Peritonitis

I-peritonitis yisimo esinzima esivela esiswini. Leso yindawo yomzimba ephakathi kwesifuba ne pelvis. I-peritonitis kwenzeka lapho ilayi elibukhulu lethusi elingaphakathi esiswini liqala ukuvuvuka. Ilayi lethusi libizwa ngokuthi yi-peritoneum. I-peritonitis ngokuvamile kwenzeka ngenxa yokutheleleka okuvela kubhaktheriya noma ama-fungi.

Kunezinhlobo ezimbili ze-peritonitis:

• I-peritonitis yebhaktheriya ezenzakalelayo. Lokhu kutheleleka kubangelwa yibhaktheriya. Kungahle kwenzeke uma umuntu enesifo sesibindi, njengokuqina kwesibindi, noma isifo sezinso.
• I-peritonitis yesibili. I-peritonitis ingahle ibe khona ngenxa yomngxuma, okuthiwa futhi ukuqhekeka, ngaphakathi komzimba esiswini. Noma ingabangelwa ezinye izimo zempilo.

Kubalulekile ukuthola ukwelashwa ngokushesha kwe-peritonitis. Abahlinzeki bezempilo banendlela yokususa ukutheleleka. Bangaphatha futhi noma iyiphi inkinga yezokwelapha engase iyibangele. Ukwelashwa kwe-peritonitis ngokuvamile kuhilela imithi esetshenziswa ekwelapheni ukutheleleka okubangelwa yibhaktheriya, okuthiwa ama-antibiotics. Abanye abantu abane-peritonitis badinga ukuhlinzwa. Uma ungayitholi ukwelashwa, i-peritonitis ingabangela ukutheleleka okukhulu okusakazwa emzimbeni. Kungaba yingozi.

Imbangela evamile ye-peritonitis ukwelashwa kokwehluleka kwezinso okuthiwa yi-peritoneal dialysis. Lokhu kwelashwa kusiza ukususa imikhiqizo yokulimala egazini lapho izinso zilwa ukwenza lowo msebenzi ngokwazo. Uma uthola i-peritoneal dialysis, ungasiza ukuvimbela i-peritonitis ngokuhlanzeka okuhle ngaphambi, phakathi nangemva kwe-dialysis. Ngokwesibonelo, kubalulekile ukugeza izandla zakho nokuhlanza isikhumba esizungezile i-catheter.

Izimpawu ze-peritonitis zihlanganisa: Ubuhlungu noma ukuhlunguluka esiswini. Ukukhukhula noma ukuzizwa ugcwele esiswini. Ukuqanduleka. Ukuphazamiseka kwesisu nokugabha. Ukwehluleka kokudla. Ukululama. Ukunciphisa kwamandla. Ukoma. Ukungakwazi ukuphasa isisu noma igesi. Ukuzizwa ukhathele. Ukuphazamiseka kwengqondo. Uma uthola i-peritoneal dialysis, izimpawu ze-peritonitis zingase zihlanganise: I-dialysis fluid eyi-cloudy. Ama-flecks amhlophe, ama-strand noma ama-clumps - abizwa ngokuthi i-fibrin - ku-dialysis fluid. I-Peritonitis ingaba yingozi eyingozi uma ungayitholi ngokushesha. Shaya udokotela wakho ngokushesha uma unebuhlungu obukhulu noma ukuhlunguluka esiswini, ukukhukhula noma ukuzizwa ugcwele kanye nokuqanduleka. Ukuphazamiseka kwesisu nokugabha. Ukunciphisa kwamandla. Ukoma. Ukungakwazi ukuphasa isisu noma igesi. Uma uthola i-peritoneal dialysis, shaya udokotela wakho ngokushesha uma i-dialysis fluid yakho: I-cloudy noma inombala ongajwayelekile. Ine-flecks amhlophe kuyo. Ine-strand noma ama-clumps kuyo. Inuka ngendlela engajwayelekile, ikakhulukazi uma indawo ezungezile i-catheter yakho ishintsha umbala noma ibuhlungu. I-Peritonitis ingase ibe khona ngemuva kokupuka kwe-appendix noma ukulimala okukhulu esiswini. Thola usizo lwezokwelapha ngokushesha uma unebuhlungu obukhulu esiswini. Kungase kuzwakale kubi kangangokuba awukwazi ukuhlala phansi noma uthole isimo esikhululekile. Shaya u-911 noma uthole ukunakekelwa kwezokwelapha kwezimo eziphuthumayo uma unebuhlungu obukhulu esiswini ngemuva kengozi noma ukulimala.

I-peritonitis ingaba yingozi eyingozi uma ungatholi ukwelashwa ngokushesha. Shaya udokotela wakho ngokushesha uma uzwela ubuhlungu obukhulu noma ubuhlungu esiswini, ukukhukhumeka noma ukuzizwa ugcwele kanye nokuthi:

• Ukuqina.
• Isisu esiphazamisekile nokugabha.
• Ukunciphisa kwamandla.
• Ukoma.
• Ukungakwazi ukukhishwa noma igesi. Uma uthola i-peritoneal dialysis, shaya udokotela wakho ngokushesha uma i-dialysate yakho:
• Iyinqaba noma inombala ongajwayelekile.
• Ine-flecks emhlophe kuyo.
• Ine-strands noma amaqembu kuyo.
• Inephunga elingajwayelekile, ikakhulukazi uma indawo ezungezile i-catheter yakho ishintsha umbala noma ibuhlungu. I-Peritonitis ingase ibe khona ngemuva kokuphazamiseka kwesisu noma ukulimala okukhulu esiswini sakho
• Thola usizo lobuchwepheshe ngokushesha uma ubuhlungu obukhulu esiswini. Kungase kuzwakale kubi kangangokuba awukwazi ukuhlala phansi noma uthole isimo esikhululekile.
• Shaya u-911 noma uthole ukunakekelwa kwezokwelapha kwezimo eziphuthumayo uma ubuhlungu obukhulu esiswini ngemuva kengozi noma ukulimala.

Ukutheleleka kwe-peritoneum kuvame ukubangelwa yisikhala esiqwini esiswini, njengesisu kanye nekoloni. Lesi sikhala sibizwa nangokuthi ukuqhekeka. Akukhona okuvamile ukuthi i-peritonitis ibe khona ngezinye izimbangela.

Izimbangela ezivamile zesikhala esibangela i-peritonitis zihlanganisa:

• Izindlela zokwelapha
  • I-Peritoneal dialysis isebenzisa amapayipi, abizwa nangokuthi ama-catheter, ukususa imikhiqizo yokuwohloka egazini. Ukutheleleka kungase kwenzeke ngesikhathi se-peritoneal dialysis ngenxa yekamelo lokwelapha elingcolile, ukuhlanzeka okubi noma izinto ezingcolile.
  • I-Peritonitis ingase ibe khona ngemva kokucutshungulwa kwesisu.
  • Ukusetshenziswa kwamaphayipi okudla kungase kube yimbangela ye-peritonitis.
  • I-Peritonitis ingase ibe khona ngemva kwesenzo sokususa i-fluid esiswini sakho, njengoba kunjalo esimweni se-ascites esifo sesibindi.
  • Kwezinye izikhathi, kungaba yinkinga yokuphenya ngaphakathi kwerekthamu nekoloni okuthiwa yi-colonoscopy.
  • I-Peritonitis ingase ibe khona ngemva kwesenzo sokuhlola umgudu wokugaya ukudla okuthiwa yi-endoscopy. Lokhu nakho kuyinto engavamile.
• I-Peritoneal dialysis isebenzisa amapayipi, abizwa nangokuthi ama-catheter, ukususa imikhiqizo yokuwohloka egazini. Ukutheleleka kungase kwenzeke ngesikhathi se-peritoneal dialysis ngenxa yekamelo lokwelapha elingcolile, ukuhlanzeka okubi noma izinto ezingcolile.
• I-Peritonitis ingase ibe khona ngemva kokucutshungulwa kwesisu.
• Ukusetshenziswa kwamaphayipi okudla kungase kube yimbangela ye-peritonitis.
• I-Peritonitis ingase ibe khona ngemva kwesenzo sokususa i-fluid esiswini sakho, njengoba kunjalo esimweni se-ascites esifo sesibindi.
• Kwezinye izikhathi, kungaba yinkinga yokuphenya ngaphakathi kwerekthamu nekoloni okuthiwa yi-colonoscopy.
• I-Peritonitis ingase ibe khona ngemva kwesenzo sokuhlola umgudu wokugaya ukudla okuthiwa yi-endoscopy. Lokhu nakho kuyinto engavamile.
• I-appendix eqhekekile, isihlungu sesisu noma isikhala e-koloni. Noma yikuphi kulawo mazimo kungavumela amabhaktheriya ukuba angene e-peritoneum ngesikhala esiswini sakho sokugaya ukudla.
• I-Pancreatitis. Lokhu kuyintukuthelo yesigxobo esiswini esibizwa nge-pancreas. Uma une-pancreatitis futhi uthola ukutheleleka, amabhaktheriya angase asakazeke ngaphandle kwe-pancreas. Lokho kungase kube yimbangela ye-peritonitis.
• I-Diverticulitis. Ukutheleleka kwamaphakethe amancane, ahlangene emgudwini wokugaya ukudla kungase kube yimbangela ye-peritonitis. Lokhu kungase kwenzeke uma omunye wamaphakethe ephuka. Iphakethe eliqhekekile lingase liphule imfucuza esiswini.
• Ukulimala. Ukulimala kungase kube yimbangela ye-peritonitis. Lokhu kungase kuvumele amabhaktheriya noma amakhemikhali ezinye izingxenye zomzimba ukuba angene e-peritoneum yakho.
• I-Peritoneal dialysis isebenzisa amapayipi, abizwa nangokuthi ama-catheter, ukususa imikhiqizo yokuwohloka egazini. Ukutheleleka kungase kwenzeke ngesikhathi se-peritoneal dialysis ngenxa yekamelo lokwelapha elingcolile, ukuhlanzeka okubi noma izinto ezingcolile.
• I-Peritonitis ingase ibe khona ngemva kokucutshungulwa kwesisu.
• Ukusetshenziswa kwamaphayipi okudla kungase kube yimbangela ye-peritonitis.
• I-Peritonitis ingase ibe khona ngemva kwesenzo sokususa i-fluid esiswini sakho, njengoba kunjalo esimweni se-ascites esifo sesibindi.
• Kwezinye izikhathi, kungaba yinkinga yokuphenya ngaphakathi kwerekthamu nekoloni okuthiwa yi-colonoscopy.
• I-Peritonitis ingase ibe khona ngemva kwesenzo sokuhlola umgudu wokugaya ukudla okuthiwa yi-endoscopy. Lokhu nakho kuyinto engavamile.

I-Peritonitis eyenzeka ngaphandle kwesikhala noma ukuqhekeka ibizwa ngokuthi i-spontaneous bacterial peritonitis. Ngokuvamile iyinkinga yesifo sesibindi, njenge-cirrhosis. I-cirrhosis ephambili ibangela ukwakheka okukhulu kwe-fluid esiswini sakho. Lokho ukwakheka kwe-fluid kungase kube yimbangela yokutheleleka kwamabhaktheriya.

Izinto ezithile ezikhuphula ingozi ye-peritonitis yilezi:

• Ukuhlanzwa kwe-peritoneal. I-Peritonitis ingahle ibe khona kubantu abamukela leli thintatho.
• Ezinye izimo zezokwelapha. Izimo ezithile zikhuphula ingozi yakho yokuthola i-peritonitis, ezifana nalezi:
  • I-Liver cirrhosis.
  • I-Appendicitis.
  • Izilonda zesisu.
  • I-Diverticulitis.
  • I-Crohn's disease.
  • I-Pancreatitis.
• I-Liver cirrhosis.
• I-Appendicitis.
• Izilonda zesisu.
• I-Diverticulitis.
• I-Crohn's disease.
• I-Pancreatitis.
• Umlando we-peritonitis. Uma usuke waba ne-peritonitis, ingozi yakho yokuyithola futhi ingase ibe phezulu kunaleyo yomuntu ongazange ayithole.
• I-Liver cirrhosis.
• I-Appendicitis.
• Izilonda zesisu.
• I-Diverticulitis.
• I-Crohn's disease.
• I-Pancreatitis.

Uma ingelaphiwa, i-peritonitis ingabangela ukutheleleka komzimba wonke okubizwa ngokuthi yi-sepsis. I-sepsis iyingozi kakhulu. Ingabangela ukushokeka, ukuhluleka komzimba kanye nokufa.

I-peritonitis ehlobene nokuhlanzwa kwegciwane lomhlane (peritoneal dialysis) ivame ukubangelwa yizimbungulu ezizungezile ikhathetha. Uma usebenzisa ukuhlanzwa kwegciwane lomhlane, thatha la manyathelo ukuvimbela i-peritonitis:

• Geza izandla zakho ngaphambi kokuthinta ikhathetha. Susa uthuli phansi kwamakhokhonkwane akho naphakathi kwezinzwane zakho.
• Hlanza isikhumba esizungezile ikhathetha nge-antiseptic nsuku zonke.
• Gqoka isembozo sokuhlinzwa phakathi kokushintshaniswa kwezinto zokugeza.
• Xoxa neqembu lakho lokunakekelwa kwe-dialysis ngokunakekelwa okulungile kwe-catheter yakho ye-peritoneal dialysis.

Unikezeli wakho wezempilo angase anikeze ama-antibiotics ukuvimbela i-peritonitis, ikakhulukazi uma uke waba ne-peritonitis ngaphambili. Ama-antibiotics angase anikezwe futhi uma une-buildup yefluid ye-peritoneal ngenxa yesimo sezempilo esinjenge-liver cirrhosis. Uma uthatha imithi ebizwa nge-proton pump inhibitor, ungase ucelwe ukuthi uyiyeke.

Ukuthola i-peritonitis, umhlinzeki wakho wezempilo ukhuluma nawe ngomlando wakho wezokwelapha futhi akunikeze ukuhlolwa komzimba. Izimpawu zakho zodwa zingase zikwanele kumhlinzeki wakho ukuthi aqinisekise isimo uma i-peritonitis yakho ihlobene nokuhlanzwa kwe-peritoneal. Uma kukhona ezinye izivivinyo ezidingekayo ukuqinisekisa ukuxilongwa, umhlinzeki wakho wezempilo angase aphakamise:

• Izivivinyo zegazi. Isibonelo segazi lakho singase sithatheke ukubona ukuthi une-increase yamasosha omzimba alwa nezifo. Lokhu ngokuvamile kuyisibonakaliso sokuphazamiseka noma ukuvuvukala. Ungase futhi ube nevivinyo lokukhiqiza igazi ukuthola ukuthi kukhona yini ibhaktheriya egazini lakho.
• Izivivinyo zokwenza izithombe. Ungase ube novivinyo lwe-X-ray ukuhlola ama-holes noma ezinye izicucu esiswini sakho. Ungase futhi ube nevivinyo elisetshenziswa amaza omsindo ukwenza izithombe ngaphakathi komzimba wakho, okuthiwa yi-ultrasound. Kwezinye izimo, ungase ube ne-CT scan.
• Ukuhlaziywa kwe-peritoneal fluid. Kuleli vivinyo, inhlanzi encane isetshenziswa ukuthatha isibonelo se-fluid esiswini sakho. Kunokwenzeka kakhulu ukuthi ube naleli vivinyo uma uthola ukuhlanzwa kwe-peritoneal noma uma une-fluid esiswini sakho esuka esifubeni. Inani elikhulayo le-white blood cell kuleli fluid ngokuvamile libonisa ukutheleleka noma ukuvuvukala. Ukukhiqiza i-fluid kungase kusetshenziswe ukubona ibhaktheriya.