Dị ka nkà mmụta ọgwụ ọgbara emegharị ajụjụ nke ihe peritonitis

Nkà mmụta ọgwụ ọgbara enye ya azịza nke ajụjụ nke ihe peritonitis. Nke a na ọrịa e ji mbufụt nke peritoneum Ibé akwụkwọ, na-anọchi anya na ụdị nchegbu, nke a na-eme mgbe ọ gụrụ ọtụtụ ihe:

• endogenous (ọrịa, mbufụt);
• exogenous (Nkụnwụ Ahụ, ịwa ahụ trauma);
• a dara ya mbà utịp ke dịghịzi usoro nchegbu homonụ (cortisol, adrenocorticotropic hormone), secreted n'ime n'ọbara.

Iji ghọta ihe peritonitis na ihe mere ya emee, ọ dị mkpa icheta niile akụkụ kpuchie peritoneum, ebe ọ bụ na mkpali na-ebibi ọrịa nke abdominal oghere mbufụt doo peritoneum n'akparamagwa banyere 80% nke ikpe. Ọtụtụ mgbe, ọ bụ obodo na-efe efe mkpali Filiks nke abdominal na nkọlọ, n'akụkụ dị iche iche nke afo, duodenum, colon, obere na nnukwu bowel, odide ntụkwasị, imeju, pancreas, biliary tract, pelvic akụkụ. A pụrụ iche otu nke peritonitis na mechiri emechi mkpasasị uche na mmerụ nke abdominal akụkụ, na nwekwara mepụtara dị ka a n'ihi nke post-ịkpa nsogbu (iatrogenic mmebi esịtidem akụkụ, anastomotic ehi ehi). The picture ọkọnọ n'okpuru peritonitis (foto).

Ọkà mmụta sayensị na-anọgide na-amụ na nsogbu nke peritonitis, ebe ọ bụ na nkezi enwe udu ịnọgide elu (20-30%), na-eru 40-50% n'oké ikpe, dị ka postoperative peritonitis. Dị nnọọ zaa ajụjụ banyere ihe bụ peritonitis, nwere ike ịhụ irè isi na-edozi nsogbu a.

Ke 2000, V. S. Savelev na a ìgwè nke rụkọrọ ọrụ iji chọta azịza nke ajụjụ banyere ihe peritonitis, awa a nkịtị nhazi ọkwa nke ọnọdụ ndị a na etiological ndabere. Dị ka ọ na-ekewa atọ isi edemede nke peritonitis:

1. Primary peritonitis nke amalite na-anọghị nke mmebi oghere akụkụ dị ka a n'ihi nke n'amaghi iwebata ọrịa ọbara, ma ọ bụ site na abdominal ekpuchi a kpọmkwem mgbanwe ọrịa ọzọ ahu (e.g., tuberculous peritonitis, peritonitis n'amaghi). Ọ bụ 1-5% nke ikpe.
2. Secondary peritonitis. Ọ na-adị ọtụtụ. Anọchi anya ọtụtụ iche: postoperative, posttraumatic - ruru ka mbibi ma ọ bụ perforation nke abdominal uji eze. Ọ na-emepe emepe ka a obodo na-echebe mmeghachi omume na-efe efe.
3. Tertiary peritonitis. The kacha njọ na okwu nke na ịgwọ ụdị etinyewe na mmepe nke a na-akpọ persistent ma ọ bụ ntighari peritonitis. Amalite mgbe ịwa ahụ, ihe ọjọọ, oké ike, Bilie a akpọ mgbochi nke antimicrobial agbachitere usoro. Na nke a mbufụt mere site microflora abụrụ si mbụ okirikiri nke antibacterial ọgwụgwọ.

Clinical atụmatụ na ọgwụgwọ si eme nhọrọ na-n'ụzọ dị ukwuu kpebisiri ike site ndiiche ọdịnaya nke abdominal uji eze, nke na-kere na ndabere nke nhazi ọkwa na ntọhapụ nke ndị na-esonụ iche nke peritonitis:

• Nsị na;
• bile;
• hemorrhagic;
• chemical.

Site na ọdịdị nke exudate ndị na-esonụ ụdị:

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

Study peritonitis aga n'ihu ịzụlite differentiated ọgwụgwọ atụmatụ. Oke nke nhazi ọkwa ụkpụrụ mgbagwoju anya site eziokwu na mbufụt nke peritoneum doo - bụ a multifactorial usoro. Otú ọ dị, nọgidere na-emepụta nke nhazi ọkwa na na-egbukepụ ogo general mgbaàmà na-eme ka a pụrụ ịdabere na amụma.