Ukuvuvukala kwe-peritoneum okanye i-peritonitis, iimpawu ezinzima kakhulu, ziyingozi kakhulu ekudambiseni i-hospitali. Ukulibaziseka kwonyango olufanelekileyo olufanelekileyo kwiimeko ezininzi kulungele ubomi bomguli.
Izizathu kunye neempawu ze-peritonitis yesigxina esiswini
Ukuvuvukala kwe-peritoneum kuvela phantsi kweempembelelo ze-agents ezinamandla (i-bile, i-lymph, igazi, umchamo) eziwele kwisisu esiswini esonakele (kuquka ijezi, amanxeba ephamlo) kunye nokusuleleka kwe-bacteria ye-peritoneum.
Isigulane sivakalelwa intlungu ebuhlungu esiswini, esanda ngenguqu kwisimo. Kukhona isicaphuko, ukuhlanza, okungekho ukukhupha, ukuphosa, ukukhupha. Isisu sesigulane sinzima kwaye sibuhlungu ukusabela kwintetho. Iimpawu ze-peritonitis uphawu lweVoskresensky (ukutshitshiswa kwe-aorta ngenxa yokungena kwesithuba se-retroperitoneal sinciphisa kwikona ekhohlakeleyo yexabiso elikhohlo). Ngezigaba zokuqala zokuvuvukala kwe-peritoneum (usuku lokuqala), uphawu lweBlumberg-Schetkina luboniswa - isigulane sinokuva ubunzima obugqithisileyo xa ugqirha ekhupha ngokukhawuleza isandla kwisisu emva kokusondeza.
Ukuhlolwa kwegazi kubonisa umxholo ophezulu we-leukocytes.
Ubunzima kakhulu kwi-peritonitis ephawulekayo luphawu lwesimo esilungileyo-emva kwentlungu ehambisana neentlungu ezibuhlungu, i-peritoneal receptors ibonakala ilungelelanisa, kwaye isigulane siqala ukuziva singcono. Emva kweeyure ezingama-2 ukuya kweyesi-3 imeko yakhe ihla kakhulu, intlungu iyaqina.
Iimpawu ze-peritonitis kwi-appendicitis
Ukuvuvukala kwesi sihlomelo kuhambelana neempawu ezifana nezobungozi bokutya, yingakho izigulane ezininzi ziphuza ukubiza ugqirha, kodwa zama ukulwa nesifo ngokwazo. Lo mhlaba uvame ukuvelisa i-peritonitis. Isigaba sawo sokuqala sibonakala sisisongweni kunye nokuhlanza, isisu sithukuthele, iintlungu azikho ndawo ezicacileyo. Kwinqanaba lesibini, le mpawu ziba yinto encinci, kodwa isithintelo esiswini, i- tachycardia , kunye ne-pulse esheshayo. Kwinqanaba lesithathu libonakaliswa ukuxhatshazwa kwaye ukunyuka okukhawulezayo, isisu sesigulane sithukuthele, intlungu ibonakaliswe. Isigaba sesine, njengomthetho, siphela ngesiphumo esibulalayo ngenxa yokuhluleka kwamalungu amaninzi, okubangelwa ukuxhatshazwa okukhulu nokuvutha.
Iimpawu ze-bile peritonitis
Ukuvuvukala kwe-peritoneum kunokuqala emva kwe-cholecystectomy (ukususwa kwe-gallbladder), ukufakelwa kwesibindi, i-traum tract traum, kunye nangenxa ye-jaundice ende (i-intrahepatic pulsion break).
Xa i-bile ingena kwi-peritoneum, kukho ukuphazamiseka, kubangelwa ukudibanisa ne-salts ye-bile. Kukho ukugqithwa kwemimandla emikhulu yobuninzi, ubuhlungu obukhulu besisu , uxinzelelo lwegazi oluphantsi, i-tachycardia, isithintelo samathumbu. Isigulane sinamabala, silala singenasiphako. Emva kweeyure ezimbalwa emva kokungena kwi-peritoneum ye-bile, ukusuleleka kwintsholongwane yesibini kuqala ukukhula: intlungu esiswini isaphila, ukushisa kuphakama.
Iimpawu ze-puritent peritonitis
Ukuba kukho izifo ezingenasifo sezitho zangasese, i-peritonitis ukusuka ekungeneni kwendawo