pushing a little, and then letting your hand out), only palpation is carried out across the area of ​​the petit's tricycle	It is characteristic of the bill on the right
Yaure Rozanova	Stagnate only, with atypical (retrocecal) growth of the appendix. Likar onslaught with a finger in the sov. "Pti"	there is a sickness

In people with appendicitis, there is also a slight right side pіd hour spent looking around by palpation method. Slightly stretching of the scrotum also wicks b_l at the right testicle.

In women, diagnostics is meaningful to accelerate, as soon as the attack occurs before the hour of the month.

Important! For the statement of the diagnosis, it is necessary to back up the key picture. That is, when a patient is susceptible to appendicitis, it is necessary for a patient to be treated before a doctor and a term for a hospitalization for a greater improvement. The minds of the home mind are unhappy.

At the lykarna, if you need a sickness, it is necessary to add zagalny analiz blood and slaughter. Ridko surgery is a sign of rectal fixation (only with low pelvic growth) or often vaginal dysplasia (in women, this is the case for gynecological and urological problems). As the picture is unclear, additional consultation of a gastroenterologist and gynecologist is often necessary.

yaksho zagalny blood analysis showing the increase in the number of leukocytes in the blood (food rates of 9 for the duration of the vaginosity in women), and to indicate the manifestation of the ignition process. Iakshto appear, so the indicator perevischuє 20, є ymovіrnіst rozryvu appendicitis (peritonitis). Leukocytosis is diagnosed in 52% of cases of illness. It seems that there is a possibility of appendicitis (anamnesis or symptomatology in case of ailments often occur). The number of C-reactive cells in the blood also shows the presence of firing (the norm in older adults and females is 10 mg / l; Indicators of reactivity increase in 12 years after the cob is attacked.

Zagalny analysis of the sech in 25% of vipads (with pelvic and retrocecal appendicitis), showing the manifestation in these small number of retrocytes and leukocytes.

It’s not enough, and it’s just not enough to diagnose appendicitis, but to analyze and look at the patient with a surgeon, to carry out for further diagnostics and its appearance row instrumental doslіdzhen ... Most often ultrasound of the pelvic organs and laparoscopy. On the basis of ultrasound diagnostics, the laparoscopic method allows for the exact appearance of any pathology, and if the diagnosis is confirmed, appendicitis is immediately seen. Most often laparoscopy is performed on gallant anesthesia, Tom won a number of contraindications.

What is the problem of appendicitis and slowing down?

The appendicitis is not without its own acceleration, or rather, its inheritance. Bagato they represent a threat to the life and health of the people. To the same more important in the successful elimination of pathology and the reduction of the risk of death, it is timelessly brutalized to the drug early diagnosis.

Nayposhirenіshі accelerated appendicitis:

Indicators of the number of fatal diseases (deaths) for appendicitis significantly increase, in critical cases, it is appropriate for patients who require inconvenient help, Іf a sickness started on in different stages with folding peritonitis or pilephlebitis.

Important! If you are suspicious for appendicitis, you should be sure that you’re getting ready to get help right away from your mission! Tsey zhid can vryatuvati life! Until the likarsky look around, you can not put a grilka, let it be zealous or boring.

Lіkuvannya appendicitis - terminova appendicitis

Lіkuvannya to appendicitis - the tse of termіnova operation according to yogo vіdalennyu or apendectomy. The surgery should be carried out through one great growth (7-10 cm), or through three small growths (1 - 2 cm) by the laparoscopic method with an anesthesia.

In order to be able to make a difference, you can go to the McBurney point.

Earlier, we diagnosed ailments, and we are lighter than the operation for the patient.

There are frequent drops, if the surgery is already visible before the hour of the operation, there is no appendicitis, so it stops intraoperatively. differential diagnostics... I especially respect in the course of laparoscopy the approach to gynecological pathologies.

Vipadok z life. One patient underwent laparoscopy. In the course of the obstruction, they viyavili, scho the appendicitis was accompanied by the opening of the ovary.

Most of the respondents have a positive prognosis, It is difficult to imagine vipadki, if there is no more:

• abduction vik
• the manifestation of a great number of other chronic ailments (serious ailments of the heart, nirok, liver and other internal organs)
• the stage of ailment has been started.

Folded letters for appendectomy can be:

• internal bleeding
• pislyaoperatsiyna groin grill(Check in from the patient)
• Osvita infiltratyv
• internal abscesses
• Suppression of swine through infection
• Spike processes in the intestine, which can lead to fistulas (for visual appendicitis with diffused peritonitis)
• Kishkova imperfection (lyudina is suffering from small pains and from some of the insecure heritage)

period of operation

Immediately after the appendectomy for about 12 years it is necessary to lie down, with which it is not possible to eat and drink. If it is necessary, then a special drainage tube will be installed on the microprocessor, which is necessary for the introduction of the internal line and for the introduction of antibiotics. Її know already on the third, fourth day. During the last hour of the operation, drugs indicate the intake of antibiotic drugs.

Have a friend half of the first dobi You can drink a small amount of acidified water.

On day 2, you can eat low-fat kefir abo sir. It is already necessary to try and walk slowly and slowly. Active patients have a better chance of renewing their organisms.

On the 7th - 10th day, the operator will be familiar with the shvi.

Here, with a stretch of the author's needs, the child needs to be trimmed, and then it is possible to step-by-step introduce the food.

Before the hour of renewal, wear a tightening bandage and reduce the need for physical options(In any case, do not be heavy).

Important! period of operation For simple appendicitis appendicitis occurs 20 days before the month. If the operation was robbed by the lithuanian people, or they saw appendicitis with peritonitis, then for a renewed renewal of the body, it could take up to six months.

Appendicitis is a fiery process that is hostile to the worm-like outgrowth, spreading in the area of ​​the intestine, the whole outgrowth is called the appendix. Appendicitis, the symptoms of which can be seen in the depletion because of the fact that in the form of a rosette an ignition process is manifested, or in chronic, and in the remaining form of infection it does not occur so often, but in the main type of lack of cause of apathy, there is no reason

Zagalny description

Gostry appendicitis, on the view of chronic, is one of the most widespread ailments in surgery, through which patients are referred to the hospital. According to the winter data, it appears that in the middle, 5-10% of patients have gostriy appendicitis, and the cause of the aforementioned worm-like outgrowth is also mute in 5-10%. If I start to get closer to the number, then appendicitis develops in the middle in 6 people from a thousand. Most often appendicitis is diagnosed in children and in particular young vik(15-35 rocks).

With a state of the art of appendicitis, a negligible operation is required. Symptoms of a severe appendicitis are caused by an uncomfortable reaction and a wick to "shvidkoy help". The third morbidity and mortality rates, withering, appear as appendicitis in the middle of the disease in the middle 0.1% of patients. At the end of the day, there is a question about the need for the necessary treatment for appendicitis and the development of peritonitis, which itself, in its own way and in acceleration, can lead to a lethal result.

We are talking about anatomical specialties. The size of the appendix is ​​approximately 10 cm in height, and close to 7 mm in thickness. The appendix is ​​at my own ordered vlasnu brizhechki, where I can see the duplicates of the queue, in this brizhechki nerves, judges and adipose tissue... Likewise, for the rakhunok brizhechki, you will not be able to see the crumbling of the growth and the loss of time.

In most cases, the intestine and the appendix are located on the side of the right club area, I would like to admit and there are some options for roztashuvannya, written on them:

• Tazove roztashuvannya vidrostka... The growth grows in the middle of the empty small pelvis.
• Retrocecal growth of the growth... Growth growth is grown in the area behind the intestine.
• Growing up... Directly the growth of the upper, burn out the top, then, in your own heart, for a sufficient amount of growth of the growth you can reach the area of ​​the subhepatic space.
• Medial growth of growth... The growth of the spinal cord area of ​​the wall of the intestinal tract grows.
• Front rosetting of the sprout... Growth grows in front of the slit intestine.
• Lateral growth of the outgrowth. The outgrowth is located in the area of ​​the right lateral canal, along the lateral intestine.

It’s a special feature, like an inversion of organs (that’s “mirroring” growth), then the change of areas, in which the growth may grow, will be known not to the right, but to evil. Besides, the growth may grow beyond the spine, which, in its turn, becomes the reason for the failure of additional difficulties in the process of the operation. At the joke of a worm-like outgrowth, it is arranged on the flesh lines, all three, the stench of the bridles of the whole intestine, and the small intestine, in that number, will grow out. Appointments of myazovy lines may look like late meaty fibers, the stench appears in the quality of warehouse lateryazn_yazn_yazn_yazovy ball in tovst_y intestine. In the area of ​​the dome growth, the remaining lines converge, and the area, in which the center is growing, is in the area where the worm-like outgrowth comes in. The growth of the growth of the growth is mainly brought to a few centimeters below this dilenka, the de-club intestine flows into the intestine of the slime.

The walls of the appendix are to replace the spherical ball: the serous ball, the ball of the oysters, the mucous ball, and also the ball of the mucous. The gray ball of representations at the viglyadi of the queue, the muzovy ball includes the sub call ball on the basis of meat fibers and a circular inner ball. The ball of mucous membranes includes elastic and collagen fibers, and there are also no lymph follicles in it. The mucus of the appendix is ​​covered with simple, non-corrosive tubal valleys - chains of crypts, in which, in their own way, Panetovska clitini take revenge.

The appendicular artery will prevent the blood flow of the appendix, through the appendicular veins the venous venous will be prevented. There are also two types of nerve gossip in the appendix, the whole gossip (or Auerbach) and submucosal gossip (or Meissner). In the nerves there are parasympathetic and sympathetic fibers.

From the mucous appendix take a single ear of lymphatic judgment, with them from the skin ball of the appendix, the lymphatic, yak, into its heart, expand to the lymph regional lymph nodes in the new (winter apical lymph nodes)

Because of the fact that in the walls of the appendix there are lymph follicles in the great bites, the organ is not recognized as an inferior organ, but not the worm-like growth or the appendix - intestinal migdalina. It is still not clear in what the field of the functional sign of the appendix, we want to bring the endocrine, secretory and bar'erna function. It is also vidomo that the appendix takes care of the fate normal microflori in the middle of the intestine and in the form of general immune reactions.

Appendicitis: causes

There are few theories for the development of a severe appendicitis, and Ashoff's infectious theory is introduced. At the presentation of the theory, it will be explained that the gostry appendicitis is provoked for the rakhunok into the flow of the microfloria, which at the singing moment became virulent, so that it is infectious or pathogenic, so before that I get sick. Through the adjustment of virulence, which has become aware of the microflora, on the muck it is established in the fire of the battle. In the plinth hour, we will grow wider in decay, wickedly, by ourselves, having inflamed the entire appendix.

Falsely from the current ethiological factor Hostry appendicitis can be either specific or nonspecific. Nonspecific gostry appendicitis develops as a result of the inflow of nonspecific flora, in which such streptococci can be found, gut stick, Stafilokoki. If you are concerned about the specific nature of a gastric appendicitis, then you will accumulate a type of infection, for example, tuberculosis, dysentery, typhoid fever, etc.

The Crime of Infectious Theory also gives rise to the Sudan theory of the development of appendicitis, proponated by Rycker's theory. On the basis of the principles, on which the theory is prompted, the appendix will ignite through the spasm of the spasms, for the rakhunok of which the growth will be harried. In view of the early, infectious theory, during the development of a firing process, it is possible to develop from the area of ​​damage by the first and most common malignant process and the development of destructive forms of appendicitis, judgment

Infectious and Sudden Theory is not mutually exclusive, moreover, the stench is one for one in the sight of a picture of ailing. At the presentation of these theories, it is possible to identify factors that provoke the development of appendicitis, in the future there are such options:

• immunodeficiency;
• spasm of sudin, which is zooming in the development of necrosis in the apendix;
• obstructive processes in the growth of the growth, which lead to stagnation in the new (foreign body, worm infections, growth of lymphoid tissues, feces stones, deformation of the growth).

It is also possible to nominate such additional officials, as well as tied with the already meaning:

• destructiveness of children - in case of persistent manifestation in meat races in great quantities, which means vcheni, winikє is a larger risik for the development of appendicitis, in that hour like hunger, such a risik will quickly speed up;
• decline in mental capacity (with the manifestation of the type of antigens);
• Individual specialties, the power of the anatomy of the adder (back to the old adolescent, viginas in the new and in the bureaucrats, who wiked to stay together in the new);
• thrombosis of the artery, for the development of an adolescent malady, which is important for patients from the heart-vascular system, atherosclerosis;
• speedy mechanical mechanisms in organisms on the ground, alcohol, stress;
• transition from females from the appendages of the uterus to the appendix, so that they are in the nearness.

Appendicitis: classification

As it is already indicated, the appendicitis can be hospitable or chronic, and the skin from cich forms can be considered as variants of clinical and morphological types.

So, gostrian appendicitis can manifest itself in a prostate (abo catarrhal) form or in a destructive form (and phlegmonous abnormal phlegmonous appendicitis, apostematous appendicitis or gangrenous appendicitis).

In case of catarrhal appendicitis, there may be some signs of how to influence the growth of lymphoid and blood circulation in the adrenal tissue, in the mucous ball, the focus of the gnarly-exudative ignition process develops. Tse supravodzhutsya swelling of the appendix, as well as plethora of the serous membrane.

Through the progression of the catarrhal ignition process, destructive appendicitis develops. Through the addition of a cob to the development of the ignition process, an expanded infiltration is seen to all the growth of the sprout, and also a sign of phlegmonous appendicitis. The pathological form of the process is characterized by significant growths of the sprout, the growth of the growth, the vision of the gnarly secret through the appendix lumen.

In this case, it seems that it is diffusely superfluous to form multiple microabsces, such a form of pathological process develops, such as apostematous appendicitis, and if the mucous membrane is curled upwardly, then it is easy to apologize in such a form. With the further progress of pathological destructive processes, gangrenous appendicitis develops.

As a result of the development of fabrics in the developed growth in the actual process of development, the periappenditism develops, and if one gets the first breeze, then the mesenterolite develops. Yak accelerated, adolescent of appendicitis (in the main case of appendicitis of phlegmonous-inferiority), perforation of the appendix is ​​observed, and, in its turn, it becomes the reason for the development of abnormal rositis, abscess formation of peritoneal growth

In a number of forms of chronic appendicitis, there is a residual form, a primary chronic form, as well as a recurrent form. By itself, chronic appendicitis in vlastny interruption is superficially developed as a development of sclerotic and atrophic processes, which manifest itself without anterior appendix. In addition, there is also a small number of development of ignition-destructive changes with a larger growth in the stage and in the development of the growth of granulation tissue, adhesions occur, the stench of the same tissue is formed in the gray shells. As a result of the purchase of a serous line in the middle of the appendix, a cyst is formed.

Appendicitis: symptoms

The symptomatology of appendicitis in the main form of a patient, the area of ​​the appendix growth in the middle of the black emptying, the appearance / appearance of the accompanying pathological process is slowed down.

Symptoms of gastrointestinal appendicitis:

Bil. Danish symptom is the first and the main one in case of appendicitis. Localization of pain in the abdomen, I know, the same, lie down from the fact that the growth of the growth is de same. In the main, an ear of gallant appendicitis is accompanied by the appearance of pain in the upper part of the abdomen (this is more indicative of epigastric pain), the intensity of painful appearances at the end of the moment is weak, so that there is little pain. With a stretch of the first few years from the ear, show the sick person does not have a problem, because the new one has shown a bile, and the specialness is characteristic of a severe appendicitis.

After about 5-6 years from the moment of the ear, there is a large appearance in the abdomen with a form of appendicitis, the pain from the upper part of the abdomen to the right side is changed. The designated specialty is also characteristic of a severe appendicitis, with those who become ill, it does not appear. Bile in the right bout with appendicitis is manifested in the shape of a bend, the patient is brought up to the correct position through the intensity (sprout is the position of lying due to the legs bent in the knees).

Through those who are not growing up intensively, the ailments are growing old, and weakness and weakness head bill... In some cases of gastric appendicitis, appendicitis is accompanied by the appearance of pain in the legs (often in the right nose), and this symptom is also characteristic of appendicitis itself. For an hour of walking, the ailment gets magenta yakomoga less spiraling on the sore leg.

When the pain moves from the upper abdomen to the right club area, it appears as a Kocher symptom. With such special features, I know, the diagnosis of "gostry appendicitis" will be confirmed more melodiously. The meaning is the nature of the pains attached to the typical area of ​​the appendix rosette.

Yaksho maє misce tazove rosttashuvannya growth, then the localization of pain will be reduced in the area of ​​the lower abdomen. Yaksho maє misce subhepatic growth an outgrowth, then it would appear in the right side of the border, through which it is possible to get rid of the pain, which will appear with a gross cholecystitis. In addition, pechinkovy growth of the growth can be characterized by the broadening of the ailment to the area of ​​the right front. Yaksho maє misce retrocecal roztashuvannya That was to show up across the right-hander, with the extensions to the right side. Here, too, can be wandered for the other ailments, in the morning Ide about bele with nirkovy counts. medіalne roztashuvannya the growth of superficial pain appears in the navel. how relevant inversion of organs, This will be manifested, apparently, from the opposite side, to the side of the left club area, evil across, in the area of ​​the left edge.

An ear of corn may manifest itself with an increase in pain, but it may not be so strong in an hour, or it may be known. This is a special feature of the patient, because in case of a change / diagnosis of pain, gangrene of the appendix may be relevant. It is also allowed for the possibility of a vocal scenario, in which case it does not appear intensively, however, it did its best. Such a scenario is powerful when perforating the stem of the appendix.

Children and young people have a lot of dull beats, it's just a dull beat in the belly, which is trivial with a stretch of decilkoh years / dobi. Due to this particularity, the diagnosis of appendicitis can be complicated. As soon as the stomach is at the vagina woman, then it won’t be gone for a week or so for a week or so, so it’s also necessary to give you a lot of medical help.

Nudota blues. The nuisance can be manifested in the presence of a one-time vomit, such vomit does not bring patients lulling, it appears in the main on the peak of manifesting more symptoms. Behind the nature of the manifestation of bloating, it is not necessary to manifest itself as a reflex symptom, it can appear in the form of a zagalny sign, as well as on the development of an accelerated appendicitis, in the form of a periwinkle. If the blues reappear, then there may be a mother at a time of serious clutter up the life patient.

Dysuria. As soon as the basin is relevant, or retrocecal growth of the growth, then dysuria may develop (by the term, there is a breakdown of the reduction, zooming out in the main difficulties in the development of the cutting on the cold) In this particular type, dysuria is tied to the growth of the sprout of the slice mikhura or the right sekhovodu.

Parts of ridki viporozhnennya (carry). Basically, the symptom is manifested in children. When carrying it, it can develop and constipation, which can be accumulated by the actual paresis of the intestine (weakening of the rucous function of the myazovaya system on the basis of the deterioration of the nervous system).

Temperature. In case of severe appendicitis, the temperature is not even lower than the temple, at the same hour, and there is a possibility of becoming aware of the disease in those who are ill, which is accompanied by similar symptoms (the same nirkova kolka). In some cases, appendicitis manifests itself without fever;

In such a rank, it is possible for a short period of time, when the gostry appendicitis manifests itself in the main, when there is a severe pain in the abdomen;

An important detail, on the other hand, I respect you, є preventing the intake of any noxious drugs before the arrival of "good help", for that such a visit can be the reason for the blame of folding for an adequate setting of the diagnosis.

Gostriy appendicitis in children: symptoms

On the first rocks of life, gostry appendicitis in children is diagnosed viciously. In the main, it is diagnosed in people from 7 years and older. Symptoms that were seen earlier in the out-of-the-box picture of illness, so it can be a mother's day in children, as a rule, the picture of their illness is not very specific. See if you can show you how to get sick with children:

• blasphemy, dimness of the child, decreased appetite;
• belly stupid b_l in the area of ​​the right side;
• slightly adjustable temperature (in the range of 37 degrees);
• blues (you can get one-time or two-time, you can get out of the day);
• a specific posture in the knee when significant symptoms appear (with the knees pressed down to the abdomen).

Chronic appendicitis: symptoms

Gostriy appendicitis, yak chitach zmіg pomititi s describe a vishche, is characterized by a sharp development, with any rakhunok not just for a day, but for a year. In the main, in the form of hospitals, signs of appendicitis are given. Tim in an hour, chronic (pidgostrian) appendicitis is also not a blame, but for a new characteristic deyak of particularity. The dawn tends to be weakly varied, show symptoms and general development of ill health.

There are pains in the abdomen due to the nature of the manifestation of dullness and total tolerance, nudity, bloating and temperature may not appear.

One of the special features of chronic appendicitis is those who can end up with spontaneous weariness, for which it is practically impossible not to see it, but as if it were about stretching state form tsyo zhvoryuvannya.

Appendicitis: persha dopoga

Crazy, all the seriousness I will become an ailing people, winnin 'food, I can help you before the arrival of the qualified fakhivtsiv. Vidіlimo main come in, as to allow you to lie down for an hour in the zalnyy camp:

• Viklik shvidkoy help. This point, as vidomo, does not require special explanations, such an additional help is guilty, but mainly when symptoms of appendicitis appear. Nadal tse zhadaє operative involvement (from the front diagnostics of the patient).
• Until the arrival of the "shvidkoi" sick person, make a contribution to the lizhko. On the right boat, it is necessary to pay attention to ice. Warmth to live is an unacceptable option for appendicitis! Through the tse appendix, it can develop, which leads to peritonitis.
• Repeat: some noxious drugs before the arrival of "shvidkoy". It will also be possible to live and live until the end of the hour.
• Navit if the bile has subsided or it has died down - the drug is all one is needed in case of overwhelming symptoms! It’s already meant, I’m not talking about normalization, but, navpaki, you can vkazuvati on accelerated.
• It is possible to get rid of the intake of carried drugs, in the first place it is also possible to develop a sufficient growth of the appendix with a further development of peritonitis.

accelerated appendicitis

The main acceleration of the onset of appendicitis:

• Peritonitis To achieve serious acceleration by supervising the appendix. There is not only a chance in the world to speed up the chances of normalization and weariness, or alter and change of mind for a lethal result.
• Intestinal laxity. In terms of quality, it is a sign of how to influence on intestinal obstruction, onset of nudity, abdominal distension and bagatoraz blues.
• fiercely hot It is the enemy of the vein when other abscesses are established in the liver.

Appendicitis: diagnosis and treatment

First, let's go to the main method of treating appendicitis, and what about the previously mentioned need for operative involvement, it is necessary to diagnose, appendicitis is a problem. For a whole blood analysis (zagalny), as well as an analysis of the slaughter, the results of them, as a rule, are available with a stretch of blood. It is also carried out a look around at the surgeon, which is a trace of the viclast of the specialty of the Vlasny camp. It will be necessary to undergo an ultrasound scan, the girl / woman will be directed to the gynecologist (even if it is possible to diagnose the presence of uterine appendages ailment, which will be accompanied by similar symptoms).

Naivirnishim є the same look at the surgeon for setting up a diagnosis, when it is carried out the fumigation (palpation) of the regions. The only diagnostic methods are not additional, so that you can not see the appendix for an additional ultrasound scan.

Then, when the diagnosis is confirmed, the patient for the hospitalization. In case of an unclear picture, you can show a fallacy in the surgical visualization to be guarded by the dynamism of the camp. A laparoscopy was performed before the end of the day. For the whole, vicariously sickly sickness, a puncture is seen in the navel area, a laparoscope is inserted through which, into one's heart, a laparoscope is introduced, which allows you to look at the adroit.

If there is a need for an operation, then within the framework of the operation of the appendix it will be seen (called the operation "apendectomy"). Such a method of treatment is Vidalennya can be played classically, for an additional size on the right, in the club area, or even laparoscopically, for which three small sizes are to be scared. Laparoscopic overdrive is the most beautiful option, because the period of rehabilitation (to be renewed) is required to be promptly involved in a wide range of problems.

Appendicitis: pislyaoperative period

With a stretch of the first 12 years from the moment of the operation, the patients will be treated to the post-regime, and will be switched on for an hour. Even after 12 years, it is allowed to sit in a sled, turn over to the іnshiy bіk. If there is no boredom, then it is allowed to drink water with additional lemon (small portions, interval - 2 years). If you allow the license, then you can get up from the sled and walk on a friend in order to carry out the operation. It is possible to covet a shimmery dressing for an active roach regime, in addition, it also allows you to prevent prevention of blood clots in the veins. For the permissible intake, all information is given a licensed license. In terms of the main manifestations, such as provoking the need to receive food, when you feel hungry, gas, and the appearance of style and dullness - all of them are directed to those who function of the intestine.

Call up to other people for the operation to be allowed by the reception of the ridkoi їzhі, and the price of porridge, sіk, low-fat sir and kefir, the child of food. Ports are small, but not often 6 times a day. Until the third, add chicken meat, steamed cutlets, soup (low-fat broth). Ports are all too small, such a law, as the patient's self-esteem is normal. Already up to 8 o'clock you can get standard food.

The repair of the seams will be carried out in 7-8 after the moment of the operation. After 1.5-3 ms. it is allowed to go in for sports (big, sports dance, swimming, etc.). Important physical options are allowed in 3-6 ms. During the operation, an hour grows up, it is necessary in order for a thick scar to become established, and not to form a hairline in the development. It is necessary to have a scar, in the basis of which there is available fabric on, Z'yavlyaetsya itself stretching the rest of the designated term, tobto in 3-6 ms. writing operations.

With a theme є appendicitis і sex. Similarly, to play sports, for a day or so you will have a chance to have sex like that. You can take care of it only if the wound has healed residually. Apparently, to the nobility of the seamstresses and to the rest of the ranisex slid viclyuchiti.

If there is a non-proprietary term, then it can be seen that sprout can be found due to the specifics of the ignition process and as a result of the visibility / visibility, usually for a period of 16-40 days.

When symptoms appear, which are indicative of appendicitis, it is necessary to receive additional help, in the same way, to see the doctor and gynecologist (women).

Is everything correct in the statistics from a medical point of view?

Give an explanation only in the same way, if you have a medical knowledge

Amebiasis is a protozoan infection, which is characterized by changes in the area of ​​the intestine. Amoebiasis, symptoms of a popping sprout in the illumination of abscesses in small organs, schilic to protracted and chronic forms of interruption. Apparently, it’s endemic, apparently, it’s typical for a new diet of nutritional health, widening to grow in quiet areas, for those with a characteristic hot climate.

Gostrian appendicitis is a sequential ignition process of the affected enlargement of the slit intestine from the side. The form of congestion is seen as a raptus manifestation of symptomatic signs, which is indicative of the structural structure of the organ of the herbal system. bad luck medical aid lead to death.

specialties

Filled in a wormlike appendage, which is a vuzky appendage, є often develop pathological worm-like emptying. The appendage, which grows in the lower part of the abdomen from the right side, reaches up to 15 cm in length, 10 mm in length. The outgrowth of the intestinal mucosa is susceptible to the natural intestinal microflora, the form of the immune response of the endocrine system.

Sharpening of the appendicitis with a viclikano form of resistance to internal pathologies of organs in the worm, small pelvis, and herbal tract. Zapalennya sposterіgaєtsya with children, people of the average, kidnapped vіku. The positive dynamics of getting sick is possible only when the appendix is ​​visible.

Causes of the blame

The main reasons for gastric appendicitis є:

• blockage of the intestinal lumen;
• desecration of bloodsteps, destruction of venous vasculature;
• consumption of pathogenic microorganisms;
• mechanical preparation of the mucous membrane of the epididymis of the mucous intestine;
• infectious diseases;
• damage to natural intestinal microflora;
• improvement of lymph universities;
• wrong food;
• chronic constipation;
• evil chubby.

інфекційні, viral zvoryuvannyaє the reason for the hostile attack of the appendicitis in the case of pathogenic microorganisms entering the organism, which can be expanded to the point of burning the mucus membrane. Unbalanced food, in every day of the Ingredia, Bagati of the Klitkovinoy, the adoption of solid feces, Zmenshennya fast intestinal stinok. Regular constipation leads to stagnation of digested їzhі, then - clogging of the worm-like appendix enlightenment.

symptomatology

Gostrian appendicitis is characterized by raptus manifestations of recurrent symptoms of illness. The form of pathology can develop in 3 stages, so that symptoms appear in an hour: early (up to 12 years in Pershu dobu), stage of destructive changes (up to 48 years), pissed off (more than two days). Spared klinichnykh zmіn can be zavchasno until the ear is attacked.

Symptoms for gastric appendicitis є:

• pain syndrome in the right half of the club area;
• firm belly muscles;
• temperature adjustment;
• carry;
• zduttya, gas supply;
• nudota;
• dryness in mouth emptying;
• biliy mov;
• inappropriate smell from the mouth;
• frequent sighting of the slaughter;
• weakness, headache, decreased appetite.

The nature of the strong spasm is prickly, nasty, and the zone of localization of pain in case of gross appendicitis is epigastric viddil, the right side of the lower part of the abdomen. Zsuv spasm vidbuvaєtsya after 4 years or after the cob is attacked.

Intensity of responses to stagnate in the form of triviality zagging, individual features to the body. The pain syndrome develops as a pulsating, smoother character after the appendix wall is stretched out. Localization of the spasm may vary in fallowness due to the fact that the worm-like growth may grow: suprapubic in the abdomen, in the club area, on the right, on the edge, in the middle of the liver and in the middle.

The pain calms down when the epididymis is dead, as it is superfluous with pus. The bend of the nerve ends to produce severe spasms. Strengthened sposterіgaєtsya in the grip of the club part, napruzі m'yazіv tіla, rіzkіy zmіnі position. I am familiar with a severe appendicitis in a vaginal woman є spasms close to the navel area, under the ribs with significant sizes of the fetus. Zapalennya nerve end to produce up to the abdominal muscles.

Hyperthermics reach 38 ° C. Temperature fluctuations in case of severe appendicitis in young people are not spared to experience any particularities. The remaining stage of development is becoming ill, progressing is characterized by a subfebrile parameter close to 40 ° C. The deterioration of the process of overtraveling - bending is a symptom of becoming aggravated in older adults and children. The visibility of the meat fast, clogging the appendicitis through the removal of the nerve ends, lead to constipation.

Post-nudota and disposable blues in adults are a sign of sharpening. When attacked, children are spared to regularly see women, surplus children. For vagіtny women, it is uncharacteristic to show bluish positives. Dryness at the mouth, the appearance of a large amount of water is spontaneous in case of progressed ailment. Signs of intoxication are seen at the last stage of the firing of the worm-like outgrowth.

see the sharpening

The basis of the classification is based on localization, a step in the reduction of the mucous membrane of the outgrowth. Types of gostik appendicitis є:

• localization:
• typical;
• atypical;
• development steps:
• phlegmonous;
• perforated;
• perforated.

Atypical view of the classification of patients with appendicitis is of the type: viscid, retrocecal, pediatric, medial, pelvic. The growth of the wormlike appendage is deposited as individual features of the organism. Form zagvoryuvannya behind the step of development - catarrhal, destructive, gangrenous appendicitis.

A simple kind of zagvoryuvannya sposterіgaєtsya stretching 12 years for a cob of sharpening. The destructive form of gross appendicitis is the widening of the ignition process along the entire surface of the mucous membrane of the appendage, the breech filling, the urazhennya emptying. Gangrenous type - necrosis of the nerve end, pus in the gut of the intestine. With a perforated form, the diagnosis is accelerated - the diagnosis of peritonitis.

diagnostics

When the first ones appear, a consultation is needed. Until medical aid is given, it is not possible to take antispasmodics, it is not possible to diagnose patients with pain. Self-reliance should be brought to the progress of pathology, there will be an acceleration. Zahvoryuvannya is diagnosed in the inventory of signs carried out around the patient. Visual contact transferring abdominal swabbing for pain relief, muscle tone.

In case of scars on strong spasms of the drug, carry out the first diagnostics for the manifestation of signs characteristic of a hostile attack of appendicitis:

• spasms of the general onslaught on life and rapid release;
• making it easier to see responses with physical new options;
• a diagnosis of pain in the shlunk when the onslaught on the right side.

Find out about the active signs of the value positive reaction on the sharpening in the fallowness of the appendage rosta: type, atypical (retrocecal, pelvic). Symptom Bartolom'yu-Michelson is susceptible to a fiery appendix, stretching of the peritoneal membrane when it is rosted on the front of the body, if there is an onslaught on the midsection of a spasm. The development of nerve ends, which leads to severe pain, - showing the obviousness of the sign of Shhotkin-Blumberg.

The change in the position of the appendix before the hour of physical exertion, the reduction of the lower symptoms of spasm (Cope's symptom, Zatlere). When the pressure is on, I respect the frequent heart rate: during the development of a severe appendicitis, the pulse advances by 10-15 strokes into the chilin. In case of atypical pelvic discoloration, vigorous ailments are positive until the intestines are emptied, seeming, and gas dissipation.

For an accurate statement of diagnosis, additional methods are used to diagnose it. Blood donation and section for laboratory analysis is carried out for the purpose of determining the presence of the internal ignition process for the advancement of leukocytes, the appearance of erythrocytes.

І instrumental methods of diagnostics of appendicitis є:

• rectal, vaginal dosage;
• radiography;
• ultrasound dosage;
• Computer tomography;
• іrigoscopia.

Dodatkova diagnostics is carried out for the diagnosis of possible internal pathologies, whose symptoms are associated with signs of a severe appendicitis. Before a disease, similar to the manifestation of an attack of a worm-like outgrowth, the attack of the area of ​​the cells, twelve-fingered intestines, flesh-like gut, post-mortem vaginism, nirkov, intestines and shlunkov

Roentgenoscopy reveals clogging of the appendix, signs of a structural change in the mucous membrane of appendicitis. The preadopted method of preliminaries is rigoscopy, which is the allowance for the introduction of contrasting speech before the optimization. Computer tomography black emptying appears to be rostered, feet, character burned, perforated appendage. A safe method of providing for older people, young children, and vaginal women is ultrasound dosage, which allows for more structural change in the appendix, rather than buying a family in the right groin depressions.

Laparoscopic drowsiness is straightforward to the appearance of bends, sympathetic symptoms in case of aggravated appendicitis.

Apparent internal manifestations of the appendix firing є:

• decreased speed-sensing function of the epididymis;
• shrinkage of structure, improvement of the appendix;
• the appearance of gn_jynik_v, postgenic blood-bearing vessels;
• change to the color of the sprout;
• internal intestinal bleeding;
• Infiltration of the Brigade.

Laparoscopy of the transfer of the optical probe through the opening in the abdomen. A camera has been installed allowing a detailed view of the organ exercises.

Significant for the procedure є the appearance of recurrent symptoms of pathology, the manifestation of symptoms characteristic of acute appendicitis and red diabetes, Pathology of gynecological straightening, obesity.

ways of lіkuvannya

If the ailment is due to spasms in the right club area, a diagnostic test is carried out for an inconvenient additional help in case of a state of appendicitis, if a patient is looking for it.

surgical treatment

The main method of therapy is an operation without involvement. Hirurgic necropsy of gallant appendicitis transmission of vision of a burnt wormlike appendage due to the use of other medical methods:

• classical (vidkrita) apendectomy:
• pararectal access;
• zminny;
• transverse;
• lower-middle;
• laparoscopic appendectomy.

Vibir to the method of treatment of grievous appendicitis is due to the triviality of conservative symptoms, the nature of the ignition process, and the appearance of acceleration. The surgical procedure is carried out with anesthesia. Classical apendectomy is the transfer of abdominal growth from the right side of the club depression by different methods of laparotomy, which can be seen in a small way to see appendicitis and the joint suture. In the process of carrying out the operation, it is necessary to assess the organic emptying of the mucous membrane and the internal pockets penetrated with pus through the fired mucus membrane of the epididymis.

Laparoscopic apendectomy in case of gross appendicitis is transmitted through an opening in the abdomen, not more than 10 mm in size, possessed by a camera to guard and endoscopic instruments behind an additional empty tube. During an hour of minimally invasive operating techniques, it is not possible to prevent infection of wounds from becoming infected, to decrease big porig in the period of renewal, the hour of rehabilitation changes. Laparoscopy is contraindicated for vaginal women who are last terms, Patients with pathologies of the heart-vascular system.

conservatively

An alternative method of surgical engagement is taking antibacterial medications for gastric appendicitis.

The main antibiotics, which are recognized in the period of treatment, are:

• Dalatsin;
• Metrogyl;
• thienam;
• imipenem;
• Meron.

Antibacterials can be introduced internally or internally. Acceptance of the drug is indicated to patients who may be contraindicated before the surgical intervention. negative side conservative politics Not an allowance for a burning hot appendicitis, a possible relapse of a sickness.

renewal period

The triviality of the period of renewal is due to the nature of the severe appendicitis, the other methods of treatment, specific features, fellow sickness... Trivial reabilitation spostering at the young and older children. The hour of renewal is from 14 to 30 days. If the threads did not get wet, then the seam is marked by the end of the period of surgery. During the period of rehabilitation, you can temporal temperature, Yaka begging for help from fever-lowering, antibacterial drugs.

When the operation was carried out because of the visceral appendicitis, it is difficult to get involved in sports; alcoholic drinks stretching for an hour, established by the doctor for the diagnosis. For the normalization of the functioning of the organs of the herbal system and it is necessary to take care of the dietary activity.

accelerating

When performing a surgical intervention on a fired appendix, it can be delayed, as it appears during an operation, or during the renewal period.

Before unfailing heritage Introduce:

• intestinal bleeding;
• іnfіltrate of the cranial stem of the appendix;
• gn_ynik;
• intestinal fistula;
• abscess;
• pylephlebitis;
• peritonitis;
• blockage of intestinal lumen.

early for operational accelerationє intestinal bleeding and education. In the course surgical treatment appendicitis can be bleeding through a pooled sudin living talk in the adrostok. Osvita gorge in the joint of the suture to inform about the purchase of ridini, obhortuvannya intestinal loops of the appendage in the case of an unfortunate operation on thymus appendicitis. Accelerated acceleration is promoted through individual features of the body.

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Gastroenterologist, professor, doctor of medical sciences. It means diagnostics and carrying out treatment. Expert group z vivchennya zapalnykh zahvoryuvan. Author of 300 scientific robots.