Ukuvuvukala kwe-peritoneum noma i-peritonitis, izimpawu zazo ezinzima kakhulu, kuyisifo esiyingozi kakhulu esidinga ukunakekelwa esibhedlela ngokushesha. Ukubambezeleka ekunakekeleni ukwelashwa okufanelekayo ezimweni eziningi kuwufanele impilo yesiguli.
Izimbangela nezimpawu ze-peritonitis yesigxobo esiswini
Ukuvuvukala kwe-peritoneum kuvela ngaphansi kwethonya lama-aggressive agent (bile, i-lymph, igazi, umchamo) owe emgodini wesisu kusuka ezingxenyeni zangaphakathi ezilimaziwe (kubandakanya ummese, amanxeba okudubula), kanye nokutheleleka kwama-bacterium we-peritoneum.
Isiguli sizwa ubuhlungu obunzima esiswini, okwandisa ngokushintsha kwesikhundla. Kukhona ukucabangela, ukuhlanza, okungahambisani nokukhululeka, ukukhukhumeza, ukujuluka. Isisu sesiguli sinzima futhi sibuhlungu ukusabela ekujuleni. Isici se-peritonitis uphawu u-Voskresensky (ukuhanjiswa kwe-aorta ngenxa yokungena kwe-space retroperitoneal kufinyelela engxenyeni engakwesokunxele se-vertebral). Esikhathini sokuqala sokuvuvukala kwe-peritoneum (usuku lokuqala), uphawu lweBlumberg-Schetkina luyabonakala - isiguli siyabuzwa ubuhlungu obukhulu lapho udokotela ehoxisa ngokusuka isandla isandla esiswini emva kokujula okukhulu.
Ukuhlolwa kwegazi kubonisa okuqukethwe okuphezulu kwe-leukocytes.
Isici esivelele se-peritonitis esicacile sibonakaliso senhlalakahle engqondweni - emva kokulunywa okuhambisana nosizi obukhulu, izitho zomzimba ze-peritoneal zibonakala ziguquguquka, futhi isiguli siqala ukuzizwa singcono. Emva kwamahora amabili no-3 isimo sakhe siwohloka ngokuqinile, ubuhlungu buyaqina.
Izimpawu ze-peritonitis ku-appendicitis
Ukuvuvukala kwesithasiselo kuhambisane nezimpawu ezifana nezokudla okunobuthi, yingakho iziguli eziningi ziphuza ukubiza udokotela, kodwa zama ukulwa nalesi sifo. Le nhlabathi ivame ukuthuthukisa i-peritonitis. Isigaba saso sokuqala sibonakala ngokucabangela nokuhlanza, isisu sithukuthele, ubuhlungu abukho indawo ecacile. Esikhathini sesigaba sesibili, lesi sibonakaliso sitholakala kancane, kepha ukuvimbela emathunjini, i- tachycardia , kanye ne-pulp ngokushesha. Esigabeni sesithathu sibonakala ngokudakwa futhi ukuvuvukala ngokushesha, isisu sesiguli siguqukile, ubuhlungu buboniswa kancane. Isigaba sesine, njengombuso, siphetha ngomphumela obulalayo ngenxa yokuhluleka kwesitho esiningi, okubangelwa ukudakwa nokugqwala okukhulu.
Izimpawu ze-bile peritonitis
Ukuvuvukala kwe-peritoneum kungaqala emva kwe-cholecystectomy (ukususwa kwe-gallbladder), ukufakelwa kwesibindi, ukuhlukunyezwa kwamabhiliyari, futhi ngenxa ye-jaundice ende (ukuphuma kwe-intrahepatic conduit).
Uma i-bile ingena ku-peritoneum, kuvela ukuphazamiseka, okubangelwa ukuxhumana nama-salts we-bile. Kukhona ukunyuka kwamanzi amakhulu, ubuhlungu besisu esiswini , ukucindezela kwegazi okuphansi, i-tachycardia, ukuvimbela emathunjini. Isiguli siphundukile, silele singenasici. Amahora ambalwa ngemva kokungena ku-peritoneum ye-bile, ukutheleleka kwesibili kuqala ukuthuthukisa: ubuhlungu esiswini buqhubeka, ukushisa kuphakama.
Izimpawu ze-puritent peritonitis
Uma kunezifo eziphuthumayo zezitho zangasese, i-peritonitis esuka emaphandleni angena kuwo