E like me kēia lāʻau mākou ke pane i ka ninau o ka mea peritonitis

Hoikehonua, lapaau haawi i kona pane ana i ka ninau o ka mea peritonitis. Kēia maʻi ua wehewehe aku ma ka li nui o ka peritoneum a lahilahi, ua poe i loko o ka palapala o ka stress, i ua ua loaʻa ka wā paku ole ia i kekahi mau aʻe:

• endogenous (maʻiʻaʻai, li nui);
• exogenous (anesthesia,ʻoki lāʻau lapaʻau trauma);
• he depressive ia ma luna o ka'ōnaehana paleʻea'ōnaehana stress hormones (cortisol, adrenocorticotropic hōmona), pee i loko o ke koko.

I mea aha peritonitis a me ke kumu ia i, ia mea pono e hoole i na nā loko uhi me ka peritoneum, mahope mai o ka hoʻoʻino a me ka luku maʻi o ka i maopopo abdominal lua li nui koe ka peritoneum ia lŘlŘ ma kahi o 80% o ka hihia. Loa pinepine ia mea kūloko infectious-hoʻoʻino keʻano o ka hanaʻana o ka abdominal esophagus, wahi likeʻole o ka opu, duodenum, AeXIeAaOIePEAaI, ka poe liilii, a me ka nui na naau oʻu, i paiiaʻi na, akepaa, pancreas, biliary'āpana, pelvic nā loko. A kūikawā pūʻulu o peritonitis ma paʻa traumas a me nā palapū o ka abdominal nā loko, a me ka hoi ana i ka hopena o ka lapauila-operative complications (iatrogenic poino i na nā loko, anastomotic liu). Ke kiʻi i hōʻikeʻia ma lalo peritonitis (Hawaii photo).

ʻepekema hoʻomau e noiʻi i ka pilikia o ka peritonitis, mai ka awelika make holo 'awelika noho kiʻekiʻe (20-30%), hiki 40-50% i loa hoopii, e like me postoperative peritonitis. Iki pane i ka ninau e pili ana i ka mea peritonitis, hiki ke loaʻa pono ka aoao e hoʻonā i kēia pilikia.

I ka makahiki 2000, V. S. Savelev a me ka pūʻulu o collaborators ma ka mea i pane mai no ka ninau o ka mea peritonitis e loaʻa, i kaumaha aku ai i ka hoʻomaopopo like Mea Maluna o kēia kūlana ma ka etiological manawa. E like me ka mea, ua maheleia i ekolu papa kuhikuhiE waeʻano o peritonitis:

1. Helu peritonitis a hoʻomōhala ana i loko o ka wa e kaawale aku o ke poho i puha nā loko i ka hopena o ka noho'na makaainana i ulu hoike o ka maʻiʻaʻai i loko o ke koko, a ma abdominal uhi he mau 'hoʻololi maʻiʻaʻai me kekahi kino (e laʻa me, tuberculous peritonitis, peritonitis noho'na makaainana i ulu). He 1-5% o ka hihia.
2. Secondary peritonitis. Ua lŘlŘ loa pinepine. Poe ma kekahi mauʻano likeʻole: postoperative, posttraumatic - aie a hiki i ka luku a me perforation o ka abdominal lua. Ua Ua ulu me he kūloko aiiay naoh i noho nā mea palahēhē.
3. Tertiary peritonitis. Ka loa ka wi ma ka olelo o kaʻike, a me ka hana ana o ka palapala o ka puka me ka hooulu ana o ka ai-kapaia ka pinepine paha recurrent peritonitis. E hoʻomōhala ana i hopeʻoki kino, poino, loa wahi, i hiki, pu ma ka haʻi inhibition o antimicrobial pale maomeka. Ma keia hihia i ka li nui, kena ae la ia e na microflora ka pukaʻana, mai ka pōʻaiapuni mua o antibacterial lapaau.

Lapaʻau helehelena a me ka lapaʻau nā kaʻa mokulele maikai ua pili kēia nānā 'ia e ka'āno'ē Contents o ka abdominal lua, a ua hana ia ma ke kumu o ka Mea Maluna me ke kala o ka kēia mauʻano o ka peritonitis:

• fecal;
• bile;
• hemorrhagic;
• Nine Inch.

Ma ke ano o ka exudate ke kēia mau 'ano:

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

Study peritonitis mau e hoʻoikaika i differentiated lapaʻau ka hoʻolālā. Ke koho ana o ka Mea Maluna kumu ua huikau ma ka mea i ka li nui o ka peritoneum lau - mea he multifactorial kaʻina. Eia naʻe, hoʻomau 'ana o ka Mea Maluna e hiki noonoo i ke oolea o kekahi mau symptoms, a ke hana i ka ike loea i ka olelo wanana.