Pili ʻo Peritonitis i ka a huʻi huʻi o ka peritoneum, membrane e uhi ana i ka lua o ka ʻōpū. ʻO ka pinepine o ke kumu infectious, ʻo peritonitis ka a pilikia olakino no ka mea hiki ke hoʻoweliweli i ke ola.

ʻO Peritonitis kahi maʻi huʻā huʻi i kaka'ōpū. Kū pololei ia i ke kiʻekiʻe o ka peritoneum, ka membrane e hoʻopuni ana i ka viscera o ka ʻōpū o ka ʻōpū.

Kaukaʻi ʻia i ka nui a me ka papa o ka mumū, hiki ke noʻonoʻo ʻia i nā peritonitis:

• peritonitis kūloko ;
• peritonitis laulā.

Hiki ke hoʻokaʻawale ʻia kēia ʻōpala e like me kona kumu. ʻElua ʻano nui:

• peritonitis mua ka mea ma muli o ka maʻi kūlohelohe me ka loaʻa mua ʻole o nā leona intraabdominal;
• peritonitis lua, ka mea maʻamau, i hoʻokumu ʻia e ka maʻi ma muli o kahi leona intraabdominal a me ke kū ʻana o kahi kiko infra infectious infra.

Peritonitis ka mea pinepine o ka infectious kumu.

Ke hiki wale i ka maʻi o ka peritoneum, ʻōlelo ʻia ka peritonitis he kumu mua a ma muli paha o nā ʻano pathogenic ʻokoʻa. Hana ʻia kekahi ʻano ʻokoʻa ma waena o ka perocitis pneumococcal a me ka peritonitis tubercious.

Ke hōʻike nei i ka 90% o ka huʻi nui o ka peritoneum, hiki i ke peritonitis lua ke kumu ʻia e:

• maʻiʻaʻai intra-ʻōpū a i ʻole perforation, e like me ka appendicitis, perforation o kahi peptic ulcer, sigmoid diverticulitis, a i ʻole cholecystitis;
• kahi hanana ma hope o ka hana, i hiki ke hana i ka hanana o intraoperative haumia a i ʻole anastomotic disunity;
• kahi hanana ma hope o ka traumatic, ka mea hiki ke lilo i kahi ʻeha komo, trauma paʻa me ka perforation, ischemia digestive, endoscopic perforation, a i ʻole perforation e kahi kino haole.

Hiki ke hoʻokau a hoʻolaha paha ʻo Peritonitis i ke kino. Kapa ʻia kēia sepsis. ʻO ka peritonitis laulā he a pilikia olakino no ka mea ke hoʻokomo nei i ka wānana waiwai.

Hoʻohālikelike ʻia ka Peritonitis e ka hanana o ka ʻeha o ka ʻōpū nui, localized a generalized paha, o ka hoʻomaka koke a holomua paha. Pili kēia ʻeha ʻōpū me ka paʻa o nā mākala o ke kāʻei o ka ʻōpū. ʻOʻoleʻa, toned, paʻa a ʻeha hoʻi, ʻōlelo pinepine ʻia kēia kuʻina ʻōpū ma ke ʻano he "ʻōpū lāʻau".

Ma waho o ka ʻeha o ka ʻōpū, hiki i ka peritonitis ke hōʻike me nā ʻōuli ʻē aʻe e like me:

• ka luaʻi;
• ke kū nei i nā feces;
• pāhoehoe;
• nā hōʻailona maʻi lele e like me ke kuni;
• luhi nui;
• kahi hōʻino o ke kūlana maʻamau.

Ke koi o ka peritonitis pono koi ʻokoʻa hoʻokolohua e like me:

• kahi hoʻokolohua hoʻokolohua e loiloi i nā ʻōuli i ʻike ʻia;
• nā hoʻāʻo ʻana i ke koko e nānā no ka loaʻa o nā pathogens;
• nā hoʻāʻo kiʻi olakino, e like me ka x-ray a i ʻole ultrasound, e ʻike pono ai i ka ʻōpū o ka ʻōpū.

Inā loaʻa ka maʻi kūlohelohe, pono ka peritonitis mua i ka haukapila e ʻike a mālama i ka pathogen. Ma mua o ka ʻike ʻia ʻana o ka maʻi infectious, kau pinepine ʻia ka lāʻau antibiotic provisional.

E like me ka peritonitis mua, koi ka peritonitis lua i ka haukapila a me ka lāʻau antibiotic. Eia nō naʻe, hoʻokumu pinepine ʻia ia i ka lāʻau lapaʻau me ka lawe ʻana i ka pūnaewele infraabdominal infectious. ʻO ka hoʻopili ʻana o ka ʻokiʻoki kaukaʻi ʻia i ke kumu a me ka papa o ka peritonitis. Hiki iā ia ke laʻana:

• he appendectomy, kahi he hoʻopau loa o ka pākuʻi;
• he suture o kahi peptic ulcer;
• he gastrectomy, he hapa a hemo paha o ka ʻōpū;
• he colectomy, ka mea e hemo ai ke kolona.

ʻO ka lāʻau lapaʻau no ka peritonitis lua e hele pinepine ʻia e ka lua toilet peritoneal, kahi e lawe ai i ka wai peritoneal i loaʻa i ka maʻi.