Маленькие дети часто жалуются на боли в животе. Причин может быть множество, вплоть до «воспаления хитрости». Но иногда боли в животе могут быть вызваны и серьезными причинами. Например, малыш может жаловаться на боль из-за воспаления аппендикса. Поэтому родителям важно знать симптомы и признаки аппендицита.
Если взглянуть в суть процесса, то аппендицит – это воспалительный процесс слепой кишки (аппендикса). Червеобразный отросток воспаляется, что и приводит к сильным болям.
Вопрос решается только хирургическим вмешательством. К группе риска относится возраст с 10 до 30 лет. Хотя случаи аппендицита встречаются и в более раннем возрасте. Причины аппендицита могут быть в воспалении желудочно-кишечного тракта. Даже низкий иммунитет и переедание могут спровоцировать приступы болезни.
Как развивается аппендицит
Если рассмотреть механическую сторону развития воспаления аппендикса, все выглядит следующим образом. Закрывается просвет червеобразного отростка, из-за чего скапливаются каловые камни, повышается активность микрофлоры кишечника, что и приводит к воспалению слизистой, отражаясь сильными болями в правой части живота, отдающими в правую ногу. Кроме болей ребенок начинает жаловаться на тошноту.
Формы заболевания
Аппендицит бывает острым и хроническим.
- Острый аппендицит отличается резким приступом боли со всеми сопутствующими симптомами.
- Хронический аппендицит – тот же воспалительный процесс, только вялотекущий. Из симптомов обычно присутствует ноющая боль, которая усиливается при нагрузках, метеоризм, понос или запор.
Первые признаки аппендицита у детей
Как проявляется аппендицит у детей? Наукой доказано, что только 30 процентов воспаления детского аппендикса протекает типично, на остальные 70 процентов приходятся нетипичные случаи:
- Если червеобразный отросток расположен необычно, боли будут локализованы не в правой части живота, а в прямой кишке или даже в спине.
- Если аппендикс расположен в тазовой части, то могут наблюдаться частые позывы мочеиспускания.
- Встречается еще подпеченочное расположение, в этом случае боль будет переходящая – от желудка к правой части живота.
Аппендицит встречается даже у маленьких детей до 3 лет. К сожалению, такие малыши еще не умеют объяснять точно, что у них болит. Но любая мама интуитивно чувствует состояние своего ребенка.

Поэтому если у вас есть какие-то подозрения, на фоне повышающейся температуры, ребенок плачет, отказывается есть, появились рвота, понос – незамедлительно нужно обращаться к врачу.
При воспалении аппендикса организм быстро обезвоживается, поэтому характерной чертой является еще и сухость оболочек рта и языка.
Опасность аппендикса заключается в том, что могут начаться гнойные процессы. Признаки – резкое ухудшение, повышение температуры, сильная жажда, рвота, тошнота, понос.
Итак, симптомы аппендицита у детей:
- Боль в области живота (в правой части или в районе пупка, в нестандартных случаях может болеть и спина), которая может отдавать в правую ногу
- Тошнота, рвота
- Понос
- Сухость оболочек рта и языка
- Высокая температура (при сильном воспалительном процессе).
Причиной боли в животе может быть и нефроптоз правой почки. Если вы не сталкивались с таким заболеванием, рекомендуем вам прочитать нашу статью на эту тему.
А если у вас болит низ живота во время беременности, то на это есть множество причин. Здесь мы рассказываем о них очень подробно.
Как определить аппендицит у ребенка
Если ребенок не разрешает трогать живот, при резком нажатии вскрикивает от боли, нужно срочно вызывать скорую помощь. Есть все подозрения на острый аппендицит. Точный диагноз может поставить только врач с помощью анализа крови. Повышенные лейкоциты – верный признак аппендицита.
Нужно отметить, что аппендицит – хитрая болезнь. Часто встречается неправильное расположение – не в правом нижнем углу живота, а в других местах, что затрудняет постановку диагноза.
Диагностика
Самым распространенным методом диагностики воспаления аппендикса является метод Ровсинга. Для этого нужно надавить или постукивать по левой половине живота, при этом должна появиться сильная боль в правой области. Хотя в случае заболевания малыша и этот метод часто невозможен. Так как ребенок не разрешает даже дотрагиваться до него. Поэтому единственным способом проверить наличие болезни является вызов скорой помощи.
Лечение и последствия острого аппендицита
Самолечение аппендицита строго противопоказано. В первую очередь, если ребенок жалуется на боль в животе, нужно выяснить – реальная ли проблема, не выдумана ли она. Если у ребенка болит правая часть живота или область пупка, кроме того, боль отдается в правую ногу или в спину, нужно тут же вызывать скорую помощь.
Если подозрения не оправдаются, то насильно ребенка никто в больницу забирать не будет. Если же воспаление аппендицита имеется, вовремя сделанная операция поможет избежать осложнений.
Никакие обезболивающие малышу давать не стоит, так как они могут ухудшить состояние тем, что боль на время исчезнет, а воспалительный процесс при этом будет развиваться.
Операция
Многие мамы, как огня, боятся хирургического вмешательства. В случае воспаления аппендикса – это единственное разумное решение проблемы. Обычно после операции из больницы выписывают уже через неделю. Далее обязательно нужно наблюдаться у хирурга пока рана не заживет полностью.
Послеоперационный период и профилактика
Лучшая профилактика спаек и болезней кишечника, как последствий аппендицита – активная жизнь. Но с осторожностью нужно поднимать тяжести и приступать к спорту.
Первый месяц нужно будет особенно беречь ребенка, чтобы он не катался на велосипеде, санках и не переусердствовал в прыжках, что так любят малыши.
Диета после удаления аппендикса
Обычно после операций часто возникают проблемы с желудочно-кишечным трактом. В питании лучше придерживаться тех правил, которые помогут нормализовать микрофлору кишечника.
Подведем итог
Когда вопрос касается детского здоровья, лучше перестраховаться. Теперь вы знаете, как распознать аппендицит у ребенка. Но если ребенок жалуется на очень сильную боль в животе, лучше вызвать скорую помощь. Чтобы они квалифицированно могли определить причину возникновения боли и при необходимости госпитализировать малыша.
Видеоприложение
Уролог высшей категории рассказывает о том, как часто у детей встречается острый аппендицит и в каком возрасте:
Вы знаете каковы причины низкой температуры тела у детей? Мы разобрались в этом вопросе и написали для вас полезную статью. Об этом необходимо знать всем родителям.
Прочитайте нашу статью о покраснениях на коже — детском нейродермите: http://bo-bo-bo.ru/bolezni/kozha/nejjrodermit-simptomy-lechenie-foto.html
Проблемы с щитовидной железой могут доставить вам не меньше хлопот, чем удаление аппендикса. Здесь мы рассказываем о детском гипотиреозе и как сохранять иммунную систему в тонусе.
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