appendicitis in hindi उंडुकशोथ

 APPENDICITIS (उंडुकशोथ )

Appendix के inflammation को Appendicitis कहते हैयह mainly infection की वजह से होता है। Appendix एक tube के आकार की थैली होती है जिसमें lymphatic tissue पाये जाते है। यह Large intestine के colon के end में Abdomen के right side में पायी जाती है

CAUSES OF APPENDICITIS 

Large intestine से निकले हुए Poisoned पदार्थों के ज्यादा इकट्ठा हो जाने से Appendix का inflammation हो जाता है।

SIGNS & SYMPTOMS OF APPENDICITIS 

Abdomen में Umbilical के पास से Severe Colicky pain शुरू होकर right side of Lower abdomen में sift हो जाता है। इसके साथ ही कुछ symptoms इस प्रकार है

• Nausea and vomiting (जी मिचलना, उल्टी)

• Anorexia (भुख ना लगना) Constipation (choul)

• Fever (बुखार)

TREATMENT OF APPENDICITIS 

चूंकि Appendicitis का surgical Removal ही proper treatment है लेकिन यदि किन्ही कारणों से Appendicitis के Patient का operation सम्भव ना हो तो operation होने तक patient को तुरन्त medical treatment पर रखना चाहियें

• Inj. Supacef ( cefuroxime 1.5 gm) शिरा मार्ग से सुबह शाम पांच दिनो तक लगाये

अथवा

• Inj. Augmentin 1.2gm (Amoxycilline and potassium clavunate) शिरा मार्ग से सुबह शाम पांच से सात दिनो तक

अथवा

• Inj. flagyl 100 ml (Metronidazole 100ml) शिरा मार्ग से सुबह दोपहर शाम लगाया जाना चाहिये

तथा इनके साथ

• inj Mikastar (Amikacin 500 mg) शिरा मार्ग से सुबह शाम

अथवा

• Inj. Gentacyn 2ml (Gentamycin 80 mg) शिरा मार्ग से दिया जा सकता है

इनके साथ 

• Cap Augmentin 625 mg ( Amoxycilline and potassium clavunate) 1 cap सुबह शाम

अथवा

• Tab Ceftum 500 (Ciprofloxacin Axetil) सुबह शाम 10 दिनों तक

अथवा

• Tab Ciplox - TZ (ciprofloxacin and tinidazole) Cap Sefdin_300mg (cefdinir) -सुबह शाम 10 दिनो तक दी जानी चाहीये

दर्द निवारण हेतु

• Tab voveran SR 50mg (Diclofenac sustained Release 50 mg) सुबह शाम

अथवा

• Tab Flexib (Ibuprofen and paracetamol) एक गोली सुबह, शाम, दोपहर

उपर्युक्त दवा से दर्द में आराम ना हो तो

• Injection Dynapar Aq (Diclofenac sodium 75 mg) जब जरूरत हो तब लगाया जा सकता हैं।

इनके साथ Antacid के तौर पर

• Cap omee (omeprazole 20mg) एक केप्सुल सुबह शाम भूखे पेट

अथवा

• Tab Rantac (Ranitidine 150 mg) 1 गोली सुबह शाम अथवा

• syp Gelusil दो चम्मच सुबह दोपहर शाम दिये जा सकते हैं.

Conclusion:

Appendicitis is a condition characterized by inflammation of the appendix, a small pouch located at the beginning of the large intestine. It is typically caused by a blockage of the appendix, leading to bacterial overgrowth and infection. If left untreated, appendicitis can lead to serious complications, such as a ruptured appendix, peritonitis (inflammation of the abdominal lining), and abscess formation.

The most common symptom of appendicitis is abdominal pain that starts around the belly button and migrates to the lower right side of the abdomen. Other symptoms may include loss of appetite, nausea, vomiting, fever, and tenderness in the lower right abdomen. However, the presentation of symptoms can vary, especially in children, the elderly, and pregnant women.

Diagnosing appendicitis usually involves a combination of medical history, physical examination, and diagnostic tests. These tests may include blood tests, urine tests, imaging studies (such as ultrasound or computed tomography), and sometimes, a diagnostic laparoscopy.

The definitive treatment for appendicitis is the surgical removal of the inflamed appendix, a procedure called an appendectomy. In some cases, if an abscess has formed, a drainage procedure may be required before the appendectomy. Laparoscopic surgery, which involves smaller incisions and a shorter recovery time, is often preferred. In uncomplicated cases, laparoscopic appendectomy can often be performed as a same-day procedure.

Overall, appendicitis is a common condition that requires prompt medical attention. If you experience symptoms suggestive of appendicitis, it is important to seek medical help immediately to prevent complications and ensure proper treatment.

FAQs (Frequently Asked Questions):

1.Can appendicitis go away on its own? 

No, appendicitis typically does not go away on its own. It is considered a medical emergency that requires surgical intervention. Delaying treatment can lead to complications, such as a ruptured appendix and peritonitis.

2.What causes appendicitis? 

Appendicitis is usually caused by a blockage in the appendix, often by fecal matter, a foreign body, or enlarged lymphoid tissue. This blockage leads to inflammation and infection.

3.Are there any home remedies for appendicitis?

No, there are no effective home remedies for appendicitis. It is important to seek medical attention for proper diagnosis and treatment.

4.How long does it take to recover from an appendectomy? 

The recovery time can vary, but most people can resume normal activities within two to three weeks after laparoscopic appendectomy. Recovery from an open appendectomy may take longer.

5.Can appendicitis occur in children? 

Yes, appendicitis can occur in children, although the symptoms may differ from those in adults. Children may have vague abdominal pain, loss of appetite, and fever. If you suspect your child has appendicitis, seek medical help promptly.

6.Can antibiotics treat appendicitis? 

In some cases, antibiotics may be used to treat appendicitis, especially if an abscess has formed. However, the mainstay of treatment for appendicitis is surgical removal of the appendix.

Remember, if you suspect appendicitis, it is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.