I-Peritonitis

Incazelo jikelele yalesi sifo

Kuyindlela yokuvuvukala yolwelwesi lwe-serous, oluhlanganisa i-peritoneum nezitho zangaphakathi. Lesi sifo sihambisana nokuphazamiseka kwezitho zangaphakathi nokudakwa komzimba jikelele.

Izifo zokuvuvukala kwe-peritoneum kushiwo izinkulungwane zeminyaka ngaphambi kwenkathi yethu. Okhokho bethu babiza lesi sifo ngokuthi "Umlilo ka-Antonov" futhi abaphendulanga ekwelashweni. Owokuqala ukuchaza isithombe somtholampilo se-peritonitis kwakunguHippocrates.

"Isisu esicijile" sivame ukukhula ngenxa yokutheleleka kwebhaktheriya okuthinta izitho ze-peritoneal. Ngokwezibalo, iziguli ezingafika kuma-20% ezinesifo esibi sokuhlinzwa zingahlaselwa yi-peritonitis. Ngesikhathi esifanayo, abantu abanegciwane eliphansi, ukungasebenzi kahle kwesibindi, ukwehluleka kwezinso, kanye nezifo ezingaholela ekwephuleni ulwelwesi lwesitho ziwela eqenjini eliyingozi.

Izimbangela

I-peritonitis, njengomthetho, ibangela ukubola kwezitho eziyize zohlelo lokugaya ukudla, ngenxa yalokho izinto zangaphandle ezingena esifundeni se-peritoneal (ngokwesibonelo, i-bile, i-pancreatic noma isisu esiswini, umchamo). Perforation izitho eziyize kungenziwa kubangelwa:

• isilonda esiswini;
• umkhuhlane we-typhoid;
• i-hernia necrosis yamathumbu;
• ukulimala okubuhlungu esifundeni se-peritoneal;
• isilonda se-duodenal;
• ukuvuvukala kwesithasiselo;
• ukulimala ezindongeni zamathumbu ngenxa yokungena kwezinto zangaphandle lapho;
• izimila ezimbi;
• ukuvuvukala kwe-peritoneum;
• ukuvinjelwa kwamathumbu;
• imisebenzi yokuhlinzwa esifundeni se-peritoneal;
• izifo zabesifazane zepheshana eliphezulu lobulili;
• ukudumba kwamaphaphu;
• ukungcola kwesibeletho ngesikhathi sokukhipha isisu;
• ubovu cholecystitis;
• ukuvuvukala okhalo^[3].

Futhi, imbangela ye-peritonitis ingaba ngama-microorganisms we-staphylococcus, i-Escherichia coli, i-gonococcus, i-Pseudomonas aeruginosa, amabhaktheriya wesifo sofuba, i-streptococcus.

Izimpawu

Izimpawu zomtholampilo ze-peritonitis zifaka:

1. 1 ukucwenga kwesikhumba;
2. 2 ubuhlungu esifundeni sesisu, esiba namandla kakhulu lapho uthimula, ukhwehlela noma uguqula isimo somzimba. Ekuqaleni, i-syndrome yezinhlungu itholakala endaweni yesitho esithintekile, bese isakazeka kulo lonke i-peritoneum. Uma unganikezi usizo esigulini ngesikhathi, khona-ke izicubu ze-peritoneum zizofa futhi ubuhlungu buzophela;
3. 3 ukuqunjelwa;
4. 4 ukuntula ukudla;
5. 5 ubuthakathaka obukhulu;
6. 6 isiguli sikhathazekile ngokuqothuka;
7. 7 kwezinye izimo, ukwanda kwezinga lokushisa komzimba kuze kube yimfiva;
8. 8 ukwehlisa umfutho wegazi;
9. 9 isicanucanu nokuhlanza okuxubene nenyongo;
10. 10 umuzwa wokwesaba ukufa, umjuluko obandayo obandayo;
11. 11 izinzwa zobuhlungu ziyancipha ngokunciphisa ukungezwani kwezindonga ze-peritoneum (isiguli siphakamisa imilenze yaso, siguqe ngamadolo esiswini);
12. 12 izindebe zesiguli ziyoma;
13. 13 i-tachycardia.

Ezimweni eziningi, ukuvuvukala kwe-peritoneum kuqala ngokungazelelwe, isiguli sizwa ubuhlungu obukhulu besisu, obuhambisana nokuqunjelwa, ukuqina, ukuphefumula, i-tachycardia kanye nokugodola^[4].

Izinkinga

Imiphumela ye-peritonitis ingaba ngokushesha futhi ilibele. Izinkinga ezisheshayo zifaka:

• ukuwa;
• ispsis;
• ukufa kwesiguli;
• ukujiya kwegazi;
• ukungasebenzi kahle kwezinso;
• isimo sokushaqeka esigulini;
• ukopha kakhulu.

Izinkinga ezibambezelekile zifaka:

• amathumba amabi;
• ukwakheka kokunamathela;
• i-hernia yangemva kokuhlinzwa;
• ukungahambi kahle kwamathumbu emathumbu;
• izinkinga ngokukhulelwa kwabesifazane.

Prevention

Njengoba "isisu esibucayi" siyinkinga yezifo zezitho ze-peritoneal, kubalulekile ukuxilonga nokwelapha izifo ezingaholela kuso ngesikhathi. Kunconywa futhi ukuhlolwa kwaminyaka yonke kwe-gastroenterologist, futhi kufanele kugwenywe ukulimala esiswini.

Ukuvinjelwa kwesibili kokuphindaphinda kwesifo kuncishisiwe kube ukuthuthwa kwendle kwazo zonke izici zokutheleleka emzimbeni.

Ukwelashwa emithini ejwayelekile

Ukwelashwa kwe-peritonitis kufanele kube ngesikhathi esifanele futhi kuphelele. Siqukethe ukulungiselela preoperative, ukuhlinzwa kanye nokwelashwa postoperative.

Ukuhlinzwaokuhlala amahora ama-2-3 futhi kufaka phakathi:

1. 1 ukususwa kobuhlungu;
2. 2 ukwelashwa okulwa namagciwane;
3. 3 ukwelashwa kwezifo zenhliziyo nemithambo yegazi;
4. 4 ukugcwaliswa kokuntuleka koketshezi;
5. 5 ukunikezela kusengaphambili.

Ukungenelela kokusebenza СЃРѕСЃС, РѕРёС, РёР ·:

• ukususwa kwesitho esithintekile noma isiqeshana saso, esasicasula "isisu esibuhlungu", ukuthungwa kwemifantu;
• ukugeza ngokuphelele umgodi we-peritoneal ngesixazululo se-antiseptic;
• intubations uthingo;
• amanzi peritoneal.

Ukwelashwa ngemuva kokuhlinzwa СЃРѕСЃС, РѕРёС, РёР ·:

1. 1 ukukhululeka okwanele kobuhlungu;
2. 2 ukwelashwa kokukhipha ubuthi emzimbeni;
3. 3 ukuqinisa amasosha omzimba;
4. 4 ukwelashwa kwama-antibacterial;
5. 5 ukujwayela kwamathumbu;
6. 6 ukuvimbela izinkinga;
7. 7 ukwelashwa kwezifo ezingamahlalakhona nezihambisanayo.

Qaphela!

Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!