He mamae puku noa iho? He peritonitis pea! Me kōrero tāua.

Tērā pea ka mamae tō puku i ētahi wā, tika? He maha ngā wā ka whakaarohia e tātou he mea iti noa iho pērā i te gastritis , he mea rānei e rite ana ki te kai nui rawa. Engari ehara i te mea he māmā noa iho ngā mamae puku katoa, i ētahi wā ka nui ake te kino, ā, me aro tonu ki te rongoā. Ko te peritonitis tētahi o aua mate. Ahakoa he ahua uaua te ingoa, me kōrero taipitopito, me te tino māmā hoki, me pēhea? Nā te mea he mea tino nui te mōhio ki tēnei mōu me ō whanaunga.

He aha te peritoneum? Kei hea tōna wāhi?

Āe, tuatahi, me titiro tātou he aha te peritoneum , me tōna wāhi, koinei te pūtake o tēnei mate e kiia nei ko te peritonitis.

He whakarāpopototanga noa iho, he kiriuhi angiangi rawa te peritoneum e whakarārangi ana i te roto o tō puku (te rohe katoa i waenganui i tō uma me tō hope). Whakaarohia he rite ki tētahi pepa kirihou angiangi e āwhina ana ki te pupuri i ō whekau, pērā i ō whekau , ate , me te puku , kia mau tonu.

E rua ngā wāhanga matua o tēnei peritoneum:

1. Peritoneum parietal: Koinei te paparanga e hipoki ana i te pakitara o roto o te kōhao puku.

2. Peritoneum visceral: Koinei te kiriuhi e karapoti ana i ngā whekau i roto i te puku (pērā i te whekau me te puku).

Kei waenganui i ēnei kiriuhi e rua tētahi wāhi iti e kiia nei ko te kōhao peritoneal . Kei roto he wai iti hei āwhina i ngā whekau kia neke haere, me te kore e mirimiri tetahi ki tetahi i a rātou e neke ana. Ka tautoko hoki te peritoneum i ngā whekau, ā, ka āwhina i a rātou kia noho tonu ki te wāhi tika.

Na, he aha te Peritonitis?

Kua mōhio whānuitia e koe te tikanga o te peritoneum. Ko te peritonitis te mumura o te peritoneum, arā, ka pupuhi, ka whero, ka pangia . I roto i te rongoā, ko ngā kupu e mutu ana ki te "-itis" e pā ana ki te mumura. Hei tauira, ko te appendicitis me te gastritis.

He maha ngā wā ka puta mai tēnei mumura i ngā huakita.Nā te mate urutā. Engari i ētahi wā ka puta mai anō hoki i ngā mate harore, i ētahi atu take rānei. Heoi, ina tupu tēnei, ka puta he raruraru nui i roto i te puku.

He aha ngā take o te Peritonitis?

He maha ngā take pea o te peritonitis. Me wehewehe tātou i ēnei ki ngā kāwai.

Te take tino noa: Ngā mate urutā

Koinei te take matua. He momo anō hoki tēnei.

• Peritonitis Tuarua: Koinei te momo tino noa. Ka puta tēnei ina horapa te mate ki te peritoneum mai i tētahi raruraru i tētahi atu okana i roto i te puku.
• Āpenitika: Kua rongo pea koe i te āpenitika. Ko te wā tēnei e mumura ai, e pangia ai te wāhanga o te whekau iti e kiia nei ko te āpenitika . Ki te kore e rongoatia tika, ka pakaru pea, ka horapa ai ngā huakita me te pūkahukahu i roto i te puku. Koinā te wā e puta ai te peritonitis.
• Te Pūngao o te Puku, te Whekau rānei: Ka kino te mate puku, ka pūngao. Mēnā rānei, ka ngoikore te pakitara o te puku, ka pūngao te mate pēnei i te diverticulitis. I ētahi wā, ka puta anō tēnei nā te whara, nā te aituā rānei. Ina hangaia tēnei pūngao, ka turuturu te waikawa o te puku me ngā ihirangi o te puku ki roto i te kōhao peritoneal, ka puta he mate kino.
• Pakaru o te pūkahukahu: Ka taea e ngā raruraru pēnei i ngā kōhatu pūkahukahu te pangia te pūkahukahu, ā, i ētahi wā ka pakaru. Mā tēnei ka turuturu te au mai i te pūkahukahu ki roto i te kōhao peritoneal, ka puta te peritonitis.
• Te Pancreatitis: He repe nui te repe i roto i te tinana. Ina mumura (Pancreatitis), ka taea e ngā whākōkī e tukuna ana mai i a ia te kino i te peritoneum ka puta ai te peritonitis.
• Mate urutā i muri i te pokanga: I muri i te pokanga puku, i ētahi wā ka horapa te mate ki te peritoneum mā te patunga, mā ētahi atu huarahi rānei.
• Te whara o te puku: Ka puta te peritonitis ina pakaru ngā whekau o te puku i tētahi mea pērā i te aituā motuka, i te patunga wero rānei i te maripi, ā, ka turuturu ngā mea o roto ki te kōhao peritoneal.
• Ngā raruraru wahine: I roto i ngā wāhine, ka horapa te mate ki te peritoneum nā ngā āhuatanga pēnei i te mate o ngā ngongo fallopian (salpingitis), e mōhiotia ana ko te Pelvic Inflammatory Disease (PID) .

• Te Peritonitis Huakita Tūpono (SBP): He take motuhake tēnei. He mea kitea i roto i te hunga he mate ate (hei tauira, te cirrhosis) e puta ai te ascites. I konei, me te kore he kōhao, he haehae rānei i roto i te puku, ka pangia te wai o roto i te puku e te huakita, ka puta ai te peritonitis.

• Mō te hunga kei te tango i te Peritoneal Dialysis (PD):He maimoatanga te peritoneal dialysis mō ētahi tūroro e pāngia ana e te ngoikore o te whatukuhu. I roto i tēnei tikanga, ka werohia he wai motuhake ki roto i te kōhao peritoneal hei tango i ngā para mai i te toto. I roto i tēnei tikanga, ka taea e ngā iroriki te tomo mā te catheter, ka puta ai te peritonitis.

Ngā take kore-pango (Sterile Peritonitis)

He iti ake te kitea o tēnei. Ko te mea e tupu ana i konei, ka mumura te peritoneum nā te matū (hei tauira, te au, te toto, te matū e whakamahia ana i te wā pokanga). I tēnei take, kāore he mate kitakita i te tīmatanga, engari ka uru mai pea he mate i muri mai.

He aha ngā tohu o te peritonitis? Me pēhea te mōhio ki tēnei?

Ka puta ohorere mai pea ngā tohu o te peritonitis, ka puta mārire rānei. Engari he mea nui kia mōhio ki ēnei tohu, nā te mea he āhuatanga ohorere tēnei!

"Ki te mamae tō puku, e kore e taea te whakamanawanui, me te kirika hoki, kaua e whakahaweatia he mea noa. Me toro atu ki te tākuta tonu."

Ko ngā āhuatanga matua ko ēnei:

• Mamae nui o te puku: Koinei te tohu matua, te tohu tino kino hoki. Ahakoa i te tīmatanga ka mamae noa iho te wāhi i tīmata ai te mate, ka horapa te mamae puta noa i te puku i roto i te wā. Ka piki ake pea te mamae i te wā e neke ana, e maremare ana, e manawa ana rānei.
• Ngāwari: Ina pā te tākuta ki te puku, ka tino mamae.
• Te pakari/te tiaki i te puku : Ka pakari haere ngā uaua o te puku, pērā i te papa. Nā te mea kei te ngana te tinana ki te tiaki i a ia anō mai i te mumura o roto.
• Te kirika me te makariri: Ka puta te kirika nā te mate pāwera.
• Whakapairuaki me te Ruaki: Ka puta tahi pea ēnei me te ngaronga o te hiahia kai.
• Pupuhi/pūpū puku: Ka pupuhi, ka pupuhi te puku.
• Te ngenge, te tino ngenge.
• Te tere o te manawa o te ngakau (Tachycardia).
• Uaua ki te manawa: Te uaua ki te manawa nā te mamae o te puku.
• Te matewai, te waha maroke.
• Te whakahekenga o te putanga mimi .
• Te mate kōroke, te korere rānei: Tērā pea ka pāngia ētahi tāngata e tēnei.

Whakaarohia, tētahi o ō hoa, me kī, ko Nimali, ka pāngia e te mamae puku nui, te kirika me te makariri. Ka whakaaro ia, 'Āe, he mamae puku noa iho tēnei' ka noho ki te taha. Engari ka kino haere te mamae, ka tino mamae tōna puku, kāore e taea e ia te pā atu, ā, ka pupuhi tōna puku. I taua wā, he tohu pea tēnei mō tētahi mate kino pērā i te peritonitis. I taua wā, ko te mea pai ko te haere tonu ki te hōhipera.

He aha te mahi a te tākuta mēnā kei te whakapaetia he peritonitis?

Ina haere koe ki te tākuta me ēnei tohu, ka pātai tuatahi ia ki a koe mō ō tohu (te tango hītori). Ngā mea pēnei i te wā i tīmata ai te mamae, te pēhea i tīmata ai, me te mea he mate kē atu āu.

Kātahi ka whakahaerehia he whakamātautau tinana . Ka tirohia te puku mō te ngawari, te pakari o te puku, me ngā haruru o te puku.

Ngā whakamātautau hei whakaū i te mate:

Mena, i muri i ēnei tohu me ngā whakamātautau, ka whakapae te tākuta he peritonitis kei roto, ka whakahaerehia pea e ia ētahi atu whakamātautau hei whakaū.

• Ngā whakamātautau toto: Ko te nuinga o tēnei ka tirohia te maha o ngā toto mā (WBC) i roto i te toto. Ka piki ake tēnei tau mēnā he mate pāwera. Ka tirohia hoki ngā tohu mumura pēnei i te CRP (C-Reactive Protein) . Ka taea hoki te tirotiro i te mahi a te whatukuhu me te matewai.
• X-ray puku: Ka taea te whakamahi i tēnei hei tirotiro mēnā he kōhao kei roto i te whekau, ā, kua uru te hau ki te kōhao peritoneal (pneumoperitoneum).
• Matawai Ultrasound, Matawai CT rānei: Ka taea e ēnei matawai te whakaatu mārama ake i ngā mea e tupu ana i roto i te puku. Ka taea e rātou te āwhina ki te kimi i te pūtake o te peritonitis (hei tauira, te appendicitis, te mate gallbladder), mēnā kei te kī tonu te puku i te wai (ascites), mēnā rānei kua puta he whēwhe.
• Paracentesis: Mena he wai ascitic kei roto i te puku, ka tangohia he iti o te wai ki te ngira angiangi ka tukuna ki te taiwhanga hei whakamātautau. Ka whakamahia tēnei hei tirotiro mō ngā huakita, te pupuhi, me ngā momo pūtau kei roto. He mea nui rawa tēnei mō te tautuhi i te SBP.

Me pēhea te rongoā i te Peritonitis?

Ko te mea nui hei maumahara ko tēnei: ​​He āhuatanga ohorere hauora te Peritonitis! Nō reira, he mea nui kia haere ki te hōhipera ka tīmata tonu te maimoatanga. Ka taea e te whakaroa i te maimoatanga te whakararu i te ora.

He maha ngā tikanga maimoatanga:

• Ngā rongoā paturopi: Ka hoatu ēnei hei patu i ngā huakita i puta ai te mate. He maha ngā wā ka hoatu tuatahitia mā te uaua (IV), ka tere te mimiti ki roto i te tinana. I ētahi wā ka hoatu pea he maha atu i te kotahi momo rongoā paturopi.
• Pokanga:
• I roto i te nuinga o ngā wā, inā koa i ngā wā o te peritonitis tuarua, me hiahiatia te pokanga.
• Ka mahia te pokanga hei rongoā i te raruraru matua i puta ai te peritonitis. Hei tauira, ki te pakaru te apeni, ka tangohia (appendectomy), ki te mea he kōhao kei roto i te whekau, ka kati, ki te pakaru te pūhā, ka tangohia.
• I te wā o te pokanga, ka horoia katoatia ngā pūkahukahu, ngā paru, me ngā wai pangia i roto i te puku. Ka kiia tēnei ko te horoi peritoneal.E kīia ana hoki.
• Manaaki tautoko:
• Ngā rongoā mamae: Whakahaere i te mamae nui.
• Te tote ā-roto (ngā wai IV): Ka taea e ngā āhuatanga pēnei i te ruaki me te kirika te matewai, nā te ngaronga o te wai me ngā tote mai i te tinana. Ka hoatu te tote hei whakamutu i tēnei.
• Hāora: Mena he uaua ki te manawa.
• I ētahi wā ka whakauruhia he ngongo (ngā ngongo Nasogastric - NG tube) mā te ihu hei tango i ngā mea o roto i te puku (te hau, te wai). Mā tēnei ka āwhina i te whakaiti i te ruaki me te pupuhi.
• Tērā pea e tika ana kia rongoatia i roto i te wāhanga tiaki nui (ICU), inā koa mēnā he kino te āhua o te tūroro.

He morearea te Peritonitis? He aha ngā raruraru?

Ae, he mate tino kino te peritonitis, he mate morearea hoki . Koia te mea nui o te maimoatanga tere. Ki te kore e rongoatia, ki te whakaroa rānei, ka puta he raruraru nui.

• Te Sepsis me te ohorere septic: He āhuatanga e uru ai te mate ki roto i te toto ka horapa puta noa i te tinana, ka pakaru ngā whekau, ka heke te toto toto ki raro rawa. Ka mate pea tēnei.
• Puku o roto i te puku: Ka kohia te pūkahukahu ki ngā wāhi o roto i te peritoneum ka puta he pūkahukahu. Me rongoā anō hoki tēnei, mā te pokanga anō pea, mā te ngongo rānei hei tango i te pūkahukahu.
• Piritanga o te puku: I te wa e ora ana te mumura, ka piri pea etahi wahi o nga whekau ki tetahi ki tetahi, ki te peritoneum ranei. Ka taea e enei piritanga te arai i te puku i muri mai.
• Te ngoikore o ngā okana: Tērā pea ka ngoikore te mahi a ngā okana nui, inā koa ko ngā whatukuhu, te ate, me ngā pukahukahu.
• Mate pāwera: Ka pangia pea te patunga pokanga.
• Ki te kore e rongoatia wawetia, ka mate pea. Koinei te mea tino morearea.

Ka taea te ārai i te peritonitis?

Ahakoa e kore e taea te karo katoa, tera ētahi mea ka taea e koe te mahi hei whakaiti i te mōrearea.

• Mena kei a koe ngā āhuatanga ka pā mai ai te peritonitis (hei tauira, te appendicitis, te mate puku, ngā kohatu o te au), he mea tino nui kia rapu wawe koe i te awhina hauora tika . Kaua e warewarehia ngā tohu.
• Me tino tupato te hunga e whiwhi ana i te peritoneal dialysis ki te akuaku e ai ki ngā tohutohu a ngā tākuta me ngā nēhi i te wā o te mahi. He mea nui ngā mahi pēnei i te pupuri i te ma o te wāhi huri noa i te catheter me te horoi pai i ō ringaringa.
• I muri i te pokanga puku, ki te puta mai ngā tohu mate, pērā i te pupuhi e puta mai ana i te patunga, te whero, te pupuhi, te kirika rānei , me kōrero tonu atu koe ki tō tākuta .
• He mea nui ki te hunga whai mate ate, inā koa te hunga whai ascites, kia tango i ā rātou rongoā e ai ki te tohutohu a tā rātou tākuta, me te aroturuki hoki i ngā tohu o te SBP.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, kua kōrerohia e tātou he maha ngā mea mō te peritonitis i tēnei rā. He mea nui kia maumahara ki ēnei mea.

• Ki te mamae nui tō puku, kāore e taea te manawanui, ina koa ka haere tahi mai me te kirika, kaua e whakaaro he mea noa iho. He tohu pea tēnei nō tētahi mate kino pērā i te peritonitis.
• He āhuatanga ohorere hauora te peritonitis. Ko te wā te rerekētanga i waenga i te ora me te mate.
• Mā te tautuhi wawe me te maimoatanga tere ka taea te whakaora i ngā oranga me te whakaiti i ngā raruraru.
• Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, kaua e mangere ki te haere ki te hōhipera, ki te toro atu rānei ki te tākuta tonu atu.

Ko tāku tumanako i whai hua ēnei kōrero ki a koe. Kia ora tonu!

Peritonitis , mamae puku, kōhao puku, mate pukupuku, apendicitis, pokanga