Sezvo mushonga ano anopindura mubvunzo chii peritonitis

mushonga Modern anopa mhinduro yake wokuti chii peritonitis. chirwere ichi kunoratidzwa kuzvimba peritoneum machira, rinomiririrwa mu muchimiro kunetseka, iro vanowanika kana chavakaona zvinoverengeka:

• endogenous (chirwere, kuzvimba);
• exogenous (yokutindivadza, kuvhiya kunotevera);
• mwoyo zvainoita zvirwere mahormone anokonzera kutenderera musoro (cortisol, adrenocorticotropic kemikari), secreted kupinda muropa.

Kuti tinzwisise chii peritonitis uye nei zvaitika, zvinokosha kuyeuka zvose zvomukati akafukidzwa peritoneum, sezvo anogumbura uye inoparadza zvirwere abdominal mhango kuzvimba anosiya peritoneum kunoitika munenge 80% nyaya. Kakawanda zviri omunharaunda rwarisa-anogumbura pezvakaitwa ari abdominal yegurokuro, akasiyana zvikamu mudumbu, duodenum, muura, diki uye makuru bowel, okuwedzera, chiropa, rwatata, biliary turakiti, pelvic dzomuviri. A boka chaiye peritonitis mune akapfigwa traumas uye kukuvara ari abdominal nadzo, uye yakatanga somugumisiro post-kushanda zvakaoma kunzwisisa (iatrogenic kukuvara nhengo dzomukati, anastomotic vhinza). The mufananidzo anounzwa pazasi peritonitis (mufananidzo).

Masayendisiti muchidzidza dambudziko peritonitis, sezvo avhareji kufa prices kuramba yakakwirira (20-30%), richisvika 40-50% muna Muzviitiko zvakaipisisa, akadai postoperative peritonitis. Just kupindura mubvunzo pamusoro chii peritonitis, unogona kuwana nzira dzinobatsira kugadzirisa dambudziko iri.

Muna 2000, V. S. Savelev uye boka pevatsigiri kuti tiwane mhinduro yomubvunzo wokuti chii peritonitis, akabayira nevakawanda kupatsanura ava mamiriro pamusoro etiological hwaro. Maererano rakakamurwa huru Mapato matatu peritonitis:

1. Primary peritonitis iyo anova pasina kukuvara mhango nhengo somugumisiro vaingoerekana pakatanga chirwere muropa, kana kuburikidza abdominal rinofukidza chaiyo kuchinja chirwere nomumwe muviri (semuenzaniso, tuberculous peritonitis, peritonitis kwatangwa). Zviri 1-5% nyaya.
2. Secondary peritonitis. Zvinoitika kazhinji. Anomiririrwa akawanda mhando: postoperative, posttraumatic - nokuda kuparadzwa kana perforation pamusoro abdominal mhango. Zvinonzi ukure mune munharaunda inodzivirira sei kuwana zvirwere.
3. Tertiary peritonitis. Wakakura zvikuru panyaya nechirwere uye vabatwe muchimiro achipfuura pamwe kukura dzinonzi kuramba kana idzokororo peritonitis. Anova pashure pokuvhiyiwa, kukuvara, mamiriro ezvinhu akanyanyisa, achiperekedzwa munhu raidudzwa chinovhiringidza pamusoro inorwisa utachiona kudzivirira zvigadziriswe. Panyaya iyi kuzvimba anokonzerwa microflora zvichiitika kubvira ichitanga antibacterial kurapwa rokutanga.

Clinical zvinhu uye kurapwa nzira sarudzo dzinongoita pakutsvaga kanganisika zviri abdominal mhango, iyo akasika pachishandiswa ari kupatsanura pakabudiswa zvinotevera siyana peritonitis:

• fecal;
• bile;
• Hemorrhagic;
• mushonga.

By yezvakaita exudate mhando zvinotevera:

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

Study peritonitis kuramba kuva kusiyaniswa kurapwa nzira. Pakusarudza kupatsanura dzemitemo rakaoma nokuti mashoko kuzvimba peritoneum kunosiya - chinhu multifactorial muitiro. Zvisinei, akaramba kukura kupatsanura anogona kuratidza kwokuomerwa vakawanda zviratidzo uye kuita yakavimbika nokufembera.