peritonitis

General tsananguro yechirwere

Icho chirongwa chekuzvimba cheiyo serous membrane, iyo inovhara iyo peritoneum uye nhengo dzemukati. Ichi chirwere chinoperekedzwa nekukanganiswa kwenhengo dzemukati uye kudhakwa kwakawanda kwemuviri.

Zvirwere zvekuzvimba zve peritoneum zvakataurwa zviuru zvemakore nguva yedu isati yasvika. Madzitateguru edu akadana chirwere ichi "Antonov moto" uye havana kupindura kurapwa. Wokutanga kurondedzera kiriniki pikicha ye peritonitis yaive Hippocrates.

"Dumbu rakapinza" rinowanzo kukura nekuda kwehutachiona hutachiona hunokanganisa nhengo dzeparitoneal. Maererano nehuwandu, anosvika makumi maviri muzana evarwere vane chirwere chakakomba chekuvhiya vanogona kubatwa neperitonitis. Panguva imwecheteyo, vanhu vane hutachiona hwakadzika, kukanganisika kwechiropa, kukundikana kwetsvo, pamwe nezvirwere zvinogona kukonzera kutyorwa kwenhengo yemukati inowira muboka rine njodzi.

Zvinokonzera

Peritonitis, sekutonga, inokonzeresa kushomeka kwenzvimbo dzekugaya, semhedzisiro yezvinhu zvekunze zvinopinda munzvimbo yeparitoneal (semuenzaniso, bile, pancreatic kana gastric secretions, weti). Perforation yemhango nhengo dzinogona kutsamwiswa ne:

• chironda mudumbu;
• typhoid fever;
• hernia ane intestinal necrosis;
• kukuvara kunorwadza kunzvimbo yeparitoneal;
• duodenal ulcer;
• kuzvimba kweapendikisi;
• kukuvara kumadziro emukati nekuda kwekupinda kwezvinhu zvekunze uko;
• tumarara twakaipa;
• kuzvimba pathologies of peritoneum;
• kuvhara mumatumbo;
• Kuvhiya mashandiro munharaunda ye peritoneal;
• gynecological pathologies epamusoro genital turakiti;
• chirwatata;
• kuparara kwechibereko panguva yekubvisa;
• purulent cholecystitis;
• chiuno kuzvimba^[3].

Zvakare, chikonzero che peritonitis chinogona kuve pathogenic tusingaoneki staphylococcus, Escherichia coli, gonococcus, Pseudomonas aeruginosa, tuberculosis bacteria, streptococcus.

zviratidzo

Zviratidzo zvekiriniki zve peritonitis zvinosanganisira:

1. 1 pallor yeganda;
2. 2 kurwadziwa mudumbu, uko kunova kwakanyanya kana uchihotsira, kukosora kana kuchinja chinzvimbo chemuviri. Pakutanga, chirwere chemarwadzo chinowanikwa munzvimbo yenhengo yakakanganiswa, ndokupararira mukati me peritoneum. Kana iwe ukasapa rubatsiro kumurwere nenguva, ipapo nyama yeparitoneum inofa uye kurwadziwa kuchanyangarika;
3. 3 kupatirwa;
4. 4 kusava nenzara;
5. 5 kushaya simba kwakanyanya;
6. 6 murwere anonetseka pamusoro pekubata kumeso;
7. 7 mune zvimwe zviitiko, kuwedzera kwekushisa kwemuviri kusvika kune fever;
8. 8 kuderedza ropa;
9. 9 kusvotwa uye kurutsa kwakasanganiswa nenyuchi;
10. 10 kunzwa kwekutya kufa, clammy inotonhora ziya.
11. 11 Manzwiro ekurwadziwa anoderera nekuderera kwekutenderera kwemadziro eperitoneum (murwere anokwidza makumbo ake, akakotama pamabvi kuenda mudumbu);
12. 12 miromo yemurwere inooma;
13. 13 tachycardia.

Muzviitiko zvakawanda, kuzvimba kweperitoneum kunotanga nekukurumidza, murwere anonzwa kurwadziwa kwepamuviri kwakanyanya, uko kunofambidzana nekuzvimba, kudzikama, kufema, tachycardia uye kutonhora^[4].

Matambudziko

Migumisiro ye peritonitis inogona kukurumidza uye kunonoka. Zvinetso zvinokurumidza zvinosanganisira:

• kupunzika;
• sepsis;
• kufa kwemurwere;
• kuvhara ropa;
• chakakomba itsvo insufficiency;
• mamiriro ekuvhunduka mumurwere;
• kubuda ropa kwakanyanya.

Kunonoka kunetseka kunosanganisira:

• maronda ane maronda;
• kugadziriswa kwekunamatira;
• postoperative hernia;
• kusasimba kwemukati motility;
• matambudziko nekubata pamuviri muvakadzi.

dziviriro

Sezvo "dumbu rakanyanya" iri kusangana kwezvirwere kwenhengo dzeparitoneal, zvakakosha kuti uongorore uye ubate hutachiona hunogona kutungamira kwairi munguva. Kuongororwa kwegore negore ne gastroenterologist kunokurudzirwa zvakare, uye kukuvara kwemudumbu kunofanirwa kudzivirirwa.

Kudzivirirwa kwechipiri kwekudzokazve kwechirwere kwakaderedzwa kusvika kuhutsanana hwese hwehutachiona mumuviri.

Kurapa mune zvakanyanya mushonga

Kurapa kweperitonitis kunofanirwa kunge kuri panguva uye yakazara. Inosanganisira preoperative kugadzirira, kuvhiya uye kurapwa kwepamberi.

Preoperativeiyo inotora 2-3 maawa uye inosanganisira:

1. 1 kubvisa marwadzo;
2. 2 antibacterial kurapwa;
3. 3 kurapa kwekusagadzikana kweiyo yemoyo system;
4. 4 kudzoreredza kushomeka kwemvura;
5. 5 preedication.

Kupindira kwekushanda СЃРѕСЃС, РѕРёС, РёР ·:

• kubviswa kwechikamu chakakanganiswa kana chidimbu chayo, izvo zvakakonzera "dumbu rakaomarara", kusona kwekutsemuka;
• kunyatsogeza kwe peritoneal mhango nemushonga unouraya utachiona;
• intubations muraraungu;
• peritoneal abudise.

Postoperative kurapa СЃРѕСЃС, РѕРёС, РёР ·:

1. 1 kusununguka kwakakwana kwekutambudzika;
2. 2 detoxification kurapwa;
3. 3 kusimbisa hutachiona;
4. 4 mishonga inorwisa mabhakitiriya;
5. 5 kuenzanisa ura;
6. 6 kudzivirira kusagadzikana;
7. 7 kurapwa kwezvirwere zvisingaperi uye zvinowirirana.

Chenjerera!

Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!