Appendicitis: komwe kuli, zizindikiritso, maopareshoni ndi zakudya

M'nkhaniyi, tiona komwe appendicitis ili, ganizirani za zizindikilo za kutupa kwa amayi akulu, abambo ndi ana. Appendicitis ndikutupa kovuta kwa zowonjezera, zowonjezera za cecum. Njira yayitali iyi ya masentimita 9 imakhudzidwa ndikupanga madzi am'matumbo, imapereka kutulutsa kwa maselo am'magazi, omwe amachulukitsa chitetezo chokwanira ndikubwezeretsa matumbo a microflora owonongeka ndi matenda akulu.

Mphamvu ya ntchitozi zakumapeto kwa thupi la munthu ndizochepa, koma kutupa kwa zowonjezera, zomwe zimawoneka pazifukwa zosiyanasiyana, ndizowopsa kwa anthu. Pofuna kupewa mawonekedwe osafunika, pakufunika kuzindikira matenda a appendicitis ndikuchita opareshoni.

Ngati simukudziwa komwe kuli appendicitis, kumbukirani kuti pafupifupi munthu aliyense ali ndi cholozera m'mimba chakumanja chakumanja. Koma pali nthawi zina pamene appendicitis imakhala ndi malo akumanzere.

Kudziyesa nokha kwa njira yotupa

Kuti mudziwe njira yotupa, mutha kudziwa nokha matendawa. Pogwiritsa ntchito malangizo otsatirawa, mutha kuchita izi mosavuta. Chitanipo kanthu mosamala momwe mungathere, apo ayi mukuwonjezera vutoli.

Chidziwitso chake ndichachidziwitso chokha, kumbukirani, kudzipatsa nokha mankhwala ndikowopsa!

• Gwiritsani ntchito zala zanu kuti musunthire bwino kumanja pafupi ndi iliamu. Ngati palpation imawonjezera kupweteka, kuthekera kwa appendicitis ndikokwera. Kuti mutsimikizire izi, chitani zomwezo kumanzere. Ndi kutupa kwa zakumapeto, pamakhala kupweteka pang'ono kapena ayi.
• Tsokomola. Pamene kutsokomola, kupweteka pa appendicitis kumawonjezera. Ingotsokomola mosamala, apo ayi zoyipa sizingapewe.
• Pachimake appendicitis amathanso kupezeka ndi kufinya kwamanjedza m'chigawo cha iliac. Dinani pansi ndikugwira. Ngati kupweteka kumachepa ndikuwonjezeka kwambiri mukachotsa dzanja lanu, izi zikuwonetsa kutupa.
• Ugone kumanzere kwako, chifukwa chake, kupweteka kumachepa. Ngati, pambuyo popita mbali inayo, kupweteka kumakulirakulira, izi zimawerengedwa ngati cholengeza choyamba cha appendicitis.

Ngakhale zotsatira za matendawa sizikutsimikizira kuti zakumapeto zili zotupa, onetsetsani kuti mwawona dokotala wanu. Ngati njira yotupa ipezeka, mudzapewa zotsatira zambiri.

Zizindikiro zoyamba za appendicitis mwa amayi, abambo ndi ana

Matenda aliwonse, kaya ndi herpes, cystitis kapena chickenpox, ali ndi zizindikilo, komanso matenda a appendicitis nawonso. Ganizirani zizindikilo za appendicitis mwa amayi, abambo, ndi ana. Koma choyamba ndiyang'ana pazifukwa. Monga machitidwe akuwonetsera, sikuti aliyense ndi amene watentha njirayi ndipo pali chifukwa chake izi.

Zoyambitsa ndi mitundu ya appendicitis

Chimodzi mwazofalitsa chimakhala chifukwa chofala. Acute appendicitis imatsagana ndi mawonekedwe am'matumbo am'magazi a mabakiteriya a pyogenic, omwe amakhala bwino m'matumbo, ndipo amakhala ndi mawonekedwe am'magazi motsogozedwa ndi zinthu zamkati ndi zakunja. Mwa iwo:

1. Kupondereza kwa lumen ya zakumapeto, zovuta zobadwa nazo, matupi akunja, miyala yachimbudzi ndi zotupa.
2. Zolephera zam'mimba zomwe zimadyetsa khoma lamatumbo. Kuchepetsa magazi m'makoma kumathandizira kuwonekera kwa stasis yamagazi, yomwe imabweretsa necrosis ya zowonjezera.
3. Kuchepetsa kuchepa kwa makoma am'mimba, omwe amatsagana ndi mamvekedwe ochulukirapo komanso kukulitsa kwa kuwala.

Nthawi zambiri, appendicitis imayamba mwa anthu omwe ali ndi vuto lakudzimbidwa, matenda opatsirana komanso matenda amtima. Kutupa kumachitika mwa amuna omwe amamwa mowa mwauchidakwa ndi ndudu, ndipo mwa amayi ndi chifukwa cha matenda opatsirana azimayi. Ana, kuukira akufotokozera motsutsana maziko a zilonda zapakhosi kwambiri kapena kobadwa nako kuchepetsa wa cecum.

Pali pachimake ndi matenda mawonekedwe a appendicitis. Nthawi zambiri, anthu amakumana ndi mawonekedwe owopsa, omwe amadziwika ndi zizindikilo zowopsa. Mawonekedwe osachiritsika ndi osowa ndipo ali ndi zizindikiro zobisika.

Kupweteka kwam'mimba ndichizindikiro chachikulu. Koma palinso olengeza ena a vutoli. Ndikukulangizani kuti muwerenge mafotokozedwe awo.

• Kupweteka pamchombo... Chizindikiro choyamba cha pachimake appendicitis. Kupweteka kumachitika m'mimba popanda malo. Matendawa ndi okhazikika, omwe amadziwika bwino kwambiri ndipo amakula nthawi yakukhosomola.
• Nseru ndi kusanza... Zomwe zimasanza zimaphatikizaponso chakudya chomwe chidatengedwa kale pamodzi ndi bile. Ngati m'mimba mulibe kanthu, amafanana ndi ntchofu zachikaso. Kusanza ndi appendicitis kumayankha ululu, limodzi ndi kuwonongeka kwa njala.
• Kutentha kumakwera... Nthawi zambiri, mnzake wa appendicitis amakhala ndi malungo. Kutentha kwa thupi sikukwera kuposa madigiri awiri, koma pali zosiyana.
• Matenda am'mimba... Kuchulukitsa kuledzera kumabweretsa vuto la defecation. Pa nthawi imodzimodziyo, kukodzanso pafupipafupi kumawonekeranso, komwe kumachitika chifukwa chokhudzidwa ndi matenda a chikhodzodzo. Mkodzo ndi wakuda, wonenepa.

Nthawi zambiri, kutupa kwa zakumapeto kumatsagana ndi ululu wofatsa, womwe umakwaniritsidwa ndi zizindikilo zomwe sizili pandandanda pamwambapa. Kuchepetsa ululu kumathandizira kuchepetsa ululu.

Opaleshoni kuti achotse appendicitis

Chithandizo cha appendicitis chimachitika mwachangu ndi opaleshoni. Njira yothandiza kwambiri yothandizira pochotsa opaleshoni ndikuchotsa kwazowonjezera zakumapeto, zomwe dokotala amachita. Kuchita opaleshoni ya laparoscopic kwayamba kutchuka, komwe kumaphatikizapo kuchotsa zakumapeto paboola tinthu tating'onoting'ono m'mimba.

Tsopano muphunzira momwe opareshoni yochotsera appendicitis imagwirira ntchito. Mutawerenga nkhaniyo, mumazindikira zomwe mudzakumane nazo pakagwa tsoka. Koma ndikhulupilira izi sizichitika.

Opaleshoni ya laparotomy

1. Kuchita opaleshoniyo kumachitidwa pansi pa oesthesia wamba kapena oesthesia wamba pogwiritsa ntchito cheke yapadera. Pambuyo pa njira yotsegulira m'mimba, dokotalayo amapeza zowonjezerazo ndikuyang'ana malo a ileocecal. Kuphatikiza apo, ndondomekoyi imachotsedwa pachilondacho, kuphatikizidwa ndikugwiranso ntchito, kenako uthengawo umachotsedwa.
2. Dokotala amapaka katoni kuzu wazowonjezerazo ndikudula njira yomwe ili pamwambapa. Kenako amagwiritsidwa ntchito ma suture apadera, m'mimbamo "amatsukidwa" ndipo bala limasulidwa. Pambuyo pa opaleshoni, kutentha kumakwera kwa sabata.
3. Tsiku loyamba pambuyo pa opareshoni, tikulimbikitsidwa kuti tigone, kumwa mankhwala osokoneza bongo, kupaka kuzizira pachilonda. Ngati palibe zovuta, sizingatenge masiku opitilira awiri kuti abwezeretse matumbo.
4. Pakakhala zovuta, pakadutsa maola khumi ndi awiri amaloledwa kudya chakudya ndi zakumwa zamadzimadzi. Palibe chakudya chapadera pambuyo pa opareshoni, koma tikulimbikitsidwa kuti tibwerere ku zakudya zachikhalidwe pang'onopang'ono.

Opaleshoni ya laparoscopic

Kuchita opaleshoni yovuta kumakhala kopweteka kwambiri. Koma ali ndi njira ina. Zipangizo zamakono zimathandizira kuchotsa zakumapeto kudzera pakamwa kapena kumaliseche.

• Zida zimabweretsedwa kudzera pakamwa mpaka pomwe zimachitika. Dokotalayo amapanga kabowo kakang'ono ndikulowa m'mimbamo. Kenako, zowonjezera zimachotsedwa, koma palibe masutelo omwe amagwiritsidwa ntchito.
• Njira yochiritsira appendicitis ili ndi maubwino angapo, kuphatikiza: nthawi yayitali pambuyo pochita opaleshoni, kuchira mwachangu, zovuta zochepa, kutuluka mchipatala m'maola ochepa.

Izi ndizongodziwitsa chabe. Musaiwale za thanzi komanso tsogolo la munthuyo. Dokotala wochita opaleshoni yekha ndi amene angachotse zakumapeto ndikuonetsetsa kuti achira msanga.

Zakudya pambuyo pa kuchotsa appendicitis

Pambuyo pochita opaleshoni ndikuchotsa zakumapeto kwakanthawi, tikulimbikitsidwa kutsatira chakudya chapadera, apo ayi zovuta ziziwonekera. Sikuti wodwala aliyense amatsatira malangizo a dokotala ndikusintha zomwe amakonda. Ndipo izi ndizotsutsana ndi maziko akuti sizovuta kutsatira izi.

Njira zopangira opaleshoni ndizovuta kwambiri mthupi. Zotsatira zake, malo osungira amkati amagwiritsidwa ntchito, zomwe zimapangitsa kukhala kosavuta kusiya chakudya wamba. M'tsogolomu, chakudyacho chimakhala chosiyanasiyana.

Ndi anthu ochepa okha omwe amatsata chakudyachi. Zotsatira zake, anthu ambiri omwe adachitidwapo opaleshoni amakumana ndi zovuta za nthawi yayitali ndikuchira m'mimba. Izi zitha kupewedwa potsatira malangizo azakudya.

1. Idyani chakudya chochepa. Kupumira pakati pa chakudya sikuyenera kupitirira maola atatu. Chifukwa cha njirayi, dongosolo logaya chakudya limagwira ntchito ndi wotchi, yomwe imathandizira kukhala ndi moyo wabwino.
2. Ngati sikutheka kuphika chakudya pafupipafupi, samalani koyera mwana. Ndicho, mutha kutsitsimula nthawi iliyonse. Popeza sikoyenera kudya nsomba ndi nyama pasanathe mwezi umodzi kuchokera ku opaleshoniyi, chakudya chotere chimapatsa thupi ma calories.
3. Siyani kudya fiber kwa sabata. Malinga ndi akatswiri azakudya, pakadali pano ndi bwino kuthana ndi njala ndi zakudya zomwe sizikusowa kugwiritsa ntchito mkate. Tikulankhula za puree wa masamba ndi msuzi wopanda mafuta ambiri.
4. Lowetsani zopangira ufa mu zakudya zaka makumi atatu kuchotsedwa kwa appendicitis. Sikuti aliyense amapambana kukwaniritsa lamuloli. Ngati muli ndi vuto lotere, sinthanitsani maswiti ndi jelly kapena zipatso puree.
5. Zakudyazo zimakhala ndi zovuta. Ndizokhudza kufunika kowerengera zopatsa mphamvu. Chifukwa cha kuwerengera koteroko, thupi limakwaniritsa mphamvu komanso magwiridwe antchito bwinobwino.
6. Mukamawerengera kuchuluka kwama calories, lingalirani za moyo ndi magawo ena. Kuchita wekha ndizovuta. Kutembenukira kwa katswiri wazakudya kuti akuthandizeni, mupeza yankho lavutoli nthawi yomweyo.
7. Kuti chakudya cha tsiku ndi tsiku chisakhale ndi mbatata yosenda, ndikupangira kukonzekera pasadakhale zomwe ndingadye. Nyemba zimaloledwa kudyedwa kota itatha. Musaiwale za msuzi wa mtola.

Mukaphwanya zakudya, mavuto akulu amakupezani. Ngati munadya mbale ya borscht yokoma kapena gawo la saladi mutavala ndi mayonesi, tengani mankhwala omwe amathandizira kuthira. Tsiku lotsatira, titsitseni m'matumbo momwe mungathere, apo ayi, dongosolo lakugaya chakudya likhala ndi vuto lalikulu.

Kodi mungadye chiyani pambuyo pa appendicitis

Munthu akachotsedwa appendicitis, amalangizidwa kuti azitsatira zomwe adya. Zakudya zina zimachepetsa kuchira ndipo zimathandizira kukulitsa zovuta. Kuchulukanso kwamapangidwe amafuta kumabweretsa kutambasula matumbo ndi sutures, zomwe zimapweteka.

Funso loti mwina ndizotheka pambuyo pa appendicitis kudya zakudya zina zomwe zidaphatikizidwa pazakudyazo opaleshoni isanadandaule anthu ambiri. Sizingatheke kuti ndiganizire mayankho onse, koma ndimatha kuyang'anitsitsa mafunso otchuka kwambiri.

Kodi ndizotheka pambuyo pa appendicitis:

• Imwani mowa... Pamodzi ndi magazi, mowa umalowa m'ziwalo ndi ziwalo ndipo umawasokoneza. Poganizira kuti minyewa itatha pambuyo pa opaleshoniyi, mowa umawononga. Chifukwa chake, ndibwino kuiwala zakumwa zoledzeretsa.
• Kusuta... Pambuyo pa opareshoni, adotolo amayembekeza kuti bala likhala bwino. Mwa osuta, njirayi imachedwa pang'onopang'ono chifukwa chikonga chimasokoneza magazi kupita kuma capillaries. Chifukwa chake, siyani ndudu musanachotse zokopa.
• Nthochi... Mu nthawi ya postoperative, zipatso zimalimbikitsidwa, ndipo nthochi ndizosiyana. Pangani mbatata yosenda kuchokera kwa iwo, yomwe imadzaza thupi ndi zinthu zothandiza komanso kulimbitsa chitetezo cha mthupi.
• Mowa... Sikoyenera kudya chakumwa chopanda thovu pambuyo pa opareshoni, apo ayi ulusi umabalalika. Kumwa chakumwa kumalimbikitsa kupanga gasi, komwe kumakwiyitsa m'mimba ndikusokoneza minofu.
• Kusamba... Kusamba kumapangitsa kuti thupi lizibwezeretsanso, koma pakakhala kutupa pambuyo pa opaleshoni. Tikulimbikitsidwa kuti mupite kumalo osambiramo mukamaliza bwino.
• Zokoma... Zakudya zilizonse zotsekemera, kuphatikiza chokoleti, makeke, maswiti ndi zakudya zina, zimaloledwa bala litapola. Shuga amasokoneza machiritso achangu.
• Yogurt... Pambuyo pa opaleshoni, tikulimbikitsidwa kuti tidye yogati yopanga mafuta ochepa, yopanda shuga. Chogulitsira mkaka choterechi chimakhala ndi zinthu zambiri zomwe zimathandizira kulimbitsa msoko.
• Khofi... Palibe malamulo oletsa kumwa khofi. Nthawi yomweyo, khofi imawonjezera kuthamanga kwa magazi komanso kugunda kwa mtima. Chakumwa chimayambitsanso kutsegula m'mimba. Ndi bwino kukaonana ndi dokotala za ntchito.
• Mazira... Amaloledwa kulowa mu zakudya mkati mwa sabata yoyamba kuyambira tsiku logwira ntchito. Idyani mazira ophika kapena ophika. Ndi bwino kukana mazira olimba chifukwa amadzimbidwa.
• Chitani masewera... Munthu amene wachitidwa opaleshoni ayenera kupewa kuchita masewera olimbitsa thupi kwa kotala. Koma mutha kuchita masewera olimbitsa thupi. Chachikulu ndichakuti pulogalamu yamaphunziro siyimaphatikizapo zolimbitsa thupi zomwe zimakhudza gulu lamagulu am'mimba.

Ndidagawana zambiri zakomwe kuli appendicitis, ndikuwunikanso zisonyezo zakumapeto kwa zakumapeto, ndikufotokozera zaukadaulo ndikuwonetsetsa zomwe zichitike pambuyo pazimapetozo.

Onerani kanemayo: Causes of Chronic Appendicitis (Mulole 2024).