Appendicular infiltration: yak likuvati. Decreased appendicitis

Є bleeding. Most often, there is a risk of bleeding from the juvenile breech, but it is insisted as a result of the lack of muscle ligation of the juggernaut. Bleeding from a small in diameter judgment can quickly lead to massive blood loss. It is not uncommon for a picture of internal bleeding to appear at a sick person on the operating table.

Naskіlki insignificant b didn’t seem to bleed into the empty space, in the sense of termine surgical involvement. Nicholas do not need to be conducive to self-induced bleeding. It is necessary to secretly know all the shvi from the operative wound, as it is necessary to expand it, to know the Sudin, how to bleed and to bandage him. As soon as the bleeding is already zupinyl and the vessel does not bleed, it is necessary to grab the stump of the breech from the sprout with a clamp and re-tie it at the very root of the muscle ligature. The shelter that has gone into the empty space is always necessary to be seen, the fragments of it are a life-giving middle ground for microbes and they themselves can accept the development of peritonitis.

Dzherelom bleeding can be buty and judgment of the black wall. With the growth of the direct abdominal meat, the lower epigastric artery can be found. It is possible that the price can not be damaged at once, so that when the wound is raised with gaps, the artery will not bleed. For the operation of the shelter, you can infiltrate the tissue of the wart and penetrate into the empty womb with the sutures of the wart.

All the while, it’s not easy to bleed in some ailments. All the damage to the hemodynamics they have step by step vshuhayut. Protect, skin and visible mucous membranes become obsessed with blood, instead of hemoglobin and the number of erythrocytes in the blood significantly decrease. With a pre-sore abdomen, there may not be a lot of painful symptoms, for percussion, a number of rare blood is guilty of being significant.

The shelter that has spilled out into the empty waste of the deyaky ailments can be reduced without surplus. Only the appearance of the anemia and the appearance of the belly as a result of the depletion of the extensive hemorrhage allow one to correctly assess the appearance of the manifestation. However, a successful result can be achieved with insignificant hemorrhage. I was bought up in the black empty shelter to inflate, develop peritonitis, which is a great temper.

With more significant hemorrhages, with the appearance of the interdependence and with the delayed involvement, the result may be unpleasant.

As an acceleration in the operational transition, it should mean the approval of the infiltration in the comradely style. Such infiltrates, if the stench occurs without a rotational ignition reaction, become a result of the blood soaking of the baby's cells (with insufficient hemostasis during the hour of the operation) or a serous rhyme. If this kind of infiltration is not great, then in the closest days it will get wet before the flow of thermal procedures. Yakshho, in addition to information, is meant to be broken along the line of the seam, as in order to purchase the line between the edges of the wound, it is necessary to see the line behind the additional point or to draw the line between the edges of the wound. The remaining method is more effective.

As soon as the infiltration is approved against the temperature reaction and the buildup of pain in the early days, after the suppression is allowed. In order to quickly diagnose an accelerated skin disease, for any operation during the first two days, the temperature does not drop, and more if there is a build-up, it is necessary to break the ligation to control the wound. We will have 2-3 stitches for the drainage of pus earlier, and we will be more comfortable. With an important infection of the wounds, the wound is widely recognized and drained, having known all the shvi from the shkiri, from the aponeurosis and from the mucous membranes, as it was bought up with pus and from them. Nadal zagoєnnya runi should be re-tensioned.

In the early days, ligature fistulas occur. The stench is characterized by small sizes, gnarly visions and growth of granulation fabrics near the noritsa opening. To see the ligature behind the help of an anatomical tweezers, or to knit a knot of the fistula, go away. Even more beautifully vikoristovuvati for tsyo rozignutiya on the half of the great Ribalskiy gachok, kіnchik how to zaginatsya so, how to pretend to be a friend.

In ailments, especially with an important process in the outgrowth and slips of intestines, operated with the presence of peritonitis, an intestinal fistula can be established during the operation. Fistulas can be established only if, when struck from the side of the sprout, it expands to the adjacent part of the intestine. As soon as the operation takes place, then the bowel is covered with stitches, as it is closed with the necessary stretching of an uninterrupted part of the intestinal wall. If you see an overgrowth of the intestinal stink, it will appear, with a further progressing process, it can become a perforation, which will lead to the use of feces in a wilted cage, or in some cases, sprinkles.

In addition, the cause of the development of intestinal fistulas can be due to a lesion of the intestine before the hour of the operation, or a bed sore as a result of a tricky grip of drainage and tampons, or an injury to the intestinal wall when there are not enough intestinal problems during the period of surgery. It is inadmissible to see the gut from the surface of the intestines with gauze pouches and tampons, as with this bow it can easily become a heavy ear and perforation.

In the education of fistulas, the main role can be gravity and toxic action of antibiotics, for example, tetracycline, which can lead to an important reduction of the intestinal wall, even to a secondary necrosis of the mucous membrane. It is said not to be ashamed of yak to tovstoi, so і to the small intestine.

Osvita intestinal fistula in case of tightly closed wounds to produce peritonitis to the development, so that it can be stored in a wide rosette of the wound and drainage brought to the fistula and interrupted tampons. Try to sew an obvious opening to correct only in the most early terms. As soon as the fistula is empty until the fistula is clear, the symptoms of peritonitis can be poured out through the confirmation of the swabs of adhesions. With a friendly interruption of the peritoneal manifestations, they are more and more intertwined and step by step feel the call. The wound will be filled with granulations, which will drain the fistula, through which the intestinal space is seen.

fistula small intestine, Transverse rim and sigmoid, the wall of which can be expanded from time to time, the lips and the operative close can be activated. Fistulas of the intestine, as a rule, the tubular parts and can curl up on their own with the protective prominence of the Norice course, indifferently. The surgical closure of the fistula is shown only in case of a short conservative treatment of 6-7 ms.

Dovgo the tubal fistula of the mucous intestine is not in trouble outside body, Tuberculosis or cancer, splinters of visible growth in cases of disease can lead to fistulas.

Pislyaoperative peritonitis can develop in steps. If you are sick, do not expect to skarzhayutsya for pains, which are by themselves a sensible manifestation of the operation. However, I am in pain to continue to develop, in the right club area, when palpation, there is more and more pain, tension in the tongue and in the power of the symptom. The pulse is part, and the start is dry. One of the first and most common peritonitis, one of the familiar peritonitis, can be bloody or swelling, and one is an overgrowing paresis of the intestines. Proceedingly, they start swelling alive, gasses do not come in, peristaltic noises are not audible, and the picture develops absolutely the same way, as in case of appendicular peritoneitis in unoperated ailments. For some people with ailments, it is only the increase in the frequency and the pulse, as the temperature increases.

Signs of peritonitis can step by step appear over the first days of the operation, growing even more often. Ale innosty stinks appear quickly, and in the nearest future a picture of a spilled peritonitis develops. The development of pislyoperative peritonitis is shown before the term relaparotomy and lekvidatsii dzherel infektsii. We will stop serving if the stump is perforated through the impermissibility of the seams, or perforated holes in the intestinal wall. Yaksho screwed in early, you can swipe kuksi or open perforated with seams. At the end of the term, it does not come out of the way of the time, but the sewing, which is imposed on the fired fabrics, breaks through, so that it is brought about by the drainage and tampons.

If there are any local reasons not to appear, it is brought to the development of peritonitis as a result of the progress of the blasting of the queue and repair, which is obvious to the first operation, as it is described in the brochure about the treatment of peritonitis until the operation.

In case of peritonitis, an inconsistent operation, dzherelo infection is guilty of being transferred to the coli-operative zone. This relaparotomy needs to be rocked by the nobility of all seamstresses from an operational wound and a wide variety of reasons. As far as the infection is concerned, it’s not connected with the operation, but it’s a matter of fact, if you’re the one who is sick, if you have access to the localization of the sick person. Antibiotic therapy and come in to fight with peritonitis but be more active.

In case of pislyoperative peritonitis, as it is in case of peritonitis, rooted before the operation, in the black empty it is possible to promote the adoption of intermittent gnijniks. Most often, the purchase of pus is found in the Douglas expanse. Osvita of such a gn_ynik, as a rule, is supervised by a temperature reaction and by the smallest manifestations of a septic nature. Symptoms that dominate the slowdown, є part of the positive to the viporozhnennya, a rare unnecessary style with the great house slime, tendencies and the dying of the anus, which were explained to the participants in the ignition process of the rectum When you reach the rectum with your finger, it is indicated in the development of the anterior aspect, it does not appear to be clearer.

A slid of memory, such a manifestation of the expansion of the rectum, can grow even more pizzero, if the gnarium does not have significant growths. Therefore, if the period of the operative period is not smooth, it is necessary to systematically carry out the digestion of the rectum, remembering that the Douglas abscess is the most frequent of the most important internal retardation, as Yogo open through the rectum, or (in women) through the pike, emptying it through the back crypt.

The education of abscesses in the last forms of the black emptying is developed more and more. Mіzhkishkovі abscesses in the first hour can be manifested by lengthening septic ulcers. In some cases, infiltration appears in the abdomen, as an abscess of parietal. If it’s not okay to lie down until it’s black, then miss it only if the intestines change and the tension of the black mucus changes. Abscess is necessary to open it up, as a result of it.

Subdiaphragmatic abscesses due to the appendicectomy are susceptible to severe disease. Razkrivati ​​subphrenic abscess slid extraperitoneally. For the whole case of rosetting the ginny in the rear end of the subphrenic space, place the sick person on a roller, like for the operation on the nerve. Razrіz is carried out along the XII ribs, the yake is resected, not the pleurisy. I will stay safely up the hill. Distant parallel to the course of the ribs, extend all the fabrics to the pre-abdominal crumbs. Step-by-step, at once from the throat from the lower surface of the diaphragm, penetrate with the hand through the posterolateral surface of the liver and the diaphragm into the sub-phrenic space, draw your fingers to the level of the abscess. Gn_inu emptied with a hum pipe.

Pilephlebitis (thrombophlebitis of gillok voritnoy veni) - even more important septic accelerated. Pilephlebitis is manifested by chills with an increase in the temperature of thither up to 40-41 ° C and with sharp drops, torrential heat, blues, and occasional dripping. Characteristically, the belly bellows, the mensh belts and starts to appear, lower the belly during cholangitis. When the abdomen is prolonged, light peritoneal manifestations are indicated, as a result of which there are mucous membranes. The stove of the disease and the sickness.

In case of lіkuvannі pіlephlebita persh for all it is necessary to live all the visits for lіkvіdatsіy dzherel іnfektsії - emptying out the mobs with pus in the black empty and in the wom Energy treatment with antibiotics. When abscesses are established in the furnace, they are rostin.

Slid means more rarely an acceleration of the operative period - the state of intestinal laxity. Krym dynamic intestinal obstruction as a result of paresis during peritonitis.

Krіm tsogo in nayblizhchі dnі pіslya apendektomії Mauger rozvinutisya mehanіchna neprohіdnіst in rezultatі zdavlennya kishkovih loops in the ignition іnfіltratі, pereginu їh spikes, obmezhennya strands scho utvorilisya at zroschennі mіzh him cherevnih organіv i t. D. Neprohіdnіst Mauger rozvinutisya nezabarom pіslya operatsії, if slit in the black empty, the fiery manifestations did not grow out, for in the middle of the term, if you were already well, then there was an external weariness.

Clinically, the development of failures is manifested in all powerful symptoms. The diagnosis of a quicker speed can be even more important, especially since the problem develops early, in the first days of the operation. This is the result of an operative paresis of the intestines, and the correct diagnosis through the process can be recorded. At the beginning of the term, it is more typical to develop the problem. Rapid symptoms of "average health" of reversible pains in the abdomen, locally in the stomach, bloating and those signs of intestinal imperfections are significant for diagnostics.

In case of ineffectiveness of conservative approaches, the method of mechanical failures is poor but surgical.

In case of obturation of impairedness, wickedness of the intestines as a result of tightening of adhesions, or if they are pressed in infiltration, the growth is increased, as well as it is easy to recover. It is also very important and it is tied to injuries of ignited and easily disruptive intestinal loops, to prevent routine interdisciplinary anastomosis or to be surrounded by a fistula.

The appendectomy can sometimes develop and develop, and the power of the operative period is accelerated both from the side of the dysfunctional organs, and from the side of other organs and systems. It is especially important to be admitted to the sick of the kidnapped vіku.

See results surgical treatment The most serious ailments are good for the grave appendicitis. Ridko sposterіgayutsya vile results in a greater amount of their knowledge of whether it’s a certain illness, like a sick person before attacking an appendicitis, or it was already caused by the operation. Significantly earlier than the rotting of the sick, the sickness is explained by the development of the operating systems in the black empty ones.

Decomposition of appendicitis is formed in fallowness every hour when ignition process... The first addition to a pathological process, as a rule, is characterized by an accelerated pace, as the process does not go beyond the worm-like outgrowth. However, in the case of an unfortunate or incorrect treatment, through a small number of cases, such acceleration can be formed, such as perforation of the sprout, peritonitis or thrombophlebitis of the veins of the breech.

To start the development of an accelerated state of appendicitis, it is necessary to quickly turn up to a medical mortgage. The pathology was immediately diagnosed and an operation was carried out to see the burned worm-like outgrowth and prevent the formation of living conditions.

Classification

Folding in case of appendicitis is formed by injecting growth factors. Bagato from the lower parts of the inheritance can develop into the organisms of people in the preoperative period, as well as during the operational involvement.

Preoperative acceleration is formed as a trivial overcoming of ailments without treatment. The appearance of pathological changes in the worm-like outgrowth can be recognized through incorrectly chosen tactics. On the basis of appendicitis in the organisms of a sick person, there can be formulated such not safe pathologies - appendicular infiltration, abscess, phlegmon of the uterine cellulitis, pylephlebitis and peritonitis.

And pislyaoperatsіynі accelerated characterized by clinical and anatomical meaning. The stench can be manifested through a splinter of tendencies during a surgical procedure. This group includes inheritances, which are tied with operative ears and pathologies of susceptible organs.

The development of the legacy of the appearance of appendicitis can be other reasons... Most often, clinical diagnoses are accelerated in the following conditions:

• piznє zvernennya for medical aid;
• unfortunate establishment of diagnosis;
• pardons in the conducted operations;
• failure to follow the doctor's recommendations in the operational period;
• development of chronic or gostrykh hvorob of suspicious organs.

The storage in the operational period can be as follows:

• in the operative early;
• in the black empty;
• in suspension organs and systems.

Bagatokh is ailing food, as the inheritance can be carried out during the surgical intervention. Clients have begun to speed up the operation to include:

• early - can pretend to hold out two tasks for the operation. Before them, there is a discharge of the edges of the wound, peritonitis, bleeding and pathological changes from the side of the nearest organs;
• pizni - after two years of surgical treatment, fistulas of wounds, suppurations, abscesses, infiltrates, keloid cicatrices, intestinal imperfections, adhesions in the wounds may be confirmed.

perforation

Punching should be carried out until the early days. Vona is formed through a splinter of days at the moment the organ is ignited, especially with a destructive form. With a given pathology, there is a gnarly melting of the worm-like outgrowth stems and pus into the empty stem. Perforation depends on peritonitis.

The clinically pathological camp is characterized by the following manifestations:

• progression of pain syndrome in the abdomen;
• temporal fever;
• tediousness and bloating;
• Intoxication;
• positive symptoms of peritonitis.

In case of gross appendicitis, a burrowing through the organ manifests itself in 2.7% of ailments, in which therapy was considered early terms the formation of ailments, and at the lowest stages the formation of ailments perforation develops in 6.3% of patients.

appendicular infiltration

The same acceleration is characteristic of a gastric appendicitis in 1-3% of patients. Vono develop through the child's hospitalization for medical assistance. A clear picture of the infiltration appears in 3-5 days after the development of the ailment and provoking an extended ignition process from the wormlike appendage on the near organ and tissue.

In the first days of pathology, a clinical picture of destructive appendicitis is manifested - swelling of pain in the abdomen, signs of peritonitis, fever, intoxication. At the last stage of this inheritance, the pain syndrome is observed, the patient's self-esteem begins to grow, and the temperature is less normal. When palpation of the appendix region, the lycar is not a sign of the abdominal muscle spong. However, in the right-wing club zone, it can be shielded, slightly ailing and non-porous.

In the case of diagnostics of appendicular infiltration, surgery for visualization (apendectomy) of the inflamed appendix, conservative therapy is indicated, the basis of which is antibiotics.

As a result of the therapy, the infiltration can be either smoothed or abscessed. If there is no suppuration in the ignited zone, then the illumination can be learned in 3-5 days at the moment of the development of pathology. In the case of an unwelcoming interruption, the infiltration begins to suppurate and cause peritonitis to form.

appendicular abscess

Decreased form of gross appendicitis is formed at different stages of progressing pathology and is diagnosed with deprivation in 0.1-2% of ailments.

Appendicular abscesses can form in the onset of anatomical appendages:

• in the right club area;
• in the dead in the middle of the intestine and in the rectum (Douglas kishenyu) - in men and in the rectum and uterus - in females;
• before the diaphragm;
• mіzh loops of the intestine;
• behind the uterine space.

The main signs that can help to get the patient to walk in the following ways:

• Intoxication;
• hyperthermia;
• build-up of leukocytes and a high level of SHOE in the blood analysis;
• bends of the bolovy syndrome.

Abscess Douglasov to the vastness of the backward symptoms is characterized by dysuric manifestations, frequent postures before defecation, pain in the rectum and perineum. It is possible to palpate the illumination of this localization through the rectum, or through the pichva - in females.

Piddiaphragmatic abscess is manifested in the right subphrenic abscess. In the development of new education, it means that there are more signs of intoxication, difficulty in dysfunction, unproductive cough and lump in the breasts. With a pre-burned zone, the doctor diagnoses meek live, great liver failure and soreness on palpation, light and less visible in the lower case of the right legend.

Mіzhkishkovі gnіine illumination is characterized by weakly clinking on the cob stages of the pathological process. In the world of improvement of abscess, there is tension in the joints of the cranial wall, attack the pain, palpate the infiltration, the temperature is indicated.

Diagnosis of an appendicular abscess is possible behind the help of ultrasound examination of a black empty, and the ailment of an anxiety is increased. When emptying, drainage will be installed in it, and the wound will be sutured up to the tube. On the coming days, drainage will be carried out in order to see excess pus and introduced into the empty space.

pilephlebit

Also, an accelerated appendicitis, such as pylephlebitis, is characterized by important septic-septic firing of the gall veins of the liver from the statements of numerous gnijniks. It is characterized by a quick development of intoxication, fever, malignancies in the society of liver and spleen, blidist shkіrnykh pokrivіv, Takhіkardієyu and hіpotonієyu.

The fatal result with such pathology reaches 97% of cases. Therapy is based on the implantation of antibiotics and anticoagulants. If abscesses have been formed in the patient's body, then it is necessary to open it up and on the way.

peritonitis

Peritonitis - zapalennya ocherevini, yak vystupaє inherited a severe appendicitis. The miscellaneous firing process of the queue is characterized by such a classic picture:

• bends of the bolovy syndrome;
• hyperthermia;
• zblіdnennya shkіrnykh pokrivіv;
• tachycardia.

Viyaviti daneda accelerated, perhaps the doctor for an additional indication of the symptom of Shotkin-Blumberg - if you are pushing into a painful dilemma, you will not be able to do it, but if there is a sharp warning, it means that there will be more severe pain.

Polyagus therapy in conservative methods is antibacterial, disintoxicating, symptomatic; і surgical drainage of gnіynyh vognisches.

intestinal fistula

Some of them are slower, as there is visible appendicitis, intestinal fistula. The stench z'yavlyayutsya when urazhennі st_noki of the closest intestinal loops with further destruction. The following officials also report the reasons for the formation of fistulas:

• the technology of processing of the sprout has been ruined;
• Helling of fabrics with empty gauze covered with gauze servet.

If the surgeon will not bring up the sewing up of the wound, then through the wound, the intestinal space will almost break through, so that a fistula can be formed to form. When a wound is taken away, the symptomatology of the ailment will go down.

In case of fistula formation, after 4-6 days after an operation was performed on the weakened organ, ailments appear first in the right club zone, and a glycogen infiltration also appears. In extreme cases, doctors diagnose symptoms of intestinal degradation and peritonitis.

Therapy is designated as a doctor in an individual order. Medicines are based on antibacterial and anti-inflammatory drugs. Krim lykarskogo lykuvannya Surgery to see fistulas

A fairly high incidence of fistulas should be repaired on the 10-25th day after surgical intervention. In 10% of patients, it is not possible to speed up to death of patients.

As soon as possible from the foregoing, it is possible to create a new appearance, but to get the form of an appendicitis acceleration, you can quickly turn for a medical aid, as it’s timeless and correct the appendage of a sick person.

Visibility of fast diagnostics, proper treatment - the soil on the ground, without any doubts, to diagnose the accelerated appendicitis. Every now and then a medical aid is given, it is correct to pick up the treatment, to suppress the development of appendicitis, to be heavy in the first place, but for an hour it is not safe for life. The picture can be slower to be even more versatile, everything is stagnant, since an hour has passed from the moment of diagnosis before the diagnosis is made and when it comes in.

Stages show hospitable appendicitis

For the first two days (early period), in most cases, the ignition processes take place in the empty apendix, and it does not seem possible to slow down. At the first stage, it is easier to form, as it is often identified in children and in people with a kidney disease. In older adults, in the early period, they appear to be born and mostly uncomfortable.

I will show that I will be promoted to the so-called intermediate period, which is easy for the other or for the third one. At the end of an hour, perforation of the outgrowth with the development of the muscular manifestation of peritonitis or the development of pylephlebitis, provocations with already inflamed vessels, as well as the establishment of appendicular infiltration, can be seen. Most of the time it’s faster. For more than six days, it can become inoperable. In the process, dovkolishnі organi are included. The traces of abscess and sepsis are growing all the larger scale, threatening the nature of the swollen peritonitis. To produce traces of pilephlebitis on a whole stage to a fatal result.

Folding і їх vidi

Gostra st_ya burnt appendicitis, lіkuvatisya only operable way.

The ignition process in appendicitis is progressing rapidly, moving immediately into the state standard stage, and it becomes a head problem. I will add to the threat of the situation, not wasting an hour, who have found an operation on the current day. Even if the operation was carried out at the stages of acceleration, the process could be even better, the manifestation of a different kind of unsuitable reactions from the side of the other systems to the body was not included. Pathogenic microbes, which are used in the wound during the operation, for one of the main reasons, are responsible for the discharge of the blighted pus and for the overcoming of the wounds. An important factor in the quick start is the operation of technology, when the fabric is minimally guarded, and also infuses the patient's body into the body. If the function is destroyed, for the help of some organisms they are renewed, or in the empty queue there is little development of pathological processes, then, without a doubt, it will not appear all at once. In an hour, I’ll show you the smell of dividing it to the next stage. Change of preoperative expedited:

• perforation;
• appendicular infiltration;
• abscess;
• peritonitis;
• pylephlebitis.

Pislyaoperatsіynі go on an hourly vinnennya:

1. Early (it takes 14 days to develop), it’s possible to find out if the wounds are getting better quickly. Prior to them, it is recognized: disperse the edge of the wound, which is supervised in various events; a diagnosis of bleeding from a patient.
2. More rapid development takes place after the end of the two stages from the moment of the operation. In the whole period, it is so, as in the early period, there may be problems from wounds: abscesses, fistulas, cicatrices, neuromas, grits, and inflations. Can be burned in the empty stomach: abscess, cult, infiltration. It is possible to carry out operative reactions from the side of the shlunkovo-intestinal tract: the establishment of adhesions, gross imperfections. Possible reasons: diagnostics or lack of treatment for appendicitis; admission by a licar of a pardon; іnshі supernumerary illnesses; deranged and incorrectly ascertained by the patient the sign of a lykar.

Characteristic signs and peculiarities of preventing the acceleration of appendicitis

The presence of a high temperature and the transition of the level of leukocytes for the 1800 / mm3 mark is a sign of perforation.

Approximately for the third time, one may appear with an accelerated appendicitis - perforation. Vona is characteristic of destructive forms of yogi. Supervision of growth of painful symptoms, diagnosis of abnormal peritoneal symptoms, development of leukocytosis. Visnachiti gostry without aperforated appendicitis For information on perforation, it is possible that the temperature is 38 and the level of leukocytes goes over 1800 / mm 3. The appendix is ​​practically not visible, as the reason for the burning was perforation. Perforated worm-like growth occurs in 40-55% of ailments. The structure of the appendix has changed as a result of perforation and transition for yogo visualization.

Appendicular infiltration (ignited puffiness) is used to set fired tissues and organically centered in appendicitis, the degenerative processes of which are present at the peak. Yogo illumination is a natural reaction to organism, it is manifested in a sharp inter-mediated ignition process. Palpation of ill-fated illumination of the patient. Such a camp is supervised by low-grade fever. The visibility of the Infiltration of the Victory is promptly involved. In the end bag, as a result of the therapy, the chubby grows wet, in important drops, the tendency to suppuration is promoted. The reasons for the approval of the infiltration can be called the registration of the infection before the medical mortgage, or a pardon, allowed for the hour of diagnosis.

An appendicular abscess is even more important for the patient to be at the stage of appendicitis. Most often, the diagnosis of appendicular infiltration (even if it was approved before the operation), also in case of peritonitis in the vigil, delimiting the process (often in the case of operative inheritance). It grows approximately when you do it at the moment you get a cob of it. The body becomes shivering, the temperature rises, there may be chills, and the development of leukocytosis and endogenous intoxication is prevented. At palpation, one can see the illumination, the thread of the stone is strained to the limit, the opening of the thread is manifested. Stagnation of hospitality palpation leads to a picture: an increase in infiltration with non-disturbed boundaries. Lіkuvannya is carried out by surgical entrances, for the help of which a ginny is opened, sanitation is given, as well as draining.

Peritonitis, as a rule, serves as the head cause of death of ailments hosprim appendicitis... Appendicular peritonitis - the leader of the middle of peritonitis of the developmental etiology. Lack of type of symptoms, unclearness of clinical manifestations of severe appendicitis, loss of malignancy to medical mortgage is an incomparable complex of reasons, if a patient is given help, it’s even easy to bring it to the end. Gniy, scho eating from the appendix into the empty stomach, wiklika's important camp. With such a stanі, a non-surgical involvement is shown.

In case of improper treatment before the operation, it is possible that the operative peritonitis can be diagnosed.

It is important to diagnose the operative peritonitis, since it does not show a clearly rotated clinical picture, as a result, to create a situation, if the additional help is not even necessary for the result. The factor is one hour old for the forecast. Alert furnishings, on how well you will be brutalized: do not pass two or more balls in the abdominal area, the manifestation of boredom, haircuts, and a lot of bloating. Rizik the development of peritoneal peritonitis is improved in the case of badly carried out sanitation of black emptying, incorrect treatment of peritonitis in the period before the operation.

Pilephlebite is the most secure camp for setting blood clots on the fired-up walls of the vessels. You may find another person suffering from peritonitis for a number of lethal symptoms in the middle of those with appendicitis. Winning such a situation is the result of pouring pus into the vein. The middle of the thrombus establishment is a worm-like outgrowth, the process of drowning in the club-rim vein, passing to the brisket vein, and from it to the vortic vein, the situation can reach the liver abscesses. I have a problem with pain in the abdominal area, sleep and appetite. It is more localized on the right edge, however, it can be on the back and shoulder. Antibiotic therapy in this type of craving for the most powerful drugs.

In the Danish hour, without affecting the appearance of an acceleration, appendicitis suffers a liking for good, a little more beautiful than a liking for a prophylaxis. The essence: with the appearance of pain, it is innocuous to turn to the doctor. As soon as with proper respect you put to your body and do not ignore the signals, you can avoid unpleasant inappropriateness.

gostry appendicitis You can be super important, it is not easy to overload your life with accelerated ones. Before them appendicular infiltration (abscess), abdominal gnitis, peritonitis and pylephlebitis are introduced. The appendicular infiltration is encouraged to develop on the 2-4th day of becoming ill and to turn in the emergence in the right club area, growing in the midst of the contiguous, sickly, sickly and unruly decision of the growth. On palpation, there is a local soreness. Blumberg's symptom - Shtkіna can be taken by a stretch of decіlkoh days. The temperature is adjusted to 37-38 ° C, in the blood there is leukocytosis from the destructions.

Get involved scho appendicular infiltrationє one of the forms of peritonitis, the results of which are variable. Інфільтра - tsevok in sheep skins "(L. G. Brzhozovskiy). With a snuggle of wines, more ailments will get wet. However ryadі vipadkіv Mauger article Yogo nagnoєnnya scho proyavlyaєtsya posilennyam bolyu in zhivotі, away pіdvischennyam temperature knots in leukocytosis, pogіrshennyam zagalnogo mill, zbіlshennyam rozmіru іnfіltratsії, viniknennyam bezvihodі Yogo kordonіv, іnodі fluktuatsії i virazhenih simptomіv podraznennya ocherevini.

Peritoneal period is carried out until the day of the best people who are not safe and one of the main causes of fatal diseases. YOGO CLINIC AND LIKUANIA VICLADES IN A SPECIAL DISTRIBUTION.

accelerated appendectomy may be from the side of the wound (muscle), internal and systemic. Before the musculature, there should be hematomas, suppurations, inflammation of the inflammation and ligature fistulas. Hematomies are recognized in the first days of the operation. There is pain and swelling in the seam area. Disposal of hematomas is the main method of usunenia. The wound suppuration is the most frequently accelerated operation. It grows in 1-6% of cases in fallowness in the form of appendicitis. Lіkuvannya suppuration polyagaє in the knowledge of women, raised regions of wounds, dressings with antibacterial agents and enzymes, immunotherapy, depending on the phases of the wound process.
When igniting infiltrates recognize antibiotics and physiotherapeutic procedures (quartz, UHF, electrophoresis and in.).

accelerating from the side of an empty stomach, they are classified as severe and not safe for life and include internal urinary abscesses (pelvic, subaphrenic, small intestinal abscesses, intestinal abscesses, intestinal abscesses), intestinal abscesses On a part of abscesses of a gastrointestinal appendicitis, 19% of internal abdominal gnijniki have fallen. Pelvic gnaries are diagnosed with localization of destructive appendicitis in the small pelvis, or in quiet cases, if the exudate descends into one of the other abdomen. On the 7th-12th day of the operation, the temperature and leukocytosis build-up will rise again, and there will be pain above the bosom or in the glybin pelvis.

uneasy fostering disruptive problems And also pain during defecation, tenesmus. In case of rectal abnormal vaginal dysfunction, a sore overhanging infiltration occurs, not infrequently with development. Lіkuvannya polyagaє in the rosette of the gnіynik through the rectum in cholovіkіv and through the back crypt in females.

piddiaphragmatic abscess to suffer in 0.1-0.5% of the symptoms and against high temperature, swelling intoxication, back pain, chest pains on the sides, strikes during inhalation. Diagnostics is very important. Lіkuvannya polyagaє in roztiny abscess, bazhano extra-abdominal or extra-pleural access. Mіzhkishkovі abscess i perіod forms provanіya vіdrіznyayutsya bіdnoyu klіnіchnoyu picture, however in at zbіlshennі away gnіynika z'yavlyayutsya Find our gnіynoї іntoksikatsії i viznachaєtsya hvoroblive osvіtu naychastіshe in oblastі navel abo zlіva od Demba naprugi m'yazіv of positive symptoms Blumberg - Schotkіna. Lіkuvannya - rostin and drainage of abscesses.

Until the number of those who are born, or even worse than those who are not, have to be introduced pylephlebitis, Abo, abdominal thrombophlebitis of the portal vein with multiple liver abscesses. Wine is characterized by a very important septic plin, rapidly growing intoxication, feverish, icterus, liver failure, tachycardia and hypotonia. The prognosis is serious, lethality is 90-98%. Likuvannya polyagaє at the introduced large doses of antibiotics and the sign of anticoagulants. When liver abscesses are evident, rostin is shown. The spiky process of apendectomy can serve as the cause of intestinal imperfections in the nearest and longest period. Thromboembolic acceleration, pneumonia, gastric infarction of myocardium, razlade from the side of the cutaneous system and inn.

Russia has more than 1 mln. appendectomy lethality is close to 0.2%. The main cause of mortality is the acceleration of the gastric appendicitis, described by the disease. The stench is tied with a diagnosis, a memory of an operation and an accelerated one. The highest rate of acceleration and mortality is more likely to occur in the middle of children and especially in the abducted and old age.

- Turn into zm_st rozdila "

Appendicitis is an inflamed growth of the appendix called the appendix. Symptoms of gastric appendicitis: more views in the stomach, the level of etching, the temperature.

When the first symptoms appear, they turn for help to the lycaria. Alone lykuvannya - the price of seeing a burnt appendix. Some people experience an accelerated appendicitis.

signs of quickening

Yak has already written vishche, appendicitis is the price of a worm-like outgrowth. The appendix is ​​the chain of the intestine.

If there is a change in the number of all sorts of inputs, you can start burning. At the end of the day, the surgeon will be able to get help.

You can show yourself an appendix at any hour. Most often, in the midst of the adult period, it is difficult to get stuck with a problem.

Inodi appendicitis does not show itself anything for all life. With such a rank, it is not hard to pass the yogi chant.

When the first symptoms appear, they are directed to the surgeon. Tolerate and fix it more as it is done in the minds of the home is not at all necessary.

If you don’t end up getting sick, then you might end up with the same inheritance, right up to a lethal result.

We need to undergo an operation earlier and to designate an outpatient treatment, which is more rapid.

Already after 3-7 days of seeing the growth, the people will turn to life. It’s only possible to be victorious if it’s physical.

Those who are most popular in the list are accelerated peritonitis. Also, the acceleration of the growth is as a result of the re-growth of the pus of the growth and its outflow in the middle of the organs.

One of the forms of development of peritonitis is called appendicular infiltration.

Appendicular infiltration є should be delivered to frequent accelerations. Vinikak іnfіltrat, because it is in a small amount of coming into the body, and that will be able to independently deal with the problem.

Naygolovn_sha nebezpeka in tsomu - spluttering symptoms. Anyone who has a problem can diagnose a line of operations. More contaminated blood is possible, but it is practically uncomfortable to find it.

By the year, the symptoms of infiltration will only improve. To obey the suppuration, but the pain to become sick. Naturally, about the ignition process, organism due to temperature adjustments.

In case of peritonitis, surgical intervention is guilty but timeless. The form of development of appendicitis has been launched, but it doesn’t give way to lykuvannyu, but to people who have a lethal result.

Diagnostics of the accelerated can only be completed by the surgeries. In the case of the deyakikh vipadkah, the first glance at the queue and palpation.

Alas, it's a pity, it’s like this, so that the development of appendicitis will appear less quickly in the course of the operation.

Іsnіt ізні type and accelerated. Skin of them has its own symptomatology. Be a kind of heritage in a non-secret version.

Classification accelerated

On the emergence of serious inheritances, they are infused with bureaucrats. Growth in an hour for pre-operation and production.

The first type of acceleration is due to the long involvement of drugs. Most often the stench is caused by the wrong diagnostics and therapies.

Before preoperative admission: appendicular infiltration, pylephlebitis, peritonitis, phlegmon of the urea cellulitis, abscess.

Pislyaoperatsіynі accelerated to be recognized even in a decade after seeing the growth. Inodi stench appears through the bottle of tizhniv.

Prior to the operative process, it is necessary to recognize pathologies of the organs and inheritances, such as bouts of ill health in the course of surgery.

Reasons for the identification of operational inheritances:

1. It is wrong to target the regime.
2. I will make a diagnosis inaccurately.
3. Chronic and state sleepers get sick in suspicious organs.
4. Dovgy brutality for help.
5. Pardons in the course of the operation.

The processing of the operation may also be carried out in a different way of localization. Tse mozhe buti:

1. Cherevna is empty.
2. Misce rozrizu.
3. Be-like are the main organizations and systems.

Deyakі problems arise practically at once, and іnshі are in the stage of development.

Now, we can see 2 possible options for fast development:

• Early. Vyavlyayutsya on protest 14 days. Varto vidіliti takі, yak: peritonitis, suture ear, bleeding, pathology of the secondary organs.
• Pizni. It takes 14 days to arrive. Fistulas, keloid cicatrices, suppurations, infiltrates, abscesses, intestinal laxity, adhesions in the void are seen.

In order to see all the nuances of the early and early stages, it is necessary to look more closely at the skin of the skin.

perforation

Winning at the early stage. The process of acceleration, which happened as a result of the gross burning of the appendix, its suppuration and melting of the walls.

Gn_y to go to the empty room, wickedly razdratuvannya. Perforation of superficial peritonitis.

Vyhodyachi from the clinical picture of pathology, you can see signs:

1. Nudota and blues.
2. Strong belly pounding.
3. All symptoms of intoxication.
4. Lichomaniac.
5. Signs of peritonitis.

Naturally, since earlier, drug therapy was introduced, and the lower risk of development of perforation. Most of the winners are among quiet people who turned up for help at a new stage.

appendicular infiltration

According to the statistics of the whole acceleration, no more than 3% of patients with the diagnosis of appendicitis are seen. Appendicular infiltration є should be delivered to frequent accelerations.

Likewise, it is the inheritance of the past beasts for help. Winikak did not last 5 days for the cob to start the ignition process into the sprout. Firing hostile organisms and textiles.

Pochatkov_ signs:

• Lichomaniac.
• Intoxication.
• Yaskravo-swerving pain in the stomach.
• Zagalny rice show peritonitis.

The signs are characterized by the spread of their symptoms. In general, care is important, and it is important to diagnose the problem. The lack of information about surgery can simply be passed through the visibility of the sign.

At the moment, the patient has begun to see the relief, bіl іde, and the home of self-esteem will improve. Alone, too much - the temperature. The assessment is innocent.

When looking around, hirurg does not mean a meat spill in the black region. Alone, there can be a view of the accelerated - not sickly, brilliant and non-porous in the right club area.

It is necessary to understand that the operation is not important at all. Take a problem using a conservative method.

The drugs of the group of antibiotics are taken as a basis. There will be strong drugs needed to prevent serious development.

Appendicular infiltration can be reduced or an abscess is thought to be in the middle of the body. In short, if there is no suppuration in the fired mice, then there are no more than 5 types in the process.

In іnshomu vipadku, we can continue to decay, which leads to peritonitis.

appendicular abscess

It is important to form the development of pathologies in any stage of progress.

The miscellaneous localization can be:

• Club area rights.
• Outside the belly open space.
• Diaphragm. To be located in the right subphrenic depletion. Symptoms: readily and severely show toxicity, dry cough, sternum bruising, dizziness and dysfunction. When palpation, fahivets are of a single meaning: more visions, a great deal of the liver, a soft life. Dikhannya is practically not seen in the right legend.
• In choloviks, it is a small intestine and a rectum and a rectum, in females, it is a rectum and a uterus. Signs: dysuric manifestation, b_l in the rectum, interstitial, part of the positive until emptying. Suppuration can be diagnosed through the rectum or else.
• At the bowel loops. It is even more important to diagnose the problem at an early stage of development. There were more symptoms of a swelling of a greater nature: the temperature rises, paroxysmal pain, the joints of the cranial wall become strained, palpable infiltration.

Before zagalnye sign Introduce:

1. Hypertherm.
2. Intoxication.
3. Strong b_l.
4. High level of leukocytes and SHOE in the blood.

For diagnostics, the ultrasound scan is used. Yak lykuvannya vikoristovuєtsya promptly involved.

Gnіine osvіtu with appendicular abscess raskrivaє, and urazhena rinse empty. She will have drainage and stitching up the wound.

During the operation, it is still necessary to carry out emptying through the drains for an hour. It’s necessary to see the surplus of pus. Necessary liquids are also introduced into the empty space.

pilephlebit

Tse one z navazhchikh development of accelerated state of appendicitis. Pilephlebitis is a very important septic tank firing the gates of the liver. On the organ, there is a little gn_inik_v.

Main features:

1. The patient's self-esteem grows.
2. Severe symptoms of intoxication.
3. Blida shkira.
4. Zadishka.
5. Hypotonia.
6. Improvement of spleen and liver.
7. Lichomaniac.

In the course of treatment to enter yak promptly, so i drug treatment... When approved, they open and shake the prominence.

From conservative treatment, the emphasis is on taking anticoagulants and antibiotics.

Important! 97% of the patient does not fall into vryatuvati. Є temporarily lethal result.

peritonitis

As a result of the aggressive ignition process of the appendix, there will be a black hole. signs:

1. Hyperthermia.
2. Strong beat in the black zone.
3. Blіdіst.
4. Takhikardia.

Only after the completion of the license can be added to the speed up. At palpation of the peculiarities: there was a chance to grow up because the car squeezed on the black area and quickly let it go.

At the same time, not to bring special discomfort to natisnennya.

The therapy is guilty but complex. It has methods:

• Symptomatic.
• Antibacterial.
• Khirurgic.
• Desintoxication.

Intestine fistulas

Until the very beginning of the operative expedited fistula itself. With such pathology, the symptoms of the nearest intestinal loops with further destruction are observed.

1. The onslaught of gauze bandages on the empty string.
2. Nedotrimannya norms for the formation of the appendix.

If the wound is stitched up, then the symptomatology is clearly pronounced and important. In case of an indiscreet wound, the intestinal vstupaє vistup, yak vyvoryu nadal fistula.

signs:

• Attacks similar to a large number of cases in the right club area.
• At the same part, glycogen infiltrate appears.
• Symptoms of impaired intestinal function.
• Signs of peritonitis.

Lіkuvannya will directly lie in the form of individual overcoming pathology. Therapy includes both an extravagant medication method and a surgical one.

In the general order, it should be used for anti-firing, antibacterial drugs. The diagnosis of intestinal fistulas is susceptible to uncompromising vision.

Fistulas can self-develop. It is impossible to admit it at any time. It will be seen on the 10-25th day for the appearance of appendicitis. Є small risk of lethal result.

lіkuvannya uzladnen

In the course of prophylaxis, at the stage of diagnostics of appendicitis, carry out therapy.

Ways to improve and improve the inheritance:

• Hematomi. Є the most popular type of accelerated development. The main symptom є bіl at the mіsci suture application. When diagnosing hematoma, the drug is indicative of rosin wound and cleansing. Dalі to carry out immunotherapy, physiotherapy and signify antiapharyngeal drugs.
• Dotrimuvati mode, especially in the first days.
• In case of emergence, acceleration of food should be approached through pricks and droplets. For polishing, it is allowed to grind cereals and products.
• For the renewal of tissue in a sick person, you can use antibiotics and anti-inflammatory drugs.
• In the first few months of evidence, be it physical, nailed and ruffled.
• It is necessary to respectfully follow the symptoms. About any new manifestation of the varto say the likar. It is not possible to engage in self-care.

Only correctly and promptly engaging the patients can prevent the development of an accelerated disease due to appendicitis.

It is not possible to reach the junior stage of development. Only the respect to one's own organism is good enough to go to the brutality for help.

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