Peritonitis

ʻO Peritonitis kahi laha (hoʻonāukiuki) o ka peritoneum. ʻO kēia nā 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.

Hoʻokumu ʻia ʻo Peritonitis e kahi hōʻiliʻili o ke koko, nā wai o ke kino, a i ʻole ka pā i loko o ka ʻōpū (ʻōpū).

Kāhea ʻia hoʻokahi ʻano peritonitis bacterial spontaneous (SPP). Aia ia i loko o ka poʻe me ka ascites. ʻO Ascites ka buildup o ka wai i ke ākea ma waena o ka uhi o ka ʻōpū a me nā meaola. ʻIke ʻia kēia pilikia i ka poʻe me ka hōʻino ate lōʻihi, kekahi mau maʻi ʻaʻai, a me nā puʻuwai puʻuwai.

ʻO Peritonitis kahi hopena o nā pilikia ʻē aʻe. ʻIke ʻia kēia ma ke ʻano he peritonitis lua. Nā pilikia e hiki ai ke alakaʻi i kēia ʻano peritonitis me:

• Ka hōʻeha a i ʻole nā ​​ʻeha i ka ʻōpū
• Pākuʻi i wāwahi ʻia
• Hewa diverticula
• ʻO ka maʻi ma hope o kekahi ʻoki ʻana i loko o ka ʻōpū

ʻEha loa ka ʻōpū a palupalu paha. E ʻeha paha ka ʻeha ke pili ka ʻōpū a i ʻole neʻe ʻoe.

Hiki ke nānā a ʻeha paha kou ʻōpū. Kapa ʻia kēia ka distention ʻōpū.

Hiki i nā ʻōuli ʻē aʻe ke:

• Fiva a me nā anuanu
• Ke hele iki ʻana a i ʻole he mau noho a ʻaila paha
• Ka luhi nui loa
• E emi ana ka mimi
• ʻO Nusea a me ka luaʻi
• Kuʻi puʻuwai
• Pokole o ka hanu

E hana ka mea mālama ola i kahi hoʻokolohua kino. Mālie ka ʻōpū. E kūpaʻa paha a i ʻole "ʻano papa." ʻO ka poʻe me ka peritonitis e wili mau a hōʻole paha e waiho i kekahi e hoʻopā i kēlā wahi.

Hiki ke hana i nā hoʻokolohua koko, nā kukuna x, a me ka CT scan. Inā nui ka wai i loko o ka ʻōpū, hiki i ka mea hāʻawi ke hoʻohana i kahi nila no ka hemo ʻana i kekahi a hoʻouna iā ia no ka hoʻāʻo ʻana.

Pono e ʻike ʻia ke kumu a mālama koke ʻia. Hoʻopili maʻamau ka mālama ʻana i ke ʻoki a me nā antibiotic.

Hiki i ka Peritonitis ke hoʻoweliweli i ke ola a lilo i nā pilikia. Pili kēia i ka ʻano o ka peritonitis.

E hele i ka lumi pilikia a kāhea paha i ka helu pilikia kūloko (e like me 911) inā loaʻa nā ʻōuli o ka peritonitis.

ʻŌpū huehue; Peritonitis koʻohune kūlohelohe; SBP; Cirrhosis - peritonitis kūlohelohe

• Laʻana Peritoneal
• Nā ʻōpū ʻōpū

Bush LM, Levison ME. Peritonitis a me nā abscesses intraperitoneal. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 74.

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.