Intlungu ebuhlungu esiswini? Funda ngale meko iyingozi ebizwa ngokuba yiPeritonitis!

Khawuthelekelele ukuba ngequbuliso uneentlungu zesisu eziqatha. Ekuqaleni, ziqala njengentlungu engathandekiyo, kodwa emva kwexesha elithile, iintlungu azinyamezeleki. Intlungu iba nkulu kangangokuba awukwazi nokuhamba, ukuma ngokuthe nkqo, okanye ukuhambisa umzimba wakho. Abantu abaninzi bacinga ukuba le yintlungu yesisu eqhelekileyo, i-gastritis. Kodwa oku kunokuba luphawu lwesifo esibi kakhulu, esisongela ubomi esibizwa ngokuba yiPeritonitis . Ke namhlanje, masithethe ngale meko iyingozi.

Ngamafutshane, yintoni iPeritonitis?

Kukho amalungu amaninzi abalulekileyo ngaphakathi esiswini sethu, njengesibindi, amathumbu, isisu, kunye nesibeleko. La malungu akhuselwe kwaye abanjwe kunye yi-membrane encinci, njengephepha le-polythene, eligubungela udonga lwangaphakathi lwesisu. Kwizonyango, oku sikubiza ngokuba yi-peritoneum .

I-Peritonitis iyenzeka xa intsholongwane, efana nebhaktheriya, ingena kwi-peritoneum, isuleleke, idumbe kakhulu, ize ivuvuke. Le yingxamiseko yezonyango . Kuba olu sulelo lunokusasazeka ngokukhawuleza emzimbeni wonke kwaye lube yingozi ebomini. Ke ngoko, kubaluleke kakhulu kuwe nakubantu obathandayo ukuba nazi kakuhle ukuba yintoni le.

Ziziphi iimpawu zePeritonitis?

Iimpawu zingahluka kumntu nomntu kule meko. Nangona kunjalo, kukho iimpawu eziqhelekileyo ekufuneka uziqwalasele ngokukodwa. Ukuba enye okanye ezingaphezulu kwezi mpawu zibonakala ngequbuliso, musa ukuzityeshela.

Kutheni i-Peritonitis isenzeka? Zithini izizathu?

Kulungile, ngoku makhe sijonge indlela usulelo olunokungena ngayo kule membrane yokukhusela ebizwa ngokuba yi-peritoneum. Kukho iindlela ezininzi eziphambili ezinokwenzeka ngayo oku.

1. Ukusasazeka kosulelo oluvela kwelinye ilungu (i-Secondary Peritonitis)

Le yeyona nto ixhaphakileyo. Oko kukuthi, usulelo kwelinye ilungu esiswini lusasazeka luye kwi-peritoneum ngenxa yokuqhekeka okanye ukugqobhoka kwelo lungu. Khawuthelekelele into efana nale...

• I-Appendicitis: Njengoko uninzi lwabantu lusazi, i-appendicitis kukudumba kwe-appendix. Ukuba ayinyangwa ngokukhawuleza, inokuqhuma. Emva koko iintsholongwane kunye nezinto ezikuyo zisasazeka esiswini, nto leyo ebangela i-peritonitis. Le yeyona nto ibangela i-peritonitis.
• Ukugqobhoka kwesilonda sesisu/kwesisu: Ukuba izilonda zikhula esiswini zize zibe nzulu ngokwaneleyo ukubangela umngxuma eludongeni lwesisu, i-asidi yesisu kunye neebhaktheriya zinokuvuza esiswini.
• I-Cholecystitis okanye i-pancreatitis: Xa ukudumba kwezi zitho kuba nzima, zinokugqobhoka, nto leyo evumela inyongo evela kwinyongo okanye ii-enzymes ezivela kwi-pancreas ukuba zivuze esiswini.
• Iingxaki zezifo zabasetyhini: Usulelo lunokusasazeka luye kwi-peritoneum ngenxa yeemeko ezinje ngokukhulelwa okuphuma kwi-ectopic tube kwi-fallopian tube, ukugqabhuka kwe-tube, okanye isifo esibi sokudumba kwe-pelvic.
• Ukulimala Kwesisu: Ukuba isisu senzakele, njengakwingozi yemoto, ukuwa, okanye inxeba lokuhlatywa, amathumbu angonakaliswa kwaye iintsholongwane zinokuvuza.
• Emva kotyando: Emva kotyando lwesisu, kukho ithuba elincinci lokuba usulelo lungene ngenxeba.

2. Ezinye izizathu (I-Peritonitis Eyintloko Neyekhemikhali)

I-Peritonitis inokubakho nangenxa yezinye izizathu, ezinje ngokuqhekeka kwamalungu omzimba, njengoko kukhankanyiwe apha ngasentla. Ezi aziqhelekanga kangako.

• Ii-Ascites: Iimeko ezifana ne-cirrhosis yesibindi, ezinye ii-cancer, okanye isifo sentliziyo zinokubangela ukuba isisu sizaliswe lulwelo. Olu lwelo lugqithisileyo lunokosulelwa lula yibhaktheriya, nto leyo ekhokelela kwimeko ebizwa ngokuba yi -Spontaneous Bacterial Peritonitis (SBP) .
• Ngonyango lwezonyango: Ngexesha lonyango lwe-peritoneal dialysis kwizigulana ezinengxaki yezintso, iintsholongwane ngamanye amaxesha zinokungena ngetyhubhu yesisu. Le ngozi ikwakho nakwizigulana ezityiswa ngetyhubhu ngeempumlo.
• I-Chemical Peritonitis: Oku kubangelwa kukuvuza kweekhemikhali ezingezizo iintsholongwane, kodwa ezikhoyo emzimbeni kodwa eziyingozi kwi-peritoneum. Umzekelo, i-asidi yesisu, i-bile, ii-enzymes ze-pancreatic, njl. Xa ezi zingena kwi-peritoneum, zibangela ukudumba.

Kutheni i-Peritonitis iyingozi? Zithini iingxaki ezibangelwa yiyo?

I-Peritonitis ayisiyonto inganyangeka lula. Ukuba ayinyangwa ngokukhawuleza, inokukhokelela kwiingxaki ezinzulu nezisongela ubomi.

Ngamafutshane, i-sepsis iyenzeka xa impendulo yomzimba kwisifo ingasebenzi kakuhle ize iqalise ukonakalisa izicwili zomzimba kunye namalungu omzimba. Oku kunokubangela uxinzelelo lwegazi oluphantsi kakhulu, ukuwohloka kokujikeleza kwegazi, ukungasebenzi kakuhle kwamalungu omzimba, kwanokufa. Yiyo loo nto i-Peritonitis ingxamiseko yezonyango.

Ezinye iingxaki:

• Ukuphelelwa ngamanzi emzimbeni kunye nokungalingani kwe-Electrolyte: Izinto ezifana nokuhlanza kunye nomkhuhlane zibangela ukuba umzimba ulahlekelwe ngamanzi kunye neetyuwa ezibalulekileyo.
• I-Paralytic Ileus: Umsebenzi wamathumbu unokuyeka okwethutyana.
• Ukunamathela esiswini: Emva kokuba usulelo luphelile, amalungu angaphakathi esiswini anokunamathelana, nto leyo enokubangela ukuba amathumbu avaleleke kwixesha elizayo.
• Iziphumo kwamanye amalungu omzimba: Ukuba usulelo luba nzima, amalungu anjengesibindi nezintso nawo anokuchaphazeleka lolu sulelo.

Isifo sichongwa kwaye sinyangwa njani?

Ugqirha usifumanisa njani esi sifo?

Xa usiya esibhedlele, ingakumbi iSebe leNgxamiseko (ETU) unezi mpawu, ugqirha uza kuqala akubuze ngeempawu zakho. Emva koko, baza kwenza uvavanyo lomzimba, ingakumbi uvavanyo olucokisekileyo lwesisu sakho. Baza kujonga ukuba isisu sakho siqinile, sidumbile, okanye sibuhlungu na xa usichukumisa. Ezi mvavanyo zilandelayo zinokuyalelwa ukuqinisekisa ukuxilongwa:

• Uvavanyo lweGazi: Izinto ezifana neWhite Blood Cell Count ziyahlolwa ukuze kubonwe ukuba kukho usulelo emzimbeni.
• Uvavanyo lwemifanekiso: I-CT scan , i-ultrasound scan , okanye i-MRI scan ingayalelwa ukuze kubonwe ukuba kwenzeka ntoni ngaphakathi esiswini. Ezi zinokunceda ekuqinisekiseni ukuba ilungu livuvukile okanye ukuba ulwelo luyaqokelelana.
• I-Paracentesis: Ukuba isisu sizele lulwelo, kufakwa inaliti encinci kwaye kuthathwa isampuli yolwelo ukuze kuvavanywe usulelo kwaye kuchongwe ukuba zeziphi iibhaktheriya ezikhoyo.
• I-Laparoscopy: Ngamanye amaxesha, ukuba ukuxilongwa akucaci, ikhamera encinci inokufuneka ifakwe esiswini ukuze ibone ngaphakathi ngqo.

Zithini iindlela zonyango?

I-Peritonitis yimeko efuna ukulaliswa esibhedlele. Unyango luneenjongo ezintathu eziphambili: ukulawula usulelo, ukunyanga ingxaki ebangela usulelo, kunye nokuthintela iingxaki ezinokubakho.

1. Ii-antibiotics: Okokuqala, ii-antibiotics ze-broad-spectrum zinikwa ngemithambo kunye ne-saline. Oku kunceda ekulawuleni usulelo olusasazeke emzimbeni wonke. Emva koko, emva kovavanyo oluchonge intsholongwane ethile ebangela usulelo, kunikwa i-antibiotic ethile.

2. Utyando: Utyando ludla ngokuba yimfuneko. Ingakumbi ukuba i-appendicitis iqhumile okanye kukho umngxuma emathunjini, indawo eyonakeleyo kufuneka isuswe kwaye ingaphakathi lesisu kufuneka lihlanjwe kakuhle kwaye licocwe.

3. Ukhathalelo oluxhasayo: Oku kuquka ukunika i-saline, amayeza okubulala iintlungu, kunye ne-oxygen ukuba kuyimfuneko. Ngamanye amaxesha, ityhubhu ye-nasogastric inokufakwa ngempumlo ukuze kususwe okungaphakathi esiswini.

Kuthatha ixesha elingakanani ukuphiliswa? Ufanele ufune nini uncedo lwezonyango ngokukhawuleza?

Ixesha lokuchacha liyahluka kumntu nomntu. Kuxhomekeke ekubeni ufumana unyango ngokukhawuleza kangakanani, ubukhali bosulelo, kunye nempilo yakho iyonke. Ukuba unyango luqalwe kwangethuba, ungachacha kwiiveki ezimbalwa. Nangona kunjalo, ukuba ukhe watyandwa okanye ukuba unobangela oyintloko (ofana ne-cirrhosis) unzima, kungathatha ixesha elide ukuba uphile ngokupheleleyo.

Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. Okanye utsalele umnxeba inkonzo ye-ambulensi ka-1990. Kwi-peritonitis, yonke imizuzu ibalulekile . Ukuthatha amanyathelo ngokukhawuleza kunokusindisa ubomi bakho.