Peritonitis - yachiwiri

Peritoneum ndi minofu yopyapyala yomwe imayang'ana khoma lamkati mwamimba ndikuphimba ziwalo zambiri zam'mimba. Peritonitis imakhalapo pomwe thupilo limatupa kapena kutenga kachilomboka. Peritonitis yachiwiri ndi pamene vuto lina ndilo chifukwa.

Matenda a peritonitis achiwiri ali ndi zifukwa zazikulu zingapo.

• Tizilombo toyambitsa matenda tingalowe mu peritoneum kudzera mu bowo (pobowola) mu gawo logaya ziwalo. Bowo lingayambitsidwe ndi chowonjezera chophukacho, zilonda zam'mimba, kapena chotupa chobowola. Zitha kukhalanso chifukwa chovulala, monga kuwombera mfuti kapena bala la mpeni kapena kutsatira kulowa kwa thupi lakuthwa lachilendo.
• Minda kapena mankhwala omwe amatuluka ndi kapamba amatha kulowa m'mimba. Izi zimatha kubwera chifukwa chotupa mwadzidzidzi komanso kutupa kwa kapamba.
• Machubu kapena zipilala zopangira m'mimba zimatha kubweretsa vutoli. Izi zikuphatikiza ma catheters a peritoneal dialysis, machubu odyetsera, ndi ena.

Matenda am'magazi (sepsis) amathanso kubweretsa matenda m'mimba. Ichi ndi matenda oopsa.

Minofu imeneyi imatha kutenga kachilomboka ngati palibe chifukwa chomveka.

Necrotizing enterocolitis imachitika pomwe chimango cha khoma lamatumbo chifa. Vutoli nthawi zambiri limayamba mwa khanda lomwe limadwala kapena kubadwa msanga.

Zizindikiro zake ndi izi:

• Kutupa pamimba pomwe gawo la mimba yako ndi lokulirapo kuposa masiku onse
• Kupweteka m'mimba
• Kuchepetsa chilakolako
• Malungo
• Kutulutsa mkodzo wotsika
• Nseru
• Ludzu
• Kusanza

Chidziwitso: Pakhoza kukhala zizindikilo zadzidzidzi.

Pakuyesa kwakuthupi, wothandizira zaumoyo amatha kuwona zizindikilo zofunika kwambiri ndi malungo, kuthamanga kwa mtima mwachangu komanso kupuma, kuthamanga kwa magazi, komanso mimba yosakhazikika.

Mayeso atha kuphatikiza:

• Chikhalidwe chamagazi
• Magazi amadzimadzi, kuphatikiza michere yama pancreatic
• Kuwerengera kwathunthu kwa magazi
• Kuyesa kwa chiwindi ndi impso
• X-ray kapena CT scan
• Chikhalidwe cha madzimadzi a Peritoneal
• Kupenda kwamadzi

Nthawi zambiri, opaleshoni imafunika kuchotsa kapena kuchiza magwero a matenda. Awa akhoza kukhala matumbo omwe ali ndi kachilombo, chowonjezera chowotcha, kapena chotupa kapena diverticulum yopangidwa.

Chithandizo chazonse chimaphatikizapo:

• Maantibayotiki
• Zamadzimadzi kudzera mumtsempha (IV)
• Mankhwala opweteka
• Chubu kudzera pamphuno m'mimba kapena m'matumbo (nasogastric kapena NG chubu)

Zotsatira zake zimatha kuyambira kuchira kwathunthu mpaka matenda opatsirana komanso imfa. Zinthu zomwe zimatsimikizira zotsatira zake ndi izi:

• Zizindikiro zidakhalapo mpaka liti mankhwala asanayambe
• Thanzi labwino la munthuyo

Zovuta zingaphatikizepo:

• Chilonda
• Matumbo (akufa) matumbo omwe amafunika kuchitidwa opaleshoni
• Kumamatira kwa Intraperitoneal (komwe kungayambitse kutsekeka kwa matumbo mtsogolo)
• Kusokonezeka

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za peritonitis. Ichi ndi vuto lalikulu. Imafunikira chithandizo chadzidzidzi nthawi zambiri.

Peritonitis yachiwiri

• Zitsanzo za Peritoneal

Mathews JB, Turaga K. Opaleshoni ya peritonitis ndi matenda ena a peritoneum, mesentery, omentum, ndi diaphragm. 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: chaputala 39.

Turnage RH, Mizell J, Badgwell B. Khoma lam'mimba, umbilicus, peritoneum, mesenteries, omentum, ndi retroperitoneum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 43.