I-Peritonitis

I-Peritonitis ukuvuvukala (ukucasuka) kwe-peritoneum. Lesi isicubu esincanyana esigxilisa udonga lwangaphakathi lwesisu futhi lumboze izitho eziningi zesisu.

I-Peritonitis ibangelwa iqoqo legazi, uketshezi lomzimba, noma ubomvu esiswini (esiswini).

Uhlobo olulodwa lubizwa ngokuthi yi-bacterial peritonitis (SPP) ezenzekelayo. Kwenzeka kubantu abane-ascites. I-Ascites ukwakhiwa koketshezi esikhaleni esiphakathi kolwelwesi lwesisu nezitho. Le nkinga itholakala kubantu abanokulimala kwesibindi isikhathi eside, umdlavuza othile, nokuhluleka kwenhliziyo.

I-Peritonitis ingaba umphumela wezinye izinkinga. Lokhu kwaziwa njenge-peritonitis yesibili. Izinkinga ezingaholela kulolu hlobo lwe-peritonitis zifaka:

• Ukuhlukumezeka noma amanxeba esiswini
• Isithasiselo esikhuphukile
• I-diverticula ekhuphukile
• Ukutheleleka ngemuva kwanoma yikuphi ukuhlinzwa esiswini

Isisu sibuhlungu kakhulu noma sithambile. Ubuhlungu bungaba bukhulu lapho kuthintwa isisu noma lapho unyakaza.

Isisu sakho singabukeka noma sizizwe siqumbile. Lokhu kubizwa ngokuthi isisu esiswini.

Ezinye izimpawu zingafaka:

• Umkhuhlane namakhaza
• Ukudlula indle encane noma cha noma igesi
• Ukukhathala ngokweqile
• Ukudlulisa umchamo omncane
• Isicanucanu nokuhlanza
• Ukushaya kwenhliziyo yomjaho
• Ukuphelelwa umoya

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Isisu sivame ukuthamba. Ingazizwa iqinile noma "ifana nebhodi." Abantu abane-peritonitis bavame ukusonga noma benqabe ukuvumela noma ngubani ukuthi athinte le ndawo.

Ukuhlolwa kwegazi, ama-x-ray, kanye nokuhlolwa kwe-CT kungenziwa. Uma kukhona uketshezi oluningi endaweni esiswini, umhlinzeki angasebenzisa inaliti ukususa okunye bese eyithumela ukuyohlolwa.

Isizathu kufanele sikhonjwe futhi silashwe ngokushesha. Ukwelashwa ngokuvamile kubandakanya ukuhlinzwa kanye nama-antibiotic.

I-Peritonitis ingasongela impilo futhi ingadala izinkinga. Lokhu kuncike ohlotsheni lwe-peritonitis.

Iya egumbini labezimo eziphuthumayo noma ushayele inombolo yendawo ephuthumayo (efana ne-911) uma unezimpawu ze-peritonitis.

Isisu esinamandla; I-peritonitis ebangelwa yi-bacterial; I-SBP; I-cirrhosis - i-peritonitis ezenzekelayo

• Isampula ye-Peritoneal
• Izitho zesisu

UBush LM, uLevison ME. I-Peritonitis kanye namathumba e-intraperitoneal. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 74.

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.