Ka rite ki pahono rongoā hou ki te pātai o te mea peritonitis

homai rongoā Modern tona whakahoki ki te pātai o te mea peritonitis. āhuatanga tēnei mate e mumura o te pepa peritoneum, kua māngai i roto i te puka o te ahotea, hangaia nei te ka kitea ki te maha o ngā āhuatanga:

• endogenous (mate, mumura);
• exogenous (rehunga, whētuki hāparapara);
• he pānga fakalotofo'í i runga i te taiaki ārai ahotea pūnaha (cortisol, taiki adrenocorticotropic), huna ana ki te bloodstream.

I roto i te tikanga ki te matau te mea peritonitis me aha puta reira, he mea e tika ana ki te haamana'o i te okana katoa hipoki ki te peritoneum, mai te mate inflammatory me kino o te kōhao puku mumura rau puta te peritoneum i roto i pā ana ki 80% o te wā. Nuinga o ngā wā ko reira tukanga rohe hopuhopu-inflammatory o te pū kai puku, wāhanga rerekē o te puku, duodenum, kopirua, iti whēkau me te nui, te āpitihanga, ate, repe taiaki, wahi biliary, whekau papatoiake. He rōpū motuhake o peritonitis i roto i traumas kati me whara o nga whekau puku, ka whakawhanakehia hoki rite ki te hua o pōauautanga pou-operative (kino iatrogenic ki whekau, turuturu anastomotic). Ko te pikitia aroaro i raro peritonitis (whakaahua).

tonu Scientists ki ako i te raruraru o te peritonitis, mai noho tiketike (20-30%) te auau te tahuti nei toharite, pa tonu 40-50% i roto i ngā take kino, pērā i peritonitis postoperative. whakahoki Just te pātai e pā ana ki te mea he peritonitis, taea kitea huarahi whai hua ki te whakatau i tēnei raruraru.

I roto i te 2000, V. S. Savelev me te rōpū o collaborators i roto i te tikanga ki te kitea he whakahoki ki te pātai o te mea peritonitis, whakaekea te whakarōpū noa o enei tikanga i runga i te pūtake etiological. E ai ki te wehea ai ki toru ngā kāwai matua o te peritonitis:

1. peritonitis Paraimere e whanake i roto i te ngaro o te kino ki whēkau tuwhera rite ki te hua o te whakataki māhorahora o te mate i roto i te toto, i roto i puku ranei hipokina te mate whakawhitinga motuhake ki tētahi atu tinana (hei tauira, peritonitis tuberculous, peritonitis noa). Ko reira 1-5% o te wā.
2. peritonitis Tuarua. puta te reira i tino maha. Kanohi e maha o ngā momo: postoperative, posttraumatic - e tika ana ki te whakangaromanga perforation o te kōhao puku ranei. Kei te whakawhanake te reira i rite te tauhohenga paruru rohe ki te whiwhi mate.
3. peritonitis Tuatoru. Ko te tino nui i roto i ngā o te tātaritanga me te maimoatanga o te puka o puta ki te whanaketanga o pera-ka karanga peritonitis tamau recurrent ranei. Whanake i muri i te pokanga, wharanga, āhuatanga tino, haere tahi e te inhibition korerotia o tikanga ārai antimicrobial. I roto i tenei take i te mumura meinga e nga microflora puta i te huringa tuatahi o te maimoatanga antibacterial.

Kei te nuinga o whakaritea ngā āhuatanga haumanu me te tātai maimoatanga pai rawa i te tirotiro rerekē o te kōhao puku, hanga nei i runga i te pūtake o te whakarōpū ki te tuku o te momo e whai ake nei o te peritonitis:

• fecal;
• ate;
• hemorrhagic;
• matū.

Na roto i te āhua o te exudate nga momo e whai ake nei:

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

ki te whakawhanake i te rautaki maimoatanga rerekëtanga tonu peritonitis Ako. faingataa te kōwhiringa o te mau parau tumu kōmaka e te meka e te mumura o te peritoneum rau - he he tukanga multifactorial. Heoi, haere tonu te whanaketanga o te te whakarōpū e taea whakaata i te pakeke o ngā tohu whānui, me te ki te hanga i te matapae pono.