Ukuqala kwe-Peritonitis? Izimpawu, Izimbangela, Nokwelashwa

I-Peritonitis yisifo esibuhlungu noma ukuvuvukala kwe-peritoneum, ithusi elincane elihlanganisa udonga lwakho lwesisu futhi lihlanganisa iningi lezingxenye zakho zesisu. Cabanga nge-peritoneum njengendwangu evikela evikela izitho zakho futhi ikusiza ukuba zihambe kalula ngokumelene komunye nomunye.

Lesi simo sidinga ukunakekelwa kwezokwelapha ngokushesha ngoba singaba yingozi ngokushesha uma singalashwa. Izindaba ezinhle ukuthi ngokuxilongwa okusheshayo nokuphathwa okuqondile, abantu abaningi bayaphila ngokuphelele e-peritonitis.

Ziyini izimpawu ze-peritonitis?

Isimpawu esivamile se-peritonitis ubuhlungu obukhulu besisu obukhulu obukhulu ngokunyakaza noma ukuthinta. Ungase uqaphele ukuthi ngisho nokucindezela okuthambile esiswini sakho kubangela ukungakhululeki okukhulu, futhi ungase ufune ukuqina kakhulu.

Ake sibheke uhlu oluphelele lwezimpawu ongazihlangabezana nazo, khumbula ukuthi akuwona wonke umuntu ozoba nalezi zimpawu:

• Ubuhlungu obukhulu besisu obukhulu ngokunyakaza
• Ubuhlungu besisu noma ukuzwela ekubeni uthinte
• Ukukhula noma ukukhula esiswini sakho
• Ukuqina nokuthanda
• Ukuphefumula nokugabha
• Ukulahlekelwa ukudla
• I-diarrhea noma ukuvimbela
• Ubunzima bokuphuma igesi
• Ukukhathala nobuthakathaka
• Ukushaya kwenhliziyo okusheshayo
• Ukuphefumula okufushane

Ezimweni ezithile, ungase uhlangabezane nezimpawu ezingavamile njengokudideka, ukomelela okukhulu, noma ukukhishwa okuncane kakhulu kwesisu. Lezi zimpawu zibonisa ukuthi ukutheleleka kuchaphazela ezinye izingxenye zomzimba wakho futhi kudinga ukunakekelwa okusheshayo kwezokwelapha.

Ziyini izinhlobo ze-peritonitis?

Kunezinhlobo ezimbili eziyinhloko ze-peritonitis, nokuqonda umehluko kungakusiza uqonde kangcono ukuthi kwenzekani emzimbeni wakho. Uhlobo ngalunye lunezimbangela nezinqubo zokwelapha ezihlukile.

I-peritonitis eyinhloko ithuthukiswa lapho amabhaktheriya esakazeka ku-peritoneum ngegazi lakho noma uhlelo lwe-lymphatic. Lolu hlobo aluvamile futhi luvamise ukwenzeka kubantu abanezinye izimo zezempilo ezinjengosuleleko lwesisu, ukwehluleka kwesibindi, noma uhlelo lokuphepha olubuthakathaka.

I-peritonitis yesibili ivame kakhulu futhi kwenzeka lapho amabhaktheriya engena ku-peritoneum esimweni noma ukuphazamiseka endleleni yakho yokugaya. Lokhu kungaba ukuphazamiseka kwe-appendix, isifo esiqinile, noma ukulimala esiswini sakho. Lolu hlobo luvamise ukuba sibi kakhulu ngoba luhlanganisa inani elikhulu lamabhaktheriya nezinto ezingcolile.

Yini ebangela i-peritonitis?

I-Peritonitis ithuthukiswa lapho amabhaktheriya anobungozi, ama-fungi, noma ezinye izinto eziphilayo ezingcolile zifaka indawo ye-peritoneal evamile. Imbangela evamile ukuphazamiseka noma ukuphazamiseka endaweni ethile ohlelweni lwakho lokugaya oluvumela okuqukethwe kwesisu ukuba kugeleze esiswini sakho.

Nazi izimbangela ezivamile okufanele uzazi:

• I-appendix ephazamisekile (i-appendicitis)
• Isifo esiqinile sesisu
• I-colon ephazamisekile, ngokuvamile evela ku-diverticulitis
• I-pancreatitis (ukuvuvukala kwe-pancreas)
• Ukulimala kwesisu okuvela ekulimala noma ekuhlinzweni
• I-gallbladder ephazamisekile
• Ukuvimbela kwesisu okubangela ukuphazamiseka
• I-Pelvic inflammatory disease kwabesifazane

Ngokungavamile, i-peritonitis ingabangelwa izinqubo zezokwelapha ezinjenge-peritoneal dialysis, lapho i-catheter isebenza khona ukuhlanza igazi lakho. Ngezinye izikhathi, amabhaktheriya angahamba nge-catheter futhi abangele ukutheleleka. Ezimweni ezingavamile, isimo singathuthukiswa yi-tuberculosis noma izifo ezithile zokuziphatha.

Nini okufanele ubheke udokotela nge-peritonitis?

Kufanele ufuna ukunakekelwa kwezokwelapha okusheshayo ngokushesha uma uhlangabezana nobuhlungu obukhulu besisu kanye nokuqina, ikakhulukazi uma ubuhlungu bukhulu uma unyakazisa noma othile ekuthinta isisu. I-Peritonitis yingozi yezokwelapha engaba yingozi ngamahora ambalwa.

Shaya u-911 noma uhambe e-emergency room ngokushesha uma unebuhlungu obukhulu besisu kanye nanoma yiziphi izimpawu zezexwayiso: ukuqina okuphezulu, ukushaya kwenhliziyo okusheshayo, ukuphefumula okunzima, ukugabha okungapheli, noma izimpawu zokushona njengokudideka nokudideka.

Ungalindi ukubona uma izimpawu ziphulukana zodwa. Ngisho noma awuqiniseki ngokuphelele, kuhlale kungcono ukuba ochwepheshe wezokwelapha ahlole ubuhlungu obukhulu besisu ngokushesha. Ukwelashwa okusheshayo kungavimbela izinkinga ezinzima futhi kusindise impilo yakho.

Ziyini izimbangela zengozi ze-peritonitis?

Izimo ezithile zezempilo nezimo zokuphila zingandisa amathuba akho okukhula kwe-peritonitis. Ukuqonda lezi zimbangela zengozi kungakusiza uhlale ulungile mayelana nezimpawu ezingaba khona futhi uthathe izinyathelo zokuvimbela uma kungenzeka.

Lezi zimo nezimo zingakubeka engozini enkulu:

• Ukuphathwa kwe-peritoneal dialysis ngenxa yokwehluleka kwesibindi
• Umbhalo wokuhlinzwa kwesisu
• Isifo sesibindi ngokwakheka kwamanzi (ascites)
• Uhlelo lokuphepha olubuthakathaka oluvela ekuguleni noma kwemithi
• Isifo sesisu esivuvukayo njenge-Crohn's disease
• Izifo zesisu, ikakhulukazi uma zingalashwa
• I-diverticulitis noma i-diverticular disease
• Izehlakalo zangaphambili ze-peritonitis
• Ezinye izinqubo zezokwelapha ezihilela isisu

Ukuba nokunye noma ngaphezulu kwezinto ezingozi akusho ukuthi uzokuthuthukisa i-peritonitis. Abantu abaningi abanezi zimo abazange bahlangabezane nale nkinga. Noma kunjalo, ukwazi ingozi yakho kungakusiza uqaphele izimpawu ngokushesha futhi ufuna ukwelashwa okusheshayo.

Ziyini izinkinga ezingaba khona ze-peritonitis?

Ngaphandle kokwelashwa okusheshayo, i-peritonitis ingabangela izinkinga ezinzima ezingachaphazela umzimba wakho wonke. Ukutheleleka kungasakazeka ngaphandle kwesisu sakho futhi kubangele ukwehluleka kwezitho zakho.

Nazi izinkinga ezingaba khona abagcini bezempilo abasebenza kanzima ukuzivimbela:

• I-sepsis (ukutheleleka okusakazekayo kulo lonke igazi lakho)
• I-septic shock (ukucindezela kwegazi okuphansi kakhulu)
• Ukwehluleka kwezitho, ikakhulukazi izinkinga zesibindi nezinkalankala
• Ukwenziwa kwe-abscess (ama-pocket amanzi atheleleke)
• Ukuvimbela kwesisu okuvela ekuhlanganiseni
• Ukuphefumula okunzima ngenxa yokwakheka kwamanzi
• Izinkinga zokugqwala kwegazi

Izindaba ezinhle ukuthi ngokuxilongwa okusheshayo nokuphathwa okuqondile, iningi lalezi zinkinga lingavikelwa. Kungakho ukufuna ukunakekelwa kwezokwelapha okusheshayo ngenxa yobuhlungu obukhulu besisu kubaluleke kakhulu empilweni yakho yonke nokuphulukiswa.

I-peritonitis ixilongwa kanjani?

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nembali yakho yezokwelapha, bese enza ukuhlolwa komzimba wesisu sakho. Bazocindezela kancane ezindaweni ezihlukene ukuhlola ubuhlungu, ukukhula, kanye nezimpawu zokutheleleka.

Izivivinyo eziningi zingasiza ekuqinisekiseni ukuxilongwa nokuthola imbangela eyingozi. Udokotela wakho angase ayalele izivivinyo zegazi ukuhlola izimpawu zokutheleleka nokuvuvukala, njengokwanda kwesibalo se-white blood cell. Lezi zivivinyo ziyasiza ekuhloleni ukuthi izitho zakho zisebenza kahle kangakanani.

Izifundo zokubuka izithombe ezinjenge-CT scans noma i-X-rays zingabonisa amanzi esiswini sakho, ukulimala kwezitho, noma umthombo wokutheleleka. Ezimweni ezithile, udokotela wakho angase adinge ukukhipha isampula yamanzi esiswini sakho usebenzisa unhlangothi oluthambile ukuthola amabhaktheriya athile abangela ukutheleleka.

Yini ukwelashwa kwe-peritonitis?

Ukuphathwa kwe-peritonitis ngokuvamile kudinga ukungena esibhedlela futhi kuhilela ama-antibiotic ukuze alwe nokutheleleka, kanye nokunakekelwa okusekela ukuze kusize umzimba wakho uphulukise. Abantu abaningi badinga ama-antibiotic e-intravenous izinsuku eziningi ukuqinisekisa ukuthi imithi ifinyelela ekuthelelekeni ngokuphumelelayo.

Uma kukhona umthombo othile wokutheleleka, njenge-appendix ephazamisekile noma i-bowel ephazamisekile, cishe uzodinga ukuhlinzwa ukuze ulungise inkinga futhi uhlanze izinto ezingcolile esiswini sakho. Indlela yokuhlinzwa ixhomeke embangelweni eyingozi nokuthi ukutheleleka kusakazeke kangakanani.

Iqembu lakho lezokwelapha lizonikeza ukunakekelwa okusekela, okungase kuhlanganise amanzi e-intravenous ukuvimbela ukuphelelwa amanzi, imithi yokuhlupheka ukuze uhlale ukhululekile, kanye nokwelashwa komoya uma unezinkinga zokuphefumula. Abanye abantu badinga ama-drainage tubes okwesikhashana ukususa amanzi atheleleke esiswini.

Indlela yokuphatha ukuphulukiswa ekhaya ngemuva kwe-peritonitis?

Uma usuphumile esibhedlela, ukulandela imiyalo yodokotela wakho ngokucophelela kubalulekile ekuphulukiseni okuphelele. Cishe uzodinga ukuqhubeka uthatha ama-antibiotic omhlathi izinsuku noma amasonto ambalwa, ngisho noma uzizwa kangcono kakhulu.

Ukuphumula kubalulekile phakathi nesikhathi sakho sokuphulukiswa. Qala ngemisebenzi elula bese ukhulisa kancane amazinga omsebenzi wakho njengoba amandla akho ebuya. Gwema ukuphakamisa okunzima noma ukuzivocavoca okunzima kuze kube yilapho udokotela wakho ekunikeza ukukhanya oluhlaza, okuvamise ukuthatha amasonto ambalwa.

Qaphela ukudla kwakho phakathi kokubuyiselwa. Qala ngokudla okulula, okulula ukukugaya bese ukhulisa kancane izinhlobo njengoba uhlelo lwakho lokugaya luphulukisa. Hlala uthambile futhi uxhumane nodokotela wakho uma uhlangabezana nokuhlupheka okuqhubekayo, ukugabha, noma ukungakwazi ukugcina ukudla phansi.

Kufanele ulungiselele kanjani ukubhekana nodokotela wakho?

Uma uhlangabezana nezimpawu ezingase zibonise i-peritonitis, ungalindi isikhathi esihleliwe sokuqokwa. Yiya ngqo e-emergency room noma ucele usizo lwezokwelapha oluphuthumayo, njengoba lesi simo sidinga ukunakekelwa okusheshayo.

Ngemihlangano yokulandelela phakathi kokubuyiselwa, lungiselela uhlu lwemithi yonke oyithathayo, kuhlanganise ama-antibiotic kanye nemithi yokuhlupheka. Bhala phansi noma yiziphi izimpawu ozazihlangabezana nazo, ngisho noma zibonakala zincane, njengoba zingasiza udokotela wakho ukuhlola intuthuko yakho yokuphulukisa.

Letha uhlu lwemibuzo mayelana nokuphulukiswa kwakho, uma ungabuya emisebenzini evamile, kanye nezimpawu zezexwayiso okumele uzibheke. Ukuba nelungu lomndeni noma umngani ohambisana nawe kungasiza, ikakhulukazi uma usazizwa ubuthakathaka noma unezinkinga zokuqonda.

Iyini into ebalulekile mayelana ne-peritonitis?

I-Peritonitis yingozi enkulu yezokwelapha edinga ukwelashwa okusheshayo kochwepheshe, kodwa ngokunakekelwa okusheshayo, abantu abaningi bayaphila ngokuphelele. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ubuhlungu obukhulu besisu, ikakhulukazi uma buhlanganiswe nokuqina, akufanele luyeke.

Ukuqaphela okusheshayo nokuphathwa kuyizikhali zakho ezinhle kakhulu ekuvimbeleni izinkinga. Uma unezinto ezingozi ezinjengokuqhubeka kwe-dialysis noma isifo sesisu esivuvukayo, hlala ulungile ekuqapheleni izimpawu ezingaba khona futhi ugcine ukuxhumana okuqhubekayo neqembu lakho lezokwelapha.

Themba izinzwa zakho uma kuziwa ebuhlungu obukhulu besisu. Kuhlale kungcono ukufuna ukunakekelwa kwezokwelapha futhi uthole ukuthi kuyinto engathandeki kakhulu kunokulibazisa ukwelashwa ngenxa yesimo esingaba yingozi ekuphileni njenge-peritonitis.

Imibuzo evamile ebuzwa mayelana ne-peritonitis

Ingavikelwa yini i-peritonitis?

Nakuba akuwona wonke amacala angavikelwa, unganciphisa ingozi yakho ngokwelapha izimo ezingaphansi njengezifo zesisu kanye nesifo sesisu esivuvukayo ngokushesha. Uma usebenzisa i-peritoneal dialysis, ukulandela izinqubo zokuhlambalaza eziqinile uma uphatha i-catheter yakho kunciphisa kakhulu ingozi yokutheleleka. Ukufuna ukwelashwa okusheshayo ngenxa yobuhlungu besisu nezinkinga zokugaya kungasiza futhi ekuvimbeleni izinkinga eziholela e-peritonitis.

Ukuphulukiswa kwe-peritonitis kuthatha isikhathi esingakanani?

Isikhathi sokuphulukiswa sihluka kuye ngokubaluleka kokutheleleka kwakho nembangela eyingozi, kodwa abantu abaningi bachitha izinsuku eziyi-5-10 esibhedlela. Ukuphulukiswa okuphelele ekhaya ngokuvamile kuthatha amasonto angu-4-6, nakuba abanye abantu bangase badinge isikhathi eside uma behlinzwe noma behlangabezana nezinkinga. Udokotela wakho uzolandelela intuthuko yakho futhi akutshele uma kuphephile ukubuyela emisebenzini evamile.

Ingabe i-peritonitis iyadluliseka?

Cha, i-peritonitis ngokwayo ayidluliseki futhi ayikwazi ukusakazeka kumuntu nomuntu ngokuthintana okuvamile. Ukutheleleka kuthuthukiswa lapho amabhaktheriya aphila ngokuvamile ohlelweni lwakho lokugaya egeleza esiswini sakho. Noma kunjalo, uma unakekela umuntu onayo i-peritonitis, ukuhlanzeka okuyisisekelo njengokuhlanza izandla kubalulekile, ikakhulukazi ngokuqondene nokunakekelwa kwezindawo ezilimele.

Ingabuya yini i-peritonitis ngemuva kokwelashwa?

Nakuba ukubuyela emuva kungenzeka, ikakhulukazi kubantu abanezinto ezingozi eziqhubekayo njenge-peritoneal dialysis noma izimo zokuvuvukala ezingapheli, akuvamile uma imbangela eyingozi iphelelwe ngokufanele. Ukulandela iziphakamiso zedokotela wakho zokuphatha noma yiziphi izimo zezempilo eziqhubekayo nokuphelelisa inkambo yakho ephelele yama-antibiotic kusiza ekuvimbeleni ukubuyela emuva.

Yikuphi ukudla engingakufuni ukukudla phakathi kokubuyiselwa kwe-peritonitis?

Phakathi kokubuyiselwa kwasekuqaleni, gwema ukudla okunzima ukukugaya, okunambitheka kakhulu, noma okunemafutha aphezulu, njengoba lokhu kungathukuthelisa uhlelo lwakho lokugaya oluphulukayo. Gwema utshwala, i-caffeine, kanye nokudla okubangela igesi njengebhinzi nama-carbonated drinks. Gxila ezintweni ezilula, ezilula ukukugaya njengorayisi, i-toast, amabhanana, kanye ne-broths ezihlanzekile kuze kube yilapho udokotela wakho ethi ungabuya kancane ekudleni kwakho okuvamile.