1 Star2 Stars3 Stars4 Stars5 Stars (No Ratings Yet)
Loading...

Appendicitis

  1. Reasons
  2. Symptoms
  3. Treatment


Appendicitis

is inflammation of the Appendix, a vestigial cecum. Its size is relatively small length 2-13 cm, diameter 3-4 cm. The disease can be both acute and chronic.

The acute form occurs most frequently, and in many cases causes the development of inflammation of the peritoneum. According to statistics, in year 4, and sometimes 5 people out of 1,000 are diagnosed with this disease. Suffer mostly children older than 10 years and young people under the age of 30.

Classification

  • simple or catarrhal
  • destructive (gangrenous, phlegmonous, perforated)
  • complicated.

A simple form is characterized by the fact that the inflammation affects the mucous membrane of the body with a perspective of migration to all tissues, or may be subjected to extinction.

Abscess form differs in that the inflammation progresses, and inside the body builds up pus.

If the number of critical pus, increased swelling, resulting in inflammation of the blood vessels and the blood clots, which leads to the withering away of the wall of the Appendix develops gangrene.

In perforated form, is the destruction of the epithelial tissue of the Appendix due to the development of cellulitis or gangrene. This leads to the fact that accumulated inside the body the pus is poured into the peritoneum, causing complications.

Reasons

The main culprit of inflammation of the Appendix is the blockage. This happens due to the accumulation in the process of fecal stones and foreign bodies (as typically occurs appendicitis in children). Also plays the role of inflection of the body under the influence of various factors, such as scars and adhesions. In rare cases, the provocateur acts worms or tumor in the tissues of the Appendix.

Different kinds of infections (bacterial, parasitic) can cause inflammation.

There is a theory that disease causes a lack of the quantity of fiber entering the body with food.

It is possible that the syndrome occurs due to depression of the immune function of the body. The wall of the Appendix is permeated by lymphatic cells, which is a component of the immune system. Tissue of the Appendix and lymph cells are the shield. The dysfunction of this Board and the presence of infection causing inflammation.

Symptoms

  • acute right lower quadrant pain
  • nausea, which is accompanied by vomiting
  • the sharp jump in temperature (37.5-38 degrees)
  • pulse 90-100 contractions per minute
  • rigidity of the abdominal muscles.

On the course of acute forms of the disease affected by such conditions

  • the position of the patient’s body
  • the phase of the pathological process
  • changes in the structure of the tissues of the Appendix
  • the ability of the circulatory and immune systems to quickly and adequately respond
  • painful conditions and complications present in the body.

Pain appear suddenly and grow rapidly, usugublyali when moving or coughing.

To exactly where a person feels pain, affects the location of the Appendix. When the first signs of appendicitis, it is impossible, ctco determine the localization of the pain. She felt around the belly and only after some time descends into the iliac fossa.

In cases of anomalous position of the patient’s body, the pain may have a different character and be in any other place. If the cecum is located low enough, the beginning of an attack characterized by aching or stabbing pain above the pubic area.

When the Appendix is behind the caecum, pain felt in the loin, iliac fossa and lower abdomen on the right.

When the location of the Appendix behind the peritoneum the pain is localized in the lower back, but you can feel in the genital area and the thigh. In this case, the upper part of the process may be quite close to the bladder, right kidney or of the appendages in women. Because of this, drevoobrabeci inflammation of the Appendix can be mistaken for kidney problems or disease of the uterine appendages.

Another sign of the acute form of this disease is vomiting. It occurs in 30% of those who are diagnosed with inflammation of the Appendix. Some time after the onset of pain, there is loss of appetite and nausea with vomiting attacks, which sometimes recur. If this happens after a relatively long period of time, it is a clear symptom of peritonitis.

At the initial stage of the acute form of the disease the body temperature does not exceed the limit of the rules either reaches 38 degrees, but if the disease is active worsens it rest. For those cases of inflammation, when there is destruction of tissues of the body, the inherent low temperature and frequent pulse, which is not the norm. In addition, the increasing intoxication borders on inappropriately low blood pressure.

Body temperature in acute inflammation of the Appendix increases rarely. Usually it reaches 39 degrees and above for perforation of the Appendix.

arises from acute, when the attack fades away without medical intervention.

The types of chronic appendicitis


  • recurrent
  • residual.

Recurrent inflammation is a kind of back acute, only milder manifestations.

Residual inflammation manifests itself in the defeat of the cecum, or spikes.

Complications

  • appendicular infiltrate
  • (inflammation of the peritoneum).

The formation of infiltration falls on the third, sometimes on the fifth day from the time when there was an acute appendicitis. In the inflammatory process involved neighboring organs Appendix. When the disease becomes worse, developing an abscess.

An abscess can occur in various areas of the abdomen.

Depending on this there are the following types of abscess

  • periappendicular
  • lokalizirutesa between intestines
  • growing under the diaphragm
  • pelvic.

Diffuse peritonitis is the most dangerous complication.

To provoke a diffuse peritonitis can

  • migratory inflammation
  • break the wall of the Appendix
  • penetration of an abscess in the abdominal cavity.

Treatment

Treatment of acute form of the disease is

followed by therapy with antibiotics and drugs that relieves the symptoms of poisoning. Operation appendectomy is performed in cases when there is suspicion of inflammation and to eliminate it by other means is impossible.

Appendicular infiltrate is treated with cold, antibiotics and antiseptics. Also used painkillers. Physical therapy is focused on the resorption of infiltration. Within two to four months after the appendicitis is appendectomy.

In the formation of ulcer need surgery. The abscess is opened and drained. A few months after disappear abscess, appendectomy is performed.

With the destruction of the tissues of the organ after the surgical treatment should be antibiotic therapy. Drugs are administered parenterally and through drainage, if the drainage was carried out.

Diet

On the first or second day after the procedure appendectomy starts

. Food should be liquid and gelatinous. You can eat only nenavistyu broth and jelly, and drink a decoction of rose hips and juices.

The third or fourth day the mucous soups, liquid porridge mashed, boiled eggs, etc., On the fifth day of the permitted pureed boiled meat, vegetable purees, yogurt. Directly before discharge of the patient, it is transferred to a diet by Pevzner, which prohibits the use of products heavy to digest, and spicy food.

Recommend you read other related articles Appendicitis


Depending on the technique of the operation (appendectomy or laparoscopic appendectomy) fever after appendectomy may persist for 2-3 days or even a few weeks. If the temperature is not reduced for 1.5 weeks, this is quite a serious symptom. Be sure to check for the presence of fluid accumulation in the abdominal cavity or wound infections. Rather the great value has a type of appendicitis. For example, elevated temperature to 39S with phlegmonous appendicitis is the norm, which may persist for three days.


Modern medicine is quite often faced with the problem of appendicitis. This operation is considered the most common surgical intervention on organs of abdominal cavity. Appendicitis is quite common in adults and in children. After such an operation may be complications. For example, adhesions.


Appendicitis is an inflammation of the Appendix. Mortality from acute appendicitis is approximately 0.1% -3%. Mortality among hospitalized on the first day about 5-10 times lower than patients who reach the hospital much later. It is therefore very important to diagnose the disease.


Depending on the technique of the operation (appendectomy or laparoscopic appendectomy) fever after appendectomy may persist for 2-3 days or even a few weeks. If the temperature is not reduced for 1.5 weeks, this is quite a serious symptom. Be sure to check for the presence of fluid accumulation in the abdominal cavity or wound infections. Rather the great value has a type of appendicitis. For example, elevated temperature to 39S with phlegmonous appendicitis is the norm, which may persist for three days.


Modern medicine is quite often faced with the problem of appendicitis. This operation is considered the most common surgical intervention on organs of abdominal cavity. Appendicitis is quite common in adults and in children. After such an operation may be complications. For example, adhesions.


Appendicitis is an inflammation of the Appendix. Mortality from acute appendicitis is approximately 0.1% -3%. Mortality among hospitalized on the first day about 5-10 times lower than patients who reach the hospital much later. It is therefore very important to diagnose the disease.