I-peritonitis: kuyini, izimbangela eziyinhloko nokwelashwa

-Delile

• Ziyini izimpawu nezimpawu
• Izimbangela ezingaba khona
• 1. I-Appendicitis
• 2. Ukuvuvukala kwe-gallbladder
• 3. Umdlavuza wamanzi
• 4. Izilonda emgodini wesisu
• 5. Izinqubo zokwelashwa
• 6. Ileus ekhubazekile
• 7. I-Diverticulitis
• Yelashwa kanjani

I-Peritonitis ukuvuvukala kwe-peritoneum, okuwulwelwesi oluzungeze umgodi wesisu futhi luhlanganise izitho zesisu, lwenze uhlobo lwesaka. Le nkinga imvamisa ibangelwa ukutheleleka, ukuqhekeka noma ukuvuvukala okukhulu kwesinye sezitho esiswini, njenge-appendicitis noma i-pancreatitis, ngokwesibonelo.

Ngakho-ke, kunezici eziningi ezingaholela ekuthuthukiseni i-peritonitis, njengezifo zesisu, izilonda emgodini wesisu noma izinqubo zokwelashwa eziholela ekutheleleni noma ekucasukeni kwe-peritoneum, okudala izimpawu nezimpawu ezifana nobuhlungu besisu nobumnene, umkhuhlane , ukuhlanza noma isisu sasejele, isibonelo.

Ukwelashwa kwe-peritonitis kuboniswa ngudokotela futhi kuncike embangela yayo, kepha kuvame ukwenziwa ngama-antibiotic nokuzinza esibhedlela, futhi nokuhlinzwa kungakhonjiswa.

Ziyini izimpawu nezimpawu

Uphawu oluyinhloko lwe-peritonitis ubuhlungu besisu nobumnene, okuvame ukuba kubi kakhulu lapho kwenziwa ukunyakaza noma lapho ucindezela esifundeni, ngokwesibonelo. Ezinye izimpawu nezimpawu ezijwayelekile ezingaba khona ukuhlukaniswa kwesisu, umkhuhlane, isicanucanu nokuhlanza, ukulahlekelwa isifiso sokudla, isifo sohudo, ukwehla kwenani lomchamo, ukoma nokumisa ukuqedwa kwendle namagesi.

Ukuqinisekisa ukutholakala kwe-peritonitis, udokotela angenza ukuhlolwa komtholampilo okuveza izimpawu ezijwayelekile zalesi sifo, ngokushaya kwesisu noma ukucela isiguli ukuthi sihlale endaweni ethile. Ngaphezu kwalokho, ukuhlolwa kwegazi okuhlola ukutheleleka nokuvuvukala, kanye nokuhlolwa kwe-imaging njenge-radiography, i-ultrasound noma i-tomography kunga-oda.

Izimbangela ezingaba khona

Kunezimbangela eziningi ze-peritonitis. Noma kunjalo, nazi ezinye ezivame kakhulu:

1. I-Appendicitis

I-Appendicitis ingenye yezimbangela eziyinhloko ze-peritonitis, njengoba ukuvuvukala okwenzeka esithasiselweni kungadlulela emgodini wesisu futhi kufinyelele ku-peritoneum, ikakhulukazi lapho kungelashwa ngokushesha futhi kuveza izinkinga ezinjengokwakheka kokuqhuma noma kwethumba. Yazi ukuthi ungabona kanjani lapho ubuhlungu besisu bungaba yi-appendicitis.

2. Ukuvuvukala kwe-gallbladder

Ebizwa nangokuthi i-cholecystitis, imvamisa kwenzeka lapho isinyongo sibangela ukuvinjelwa komgudu wenyongo bese kuba nokuvuvukala kwalesi sitho. Lokhu kuvuvukala kufanele kwelashwe ngokushesha ngudokotela, okubandakanya ukwenza ukuhlinzwa nokusebenzisa ama-antibiotic.

Uma ingalashwa kahle, ukuvuvukala kwe-gallbladder kudlulela kwezinye izitho kanye ne-peritoneum, kubangele i-peritonitis nezinye izinkinga ezinjenge-abscesses, i-fistula, ingozi yokutheleleka okujwayelekile.

3. Umdlavuza wamanzi

I-Pancreatitis ukuvuvukala kwamanyikwe, okudala izimpawu ezivame ukufaka ubuhlungu besisu obuphuma emuva, isicanucanu nokuhlanza. Uma ingalashwa kahle, ukuvuvukala kungaba kubi kakhulu futhi kudale izinkinga ezifana ne-peritonitis, necrosis nokwakheka kwethumba, okubeka impilo yomuntu othintekile engcupheni. Bona okuningi nge-pancreatitis.

4. Izilonda emgodini wesisu

Ukulimala kwezitho zesisu, noma kungenxa yokuqhekeka, ukulimala ngokweqile, izinkinga ngemuva kokuhlinzwa noma ngisho nokuvuvukala kuyizimbangela ezibalulekile ze-peritonitis. Lokhu kungenxa yokuthi izilonda zingakhipha okuqukethwe okucasulayo emgodini wesisu, kanye nokubanga ukungcoliswa ngamagciwane.

5. Izinqubo zokwelashwa

Izinqubo zokwelashwa ezifana ne-peritoneal dialysis, ukuhlinzwa kwamathumbu, ama-colonoscopies noma ama-endoscopies, kungadala i-peritonitis ngenxa yezinkinga ezingase zivele, kungaba ngenxa yezimbobo kanye nokungcola kwento yokuhlinza.

6. Ileus ekhubazekile

Kuyisimo lapho amathumbu eyeka ukusebenza futhi amise ukunyakaza kwawo kwe-peristaltic. Lesi simo singavela ngemuva kokuhlinzwa kwesisu noma izimo ezifana nokuvuvukala, ukulinyazwa, imiphumela emibi yemithi ethile.

Izimpawu ezibangelwa ileus ekhubazekile zibandakanya ukulahlekelwa isifiso sokudla, ukuqunjelwa, ukuhlanza noma ukuvinjelwa kwamathumbu okuthi ezimweni ezinzima kakhulu kungaholela ekugcobeni kwamathumbu, okuholele ekusakazekeni kwamagciwane abangela i-peritonitis. Funda kabanzi ngalesi sifo.

7. I-Diverticulitis

I-Diverticulitis iqukethe ukuvuvukala nokutheleleka kwe-diverticula, okuyimiqulu emincane noma amasaka avela ezindongeni zamathumbu, ikakhulukazi engxenyeni yokugcina yekholoni, edala ubuhlungu besisu nobumnene ikakhulukazi ohlangothini lwesobunxele olungezansi, ngaphezu kohudo noma ukuqunjelwa., isicanucanu, ukuhlanza, imfiva nokugodola.

Ukwelashwa kwakho kufanele kuqalwe ngokushesha ngudokotela, ngokususelwa ekusetshenzisweni kwama-antibiotic, amaphilisi ezinhlungu, izinguquko ekudleni nasekukhiqizeni amanzi, ukuze kugwenywe ukuvuvukala okwedlulele kanye nokuvela kwezinkinga ezinjengokopha, ukwakheka kwamafistula, amathumba, ukuvimbeleka kwamathumbu kanye amathumbu uqobo. Funda kabanzi ngakho konke mayelana ne-diverticulitis.

Yelashwa kanjani

Ukwelashwa kwe-peritonitis kuncike embangela yayo, kepha kuyalulekwa ngaso sonke isikhathi ukuthi ufune usizo lwezokwelapha ngokushesha okukhulu ukuze ukwelashwa kuqalwe maduzane, ukuze kugwenywe izinkinga.

Ukwelashwa kuvame ukwenziwa ngemithi elwa namagciwane ukwelapha ukutheleleka nokuvimbela ukusabalala kwamagciwane. Ngasikhathi sinye, ukulaliswa esibhedlela kukhonjiswa lapho kunikezwa khona ama-analgesics nemithi elwa nokuvuvukala, uketshezi olulawulwa emthanjeni noma i-oxygen.

Ngaphezu kwalokho, uma lezi zinyathelo zinganele ukuphatha le nkinga, kungadingeka ukuthi uhlinzwe ukuxazulula imbangela yokuvuvukala, njengokukhishwa kwesithasiselo, ukususwa kwendawo ye-necrosis noma ukukhipha ithumba, Ngokwesibonelo.