Peritonitis - mowiriza bakiteriya

Peritoneum ndi minofu yopyapyala yomwe imayang'ana khoma lamkati mwamimba ndikuphimba ziwalo zambiri. Peritonitis imakhalapo pomwe thupilo limatupa kapena kutenga kachilomboka.

Bacterial peritonitis yokhazikika (SBP) imakhalapo pomwe thupilo limatenga kachilomboka ndipo palibe chifukwa chomveka.

SBP nthawi zambiri imayambitsidwa ndi matenda amadzimadzi omwe amatuluka mu peritoneal cavity (ascites).Kukhazikika kwamadzimadzi kumachitika nthawi zambiri ndi chiwindi kapena matenda a impso.

Zowopsa za matenda a chiwindi ndi awa:

• Kugwiritsa ntchito mowa kwambiri
• Matenda a hepatitis B kapena hepatitis C
• Matenda ena omwe amatsogolera ku cirrhosis

SBP imapezekanso mwa anthu omwe ali ndi peritoneal dialysis chifukwa cha impso kulephera.

Peritonitis itha kukhala ndi zifukwa zina. Izi zimaphatikizapo matenda opatsirana kuchokera ku ziwalo zina kapena kutulutsa ma enzyme kapena poizoni m'mimba.

Zizindikiro zake ndi izi:

• Kupweteka m'mimba ndi kuphulika
• Kukonda m'mimba
• Malungo
• Kutulutsa mkodzo wotsika

Zizindikiro zina ndizo:

• Kuzizira
• Ululu wophatikizana
• Nseru ndi kusanza

Kuyesedwa kudzachitika kuti muwone ngati mulibe matenda ndi zina zomwe zimayambitsa kupweteka m'mimba:

• Chikhalidwe chamagazi
• Kuwerengera kwa maselo oyera m'magazi a peritoneal fluid
• Kupenda kwa mankhwala kwa peritoneal madzimadzi
• Chikhalidwe cha madzimadzi a peritoneal
• CT scan kapena ultrasound pamimba

Chithandizo chimadalira chifukwa cha SBP.

• Kuchita opaleshoni kungafunike ngati SBP imayambitsidwa ndi chinthu chakunja, monga catheter yogwiritsidwa ntchito mu peritoneal dialysis.
• Maantibayotiki ochepetsa matenda.
• Madzi operekedwa kudzera m'mitsempha.

Muyenera kukhala mchipatala kuti othandizira azaumoyo athetse zifukwa zina monga zakumapeto zomwe zidaphulika komanso diverticulitis.

Nthawi zambiri, matendawa amatha kuchiritsidwa. Komabe, matenda a impso kapena chiwindi amalepheretsa kuchira.

Zovuta zingaphatikizepo:

• Kutaya kwa ubongo kumachitika pomwe chiwindi sichitha kuchotsa poizoni m'magazi.
• Impso vuto chifukwa cha kulephera kwa chiwindi.
• Sepsis.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za peritonitis. Izi zitha kukhala zovuta zakuchipatala.

Ndondomeko ziyenera kutengedwa kuti muteteze matenda mwa anthu omwe ali ndi peritoneal catheters.

Maantibayotiki opitilira angagwiritsidwe ntchito:

• Pofuna kupewa peritonitis kuti isabwerere mwa anthu omwe ali ndi chiwindi cholephera
• Kupewa peritonitis mwa anthu omwe ali ndi magazi opweteka m'mimba chifukwa cha zina

Zomwe zimayambitsa bakiteriya peritonitis (SBP); Ascites - peritonitis; Matenda enaake - peritonitis

• Zitsanzo za Peritoneal

Garcia-Tsao G. Cirrhosis ndi sequelae yake. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 144.

Kuemmerle JF. Matenda otupa komanso anatomic amatumbo, peritoneum, mesentery, ndi omentum. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 133.

Sola E, Gines P. Ascites ndi bakiteriya peritonitis. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 93.