Monga mankhwala amakono kuyankha funso la chimene peritonitis

mankhwala amakono amapereka yankho lake ku funso la chimene peritonitis. matenda yodziwika ndi kutukusira kwa mapepala a peritoneum ukufanizidwa mu mawonekedwe a maganizo, amene kwaiye atadziŵa zinthu zingapo:

• amkati (matenda, kutupa);
• exogenous (mankhwala, zoopsa opaleshoni);
• kumakhudza maganizo pa chitetezo mahomoni dongosolo nkhawa (tochepa, adrenocorticotropic timadzi), tochoka mu m'magazi.

Pofuna kumvetsa zimene peritonitis ndi chifukwa kumachitika, m'pofunika kukumbukira ziwalo onse ataphimbidwa ndi peritoneum, kuyambira matenda yotupa ndi zowononga za m'mimba M'mimbamo kutupa masamba peritoneum amapezeka pafupifupi 80% ya milandu. Nthawi zambiri ndi m'dera opatsirana-yotupa njira ya kum'mero m'mimba, ziwalo zosiyanasiyana za m'mimba, duodenum, m'matumbo, ang'ono ndi lalikulu matumbo, zakumapeto, chiwindi, kapamba, kapepala biliary, ziwalo m'chiuno. A gulu lapadera la peritonitis mu mabvuto chatsekedwa ndi kuvulala ziwalo m'mimba, komanso anayamba chifukwa cha mavuto pambuyo ntchito (iatrogenic kuwonongeka kwa ziwalo, anastomotic kutayikira). chithunzi anapereka m'munsimu peritonitis (chithunzi).

Asayansi kupitiriza kuphunzira vuto la peritonitis, kuyambira pafupifupi kungachititse imfa kukhala mkulu (20-30%), kufika 40-50% mu Zikavuta, monga peritonitis postoperative. Monga kuyankha funso chimene chili peritonitis, angathe kupeza njira zothandiza kuthetsa vutoli.

Mu 2000, V. S. Savelev ndi gulu la othandiza kuti tipeze yankho ku funso la chimene peritonitis, anapereka gulu wamba zinthu izi pamaziko etiological. Malinga ndi m'magulu atatu waukulu peritonitis:

1. Pulayimale peritonitis amene akufotokozera pakalibe kuwonongeka kwa ziwalo dzenje chifukwa cha mowiriza oyamba matenda magazi, kapena kudzera m'mimba chimakwirira kusintha matenda enieni ndi thupi lina (mwachitsanzo, tuberculous peritonitis, peritonitis mowiriza). Ndi 1-5% ya milandu.
2. peritonitis Secondary. Kumachitika nthawi zambiri. Umaimiridwa ndi mitundu angapo: postoperative, posttraumatic - chifukwa chiwonongeko kapena perforation wa zonse m'mimba. Ndi kusiyana ndi m'deralo anachita zoteteza matenda kupeza.
3. Ukachenjede peritonitis. Ovuta kwambiri mawu a matenda ndi mankhwala a mawonekedwe a wotuluka ndi kukula otchedwa peritonitis kulimbikira kapena kobwereza. Mpatuko pambuyo opaleshoni, kuvulala, umphawi wadzaoneni, limodzi ndi chopinga kutchulidwa wa asilikali chitetezo antimicrobial. Pankhaniyi kutupa chifukwa cha microflora ndi akutulukira kuchokera mkombero woyamba wa mankhwala antibacterial.

mbali matenda ndi njira mankhwala kusankha makamaka anatsimikiza ndi nkhani nthenda ya zonse m'mimba, amene analenga pamaziko a gulu ndi kutulutsidwa kwa mitundu zotsatirazi peritonitis:

• fecal;
• ya ndulu;
• hemorrhagic;
• mankhwala.

Ndi chikhalidwe cha exudate mitundu zotsatirazi:

• seroplastic (serous) peritonitis;
• fibropurulent;
• purulent.

Phunziro peritonitis akupitiriza kukhala kusiyanitsidwa mankhwala njira. Kusankha mfundo gulu ndi zovuta chifukwa chakuti kutupa kwa peritoneum masamba - ndi ndondomeko multifactorial. Komabe, anapitiriza kukula kwa gulu kuti akhoza kuganizira zovuta zizindikiro komanso kulosera odalirika.