Peritonitis daga cikin rami na ciki

Kumburi na peritoneum ko peritonitis daga cikin rami na ciki shine ainihin cututtuka na rayuwa wanda ke buƙatar gaggawa da gaggawa.

Shirya shiri

Don shirya marasa lafiya don tiyata, ba a yi izini ba fiye da sa'o'i 3 - a wannan lokaci likitoci suna yin jita-jita mai tsanani a cikin lokaci guda ta hanyar jiragen ruwa 2 - 3, suna ƙoƙarin daidaita al'amuran jikin. A wannan mataki, yana yiwuwa a inganta daidaitattun ruwa, mayar da ƙarar jini, ya karu da matsanancin matsananciyar hanzari (CVP), rage ƙwayar cuta kuma ƙara yawan ƙarar fitsari (diuresis). Ya faru cewa ba zai yiwu ba a mayar da aikin aikin koda a cikin sa'o'i 3 - ba a dakatar da tiyata a wannan yanayin, amma ana iya samun alamar daɗaɗɗa mai kyau.

A mataki na shirye-shirye don tiyata, ana yin aikin catheterization na ƙwayar subclavian, wanda zai sa ya yiwu a saka idanu da CVP kuma ƙara yawan jiko. Yawancin lokaci, mafitsara ta kama shi: saboda haka yana yiwuwa a auna diuresis hourly.

A matsayin shiri na fili na gastrointestinal, an yi amfani da shi ta hanyar bincike, wanda ba a cire har sai sabunta motility bayan aiki.

Yanayin aiki

Jiyya na purulent peritonitis, likita mai daukar hoto a cikin jerin masu biyowa:

1. Laparotomy - an sanya shi a cikin tsakiyar rami na ciki.
2. Kashewa na exudate - wani ruwa mai gina jiki wanda ya cika peritoneum, an cire ta da lantarki na lantarki, kuma an samar da asalin peritonitis tare da man shanu da aka shafe tare da maganin antiseptic.
3. Blockade na zones na reflexogenic - an yi amfani da kovocaine a cikin yankin na celiac akwati, sigmoid da ƙananan hanji, ƙuƙwalwar ƙwayar cuta, wanda ke kawar da ƙwayar cutar ta hanyar kwaskwarima kuma ya cigaba da inganta farfadowa na asali.
4. Tsaftacewa - mataki na gaba na jiyya na peritonitis na cikin rami na ciki yana nuna wankewarsa tare da ruwa mai yatsotonic don rage yawan nau'in microorganisms a cikin exudate zuwa mafi ƙarancin.
5. Maganar tushen peritonitis - dangane da dalilin ƙumburi da matakanta, haɓakar jiki (cire daga haɗin), haɗin ciki na ciki (cire daga bangarensa), kaucewa daga bayanan, magunguna, magungunan uterine - wato, kwayar da ta zama tushen peritonitis.
6. An yi amfani da ƙwayar hanji a lokacin da ake yin gyare-gyare ta hanyar bude tashoshin hanji, sai dai ana amfani da bincike mai zurfi na intestinal. Manufar rikicewa shine tsaftace hanyoyi daga gases da abun ciki na ruwa.
7. Matakan na gaba na jiyya na ƙonewa na cikin rami na ciki yana nuna tsarkakewa da tsabta ta hanyar kwasfa na silicone. Sa'an nan kuma cike da saline tare da maganin rigakafin maganin rigakafi, kuma an cire incision.

Jiyya na peritonitis bayan tiyata

Bayan sa'o'i 6-8 bayan lura da ciwo, an yi amfani da exudate ta hanyar ruwa mai zurfi (saboda bambanci a matsa lamba). Ta hanyar raguwar ruwa mai zurfi, an sake sake saline a cikin rami na ciki tare da maganin rigakafi, kuma ya bar ta 6 zuwa 8 hours. A cikin kwanaki 2 ana sake maimaita hanya sau 2-3.

Ƙarin jiyya yana nuna matakan cutar antibacterial da detoxification, dawo da magungunan acid da ruwa-electrolyte balance, bcc da abun ciki na gina jiki cikin jini, da kuma sakewa na motil na ciki.

Nan da nan bayan aiki, ana samar da abinci ta hanyar kulawa ta hanyar kulawa da hanyoyin magance hanyoyin da ke narkewa. Daga baya an nuna abinci mai mahimmanci - cin abinci tare da canzawa na peritonitis yana da akalla watanni shida kuma ya ware nama da aka kyafaffen nama, pickles, marinades, cakulan, barasa.

Abincin da ake amfani da kayan lambu da hatsi , gurasa ta jiya, 'ya'yan itatuwa mai dadi da berries, kayan noma mai laushi, tsintsiyar kifi da nama nama, zuma, madara, jam.