Appendicitis

photo from www.flickr.com

Appendix — Veimiform process cecum, which is located practically on the border between small and large intestine.

The appendix has many rodents, some predators, monkeys and humans. Length human appendix typically 5 — 15 cm — diameter of about 1 cm

Presumably, its main task is to protect the small intestine from the bacteria that inhabit the cecum.

What is it?

Inflammation of the appendix is called appendicitis. This disease is extremely common and requires emergency surgery.

Appendicitis can happen every person, regardless of age.

Those who are not lucky enough to get sick appendicitis, sure he came at them for no apparent reason. However, doctors do know that the development of appendicitis can lead to:

  • unnecessarily moving appendix and its excesses (eg, children);
  • appendiceal lumen obstruction stool with constipation (the elderly) and just undigested food particles (seeds, grains);
  • food and any other infections;
  • inflammatory bowel disease;
  • abdominal trauma.

What's going on?

Appendicitis develops gradually: in the first hours of the disease process swells, then filled with pus. Without a surgical treatment for 2-3 Days there is a rupture process, pus poured into the abdominal cavity, peritonitis develops terrible. The patient's condition becomes critical.

As suspected appendicitis?

  • The main symptom of appendicitis — abdominal pain. Most often appears first pain in the upper abdomen, and then it moves to the right and down. However, quite often ill have appendicitis pain in the right upper quadrant and pain extending to the back or in the anus.
  • Touching the stomach causes increased pain.
  • The abdominal muscles are tense.
  • The patient is short legs to the stomach.
  • Nausea and vomiting.
  • The character of stool (constipation occurs or, conversely, diarrhea).
  • Can raise the temperature.

Special attention should be children and the elderly. Children often can not clearly say where and how it hurts. Tearfulness, lack of child's refusal to eat can talk about appendicitis. The elderly pain can be smoothed, which leads to the late diagnosis of disease.

First-aid

  1. If you notice such symptoms should immediately call the "ambulance".
  2. Before the examination the doctor should not take painkillers and other drugs, as this will complicate the diagnosis. Also, do not eat or drink.
  3. In no case do not use a hot water bottle to his stomach. Heat contributes to the disease and can cause tearing process! Onstomach You can put a plastic bag with ice.
  4. Call the doctor is required even if the pains subsided. Stihanie pain is often noted in passing the disease to the most serious stage!

Diagnosis and treatment

Appendicitis — A disease of the gastro-intestinal tract, and it is the most logical address to a gastroenterologist. However, since disease usually develops acutely, it is best just to go to a surgeon.

The doctor makes a diagnosis after examining the patient. In this case, women necessarily require prior consultation gynecologist as appendicitis and inflammatory diseases of the female genital organs are very similar.

To confirm the diagnosis urgently conduct an ultrasound and X-ray examinations of the abdomen. Even if diagnosis Appendicitis can not be put right, and the only symptoms resemble the disease, the patient left the hospital under observation, postponing the decision to have surgery for 12-24 hours.

In a well-equipped centers in the case of unclear diagnosis used laparoscopy. This is the most reliable diagnostic method. During laparoscopy into the abdomen through a small abdominal incision (one centimeter), a special tube, through which the surgeon examines the entire abdomen.

Upon confirmation of the diagnosis may laparoscopic appendectomy.

Appendicitis is treated only by surgery: remove the appendix (appendectomy). The operation was performed under general or local anesthesia.

There are two methods of removing the appendix.

  1. The most common — a traditional appendectomy. This is a common surgical procedure in which the incision is carried right abdomen and remove the inflamed appendix.
  2. Laparoscopic appendectomy (endoscopic surgery) is used less frequently, mainly in the event that laparoscopy is used for diagnosis. Compared with the traditional appendectomies, this technique provides less blood loss and reduce the risk of postoperative complications.

If the features of the location of the appendix does not allow you to remove it laparoscopically, the surgeon proceeds to the traditional appendectomy.

The success of treatment depends on the timing of treatment to the doctor.

 

Like this post? Please share to your friends: