Sida daawo casri ah ay jawaab u tahay su'aasha ah waxa peritonitis

daawo Modern siinayaa su'aasha waxa peritonitis jawaabtiisa. Cudurka Tani waxa lagu gartaa barar ah shabaqa peritoneum ah, waxaa wakiil ee foomka of stress, kaas oo la ahbaa markii loo feydo dhawr arrimood:

• qoomiyadda (cudur, caabuq);
• exogenous (suuxdinta, dhaawacyada qalliinka);
• saamayn niyad ku hormoonnada difaaca nidaamka stress (yaqaano Cortisol, hormone adrenocorticotropic), ku qarisay dhiiga.

Si aad u fahamto waxa peritonitis iyo sababta ay u dhacdaa, waxaa lagama maarmaan ah in ay dib ugu yeerto oo dhan xubnaha ka daboolay peritoneum, tan iyo cudurada bararka iyo burbur ah saabka caloosha caabuq ka baxo peritoneum ku dhacdaa oo ku saabsan 80% ee kiisaska. Inta badan waa hababka degaanku faafa-bararka ee hunguriga caloosha, qaybaha kala duwan ee caloosha, malawadka, xiidanka, yar mindhicirka iyo weyn, lifaaqa, beerka, xameetida, mareenka biliary, xubnaha miskaha. Koox gaar ah oo peritonitis in dhaawacyada la xiran iyo dhaawac oo ka mid ah xubnaha caloosha, iyo sidoo kale horumariyo sabab u ah dhibaatooyinka ka dambeeya qalliinka (waxyeello illaa xadna in xubnaha gudaha, dillaac anastomotic). Sawirka hoos ku peritonitis (sawir) soo bandhigay.

Seynisyahanno ku wadaan inay bartaan dhibaatada peritonitis, tan iyo celceliska heerka dhimashada sii sare (20-30%), oo gaarey 40-50% xaaladaha daran, sida peritonitis postoperative. Just ka jawaabo su'aasha ku saabsan waxa peritonitis, ka heli kartaa siyaabo wax ku ool ah si loo xaliyo dhibaatadan.

In 2000, V. S. Savelev iyo koox ka mid ah howlwadeenada si loo helo jawaabta su'aasha ah waxa peritonitis, bixiyeen soocidda caadi ah oo ka mid ah xaaladaha ku salaysan etiological. Sida laga soo xigtay si ay u qaybsan yahay saddex qaybood oo waaweyn ee peritonitis:

1. peritonitis Primary taasoo horumarisa ay ka maqan yihiin dhaawac xubnaha godkii oo sabab u ah sal-dhigida lama filaan ah caabuqa ee dhiiga, ama iyada oo caloosha daboolayaa cudur gaar ah guurka la jirka kale (tus, peritonitis tuberculous, peritonitis lama filaan ah). Waxaa 1-5% ee kiisaska.
2. peritonitis Sare. Waxaa badanaa ka dhacdaa. Wakiil noocyo dhowr ah: postoperative, qoonmay - sabab u ah burburinta ama daloolin ee saabka caloosha. Waxaa la soo koraya sida cadaanyo degaanka ilaaliya in ay ku caabuqaan.
3. peritonitis Tertiary. Waxaa ugu daran marka la eego baaritaanka iyo daawaynta nooc ka mid ah Socota horumarinta wax-u peritonitis joogta ah ama soo noqnoqota. Horumarisa ka dib markii qaliin, dhaawac, xaaladaha aad u daran, oo ay la socdaan Iscelin a fahmayaan of hababka difaaca antimicrobial. Xaaladdan oo kale caabuq uu keeno microflora ka soo baxaysaa wareegga koowaad ee daaweynta bakteeriyada.

Tilmaamo Clinical iyo xeeladaha daawaynta la doortay waxaa inta badan lagu go'aamiyaa waxyaabaha aan caadiga ahayn ee saabka caloosha, kaas oo la abuuray oo ku saleysan kala soocidda la sii daayo oo ka mid ah noocyada soo socda ee peritonitis:

• saxaarada,
• bile,
• dhiigbaxa;
• kiimikada.

By dabiiciga ah ee exudate ah noocyada soo socda:

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

peritonitis Study sii in la sameeyo istiraatiijiyad dawayn kala. Doorashada mabaadii'da kala soocidda ah mid qasan by xaqiiqada ah in caabuq ee peritoneum ka baxo - waa hab multifactorial. Si kastaba ha ahaatee, sii horumarinta soocidda ka tarjumaya kartaa darnaanta calaamadaha guud iyo in la sameeyo saadaasha lagu kalsoonaan karo.