Ukuhlaziywa koketshezi lwePeritoneal

Ukuhlaziywa kwe-Peritoneal fluid ukuhlolwa kwelebhu. Kwenziwa ukubheka uketshezi olwakhiwe esikhaleni esiswini esizungeze izitho zangaphakathi. Le ndawo ibizwa nge-peritoneal space. Isimo sibizwa ngokuthi ama-ascites.

Isivivinyo saziwa nangokuthi i-paracentesis noma kampompi wesisu.

Isampula loketshezi lisuswa esikhaleni se-peritoneal kusetshenziswa inaliti nomjovo. I-Ultrasound ivame ukusetshenziselwa ukuqondisa inaliti koketshezi.

Umhlinzeki wakho wezokunakekelwa kwempilo uzohlanza futhi abulale indawo encane yesisu sakho (isisu). Kufakwa inaliti ngesikhumba sesisu sakho bese kukhishwa isampula eluketshezi. Uketshezi luqoqwa lube yishubhu (isirinji) enamathiselwe ekugcineni kwenaliti.

Uketshezi luthunyelwa elebhu lapho kuhlolisiswa khona. Ukuhlolwa kuzokwenziwa kuketshezi ukukala:

• I-albhamuin
• Amaprotheni
• Ukubalwa kwamaseli abomvu namhlophe

Ukuhlolwa kuzophinde kubheke amabhaktheriya nezinye izinhlobo zokutheleleka.

Ukuhlolwa okulandelayo kungenziwa futhi:

• I-alkaline phosphatase
• U-Amylase
• I-Cytology (ukuvela kwamaseli)
• Ishukela
• LDH

Yazisa umhlinzeki wakho uma:

• Uthatha noma yimiphi imithi (kufaka phakathi amakhambi)
• Unenkinga yokungezwani komzimba nemithi noma umuthi wokundikindiki
• Unenkinga yokopha
• Ngabe ukhulelwe noma uhlela ukukhulelwa

Ungase uzwe ukuzwa okuhlabayo okuvela emuthini okindayo, noma ingcindezi njengoba kufakwa inaliti.

Uma kukhishwa inani elikhulu loketshezi, ungazizwa unesiyezi noma unekhanda elincane. Tshela umhlinzeki uma uzizwa unesiyezi.

Ukuhlolwa kwenziwa ku:

• Thola i-peritonitis.
• Thola imbangela yoketshezi esiswini.
• Susa inani elikhulu loketshezi esikhaleni se-peritoneal kubantu abanesifo sesibindi. (Lokhu kwenziwa ukwenza ukuphefumula kukhululeke.)
• Bona ukuthi ukulimala esiswini kubangele ukopha ngaphakathi.

Imiphumela engajwayelekile ingasho ukuthi:

• Uketshezi olunamabala kungasho ukuthi unenkinga ye-gallbladder noma yesibindi.
• Uketshezi olunegazi kungaba uphawu lwesimila noma lokulimala.
• Ukubalwa kwamaseli egazi amhlophe aphezulu kungaba uphawu lwe-peritonitis.
• I-peritoneal fluid enemibala yobisi ingaba uphawu lwe-carcinoma, i-cirrhosis yesibindi, i-lymphoma, isifo sofuba noma ukutheleleka.

Eminye imiphumela yokuhlolwa engajwayelekile kungenzeka ukuthi ibangelwe inkinga emathunjini noma ezithweni zesisu. Umehluko omkhulu phakathi kwenani le-albhamuin ku-peritoneal fluid nasegazini lakho kungahle kukhombe ukwehluleka kwenhliziyo, isibindi noma izinso. Ukungafani okuncane kungaba uphawu lomdlavuza noma ukutheleleka.

Izingozi zingafaka:

• Ukulimala kwamathumbu, isinye, noma umthambo wegazi esiswini kusuka ekubhobozeni inaliti
• Ukopha
• Ukutheleleka
• Umfutho wegazi ophansi
• Ukushaqeka

Paracentesis; Umpompi wesisu

• Ukuhlonza i-peritoneal lavage - uchungechunge
• Isiko lePeritoneal

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