Ingabe uzwa ubuhlungu noma ukuvuvukala esiswini sakho? Ake sifunde ngalesi simo esiyingozi esibizwa ngokuthi i-peritonitis.

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile esiswini sakho, njengokungathi isisu sakho sigcwele? Mhlawumbe kubuhlungu ngisho nalapho usithinta. Uma unezimpawu ezinjengalezi, kungaba uphawu lwesimo esibizwa ngokuthi 'i-peritonitis'. Njengoba lokhu kungaba kubi kancane, ake sikwaze kangcono lokhu, akunjalo?

Kuyini i-Peritonitis? Kalula nje...

Unesisu sakho, okuyi-tube yesisu. Le-tube yesisu igcwele i-membrane encane kakhulu, njenge-membrane ethambile, ephinde imboze ingaphakathi le-tube yesisu kanye nezitho ezingaphakathi kwayo, njengamathumbu, isibindi, nesisu. Yilokhu esikubiza ngokuthi 'i-peritoneum' . Ngakho-ke, lapho le-membrane ebizwa ngokuthi i-peritoneum ivuvukala, okungukuthi, lapho ivuvukala, ibomvu, futhi ibuhlungu , yilokho esikubiza ngokuthi 'i-peritonitis'. Cabanga ngakho njengalapho sinenxeba endaweni ethile esikhumbeni sethu, leyo ndawo iba bomvu, ivuvuke, futhi ibuhlungu. Le tissue iyavuvukala ngoba ivezwa uketshezi lomzimba olunobuthi noma ngenxa yolunye uketshezi olucasulayo. Esikhathini esiningi, lokhu kwenzeka lapho okuthile ngaphakathi kwesisu kuvuza noma kuqhuma . Imbangela eyinhloko ye-peritonitis ukutheleleka, okungukuthi, ukungena kwezinto ezifana namagciwane . Lesi yisimo esingaba yingozi kakhulu ngempela.

I-Peritonitis ithinta kanjani umzimba wethu?

Izimpawu ozizwayo zingahluka kuye ngohlobo lwe-peritonitis onayo. Kodwa-ke , ubuhlungu besisu kanye nokuqunjelwa yizimpawu ezivamile. Kodwa-ke, sidinga ukuqaphela kakhulu ngezinkinga ezingavela kulokhu. Ngenxa yokuthi lolu lwelwesi olubizwa ngokuthi i-peritoneum lusakazeka esiswini futhi luxhumene nezitho eziningi zomzimba, ukutheleleka okwenzeka ku-peritoneum kungathinta zonke lezi zitho zomzimba . Akukhona lokho kuphela, lokhu kutheleleka kungangena egazini futhi kusakazeke emzimbeni wonke . Lokho kuyingozi kakhulu.

Ingabe i-Peritonitis iyisimo esiphuthumayo?

I-Peritonitis ingahluka kusukela kwencane kuya kwenzima kakhulu . Ingakhawulelwa endaweni eyodwa yesisu, noma ingasakazeka kulo lonke i-peritoneum. Kodwa-ke, odokotela bahlala bebheka i-peritonitis njengesimo esiphuthumayo . Lokhu kungenxa yokuthi ingaba yingozi ngokushesha okukhulu , ikakhulukazi uma ibangelwa ukutheleleka. Isibonelo, uma ukutheleleka kusakazekela egazini lakho, okubangela i-septicemia , wonke umzimba wakho ungashaqeka futhi izitho ezibalulekile zingahluleka. Lokhu kubizwa ngokuthi i-septic shock . Yingakho kuyisimo esiphuthumayo.

Iyini imbangela eyinhloko ye-Peritonitis?

Ukutheleleka ngamagciwane kuyimbangela evame kakhulu yalokhu, ikakhulukazi esikhumbeni sakhoUkutheleleka kwesibili okusabalala kusuka kwesinye isitho. Isibonelo, uma kukhona imbobo esiswini noma emathunjini akho, amabhaktheriya avela endleleni yakho yokugaya ukudla angangena emgodini we-peritoneal. Esinye isizathu esivamile ukuqhekeka kwe-appendix ngenxa ye -appendicitis . Kodwa-ke, akuvamile, ukutheleleka ngamagciwane kungaqala ngqo ku-peritoneum.

Ingabe i-peritonitis nayo ibangelwa yizimbangela zamakhemikhali?

Nakuba ukuvuvukala kuvame ukubangelwa ukutheleleka, kungabangelwa futhi ukusabela kwamakhemikhali ezinhlotsheni ezahlukene zoketshezi emzimbeni. Isibonelo:

• Ukuvuvukala okukhulu kwenyongo yakho, okubizwa ngokuthi i-cholecystitis, kungabangela ukuthi izicubu zenyongo zibhoboke futhi zivuvuze inyongo . Lenyongo ingaba yinto ecasulayo, noma ngabe inegciwane noma cha.
• Ukuvuvukala okukhulu kwe -pancreas yakho, isimo esibizwa ngokuthi i-pancreatitis, kungabangela ukuthi izicubu ze-pancreas zonakale futhi zivuza ama-enzyme e-pancreas . Lawa angacasula kakhulu, noma ngabe unesifo noma cha.
• Uma unesilonda esiswini sakho , uma sikhula kancane kancane futhi sibhoboza udonga lwesisu, i-asidi yesisu ingavuza ingene emgodini we-peritoneal. Le asidi yesisu ingacasula i-peritoneum ngisho noma kungekho magciwane.
• Ngezinye izikhathi, uma isimila noma i-cyst ngaphakathi kwesisu iqhuma, ingabangela ne-chemical peritonitis.

Indlela i-Peritonitis ebangelwa ngayo ukutheleleka...

I-Peritonitis ebangelwa ukutheleleka ingaba eyinhloko noma eyesibili . I-peritonitis eyinhloko yebhaktheriya ukutheleleka okwenzeka ngqo ku-peritoneum . I-peritonitis eyinhloko yebhaktheriya ukutheleleka okusakazekela ku-peritoneum kusuka kwenye ingxenye yomzimba .

Ukutheleleka Okuyinhloko - Lokhu akuvamile kakhulu.

Ukutheleleka okuyinhloko akuvamile kakhulu kunezifo zesibili. Lokhu kuvame ukwenzeka ngenye yezindlela ezimbili:

• I-Spontaneous Bacterial Peritonitis (SBP) yenzeka kubantu abane -ascites . I-Ascites yisimo lapho uketshezi oluningi oluvela emithanjeni luqongelela khona emgodini we-peritoneal. Lokhu ku-ascites kungabangelwa yisifo sesibindi, ukwehluleka kwezinso, ukwehluleka kwenhliziyo, kanye nomdlavuza.Ngezifo ezenza buthaka isimiso sakho somzimba sokuzivikela, njengokuthi. Ezinye zalezi zifo zingabangela ukuthi inani elincane lamagciwane avela ohlelweni lwakho lokugaya ukudla lingene ku-peritoneum. Ngenxa yoketshezi olungahlungiwe futhi lususwe ngendlela evamile, kanye nangenxa yokuncipha kwesimiso somzimba sokuzivikela, la manani amancane amagciwane angaqala ukuthelela i-peritoneum.
• Futhi, ukutheleleka okuyinhloko kungangena emgodini we-peritoneal ngezinsimbi zezokwelapha , ikakhulukazi uma usebenzisa lezi zinsimbi njalo ekhaya. I-Dialysis , ikakhulukazi i-peritoneal dialysis, ihilela ukugcwalisa umgodi we-peritoneal ngoketshezi bese uyikhipha nge-catheter. Futhi, ukudla ngamapayipi isikhathi eside kungahilela ukufaka ipayipi ngqo nge-peritoneum esiswini noma emathunjini amancane. Lokhu kungalimaza izindonga zezitho futhi kuvumele ukutheleleka kusabalale kuyo yonke ingxenye yesisu.

Ukutheleleka Kwesibili - Lokhu yikona okuvame kakhulu.

Imbangela evame kakhulu ye-peritonitis ukutheleleka kwesibili . Lokhu kungabangelwa yi:

• I-appendix eqhumile - okungukuthi, ngenxa ye -appendicitis .
• Isilonda esiswini esibhobokile - okungukuthi, ngenxa yesifo sesilonda se-peptic .
• Isilonda esibhobokile emathunjini ngenxa yesimo esifana ne -diverticulitis noma isifo samathumbu esivuvukalayo .
• I-pancreatitis ethelelanayo.
• Isifo sokuvuvukala kwe-pelvic (PID) yisimo lapho i-cyst iqhuma khona epayipini le-fallopian noma esibelethweni.
• Ukukhulelwa okungaphandle kwesisu kuyaqhuma.
• Ukulimala noma ukulimala esiswini sakho.
• Ukuhlinzwa kwesisu .

Ziyini izimpawu ze-peritonitis?

Izimpawu ezivame ukubonakala yilezi:

• Ubuhlungu besisu obuncane kuya kobukhulu kanye nokuthamba uma kuthintwa .
• Isisu sibonakala sivuvukile futhi sikhukhumele .
• Ukuphelelwa amanzi emzimbeni kusho ukugcinwa kwamanzi emzimbeni.
• Isimo esibizwa ngokuthi 'i-paralytic ileus' (lapho amathumbu akho eyeka ukusebenza okwesikhashana).

Uma unesifo, ungase ube nalezi zimpawu:

• Imfiva .
• Isicanucanu nokuhlanza .
• Ukwanda kwesilinganiso senhliziyo (isilinganiso senhliziyo esisheshayo) .
• Ukuphelelwa umoya .

Uma une -ascites , isimo lapho isisu sakho sigcwele uketshezi, ungase ube nalezi zimpawu:

• Ukukhubazeka okuncane kokuqonda - Lokhu kungase kubangelwe yi -hepatic encephalopathy .
• Ukukhathala okukhulu kanye nobuthakathaka obuthile .
• Ukuvuvukala kwemilenze nezinyawo (i-edema) .
• Ukuphuka kalula nokopha - Lokhu kungase kubangelwe yi -thrombocytopenia .

Kungenzeka yini ukuthi ungazi ukuthi une-peritonitis?

Yebo, kungakwenza lokho. Ubuhlungu besisu nezinye izimpawu zesimo esiyisisekelo zingafihla izimpawu ze-peritonitis . Abanye abantu bangase babe nomlando omude we -ascites , okungenza bangazweli kakhulu ebuhlungwini . Ngisho noma ama-ascites etheleleka, angase angawuboni umehluko omkhulu. Yingakho kubalulekile ukuthi odokotela baqaphele ingozi ye-peritonitis .

I-Peritonitis itholakala kanjani?

Udokotela wakho uzoqala ngokubuza ngomlando wakho wezokwelapha kanye nezimo zakho zezokwelapha zamanje. Uzobe esehlola isisu sakho ngokomzimba ukuze abone ukuthi sivuvukile, sithambile, noma siqinile. Uma kunjalo, bazokwenza ukuhlolwa kwegazi ukuze bahlole ubufakazi bokuvuvukala noma ukutheleleka ( inani eliphezulu lamaseli amhlophe egazi ). Bangase futhi bathathe izithombe, njengokuskena, kwezitho zakho zesisu ukuze babheke imbangela ye-peritonitis.

Enye indlela yokuqinisekisa ukutheleleka ku-peritoneum yakho nokuhlonza uhlobo lwebhaktheriya ukuthatha isampula yoketshezi ngenaliti (i-paracentesis) bese uluhlola elebhu ( isiko loketshezi lwe-peritoneal ). Ezimweni ze- ascites , lokhu kungasiza ekunciphiseni ingcindezi esiswini sakho. Kwezinye izimo ezinzima, lapho udokotela engakwazi ukuthola imbangela ye-peritonitis, kungadingeka ukuthi enze ukuhlinzwa ukuze ahlole isisu sakho futhi athole futhi alungise inkinga.

Yiziphi izindlela zokwelapha i-peritonitis?

Ukwelashwa kuvame ukuqala ngoketshezi lwe-IV kanye nama-antibiotic e-broad-spectrum ukwelapha noma ukuvimbela ukutheleleka. Uma ukuhlolwa sekuthole ukuthi yiliphi igciwane noma i-pathogen elibangela ukutheleleka kwakho, ungase unikezwe i-antibiotic ethile. Ithimba lakho lezokwelapha lizoqala lizame ukuzinzisa isimo sakho, bese liqhubekela phambili ekwelapheni imbangela eyinhloko. Kwezinye izimo, kungase kudingeke ukuhlinzwa okuphuthumayo.Kufanele ukwenze futhi ukulungise.

Yiziphi izinkinga ezingaba khona ngenxa ye-peritonitis?

I-Peritonitis ingabangela lezi zifo ezilandelayo:

• I-Septicemia kanye ne-sepsis , okuyilapho ukutheleleka kungena egazini lakho. I-Sepsis ingabangela nokufa .
• Ukudluliselwa koketshezi esiswini sakho kungabangela ukuphelelwa amanzi emzimbeni kanye nokungalingani kwama-electrolyte .
• Ukuqunjelwa kanye nokugcinwa komchamo kwenzeka lapho izitho zakho zomzimba zingasebenzi okwesikhashana.
• Ukunamathela esiswini , okuyizibazi ezibangelwa ukuvuvukala, kungavimba amathumbu akho.
• Kubantu abanesifo sesibindi, i-peritonitis yamagciwane eyenzeka ngokuzenzakalelayo ingabangela isimo esibizwa ngokuthi i-hepatorenal syndrome .
• I-tertiary peritonitis iwukuphindeka kokutheleleka ngemva kokuba imbangela yokuqala isilashiwe.

Iyini indlela yokululama kubantu abane-peritonitis?

Amathuba akho okululama, noma ukuthi isimo sakho sizoba njani, kuncike embangela ye-peritonitis yakho, uhlobo lwe-peritonitis, nokuthi uthola ukwelashwa ngokushesha kangakanani . Ukutholwa kusenesikhathi kubalulekile ukuze uyilawule ngaphambi kokuba ibe yimbi kakhulu. Ukwelashwa kuvame ukuphumelela, kodwa ezinye izinkinga, njengokulimala kwezitho zomzimba, zingaba unomphela . Abantu abanezivikeli mzimba ezibuthakathaka ngenxa yezifo ezingamahlalakhona basengozini enkulu yokuthola izinkinga kunezinye.

I-Peritonitis ingakhula ngokushesha kakhulu , futhi kubalulekile ukuthatha isinyathelo ngokushesha . Izimpawu zakho kanye nezinga lobuhlungu kungase kubonakale sengathi kuyisimo esiphuthumayo noma cha. Kungaba nezimbangela eziningi ezahlukene zobuhlungu besisu, ezinye zimbi kakhulu kunezinye. Kodwa uma unenkinga, akulona neze umqondo omubi ukubona udokotela . Uma izimpawu zakho ziye zaba zimbi kancane kancane ngokuhamba kwesikhathi, funa usizo lwezokwelapha ngokushesha .

Izinto ezibaluleke kakhulu okudingeka uzikhumbule...

Kulungile, ngakho-ke nazi ezinye zezinto ezibalulekile okudingeka uzikhumbule kulokho esikhulume ngakho:

• I-Peritonitis ukuvuvukala kolwelwesi lwesisu sakho olubizwa ngokuthi i-peritoneum . Lokhu kuvame ukubangelwa ukutheleleka ngamagciwane .
• Qaphela uma unezimpawu ezifana nobuhlungu obukhulu besisu, ukuqunjelwa, umkhuhlane, isicanucanu nokuhlanza .
• Lesi yisimo esiphuthumayo esingaba sibi kakhulu ngokushesha , ngakho-ke kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma unezimpawu.
• Lokhu kungabangelwa izinto ezifana ne-appendicitis ephukile, ukubhoboka kwamathumbu, kanye ne-ascites.
• Ukwelashwa kungafaka phakathi ama-antibiotics kanye nokuhlinzwa .

Khumbula, uma uzwa ubuhlungu obungavamile, obukhulu esiswini sakho noma ezinye izimpawu ezisolisayo, ungabushayi indiva. Bonana nodokotela ngokushesha. Ukwelashwa okusheshayo kungasindisa impilo!

I- Peritonitis, ubuhlungu besisu, ukuvuvukala kwesisu, i-peritoneum, ukutheleleka ngamagciwane, i-sepsis, i-appendicitis