Wannan ƙaddarar ya ƙare a cikin ƙaramin rubutun vermiform. Wannan ɓangare na jiki shine abin da ake kira da ake kira appendicitis, ainihin aikinsa bai riga ya bayyana ba. Abubuwan da ke shafi su ne mai saukin kamuwa da matakan da ke faruwa a kowane zamani, ciki har da lokacin jariri.
Za a iya samun appendicitis a cikin yaron?
An gano lafiyar gwaji a cikin yara, musamman shekaru 5-15. Wasu iyaye na jarirai, suna lura da alamun alamun cutar, sunyi shakku ko za a iya samun appendicitis a cikin ɗayan shekara guda. Amsar wannan tambaya ita ce tabbatacce. A wasu lokuta ana nuna lakabi ko da a jarirai.
Appendicitis a cikin yara - haddasawa
Duk da haka babu likita da zai iya bayyana ainihin abubuwan da suke haifar da cutar da aka bayyana. A zahiri, abubuwan da ke jawo kumburi na shafi sun ƙunshi aukuwa guda biyu na yanayi 2:
- ƙuntatawa na shafi;
- gaban microflora pathogenic a cikin caecum.
Ƙwararren ƙira a cikin yara
Tsarin ginin jiki ba zai iya faruwa ba saboda dalilai da dama. Aiwatarwa a cikin yara ya fara zama tare da:
- Ƙasashen waje a cikin caecum;
- parasitic infestations;
- hyperplasia na lymphoid follicles;
- Abubuwan da ke faruwa a cikin tsari ko wuri na kwayoyin;
- zane-zane.
Kumburi na shafukan da aka fara da cecum ya fara bayan da aka ɗauka na furen kwayan. Wannan ya dace da wannan yanayin:
- canzawa cikin cututtuka;
- low aiki na tsarin rigakafi;
- matakan ƙwayoyin cuta a yankunan da ke kusa.
Yayinda yake a cikin yara
A bisa mahimmanci, akwai nau'i mai zaman kanta da na sakandare na irin wannan yanayin ilimin pathological. Yawancin likitocin sun ƙaryata game da ciwon kullun da ke cikin kwakwalwa, saboda irin wannan mummunan cututtukan cututtuka yana dauke da kawar da wani nau'i mai juyayi. Hanyar magunguna na jiyya da kuma lokuta na taimako na rashin tsari na tsari na marasa lafiya ba su kasance ba.
Ra'ayoyin yara suna da ƙananan ciwon haɗari na kwaskwarima - cututtuka na cutar sun bayyana bayan watanni da yawa bayan aiki. Kwayar cututtukan cututtuka sunyi kama da mummunan yanayin, amma ba a san su ba, "sun damu". Don ci gaba da wannan nau'i na ilmin lissafin jiki, dole ne a samu kututture daga ɓoye na shafi, kimanin 2 cm a tsawon.
Appendicitis a cikin yaro - bayyanar cututtuka
Yana da wuya a yi tunanin ƙwaƙwalwar da ake dauke da ita a cikin yara, musamman a lokacin da aka fara, lokacin da jariri ba zai iya kwatanta kansa ba. Alamar ƙonewa na abubuwan da aka ɗora a cikin yaro ba su da mahimmanci fiye da wanda ya fara girma. Anyi amfani da irin maganin kututture a cikin yara ba a cikin yanki na musamman ba, yankin iliac ne kawai. Yana iya samun wasu shirye-shirye:
- retrocecal - a baya da cecum;
- rashin lafiya - kusa da gallbladder;
- pelvic - a cikin yankin da kugu.
Saboda irin wannan nuances, yawancin iyaye ba su san yadda za su iya gano appendicitis a cikin wani yaro ba , kuma su haɗa da alamar da ke nunawa a cikin yara da cututtuka da ke da irin wannan hoto. Saboda wannan dalili, yana da mahimmanci kada kuyi ƙoƙari don yin ganewar asali da kanku kuma ku nemi hanyar maganin gida. Idan akwai wani bayyanar cututtuka, dole ne ka tuntubi likitaccen likita.
Alamun farko na appendicitis a cikin yara
Wani hoto na asibiti na al'amuran al'ada shi ne sananne a cikin hali da lafiyar jariri. Na farko bayyanar cututtuka da appendicitis sun hada da:
- rashin tausayi;
- lalata;
- irritability;
- lalacewa na ci;
- kariya;
- rikici;
- Nausea ;
- vomiting;
- dashi ;
- ƙara yawan yawan zafin jiki;
- zafi a cikin ciki, ƙananan baya.
A cikin jarirai ya fi wuya a tsammanin appendicitis - cututtuka a jarirai:
- Kullun da kuka yi kuka;
- haddi;
- juya a gefen hagu;
- rashin ci;
- vomiting;
- tsayayya da m;
- yunkurin cire masa ƙafafunsa, sun durƙusa a gwiwoyi, zuwa ciki.
Pain in appendicitis
An bayyana alamun bayyanar cututtuka na cutar a sassa daban daban na jiki, dangane da wurin da aka kwatanta da vermiform. Alamar aikace-aikace a cikin yara dole ne ya ƙunshi ciwo mai zafi, wanda aka ji a cikin ɗaya daga cikin waɗannan yankuna:
- Alamar kwakwalwa;
- kewaye da cibiya;
- yanki iliac;
- ƙananan ciki;
- kasan baya;
- sama da pubis ko a cikin m;
- kusa da hanta.
Sau da yawa yaro ba zai iya bayyana daidai inda ya ji zafi ba, kuma yana nunawa cikin dukan ciki. Rashin jin dadi a yara a wasu lokuta yana cirewa zuwa wasu sassan jiki:
- perineum;
- baya;
- kwayoyin halitta;
- ciki;
- ƙafãfunsu;
- ureter;
- madaidaicin.
Temperatuur tare da appendicitis
Ba a ɗauka zafi a matsayin wata alama ce ta mummunan ƙwayar tsarin ƙwaƙwalwa cikin yara. Sakamakon jikin jiki ba hanya ce mai mahimmanci ba yadda za a gane appendicitis a cikin yaro. Hanyar ilimin lissafi a lokacin da ya fara tsufa yana ci gaba da sauri, saboda haka tsarin rigakafin ba ya kula da shi a duk lokacin da zazzabi ko zazzabi. Hakanan yanayin zafi yakan haɗa da appendicitis - alamar cututtuka a cikin yara suna iyakance ne kawai ta hanyar ciwo da cututtukan dyspeptic. Heat yana faruwa a wasu matakai na baya, lokacin da aka ƙaddamar da shafi.
Alamun peritonitis tare da appendicitis
Saboda matsaloli masu wuya a bincikar maganin ilimin likita, yawancin yara sun shiga asibitin riga sunyi mummunar cutar. Peritonitis tare da appendicitis a farkon shekaru (2-5 shekaru) yayi girma kusan instantaneously, wani lokaci daga lokacin kumburi don rupture na tsarin da aka dauka kawai a cikin 'yan sa'o'i. Musamman bayyanar cututtuka na wannan yanayin:
- sosai jiki jiki, har zuwa digiri 40;
- alama alama kumbura ciki;
- pallor na fata;
- Tsare-tsare;
- tsananin ciwo mai tsanani a duk yankunan ciki;
- mummunan zubar.
Rarraban aikace-aikacen appendicitis a cikin yara
Wannan cututtuka sunyi nazarin likitoci sosai kuma suna cikin ƙungiyar pathologies tare da jarabawa mai kyau. Dalilin da yasa likitan zai iya rikitarwa shi ne cewa an nuna rashin bayyanar cututtuka a cikin yara ko an gano latti. A irin waɗannan lokuta, tsarin ƙwayar cuta yana ci gaba sosai da sauri kuma yana haifar da sakamakon haɗari. Aiwatarwa a cikin yaro zai iya haifar da matsaloli masu zuwa:
- abscess - ƙuruwa a cikin rami na ciki;
- sepsis - shigar cikin jini na kwayoyin cuta, cututtuka na kowa;
- perforation na appendix - peritonitis;
- ƙuntatawa na hanji - hani ;
- appelicular infiltration - ƙuntataccen ƙonewa na peritoneum;
- m adhesion - haɓaka na nama mai launi.
Yaya za a tantance da ƙumburi na shafi?
Latsa, gurgu kuma jin ciki a cikin yara tare da tuhuma da cututtukan da aka bayyana sun haramta sosai. Kumburi na aiwatar da wannan cecum ya kamata a bincikar da wani gwani, sabili da haka, a wata alama kadan na cutar, yana da muhimmanci a tuntuɓi asibitin nan da nan. Yana yiwuwa a ɗauka wannan yanayin ta hanyar wasu alamun gani na musamman.
Yadda za a ƙayyade ƙonawa na shafi a cikin yara - gwaje-gwaje masu sauki:
- Przewalski. Yana da wahala ko mai raɗaɗi ga yaron ya ɗaga kafafunsa na dama.
- Rizvan. Tare da zurfin motsawa, rashin jin dadi a cikin iliac yankin yana ƙaruwa.
- Sitkovsky. Ƙin ƙarfin jin zafi a matsayi mafi kyau a gefen hagu.
- Karavaeva. Ƙara rashin jin daɗi a lokacin tari.
- Zatler. Yankan ciwo a yankin iliac lokacin da aka kafa kafafun kafaɗɗen kafa na tsaye a matsayin wuri.
Bugu da ƙari, an tabbatar da appendicitis ta bayyane bayyanar cututtuka a cikin yara da aka lissafa a sama. Idan yaro yana da daya ko fiye daga cikin waɗannan alamun wariyar launin fata, yana da muhimmanci a yi kiran gaggawa a cikin tawagar likita. Idan ba tare da isasshen isasshen ba, tsarin ƙwayar cuta zai ci gaba da sauri, haifar da peritonitis da sauran matsalolin haɗari.
Asibiti yana amfani da hanyoyin da za su bincikar appendicitis a cikin yara:
- duban dan tayi.
- radiyo;
- Irrigoscopy ;
- Kwamfuta ko na'ura mai kwakwalwa;
- radionuclide bincike.
Lokacin da za'a iya tabbatar da ganewar asali daban-daban, kuma lafiyar yaron ya ci gaba da sauri, ana bada shawarar laparoscopy. Wannan ƙwaƙwalwar bazara mai mahimmanci ya ba mu dama mu bincika yanayin shafukan tare da kyamarar microscopic. Sau da yawa maganin laparoscopy ya juya cikin maganin warkewa.
Hoto don appendicitis
Ana cire takardun bayanan bayan wani ɗan gajeren maganin maganin rigakafi. Magungunan antimicrobial ya taimaka wajen kawar da kullun da ke cikin shafuka kuma ya sauƙaƙe da rashin haɓaka, rage matsalolin cutar. Ana iya aiwatar da sa hannu a cikin hanyoyi biyu:
- Bude (na gargajiya) hanya. A cikin ƙananan ɓangaren ƙananan ciki an yi wani ƙananan haɗari tare da ɓacin rai, ta hanyar da aka cire abin da aka shafi shafi. A rauni ne sutured, wani lokacin malalewa an shigar a cikinta don saki bluelent talakawa da wuce haddi ruwa. Bayan kawar da bayyanar cututtuka na kamuwa da cuta, an cire bututu, kuma ana amfani da gyaran kwalliya tare da magunguna don maganin warkarwa.
- Hanyar Laparoscopic. Kwararren yana samun damar yin amfani da shafuka ta hanyar 2-4. Ɗaya daga cikin su ya gabatar da kyamaran microscopic, wasu - kayan aiki na musamman. Wannan fasaha na tiyata ba shi da zafi sosai kuma yana da lokacin jinkiri, amma ya dace ne kawai ga ƙananan ƙwayoyin appendicitis a cikin yara, lokacin da babu alamar cututtuka da rupture daga cikin shafi.