I-Peritonitis - igciwane elizenzekelayo

I-peritoneum iyisicubu esincanyana esime odongeni lwangaphakathi lwesisu futhi lumboze izitho eziningi. I-Peritonitis ikhona lapho le nsipho ivuvukala noma itheleleka.

I-bacterial peritonitis ezenzakalelayo (SBP) ikhona lapho lesi sicubu singenwa futhi kungekho sizathu esicacile.

I-SBP ivame ukubangelwa ukutheleleka kuketshezi oluqoqa emgodini we-peritoneal (ascites).Ukwakhiwa koketshezi kuvame ukuvela ngesifo esithuthukile sesibindi noma sezinso.

Izici eziyingozi zesifo sesibindi zifaka:

• Ukusetshenziswa kotshwala okunzima kakhulu
• I-hepatitis B engapheli noma i-hepatitis C
• Ezinye izifo eziholela ku-cirrhosis

I-SBP ibuye yenzeke kubantu abaku-peritoneal dialysis yokwehluleka kwezinso.

I-Peritonitis ingaba nezinye izimbangela. Lokhu kufaka ukutheleleka okuvela kwezinye izitho noma ukuvuza kwama-enzyme noma obunye ubuthi obuya esiswini.

Izimpawu zifaka:

• Ubuhlungu besisu nokuqunjelwa
• Ubumnene besisu
• Imfiva
• Ukukhishwa komchamo ophansi

Ezinye izimpawu zifaka:

• Amakhaza
• Ubuhlungu obuhlangene
• Isicanucanu nokuhlanza

Ukuhlolwa kuzokwenziwa ukuhlola ukutheleleka nezinye izimbangela zobuhlungu besisu:

• Isiko legazi
• Ukubalwa kwamaseli amhlophe egazini kusampula ye-peritoneal fluid
• Ukuhlolwa kwamakhemikhali kwe-peritoneal fluid
• Isiko loketshezi lwe-peritoneal
• I-CT scan noma i-ultrasound yesisu

Ukwelashwa kuya ngesizathu se-SBP.

• Ukuhlinzwa kungadingeka uma i-SBP ibangelwa yinto yangaphandle, njenge-catheter esetshenziswa ku-peritoneal dialysis.
• Ama-antibiotic ukulawula ukutheleleka.
• Uketshezi olunikezwa ngemithambo.

Uzodinga ukuhlala esibhedlela ukuze abahlinzeki bezempilo bakwazi ukukhipha ezinye izimbangela ezifana nesithasiselo esiphukile kanye ne-diverticulitis.

Ezimweni eziningi, ukutheleleka kungalashwa. Kodwa-ke, isifo sezinso noma sesibindi singanciphisa ukululama.

Izinkinga zingafaka:

• Ukulahleka kokusebenza kobuchopho kwenzeka lapho isibindi singakwazi ukukhipha ubuthi egazini.
• Inkinga yezinso ebangelwa ukwehluleka kwesibindi.
• I-Sepsis.

Shayela umhlinzeki wakho uma unezimpawu ze-peritonitis. Lesi kungaba yisimo esiphuthumayo sezokwelapha.

Izinyathelo kufanele zithathwe ukuvimbela ukutheleleka kubantu abane-peritoneal catheters.

Ama-antibiotic aqhubekayo angasetshenziswa:

• Ukuvimbela i-peritonitis ukuthi ingabuyi kubantu abanesibindi sokuhluleka
• Ukuvimbela i-peritonitis kubantu abanegazi elibi lamathumbu ngenxa yezinye izimo

I-peritonitis ebangelwa yi-bacterial peritonitis (SBP); Ama-Ascites - i-peritonitis; Isifo sokuqina kwesibindi - peritonitis

• Isampula ye-Peritoneal

IGarcia-Tsao G. Cirrhosis nokulandelana kwayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 144.

I-Kuemmerle JF. Izifo zokuvuvukala kanye ne-anatomic zamathumbu, i-peritoneum, i-mesentery, ne-omentum. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 133.

I-Sola E, i-Gines P. Ama-Ascites kanye ne-peritonitis ebangelwa yi-bacterial. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 93.