Pum na mai mai a ni em? Peritonitis a ni mai thei! I sawi dawn nia.

A chang chuan pum na i nei ngei ang, a dik em? Gastritis , emaw, ei tam lutuk ang chi thil tenawm tak angin kan ngai tlangpui. Mahse pum na zawng zawng hi chutiang chuan a awlsam lo va, a chang chuan a na deuh thei a, ngaihven nghal a ngai bawk. Chutiang natna pakhat chu Peritonitis hi a ni. A hming hi a buaithlak deuhin a lang thei a, mahse chipchiar tak leh awlsam takin sawi ila, kan sawi dawn em ni? A chhan chu hei hi hriat chian hi nang leh i hmangaih tak takte tan a pawimawh hle thei a ni.

Peritoneum chu eng nge ni? Khawiah nge a awm?

Okay, a hmasain peritoneum hi eng nge a nih, khawiah nge a awm tih hi han en ila, chu chu he natna peritonitis an tih hi a thlentu a ni.

A awlsam zawngin sawi ila, peritoneum hi i pum chhung (i rilru leh i kawr inkar zawng zawng) line-a siam, membrane te tak te tak a ni. I taksa peng hrang hrang, i intestines , liver , leh stomach , te chu a hmuna awm reng tura puitu plastic sheet te tak te angin ngaihtuah rawh.

He peritoneum hi a bulpui ber pahnih a awm a:

1. Parietal peritoneum: Hei hi pum chhung bang khuh tu layer a ni.

2. Visceral peritoneum: Hei hi pum chhunga taksa peng hrang hrang (intestines leh stomach ang chi) veltu membrane a ni.

Heng membrane pahnih inkarah hian hmun tlemte a awm a , chu chu peritoneal cavity an ti a . Tui tlemte a awm a, chu chuan taksa peng hrang hrangte chu an kal laiin an inhnawh tawn lovin an tlan kual vel thei a ni. Peritoneum hian taksa peng hrang hrangte chu a puih deuh bawk a, a hmuna awm reng turin a pui bawk.

Chuti a nih chuan, Peritonitis chu eng nge ni?

Tunah chuan peritoneum hi eng nge a nih tih rough idea i nei ta. Peritonitis chu peritoneum inflammation a ni a, chu chu a hring a, a sen a, a infect tihna a ni . Damdawi lamah chuan "-itis" tia tawp thumal hian inflammation a kawk tlangpui. Entirnan, appendicitis leh gastritis te.

He inflammation hi bacteria vang a ni fo thin.Infection a awm vang a ni. Mahse a chang chuan fungal infection emaw, thil dang vang emaw pawh a ni thei. Amaherawhchu hetiang thil a lo thlen hian pum chhungah harsatna lian tak a siam thin.

Peritonitis hi engte nge ni?

Peritonitis hi a chhan awm thei tam tak a awm. Category hrang hrangah then ila.

A chhan tam ber: Infection

Hei hi a chhan ber a ni. Hei hi chi hrang hrang a awm bawk.

• Secondary Peritonitis: Hei hi a tam ber a ni. Hei hi pum chhunga taksa peng danga harsatna awm atanga natna hrik chu peritoneum-a a darh chuan a thleng thin.
• Appendicitis: Appendicitis tih hi i hre tawh ngei ang. Small intestine thenkhat appendix an tih chu a inflamed a, a infect a nih chuan a ni. Enkawl that loh chuan a chhe thei a, a chhunga natna hrik leh zun te chu pum chhung zawng zawngah a darh thei a ni. Chutah chuan peritonitis a lo awm ta a ni.
• Gastric emaw Bowel Perforation: Gastric ulcer chu a na hle a, a perforation a awm thei bawk. A nih loh leh, diverticulitis ang chi natna hian intestinal wall a tichak lo va, a perforated thei bawk. A châng chuan, hliam emaw, chetsualna emaw avânga hetiang hi a thleng thei bawk. He khur hi siam a nih chuan stomach acid leh intestinal contents te chu peritoneal cavity ah a luang lut a, chu chuan infection na tak a thlen thin.
• Gallbladder rupture: Gallstone ang chi harsatna hian gallbladder a tichhe thei a, a chang chuan a rupture thei bawk. Hei hian gallbladder atanga bile chu peritoneal cavity ah a leak tir a, peritonitis a thlen thin.
• Pancreatitis: Pancreas hi kan taksaa gland pawimawh tak a ni. A inflamed (Pancreatitis) a nih chuan a atanga enzyme chhuak te hian peritoneum a tichhe thei a, peritonitis a thlen thei bawk.
• Post-surgical infection: Pum zai hnuah a chang chuan hliam kaltlangin emaw, kawng dangin emaw peritoneum-ah natna a darh thei.
• Abdominal trauma: Peritonitis hi car accident emaw, chemte kah hliam emaw ang chi thilin pum chhunga taksa peng hrang hrangte a tihchhiat a, a chhunga thil awmte chu peritoneal cavity-ah a luang lut a ni.
• Hmeichhia lam harsatna: Hmeichhiaah chuan fallopian tubes (salpingitis), aka Pelvic Inflammatory Disease (PID) , ang chi natna hian peritoneum-ah a darh thei a ni.

• Spontaneous Bacterial Peritonitis (SBP): Hei hi a bik takin a awm a. Liver natna (e.g. cirrhosis) nei, ascites thlentuah hmuh tur a awm tlangpui. Hetah hian pum chhunga khur emaw, tear emaw langsar tak awm lovin, pum chhunga tui chu bacteria in a kai a, peritonitis a thlen thin.

• Peritoneal Dialysis (PD) hmang mek tan chuan:Peritoneal dialysis hi kal (kidney failure) nei thenkhat tan chuan enkawlna a ni. Hetiang tihnaah hian thisen atanga bawlhhlawh paih chhuah nan peritoneal cavity-ah tui bik an inject thin. Hetianga tih lai hian a chang chuan catheter kaltlangin natna hrik a lut thei a, chu chuan peritonitis a thlen thei a ni.

Hri kai theih loh (Sterile Peritonitis) .

Hei hi a tlem deuh a ni. Heta thil thleng chu chemical thil (e.g. bile, thisen, operation neih chhunga hman thin) avanga peritoneum a inflamed a ni. Chutiang a nih chuan a tir lamah chuan bacteria infection a awm lo a, mahse a hnuah infection pakhatin a zawm thei a ni.

Peritonitis natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

Peritonitis symptoms hi a lo lang nghal thei a, a lo awm zauh zauh thei bawk. Mahse heng symptoms te hi hriat a pawimawh a, hei hi emergency a nih avangin!

"Khawsik ruala i pum natna tuar theih loh, awm reng i neih chuan a pangngai angin hnawl suh. Doctor pan nghal rawh."

A feature lian ber berte chu hengte hi an ni:

• Pum natna nasa tak: Hei hi a lan chhuahna ber leh na ber a ni. A tir lamah chuan natna intanna hmunah chauh a na thei a, mahse hun kal zelah a natna chu pum chhung zawngah a darh vek a ni. Kan chet lai te, khuh lai te, thawk lai te pawhin a na hi a zual thei bawk.
• Tenderness: Doctor-in pum a palpate hian natna nasa tak a awm thin.
• Abdominal rigidity /guarding: Pum ruh chu a rigid a, a nghet a, plank ang mai a ni. Hei hi taksa chhungril lama inflammation laka inven a tum vang a ni.
• Khawsik leh khawsik: Khawsik hi infection vang a ni.
• Nausea leh Vomiting: Hengte hi ei duh lohna nen a awm thei bawk.
• Abdominal bloating/distension: Pum chu a hring a, a puak tih hriat a ni.
• Chauhna, hah lutuk.
• Lungphun chak tak (Tachycardia).
• Thâwk harsa: Pum natna avanga thawk harsa.
• Tuihal, Kawng a vawt.
• Zun chhuahna a tlahniam.
• Constipation emaw Diarrhea: Mi thenkhat pawhin hetiang hi an nei thei bawk.

Ngaihtuah teh, i thianpa, Nimali ti ila, rang takin pum na tak, khawsik leh khawsik a nei a. ‘Aw, hei hi pum na pangngai mai a ni’ tiin a ngaihtuah a, a sir lamah a awm reng a. Mahse a na chu a zual sauh sauh a, a pum chu a na em em a, khawih pawh a khawih thei lo a, a pum chu a puak tih a hriat bawk. Chutih hunah chuan peritonitis ang chi natna khirh tak chhinchhiahna a ni thei. Chutiang a nih chuan, tih tur ṭha ber chu damdawi ina kal chu tihkhawtlai loh hi a ni .

Peritonitis nia rinhlelh a nih chuan doctor chuan eng nge a tih?

Heng symptoms nei doctor hnena i kal hian i symptoms (history taking) chungchang a zawt hmasa ang che. Engtikah nge natna a lo intan tih te, engtin nge a lo intan tih te, natna dang i neih leh neih loh te.

Tichuan taksa enfiahna an nei leh a. A bik takin, pum chu a hmin loh, a pum a rigidity, leh bowel sounds te enfiah thin a ni.

Diagnosis finfiah nan test hrang hrang:

Heng natna lan chhuah dan leh test a neih hnu hian doctor chuan peritonitis a rinhlelh chuan test eng emaw zat a ti leh thei a, chu chu a nemnghet thei a ni.

• Thisen test: Hei hian thisen a thisen var (WBC) awm zat a enfiah ber a ni. Hetiang zat hi hri kai a awm chuan a pung ang. Tin, inflammatory marker CRP (C-Reactive Protein) te pawh a enfiah bawk. Kidney function leh dehydration te pawh a check thei bawk.
• Abdominal X-ray: Hei hi intestine-ah khur a awm em tih leh peritoneal cavity (pneumoperitoneum) chhungah boruak a lut em tih hriat theih a ni.
• Ultrasound scan emaw CT scan: Heng scan te hian pum chhunga thil thleng chiang zawkin a tarlang thei a ni. Peritonitis awm chhan (e.g. appendicitis, gallbladder disease), pum chhungah tui a khat em (ascites), a nih loh leh abscess a lo awm em tih hriatchhuah nan an pui thei a ni.
• Paracentesis: Pum chhungah ascitic fluid a awm chuan a tui tlemte chu needle te tak te hmangin lakchhuah a ni a, laboratory-ah test turin an thawn thin. Hei hi bacteria, pus leh cell chi hrang hrang awm leh awm loh enfiah nan hman a ni. Hei hi SBP hriatchhuahna atan a pawimawh hle.

Peritonitis hi engtin nge enkawl a nih?

Hriat reng tur pawimawh ber chu hei hi a ni: Peritonitis hi medical emergency a ni! Chuvang chuan damdawi in pan a, inenkawlna tan nghal a pawimawh. Enkawlna tihkhawtlai hi nunna atana hlauhawm a ni thei.

Enkawl dan hrang hrang a awm a:

• Antibiotics: Hengte hi natna thlentu bacteria tihhlum nan pek thin a ni. Intravenous (IV) hmasa berah pek an ni fo a, chutah chuan taksaah rang takin an insiam lut thin. A chang chuan antibiotic chi khat aia tam pek theih a ni.
• Inzai:
• Thil tam takah chuan, a bik takin secondary peritonitis-ah chuan zai a ngai thin.
• Peritonitis thlentu harsatna bulpui enkawlna atan surgery an ti thin. Entirnan, appendix a rupture chuan lakchhuah (appendectomy), intestine-ah khur a awm chuan khar a ni a, gallbladder a rupture chuan lakchhuah a ni.
• Tin, operation neih chhung hian pum chhunga bawlhhlawh, bawlhhlawh leh natna hrik awm zawng zawng chu uluk takin silfai vek a ni bawk. Hei hi peritoneal lavage an ti a.A sawi bawk.
• Supportive care: 1.1.
• Natna tidamtu: Natna nasa tak control.
• Intravenous saline (IV fluids): Luak leh khawsik ang chi thilte hian tui tlakchhamna a thlen thei a, chu chu taksa atanga tui leh chi (salts) hloh vang a ni. Hei hi tihtawp nan Saline pek a ni.
• Oxygen: Thâwk harsa i neih chuan.
• A chang chuan hnar atang hian tube (Nasogastric tube - NG tube) dahin pum chhunga thil awm (air, liquid) te chu a chhuah tir thin. Hei hian luak chhuak leh puak chhuak tihziaawmna atan a pui a ni.
• Intensive care unit (ICU)-ah pawh enkawl a ngai thei a, a bik takin damlo dinhmun a nasat chuan.

Peritonitis hi a hlauhawm em? Eng harsatna nge a awm?

Ni e, peritonitis hi natna khirh tak, nunna atana hlauhawm tak a ni. Chuvangin enkawl vat a pawimawh em em a ni. Enkawl loh emaw, tihkhawtlai emaw a nih chuan harsatna lian tak tak a awm thei a ni.

• Sepsis leh septic shock: He natna hrik hi thisenah lutin taksa pum puiah a darh a, taksa peng hrang hrang a tichhia a, thisen sang hlauhawm taka a tlahniam phah thin. Hei hian thihna a thlen thei a ni.
• Intra-abdominal Abscess: Peritoneum chhung hmun hrang hrangah pus a khawlkhawm thei a, abscesses a siam thei. Hei pawh hi enkawl a ngai a, surgery dang emaw, tube hmanga zun chhuahna tur emaw pawh a ni thei.
• Bowel adhesions: Inflammation a dam deuh deuh chuan intestines hmun thenkhat chu a inzawm khawm thei a, peritoneum ah emaw a inzawm thei bawk. Heng adhesions te hian a hnuah bowel obstruction a thlen thei a ni .
• Organ failure: Organ pawimawh tak tak, a bik takin kal, thin leh lungte hnathawh a tichhe thei a ni.
• Hliam natna: Surgery hmanga hliam hi a kai thei a ni.
• Enkawl vat loh chuan thihna thlengin a thlen thei a ni. Hei hi thil hlauhawm ber a ni.

Peritonitis hi ven theih a ni em?

pumpelh vek theih ni lo mah se, a hlauhawmna tihziaawmna tur thil i tih theih a awm.

• Peritonitis thlen thei dinhmun (e.g. appendicitis, stomach ulcers, gallstones) i neih chuan, damdawi lam pan vat leh dik tak i pan a pawimawh hle A symptoms te chu ngaihthah suh.
• Peritoneal dialysis nei mekte chuan an tih lai hian doctor leh nurse-te thupek angin faina nen uluk taka enkawl tur a ni. Catheter chhehvel tihfai leh kut sil uluk ang chi thil hi a pawimawh hle.
• Pum zai zawhah natna hrik i neih chhinchhiahna, hliam atanga zun chhuak, sen, hring, emaw khawsik , i neih chuan doctor hnenah i hrilh nghal tur a ni.
• Liver natna vei, a bik takin ascites vei te tan chuan doctor-in a tih angin an damdawi ei tur leh an SBP symptoms te enfiah a pawimawh hle.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvang chuan vawiin hian peritonitis chungchang kan sawi nasa hle. Hengte hi ngaihtuah reng a pawimawh takzet.

• I pum natna nasa tak, tuar theih loh i neih chuan, a bik takin khawsik nen a lo awm a nih chuan thil awlsam tak niin ngai suh. Peritonitis ang chi natna khirh tak chhinchhiahna a ni thei bawk.
• Peritonitis hi damdawi lam emergency a ni. Hun hi nunna leh thihna inthlauhna a ni.
• A hmaa hriatchhuah leh enkawl vat chuan nunna a chhanhim thei a, harsatna a tihziaawm thei bawk.
• Nangmah emaw, i hriat miin emaw heng symptoms te hi an neih chuan damdawi in pan emaw, doctor pan nghal emaw hreh suh.

He thu hi i hlawkpui ngei ka beisei. Hrisel takin awm rawh!

` Peritonitis, pum na, pum na, natna hrik, appendicitis, surgery