Appendicitis (Appendicitis)

Before further discussion about appendicitis which in medical language is called Appendicitis, then it first must be understood what is meant by the appendix. Appendix, as the name suggests that this is really the tip intestinal tract is clogged. This gut of approximately pinkie finger, is connected to the large intestine that is located in the lower right abdomen.

Appendectomy in Latin referred to as Appendix vermiformis, this organ is found in humans, mammals, birds, and several species of reptiles. This organ was originally considered as an additional organ that has no function, but when it is known that the function of the appendix is an organ imunologic and actively play a role in the secretion of immunoglobulin (an immune system) which has / contains lymphoid glands.

Like the organs of the body another, appendix or the appendix of this disorder can suffer damage or disease attack. It is that often we know the name of appendicitis Disease (Appendicitis).

Disease Causes of appendicitis (Appendicitis)

Appendicitis disease is generally caused by bacterial infection, but there are several possible factors originators who until now could not clearly known. Among the factors blockage (obstruction) in the lining of the channel (lumen) appendix by feces pile / hard fecal material (fekalit), hyperplasia (enlargement) lymphoid tissue, worm diseases, parasites, foreign bodies in the body, the primary cancer and stricture.

Among the factors above, the most frequently found and is strongly suspected as a factor penyabab blockage by stool / feces and lymphoid tissue hyperplasia. Obstruction or enlargement is at the media for bacteria to breed. Please note that in the feces / human fecal material is likely to have been contaminated by the bacterium / bacteria Escherichia coli, is that often lead to infection resulting in inflammation of the appendix.

Eating chilies with cashew seeds or seeds with guajava s epiderm often not digested in the feces and slipped kesaluran appendices as salty things, Nor hardening stool / feces (constipation) in a very long time there may be parts tucked into kesaluran appendices which eventually became the media germs / bacteria nest and breed as the infection that causes inflammation of the appendix.

Someone who experienced worm disease (intestinal worms), if the worm that breeds in the large intestine and then strayed into the appendix, it can cause disease of appendicitis.

The disease picture of appendicitis (Appendicitis)

Inflammation or pembengkakaan that occurred in the appendix causing lymph fluid and blood flow is not perfect in the appendix (appendices) as a result of pressure, finally the appendix and damage occurred decay (gangrene) because it did not get food again.

This appendix decomposition produces purulent fluid, if not immediately dealt with the consequences appendix will rupture (perforation / tear) and pus, which contains the bacteria spread to the abdominal cavity. Impact is a widespread infection, ie infection of the abdomen wall (peritonitis).

Signs and symptoms of appendicitis disease

Symptoms vary depending on the stage appendix;
Acute appendicitis disease (sudden).
In this condition, which caused symptoms of high body heat, nausea, vomiting, stomach pain right bottom, make the walk so sick, so rather terbongkok, but not everyone will show symptoms such as these, can also only be feverish, or nausea-vomiting only.

Chronic appendicitis disease.
At this stage the symptoms of heartburn a little like where there is a faint pain (dull) in the area around the navel and sometimes fever that come and go. Often accompanied by nausea and sometimes vomiting, and pain it will move 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 direction of the position / location of the appendix to the colon itself, When the tip touches the appendix ureter ureter, the pain will be the same with colicky pain sensation of the urinary tract, and there might be trouble urinating. If the appendix to the rear position, the pain came on rectal examination or puncture the vaginal puncture. In the appendix another position, the pain may not be so specific.

Inspection diagnosis of appendicitis 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 and radiological examinations;
Physical examination.
In acute appendicitis, with observations would seem there is swelling (swelling) of the abdominal cavity where the walls seem to tighten the abdomen (distention). On touching (palpation) the lower right abdominal area, often feels pain when pressed and released when the pressure will also be a 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 when the inspection or the rectum and the vagina leading to pain, too. Rectal temperature (rectal) temperature is higher than the armpit (axilla), further supporting the longer presence of appendicitis.

Laboratory examination.
On laboratory examination of blood, which can be found is an increase of white blood cells (leukocytes) to around 10 000 - 18.000/mm3. If the increase is more than that, then chances are the appendix had perforated (burst).

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

Handling and Nursing appendicitis

 When the diagnosis is certain, then the standard treatment for the disease of appendicitis (appendicitis) is operating. Early on when this condition can be immediately diagnosed the possibility of giving antibiotics can only be done, however kekambuhannya level reaches 35%. 

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