Uphawu Rovzinga gciwane appendicitis oyingozi

Appendicitis luphawulwa ukudumba isihlomelo, nto leyo encinane (malunga 9 cm) khala cecum. Ngenxa yobume umzimba, unako ukuba asha kwaye nimqumbise uphuhliso zifo zixhaphakileyo yotyando. Ngoko ke kubaluleke ngokukodwa ukuba ixilonge ngexesha le ngezifo.

izifo Basics

Ukuba appendicitis etsolo athathe amanyathelo engxamisekileyo, ngezifo kuba ubomi emngciphekweni, kuba oko kukhokelela perforation ye isihlomelo kunye ubovu peritonitis.

Uphawu iphambili ye appendicitis na ukuvela kakhulu intlungu esiswini. Enanikade intlungu syndrome luphawulwa mpawu zilandelayo:

• ekuqaleni zimbi njengokungathi kwi epigastrium;
• Emva kweeyure 6-8 lihamba ubuhlungu kummandla ekunene iliac;
• kamva elizifumeneyo kwentamo;
• iintlungu kubonakala rhoqo, kunye yokukhulisa ngamaxesha kunye eziphango, kodwa akukho mathuba elula;
• ukuba nayiphi na intshukumo ezikhulayo iintlungu, ngokunjalo umntu appendicitis etsolo enambuzelayo isandla sakhe kwicala lasekunene isisu, leyo yenye iimpawu uphawu sifo;
• amanqaku ahlekise nezilonda ubovu;
• ukuncitshiswa buhlungu ngendlela nokoyika ukuhamba ibonisa ekuqaleni njengesilonda kunye nokufa kwalapho.

bokuqonda zokuxilonga

ngokuqhelekileyo Usuleleko akubangeli iingxaki ekufumaniseni. Appendicitis kumiselwa ngokusekelwe iimpawu zayo luphawu, ezibandakanya iimpawu ezintle Rovzinga, Sitkovskiy et al.

Ngenxa yoko, ekuboneni yokugqibela, intlungu kwi ekunene kummandla iliac ke ziyanyuswa xa isigulane silele ngecala lasekhohlo. Ngokutsho ngokuqwalasela Sitkovskiy, iintlungu inaliti ezinxulumene nesibakala sokuba inkqubo cecal ukuzolula kunye deformation yayo ebangela ubuhlungu. Le ntlungu mandundu imeko le mesentery i appendix.

A uphawu appendicitis Rovzinga luphawulwa imbonakalo intlungu kummandla ekunene iliac, ukuba ugqirha uvelisa ezixhuzuxhuzulayo Ngokucofa kwi ezayo ijelo osecaleni, kwicala lasekhohlo lwe esisu (ekhohlo ukuya ekunene).

Ezi mpawu zilandelayo nazo phakathi kakhulu ezibalulekileyo:

1. Uphawu Bartome - Michelson - ukuvela iintlungu Ngokucofa-cecum, ukuba isigulane silele ngecala lasekhohlo.
2. uphawu Psoas - ukwanda ziintlungu xa ukuphumeza uxinzelelo cecum, lo gama ngaxeshanye lizama ukukhulisa umlenze wasekunene ayinakolulwa.

A loviwo eneenkcukacha uphawu Rovzinga

Uphawu Rovzinga iqulathe ekukhuleni karhulumente sifo xa ezisebenzisa uxinzelelo ekunene ikholoni sigmoid (imi kummandla inguinal ekhohlo) kunye convulsive obubonakala ziba ngaphezu kwayo. Xa ingakhangelwa eludongeni esiswini zibe kwicala lasekhohlo kummandla iliac icinezelwe nxamnye iminwe esandleni sakhe sasekhohlo, bahlanganisana ndawonye, kwaye hayi sibabandeza ilungelo lokwenza ukuqina emfutshane kwindawo colon elele ngasentla. Ngaloo ndlela uphawu Rovzinga eyenzelwe ihamba iigesi ngexesha ukuqhutywa.

Noko ke, kwezinye iimeko, iimviwo ze isigulane kunzima ukwenza ukuxilongwa echanekileyo, kuba iimpawu kungangabikho Rovzinga. Kunzima ngakumbi ukwahlula ukusuka ezibonisa sifo echazwe iimpawu komsipha of kwemithambo ngenzolo aortic, twa igazi kummandla ekunene iliac.

Iimpawu Rovzinga azisetyenziswa rhoqo kakhulu, kodwa ke, endleleni, njengenye yezona inokuthenjwa ngenxa elichanekileyo isifo appendicitis.

Ukubaluleka loxilongo oluchanekileyo

Xa yesilungu, ifomu mnene appendicitis olwenziwa uqhaqho laparoscopy ukuba ayifuni ekudalweni imbobo esiswini. Kulo mzekelo, isixhobo endoscopic lifakwa esiswini ngenxa liqatywe encinane kwithishyu. Le ndlela uphepha utyando, kwakunye kakhulu ukunciphisa ixesha kwimeko yesiqhelo. Umngcipheko yobunzima postoperative emva appendectomy laparoscopy yinto encinci.

Ngelishwa, iimpawu appendicitis Edidekile wambi zikhala nezinye izinto ezimbi:

• pancreatitis;
• yokulunywa sezintso;
• cholecystitis olunamandla;
• isisu isilonda;
• ukukrala etsolo lwesinye kunye namaziko ababhinqileyo.

Rovzinga iimpawu ezintle kunye neminye imiqondiso zidlala indima ebalulekileyo uxilongo lwesifo wathi, kodwa kwiimeko kwinkqubo imeko engaqhelekanga womfanekiso lonyango ukuze kufiphale kancinane. Kubalulekile ke ngoko ixesha Kubaluleke kakhulu ukunikela ingqalelo iimpawu zeentlungu yenzekile.

Ukwenzela ukuphepha imiphumo emibi, kufuneka bafune unyango olulodwa, nto ngenye uvala baphulukane. Kubalulekile ukuqonda ukuba self-unesifo kwiimeko ezinjalo zisebenza kakhulu yingozi.