Puas yog mob plab xwb? Tej zaum yog mob peritonitis! Cia peb tham.

Tej zaum koj yuav mob plab qee zaum, puas yog? Feem ntau peb xav tias nws yog ib yam me me xws li mob gastritis , lossis ib yam dab tsi zoo li noj ntau dhau. Tab sis tsis yog txhua yam mob plab yooj yim li ntawd, qee zaum lawv tuaj yeem loj dua me ntsis thiab xav tau kev saib xyuas tam sim ntawd. Peritonitis yog ib qho mob zoo li no. Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, cia peb tham txog nws kom meej thiab yooj yim heev, puas yog? Vim tias kev paub txog qhov no tuaj yeem tseem ceeb heev rau koj thiab koj cov neeg hlub.

Lub plab hnyuv yog dab tsi? Nws nyob qhov twg?

Zoo, ua ntej cia peb saib seb lub peritoneum yog dab tsi, thiab nws nyob qhov twg, uas yog qhov ua rau muaj tus kab mob no hu ua peritonitis.

Hais yooj yim xwb, lub peritoneum yog ib daim nyias nyias uas npog sab hauv koj lub plab (tag nrho thaj chaw ntawm koj lub hauv siab thiab lub duav). Xav txog nws zoo li ib daim yas nyias nyias uas pab kom koj cov kabmob, xws li koj txoj hnyuv , siab , thiab plab , nyob twj ywm.

Muaj ob feem tseem ceeb ntawm lub peritoneum no:

1. Parietal peritoneum: Qhov no yog txheej uas npog phab ntsa sab hauv ntawm lub plab.

2. Visceral peritoneum: Qhov no yog daim nyias nyias uas nyob ib puag ncig cov kabmob hauv plab (xws li cov hnyuv thiab lub plab).

Nruab nrab ntawm ob daim nyias nyias no muaj ib qho chaw me me hu ua qhov chaw hauv plab . Nws muaj cov kua me me uas pab cov kab mob txav mus los yam tsis muaj kev sib txhuam thaum lawv txav mus los. Lub plab kuj muab qee qhov kev txhawb nqa rau cov kab mob thiab pab lawv nyob twj ywm.

Yog li ntawd, peritonitis yog dab tsi?

Tam sim no koj muaj lub tswv yim ntxhib ntawm qhov peritoneum yog dab tsi. Peritonitis yog qhov o ntawm peritoneum, txhais tau tias nws o, liab, thiab kis kab mob . Hauv kev kho mob, cov lus uas xaus rau hauv "-itis" feem ntau yog hais txog kev o. Piv txwv li, appendicitis thiab gastritis.

Qhov mob no feem ntau yog los ntawm cov kab mob.Vim yog muaj kev kis kab mob. Tab sis qee zaum nws kuj tuaj yeem yog vim muaj kab mob fungal lossis lwm yam laj thawj. Txawm li cas los xij, thaum qhov no tshwm sim, nws ua rau muaj teeb meem loj hauv plab.

Dab tsi yog cov ua rau mob Peritonitis?

Muaj ntau yam ua rau mob peritonitis. Cia peb muab lawv faib ua pawg.

Feem ntau ua rau: Kab mob

Qhov no yog qhov laj thawj tseem ceeb. Kuj muaj ntau hom zoo li no thiab.

• Kab mob Peritonitis theem ob: Qhov no yog hom kab mob uas feem ntau tshwm sim. Qhov no tshwm sim thaum muaj kab mob kis mus rau peritoneum los ntawm qhov teeb meem hauv lwm lub cev hauv plab.
• Mob Qog Ntsws: Tej zaum koj twb tau hnov ​​txog mob qog nqaij hlav lawm. Yog thaum ib feem ntawm txoj hnyuv me hu ua mob qog nqaij hlav o thiab kis kab mob. Yog tias tsis kho kom zoo, nws tuaj yeem tawg, ua rau cov kab mob thiab cov kua qaub sab hauv kis mus thoob plaws hauv plab. Yog thaum ntawd mob peritonitis tshwm sim.
• Kev Mob Plab lossis Plab Nyuv: Kev mob plab hnyuv tuaj yeem ua rau mob hnyav thiab ua rau mob. Lossis, ib qho mob zoo li mob diverticulitis tuaj yeem ua rau phab ntsa plab hnyuv tsis muaj zog thiab ua rau mob. Qee zaum, qhov no kuj tuaj yeem tshwm sim vim yog raug mob lossis xwm txheej. Thaum lub qhov no ua rau, cov kua qaub hauv plab thiab cov khoom hauv plab hnyuv nkag mus rau hauv qhov peritoneal, ua rau muaj kev kis kab mob hnyav.
• Kab mob qog ntshav tawg: Tej teeb meem xws li pob zeb qog ntshav tuaj yeem ua rau kab mob qog ntshav thiab qee zaum tawg. Qhov no ua rau cov kua tsib los ntawm kab mob qog ntshav nkag mus rau hauv qhov chaw peritoneal, ua rau mob peritonitis.
• Kab mob Pancreatitis: Kab mob pancreatic yog ib qho tseem ceeb hauv peb lub cev. Thaum nws o (Pancreatitis), cov enzymes uas tso tawm los ntawm nws tuaj yeem ua rau lub peritoneum puas tsuaj thiab ua rau mob peritonitis.
• Kev kis kab mob tom qab phais: Tom qab phais plab, qee zaum kev kis kab mob tuaj yeem kis mus rau peritoneum los ntawm qhov txhab lossis lwm txoj hauv kev.
• Kev raug mob plab: Peritonitis tshwm sim thaum cov kabmob plab raug puas tsuaj los ntawm qee yam xws li kev sib tsoo tsheb lossis kev raug mob los ntawm riam, thiab lawv cov ntsiab lus xau rau hauv qhov chaw peritoneal.
• Teeb meem poj niam txiv neej: Rau cov poj niam, cov mob xws li kev kis kab mob ntawm cov hlab ntaws (salpingitis), aka Pelvic Inflammatory Disease (PID) , tuaj yeem ua rau kev kis kab mob kis mus rau peritoneum.

• Kab mob Peritonitis uas tshwm sim los ntawm cov kab mob sib kis (SBP): Qhov no yog ib qho teeb meem tshwj xeeb. Feem ntau pom muaj nyob rau hauv cov neeg uas muaj kab mob siab (piv txwv li, cirrhosis) uas ua rau ascites. Ntawm no, yog tsis muaj qhov lossis kua muag pom tseeb hauv plab, cov kua dej hauv plab yuav kis tau cov kab mob, ua rau mob peritonitis.

• Rau cov neeg uas tau txais kev ntxuav lub raum (PD):Kev ntxuav lub raum hauv plab yog kev kho mob rau qee tus neeg mob uas muaj teeb meem raum. Hauv txoj kev kho mob no, ib qho kua tshwj xeeb raug txhaj rau hauv qhov chaw hauv plab kom tshem tawm cov khoom pov tseg ntawm cov ntshav. Thaum lub sijhawm kho mob no, cov kab mob qee zaum tuaj yeem nkag mus rau hauv lub raj xa dej, ua rau mob peritonitis.

Cov ua rau tsis kis kab mob (Sterile Peritonitis)

Qhov no tsis tshua muaj ntau. Qhov uas tshwm sim ntawm no yog tias lub plab hnyuv o vim yog tshuaj lom neeg (piv txwv li cov kua tsib, ntshav, ib yam khoom siv thaum phais). Hauv qhov no, tsis muaj kab mob thaum xub thawj, tab sis kev kis kab mob tuaj yeem koom nrog tom qab.

Cov tsos mob ntawm tus mob peritonitis yog dab tsi? Yuav kuaj mob li cas?

Cov tsos mob ntawm tus mob peritonitis tuaj yeem tshwm sim sai sai lossis maj mam tshwm sim. Tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob no, vim qhov no yog xwm txheej ceev!

Yog koj mob plab uas tsis tuaj yeem ua tau, mob tas li nrog rau kub taub hau, tsis txhob tso tseg qhov no ua ib yam li qub. Mus ntsib kws kho mob tam sim ntawd.

Cov yam ntxwv tseem ceeb yog cov no:

• Mob plab hnyav heev: Qhov no yog qhov tsos mob tseem ceeb thiab hnyav tshaj plaws. Txawm hais tias thaum xub thawj nws tsuas yog mob qhov chaw pib kis kab mob xwb, qhov mob yuav kis mus thoob plaws hauv plab raws sijhawm. Qhov mob kuj tseem yuav nce ntxiv thaum txav mus los, hnoos, lossis ua pa.
• Kev Mob: Thaum tus kws kho mob kov lub plab, muaj mob hnyav heev.
• Kev tawv plab / kev tiv thaiv: Cov leeg nqaij plab ua rau tawv thiab tawv, zoo li daim ntoo plank. Qhov no yog vim lub cev tab tom sim tiv thaiv nws tus kheej ntawm kev o ntawm sab hauv.
• Kub taub hau thiab mob khaub thuas: Kub taub hau tshwm sim vim muaj kev kis kab mob.
• Xeev siab thiab ntuav: Cov no tuaj yeem tshwm sim nrog rau kev tsis qab los noj mov.
• Mob plab o/nqaij: Lub plab zoo li o thiab o.
• Kev qaug zog, kev qaug zog ntau dhau.
• Lub plawv dhia ceev ceev (Tachycardia).
• Ua pa nyuaj: Ua pa nyuaj vim mob plab.
• Nqhis dej, Qhov ncauj qhuav.
• Txo cov zis tawm.
• Kab mob cem quav lossis raws plab: Qee tus neeg kuj yuav muaj qhov no.

Xav txog, ib tug phooj ywg ntawm koj, cia peb hais tias Nimali, tam sim ntawd muaj mob plab hnyav, kub taub hau thiab txias. Nws xav tias, 'Auj, qhov no tsuas yog mob plab ib txwm' thiab nyob rau sab. Tab sis qhov mob hnyav zuj zus, nws lub plab mob heev uas nws tsis tuaj yeem kov nws, thiab nws lub plab xav tias o. Thaum ntawd, nws yuav yog ib qho cim ntawm tus mob hnyav xws li peritonitis. Hauv qhov xwm txheej ntawd, qhov zoo tshaj plaws ua yog mus rau tsev kho mob yam tsis muaj kev ncua .

Yog tias koj xav tias muaj mob peritonitis, tus kws kho mob yuav ua li cas?

Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, nws yuav nug koj txog koj cov tsos mob ua ntej (kawm keeb kwm mob). Tej yam xws li mob pib thaum twg, nws pib li cas, thiab seb koj puas muaj lwm yam mob.

Tom qab ntawd yuav kuaj lub cev . Yuav kuaj lub plab kom paub meej tias puas mob, mob plab, thiab muaj suab hauv plab.

Cov kev kuaj mob los xyuas kom meej tias muaj tus kab mob:

Yog tias, tom qab cov tsos mob thiab kev kuaj mob no, tus kws kho mob xav tias muaj mob peritonitis, nws yuav ua ntau qhov kev kuaj ntxiv kom paub meej tias muaj.

• Kev kuaj ntshav: Qhov no feem ntau yog xyuas seb muaj pes tsawg cov qe ntshav dawb (WBC) nyob hauv cov ntshav. Tus lej no yuav nce ntxiv yog tias muaj kev kis kab mob. Nws kuj tseem xyuas seb puas muaj cov cim qhia txog kev o xws li CRP (C-Reactive Protein) . Nws kuj tseem tuaj yeem xyuas seb lub raum ua haujlwm li cas thiab lub cev qhuav dej.
• X-ray plab: Qhov no siv tau los saib seb puas muaj qhov hauv txoj hnyuv thiab cua nkag mus rau hauv qhov peritoneal cavity (pneumoperitoneum).
• Kev ntsuas ultrasound lossis CT scan: Cov kev ntsuas no tuaj yeem qhia meej dua txog yam uas tshwm sim hauv lub plab. Lawv tuaj yeem pab nrhiav qhov ua rau mob peritonitis (piv txwv li mob appendicitis, mob gallbladder), seb lub plab puas muaj kua (ascites), lossis seb puas muaj abscess.
• Kev Siv Tshuaj Paracentesis: Yog tias muaj cov kua dej ascitic nyob rau hauv lub plab, yuav muab ib qho me me ntawm cov kua dej ntawd rho tawm nrog ib rab koob nyias nyias thiab xa mus rau chav kuaj mob kom kuaj. Qhov no yog siv los kuaj seb puas muaj cov kab mob, cov kua qaub, thiab cov hom cell twg nyob. Qhov no tseem ceeb heev rau kev kuaj mob SBP.

Yuav kho tus mob Peritonitis li cas?

Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov yog qhov no: Kab mob Peritonitis yog ib qho xwm txheej ceev hauv kev kho mob! Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum mus rau tsev kho mob thiab pib kho tam sim ntawd. Kev ncua kev kho mob tuaj yeem ua rau tuag taus.

Muaj ntau txoj kev kho mob:

• Cov tshuaj tua kab mob: Cov no yog muab los tua cov kab mob uas ua rau muaj kev kis kab mob. Feem ntau lawv muab cov tshuaj no rau hauv cov hlab ntsha (IV) ua ntej, qhov chaw uas lawv yuav nqus tau sai rau hauv lub cev. Qee zaum yuav muab ntau tshaj ib hom tshuaj tua kab mob.
• Kev phais:
• Feem ntau, tshwj xeeb tshaj yog thaum muaj mob peritonitis theem ob, yuav tsum tau phais.
• Kev phais mob yog ua los kho qhov teeb meem uas ua rau mob peritonitis. Piv txwv li, yog tias daim hnyuv tws tawg, nws yuav raug tshem tawm (appendectomy), yog tias muaj qhov hauv txoj hnyuv, nws yuav raug kaw, yog tias lub zais zis tawg, nws yuav raug tshem tawm.
• Tsis tas li ntawd xwb, thaum lub sijhawm phais mob, tag nrho cov kua qaub ncaug, cov khib nyiab, thiab cov kua dej uas muaj kab mob hauv lub plab yuav raug ntxuav kom huv si. Qhov no hu ua peritoneal lavage.Kuj hais tau tias.
• Kev saib xyuas txhawb nqa:
• Cov tshuaj tua mob: Tswj qhov mob hnyav.
• Muab cov kua ntsev rau hauv cov hlab ntsha (cov kua dej IV): Tej yam xws li ntuav thiab kub taub hau tuaj yeem ua rau lub cev qhuav dej, uas yog los ntawm kev poob dej thiab ntsev ntawm lub cev. Muab cov kua ntsev kom tiv thaiv qhov no.
• Cov pa oxygen: Yog tias koj ua pa nyuaj.
• Qee zaum yuav muab ib lub raj (Nasogastric tube - NG tube) ntxig rau hauv lub qhov ntswg kom ntws cov khoom hauv plab (xws li cua, kua). Qhov no pab txo qhov ntuav thiab o.
• Kev kho mob hauv chav saib xyuas mob hnyav (ICU) kuj tseem yuav tsim nyog, tshwj xeeb tshaj yog tias tus neeg mob tus mob hnyav heev.

Puas yog mob Peritonitis txaus ntshai? Muaj teeb meem dab tsi?

Yog, mob peritonitis yog ib qho mob hnyav heev, uas ua rau tuag taus . Yog vim li cas kev kho mob sai sai thiaj li tseem ceeb heev. Yog tias tsis kho lossis ncua sijhawm, tej zaum yuav muaj teeb meem loj tshwm sim.

• Kab mob Sepsis thiab septic shock: Ib qho mob uas tus kab mob nkag mus rau hauv cov ntshav thiab kis mus thoob plaws lub cev, ua rau cov kab mob puas tsuaj thiab ua rau cov ntshav siab poob qis heev. Qhov no tuaj yeem ua rau tuag taus.
• Kab Mob Hauv Plab: Cov kua qaub tuaj yeem sib sau ua ke rau hauv qhov chaw sab hauv plab thiab ua rau cov kua qaub. Qhov no kuj tseem yuav tsum tau kho, tej zaum yuav phais lwm yam lossis siv ib lub raj los ntws cov kua qaub.
• Kev nplaum ntawm txoj hnyuv: Thaum qhov mob zoo lawm, qee qhov ntawm txoj hnyuv tuaj yeem lo ua ke lossis rau ntawm peritoneum. Cov kev nplaum no tom qab tuaj yeem ua rau txoj hnyuv txhaws .
• Kev ua haujlwm ntawm cov kabmob tseem ceeb: Kev ua haujlwm ntawm cov kabmob tseem ceeb, tshwj xeeb tshaj yog lub raum, siab, thiab lub ntsws, yuav raug cuam tshuam.
• Kev kis kab mob ntawm qhov txhab: Qhov txhab phais tuaj yeem kis kab mob.
• Yog tsis kho sai sai, nws tuaj yeem ua rau tuag tau. Qhov no yog qhov txaus ntshai tshaj plaws.

Puas tiv thaiv tau tus mob Peritonitis?

Txawm hais tias nws tsis tuaj yeem zam tau tag nrho los xij, muaj tej yam koj tuaj yeem ua tau los txo qhov kev pheej hmoo.

• Yog koj muaj tej yam mob uas ua rau mob peritonitis (piv txwv li mob appendicitis, mob plab, pob zeb hauv lub zais zis), nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev kho mob sai thiab kom raug . Tsis txhob tsis quav ntsej cov tsos mob.
• Cov neeg uas tab tom ntxuav lub plab yuav tsum ua tib zoo saib xyuas kev tu cev raws li cov kws kho mob thiab cov kws tu neeg mob qhia thaum lub sijhawm ua haujlwm. Tej yam xws li ua kom thaj chaw ib puag ncig lub catheter huv si thiab ntxuav koj txhais tes kom huv si yog qhov tseem ceeb.
• Tom qab phais plab lawm, yog tias koj muaj cov cim qhia tias muaj kev kis kab mob, xws li kua qaub tawm ntawm qhov txhab, liab, o, lossis kub taub hau , koj yuav tsum qhia rau koj tus kws kho mob tam sim ntawd.
• Nws yog ib qho tseem ceeb rau cov neeg uas muaj kab mob siab, tshwj xeeb tshaj yog cov neeg uas muaj ascites, noj lawv cov tshuaj raws li lawv tus kws kho mob tau sau tseg thiab saib xyuas lawv cov tsos mob ntawm SBP.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li peb tau tham ntau txog mob peritonitis hnub no. Nws yog ib qho tseem ceeb heev uas yuav tsum nco ntsoov txog tej no.

• Yog koj mob plab hnyav heev, tsis tuaj yeem ua tau, tshwj xeeb tshaj yog tias nws los nrog kub taub hau, tsis txhob xav tias nws yog ib yam yooj yim xwb. Nws yuav yog ib qho cim qhia txog tus mob hnyav xws li mob peritonitis.
• Kab mob Peritonitis yog ib qho xwm txheej ceev hauv kev kho mob. Lub sijhawm yog qhov txawv ntawm txoj sia thiab kev tuag.
• Kev kuaj mob thaum ntxov thiab kev kho mob sai sai tuaj yeem cawm tau txoj sia thiab txo cov teeb meem.
• Yog koj lossis ib tug neeg koj paub muaj cov tsos mob no, tsis txhob yig mus rau tsev kho mob lossis mus ntsib kws kho mob tam sim ntawd.

Vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig. Nyob kom noj qab nyob zoo!

Mob peritonitis, mob plab, qhov plab, kev kis kab mob, mob appendix, phais