Ingabe kumane nje kuyisisu esibuhlungu? Mhlawumbe yi-peritonitis! Ake sixoxe.

Mhlawumbe uke uzwe ubuhlungu besisu ngezinye izikhathi, akunjalo? Sivame ukukucabanga njengento encane njenge -gastritis , noma into efana nokudla kakhulu. Kodwa akuzona zonke izinhlungu zesisu ezilula kanjalo, ngezinye izikhathi zingaba zimbi kakhulu futhi zidinga ukunakekelwa okusheshayo. I-Peritonitis ingenye yezinkinga ezinjalo. Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, ake sixoxe ngakho ngokuningiliziwe nangokulula, akunjalo? Ngoba ukuqaphela lokhu kungaba kubaluleke kakhulu kuwe nakubathandekayo bakho.

Iyini i-peritoneum? Ikuphi?

Kulungile, ake siqale sibheke ukuthi iyini i-peritoneum , nokuthi itholakala kuphi, okuyimbangela yalesi sifo esibizwa ngokuthi i-peritonitis.

Kalula nje, i-peritoneum iyi-membrane encane kakhulu ehlanganisa ingaphakathi lesisu sakho (yonke indawo ephakathi kwesifuba sakho nesinqe). Cabanga ngayo njengephepha lepulasitiki elincane elisiza ukugcina izitho zakho, njengamathumbu akho, isibindi , nesisu , zisendaweni yazo.

Kunezingxenye ezimbili eziyinhloko zale peritoneum:

1. I-parietal peritoneum: Lolu ungqimba olumboza udonga lwangaphakathi lwesisu.

2. I-Visceral peritoneum: Lolu ulwelwesi oluzungeze izitho ezingaphakathi kwesisu (njengamathumbu nesisu).

Phakathi kwalezi zindwangu ezimbili kukhona isikhala esincane esibizwa ngokuthi i-peritoneal cavity . Siqukethe inani elincane loketshezi olusiza izitho ukuba zishelele ngaphandle kokugudlana njengoba zihamba. I-peritoneum iphinde isekele izitho futhi izisize ukuthi zihlale endaweni yazo.

Ngakho-ke, iyini i-Peritonitis?

Manje usunombono ocacile wokuthi iyini i-peritoneum. I-Peritonitis ukuvuvukala kwe-peritoneum, okusho ukuthi iyavuvukala, ibomvu, futhi itheleleke . Kwezokwelapha, amagama aphela ngo-"-itis" avame ukubhekisela ekuvuvukeni. Isibonelo, i-appendicitis kanye ne-gastritis.

Lokhu kuvuvukala kuvame ukubangelwa amagciwane.Ngenxa yokutheleleka. Kodwa ngezinye izikhathi kungaba ngenxa yokutheleleka ngefungus noma ezinye izizathu. Kodwa-ke, uma lokhu kwenzeka, kubangela inkinga enkulu esiswini.

Ziyini izimbangela ze-Peritonitis?

Kunezimbangela eziningi ezingaba khona ze-peritonitis. Ake sizihlukanise ngezigaba.

Imbangela evame kakhulu: Ukutheleleka

Lesi yisona sizathu esiyinhloko. Kukhona nezinhlobo zalokhu.

• I-Secondary Peritonitis: Lolu uhlobo oluvame kakhulu. Lokhu kwenzeka lapho ukutheleleka kusakazekela e-peritoneum kusuka enkingeni kwesinye isitho esiswini.
• I-Appendicitis: Cishe uke wezwa nge-appendicitis. Yilapho ingxenye yamathumbu amancane ebizwa ngokuthi i-appendix ivuvukala futhi itheleleke. Uma ingelashwa kahle, ingaqhuma, okuvumela amagciwane kanye nobomvu ngaphakathi ukuthi kusakazeke kulo lonke umgodi wesisu. Yilapho-ke i-peritonitis iqala khona.
• Ukubhoboka kwesisu noma kwamathumbu: Isilonda sesisu singaba sibi kakhulu futhi sibhoboka. Noma, isimo esifana ne-diverticulitis singabangela ukuthi udonga lwamathumbu lube buthaka futhi lubhoboka. Ngezinye izikhathi, lokhu kungenzeka futhi ngenxa yokulimala noma ingozi. Lapho kwenziwa le mbobo, i-asidi yesisu kanye nokuqukethwe kwamathumbu kuyavuza emgodini we-peritoneal, okubangela ukutheleleka okukhulu.
• Ukuqhekeka kwenyongo: Izinkinga ezifana namatshe enyongo zingabangela ukuthi inyongo itheleleke futhi ngezinye izikhathi iqhekeke. Lokhu kuvumela inyongo evela enyongweni ukuthi ivuzele emgodini we-peritoneal, okubangela i-peritonitis.
• I-Pancreatitis: I-pancreas iyindlala ebalulekile emzimbeni wethu. Uma ivuvukala (i-Pancreatitis), ama-enzyme akhishwa kuyo angalimaza i-peritoneum futhi abangele i-peritonitis.
• Ukutheleleka ngemva kokuhlinzwa: Ngemva kokuhlinzwa kwesisu, ngezinye izikhathi ukutheleleka kungasakazekela e-peritoneum ngenxeba noma ngezinye izindlela.
• Ukulimala kwesisu: I-Peritonitis yenzeka lapho izitho zesisu zonakaliswa yinto efana nengozi yemoto noma inxeba lokugwazwa ngommese, futhi okuqukethwe kwazo kuvuza emgodini we-peritoneal.
• Izinkinga zezifo zabesifazane: Kwabesifazane, izimo ezifana nokutheleleka kwama-fallopian tubes (salpingitis), okubizwa nangokuthi i-Pelvic Inflammatory Disease (PID) , zingabangela ukuthi ukutheleleka kusabalale ku-peritoneum.

• I-Spontaneous Bacterial Peritonitis (SBP): Lesi yisimo esikhethekile. Ngokuvamile sibonakala kubantu abanesifo sesibindi (isib. i-cirrhosis) esibangela i-ascites. Lapha, ngaphandle kwembobo noma ukudabuka okusobala esiswini, uketshezi esiswini lutheleleka ngamagciwane, okubangela i-peritonitis.

• Kulabo abasebenzisa i-Peritoneal Dialysis (PD):I-Peritoneal dialysis iyindlela yokwelapha ezinye iziguli ezinenkinga yezinso. Kule nqubo, kufakwa uketshezi olukhethekile emgodini we-peritoneal ukuze kususwe imfucuza egazini. Phakathi nale nqubo, amagciwane ngezinye izikhathi angangena nge-catheter, okubangela i-peritonitis.

Izimbangela ezingezona ezithathelwanayo (i-Sterile Peritonitis)

Lokhu akuvamile kangako. Okwenzekayo lapha ukuthi i-peritoneum iyavuvukala ngenxa yento yamakhemikhali (isb. inyongo, igazi, into esetshenziswa ngesikhathi sokuhlinzwa). Kulesi simo, akukho ukutheleleka ngamagciwane ekuqaleni, kodwa ukutheleleka kungahlangana kamuva.

Ziyini izimpawu ze-peritonitis? Uyibona kanjani?

Izimpawu ze-peritonitis zingavela ngokuzumayo noma zikhule kancane kancane. Kodwa kubalulekile ukuqaphela lezi zimpawu, ngoba lokhu kuyisimo esiphuthumayo!

"Uma unezinhlungu zesisu ezingabekezeleleki nezingapheli kanye nomkhuhlane, ungakuthathi njengento evamile. Bheka udokotela ngokushesha."

Izici eziyinhloko yilezi:

• Ubuhlungu obukhulu besisu: Lolu uphawu oluyinhloko nolunzima kakhulu. Nakuba ekuqaleni lungase lubuhlungu lapho ukutheleleka kwaqala khona, ubuhlungu busakazeka esiswini sonke ngokuhamba kwesikhathi. Ubuhlungu bungakhula nalapho uhamba, ukhwehlela, noma uphefumula.
• Ubuhlungu: Uma udokotela ethinta isisu, kuba nobuhlungu obukhulu.
• Ukuqina /ukuvikela isisu : Imisipha yesisu iyaqina futhi iqine, njengepulangwe . Lokhu kungenxa yokuthi umzimba uzama ukuzivikela ekuvuvukeni ngaphakathi.
• Umkhuhlane kanye nokubanda: Umkhuhlane uvela ngenxa yokutheleleka.
• Isicanucanu Nokuhlanza: Lokhu kungenzeka kanye nokulahlekelwa yisifiso sokudla.
• Ukuvuvuka/ukukhukhumala kwesisu: Isisu sizizwa sivuvukile futhi sikhukhumele.
• Ukukhathala, ukukhathala ngokweqile.
• Inhliziyo esheshayo (i-Tachycardia).
• Ubunzima bokuphefumula: Ubunzima bokuphefumula ngenxa yobuhlungu besisu.
• Ukoma, Umlomo owomile.
• Ukwehla kokukhishwa komchamo .
• Ukuqunjelwa noma Uhudo: Abanye abantu bangase babhekane nalokhu.

Cabanga nje, umngane wakho, ake sithi uNimali, ngokuzumayo uzwa ubuhlungu obukhulu besisu, umkhuhlane kanye nokubanda. Ucabanga ukuthi, 'O, lokhu kumane kuyibuhlungu besisu obuvamile' bese ehlala eceleni. Kodwa ubuhlungu buya bukhula, isisu sakhe sibuhlungu kakhulu kangangokuthi akakwazi ngisho nokukuthinta, futhi isisu sakhe sizizwa sivuvukele. Ngaleso sikhathi, kungaba uphawu lwesimo esibi njenge-peritonitis. Uma kunjalo, into engcono kakhulu ongayenza ukuya esibhedlela ngaphandle kokulibala .

Yini eyenziwa udokotela uma kusolwa ukuthi i-peritonitis ibangelwa yisifo sofuba?

Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza ngezimpawu zakho (ukuthatha umlando). Izinto ezifana nokuthi ubuhlungu buqale nini, buqale kanjani, nokuthi unezinye izifo.

Bese kwenziwa ukuhlolwa ngokomzimba . Ikakhulukazi, isisu sihlolwa ukuthi sithambile, siqinile yini, futhi sizwakala kahle esiswini.

Ukuhlolwa kokuqinisekisa ukuxilongwa:

Uma, ngemva kwalezi zimpawu nokuhlolwa, udokotela esola i-peritonitis, angenza ezinye izivivinyo eziningana ukuze aqinisekise lokho.

• Ukuhlolwa kwegazi: Lokhu kuhlola ikakhulukazi inani lamaseli amhlophe egazi (i-WBC) egazini. Leli nani lizokhula uma kukhona ukutheleleka. Kuhlola nezimpawu zokuvuvukala njenge- CRP (i-C-Reactive Protein) . Kungahlola nokusebenza kwezinso kanye nokuphelelwa ngamanzi emzimbeni.
• I-X-ray yesisu: Lokhu kungasetshenziswa ukubona ukuthi kukhona yini imbobo emathunjini nokuthi umoya ungene yini emgodini we-peritoneal (pneumoperitoneum).
• Ukuskena nge-ultrasound noma i-CT scan: Lokhu kuskena kungabonisa ngokucacile ukuthi kwenzekani ngaphakathi esiswini. Kungasiza ekutholeni imbangela ye-peritonitis (isib. i-appendicitis, isifo senyongo), ukuthi isisu sigcwele uketshezi (i-ascites), noma ukuthi ithumba lakheke yini.
• I-Paracentesis: Uma kukhona uketshezi oluthambile esiswini, inani elincane loketshezi liyasuswa ngenaliti encane bese lithunyelwa elabhorethri ukuze lihlolwe. Lokhu kusetshenziselwa ukuhlola amagciwane, ubomvu, kanye nezinhlobo zamaseli akhona. Lokhu kubaluleke kakhulu ekuxilongweni kwe-SBP.

Iphathwa kanjani i-peritonitis?

Into ebaluleke kakhulu okufanele uyikhumbule yile: I-Peritonitis iyisimo esiphuthumayo sezokwelapha! Ngakho-ke, kubalulekile ukuya esibhedlela bese uqala ukwelashwa ngokushesha. Ukuhlehlisa ukwelashwa kungaba yingozi empilweni.

Kunezindlela eziningana zokwelapha:

• Ama-antibiotic: Lawa anikezwa ukubulala amagciwane abangele ukutheleleka. Avame ukunikezwa ngemithambo yegazi (IV) kuqala, lapho asheshe amuncwe khona emzimbeni. Ngezinye izikhathi kunganikezwa izinhlobo ezingaphezu kweyodwa zama-antibiotic.
• Ukuhlinzwa:
• Ezimweni eziningi, ikakhulukazi ezimweni ze-peritonitis yesibili, kudingeka ukuhlinzwa.
• Kwenziwa ukuhlinzwa ukuze kwelashwe inkinga eyisisekelo ebangele i-peritonitis. Isibonelo, uma i-appendix iqhumile, iyasuswa (i-appendectomy), uma kukhona imbobo emathunjini, iyavalwa, uma inyongo iqhumile, iyasuswa.
• Futhi, ngesikhathi sokuhlinzwa, wonke ubomvu, imfucuza, kanye noketshezi olunegciwane ngaphakathi esiswini kuyagezwa kahle. Lokhu kubizwa ngokuthi i-peritoneal lavage.Kuthiwa futhi.
• Ukunakekelwa okusekelayo:
• Imithi yokuqeda ubuhlungu: Lawula ubuhlungu obukhulu.
• Usawoti ofakwa emthanjeni (uketshezi lwe-IV): Izinto ezifana nokuhlanza nomkhuhlane zingabangela ukuphelelwa amanzi emzimbeni, okubangelwa ukulahleka kwamanzi nosawoti emzimbeni. Usawoti unikezwa ukuvimba lokhu.
• I-oksijini: Uma unenkinga yokuphefumula.
• Ngezinye izikhathi ipayipi (i-Nasogastric tube - i-NG tube) ifakwa ngekhala ukuze kukhishwe okungaphakathi esiswini (umoya, uketshezi). Lokhu kusiza ekunciphiseni ukuhlanza nokuqunjelwa.
• Ukwelashwa egunjini lokunakekelwa okujulile (i-ICU) nakho kungadingeka, ikakhulukazi uma isimo sesiguli sibucayi.

Ingabe i-Peritonitis iyingozi? Yiziphi izinkinga?

Yebo, i-peritonitis iyisimo esibi kakhulu, esisongela ukuphila . Yingakho ukwelashwa okusheshayo kubaluleke kangaka. Uma ingelashwa noma iphuzile, kungaba nezinkinga ezinkulu.

• I-Sepsis kanye ne-septic shock: Isimo lapho ukutheleleka kungena egazini futhi kusakazeke kuwo wonke umzimba, kulimaze izitho zomzimba futhi kubangele ukwehla komfutho wegazi ngendlela eyingozi. Lokhu kungaba yingozi.
• Ithumba Langaphakathi Kwesisu: Ubomvu bungaqoqana ezindaweni ezingaphakathi kwe-peritoneum bese budala amathumba. Lokhu kudinga nokwelashwa, mhlawumbe ngokuhlinzwa okunye noma ngepayipi lokukhipha ubomvu.
• Ukunamathela kwamathumbu: Njengoba ukuvuvukala kuphola, izingxenye zamathumbu zinganamathelana noma zinamathele ku-peritoneum. Lokhu kunamathela kungabangela ukuvaleka kwamathumbu kamuva.
• Ukwehluleka kwezitho zomzimba: Ukusebenza kwezitho ezibalulekile, ikakhulukazi izinso, isibindi namaphaphu, kungase kuphazamiseke.
• Ukutheleleka kwenxeba: Inxeba lokuhlinzwa lingatheleleka.
• Uma kungelashwa ngokushesha, kungaholela ekufeni. Lena yinto eyingozi kakhulu.

Ingabe i-Peritonitis ingavinjelwa?

Nakuba kungenakugwenywa ngokuphelele, kunezinto ongazenza ukuze unciphise ingozi.

• Uma unezimo ezingabangela i-peritonitis (isib. i-appendicitis, izilonda zesisu, amatshe enyongo), kubaluleke kakhulu ukufuna usizo lwezokwelapha ngokushesha nangokufanele . Ungazinaki izimpawu.
• Abantu abathola i-peritoneal dialysis kufanele baqaphele kakhulu ngenhlanzeko njengoba kuyalelwe odokotela nabahlengikazi ngesikhathi senqubo. Izinto ezifana nokugcina indawo ezungeze i-catheter ihlanzekile nokugeza izandla zakho kahle zibalulekile.
• Ngemva kokuhlinzwa kwesisu, uma unezimpawu zokutheleleka, njengobomvu obuphuma esilondeni, ukubomvu, ukuvuvukala, noma umkhuhlane , kufanele utshele udokotela wakho ngokushesha.
• Kubalulekile kubantu abanesifo sesibindi, ikakhulukazi labo abane-ascites, ukuthi baphuze imithi yabo njengoba kunqunywe udokotela wabo futhi baqaphe izimpawu zabo ze-SBP.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-peritonitis namuhla. Kubaluleke kakhulu ukukhumbula lezi zinto.

• Uma unezinhlungu zesisu ezinzima nezingenakubekezeleleka, ikakhulukazi uma zihambisana nomkhuhlane, ungacabangi ukuthi kuyinto elula. Kungaba uphawu lwesimo esibi njenge-peritonitis.
• I-Peritonitis iyisimo esiphuthumayo sezokwelapha. Isikhathi siwumehluko phakathi kokuphila nokufa.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa okusheshayo kungasindisa izimpilo futhi kunciphise izinkinga.
• Uma wena noma othile omaziyo enalezi zimpawu, ungangabazi ukuya esibhedlela noma ukubona udokotela ngokushesha.

Ngithemba ukuthi lolu lwazi uluthole luwusizo. Hlala uphilile!

I- Peritonitis, ubuhlungu besisu, umgodi wesisu, ukutheleleka, i-appendicitis, ukuhlinzwa