Njengoba imithi yesimanje iphendula umbuzo yini peritonitis

imithi yesimanje kunikeza impendulo yakhe yombuzo lokho peritonitis. Lesi sifo libhekene ukuvuvukala amashidi peritoneum, umelwe e ngendlela ukucindezeleka, okuyinto elakhiwe lapho zihlatshwa izici eziningana:

• endogenous (ukutheleleka, ukuvuvukala);
• exogenous (izinzwa, ukuhlukumezeka kuhlinzwa);
• umphumela bacindezeleke phezu mzimba hormone okucindezeleka uhlelo (cortisol, i-hormone adrenocorticotropic), akhishelwa egazini.

Ukuze uqonde ukuthi peritonitis futhi kungani kwenzeka, kubalulekile ukukhumbula konke izitho embozwe peritoneum, kusukela Izifo ukuvuvukala futhi ebhubhisayo besisu ingaphakathi ukuvuvukala ushiya peritoneum kwenzeka cishe ngo-80% amacala. Ngokuvamile kuba izinqubo wendawo ezithathelwanayo ukuvuvukala we emphinjeni besisu, izingxenye ezihlukene esiswini, duodenum, ikholoni, ezincane wamathumbu and ezinkulu, isithasiselo, isibindi, amanyikwe, pheshana biliary, izitho okhalo. Iqembu olukhethekile peritonitis e ezibuhlungu avaliwe futhi ukulimala kwezitho besisu, futhi ithuthukiswa njengedolobha ngenxa yobunzima post-op (umonakalo iatrogenic kwezitho ezingaphakathi, ukuba ukuvuza anastomotic). Esivezwa ngezansi peritonitis (isithombe).

Ososayensi uqhubeka utadisha inkinga ka peritonitis, kusukela isilinganiso lokushona kwabantwana bezalwa kutintfo (20-30%), ukufinyelela 40-50% ezimweni ezimbi kakhulu, ezifana peritonitis nasezinkingeni ezilandela ngemva kokuhlinzwa. ukuphendula nje umbuzo mayelana nokuthi iyiphi peritonitis, ungathola izindlela eziphumelelayo zokuxazulula le nkinga.

Ngo-2000, i-V S. grishkovec futhi iqembu abahleli ukuze uthole impendulo yombuzo othi lokho peritonitis, wanikela ngezigaba ezivamile mibandela ngesisekelo etiological. Ngokusho it is izigaba ezintathu oyinhloko peritonitis:

1. peritonitis Primary okwenzeka ngokungabi bikho ukulimala kwezitho ezingaphakathi, eziyize ngenxa isingeniso nokuguqulwa ukuthelelana igazi, noma ngokusebenzisa besisu ihlanganisa ethile inguqulelo ukutheleleka nge komunye umzimba (isib peritonitis tuberculous, peritonitis nokuguqulwa). Kuyinto 1-5% of amacala.
2. peritonitis yesibili. Kwenzeka kaningi kakhulu. Emelelwa izinhlobo eziningana: nasezinkingeni ezilandela ngemva kokuhlinzwa, posttraumatic - ngenxa yokona noma perforation we komgodi ongaphakathi kwamathumbu. It is asathuthuka ngenxa yokuphatheka wendawo zokuzivikela ezifweni ukuthola.
3. peritonitis oluphezulu. Kuwa ngokuya ukuxilongwa kanye nokwelashwa of uhlobo aqhubeke nentuthuko okuthiwa peritonitis ukukulahla nofana yansukuzonke. Utfutfukisa emva kokuhlinzwa, ukulimala, izimo zinzima ngokwedlulele, ephelezelwa okusithiyayo evelele izindlela ukuzivikela imithi elwa nawo. Kulokhu kwamathambo okubangelwa yi-microflora eliphuma umjikelezo wokuqala ekwelashweni elwa namagciwane.

izici Clinical kanye nokwelashwa amacebo ukukhetha buvezwa okuqukethwe okungavamile ngalo ingaphakathi lesisu, okudaliwe ngesisekelo ngezigaba ukukhululwa amafomu alandelayo ka peritonitis:

• fecal;
• Bile;
• oluhambisana;
• amakhemikhali.

Ngu ubunjalo exudate lezi zinhlobo ezilandelayo:

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

Isifundo peritonitis uyaqhubeka ukuthuthukisa umahluko isu ukwelashwa. Kukhethwa izimiso ngezigaba nzima iqiniso lokuthi ukuvuvukala peritoneum ishiya - kuyinqubo multifactorial. Nokho, baqhubeka ukuthuthukiswa ngezigaba ukuthi zingabonisa kobukhulu izimpawu ezijwayelekile ongenza isibikezelo okuthembekile.