Ntxhaws

Appendicitis yog ib qho mob uas koj txoj hnyuv tws ua rau o tuaj. Txoj hnyuv tws ntawv yog lub hnab ntim khoom me me uas txuas rau txoj hnyuv.

Appendicitis yog qhov tshwm sim uas tau tshwm sim rau kev phais mob sai sai. Qhov teeb meem feem ntau tshwm sim thaum cov hnyuv tws txuas ntxiv los ntawm cov quav, cov khoom txawv teb chaws, mob qog lossis cov kabmob txhawm rau hauv qee kis.

Cov tsos mob ntawm tus mob hnyuv tws txawv txav. Nws yog ib qho nyuaj tuaj yeem kuaj mob pob qij txha hauv cov menyuam yaus, cov neeg laus dua, thiab cov poj niam ntawm lub hnub nyoog yug menyuam.

Thawj qhov tsos mob feem ntau yog mob nyob ib ncig ntawm lub plab khawm lossis nruab nrab sab saud. Kev hnov ​​mob tej zaum yuav muaj hnub nyoog me thaum xub thawj, tab sis ua ntau dua thiab hnyav. Tej zaum koj kuj yuav poob qhov qab los noj mov, xeev siab, ntuav thiab kub cev me me.

Qhov mob yuav ua txav mus rau hauv txoj cai qis dua ntawm koj lub plab. Qhov mob yuav mob siab rau ntawm ib qho ncaj qha saum toj daim ntawv ntxiv hu ua McBurney point. Feem ntau qhov no feem ntau tshwm sim 12 rau 24 teev tom qab pib mob.

Koj qhov mob yuav mob heev ntxiv yog thaum koj taug kev, hnoos, lossis txav ib ce. Cov tsos mob tom qab ntawv suav nrog:

• Ua daus no thiab tshee
• Cov quav tawv
• Zawv plab
• Ua npaws
• Xeev siab thiab ntuav

Koj tus neeg saib xyuas kev noj qab haus huv yuav xav tias ua mob hnyuv tws raws li cov tsos mob koj piav qhia.

Koj tus kws khomob yuav kuaj ib ce lub cev.

• Yog tias koj muaj mob hnyuv tws, koj qhov mob yuav nce ntxiv thaum nias lub plab hauv qab plab.
• Yog tias koj txoj hnyuv tws tawg, kov lub hauv plab yuav ua rau mob ntau thiab ua rau koj cov leeg nruj.
• Txoj kev kuaj mob ntawm lub qhov quav yuav pom qhov ntxim nyiam ntawm sab xis ntawm koj lub qhov quav.

Kuaj ntshav feem ntau yuav pom cov qe ntshav dawb ntau. Kev ntsuam xyuas duab uas yuav pab tshawb pom mob pob txha caj qaum muaj xws li:

• CT scan ntawm lub plab mog
• Ultrasound ntawm plab

Feem ntau, tus kws phais yuav tshem koj qhov hnyuv tws sai sai thaum koj tau kuaj pom.

Yog hais tias thaij duab CT qhia tias koj muaj hnoos qeev, koj yuav raug kho nrog tshuaj tua kab mob ua ntej. Koj yuav muaj koj qhov hnyuv tws tshem tawm tom qab tau kis thiab o tau ploj mus.

Kev ntsuam xyuas tau siv los kuaj tus neeg mob txha caj qaum tsis zoo tag nrho. Raws li qhov tshwm sim, kev khiav hauj lwm yuav qhia pom tias koj qhov hnyuv tws feem ntau. Hauv qhov xwm txheej ntawd, tus kws phais yuav tshem koj qhov ntxiv mus thiab tshawb qhov seem ntawm koj lub plab kom paub txog lwm yam ua rau koj mob.

Cov neeg feem coob yuav rov zoo sai tom qab kev phais mob yog tias txoj hnyuv tws tshem tawm ua ntej nws tawg.

Yog tias koj qhov mob ntxiv ua ntej phais mob, kev kho kom zoo dua yuav siv sijhawm ntev dua. Koj kuj tseem yuav tsim teeb meem ntxiv, xws li:

• Qaug hauv
• Kev txhaws ntawm txoj hnyuv
• Muaj tus kab mob hauv lub plab (peritonitis)
• Kev kis ntawm lub qhov txhab tom qab kev phais

Hu rau koj tus kws kho mob yog tias koj muaj mob mob nyob sab hauv qab ntawm koj lub plab, lossis lwm cov tsos mob ntawm pob qij txha.

• Anatomical landmarks tus neeg laus - saib hauv ntej
• Lub plab zom mov
• Kev Qhia Tawm - series
• Ntxhaws

Cole MA, Huang RD. Mob hnyuv tws. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 83.

Sarosi GA. Ntxhaws. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob Qog: Kab Mob Rau Ib Tus Mob / Tshuaj Ntsuam Xyuas / TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 120.

Sifri CD, Madoff LC. Ntxhaws. Hauv: Bennett E, Dolin R, Blaser MJ, eds. Mandell, Douglas, thiab Bennett's Cov Ntsiab Cai thiab Kev Coj Ua ntawm Cov Kab Mob Kis, Hloov Kho TshiabCov. 8 tus ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 80.

Smith MP, Katz DS, Lalani T, li al. ACR kev tsim nyog cov cai muaj cai qis dua qoj ib ce mob - xav tias ua mob hnyuv tws. Ultrasound QCov. Xyoo 2015; 31 (2): 85-91. PMID: 25364964 www.ncbi.nlm.nih.gov/pubmed/25364964.