Matenda a m'mimba

Kufotokozera kwathunthu kwa matendawa

Ndi njira yotupa ya serous membrane, yomwe imakhudza peritoneum ndi ziwalo zamkati. Kudwala Izi limodzi ndi kusokonezeka kwa ziwalo ndi kuledzera ambiri thupi.

Matenda otupa a peritoneum adatchulidwa zaka masauzande asanafike nthawi yathu ino. Makolo athu adatcha matendawa "Antonov moto" ndipo sanalandire chithandizo. Woyamba kufotokoza chithunzi chachipatala cha peritonitis anali Hippocrates.

"Mimba yakuthwa" nthawi zambiri imayamba chifukwa cha matenda a bakiteriya omwe amakhudza ziwalo za peritoneal. Malinga ndi kafukufuku, mpaka 20% ya odwala omwe ali ndi matenda opatsirana opatsirana amatha kugwidwa ndi peritonitis. Pa nthawi yomweyi, anthu omwe ali ndi chitetezo chokwanira chochepa, kufooka kwa chiwindi, kulephera kwa impso, komanso matenda omwe angayambitse kuphwanya nembanemba ya chiwalo amagwera mgulu langozi.

Zimayambitsa

Peritonitis, monga ulamuliro, amachititsa perforation ziwalo dzenje la dongosolo m'mimba, chifukwa cha zinthu zakunja kulowa peritoneal dera Mwachitsanzo, ya ndulu, kapamba kapena katulutsidwe m'mimba, mkodzo. Kuwonongeka kwa ziwalo zopanda kanthu kumatha kukwiyitsidwa ndi:

• zilonda zam'mimba;
• malungo a typhoid;
• chophukacho ndi necrosis matumbo;
• kuvulala koopsa kudera la peritoneal;
• chilonda cha mmatumbo;
• kutupa kwa zakumapeto;
• kuwonongeka kwa makoma am'matumbo chifukwa cholowera zinthu zakunja pamenepo;
• zotupa zoyipa;
• zotupa za peritoneum;
• kutsekeka m'matumbo;
• ntchito opaleshoni m'dera la peritoneal;
• matenda a kumtunda kwa maliseche;
• kapamba;
• chiberekero cha chiberekero panthawi yochotsa mimba;
• purulent cholecystitis;
• m'chiuno kutupa^[3].

Komanso, chifukwa cha peritonitis kungakhale tizilombo toyambitsa matenda a staphylococcus, Escherichia coli, gonococcus, Pseudomonas aeruginosa, mabakiteriya a chifuwa chachikulu, streptococcus.

zizindikiro

Zizindikiro zamatenda a peritonitis ndi monga:

1. 1 kuyera kwa khungu;
2. 2 kupweteka kwa m'mimba, komwe kumakula kwambiri mukamayetsemula, kutsokomola kapena kusintha thupi. Poyamba, matenda opatsirana amapezeka m'dera la chiwalo chokhudzidwa, kenako amafalikira mu peritoneum. Ngati simupereka chithandizo kwa wodwalayo munthawi yake, ndiye kuti minofu ya peritoneum idzafa ndipo kupweteka kudzazimiririka;
3. 3 kudzimbidwa;
4. 4 kusowa chilakolako;
5. 5 kufooka kwakukulu;
6. 6 wodwala ali ndi nkhawa za flatulence;
7. 7 nthawi zina, kutentha thupi kutentha mpaka malungo;
8. 8 kuthamanga kwa magazi;
9. 9 nseru ndi kusanza kusakaniza ndi bile;
10. 10 Kuopa kufa, thukuta lozizira;
11. 11 ululu kumachepetsa ndi kuchepa kwa mavuto a makoma a peritoneum (wodwalayo amakoka miyendo yake, atawerama mpaka m'mimba);
12. 12 milomo ya wodwalayo imawuma;
13. 13 alireza.

Nthawi zambiri, kutupa kwa peritoneum kumayamba modzidzimutsa, wodwalayo amamva kupweteka kwakanthawi m'mimba, komwe kumatsagana ndi kuphulika, kufinya, kupuma movutikira, tachycardia ndi kuzizira^[4].

Mavuto

Zotsatira za peritonitis zitha kuchitika mwachangu ndikuchedwa. Mavuto omwe amapezeka posachedwa ndi awa:

• kugwa;
• sepsis;
• imfa ya wodwalayo;
• kutseka magazi;
• pachimake aimpso kulephera;
• mkhalidwe wodwala wodwalayo;
• kutaya magazi kwambiri.

Zovuta zomwe zikuchedwa ndi izi:

• zotupa zoyipa;
• mapangidwe omata;
• postoperative chophukacho;
• ofooka m'mimba motility;
• mavuto okhala ndi pakati mwa akazi.

Prevention

Popeza "pamimba pachimake" ndimavuto am'magazi am'mimba, ndikofunikira kudziwa ndi kuchiza matenda omwe angayambitse nthawi. Kuyesedwa kwapachaka kwa gastroenterologist ndikulimbikitsidwanso, ndipo kuvulala m'mimba kuyenera kupewedwa.

Kupewa kwachiwiri kubwereranso kwa matenda kumachepetsedwa kukhala ukhondo wazoyang'anira zonse m'thupi.

Chithandizo cha mankhwala wamba

Chithandizo cha peritonitis ayenera yake yake ndi mabuku. Amakhala kukonzekera preoperative, opaleshoni ndi mankhwala pambuyo opaleshoni.

Opaleshoniyomwe imakhala maola 2-3 ndipo imaphatikizapo:

1. 1 kuchotsa ululu;
2. 2 mankhwala a antibacterial;
3. 3 chithandizo cha matenda a mtima;
4. 4 kubwezeretsanso kusowa kwamadzimadzi;
5. 5 kukonzekera.

Kupititsa patsogolo ntchito СЃРѕСЃС, РѕРёС, РёР ·:

• kuchotsedwa kwa chiwalo chokhudzidwa kapena chidutswa chake, chomwe chidakwiyitsa "mimba yam'mimba", kusokonekera kwa ming'alu;
• kutsuka minyewa ya peritoneal ndi mankhwala ophera tizilombo;
• intubations utawaleza;
• ngalande ya peritoneal.

Thandizo la postoperative СЃРѕСЃС, РѕРёС, РёР ·:

1. 1 kupweteka kokwanira;
2. 2 mankhwala amadzimadzi;
3. 3 kulimbitsa chitetezo;
4. 4 mankhwala a antibacterial;
5. 5 kuteteza matumbo;
6. 6 kupewa zovuta;
7. 7 chithandizo cha matenda aakulu komanso opatsirana.

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!