Peritonitis - iintsholongwane ezizenzekelayo

I-peritoneum sisicwili esincinci esirhangqa udonga lwangaphakathi lwesisu kwaye sigubungela uninzi lwamalungu. I-Peritonitis ikhona xa esi sifo sicaphuka okanye sosulelekile.

I-bacterial peritonitis ezenzekelayo (i-SBP) ikhona xa esi sifo sichaphazeleka kwaye kungekho sizathu sicacileyo.

I-SBP ihlala ibangelwa lusulelo kulwelo oluqokelela kumngxunya we-peritoneal (ascites).Ukwakhiwa kolwelo rhoqo kwenzeka ngesibindi okanye isifo sezintso eziphambili.

Imingcipheko yesifo sesibindi iquka:

• Ukusetyenziswa kotywala kakhulu
• I-hepatitis B engapheliyo okanye i-hepatitis C
• Ezinye izifo ezikhokelela kwisifo sokuqina kwesibindi

I-SBP ikwenzeka nakubantu abakwi-peritoneal dialysis yokusilela kwezintso.

I-Peritonitis inokuba nezinye izizathu. Oku kubandakanya usulelo oluvela kwamanye amalungu okanye ukuvuza kwee-enzymes okanye ezinye iityhefu esiswini.

Iimpawu zibandakanya:

• Intlungu zesisu kunye nokudumba
• Ukuthamba kwesisu
• Ifiva
• Iziphumo eziphantsi zomchamo

Ezinye iimpawu zibandakanya:

• Ukugodola
• Intlungu edibeneyo
• Isicaphucaphu nokugabha

Kuya kwenziwa iimvavanyo ukukhangela usulelo kunye nezinye izizathu zentlungu esiswini:

• Inkcubeko yegazi
• Inani leeseli ezimhlophe zegazi kwisampuli ye-peritoneal fluid
• Uvavanyo lwekhemikhali lwe-peritoneal fluid
• Inkcubeko ye-peritoneal fluid
• I-CT scan okanye i-ultrasound yesisu

Unyango luxhomekeke kwisizathu se-SBP.

• Unyango lunokufuneka ukuba i-SBP ibangelwe yinto yangaphandle, enje nge-catheter esetyenziswe kwi-peritoneal dialysis.
• Antibiotics ukulawula usulelo.
• Ulwelo olunikwa ngemithambo.

Uzakufuna ukuhlala esibhedlele ukuze ababoneleli bezempilo bakwazi ukulawula ezinye izizathu ezinjenge-appendix ephukileyo kunye ne-diverticulitis.

Kwiimeko ezininzi, isifo sinokunyangwa. Nangona kunjalo, isifo sezintso okanye sesibindi sinokunciphisa ukubuyela kwimeko yesiqhelo.

Iingxaki zinokubandakanya:

• Ukuphulukana nokusebenza kwengqondo kwenzeka xa isibindi singakwazi ukususa ityhefu egazini.
• Ingxaki yezintso ebangelwa kukusilela kwesibindi.
• Sepsis.

Tsalela umnikezeli wakho ukuba unempawu ze-peritonitis. Oku kunokuba yimeko engxamisekileyo yezonyango.

Amanyathelo kufuneka athathwe ukukhusela usulelo kubantu abane-peritoneal catheters.

Kusenokuqhubeka kusetyenziswa i-antibiotics:

• Ukuthintela i-peritonitis ekubeni ibuye ebantwini abanesibindi
• Ukuthintela i-peritonitis kubantu abanegazi elibi lesisu ngenxa yezinye iimeko

I-bacterial peritonitis (SBP) eyenzekileyo; Ascites - peritonitis; Isifo - peritonitis

• Isampuli yePeritoneal

UGarcia-Tsao G. Cirrhosis kunye nokulandelelana kwayo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 144.

IKuemmerle JF. Ukudumba kunye nezifo ze-anatomic zamathumbu, i-peritoneum, i-mesentery kunye ne-omentum. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 133.

I-Sola E, i-Gines P. I-Ascites kunye ne-bacterial peritonitis. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahl. 93.