I-Peritonitis - yesibili

I-peritoneum iyisicubu esincanyana esime odongeni lwangaphakathi lwesisu futhi lumboze iningi lezitho zesisu. I-Peritonitis ikhona lapho le nsipho ivuvukala noma itheleleka. I-peritonitis yesibili yilapho esinye isimo siyimbangela.

I-peritonitis yesibili inezimbangela eziningana ezinkulu.

• Amagciwane angangena kwi-peritoneum ngembobo (i-perforation) engxenyeni yesitho sokugaya somzimba. Umgodi ungabangelwa isithasiselo esiphukile, isilonda esiswini, noma ikholoni enezimbobo. Kungenzeka futhi ukuthi kuvela ekulimaleni, njengokudutshulwa noma inxeba lommese noma ukulandela ukungeniswa komzimba obukhali wangaphandle.
• Imfucumfucu noma amakhemikhali akhishwa ama-pancreas angavuza emgodini wesisu. Lokhu kungabangelwa ukuvuvukala okungazelelwe nokuvuvukala kwamanyikwe.
• Amashubhu noma ama-catheters abekwe esiswini angadala le nkinga. Lokhu kufaka phakathi ama-catheters we-peritoneal dialysis, amashubhu okondla, nokunye.

Ukutheleleka kwegazi (sepsis) kungaholela ekuthelelekeni nasesiswini. Lesi yisifo esibi.

Lesi sicubu singatheleleka uma kungekho sizathu esicacile.

I-Necrotizing enterocolitis yenzeka lapho ulwelwesi lodonga lwamathumbu lufa. Le nkinga icishe ivele enganeni egula noma ezalwe kusenesikhathi.

Izimpawu zifaka:

• Isisu esivuvukile lapho indawo yakho yesisu inkulu kunokujwayelekile
• Ubuhlungu besisu
• Ukwehla kwesifiso sokudla
• Imfiva
• Ukukhishwa komchamo ophansi
• Isicanucanu
• Omile
• Ukuhlanza

Qaphela: Kungaba nezimpawu zokwethuka.

Ngesikhathi sokuhlolwa komzimba, umhlinzeki wezokunakekelwa kwempilo angabona izimpawu ezingavamile ezibalulekile ngomkhuhlane, ukushaya kwenhliziyo okusheshayo nokuphefumula, umfutho wegazi ophansi, kanye nesisu esisontekile.

Ukuhlolwa kungafaka:

• Isiko legazi
• I-chemistry yegazi, kufaka phakathi ama-enzyme e-pancreatic
• Qedela ukubalwa kwegazi
• Ukuhlolwa kokusebenza kwesibindi nezinso
• X-ray noma i-CT scan
• Isiko le-Peritoneal fluid
• Ukuhlolwa komchamo

Imvamisa, kudingeka ukuhlinzeka ukususa noma ukwelapha imithombo yokutheleleka. Lokhu kungaba ngamathumbu athelelekile, isithasiselo esivuthayo, noma ithumba noma i-diverticulum enamanzi.

Ukwelashwa okujwayelekile kufaka:

• Imithi elwa namagciwane
• Uketshezi ngomthambo (IV)
• Imithi yezinhlungu
• Tube ngokusebenzisa ikhala ungene esiswini noma emathunjini (nasogastric noma i-NG tube)

Umphumela ungaba kusuka ekululameni okuphelele kuye ekutheleleni okunamandla nokufa. Izici ezinquma umphumela zifaka:

• Izimpawu zazikhona isikhathi esingakanani ngaphambi kokuba kuqale ukwelashwa
• Impilo ejwayelekile yomuntu

Izinkinga zingafaka:

• Ithumba
• Amathumbu we-Gangrene (afile) adinga ukuhlinzwa
• Ukunamathela kwe-Intraperitoneal (okungaba imbangela yokuvinjelwa kwamathumbu esikhathini esizayo)
• Ukushaqeka kwe-Septic

Shayela umhlinzeki wakho uma unezimpawu ze-peritonitis. Lesi yisimo esibi kakhulu. Kudinga ukwelashwa okuphuthumayo ezimweni eziningi.

I-peritonitis yesibili

• Isampula ye-Peritoneal

UMathews JB, uTuraga K. Kuhlinzwa i-peritonitis nezinye izifo ze-peritoneum, mesentery, omentum, ne-diaphragm. 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 39.

I-Turnage RH, iMizell J, iBadgwell B. Udonga lwesisu, umbilicus, i-peritoneum, i-mesenteries, i-omentum ne-retroperitoneum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 43.