Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha ʻē i loko o kou ʻōpū, me he mea lā ua piha kou ʻōpū? Malia paha e ʻeha ia ke hoʻopā ʻoe iā ia. Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo 'peritonitis'. ʻOiai hiki ke lilo i mea koʻikoʻi iki kēia, e ʻike pono kākou i kēia, ʻeā?
He aha ka Peritonitis? I ka ʻōlelo maʻalahi...
Loaʻa iā ʻoe kou ʻōpū, ʻo ia hoʻi ka lua ʻōpū. Ua uhi ʻia kēia lua ʻōpū me kahi membrane lahilahi loa, e like me ka membrane palupalu, e uhi ana hoʻi i loko o ka lua ʻōpū a me nā ʻōpū i loko, e like me nā ʻōpū, ke akepaʻa, a me ka ʻōpū. ʻO kēia ka mea a mākou e kapa ai ʻo 'peritoneum' . No laila, i ka wā e pehu ai kēia membrane i kapa ʻia ʻo peritoneum, ʻo ia hoʻi, i ka wā e pehu ai, ʻulaʻula, a ʻeha , ʻo ia ka mea a mākou e kapa ai ʻo 'peritonitis'. E noʻonoʻo e like me ka wā e loaʻa ai iā mākou kahi ʻeha ma kahi o ko mākou ʻili, e lilo kēlā wahi i ʻulaʻula, pehu, a ʻeha. Pehu kēia ʻiʻo no ka mea ua hōʻike ʻia i nā wai kino ʻawaʻawa a i ʻole ma muli o kekahi wai hoʻonāukiuki ʻē aʻe. ʻO ka hapa nui o ka manawa, hana ʻia kēia i ka wā e kahe ai a pahū paha kekahi mea i loko o ka ʻōpū. ʻO ke kumu nui o ka peritonitis ka maʻi, ʻo ia hoʻi, ke komo ʻana o nā mea e like me ka bacteria . He kūlana kēia e hiki ke lilo i mea weliweli loa.
Pehea ka hopena o Peritonitis i ko mākou kino?
Hiki ke ʻokoʻa nā hōʻailona āu e ʻike ai ma muli o ke ʻano o ka peritonitis āu e loaʻa ai. Eia nō naʻe , ʻo ka ʻeha o ka ʻōpū a me ka pehu ʻana he mau hōʻailona maʻamau. Eia nō naʻe, pono mākou e makaʻala hou aku e pili ana i nā pilikia e hiki mai ana mai kēia. No ka mea, ua pālahalaha kēia membrane i kapa ʻia ʻo peritoneum ma loko o ka ʻōpū a ua pili i nā ʻōpū he nui, hiki i nā maʻi e kū mai ana ma ka peritoneum ke hoʻopilikia i kēia mau ʻōpū āpau . ʻAʻole wale ia, hiki i kēia maʻi ke komo i loko o ke koko a laha ma ke kino . He mea weliweli loa ia.
He pilikia anei ʻo Peritonitis?
Hiki i ka peritonitis ke ʻano mai ka ʻoluʻolu a i ka ʻino . Hiki ke kaupalena ʻia i hoʻokahi wahi o ka ʻōpū, a i ʻole hiki ke laha ma loko o ka peritoneum holoʻokoʻa. Eia nō naʻe, manaʻo mau nā kauka he pilikia ka peritonitis . ʻO kēia no ka mea hiki ke lilo i mea koʻikoʻi koke , ʻoiai inā i hoʻokumu ʻia e kahi maʻi. No ka laʻana, inā laha kahi maʻi i kou koko, kahi e hoʻoulu ai i ka septicemia , hiki i kou kino holoʻokoʻa ke komo i ka haʻalulu a hiki i nā ʻōpū koʻikoʻi ke hāʻule. Ua kapa ʻia kēia he septic shock . ʻO ia ke kumu he pilikia.
He aha ke kumu nui o ka peritonitis?
ʻO nā maʻi bacteria ke kumu maʻamau o kēia, ʻoiai hoʻi i loko o kāuʻO nā maʻi lua e laha ana mai kahi ʻōkana ʻē aʻe. No ka laʻana, inā he lua i loko o kou ʻōpū a i ʻole nā naʻau, hiki i ka bacteria mai kou ʻōpū gastrointestinal ke komo i loko o ka lua peritoneal. ʻO kekahi kumu maʻamau ka haki ʻana o ka appendix ma muli o ka appendicitis . Eia naʻe, i ka manawa pinepine, hiki i kahi maʻi bacteria ke hoʻomaka pololei i loko o ka peritoneum.
Loaʻa pū kekahi peritonitis ma muli o nā kumu kemika?
ʻOiai ke kumu pinepine ʻia ka mumū e kahi maʻi, hiki ke hana ʻia e kahi hopena kemika i nā wai like ʻole i loko o ke kino. Eia kekahi laʻana:
- ʻO ka mumū nui o kou gallbladder , i kapa ʻia ʻo cholecystitis, hiki ke hoʻoulu i ka ʻiʻo gallbladder e lilo i perforated a hoʻokahe i ka bile . Hiki i kēia bile ke hoʻonāukiuki, me ka maʻi bacteria a i ʻole me ka ʻole o ka maʻi.
- ʻO ka mumū nui o kou pancreas , kahi maʻi i kapa ʻia ʻo pancreatitis, hiki ke hōʻino i nā ʻiʻo pancreas a hoʻokahe i nā enzymes pancreatic . Hiki i kēia mau mea ke hoʻonāukiuki loa, me ka maʻi a i ʻole ka ʻole o ka maʻi.
- Inā he ʻōpū kou , inā ulu mālie ia a hou i ka paia o ka ʻōpū, hiki i ka waikawa gastric ke komo i loko o ka lua peritoneal. Hiki i kēia waikawa ʻōpū ke hoʻonāukiuki i ka peritoneum ʻoiai inā ʻaʻohe bacteria.
- I kekahi manawa, inā pahū kahi puʻupuʻu a cyst paha i loko o ka ʻōpū, hiki iā ia ke hana i ka peritonitis kemika.
Pehea e hoʻoulu ai ka peritonitis e ka maʻi ...
ʻO ka peritonitis i hoʻokumu ʻia e kahi maʻi hiki ke kumu mua a lua paha . ʻO ka peritonitis bacterial mua kahi maʻi e kū pololei ana i loko o ka peritoneum . ʻO ka peritonitis bacterial lua kahi maʻi e pālahalaha ana i ka peritoneum mai kahi ʻāpana ʻē aʻe o ke kino .
Nā Maʻi Mua - ʻAʻole i maʻamau kēia mau mea.
ʻOi aku ka liʻiliʻi o nā maʻi mua ma mua o nā maʻi lua. Loaʻa pinepine kēia mau mea ma kekahi o nā ʻano ʻelua:
- ʻIke ʻia ka Spontaneous Bacterial Peritonitis (SBP) i nā poʻe me ka ascites . ʻO ka Ascites kahi kūlana kahi e hōʻiliʻili ai ka wai keu mai nā aa koko i loko o ka lua peritoneal. Hiki ke hana ʻia kēia ascites e ka maʻi ate, ka hāʻule ʻana o nā puʻupaʻa, ka hāʻule ʻana o ka puʻuwai, a me ke kanesa.Me nā maʻi e hoʻonāwaliwali ai i kāu ʻōnaehana pale, e like me. Hiki i kekahi o kēia mau maʻi ke hoʻoulu i nā liʻiliʻi o nā bacteria mai kāu ʻōnaehana hoʻoheheʻe e kahe i loko o ka peritoneum. Ma muli o ke kahe i kānana ʻole ʻia a hoʻoneʻe ʻia ma ke ʻano maʻamau, a ma muli o ka emi ʻana o ka pale ʻana, hiki i kēia mau liʻiliʻi o nā bacteria ke hoʻomaka e hoʻopilikia i ka peritoneum.
- Eia kekahi, hiki i nā maʻi mua ke komo i loko o ka lua peritoneal ma o nā mea hana lapaʻau , ʻoiai inā ʻoe e hoʻohana mau i kēia mau mea hana ma ka home. ʻO ka dialysis , ʻoi aku ka dialysis peritoneal, pili i ka hoʻopiha ʻana i ka lua peritoneal me ka wai a wehe iā ia ma o kahi catheter. Eia kekahi, ʻo ka hānai ʻana i ka paipu no ka manawa lōʻihi e pili ana i ka hoʻokomo ʻana i kahi paipu pololei ma o ka peritoneum i loko o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi. Hiki i kēia ke hōʻino i nā paia o ke kino a ʻae i ka maʻi e laha i ke koena o ka lua ʻōpū.
Nā Maʻi Lua - ʻO kēia nā mea maʻamau.
ʻO ke kumu maʻamau o ka peritonitis ka maʻi lua . Hiki ke hana ʻia kēia e:
- ʻO ka pahū ʻana o ka ʻōpū - ʻo ia hoʻi, ma muli o ka appendicitis .
- ʻO kahi ʻōpū ʻōpū perforated - ʻo ia hoʻi, ma muli o ka maʻi ʻōpū peptic .
- He ʻeha puka i loko o ka ʻōpū ma muli o kahi kūlana e like me ka diverticulitis a i ʻole ka maʻi mumū o ka ʻōpū .
- ʻO ka pancreatitis maʻi.
- ʻO ka maʻi mumū Pelvic (PID) kahi kūlana kahi e poha ai kahi cyst i loko o ka fallopian tube a i ʻole ovary.
- Hoʻopau ʻia ka hāpai ʻana o ka ectopic .
- ʻEha a ʻeha paha i kou ʻōpū.
- ʻO ke ʻoki ʻōpū .
He aha nā hōʻailona o ka peritonitis?
ʻO nā hōʻailona e ʻike pinepine ʻia:
- ʻEha iki a koʻikoʻi paha ka ʻōpū a me ka palupalu ke hoʻopā ʻia .
- Ke pehu nei ka ʻōpū a me ka pehu .
- ʻO ka dehydration ke ʻano o ka paʻa ʻana o ka wai i loko o ke kino.
- ʻO kahi kūlana i kapa ʻia ʻo ka paralytic ileus (kahi e pau ai ka hana ʻana o kou ʻōpū no kekahi manawa).
Inā loaʻa iā ʻoe kahi maʻi, hiki iā ʻoe ke loaʻa i kēia mau hōʻailona:
- Kuni .
- Ka luaʻi a me ka luaʻi .
- Hoʻonui ʻia ka helu o ka puʻuwai (ka helu wikiwiki o ka puʻuwai) .
- Pōkole o ka hanu .
Inā loaʻa iā ʻoe ka ascites , kahi kūlana kahi i piha ai kou ʻōpū i ka wai, hiki iā ʻoe ke loaʻa i kēia mau hōʻailona:
- Ka hemahema o ka noʻonoʻo - Hiki paha kēia ma muli o ka encephalopathy hepatic .
- Ka luhi nui a me ka malaise .
- Ka pehu ʻana o nā wāwae a me nā wāwae (edema) .
- ʻEha maʻalahi a me ke kahe koko - Hiki paha kēia ma muli o ka thrombocytopenia .
Hiki paha ke ʻike ʻole he peritonitis kou?
ʻAe, hiki. Hiki i ka ʻeha o ka ʻōpū a me nā hōʻailona ʻē aʻe o ke kūlana kumu ke uhi i nā hōʻailona o ka peritonitis . Loaʻa paha i kekahi poʻe kahi moʻolelo lōʻihi o ka ascites , hiki iā ia ke hoʻolilo iā lākou i mea ʻike ʻole i ka ʻeha . ʻOiai inā e maʻi ʻia ka ascites, ʻaʻole paha lākou e ʻike i ka ʻokoʻa nui. ʻO ia ke kumu he mea nui i nā kauka ke makaʻala e pili ana i ka pilikia o ka peritonitis .
Pehea e ʻike ʻia ai ka peritonitis?
E nīnau mua kāu kauka e pili ana i kou mōʻaukala olakino a me nā kūlana olakino o kēia manawa. A laila e nānā kino ʻo ia i kou ʻōpū e ʻike inā he pehu, palupalu, a paʻakikī paha. Inā pēlā, e hana lākou i kahi hoʻāʻo koko e nānā i nā hōʻike o ka mumū a i ʻole ka maʻi ( helu koko keʻokeʻo kiʻekiʻe ). Hiki iā lākou ke lawe i nā kiʻi, e like me ke scan, o kou mau ʻōpū ʻōpū e ʻimi i ke kumu o ka peritonitis.
ʻO kahi ala e hōʻoia ai i ka maʻi i loko o kou peritoneum a ʻike i ke ʻano o ka bacteria, ʻo ia ke lawe i kahi hāpana o ka wai me kahi nila (paracentesis) a hoʻāʻo ʻia i loko o kahi lab ( peritoneal fluid culture ). I nā hihia o ka ascites , hiki i kēia ke kōkua i ka hoʻomaha ʻana i ke kaomi i loko o kou ʻōpū. I kekahi mau hihia paʻakikī, kahi e hiki ʻole ai i ke kauka ke loaʻa ke kumu o ka peritonitis, pono paha ʻo ia e hana i ke ʻoki kino e nānā i kou lua ʻōpū a loaʻa a hoʻoponopono i ka pilikia.
He aha nā lāʻau lapaʻau no ka peritonitis?
Hoʻomaka pinepine ka lāʻau lapaʻau me nā wai IV a me nā antibiotics ākea e mālama ai a pale aku paha i ka maʻi. Ke hoʻoholo nā hoʻokolohua i ka bacteria a i ʻole ka pathogen e hoʻokumu ana i kāu maʻi, hiki ke hāʻawi ʻia iā ʻoe i kahi antibiotic kikoʻī. E hoʻāʻo mua kāu hui lapaʻau e hoʻopaʻa i kou kūlana, a laila e neʻe i ka mālama ʻana i ke kumu kumu. I kekahi mau hihia, pono paha ke ʻoki kino ulia pōpilikia.Pono ʻoe e hana a hoʻoponopono.
He aha nā pilikia e hiki ke kū mai ma muli o ka peritonitis?
Hiki i ka peritonitis ke hana i nā pilikia ma lalo nei:
- ʻO ka Septicemia a me ka sepsis , ʻo ia ka wā e komo ai ka maʻi i loko o kou koko. Hiki i ka Sepsis ke make .
- ʻO ka hoʻoili ʻana o ka wai i kou ʻōpū hiki ke hoʻoulu i ka dehydration a me nā electrolyte imbalances .
- Hiki mai ka paʻa ʻana o ka mimi a me ka paʻa ʻana o ka mimi ke hana ʻole kāu mau kino no kekahi manawa.
- ʻO nā hoʻopili ʻana o ka ʻōpū , ʻo ia nā ʻiʻo ʻeha i hana ʻia e ka mumū, hiki ke ālai i kou ʻōpū.
- I nā kānaka me ka maʻi akepaʻa, hiki i ka peritonitis bacterial spontaneous ke hana i kahi maʻi i kapa ʻia ʻo hepatorenal syndrome .
- ʻO ka peritonitis tertiary ka hoʻi hou ʻana o kahi maʻi ma hope o ka mālama ʻia ʻana o ke kumu mua.
He aha ka manaʻolana no ka ho'ōla hou ʻana no ka poʻe me ka peritonitis?
ʻO kou manawa e ho'ōla ai, a i ʻole ke ʻano o kou kūlana, e pili ana i ke kumu o kou peritonitis, ke ʻano o ka peritonitis, a me ka wikiwiki o kou loaʻa ʻana o ka lāʻau . He mea nui ka ʻike mua ʻana e kāohi iā ia ma mua o ka lilo ʻana i mea ʻino. Hoʻomaʻamaʻa pinepine ʻia ka lāʻau, akā hiki ke mau loa kekahi mau pilikia, e like me ka hōʻino ʻana o nā kino. ʻOi aku ka nui o ka pilikia o ka poʻe me nā ʻōnaehana pale nāwaliwali ma muli o nā maʻi maʻi ma mua o nā poʻe ʻē aʻe.
Hiki i ka peritonitis ke ulu koke , a he mea nui e hana koke . ʻO kou mau hōʻailona a me ka pae ʻeha e like paha me kahi pilikia a ʻaʻole paha. Nui nā kumu like ʻole o ka ʻeha ʻōpū, ʻoi aku ka koʻikoʻi o kekahi ma mua o nā mea ʻē aʻe. Akā inā he mau hopohopo kāu, ʻaʻole ia he manaʻo maikaʻi ʻole ke ʻike i ke kauka . Inā ua emi mālie kou mau hōʻailona i ka hala ʻana o ka manawa, e ʻimi koke i ke kōkua lapaʻau .
ʻO nā mea nui loa e pono ai ʻoe e hoʻomanaʻo ...
ʻAe, eia kekahi o nā mea nui e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:
- ʻO ka peritonitis kahi mumū o ka uhi o kou ʻōpū i kapa ʻia ʻo ka peritoneum . Hoʻokumu pinepine ʻia kēia e kahi maʻi bacteria .
- E makaʻala inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha nui o ka ʻōpū, ka pehu ʻana, ke kuni, ka nausea, a me ka luaʻi ʻana .
- He pilikia kēia e hiki ke lilo koke i mea koʻikoʻi , no laila he mea nui loa e ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona.
- Hiki ke hana ʻia kēia e nā mea e like me ka appendicitis ruptured, kahi perforation i loko o ka ʻōpū, a me ka ascites.
- Hiki i ka lāʻau lapaʻau ke komo pū me nā antibiotics a me ke ʻoki kino paha .
E hoʻomanaʻo, inā loaʻa iā ʻoe ka ʻeha nui a ʻokoʻa hoʻi i loko o kou ʻōpū a i ʻole kekahi mau hōʻailona kānalua ʻē aʻe, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka. Hiki i ka lāʻau lapaʻau koke ke hoʻopakele i ke ola!
ʻO Peritonitis, ʻeha ʻōpū, mumū ʻōpū, peritoneum, maʻi bacteria, sepsis, appendicitis











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