Njengoko yesilungu iphendula umbuzo yintoni peritonitis

amayeza Modern unika impendulo yakhe kumbuzo oko peritonitis. Esi sifo luphawulwa ukudumba peritoneum sheets, imelwe ngohlobo ntshikilelo, apho iveliswa xa baboniswa izinto ezininzi:

• zemveli (usuleleko, nangokurhala);
• angaphandle (zomzimba, umothuko kuhlinzwa);
• nefuthe edakumbisayo kwi iihomoni immune system xi (cortisol, hormone adrenocorticotropic), secreted kungena egazini.

Ukuze siqonde oko peritonitis yaye kutheni oko kwenzeka, oko kuyimfuneko ukukhumbula onke amalungu alekwe peritoneum, kuba izifo ukudumba kwaye yentshabalalo kwisisu ukudumba ushiya lo peritoneum kwenzeka malunga nama-80% amatyala. Amaninzi kuba iinkqubo zasekuhlaleni esosulelayo-yokukrala kuvuleke iminxunya esiswini, iindawo ezahlukeneyo esiswini, duodenum, ikholoni, amancinci kwesisu kunye ezinkulu, isihlomelo, isibindi, injeke, iphecana biliary, amalungu zangasese. Iqela elikhethekileyo peritonitis e unxinzelelo ezivaliweyo kunye nokwenzakala amalungu esiswini, kwaye kananjalo zaphuhliswa ngenxa yeengxaki post-operative (umonakalo iatrogenic ukuya enyama yangaphakathi, kuvuza anastomotic). Lo mfanekiso thaca ngezantsi peritonitis (ifoto emileyo).

Izazinzulu uqhubeka ukufunda ingxaki peritonitis, ekubeni ukufa avareji asahleli ephezulu (20-30%), lwathi 40-50% kwiimeko ezinzima, ezifana peritonitis postoperative. ukuphendula nje umbuzo malunga yintoni peritonitis, unako ukufumana iindlela ezisebenzayo ukusombulula le ngxaki.

Ngo-2000, V. S. savelev kunye neqela abahleli ukuze ufumane impendulo yombuzo oko peritonitis, wanikela kucalulo eqhelekileyo kwezi meko ngokusekelwe etiological. Ngokutsho lohlulwe ngokweendidi ezintathu eziphambili peritonitis:

1. peritonitis Primary leyo senzeka engekho umonakalo amalungu ezibuhlazarha ngenxa intshayelelo ezizenzekelayo osulelo egazini, okanye esiswini ligubungela usulelo utshintsho oluthile komnye umzimba (umz, peritonitis tuberculous, peritonitis kulogo). Le 1-5% amatyala.
2. peritonitis Secondary. Oku kwenzeka kakhulu rhoqo. Zimelwe iintlobo eziliqela: postoperative, posttraumatic - ngenxa ukutshatyalaliswa okanye perforation le kwisisu. Iphuhlisa njenge indlela yokuzikhusela wendawo izifo ekufumaneni.
3. peritonitis ephakamileyo. Olunzima kakhulu ngokwemiqathango isifo kwaye afumane unyango lwe luhlobo kokuqhubela phambili uphuhliso ekuthiwa-peritonitis gqolo isenzeka, okanye yomhla nezolo. Phuhlisa emva kotyando, ukwenzakala, iimeko kakhulu, sikhatshwe inhibition ngokukhawuleza of iindlela wokhuselo elwa. Kulo mzekelo ukuphola komtshiso ebangelwe microflora asakhulayo ukusuka kumjikelo wokuqala zonyango antibacterial.

iimpawu Clinical kunye amaqhinga unyango ukhetho luqinisekiswa kakhulu imixholo okungaqhelekanga le kwisisu, eyenziwe ngokusekelwe zohlelo kunye okukhutshwa ntlobo zilandelayo peritonitis:

• indle;
• enyongweni;
• sophele;
• chemical.

Ngu uhlobo exudate ezi ndidi zilandelayo:

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

Study peritonitis gqolo ukuphuhlisa isicwangciso ngokwahlukeneyo unyango. Ukukhethwa siseko yokuhlela nzima into yokuba ukudumba peritoneum amagqabi - yinkqubo multifactorial. Noko ke, baqhubeka uphuhliso zokuhlela ezinokuthi ezibonisa ubukhali iimpawu ngokubanzi ukwenza uqikelelo oluthembekileyo.