Mbufụt nke peritoneum ma ọ bụ peritonitis nke oghere abdominal bụ ihe dị egwu na-egbu ndụ nke chọrọ ka a gwọọ ya na ọgwụgwọ ozugbo.
Nhazi nkwadebe
Iji dozie onye ọrịa maka ịwa ahụ, a naghị ahapụ ihe karịrị awa atọ - n'oge a, ndị dọkịta na - emezi usoro ọgwụgwọ kpụ ọkụ n'ọnụ n'otu oge site na 2 - 3 arịa ụgbọ mmiri, na - agbalị iji normalize ọrụ dị mkpa nke ahụ. N'oge a, ọ ga-ekwe omume iji melite mmiri na-emepụta mmiri, mee ka olu nke ọbara na-agbanye, mee ka ọnọdụ dị elu na nke na-etiti vaịn (CVP) dị elu, belata ụda ma mee ka mmụm urine (diuresis) dị elu. Ọ na - eme na ọ gaghị ekwe omume iweghachi ọrụ akụrụ n'ime awa 3 - a kwụsịghị ịwa ahụ na nke a, ma ọ ga - abụrịrị na ị ga - enwe ike ịkọwa ya.
Mgbe a na-akwadebe maka ịwa ahụ, a na-arụkwa nkpuchi nke vein subclavian, nke na-eme ka o kwe omume nyochaa CVP ma mee ka ọnụego infusion. Ọtụtụ mgbe, a na-emepụta eriri afọ ahụ: ya mere, ọ ga-ekwe omume ịtụle diuresis awa.
Dịka nkwadebe nke tract gastrointestinal, a na-emepụta ihe na-abaghị uru site na nyocha, nke a na-adịghị ewepụ ruo mgbe mweghachi nke motility mgbe ọ gasịrị.
Ọnọdụ nke ọrụ ahụ
Ọgwụgwọ nke purulent peritonitis, dọkịta na-awa ahụ na-esote usoro:
- Akwụsịtụ - a na-etinye mbepụ n'etiti etiti abdominal.
- A na-ewepu mmiri na-emepụta ihe na-eme ka ọ bụrụ ihe na-eme ka ọ ghara ịdị na-emepụta ihe.
- Blockade nke reflexogenic zones - novocaine na-injected n'ime mpaghara nke celiac akpati, sigmoid na obere eriri afọ, transverse mesentery, nke na-ewepu reflex vascular spasm na n'ihu na-akwalite mmalite mgbake nke peristalsis.
- Ịdị ọcha - usoro ọzọ nke ọgwụgwọ nke peritonitis nke oghere abdominal na-egosi nsacha ya na mmiri mmiri na-eme ka mmiri beotonic iji belata nsị nke microorganisms na exudate na nke kacha nta.
- Ntọpụ nke isi iyi nke peritonitis - dabere na ihe nsị na ogbo ya, hemicolectomy (mwepụ nke colon), resection nke afọ (iwepụ akụkụ ya), iwepụ ihe odide ntụkwasị, eriri afọ, uterine tube - ya bụ, mkpanaka nke ghọrọ isi iyi nke peritonitis.
- A na-emegharị mkpịsị eriri afọ n'oge a na-emepụta ihe site n'èzí nke eriri afọ, ma a na-eji nyocha obere eriri afọ. Ebumnuche nke decompression bụ ime ka eriri afọ si na gas na mmiri dị n'ime.
- Usoro ọzọ nke ọgwụgwọ nke mbuba nke oghere abdominal na-egosi nhazi ya na mmiri drainage site na silicone. Mgbe ahụ, ọ na-ejupụta na saline na ọgwụ nje, na mbepụ na-sewn.
Ọgwụgwọ nke peritonitis mgbe ịwa ahụ
Mgbe ihe dị ka awa 6-8 gachara na ọnya ahụ, a na-asọpụsịa mmiri ahụ site na drains n'ụzọ na-agafe agafe (n'ihi ọdịiche dị na nrụgide). Site na obere drainage tube, a na-etinyekwa saline n'ime oghere abdominal na ọgwụ nje, wee hapụ maka awa 6 ruo 8. N'ime ụbọchị 2 usoro a ugboro ugboro ugboro abụọ.
Ọgwụgwọ ọzọ na-emetụta ọgwụgwọ antibacterial na detoxification, mgbake nke acid-base na mmiri-electrolyte nguzozi, bcc na protein ọdịnaya n'ime ọbara, na mweghachi nke motive motility.
Ozugbo arụ ọrụ ahụ, nchịkwa nke ụlọ ntanetịpụtara ihe oriri site na ịgafe tract digestive. Emechara gosi nri pụrụ iche - nri na transitonitis a na-ebu ọ dịkarịa ala ọnwa isii ma wepu anụ anụ a na-ese anwụrụ, pickles, marinades, chocolate, mmanya.
Nri akwukwo nri na ohia ọka , nri uhuruchi, nkpuru nkpuru na nkpuru obi uto, sie sie sie, anu aru na anu anu, mmanu anu, mmiri ara ehi, jam.