Peritonitis - kekona

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 ʻōpū o ka ʻōpū. Aia ka Peritonitis ke hele a wela a maʻi paha kēia mea. ʻO ka peritonitis lua ʻo ke ʻano ʻē aʻe ke kumu.

Nui nā kumu nui i nā peritonitis lua.

• Hiki i nā koʻohune ke komo i ka peritoneum ma o kahi puka (perforation) i loko o kahi o ka digestive tract. Hoʻokumu ʻia ka lua e kahi appendix ruptured, ulcer ʻōpū, a i ʻole kolone perforated. Hiki mai paha ia mai kahi ʻeha, e like me ka pū kī a i ʻole ka ʻeha pahi a i ʻole ka ʻimi ʻana i kahi kino haole ʻoi.
• ʻO ka bile a i ʻole nā ​​kemika i hoʻokuʻu ʻia e ka pancreas e kulu paha i loko o ka lua o ka ʻōpū. ʻO kēia paha ke kumu o ka puhū a me ka huehue ʻana o ka pancreas.
• ʻO nā paipu a i ʻole nā ​​catheters i hoʻokomo ʻia i loko o ka ʻōpū ke kumu o kēia pilikia. Hoʻopili kēia i nā catheters no ka dialysis peritoneal, nā paila hānai, a me nā mea ʻē aʻe.

ʻO kahi maʻi o ke kahe o ke koko (sepsis) hiki ke alakaʻi i kahi maʻi i loko o ka ʻōpū pū kekahi. He maʻi nui loa kēia.

E hele a maʻi paha kēia mea ke ʻaʻohe kumu maopopo.

Necrotizing enterocolitis ia l when ke keu ka pale o ka ʻōpū paia make. Aneane ulu mau kēia pilikia i kahi pēpē i maʻi a hānau mua ʻia paha.

ʻO nā hōʻailona me:

• ʻO ka ʻōpū pehu ke ʻoi aku ka nui o kou ʻōpū ma mua o ka maʻamau
• Abdominal eha
• Hoʻoemi i ka makemake
• Fiva
• Puka mimi haʻahaʻa
• Nusea
• Ka makewai
• ʻO ka luaʻi

Kahakaha: Aia paha he mau hōʻailona o ka haʻalulu.

I ka wā o kahi hoʻokolohua kino, ʻike paha ka mea mālama ola i nā hōʻailona koʻikoʻi koʻikoʻi me ka fiva, ka wikiwiki o ka puʻuwai a me ka hanu ʻana, ke koko haʻahaʻa, a me kahi ʻōpū palupalu.

E komo pū paha nā hoʻāʻo:

• Moʻomeheu Koko
• ʻO ke kemika koko, me nā enzyme pancreatic
• Helu piha koko
• Nā hoʻāʻo hana ate a me nā hakuʻala
• X-kukuna a CT scan paha
• ʻO ka moʻomeheu wai Peritoneal
• Urinalysis

ʻO ka manawa pinepine, pono ka ʻoki e wehe a mālama i nā kumuwaiwai o ka maʻi. ʻO kēia paha he ʻōpū i loaʻa i ka maʻi, he appendix inflamed, a he abscess a i ʻole perforated divertikulum.

Loaʻa i ka lapaʻau maʻamau:

• Nā Antibiotics
• Nā Fluids ma o kahi aa (IV)
• Nā lāʻau ʻeha
• Tube ma o ka ihu i loko o ka ʻōpū a me ka ʻōpū (nasogastric a i ʻole NG Tube)

Hiki ke hopena i ka hopena mai ka hoʻihoʻi piha ʻana i ka maʻi nui a me ka make. Nā kumu e hoʻoholo ai i ka hopena e komo pū me:

• Pehea ka lōʻihi o nā ʻōuli ma mua o ka hoʻomaka ʻana o ka mālama ʻana
• Ke olakino olakino o ke kanaka

Komo pū nā pilikia:

• Loaʻa ʻole
• ʻO Gangrene (make) ʻōpū e pono ai ke ʻoki ʻana
• Hoʻopili Intraperitoneal (kahi kumu kūpono o ka hiki ʻana o ka hanu ma hope)
• Hoʻoweliweli Septic

Kāhea i kāu mea hāʻawi inā loaʻa nā ʻōuli o ka peritonitis. He kūlana koʻikoʻi kēia. Pono ia i ka hoʻoponopono ulia pōpilikia i ka hapanui o nā hihia.

Peritonitis lua

• Laʻana Peritoneal

ʻO Mathews JB, Turaga K. ʻO ka peritonitis ʻoki kino a me nā maʻi ʻē aʻe o ka peritoneum, mesentery, omentum, a me diaphragm. 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 39.

ʻO Turnage RH, Mizell J, Badgwell B. Paʻu ʻōpū, umbilicus, peritoneum, mesenteries, omentum, a me retroperitoneum. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 43.