Peritonitis zvinoreva a Kuzvimba kwakanyanya kwe peritoneum, membrane inovhara mhango yedumbu. Kazhinji kazhinji yehutachiona hwehutachiona, peritonitis inoumba a kurapwa nokuti zvinogona kuisa upenyu pangozi.

Peritonitis chirwere acute kuzvimba chirwere mumimba. Iyo inoitika zvakanyanya padanho re peritoneum, iyo membrane inotenderedza viscera yemudumbu mhango.

Zvichienderana nehukuru uye nzira yekuzvimba, peritonitis inogona kutariswa:

• localized peritonitis ;
• generalized peritonitis.

Kuzvimba uku kunogonawo kurongeka zvichienderana nekwakabva. Kune mhando mbiri huru:

• yekutanga peritonitis iyo inokonzerwa nehutachiona hwehutachiona nekutanga kusavapo kwezvipembenene zvemukati;
• yechipiri peritonitis, iyo inowanzoitika, iyo inokonzerwa nehutachiona hunokonzerwa nehutachiona hwemukati uye kuvapo kwehutachiona hwehutachiona hwehutachiona.

Peritonitis kazhinji inotapukira.

Kana hutachiona hwe peritoneum huchingoitika, iyo peritonitis inonzi yekutanga uye inogona kunge yakakonzerwa nemhando dzakasiyana dzepathogenic. Musiyano unoitwa kunyanya pakati pepneumococcal peritonitis uye tuberculous peritonitis.

Inomiririra 90% yekuzvimba kwakanyanya kweperitoneum, yechipiri peritonitis inogona kukonzerwa ne:

• intra-abdominal kutapukira kana kuboora, zvakadai se appendicitis, perforation ye peptic ulcer, sigmoid diverticulitis, kana cholecystitis;
• chiitiko che post-operative, iyo inogona kuitika muchiitiko chekusvibiswa kwe intraoperative kana anastomotic disuninity;
• chiitiko chepashure-chinoshungurudza, iyo inogona kuva ronda rinopinda mukati, kuvharwa kwakavharwa nekuputika, digestive ischemia, endoscopic perforation, kana kuputsika nemuviri wekunze.

Peritonitis inogona kuiswa munzvimbo kana kupararira mumuviri wose. Izvi zvinonzi sepsis. Generalized peritonitis a kurapwa nekuti inobata fungidziro yakakosha.

Peritonitisi inoratidzwa nekuitika kwekurwadziwa kwakanyanya kwemudumbu, kunowanikwa munzvimbo kana kupararira, kwekutanga kana kufambira mberi. Kurwadza kwedumbu uku kunobatanidzwa nekubatana kwemhasuru dzebhanhire remudumbu. Rigid, toned, zvachose uye inorwadza, ichi chibvumirano chedumbu chinowanzonzi "huni dumbu".

Mukuwedzera kune kurwadziwa mudumbu, peritonitis inogona kuratidza nezvimwe zviratidzo zvakadai se:

• kurutsa ;
• kumisa tsvina;
• manyoka;
• zviratidzo zvinotapukira zvakadai sefivha;
• kuneta kukuru;
• kuderera kwemamiriro ezvinhu.

Kuongororwa kwe peritonitis kungada kuongororwa kwakasiyana senge:

• kuongororwa kwekliniki kuti uongorore zviratidzo zvinoonekwa;
• kuongororwa ropa kutarisa kuvapo kwezvirwere;
• bvunzo dzekurapa dzekufungidzira, senge x-ray kana ultrasound, kuona dumbu remudumbu.

Muchiitiko chehutachiona hwehutachiona, primary peritonitis inoda kuiswa muchipatara kuti uwane uye kurapa pathogen. Chirwere chetachiona chisati chazivikanwa, mushonga wenguva pfupi inorwisa mabhakitiriya unowanzoiswa.

Kufanana neprimary peritonitis, yechipiri peritonitis inoda kuiswa muchipatara uye kurapwa nemishonga inorwisa mabhakitiriya. Zvisinei, inowanzobva pakurapa kwekuvhiya kunosanganisira kubvisa intraabdominal infectious site. Kupindira kwekuvhiya kunoenderana nekwakabva uye nzira ye peritonitis. Inogona semuenzaniso:

• appendectomy, inova kubviswa kwakakwana kwe appendix;
• suture ye peptic ulcer;
• gastrectomy, iyo inobvisa chikamu kana zvachose mudumbu;
• colectomy, kubviswa kwekoloni.

Kuvhiya kurapwa kwechipiri peritonitis kunowanzo kuperekedzwa ne peritoneal toilet, iyo inobvisa hutachiona peritoneal fluid.