Uhlalutyo lwamanzi ePeritoneal

Uhlalutyo lwe-Peritoneal fluid luvavanyo lweelebhu. Kuyenziwa ukujonga ulwelo olwakhiwe kwindawo esiswini ejikeleze amalungu angaphakathi. Le ndawo ibizwa ngokuba yi-peritoneal space. Le meko ibizwa ngokuba yi-ascites.

Uvavanyo lukwaziwa njengeparacentesis okanye itephu esiswini.

Isampulu yolwelo luyasuswa kwindawo yangaphakathi kusetyenziswa inaliti kunye nesirinji. I-Ultrasound ihlala isetyenziselwa ukuhambisa inaliti kulwelo.

Umboneleli wakho wokhathalelo lwempilo uya kucoca kwaye anqabise indawo encinci yesisu sakho (isisu). Inaliti ifakwa kulusu lwesisu sakho kwaye kukhutshwa isampulu yolwelo. Ulwelo luqokelelwa kumbhobho (isirinji) encanyathiselwe esiphelweni senaliti.

Ulwelo luthunyelwa kwilebhu apho luvavanywa khona. Uvavanyo luya kwenziwa kulwelo ukulinganisa:

• Ialbhamu
• Iiprotheni
• Ubalo lweeseli ezibomvu nezimhlophe

Iimvavanyo ziya kujonga ibhaktheriya kunye nezinye iintlobo zosulelo.

Ezi mvavanyo zilandelayo zinokwenziwa:

• I-alkaline phosphatase
• Amylase
• ICytology (ukubonakala kweeseli)
• Iswekile
• LDH

Yazisa umboneleli wakho ukuba:

• Ngaba uthatha nawaphi na amayeza (kubandakanya amayeza esintu)
• Unokwaliwa kumayeza okanye iyeza elenzayo
• Unayo nayiphi na ingxaki yokopha
• Ngaba ukhulelwe okanye uceba ukukhulelwa

Unokuziva ulwamvila oluhlaba kumayeza amandundu, okanye uxinzelelo njengoko inaliti ibekwa.

Ukuba isixa esikhulu samanzi sikhutshiwe, unokuziva unesiyezi okanye unentloko elula. Xelela umboneleli ukuba uziva unesiyezi.

Uvavanyo lwenziwe:

• Khangela i-peritonitis.
• Khangela unobangela wolwelo esiswini.
• Susa izixa ezikhulu zolwelo kwindawo enegunya kubantu abanezifo zesibindi. (Oku kwenzelwa ukuphefumla kamnandi.)
• Jonga ukuba ukwenzakala esiswini kubangele ukopha ngaphakathi.

Iziphumo ezingaqhelekanga zinokuthetha:

• I-fluid ene-Bile ene-bar ingathetha ukuba unengxaki ye-gallbladder okanye yesibindi.
• Ulwelo olunamagazi lunokuba luphawu lwethumba okanye ukonzakala.
• Ubalo oluphezulu lweeseli ezimhlophe zegazi kunokuba luphawu lwe-peritonitis.
• I-peritoneal fluid enemibala yobisi inokuba luphawu lwe-carcinoma, i-cirrhosis yesibindi, i-lymphoma, isifo sephepha, okanye usulelo.

Ezinye iziphumo zovavanyo ezingaqhelekanga zinokubangelwa yingxaki emathunjini okanye kwizitho zesisu. Umahluko omkhulu phakathi kwesixa sealbumin kulwelo lwe peritoneal nasegazini lakho usenokwalatha kwintliziyo, isibindi, okanye ukusilela kwezintso. Umahluko omncinci unokuba luphawu lomhlaza okanye usulelo.

Iingozi zinokubandakanya:

• Ukonakala kwesisu, isinyi, okanye umthambo wegazi esiswini esivela kwinaliti
• Ukopha
• Usulelo
• Uxinzelelo lwegazi oluphantsi
• Umothuko

IParacentesis; Impompo esiswini

• Uxilongo lwe-peritoneal lavage-uthotho
• Inkcubeko yePeritoneal

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UGarcia-Tsao G. Cirrhosis kunye nokulandelelana kwayo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 153.

UMiller JH, uMoake M. Iinkqubo. Ku: Isibhedlele saseJohn Hopkins; IHughes HK, Kahl LK, ii-eds. Incwadi yesikhokelo seHarriet. Umhla wama-21. IPhiladelphia, PA: Elsevier; I-2018: isahluko 3.

IRunyon BA. I-Ascites kunye ne-bacterial peritonitis. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 93.