Ukuvuvukala kwe-peritoneum okanye i-peritonitis yesigxina sesisu esisisigxina esisongela ubomi esichengela impilo kunye nokungenelela kwangoko.
Ukulungiswa kwangaphambili
Ukulungiselela isigulane sokuhlinzwa, akukho iiyure ezingaphezu kwama-3 avunyelwe - ngeli xesha, oogqirha benza unyango oluncinci lokunyusa ngamanqanaba athile ngokukhawuleza ngeenqanawa ezi-2 ukuya kwe-3, ezizama ukulungelelanisa imisebenzi ebalulekileyo yomzimba. Kule nqanaba, kunokwenzeka ukuphucula ibhalansi ye-electrolyte, ukubuyisela umthamo wegazi elijikelezayo, ukwandisa umgangatho wokunyanzeliswa kweengxubevange zamanzi kunye neentloko (CVP), ukunciphisa umthamo nokunyusa umthamo we-urine (diuresis). Kwenzeka ukuba akunakwenzeka ukubuyisela umsebenzi wezintso kwiiyure ezingama-3 - ukuhlinzwa akutyhilwa kulolu hlobo, kodwa ukuxhamla kwe-prognosis evumelekileyo kuncitshiswa kakhulu.
Kwinqanaba lokulungiselela ukuhlinzwa, i-catheterization ye-subclavian vein nayo iyenziwa, eyenza kube lula ukujonga i-CVP kunye nokwandisa izinga lokunyusa. Ngokuqhelekileyo, i-bladder i-catheterized: ngoko kunokwenzeka ukulinganisa i-diuresis iyure.
Njengoko ilungiselelo lesondlo sesisu, ukukhutshwa kwesisu kuqhutyelwa ngeprobhethi, engasuswanga kuze kube yilapho ubuyiselwa emva kokusebenza.
Amanqanaba omsebenzi
Unyango lwe-puritent peritonitis, ugqirha usebenza ngokulandelelana okulandelayo:
- I-laparotomy - isicatshulwa senziwe phakathi kwesigxina somzimba.
- Ukukhutshwa kwe-exudate-i-pathological fluid egcwalisa i-peritoneum, isuswa ngepompo yamandla, kwaye umthombo we-peritonitis uxutywe ngamanqatha e-gauze ehambelana nesisombululo se-antiseptic.
- Ukukhutshwa kwemimandla ye-reflexogenic - i-novocaine ifakwe kwi-trunk ye-celiac, isigmoid kunye nesisu esincinci, isithintelo esicatshulwayo, esisusa i-reflex spasm kunye nokuqhubela phambili ukuphulukiswa kwangaphambili kwe-peristalsis.
- Ukucocwa kwenkunkuma - inqanaba elilandelayo lokunyanga kwe-peritonitis yesigxina esiswini kuthetha ukuba uhlambulule nge-isotonic fluids ukunciphisa uxinzelelo lwe-microorganism kwi-exudate ubuncinci.
- Ukuqhawulwa komthombo we-peritonitis - kuxhomekeke kwisizathu sokuvuvukala kunye nesigaba sawo, i-hemicolectomy (ukususwa kwekholoni), ukuchithwa kwesisu (ukususwa kwesahlulo sayo), ukususwa kwesihlomelo, isilly bladder, i-uterine tube - oko kukuthi, iqumrhu elaba ngumthombo we-peritonitis.
- Ukuxhatshazwa kweengxumbo ngexesha lokuthengiswa kwentsebenzo lwenziwa ngeendlela ezivulekileyo zamathumbu, ngaphandle koko kusetshenziselwa ukusetyenziswa kwamathambo amancinci. Injongo yokugqithiseleka kukucoca amathumbu avela kumagesi kunye nokusetyenziswa kwamanzi.
- Isigaba esilandelayo sokonyanyiswa kwesigxina sesisu sithetha ukucoceka nokuhlambuluka ngokuphindaphindiweyo ngamatye e-silicone. Emva koko kuzaliswe i-saline kunye ne-antibiotics, kwaye ukugqitywa kugqityiwe.
Unyango lwe-peritonitis emva kokuhlinzwa
Emva kweeyure ezingama-6 ukuya kwe-8 emva kokuxubulisa isilonda, i-exudate idityaniswe kwimifudlana ngendlela engahambiyo (ngenxa yohluko loxinzelelo). Ngothubhe engezansi yamanzi, i-saline iphinda izaliswe kwisisu esiswini kunye neyeza-antibiotics, kwaye ishiye i-6 ukuya kwi-8 iiyure. Kwiintsuku ezimbini iintsuku ziphindwaphindwa kathathu.
Ukunyanga okuqhubekayo kubonisa unyango lwe-antibacterial and detoxification, ukubuyiswa kwe-acid-base kunye ne-electrolyte balance balance, bcc kunye nomxholo weprotheni egazini, nokubuyiselwa kwamathumbu emathumbu.
Ngokukhawuleza emva kokusebenza, ukutya kuhanjiswa ngokulawulwa kwangaphakathi kwezisombululo ngokugqithisa umzila wokutya. Emva koko ukutya okukhethekileyo kuboniswa - ukutya kunye ne-peritonitis idluliselweyo kuthatha ubuncinane iinyanga ezili-6 kwaye ingabandakanyi inyama yokubhema, i-pickles, i-marinades, ithokoleta, utywala.
Isonka esinomsoco kunye nesinkwa, isonka sezolo, izithelo ezimnandi kunye namaqabunga, amaqanda atyhidiweyo, iintlanzi ezixhambileyo kunye nezitya zenyama, ubusi, ubisi, i-jam.