Ngaba uziva iintlungu okanye ukudumba esiswini sakho? Masifunde ngale meko iyingozi ebizwa ngokuba yi-peritonitis.

Ngaba ngamanye amaxesha ukhe uzive intlungu engaqhelekanga esiswini sakho, ngathi isisu sakho sigcwele? Mhlawumbi sibuhlungu nokuba usichukumisa. Ukuba uneempawu ezinje, isenokuba luphawu lwemeko ebizwa ngokuba yi-'peritonitis'. Ekubeni oku kunokuba yingozi kancinci, masikwazi ngcono oku, akunjalo?

Yintoni iPeritonitis? Ngamafutshane...

Unesisu sakho, esisisisu. Esi sisisu sigcwele inwebu encinci kakhulu, njengenwebu ethambileyo, ekwagubungela ingaphakathi lesisu kunye namalungu angaphakathi kuso, njengamathumbu, isibindi, nesisu. Oku sikubiza ngokuba yi-'peritoneum' . Ngoko ke, xa esi sisisu sibizwa ngokuba yi-peritoneum sivuvukala, oko kukuthi, xa sivuvukala, sibomvu, kwaye sibuhlungu , yiloo nto siyibiza ngokuba yi-'peritonitis'. Cinga ngayo xa sinenxeba kwindawo ethile eluswini lwethu, loo ndawo iba bomvu, ivuvuke, kwaye ibuhlungu. Esi sicubu siyavuvukala nokuba sichatshazelwe lulwelo olunobuthi emzimbeni okanye ngenxa yolunye ulwelo olucaphukisayo. Uninzi lwexesha, oku kwenzeka xa into engaphakathi esiswini ivuza okanye iqhuma . Eyona nto ibangela i-peritonitis kusulelo, oko kukuthi, ukungena kwezinto ezifana neebhaktheriya . Le yimeko enokuba yingozi kakhulu ngokwenene.

I-Peritonitis ichaphazela njani umzimba wethu?

Iimpawu ozifumanayo zinokwahluka ngokuxhomekeke kuhlobo lwe-peritonitis onayo. Nangona kunjalo , iintlungu zesisu kunye nokudumba ziimpawu eziqhelekileyo. Nangona kunjalo, kufuneka silumke ngakumbi malunga neengxaki ezinokuvela koku. Ngenxa yokuba olu lwelwesi olubizwa ngokuba yi-peritoneum lusasazeka esiswini kwaye ludibene namalungu amaninzi, usulelo oluvela kwi-peritoneum lunokuchaphazela onke la malungu . Akupheleli apho, olu sulelo lunokungena egazini lusasazeke emzimbeni wonke . Oko kuyingozi kakhulu.

Ngaba i-Peritonitis yingxaki engxamisekileyo?

I-Peritonitis ingahluka ukusuka kwencinci ukuya kwenzima . Ingakhawulelwa kwindawo enye yesisu, okanye ingasasazeka kuyo yonke i-peritoneum. Nangona kunjalo, oogqirha bahlala bejonga i-peritonitis njengengxamiseko . Oku kungenxa yokuba inokuba yingozi ngokukhawuleza , ingakumbi ukuba ibangelwa lusulelo. Umzekelo, ukuba usulelo lusasazeka egazini lakho, olubangela i-septicemia , umzimba wakho wonke unokothuka kwaye amalungu abalulekileyo anokungasebenzi. Oku kubizwa ngokuba yi-septic shock . Yiyo loo nto ingxamiseko.

Yintoni eyona nto ibangela i-Peritonitis?

Usulelo lweebhaktheriya lolona lubangela oluqhelekileyo loku, ingakumbi kwi-HIV yakho.Usulelo lwesibini olusasazeka lusuka kwelinye ilungu lomzimba. Umzekelo, ukuba kukho umngxuma esiswini okanye emathunjini akho, iintsholongwane ezivela kwindlela yakho yokugaya ukutya zingangena kwi-peritoneal cavity. Esinye isizathu esiqhelekileyo kukuqhekeka kwe-appendix ngenxa ye -appendicitis . Nangona kunjalo, kunqabile ukuba usulelo lwebhaktheriya luqale ngqo kwi-peritoneum.

Ngaba i-peritonitis iyenzeka ngenxa yezizathu zeekhemikhali?

Nangona ukudumba kudla ngokubangelwa lusulelo, kunokubangelwa nayimpendulo yeekhemikhali kulwelo olwahlukeneyo emzimbeni. Umzekelo:

• Ukuvuvukala okukhulu kwenyongo yakho, okubizwa ngokuba yi-cholecystitis, kunokubangela ukuba izicubu zenyongo zivuleke kwaye zivuthulule inyongo . Le nyongo inokucaphukisa, nokuba inesifo okanye ayinaso.
• Ukuvuvukala okukhulu kwepancreas yakho, imeko ebizwa ngokuba yi-pancreatitis, kunokubangela ukuba izicubu zepancreas zonakale kwaye zivuze ii-enzymes zepancreas . Ezi zinokuba nomsindo kakhulu, nokuba unentsholongwane okanye awunayo.
• Ukuba unesilonda esiswini sakho , ukuba sikhula kancinci kancinci size singene eludongeni lwesisu, i-asidi yesisu inokuvuza ingene kwi-peritoneal cavity. Le asidi yesisu inokucaphukisa i-peritoneum nokuba akukho bhaktheriya.
• Ngamanye amaxesha, ukuba ithumba okanye i-cyst ngaphakathi kwesisu iyaqhuma, inokubangela ne-chemical peritonitis.

Indlela i-Peritonitis ebangelwa ngayo lusulelo...

I-Peritonitis ebangelwa lusulelo inokuba yeyokuqala okanye eyesibini . I-peritonitis yebhaktiriya ephambili lusulelo oluvela ngqo kwi-peritoneum . I-peritonitis yebhaktiriya yesibini lusulelo olusasazeka luye kwi-peritoneum luvela kwenye indawo yomzimba .

Iintsholongwane Eziphambili - Ezi azixhaphakanga kangako.

Usulelo oluphambili aluxhaphakanga kangako njengosulelo lwesibini. Olu suku ludla ngokuvela ngeendlela ezimbini:

• I-Spontaneous Bacterial Peritonitis (SBP) yenzeka kubantu abane- ascites . I-Ascites yimeko apho ulwelo olugqithisileyo oluvela kwimithambo luqokelelana kwi-peritoneal cavity. Le ascites inokubangelwa sisifo sesibindi, ukungasebenzi kakuhle kwezintso, ukungasebenzi kakuhle kwentliziyo, kunye nomhlaza.Ngezifo ezenza buthathaka amasosha omzimba wakho, ezifana. Ezinye zezi zifo zinokubangela ukuba iintsholongwane ezincinci kwinkqubo yakho yokugaya ukutya zingene kwi-peritoneum. Ngenxa yolwelo olungahluzwayo nolususwayo ngokuqhelekileyo, nangenxa yokuncipha kokuzikhusela komzimba, ezi ntsholongwane zincinci zinokuqala ukosulela i-peritoneum.
• Kwakhona, usulelo oluphambili lunokungena kwi-peritoneal cavity ngezixhobo zonyango , ingakumbi ukuba usebenzisa ezi zixhobo rhoqo ekhaya. I-Dialysis , ingakumbi i-peritoneal dialysis, ibandakanya ukuzalisa i-peritoneal cavity ngolwelo kwaye uyikhuphe nge-catheter. Kwakhona, ukondla ngetyhubhu ixesha elide kunokubandakanya ukufaka ityhubhu ngqo nge-peritoneum esiswini okanye emathunjini amancinci. Oku kungonakalisa udonga lwamalungu omzimba kwaye kuvumele usulelo lusasazeke kulo lonke umqolo wesisu.

Iintsholongwane zesibini - Ezi zezona zixhaphakileyo.

Eyona nto ixhaphakileyo ebangela i-peritonitis kusulelo lwesibini . Oku kunokubangelwa zezi zinto zilandelayo:

• I-appendix eqhumayo - oko kukuthi, ngenxa ye -appendicitis .
• Isilonda sesisu esivuvukileyo - oko kukuthi, ngenxa yesifo sesilonda sesisu .
• Isilonda esivuvukileyo emathunjini ngenxa yemeko efana ne -diverticulitis okanye isifo samathumbu esidumbileyo .
• I-pancreatitis eyosulelayo.
• Isifo sokuvuvukala kwepelvic (PID) yimeko apho i-cyst iqhuma kwi-fallopian tube okanye kwi-ovary.
• Ukukhulelwa okungaphandle kwesisu kuyaqhambuka.
• Ukulimala okanye ukwenzakala esiswini sakho.
• Utyando lwesisu .

Ziziphi iimpawu zePeritonitis?

Iimpawu eziqhele ukubonwa zezi:

• Intlungu yesisu ethambileyo ukuya kweqatha kwaye ibuhlungu xa ichukunyiswa .
• Isisu sibonakala sidumbile kwaye sidumbile .
• Ukuphelelwa ngamanzi emzimbeni kuthetha ukugcinwa kwamanzi emzimbeni.
• Imeko ebizwa ngokuba yi -'paralytic ileus' (apho amathumbu akho ayeka ukusebenza okwethutyana).

Ukuba unentsholongwane, usenokuba nezi mpawu:

• Ifiva .
• Isicaphucaphu nokuhlanza .
• Ukunyuka kwesantya sentliziyo (isantya sentliziyo esikhawulezayo) .
• Ukuqhawukelwa ngumphefumlo .

Ukuba une -ascites , imeko apho isisu sakho sizaliswe lulwelo, usenokuba nezi mpawu:

• Ukuphazamiseka kwengqondo okuncinci - Oku kusenokuba kubangelwa yi -hepatic encephalopathy .
• Ukudinwa kakhulu kunye nesifo sengqondo esingapheliyo .
• Ukudumba kwemilenze neenyawo (i-edema) .
• Ukudumba okulula nokopha - Oku kusenokuba kubangelwa yi -thrombocytopenia .

Ngaba kunokwenzeka ukuba ungazi ukuba une-peritonitis?

Ewe, inokwenzeka. Iintlungu zesisu kunye nezinye iimpawu zemeko engaphantsi zinokufihla iimpawu ze-peritonitis . Abanye abantu banokuba nembali ende ye -ascites , nto leyo enokubenza bangabi namvakalelo kangako kwiintlungu . Nokuba i-ascites inosulelo, isenokungawuboni umahluko omkhulu. Yiyo loo nto kubalulekile ukuba oogqirha baqaphele umngcipheko we-peritonitis .

Ifunyanwa njani i-peritonitis?

Ugqirha wakho uza kuqala akubuze ngembali yakho yezonyango kunye neemeko zakho zonyango zangoku. Uza kuhlola isisu sakho ngokwasemzimbeni ukuze abone ukuba sidumbile, sithambile, okanye siqinile. Ukuba kunjalo, baza kwenza uvavanyo lwegazi ukuze bajonge ubungqina bokudumba okanye usulelo ( inani eliphezulu leeseli ezimhlophe zegazi ). Basenokuthatha imifanekiso, efana nokuskena, yamalungu akho esiswini ukuze bajonge unobangela we-peritonitis.

Enye indlela yokuqinisekisa usulelo kwi-peritoneum yakho kunye nokuchonga uhlobo lwebhaktheriya kukuthatha isampuli yolwelo ngenaliti (paracentesis) uze uluvavanye kwilebhu ( inkcubeko yolwelo lwe-peritoneal ). Kwimeko ye -ascites , oku kunokunceda ekunciphiseni uxinzelelo esiswini sakho. Kwezinye iimeko ezinzima, apho ugqirha engakwazi ukufumana unobangela we-peritonitis, unokufuna ukwenza utyando ukuze ahlole isisu sakho aze afumane kwaye alungise ingxaki.

Ziziphi iindlela zonyango lwe-peritonitis?

Unyango ludla ngokuqala ngolwelo lwe-IV kunye nee-antibiotics ze-broad-spectrum ukunyanga okanye ukuthintela usulelo. Nje ukuba uvavanyo lufumanise ukuba yeyiphi na intsholongwane okanye i-pathogen ebangela usulelo lwakho, unokunikwa i-antibiotic ethile. Iqela lakho lezonyango liya kuqala lizame ukuzinzisa imeko yakho, lize emva koko liqhubeke nokunyanga unobangela oyintloko. Kwezinye iimeko, utyando olungxamisekileyo lunokufuneka.Kufuneka ukwenze uze ukulungise.

Ziziphi iingxaki ezinokwenzeka ngenxa ye-peritonitis?

I-Peritonitis ingabangela ezi ngxaki zilandelayo:

• I-Septicemia kunye ne-sepsis , ezithi zibekho xa usulelo lungena egazini lakho. I-Sepsis inokubangela nokufa .
• Ukudluliselwa kolwelo esiswini sakho kunokubangela ukuphelelwa ngamanzi emzimbeni kunye nokungalingani kwe-electrolyte .
• Ukuqhinwa kunye nokugcinwa komchamo kwenzeka xa amalungu akho omzimba engasebenzi okwethutyana.
• Ukunamathela esiswini , okuyizicwili ezibangelwa kukudumba, kunokuthintela amathumbu akho.
• Kubantu abanesifo sesibindi, i-peritonitis yebhaktiriya engaqhelekanga inokubangela imeko ebizwa ngokuba yi-hepatorenal syndrome .
• I-Tertiary peritonitis kukuphinda kosulelo emva kokuba unobangela wokuqala unyangiwe.

Iyintoni imbono yokuchacha kubantu abane-peritonitis?

Amathuba akho okuchacha, okanye ukuba imeko yakho iya kuba njani, axhomekeke kwisizathu se-peritonitis yakho, uhlobo lwe-peritonitis, kunye nokuba ufumana unyango ngokukhawuleza kangakanani . Ukufunyaniswa kwangoko kubalulekile ukuyilawula ngaphambi kokuba ibe mandundu. Unyango luhlala luphumelela, kodwa ezinye iingxaki, ezifana nokonakala kwamalungu omzimba, zinokuba ngunaphakade . Abantu abaneenkqubo zomzimba ezibuthathaka ngenxa yezifo ezingapheliyo basengozini enkulu yokufumana iingxaki kunezinye.

I-Peritonitis inokukhula ngokukhawuleza , kwaye kubalulekile ukuthatha inyathelo ngokukhawuleza . Iimpawu zakho kunye nenqanaba lentlungu yakho lisenokubonakala ngathi yingxaki okanye lingabonakali. Kunokubakho izizathu ezininzi ezahlukeneyo zentlungu yesisu, ezinye zinzima kunezinye. Kodwa ukuba unenkxalabo, ayilocebo libi ukubona ugqirha . Ukuba iimpawu zakho ziye zanda kancinci kancinci ngokuhamba kwexesha, funa uncedo lwezonyango ngokukhawuleza .

Izinto ezibalulekileyo ekufuneka uzikhumbule...

Kulungile, nazi ezinye zezinto eziphambili ekufuneka uzikhumbule koko sithethe ngako:

• I-Peritonitis kukudumba kolwelo lwesisu olubizwa ngokuba yi-peritoneum . Oku kudla ngokubangelwa lusulelo lwebhaktheriya .
• Lumka ukuba uneempawu ezifana nentlungu enzulu yesisu, ukudumba, umkhuhlane, isicaphucaphu, kunye nokuhlanza .
• Le yimeko engxamisekileyo enokuba yingozi ngokukhawuleza , ngoko ke kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza ukuba uneempawu.
• Oku kunokubangelwa zizinto ezifana ne-ruptured appendicitis, ukugqobhoka kwamathumbu, kunye ne-ascites.
• Unyango lunokubandakanya amayeza okubulala iintsholongwane kwaye mhlawumbi notyando .

Khumbula, ukuba ufumana iintlungu ezingaqhelekanga neziqatha esiswini sakho okanye naziphi na ezinye iimpawu ezikrokrisayo, musa ukuzityeshela. Bona ugqirha ngoko nangoko. Unyango olukhawulezileyo lunokusindisa ubomi!

I- Peritonitis, iintlungu zesisu, ukudumba kwesisu, i-peritoneum, usulelo lweebhaktheriya, i-sepsis, i-appendicitis