Celiac disease: symptoms and treatment of the disease Symptoms and therapy of...

Celiac disease: symptoms and treatment of the disease Symptoms and therapy of appendicit infiltrate The inflammation of appendicitis, occurring in an acute form, sometimes leads to the formation of an appendicular infiltrate. Pathology appears for 3-4 days from the beginning of the development of the pathogenic process. It is a collection of altered adjuvant well-wishing to each other tissues - it's an appendix, a blind and a small bowel, an omentum. At the site of the inflammatory process there is a motionless compaction that causes the pain syndrome to be palpation. The main strategy of healing is surgical intervention, less limited healing is prescribed. Incorrect or delayed therapy often leads to the development of a purulent process at the site of localization of the infiltrate.

Systematization of pathology

Distinguish the appendicular infiltrate, depending on the location of its localization, density and mobility. Diagnosis of pathology makes it very possible to find the features of the course of the disease and then to appoint competent healing. Pathology can be used for such areas: the iliac margin; interintestinal fraction; basin; suprapubic margin; subhepatic place; retroperitoneal lobe. The inflamed part, depending on the density of education, can exist: tender; average density; strong. The mobility of education helps to characterize the stage of the course of pathology: 1st: appendicular infiltrate is mobile; 2nd: mobility is hampered; 3rd: the pathology becomes immovable. Between clinical cases, the third degree of the disease is recorded more often. Specifically, in this interval, the symptoms of the pathology are more pronounced.To be certain circumstances, the disease also systematizes according to the signs of inflammation in the abdominal cavity (diffuse peritonitis): with manifestation or asymptomatic.

Like a pathology

Symptoms often appear if appendicular infiltration has reached the 2-3 stages of development. Before the disease is absent, the person feels normal. Being a palpation healer can find a seal for the site of the development of the pathology that being pressed causes pain. Then the body temperature rises. Often the remark for the thermometer does not exceed 38 degrees, but in rare cases, inspiration begins if the temperature reaches 39-40. For the second stage of development, the symptoms look as follows: paroxysmal acute disease near the navel; endogenous intoxication; the temperature does not drop below 38; small increase in heart rate (before 90-95 strokes); leukocytosis. For the third stage, the appendicular infiltration is palpated with palpation, it is strong and sluggish.Pathology can unfold according to one of the 2 directions. Abscessed appearance. Education is complicated by a purulent process, which causes a sharp increase in temperature before 40 and cold, the intoxication of the organism develops, the pain syndrome intensifies. Degeneration of the infiltrate without any complications. The purulent form of pathology is unsafe and requires immediate surgical healing.

Diagnostic methods

Then a full-time examination of the patient's medical staff assigns an echography to the patient. The action allows you to find the location of the localization of the infiltration and its shape. As a rule, this education of an incorrect structure, without an exact shell and capsule. Echogenicity in such cases is lowered according to the relation to adjacent soft tissue. The ultrasound can diagnose a purulent form of pathology. This is indicated by the presence of fluid-containing cysts that have a well-defined capsule. Being an appendicular infiltrate to a patient must deceive the diagnosis for a thing of malignancies in the colon, also a vermiform appendage. For the opinion of the treating doctor, the patient may be induced for ultrasound and computed tomography of the abdominal organs.

Limited healing

Non-surgical therapy is likely to be only a relaxed appendicular infiltrate if in stationary conditions there is a desire for its independent resolution. If the upbringing does not contain pus, has a dense structure and is immobile, then the operation according to the removal of the appendix is ​​impossible to live. The limited therapy implies a complete approach to the elimination of pathology: a serious order of rest is shown to an unhealthy person, in fact, he should always live in bed; the pathway of bactericidal preparations of a wide range is assigned; one of the main criteria for healing is the order that ensures the normal functioning of the intestinal tract; physiologically and physiologically. In antibiotic therapy often used drugs: Ceftriaxone; Cefepime; Metronidazole; Amoxiclav; Tienam; Vancomycin and the rest. In the diet, you can consume: mashed potatoes; cottage cheese; bananas; fish souffle; vegetarian rubbed soups. It is necessary to exclude from the diet fatty foods, fried foods, semi-finished products and conservation. All food should be cooked or cooked for steaming. The main task of physiotherapy is stabilizing the condition of the sick. The procedures help to regress the pathology, and in its inactive stage help to remove or stop the pain syndrome. Patients with the diagnosis of "appendicular infiltrate" should be in the hospital before a complete cure, in order to avoid exacerbation of the process. Complete resorption of education is observed after 4 months in babies, and in adult patients the cure does not occur earlier than in half a year. If the disease recedes, scheduled surgical intervention is prescribed in accordance with the removal of the appendix. In the process of surgery, fission of fused organs and complete sanitation of the abdominal cavity are performed.

Surgical action

The main treatment of an appendicular infiltrate is an action. It is appointed if the upbringing has loose structure and good mobility. Surgical intervention can also exist if pathology is diagnosed for the first stage of development. The patient is removed appendix and the omentum is severed. On the right in the iliac region of the unhealthy is established small pebbles, who allow the first day of the day to put the antibiotic directly into the affected room. An unsuccessful action is assigned to be a diagnosis of a purulent-leaking appendicular infiltrate. For the abscessed form of pathology indicate the symptoms: inspiration; cold; clear pronounced pain syndrome, even in a moderate condition of the sick; visually noticeable increase in education; increased number of leukocytes in a laboratory blood test. Izza 3-6 hours before the critical operation of the patient prepare: conducted research on biomaterials; liquid therapy is prescribed; antibiotics are administered. Surgery takes place in 3 steps. Opening of a purulent infiltrate. Emptying education. Installation of drainage. In the next two months, the limited therapy described above is performed. Later, a diagnosis is assigned to confirm the healthy effect of the cure. If all is in order, the patient is given the date of the operation in accordance with the appendectomy. Frequently the pathology proceeds harmlessly and has a successful ending. Disease in this case is not a threat to the health of the ill. However, in order to infiltrate well and vividly cure, it must be recognized by the way. Even modern methods of diagnosis do not always allow us to find pathology at any time, hence the vigilance of the very worst is playing an important role.