Chirwere chekuwedzera appendicitis chirwere chisingawanzoitiki, kusiyana nechimiro chakaoma chechirwere. Izvo zvinyorwa zvinoshandiswa zvechiecum, zvine maitiro ehuturi nekugadzira mumuviri nhamba yezvikamu zvechipiri, pakati payo:
- kudzivirirwa kwematumbo kubva pathogenic microorganisms nemhaka yekuvapo kweiviri yecymphoid;
- kuparadzana kwemukati mudumbu kubva paukati;
- kubudiswa kwemakemikari kunofanirwa kugadzirwa kwezvokudya (amylase, lipase);
- mazana ehomoni anokonzera mumatumbo peristalsis, nezvimwewo.
Zvinokonzera kusingaperi appendicitis
Inofungidzirwa kuti kupera kusingaperi kwechiwedzera kunogona kubuda nekuda kwekununurwa kwekurwiswa kwemaitiro anonzi appendicitis pasina chirongwa chokuvhiya kana asina kukwana appendectomy. Mukuwedzera, chimiro chechirwere ichi dzimwe nguva chinowanzoitika, kuburikidza nehutachiona hwepamusoro, nemhaka yehutachiona hutachiita mumudumbu wepamuviri pamucheto wekudzivirira utachiona. Kubudirira kwechirwere chisingagumi kunoshandiswa nekuwedzerwa kwechiwedzerero, kuvapo kwekubatanidza, cysts, hyperplastic lymphoid tissue, nekusawirirana kwepakati.
Zvakakosha kuziva kuti pakutanga kwaiva nekusava nechokwadi kana kune chirwere chisingaperi chisingabatsiri, asi nhasi zviratidzo zvechimiro chechirwere ichi, chinoratidzwa nekugadzirisa matanho, zvinorondedzerwa zvakajeka. Ngationei kuti chii chiri zviratidzo zvekusingaperi appendicitis muvakadzi vakuru, uye kuti chirwere ichi chinorapwa sei.
Zviratidzo zvekusingaperi appendicitis muvakadzi vakuru
Nenguva refu kwenguva refu inonzi appendicitis muitiro we cecum, inrophic uye sclerotic zvinogona kuitika, zvinopisa uye kusungwa kunoonekwa, izvo zvinotungamirira pakuvhara kwe lumen uye kukanganisa kwezvinyorwa, kubatana kwayo kumatende akakomberedza. Iko kuratidzwa kukuru kwezvirwere kune zvakadai:
- kunorwadziwa kunononoka kwenguva nenguva kunowanikwa mueileum kana pedyo nembilical nzvimbo, kunyanya mushure mekuita muviri, defecation, kukoromora kukuru, kusagadzikana mune zvekudya (mune vamwe varwere kurwadziwa kunoramba kuripo);
- kurwiswa kwetsitsi , kurutsa;
- stool disorders.
Dzimwe nguva panewo zviratidzo kubva munhengo dzepachivi, iyo:
- kugara uchicheka ;
- kusuruvara mu rectum;
- kusanzwisisika kunzwa, kurwadziwa panguva yepabonde.
Kupisa kwemuviri kunowanzoitika mune dzimwe nguva, kunyange zvazvo kune kuwedzera kwekushisa kwemuviri manheru.
Zviratidzo zvekusingaperi appendicitis zvinogona kuvhiringidza kwegore rinopfuura rimwe, uye pane nguva dzose kuve nekugadzirisa kwechirwere chechirwere kuchimiro chakaoma. Apo kuwedzera kwekusingaperi kusuruvara kwezvinyorwa kunowanikwa:
- kunetseka kwakanyanya mumimba, kuwedzera nekumanikidza;
- kukanganiswa kwemukati wekunze kwemuviri;
- kuwedzera kwekushisa kwemuviri;
- nyota;
- kusuruvara kukuru, nezvimwewo.
Izvi zviratidzo zvinoratidza kuti mune chirwere chinokurumidza, nokuti chirwere chacho chinotyisidzira kukura kwechigunha kana kuputika kwezvinyorwa.
Kurapa kwechigarire appendicitis
Nzira huru yekurapa chimiro chechirwere ichi chirwere (appendectomy). Muzviitiko zvisingawanzoiti, munhu anochengetedza
Kuvhiya kubvisa zvinyorwa zvinogona kuitwa kuburikidza nenzira ye classical laparoscopic kana imwe nzira yemazuva ano endoscopic iyo hairevi nguva refu yekuvandudza. Panguva imwecheteyo, mishonga inorwisa mabhakitiriya inoshandiswawo (kazhinji intramuscularly) kudzivisa zvinetso.