 <div class="text-justify"> _¿Has sido operado de apendicitis? O, ¿Sabes de alguien que sí?_ # Durante las pasadas tres semanas, he estado en el servicio de cirugía en el hospital donde estoy haciendo mi internado (pasantías) y han ingresado varios casos de apendicitis, por lo que en esta oportunidad quiero hablarles de la forma más sencilla; _**de qué se trata,**_ y cuando acudir al servicio de urgencias para recibir ayuda médica rápida y oportuna. --- ##### **¿Qué es el apéndice?** _El apéndice_ es un órgano de forma cilíndrica, en otras palabras, es como una bolsa en forma de dedo que está conectada al intestino grueso. Su longitud varía entre 5 a 20cm. Es más largo en niños que en adultos. Se encuentra en la parte derecha y baja del abdomen y su función principal es refugiar bacterias en su interior que regulan y forman parte de la flora intestinal normal.  ##### **¿Qué es la apendicitis?** _Es la inflamación del apéndice,_ es decir, de esa bolsita adherida al intestino. La apendicitis es una de las causas más comunes de abdomen agudo (abdomen doloroso) y una de las indicaciones más frecuentes de cirugía urgente.  ##### **¿Qué causa la apendicitis?** Son varias las causas, entre ellas se destaca: - Hiperplasia linfoide - Fecalitos - Cuerpos extraños - Tumores ##### **Fases de la apendicitis** **1. Fase congestiva:** El apéndice se encuentra congestionado, ligeramente engrosado. Hay obstrucción de la luz apendicular. **2. Fase flegmonosa:** El apéndice se vuelve más tumefacto, más rugoso, pierde brillo y hay obstrucción venosa. **3. Fase gangrenosa:** El órgano se muestra amarillo verdoso, suele haber compromiso arterial. **4. Fase perforada:** Hay contaminación en la cavidad, pasa el contenido del apéndice, hacia la cavidad abdominal.  ##### **¿Cuáles son los síntomas de la apendicitis?** De entrada, es un dolor que se presenta en el centro superior del abdomen, molestoso, pudiera o no, calmarse con analgésicos, suele durar entre 3 a 4 horas. Posteriormente ese dolor cesa, para luego migrar a la zona inferior derecha del abdomen, justo encima de la pierna derecha, es un dolor tipo cólico, continuo, no mejora con analgésicos, se puede acompañar de anorexia, fiebre, náuseas, vómitos, molestia al orinar. Compromete en ocasiones la movilización de la pierna derecha y la bipedestación.  ##### **¿Cómo se hace el diagnóstico?** El médico general, con un correcto interrogatorio y las características de aparición del dolor, un correcto examen físico y con la ayuda de una hematología completa, se pudiera hacer el diagnóstico. ##### **¿Cuál es el tratamiento?** Es netamente quirúrgico, se retira el apéndice, es decir, se realiza una apendicectomía.  ##### **¿Hay complicaciones?** Sí, como toda entidad clínica, tiene sus complicaciones, entre las más comunes son: - Peritonitis - Sepsis - Plastrón apendicular (todas las asas intestinales envuelvan al apéndice) - Obstrucción intestinal ##### **Recomendaciones generales** - La apendicitis es la gran simuladora de abdomen agudo doloroso, es decir, casi todos los dolores abdominales son apendicitis, hasta que se demuestre la contrario. - Se pudiera presentar así como te lo acabo de describir, o puede ser totalmente diferente, lo importante es que, si por alguna razón te llega a suceder o algún allegado presenta los síntomas cómo ya te describí anteriormente, ve al servicio de urgencias, para que el personal capacitado te evalúe, y decida cuál es la mejor opción para ti. - A pesar de que todo abdomen doloroso pudiera ser apendicitis, no siempre es, hay que saber en detalle los síntomas, ya que son bien particulares.  Espero que en esta oportunidad te hayas llevado algo nuevo... *Porque lo que sabes, marca tu destino.* --- **Información extraída de los textos:** - Cirugía de urgencias, editorial Panamericana - Principios de Cirugía - Sabinston - Manual del residente en Cirugía General - Asociación Española de Cirujanos --- **Fotografías:** Segunda imagen: By Pedro Tercera imagen: By Relief Cuarta imagen: By Angy Protocelli Quinta imagen: By Will Kelly NP Sexta imagen: By Maria Isabel P Septima imagen: By Medical news today --- </div> <div class="text-right"> ```Son bienvenidas y bien recibidas las críticas constructivas y sugerencias.``` ```¡Hasta una próxima vez!``` Vota y comenta. </div> 
| author | taniuskapalma | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| permlink | que-sabes-sobre-la-apendicitis-aguda | ||||||||||||||||||
| category | hive-196387 | ||||||||||||||||||
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Saludos estimada @taniuskapalma, me atrapo tu contenido, muy detallado y explicito, hace 2 años aproximadamente fui operado de apendicitis, sin duda el dolor que se produce en el abdomen es muy fuerte, es algo incontrolable que tiene que ser operado rápidamente, en mi intervención quirúrgica lo que más me causo dolor fue cuando trataron de colocarme la anestesia Raquídea. Pero bueno todo salió muy bien, gran artículo amiga, nos seguimos leyendo.
| author | amestyj |
|---|---|
| permlink | qugeex |
| category | hive-196387 |
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Hola hola estimado lector. La verdad es que me gustan esas historias donde el final es el esperado o es un final feliz. Ya que muchas veces no pasa eso. La anestesia es un mundo, todos somos diferentes y reaccionamos diferente a ella también. Que bueno que le gustó el contenido, siempre es un placer para mí explicar de la forma más sencilla un tema de la cual no estamos excluidos, todos podemos padecerla. Es bueno que se de a conocer y de esa forma ayudar a otros. Le mando un saludo virtual.
| author | taniuskapalma |
|---|---|
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<center>https://cdn.steemitimages.com/DQmavzMHn9A8wtYiHuDxphsw1uGrw8349sUA3VigjJXcpZd/Fridi.gif</center>
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|---|---|
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Congratulations @taniuskapalma! You have completed the following achievement on the Hive blockchain and have been rewarded with new badge(s) : <table><tr><td><img src="https://images.hive.blog/60x70/http://hivebuzz.me/@taniuskapalma/upvoted.png?202106091111"></td><td>You received more than 4250 upvotes.<br>Your next target is to reach 4500 upvotes.</td></tr> </table> <sub>_You can view your badges on [your board](https://hivebuzz.me/@taniuskapalma) and compare yourself to others in the [Ranking](https://hivebuzz.me/ranking)_</sub> <sub>_If you no longer want to receive notifications, reply to this comment with the word_ `STOP`</sub>
| author | hivebuzz |
|---|---|
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¡Vaya! es muy bueno y completo tu reportaje, bastante informativo además. Yo fui operada del apéndice y debido a que tuve un muy mal diagnostico en casi todos todos los centros clínicos a los que fui (duré cuatro días con el dolor ¡fue terrible!) se me terminó complicando en peritonitis. Perdí el ovario y la trompa de falopio derecha. Bueno, lo que sucede es que en realidad mis síntomas fueron un poco diferentes, como me explicó la doctora que finalmente dio con el diagnostico correcto y que detectó la enfermedad gracias a su intuición y a un análisis de hematología completa. En mi caso, el dolor no se focalizó en un solo lugar, sino que se repartió por toda la cavidad abdominal, era punzante pero no tan agudo al principio y no mejoraba con analgésicos orales, posteriormente fue subiendo de intensidad, y en los hospitales a los que iba me suministraban analgésicos intravenosos como Profenil, lo que a su vez terminó "enmascarando" la enfermedad por causa de la ausencia del dolor. Posteriormente, ya al cuarto día, el dolor migró hacia la parte del vientre y ya era terriblemente insoportable, aunque jamás me comprometió la movilidad de la pierna, y pues fue cuando di con mi salvadora, ella, al no ser cirujana, me remitió a un especialista y fue él quien me realizó la cirujía. En mi perfil tengo un post donde narro con detalle mi experiencia.
| author | mairene1 | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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| ||||||||||||
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Wow!😳 Se sorprendería de la cantidad de veces que se presentan casos como el que ud me acaba de contar, creo que por esa razón me animé a hablar un poco sobre la apendicitis, por supuesto me salté un montón de cosas, eso fue lo básico para que una persona sin conocimiento médico profundo, lo sospeche y pueda recibir ayuda sin tener que llegar a la complicación más temida, como lo es la peritonitis. Que bueno que leyó el contenido, seamos portavoces de la buena información para ayudar a otros. Le mando un fuerte abrazo virtual.
| author | taniuskapalma |
|---|---|
| permlink | re-mairene1-quidns |
| category | hive-196387 |
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| voter | weight | wgt% | rshares | pct | time |
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<div class='text-justify'> <div class='pull-left'> <img src='https://stem.openhive.network/images/stemsocialsupport7.png'> </div> Thanks for your contribution to the STEMsocial community. Feel free to join us on discord to get to know the rest of us! Please consider <a href="https://hivesigner.com/sign/update-proposal-votes?proposal_ids=%5B91%5D&approve=true">supporting our funding proposal</a>, <a href="https://hivesigner.com/sign/account_witness_vote?approve=1&witness=stem.witness">approving our witness</a> (@stem.witness) or delegating to the @stemsocial account (for some ROI). Please consider using the <a href='https://stem.openhive.network'>STEMsocial app</a> app and including @stemsocial as a beneficiary to get a stronger support. <br /> <br />
| author | steemstem |
|---|---|
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