Ukugqithwa kwesilonda kuyinto inkxalabo enzulu yezilonda zesisu seesisu okanye i-duodenum, apho kuqhutywe khona udonga kunye nokuhamba kwezinto ezisiswini esiswini okanye esiswini kwisisu esiswini. Ngenxa yoko, isigulane siphumela i-peritonitis, leyo, ekungabikho kokungenelela ngexesha elifanelekileyo, kunokukhokelela kwisiphumo esibulalayo.
Iimpawu zokugqitywa kwesilonda
Ekubeni i-duodenum iyinxalenye esemgangathweni yamathumbu amancinci ngokukhawuleza emva kwesigcina isilonda, xa isilonda sesisu nesisu sidityaniswe, iimpawu eziqhelekileyo kunye nokwakheka kweentlungu ziyavumelana.
Iimpawu zokubethelwa kwesilonda ngokubanzi ziyahlula ngamaqela amabini:
- Siseko. Ezi ziquka intlungu, ukuxhatshazwa kwodonga lwesisu, ubukho bezilonda ze-peptic kwi-anamnesis.
- Oncedisayo. Ezi ziquka ukuguqulwa kwengcinezelo, izinga lokushaya intliziyo, ukushisa komzimba, isisongela, isibonakaliso sokungena kwamanzi kwisisu esiswini.
Ekuphuhliseni i-peritonitis ngexesha lokugqitywa kwesilonda sesisu okanye i-duodenum, izigaba ezintathu ziyaziwayo, zonke zibonakaliso:
- Ixesha lokuxhatshazwa kwexesha okanye ixesha le-chemical peritonitis. Iphela ukusuka kwi-3 ukuya kwi-6 iiyure, kuxhomekeke ekuzaliseni isisu kunye nobungakanani bentsholongwane. Ehamba kunye neentlungu ezibuhlungu kwisigodi se-epigastric, ekupheleni kwexesha elichithwayo. Udonga lwesisu sisisigxina, ulusu lube lubala, ukujuluka kuqiniswa, ukuphefumula akusibi kwaye kukhawuleza, kodwa i-pulse ivame ukuhlala kwimida eqhelekileyo. Ukuvutha kungenzeka.
- Ixesha le-bacterium peritonitis (inkolelo yokucinga). Kule nqanaba, ukuphefumla kuya kuba ngakumbi kwaye ngakumbi, isisu sidlula, isigulane sinomuzwa omkhulu. Ngokuchasene nale mvelaphi, kukho ukunyuka okuthe xaxa kwixinzelelo lwegazi, ukubhubhisa, i-tachycardia, ukwanda
ubushushu bomzimba, ulwimi lwesigulane lomekile kwaye isambatho esibomvu senziwe kuso. - Ixesha le-peritonitis (i-alcoholicity). Iqala ngokubanzi emva kweeyure eziyi-12 emva kokubonakala kweempawu zokuqala zesifo. Ubonakaliswa ukuhlanza okukhulu, okukhokelela ekudambiseni amanzi , ukuhla kwehla ngokukhawuleza kweqondo lokushisa komzimba, owomileyo owomileyo, onomtsalane ophezulu kwixinzelelo legazi, kunye nomyinge we-pulse we-120 okanye ngaphezulu kweebhokhwe ngomzuzu. Isisu sisithukuthele kakhulu, ukucima ukuyeka, iimpawu zokuxilisa, ukuphazamiseka, ukuphazamiseka kokubambezeleka kwizinto ezingaphandle zangaphandle.
