Inflammatory Disease Appendix (Appendicitis)

Before any further discussion about the appendicitis Appendicitis in medical language is called, it first must be understood what is meant by appendicitis. Appendix, as the name suggests that this is truly the end of the intestinal tract clogged. Intestine is the amount of approximately a finger pinkie, linked to the large intestine that is located in the lower right abdomen.

The appendix referred to in Latin as Appendix vermiformis, this organ is found in humans, mammals, birds, and some reptiles. This organ was originally considered as an additional organ has no function, but now that the function of the appendix is known as an immunological organ, and is actively involved in the secretion of immunoglobulin (an immune system) which has / contains lymphoid glands.

 Like the organs of the body, the appendix or the appendix may be subject to damage or interruption of the disease. This often times we are familiar with the name of appendicitis inflammatory disease (appendicitis).
� The cause of appendicitis inflammatory disease (appendicitis)
Appendicitis disease is generally caused by bacterial infection, but there are several possible factors originators who until now not be known with certainty. Among these factors blockage (obstruction) in the lining of the channel (lumen) appendix by the accumulation of feces / stool is hard (fekalit), hyperplasia (enlargement) of lymphoid tissue, worm disease, parasites, foreign bodies in the body, the primary cancer and stricture.

Among the several factors above, it is the most common and strong suspicions as different causes of blockage factor by stool / feces and hyperplasia of lymphoid tissue. Blockage or enlargement which is the medium for bacteria to breed. Note that in the faeces / stool humans are very likely to have been contaminated by a bacterium / bacteria Escherichia coli, which often times lead to infection resulting in inflammation of the appendix.

Eating chili guava with seeds or seeds with often undigested in the stool and slipped kesaluran appendix as salty things, So did the hardening of feces / stool (constipation) in a long time so maybe there are parts which are tucked into kesaluran appendix that eventually became media germs / bacteria nesting and breeding as an infection that causes inflammation of the appendix.

Someone who experienced worm disease (intestinal worms), if the worms are breeding in the large intestine and then strayed into the appendix, it can cause disease appendicitis.
� Overview Appendix inflammatory disease (appendicitis)
Inflammation or pembengkakaan that occurs in the appendix causes the flow of lymph fluid and blood is not perfect in the appendix (Appendix) because of the pressure, the end of the appendix was damaged and there was decay (gangrene) because it does not get more food.

 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, which is an infection of the abdominal cavity wall (peritonitis).
� Signs and Symptoms of Appendicitis
Symptoms of appendicitis vary depending on the stage;
A. Inflammatory diseases of acute appendicitis (sudden).
In this condition the body's symptoms caused by high fever, nausea, vomiting, abdominal pain lower right, make it run so ill that terbongkok somewhat, but not everyone will show symptoms like this, it could also just be fever, nausea, vomiting or alone.

2. Inflammatory diseases of chronic appendicitis.
At this stage the symptoms of heartburn a little similar to where there is a faint pain (dull) in the area around the navel and sometimes intermittent fever. Often accompanied by nausea, sometimes vomiting, and pain that moves to the lower right abdomen with signs typical of acute appendicitis is pain Mc Burney point pd (medical term).
Spread of pain will depend on the position / location of the appendix to the colon itself, When the tip of the appendix touching ureter ureter, the pain would be similar to the sensation of urinary colic pain, and there may be disorders. When the position of the appendix to the back, the pain came on skewers rectal examination or vaginal puncture. In the appendix to another position, the pain may not be so specific.
� Examination of inflammatory disease diagnoses appendicitis
There are several checks that can be done by the Health Team to identify and diagnose the presence of inflammatory disease of the appendix (appendicitis) the patient was. Among them are physical examination, laboratory tests and radiology examinations;
A. Physical examination.
In the acute appendicitis, with observations would appear the swelling (swelling) of the abdominal cavity which seemed to tighten the abdominal wall (distention). On touching (palpation) the lower right abdominal area, often will feel pain when pressed and when the pressure is released too will feel the pain (Blumberg sign) which is the key to diagnosis of acute appendicitis.

With the action right leg bent and strong thighs / leg in lifting it high, then the pain in my stomach worse. Suspicion of appendicitis inflammation is increasing and if the rectal examination or vaginal cause pain as well. Rectal temperature (rectal) temperature higher than the armpit (axilla), further supporting the presence of appendicitis again.

2. 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 the appendix is perforated (ruptured).

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

� Handling and Maintenance inflammatory disease appendicitis
When the diagnosis is certain, then the standard for the treatment of inflammatory diseases of the appendix (appendicitis) is operating. In the early conditions when it can be immediately diagnosed the possibility of administration of antibiotics can be done, however, recurrence rates reached 35%.

Surgery can be performed in open or semi-closed (laparoscopic). After surgery, should be given antibiotics for 7-10 days. Next is the surgical wound care should be protected from the possibility of secondary infection from contaminated equipment, etc..