Peritonitis - maʻi koʻohune kūlohelohe

ʻO ka peritoneum ka mea lahilahi e hoʻopili ana i ka paia o loko o ka ʻōpū a uhi i ka hapa nui o nā meaola. Aia ka Peritonitis ke hele a wela a maʻi paha kēia mea.

Aia ka peritonitis bacterial spontan (SBP) ke hele a maʻi kēia maʻi a ʻaʻohe kumu maopopo.

Hoʻokumu pinepine ʻia ʻo SBP e ka maʻi i loko o ka wai e ʻohiʻohi i ka lua peritoneal (ascites).Kū pinepine ka buildup wai me ka maʻi kiʻekiʻe o ke ake a me nā puʻupaʻa.

Nā kumuhana kūpilikiʻi no ka maʻi ate e:

• Hoʻohana nui loa i ka waiʻona
• ʻO ka maʻi hepatitis B a i ʻole he hepatitis C
• Nā maʻi ʻē aʻe e hiki ai i ka cirrhosis

Hana ʻia ʻo SBP i ka poʻe e kū ana i ka dialysis peritoneal no ka holo pono ʻole ʻana o ka hakuʻala.

Loaʻa paha nā kumu ʻē aʻe i ka Peritonitis. Hoʻopili kēia i ka maʻi mai nā mea ʻē aʻe a i ʻole ke kulu ʻana o nā enzymes a i ʻole nā ​​mea ʻino ʻē aʻe i loko o ka ʻōpū.

ʻO nā hōʻailona me:

• ʻEha o ka ʻōpū a me ka momona
• Palupalu ʻōpū
• Fiva
• Puka mimi haʻahaʻa

ʻO nā ʻōuli ʻē aʻe e like me:

• ʻO Chills
• ʻEha hui
• ʻO Nusea a me ka luaʻi

E hana ʻia nā hoʻokolohua e nānā no ka maʻi a me nā kumu ʻē aʻe o ka ʻeha o ka ʻōpū.

• Moʻomeheu Koko
• Helu ke keʻena koko keʻokeʻo i kahi laʻana o ka wai peritoneal
• Ninaninau kemika o ka wai peritoneal
• Ka moʻomeheu o ka wai peritoneal
• CT scan a ultrasound paha o ka ʻōpū

Pili ka mālama ʻana i ke kumu o ka SBP.

• Pono paha ke ʻoki kino inā he kumu haole ʻo SBP, e like me ka catheter i hoʻohana ʻia i ka dialysis peritoneal.
• Nā lāʻau Antibiotics e kaohi i ka maʻi.
• Hāʻawi ʻia nā wai ma o nā uaua.

Pono ʻoe e noho i ka haukapila i hiki i nā poʻe lawelawe olakino ke kāpae i nā kumu ʻē aʻe e like me ka appendix ruptured a me ka diverticulitis.

I ka hapanui o nā hihia, hiki ke mālama i ka maʻi. Eia nō naʻe, hiki i ka maʻi kōkō a me ke akepaʻa ke kaupalena i ka hoʻōla.

Komo pū nā pilikia:

• Loaʻa ka nalowale o ka hana o ka lolo ke hiki ʻole i ke ake ke wehe i nā toxins mai ke koko.
• Pilikia ka hakuʻala ma muli o ke kūpaʻa ʻole o ke ake.
• Sepsis.

Kāhea i kāu mea hāʻawi inā loaʻa nā ʻōuli o ka peritonitis. Hiki i kēia ke lilo i kahi hanana pilikia olakino.

Pono e hana i nā ʻanuʻu e pale ai i ka maʻi i nā poʻe me nā cathe peritoneal.

Hiki ke hoʻohana ʻia nā antibiotic mau:

• E pale aku ai i ka peritonitis mai ka hoʻi ʻana mai i ka poʻe me ke kūpaʻa ʻole o ke ake
• I mea e pale aku ai i ka peritonitis i ka poʻe i loaʻa ke kahe o ka gastrointestinal ma muli o nā kūlana ʻē aʻe

Peritonitis koʻohune kūlohelohe (SBP); Ascites - peritonitis; Cirrhosis - peritonitis

• Laʻana Peritoneal

Garcia-Tsao G. Cirrhosis a me kona hopena. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 144.

Kuemmerle JF. Nā maʻi hōʻeha a me nā anatomic o ka ʻōpū, peritoneum, mesentery, a me omentum. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 133.

ʻO Sola E, ʻo Gines P. Ascites a me ka peritonitis bacterial spontaneous. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 93.