Peritonitis - ezizisekondari

I-peritoneum sisicwili esincinci esirhangqa udonga lwangaphakathi lwesisu kwaye sigubungela uninzi lwamalungu esiswini. I-Peritonitis ikhona xa esi sifo sicaphuka okanye sosulelekile. I-peritonitis yesibini xa enye imeko ingunobangela.

I-peritonitis yesibini inezizathu ezininzi eziphambili.

• Intsholongwane inokungena kwi-peritoneum ngomngxuma (ukugqobhoza) kwilungu lomzimba lokugaya. Umngxunya unokubangelwa sisihlomelo esaphukileyo, isilonda esiswini, okanye ikholoni egqobileyo. Inokuza kwakhona nokwenzakala, njengokudutyulwa ngompu okanye inxeba lemela okanye ukungenisa komzimba wabukhali welinye ilizwe.
• Ukubila okanye imichiza ekhutshwe yipancreas inokuvuza kwisisu esiswini. Oku kunokubangelwa kukudumba ngequbuliso kunye nokudumba kwepancreas.
• Iityhubhu okanye iicatheters ezibekwe esiswini zinokubangela le ngxaki. Oku kubandakanya iicatheters ze-peritoneal dialysis, iityhubhu zokondla, kunye nabanye.

Usulelo lwegazi (i-sepsis) lunokukhokelela kusulelo nasesiswini. Esi sisifo esibi.

Esi sihlunu sinokosuleleka xa kungekho sizathu sicacileyo.

I-Necrotizing enterocolitis yenzeka xa ulwelwesi lodonga lwamathumbu lusifa. Le ngxaki phantse ihlala ikhula kwimveku egulayo okanye ezelwe kwangoko.

Iimpawu zibandakanya:

• Ukudumba kwesisu xa isisu sakho sikhulu kunesiqhelo
• Intlungu zesisu
• Ukunciphisa ukutya
• Ifiva
• Iziphumo eziphantsi zomchamo
• Isicaphucaphu
• Unxaniwe
• Ukuhlanza

Qaphela: Kunokubakho imiqondiso yokothuka.

Ngexesha lovavanyo lomzimba, umboneleli wokhathalelo lwempilo unokuthi aqaphele iimpawu ezingafunekiyo ezibalulekileyo ezinomkhuhlane, ukubetha kwentliziyo okukhawulezileyo kunye nokuphefumla, uxinzelelo lwegazi oluphantsi, kunye nesisu esithandabuzekayo.

Uvavanyo lunokubandakanya:

• Inkcubeko yegazi
• I-chemistry yegazi, kubandakanya ii-enzyme zepancreatic
• Gcwalisa ubalo lwegazi
• Uvavanyo lwesibindi kunye nezintso
• X-reyi okanye CT scan
• Inkcubeko ye-Peritoneal fluid
• Uhlalutyo lomchamo

Rhoqo, utyando luyafuneka ukususa okanye ukunyanga imithombo yosulelo. Oku kunokuba sisilonda esosulelekileyo, isihlomelo esidlamkileyo, okanye ithumba okanye i-diverticulum enesitshisi.

Unyango ngokubanzi lubandakanya:

• Amayeza okubulala iintsholongwane
• Ulwelo ngomthambo (IV)
• Amayeza entlungu
• Tube ngeempumlo kwisisu okanye emathunjini (nasogastric okanye ityhubhu ye-NG)

Isiphumo sinokuhluka ukusuka ekuphulukweni okupheleleyo ukuya kusulelo olukhulu kunye nokufa. Izinto ezichaza isiphumo zibandakanya:

• Zide kangakanani iimpawu phambi kokuba unyango luqale
• Impilo yomntu ngokubanzi

Iingxaki zinokubandakanya:

• Ithumba
• I-Gangrene (efile) isisu esidinga utyando
• Ukuncamathelana kwe-Intraperitoneal (enokubangela ukubhloka kwamathumbu exesha elizayo)
• Ukutshatyalaliswa kwe-Septic

Tsalela umnikezeli wakho ukuba unempawu ze-peritonitis. Le yimeko embi. Ifuna unyango olungxamisekileyo kwiimeko ezininzi.

I-peritonitis yesibini

• Isampuli yePeritoneal

I-Mathews JB, iTuraga K.Utyando lwe-peritonitis kunye nezinye izifo zeperitoneum, mesentery, omentum, kunye ne-diaphragm. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 39.

Ukujika kweRH, uMizell J, uBadgwell B.Udonga lwesisu, umbilicus, i-peritoneum, i-mesenteries, i-omentum kunye ne-retroperitoneum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 43.