Peritonitis - yechipiri

Iyo peritoneum idumbu rakatetepa iro rinotara madziro emukati medumbu uye rinofukidza mazhinji enhengo dzemudumbu. Peritonitis iripo kana turu iyi ikapiswa kana kutapukirwa. Sekondari peritonitis ndipo apo imwe mamiriro ari iyo chikonzero.

Sekondari peritonitis ine zvikonzero zvakakura zvinoverengeka.

• Hutachiona hunogona kupinda mu peritoneum kuburikidza nemuboora (perforation) mune yenhengo yekugaya nzira. Iyo gomba inogona kukonzerwa nechakakoromoka appendikisi, mudumbu ulcer, kana perforated colon. Inogona zvakare kuuya kubva mukukuvara, senge kupfura pfuti kana ronda rebanga kana kutevera kumisikidzwa kwemuviri unopinza wekunze.
• Bira kana makemikari anoburitswa nepancreas anogona kubuda mukati medumbu mhango. Izvi zvinogona kukonzerwa nekuzvimba nekukurumidza uye kuzvimba kwepancreas.
• Machubhu kana makateti akaiswa mudumbu anogona kukonzera dambudziko iri. Izvi zvinosanganisira catheters ye peritoneal dialysis, yekudyisa machubhu, uye zvimwe.

Utachiona hweropa (sepsis) hunogona kutungamira kuhutachiona mudumbu zvakare. Ichi chirwere chakakomba.

Ichi chinyama chinogona kutapukirwa kana pasina chikonzero chakajeka.

Necrotizing enterocolitis inoitika kana iyo lining yematumbo madziro ikafa. Iri dambudziko rinowanzoitika nguva dzose mumucheche anorwara kana akazvarwa achiri mudiki.

Zviratidzo zvinosanganisira:

• Dumbu rakazvimba kana nzvimbo yako yedumbu iri yakakura kudarika zvakajairwa
• Marwadzo emudumbu
• Kuderedza kudya
• Kupindwa nechando
• Wakaderera weti kubuda
• Nausea
• Nyota
• Kusvipa

Tarira: Panogona kuve nezviratidzo zvekuvhunduka.

Munguva yekuongorora kwepanyama, mupi wezvehutano anogona kuona zvisina kujairika zviratidzo zvine fivhiri, kukurumidza kurova kwemoyo nekufema, kuderera kweropa, uye dumbu rakapfava.

Miedzo inogona kusanganisira:

• Tsika yeropa
• Ropa kemisitiri, kusanganisira pancreatic enzymes
• Yakazara kuverenga ropa
• Chiropa uye itsvo basa bvunzo
• X-ray kana CT scan
• Peritoneal fluid tsika
• Kuongorora urinal

Kazhinji, kuvhiya kunodiwa kubvisa kana kubata masosi ehutachiona. Aya anogona kunge ari hutachiona hunotapukirwa, chishandiso chinopisa, kana bundu kana diforomendi inopwanywa.

General kurapwa kunosanganisira:

• Mishonga inorwisa mabhakitiriya
• Mvura kuburikidza nemutsinga (IV)
• Mishonga yemarwadzo
• Tube kuburikidza nemhino mudumbu kana ura (nasogastric kana NG chubhu)

Mhedzisiro yacho inogona kubva pakudzoreredza kusvika kune huturu hutachiona uye kufa. Zviitiko zvinotarisa mhedzisiro zvinosanganisira:

• Nguva yakareba sei zviratidzo zvaivepo kurapwa kusati kwatanga
• Hutano hwemunhu hwese

Zvinetso zvinogona kusanganisira:

• Pute
• Gangrene (akafa) ura hunoda kuvhiyiwa
• Intraperitoneal adhesions (iyo ingangoita chikonzero chenguva yemberi ura hwekuvhara)
• Sepic kuvhunduka

Fonera mupiki wako kana iwe uine zviratidzo zve peritonitis. Ichi chiitiko chakakomba. Inoda kurapwa nechimbichimbi muzviitiko zvakawanda.

Sekondari peritonitis

• Peritoneal muyenzaniso

Mathews JB, Turaga K. Kuvhiya peritonitis uye zvimwe zvirwere zveparitoneum, mesentery, omentum, uye diaphragm. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 39.

Turnage RH, Mizell J, Badgwell B. Mudumbu mudhuri, umbilicus, peritoneum, mesenteries, omentum, uye retroperitoneum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 43.