Ingaba kubuhlungu nje kwesisu? Mhlawumbi yi-peritonitis! Makhe sithethe.

Mhlawumbi ngamanye amaxesha ukhe uphathwe sisisu esibuhlungu, akunjalo? Sidla ngokucinga ukuba yinto encinci njenge -gastritis , okanye into efana nokutya kakhulu. Kodwa ayizizo zonke iintlungu zesisu ezilula kangako, ngamanye amaxesha zinokuba nzulu ngakumbi kwaye zifune ingqalelo ngokukhawuleza. I-Peritonitis yenye yeengxaki ezinjalo. Nangona igama lisenokuvakala liyinkimbinkimbi, masithethe ngayo ngokweenkcukacha nangokulula, akunjalo? Kuba ukukwazi oku kunokuba yinto ebalulekileyo kuwe nakubantu obathandayo.

Yintoni i-peritoneum? Iphi?

Kulungile, masiqale sijonge ukuba yintoni i-peritoneum , kwaye ikuphi, nto leyo ebangela esi sifo esibizwa ngokuba yi-peritonitis.

Ngamafutshane, i-peritoneum yinwebu encinci kakhulu ejikeleze ngaphakathi kwesisu sakho (yonke indawo ephakathi kwesifuba sakho nesinqe). Yicinge njengeplastiki ebhityileyo enceda ukugcina amalungu akho, njengamathumbu akho, isibindi , nesisu , endaweni yawo.

Kukho iinxalenye ezimbini eziphambili zale peritoneum:

1. I-parietal peritoneum: Le yilaphu eligubungela udonga lwangaphakathi lwesisu.

2. I-Visceral peritoneum: Le yi-membrane ejikeleze amalungu angaphakathi esiswini (njengamathumbu nesisu).

Phakathi kwezi membrane zimbini kukho indawo encinci ebizwa ngokuba yi-peritoneal cavity . Iqulethe ulwelo oluncinci olunceda amalungu ukuba atyibilike ngaphandle kokukhuhlana xa ehamba. I-peritoneum ikwanika inkxaso ethile kumalungu kwaye iwanceda ukuba ahlale endaweni yawo.

Ngoko ke, yintoni i-Peritonitis?

Ngoku unombono ocacileyo wokuba yintoni i-peritoneum. I-Peritonitis kukudumba kwe-peritoneum, oko kuthetha ukuba iyadumba, ibomvu, kwaye yosuleleke . Kwizonyango, amagama aphela ngo-"-itis" adla ngokubhekisa ekudumbeni. Umzekelo, i-appendicitis kunye ne-gastritis.

Oku kurhawuzelelwa kudla ngokubangelwa ziintsholongwane.Ngenxa yosulelo. Kodwa ngamanye amaxesha lunokubangelwa lusulelo lwefungus okanye ezinye izizathu. Nangona kunjalo, xa oku kusenzeka, kubangela ingxaki enkulu ngaphakathi esiswini.

Zithini izizathu zePeritonitis?

Zininzi izinto ezinokubangela i-peritonitis. Masizihlukanise zibe ziindidi ngeendidi.

Eyona nto ixhaphakileyo: Iintsholongwane

Le yeyona sizathu siphambili. Kukho neentlobo zale nto.

• I-Secondary Peritonitis: Olu lolona hlobo luxhaphakileyo. Oku kwenzeka xa usulelo lusasazeka luye kwi-peritoneum luvela kwingxaki ekwelinye ilungu elingaphakathi esiswini.
• I-Appendicitis: Mhlawumbi ukhe weva nge-appendicitis. Kulapho inxalenye yamathumbu amancinci ebizwa ngokuba yi-appendix ivuvukala ize yosuleleke. Ukuba ayinyangwa kakuhle, inokuqhekeka, ivumele iintsholongwane kunye nobovu ngaphakathi ukuba zisasazeke kuyo yonke indawo esiswini. Kulapho ke kuvela khona i-peritonitis.
• Ukugqobhoka kwesisu okanye kwamathumbu: Isilonda sesisu sinokuba qatha size sigqobhoke. Okanye, imeko efana ne-diverticulitis inokubangela ukuba udonga lwamathumbu lube buthathaka kwaye lugqobhoke. Ngamanye amaxesha, oku kunokwenzeka nangenxa yokwenzakala okanye ingozi. Xa lo mngxuma wenziwe, i-asidi yesisu kunye nokuqukethwe kwamathumbu kuyavuza kwi-peritoneal cavity, okubangela usulelo olukhulu.
• Ukuqhambuka kwenyongo: Iingxaki ezifana namatye enyongo zinokubangela ukuba inyongo yosulelwe kwaye ngamanye amaxesha iqhambuke. Oku kuvumela inyongo evela kwinyongo ukuba ivuzele kwi-peritoneal cavity, nto leyo ebangela i-peritonitis.
• I-Pancreatitis: I-pancreas lidlala elibalulekileyo emzimbeni wethu. Xa livuvukala (i-Pancreatitis), ii-enzymes ezikhutshwa kuyo zingonakalisa i-peritoneum kwaye zibangele i-peritonitis.
• Usulelo emva kotyando: Emva kotyando lwesisu, ngamanye amaxesha usulelo lunokusasazeka luye kwi-peritoneum ngenxeba okanye ngezinye iindlela.
• Ukulimala kwesisu: I-Peritonitis yenzeka xa amalungu esisu onakele yinto efana nengozi yemoto okanye inxeba lokuhlatywa ngemela, kwaye umxholo wazo uvuza ungene kwi-peritoneal cavity.
• Iingxaki zezifo zabasetyhini: Kwabasetyhini, iimeko ezifana nosulelo lwe-fallopian tubes (salpingitis), eyaziwa ngokuba yiPelvic Inflammatory Disease (PID) , zinokubangela ukuba usulelo lusasazeke kwi-peritoneum.

• I-Spontaneous Bacterial Peritonitis (SBP): Le yimeko ekhethekileyo. Idla ngokubonakala kubantu abanesifo sesibindi (umz. i-cirrhosis) esibangela i-ascites. Apha, ngaphandle komngxuma okanye ukukrazuka okubonakalayo esiswini, ulwelo olusesiswini luyosulelwa yibhaktheriya, nto leyo ebangela i-peritonitis.

• Kwabo bakwiPeritoneal Dialysis (PD):I-Peritoneal dialysis lunyango lwabanye abagulane abanengxaki yezintso. Kule nkqubo, kufakwa ulwelo olukhethekileyo kwi-peritoneal cavity ukuze kususwe inkunkuma egazini. Ngexesha lale nkqubo, iintsholongwane ngamanye amaxesha zinokungena nge-catheter, nto leyo ebangela i-peritonitis.

Izizathu ezingezizo ezosulelayo (i-Sterile Peritonitis)

Oku akuvamile kangako. Okwenzekayo apha kukuba i-peritoneum iyavuvukala ngenxa yento ethile yekhemikhali (umz. inyongo, igazi, into esetyenziswa ngexesha lotyando). Kwimeko enjalo, akukho ntsholongwane ibangelwa yintsholongwane ekuqaleni, kodwa intsholongwane ingangena kamva.

Zithini iimpawu ze-peritonitis? Uyibona njani?

Iimpawu ze-peritonitis zinokuvela ngequbuliso okanye zikhule kancinci kancinci. Kodwa kubalulekile ukuba uzazi ezi mpawu, kuba le yingxamiseko!

"Ukuba unentlungu yesisu enganyamezelekiyo nengapheliyo kunye nomkhuhlane, musa ukuyithatha njengento eqhelekileyo. Yiya kugqirha ngoko nangoko."

Iimpawu eziphambili zezi:

• Intlungu ebuhlungu esiswini: Olu lolona phawu luphambili nolunzima kakhulu. Nangona ekuqaleni lunokuba buhlungu apho usulelo luqale khona, intlungu isasazeka esiswini sonke ngokuhamba kwexesha. Intlungu inokwanda xa uhamba, ukhohlela, okanye uphefumla.
• Ukuthamba: Xa ugqirha echukumisa isisu, kubakho intlungu enzulu.
• Ukuqina/ukukhusela isisu : Izihlunu zesisu ziyaqina kwaye ziqine njengebhodi . Oku kungenxa yokuba umzimba uzama ukuzikhusela ekuvuvukeni ngaphakathi.
• Umkhuhlane kunye nokubanda: Umkhuhlane ubangelwa sisifo.
• Isicaphucaphu nokuhlanza: Oku kunokwenzeka kunye nokuphelelwa ngumdla wokutya.
• Ukudumba/ukudumba kwesisu: Isisu sivakala ngathi sidumbile kwaye sidumbile.
• Ukudinwa, ukudinwa kakhulu.
• Ukubetha kwentliziyo ngokukhawuleza (iTachycardia).
• Ubunzima bokuphefumla: Ubunzima bokuphefumla ngenxa yentlungu yesisu.
• Unxano, Umlomo owomileyo.
• Ukuncipha kokuphuma komchamo .
• Ukuqhinwa okanye urhudo: Abanye abantu banokuba nalo mbandela.

Khawucinge nje, umhlobo wakho, masithi uNimali, ngequbuliso uneentlungu zesisu eziqatha, umkhuhlane kunye nokubanda. Ucinga, 'Owu, le yintlungu yesisu eqhelekileyo' aze ahlale ecaleni. Kodwa iintlungu ziya zisiba mandundu, isisu sakhe sibuhlungu kangangokuba akakwazi nokusichukumisa, kwaye isisu sakhe sivakala sidumbile. Ngelo xesha, kunokuba luphawu lwemeko enzima efana ne-peritonitis. Kwimeko enjalo, eyona nto ingcono onokuyenza kukuya esibhedlele ngaphandle kokulibazisa .

Yintoni eyenziwa ngugqirha xa kurhanelwa ukuba kukho i-peritonitis?

Xa usiya kugqirha oneempawu ezinjalo, uza kuqala akubuze ngeempawu zakho (ukuthatha imbali). Izinto ezifana nokuba intlungu yaqala nini, yaqala njani, nokuba unazo ezinye izifo.

Emva koko kwenziwa uvavanyo lomzimba . Ngokukodwa, isisu sihlolwa ukuba sithambile, siqinile, kwaye amathumbu avakala njani.

Uvavanyo lokuqinisekisa ukuxilongwa:

Ukuba, emva kwezi mpawu kunye novavanyo, ugqirha urhanela ukuba i-peritonitis ibangelwa yintsholongwane, angenza ezinye iimvavanyo ezininzi ukuqinisekisa oko.

• Uvavanyo lwegazi: Oku kujonga ikakhulu inani leeseli ezimhlophe zegazi (i-WBC) egazini. Eli nani liya kwanda ukuba kukho usulelo. Kukwajonga iimpawu zokuvuvukala ezifana ne -CRP (i-C-Reactive Protein) . Kungajonga nokusebenza kwezintso kunye nokuphelelwa ngamanzi emzimbeni.
• I-X-reyi yesisu: Oku kungasetyenziselwa ukubona ukuba kukho umngxuma emathunjini kwaye umoya ungene kwi-peritoneal cavity (pneumoperitoneum).
• I-ultrasound scan okanye i-CT scan: Ezi scan zinokubonisa ngokucacileyo ukuba kwenzeka ntoni ngaphakathi esiswini. Zinokunceda ekufumaneni unobangela we-peritonitis (umz. i-appendicitis, isifo se-gallbladder), nokuba isisu sizele lulwelo (i-ascites), okanye ukuba kukho ithumba elenzekileyo.
• I-Paracentesis: Ukuba kukho ulwelo oluthambileyo esiswini, inani elincinci lolwelo lisuswa ngenaliti encinci lize lithunyelwe kwilebhu ukuze livavanywe. Oku kusetyenziselwa ukujonga iintsholongwane, ubomvu, kunye nohlobo lweeseli ezikhoyo. Oku kubaluleke kakhulu ekuxilongeni i-SBP.

Iphathwa njani i-peritonitis?

Eyona nto ibalulekileyo ekufuneka uyikhumbule yile: I-Peritonitis yingxaki yezonyango! Ngoko ke, kubalulekile ukuya esibhedlele uze uqale unyango ngoko nangoko. Ukulibazisa unyango kunokuba yingozi ebomini.

Kukho iindlela ezininzi zonyango:

• Ii-antibiotics: Ezi zinikwa ukubulala iintsholongwane ezibangele usulelo. Zidla ngokunikezelwa ngemithambo yegazi (IV) kuqala, apho zingena emzimbeni ngokukhawuleza. Ngamanye amaxesha kunokunikwa iintlobo ezingaphezu kwesinye zee-antibiotics.
• Utyando:
• Kwiimeko ezininzi, ingakumbi kwiimeko ze-peritonitis yesibini, kufuneka utyando.
• Utyando lwenziwa ukuze kunyangwe ingxaki ebangela i-peritonitis. Umzekelo, ukuba i-appendix ikrazukile, iyasuswa (i-appendectomy), ukuba kukho umngxuma emathunjini, iyavalwa, ukuba inyongo ikrazukile, iyasuswa.
• Kwakhona, ngexesha lotyando, yonke i-pus, inkunkuma, kunye nolwelo olusulelekileyo ngaphakathi esiswini luyahlanjwa kakuhle. Oku kubizwa ngokuba yi-peritoneal lavage.Kwakhona kuthiwa.
• Inkathalo exhasayo:
• Izithomalalisi zentlungu: Lawula iintlungu eziqatha.
• I-Intravenous saline (IV fluids): Izinto ezifana nokuhlanza kunye nomkhuhlane zinokubangela ukuphelelwa ngamanzi emzimbeni, okubangelwa kukulahleka kwamanzi kunye neetyuwa emzimbeni. I-saline inikwa ukunqanda oku.
• Ioksijini: Ukuba unengxaki yokuphefumla.
• Ngamanye amaxesha ityhubhu (ityhubhu yeNasogastric - ityhubhu yeNG) ifakwa ngempumlo ukuze kuphume amanzi esiswini (umoya, ulwelo). Oku kunceda ekunciphiseni ukuhlanza nokudumba.
• Unyango kwiyunithi yokhathalelo olunzulu (ICU) lunokufuneka, ingakumbi ukuba imeko yesigulana imbi kakhulu.

Ngaba i-Peritonitis iyingozi? Zithini iingxaki ezibangelwa yiyo?

Ewe, i-peritonitis yimeko embi kakhulu, esongela ubomi . Yiyo loo nto unyango olukhawulezileyo lubaluleke kangaka. Ukuba ayinyangwa okanye ilibazisekile, iingxaki ezinkulu zinokubakho.

• I-Sepsis kunye ne-septic shock: Imeko apho usulelo lungena egazini luze lusasazeke emzimbeni wonke, lonakalise amalungu omzimba kwaye lubangele ukuba uxinzelelo lwegazi lwehle ngendlela eyingozi. Oku kunokuba yingozi.
• Ithumba elingaphakathi kwesisu: Ubovu bunokubuthana kwiindawo ezingaphakathi kwesisu buze bube ziimpundu. Oku kufuneka kunyangwe, mhlawumbi ngotyando olunye okanye ngetyhubhu yokukhupha ubovu.
• Ukunamathela kwamathumbu: Njengoko ukudumba kuphola, iindawo ezithile zamathumbu zinokunamathelana okanye ziye kwi-peritoneum. Oku kunamathela kunokubangela ukuvaleka kwamathumbu kamva.
• Ukungasebenzi kakuhle kwamalungu omzimba: Ukusebenza kwamalungu abalulekileyo, ingakumbi izintso, isibindi, kunye nemiphunga, kunokuphazamiseka.
• Usulelo lwenxeba: Inxeba lotyando linokuba losulelo.
• Ukuba ayinyangwa ngokukhawuleza, inokukhokelela ekufeni. Le yeyona nto iyingozi kakhulu.

Ngaba i-Peritonitis ingathintelwa?

Nangona ingenakuphepheka ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko.

• Ukuba uneemeko ezinokubangela i-peritonitis (umz. i-appendicitis, izilonda zesisu, amatye enyongo), kubaluleke kakhulu ukufuna unyango ngokukhawuleza nangendlela efanelekileyo . Musa ukuyityeshela le mpawu.
• Abantu abafumana i-peritoneal dialysis kufuneka baqaphele kakhulu ngococeko njengoko kuyalelwe ngoogqirha kunye nabongikazi ngexesha lenkqubo. Izinto ezifana nokugcina indawo ejikeleze i-catheter icocekile kunye nokuhlamba izandla zakho kakuhle zibalulekile.
• Emva kotyando lwesisu, ukuba uneempawu zosulelo, ezinje ngobomvu obuphuma enxebeni, ukudumba, okanye umkhuhlane , kufuneka uxelele ugqirha wakho ngoko nangoko.
• Kubalulekile kubantu abanesifo sesibindi, ingakumbi abo bane-ascites, ukuba bathathe amayeza abo njengoko echazwe ngugqirha wabo baze bajonge iimpawu zabo ze-SBP.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-peritonitis namhlanje. Kubaluleke kakhulu ukuba sizikhumbule ezi zinto.

• Ukuba unentlungu yesisu enzima nenganyamezelekiyo, ingakumbi ukuba ihambisana nomkhuhlane, musa ukucinga ukuba yinto nje elula. Isenokuba luphawu lwesifo esinzima njenge-peritonitis.
• I-Peritonitis yingxaki yezonyango. Ixesha ngumahluko phakathi kobomi nokufa.
• Ukuxilongwa kwangoko kunye nonyango olukhawulezileyo kunokusindisa ubomi kunye nokunciphisa iingxaki.
• Ukuba wena okanye umntu omaziyo unezi mpawu, ungathandabuzi ukuya esibhedlele okanye ubonane nogqirha ngokukhawuleza.

Ndiyathemba ukuba olu lwazi ulufumene luluncedo. Hlala usempilweni!

I- Peritonitis, iintlungu zesisu, umngxuma wesisu, usulelo, i-appendicitis, utyando