Noj qab haus huv, Cov kab mob thiab mob
Lus Qhia Ntxiv - yog ib tug txaus ntshai throwback
Nyob rau hauv lub evolution ntawm tib neeg lub cev tau undergone ntau cov kev hloov, thiab ib co lub cev uas yog li ntawd tsim nyog rau peb cov pog koob yawg koob, tab sis kiag li puas rau lub neej tshiab nimno txiv neej tseem nyob, albeit nyob rau hauv ib tug dog dig daim ntawv hloov. Tsaug rau no cuab yeej cuab tam ntawm zaum muaj peev xwm taug qab cov theem ntawm evolution.
puas atavism
Ib tug xws li lub cev yog lub appendix. Qhov no txoj kev kawm ntawv nyob rau hauv daim ntawv ntawm cov ntawv ntxiv rau cov cecum loj ntawm 7-10 centimeters. Nws peb tau txais los ntawm peb pog koob yawg koob herbivores, uas yuav pab kom tiv nrog digesting trudnousvaivaemoy fiber ntau thiab cellulose.
Nws lub luag hauj lwm thiab muaj nuj nqi nyob rau hauv tib neeg lub cev yog tsis qoos taub. Txawm li cas los, muaj tswv yim hais tias nws tsis yog raws li puas raws li nws tau txais, thiab yog muab kev koom tes nyob rau hauv humoral kev tiv thaiv, thiab neutralize toxins.
Txawm tias nws loj me me, ib tug ntau ntawm teeb meem thiab txawm tuag yuav xa cov ntawv ntxiv - nws zaum kuj tshwm sim thaum o.
dab tuag tsos mob
Feem ntau cov feem ntau tus kab mob no yog cov me nyuam muaj hnub nyoog 9-12 xyoo, nyob rau hauv cov me nyuam nws yog tsis tshua muaj heev. Txawm li cas los, qhov uas yuav muaj peev xwm ntaus leej twg, tshwj xeeb tshaj yog yog hais tias muaj yog mob plab poob plig, plab hnyuv cua nab, kab mob thiab cem quav.
Mob hnyuv tws yog ib tug kab mob nyob rau hauv uas kub lug appendix. Cov tsos mob uas tej zaum yuav qhia nws raws li nram no:
- mob;
- kub taub hau;
- xeev siab;
- ntuav.
Muaj ib co sib txawv nyob rau hauv cov tsos mob nyob rau hauv cov txiv neej, cov poj niam thiab cov me nyuam, tab sis lub zuag qhia tag nrho daim duab ntawm tus kab mob yog feem ntau zoo sib xws. Tus mob yog laus nyob rau hauv txoj cai qis plab mog, raws li hais tias yog qhov twg yog qhov ntawv ntxiv nyob rau hauv tib neeg.
Thaum lub manifestation ntawm cov thawj tshwm sim ntawm hnyuv tws nyob rau hauv txhua rooj plaub nws yog tsis yooj yim sua kom sov lub plab, noj painkillers thiab tos, hais tias txhua yam yuav zoo. Tus mob tej zaum yuav zuj zus lawm tso, tab sis tsub kom txoj kev pheej hmoo ntawm cov teeb meem xws li peritonitis, los yog txoj kev loj hlob ntawm tus kab mob mob hnyuv tws. Thaum tus thawj lub sijhawm twg los yog tsim nyog mus nrhiav tam sim ntawd kev kho mob, raws li kev ncua yuav ua rau yus txim.
diagnostics
Thaum lub tsev kho mob, koj tuav tag nrho cov tsim nyog diagnostics kom paub meej tias qhov mob. Pib nrog general xeem, kub ntsuas palpation. Tus kws kho mob yuav pab kom paub tias kub lug appendix cov tsos mob Shchetkina-Blumberg, Mendel, Kocher, Sitkovskiy. Nws muab tus me nyuam ntawm cov zis thiab soj ntsuam ntshav. Biochemical thiab soj ntsuam ntshav kuaj yuav qhia lub xub ntiag ntawm o thiab mob ntawm lub hauv nruab nrog cev. Ib tug urinalysis yuav pab tswj cov kev ua hauj lwm ntawm lub urinary system.
Radiography yuav tsum tau qhia, uas yuav tsum tau pom raws li hloov appendix. Qhov no yuav muab ib tug ntshiab daim duab ntawm tus kab mob. Tseem yuav tsum tau ua ultrasound ntawm lub plab mog thiab ntawm lub appendix, ib txoj kev kawm rau hauv lub xub ntiag ntawm cab kab mob, electrocardiogram.
Nyob rau hauv ceev mob, ib tug heev ob peb ces cov tsos mob, kom sai li sai muab ib lub lag luam uas yuav qhov kev tshem tawm ntawm lub appendix.
phais kev pab
Mob hnyuv tws yog tsis kho nrog tshuaj, tab sis phais muab. Muaj ob qho kev xaiv, uas yog siv nyob rau hauv kev kho mob xyaum, los ntawm txoj kev uas lub appendix yog muab tshem tawm: nws laparoscopy thiab appendectomy.
Feem ntau ntawm cov tsoos sawb lag luam yog tab sis thawj kev xaiv yog nkag mus rau hauv tej chaw vim hais tias nws implies ib tug ntau ceev ceev rov qab, thiaj li muaj cov kev pheej hmoo ntawm cov ntshav tsis tau, thiab postoperative nti ntau tshaj tom qab lub classical incision.
tau teeb meem
Mob tom qab phais yuav ua tau loj heev. Muaj txoj kev pheej hmoo ntawm peritonitis, thiab festering txawv nqaws, nrog los ntshav, sepsis, kev loj hlob ntawm adhesions. Rau ib tug hais rov qab thiab tsis txhob mob yuav tsum tau ua tag nrho cov kws kho mob cov lus qhia.
postoperatively
Nyob rau hauv tas li ntawd mus rau lub kev vam meej cov lag luam tsis muaj tsis tseem ceeb post-operative kho mob thiab kev ncaj ncees lub sij hawm. Nyob rau hauv thawj lub sij hawm tom qab qhov kev tshem tawm ntawm lub appendix yog txwv tsis pub tau txais li. Qhov no yuav tsum tau ua maj, nce lub load rau hauv lub tom ntej no ob peb hnub.
Nws kuj pom zoo rau 1.5-2 lub hlis mus rau txo lub cev kev ua si. Koj yuav tsum tau lo rau cov fractional ib feem ntawm lub hwj chim, uas yog raws li tsuas pom zoo cov khoom los ntawm tus kws phais. Yeej nws yog lub teeb khoom noj khoom haus, xws li:
- tag nrho cov hom ntawm kua zaub;
- hau porridge;
- chav nqaij thiab zaub;
- khoom noj siv mis (kefir, hwv).
Nws yog nruj me ntsis txwv tsis pub txoj kev siv cov fatty, kib thiab ntsim zaub mov.
Loj yuam kev yog cov feem ntau tswv yim hais tias lub appendix - ib tug harmless lub cev. Raws li statistics, ib feem peb ntawm tag nrho cov kev phais mob lees paub rau ib lub lag luam kom tshem tawm hnyuv tws, thiab muaj kev sib tw nyob rau hauv rau tawm ntawm ib txhiab. Thiab lub saddest tshaj plaws yog hais tias muaj yog pov thawj ntawm cov neeg tuag.
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