Peritonitis amatanthauza a kutupa kwakukulu kwa peritoneum, nembanemba yophimba pamimba. Nthawi zambiri matenda opatsirana, peritonitis amapanga a kuchipatala chifukwa akhoza kuika moyo pachiswe.

Peritonitis ndi pachimake yotupa matenda mumimba. Zimachitika ndendende pamlingo wa peritoneum, nembanemba yomwe imazungulira viscera yam'mimba.

Kutengera kukula ndi kutupa, peritonitis itha kuganiziridwa:

• localized peritonitis ;
• zowombetsa mkota peritonitis.

Kutupa uku kungathenso kugawidwa molingana ndi chiyambi chake. Pali mitundu iwiri ikuluikulu:

• peritonitis yoyamba zomwe zimachitika chifukwa chodzidzimutsa ndi kusapezeka koyamba kwa zotupa m'mimba;
• peritonitis yachiwiri, chofala kwambiri, chomwe chimayambitsidwa ndi matenda chifukwa cha zilonda zam'mimba komanso kupezeka kwa matenda opatsirana m'mimba.

Peritonitis nthawi zambiri ndi matenda opatsirana.

Pamene matenda a peritoneum amangochitika zokha, peritonitis imanenedwa kuti ndi yoyamba ndipo ikhoza kukhala chifukwa cha mitundu yosiyanasiyana ya tizilombo toyambitsa matenda. Kusiyana kumapangidwa makamaka pakati pa pneumococcal peritonitis ndi tuberculous peritonitis.

Kuyimira 90% ya kutupa kwakukulu kwa peritoneum, peritonitis yachiwiri imatha kuyambitsidwa ndi:

• matenda a m'mimba kapena kuphulika, monga appendicitis, perforation ya zilonda zam'mimba, sigmoid diverticulitis, kapena cholecystitis;
• chochitika cha postoperative, zomwe zimatha kuchitika pakawonongeka kwa intraoperative kapena kusagwirizana kwa anastomotic;
• chochitika chapambuyo pa zoopsa, chomwe chingakhale bala lolowera, kutsekedwa kotsekedwa ndi kuphulika, kusagaya m'mimba, kuphulika kwa endoscopic, kapena kuphulika ndi thupi lachilendo.

Peritonitis imatha kupezeka mkati kapena kufalikira mthupi lonse. Izi zimatchedwa sepsis. Matenda opatsirana a peritonitis ndi kuchipatala chifukwa imabweretsa chidziwitso chofunikira.

Peritonitis imadziwika ndi kupezeka kwa ululu wam'mimba kwambiri, wokhazikika kapena wokhazikika, mwadzidzidzi kapena pang'onopang'ono. Kupweteka kwa m'mimba kumeneku kumayenderana ndi kukangana kwa minofu ya lamba wa m'mimba. Zolimba, zomveka, zokhazikika komanso zopweteka, mgwirizano wa m'mimba uwu nthawi zambiri umatchedwa "mimba yamatabwa".

Kuphatikiza pa ululu m'mimba, peritonitis imatha kuwoneka ndi zizindikiro zina monga:

• kusanza ;
• kuyimitsa ndowe;
• kutsegula m'mimba;
• zizindikiro za matenda monga malungo;
• kutopa kwakukulu;
• kuwonongeka kwa chikhalidwe.

Kuzindikira kwa peritonitis kungafune mayeso osiyanasiyana monga:

• kuyezetsa kwachipatala kuti awone zizindikiro zomwe zadziwika;
• kuyezetsa magazi kuti muwone ngati pali tizilombo toyambitsa matenda;
• kuyezetsa zithunzi zachipatala, monga x-ray kapena ultrasound, kuti muwone m'mimba.

Pankhani ya matenda mowiriza, pulayimale peritonitis amafuna m'chipatala kupeza ndi kuchiza tizilomboto. Matendawa asanadziwike, mankhwala opha maantibayotiki nthawi zambiri amaperekedwa.

Monga primary peritonitis, sekondale peritonitis imafuna kuchipatala ndi mankhwala opha tizilombo. Komabe, nthawi zambiri zimachokera ku chithandizo cha opaleshoni chomwe chimaphatikizapo kuchotsa malo opatsirana a m'mimba. Kuchita opaleshoni kumadalira chiyambi ndi njira ya peritonitis. Zitha kukhala mwachitsanzo:

• appendectomy, ndiko kuchotsa kwathunthu kwa appendix;
• suture ya chilonda chachikulu;
• gastrectomy, yomwe imachotsa pang'ono kapena kwathunthu m'mimba;
• colectomy, ndiko kuchotsa m'matumbo.

Opaleshoni mankhwala yachiwiri peritonitis nthawi limodzi ndi peritoneal chimbudzi, amene amachotsa kachilombo peritoneal madzimadzi.