Sunday, May 22, 2011

Inflammatory Disease Appendix (Appendicitis)

Inflammatory Disease Appendix (Appendicitis), Before further discussion about appendicitis which in medical language is called Appendicitis, then it first must be understood what is meant by appendicitis. Appendix, as the name suggests that this is really the tip intestinal tract clogged. The intestine is the amount of approximately sejari little finger, connected to the large intestine that is located in the lower right abdomen.

Inflammatory Disease Appendix (Appendicitis), Appendicitis in Latin referred to as Appendix vermiformis, this organ is found in humans, mammals, birds, and several species of reptiles. This organ was initially regarded as an extra organ that has no function, but it is currently known that the function of the appendix is ​​as immunologic organ and is actively involved in the secretion of immunoglobulin (an immune system) which has / contains lymphoid glands.

Like the organs of the body, appendix or appendix is ​​likely to suffer damage or disorder to disease. It is that often we are familiar with the name of Inflammatory Disease Appendix (Appendicitis).

Inflammatory Disease Causes Appendix (Appendicitis)
Appendicitis disease is generally caused by bacterial infection, but there are several possible factors originators who until now have not be known with certainty. Among the factors blockage (obstruction) in the lining of the channel (lumen) appendix by fecal piles / hard stool (fekalit), hyperplasia (enlargement) lymphoid tissue, worm diseases, parasites, foreign bodies in the body, the primary cancer and stricture.

Among the factors above, it is most often found and strong suspicions as penyabab is a factor blockage by stool / feces and lymphoid tissue hyperplasia. Blockage or enlargement is the primary medium for bacteria to breed. Please note that in faeces / stool humans are very likely to have been contaminated by bacteria / bacteria Escherichia coli, this is often times lead to infection resulting in inflammation of the appendix.

Eating chilies with the seeds or cashew klutuk and often undigested seeds in feces and slipped kesaluran appendix as salty things, so it is the hardening of the feces / stool (constipation) in a long time so maybe there are parts that slipped into kesaluran appendix that eventually become the media germs / bacteria nesting and breeding as an infection that causes inflammation of the appendix.

Someone who experienced disease worms (worms), when the worms are breeding in the large intestine and then strayed into the appendix, it can cause disease of appendicitis.

Preview Inflammatory Disease Appendix (Appendicitis)
Inflammation or pembengkakaan that occurs in the appendix causes the flow of lymph fluid and blood are not perfect in the appendix (appendix) as a result of the pressure, finally appendicitis were damaged and there was decay (gangrene) because it did not get food again.

This appendix decay produces purulent fluid, if not immediately addressed the consequences of the appendix will rupture (perforation / tear) and pus, which contains the bacteria spread to the abdominal cavity. The impact is widespread infection, ie infection of the abdominal cavity wall (peritonitis).

Signs and symptoms of appendicitis Inflammatory Disease

Symptoms vary depending on the stage of appendicitis;
Acute appendicitis Inflammatory Disease (suddenly).

In this condition the symptoms that caused the body's high fever, nausea, vomiting, abdominal pain lower right, make the walk so sick, so a bit terbongkok, but not everyone will show symptoms like this, it could also just be feverish, or nausea, vomiting alone.

Inflammatory disease of chronic appendicitis.
At this stage the symptoms a little like stomach ulcers where there is a faint pain (dull) in the area around the navel and sometimes an intermittent fever. Often accompanied by nausea and sometimes vomiting, and pain that moves to the right lower abdomen with signs typical of acute appendicitis is pain point pd Mc Burney (medical term).

The spread of pain will depend on the position / location of the appendix to the colon itself, When the tip of the appendix is ​​touching the ureter ureter, the pain will be equal to the urinary tract colic pain sensation, and there may be disturbance of micturition. When the position of the appendix to the back, the pain came on rectal examination puncture or puncture of the vagina. In the appendix another position, the pain may not be so specific.

Inspection diagnosis of appendicitis Inflammatory Disease
There are several checks that can be done by the health team to determine and diagnose the disease of appendicitis (Appendicitis) by the Patient. Among them are physical examination, laboratory tests and radiology examinations;
Physical examination.
In acute appendicitis, with observations will appear to the swelling (swelling), abdominal cavity where the walls seemed to tighten the abdomen (distention). On touching (palpation) the lower right abdominal area, often when pressed will feel pain when pressure is released and also will feel pain (Blumberg sign) which is the key to the diagnosis of acute appendicitis.

With the action right leg bent and strong thighs / leg in lifting it high, then the abdominal pain was getting worse. Suspicion of appendicitis inflammation increases if the inspection or the rectum and vagina also cause pain. Rectal temperature (rectal) temperature is higher than the armpit (axillary), further supporting the longer presence of appendicitis.

Laboratory examination.
In the laboratory examination of blood, which can be found is an increase of white blood cells (leukocytes) to about 10,000 - 18.000/mm3. If an increase is more than that, then chances are experiencing appendix perforations (rupture).

Radiological examination.
Plain photo abdomen can reveal a fekalit. But this examination is rarely helpful in diagnosing appendicitis. Ultrasonography (USG) is quite helpful in the diagnosis of appendicitis enforcement (71-97%), especially for pregnant women and children. The highest level of accuracy is by CT scan (93-98%). With the CT scan can be seen clearly picture the appendix.

Handling and Inflammatory Disease Treatment appendicitis
When the diagnosis is certain, then the standard treatment for the disease of appendicitis (appendicitis) is operating. On the condition early when it can immediately diagnosed the possibility of antibiotics can be done, however the degree kekambuhannya reached 35%.

Surgery can be done openly or semi-closed (laparoscopic). After surgery, should be given antibiotics for 7-10 days. Next is the treatment of surgical wound that must be protected from the possibility of secondary infection from contaminated equipment, etc.

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