Peritonitis - kwatsam na kwayan cuta
Peritoneum shine siraran siraran da ke layin bangon ciki kuma ya rufe yawancin gabobin. Peritonitis yana nan lokacin da wannan nama ya zama mai kumburi ko kamuwa da cuta.
Kwayar cututtukan ƙwayoyin cuta na bazata (SBP) suna nan lokacin da wannan ƙwayar ta kamu da cuta kuma babu wani dalili bayyananne.
SBP galibi ana haifar dashi ta hanyar kamuwa da cuta a cikin ruwa wanda yake tattarawa a cikin ramin kogin (ascites).Girman ruwa yana faruwa tare da hanta mai ci gaba ko cutar koda.
Hanyoyin haɗari ga cutar hanta sun haɗa da:
- Amfani da giya mai nauyi
- Ciwon hepatitis na B ko hepatitis C
- Sauran cututtukan da ke haifar da cirrhosis
SBP kuma yana faruwa a cikin mutanen da ke kan hanyar yin fitsari ta jiki saboda gazawar koda.
Peritonitis na iya samun wasu dalilai. Wadannan sun hada da kamuwa da cuta daga wasu gabobi ko kwararar enzymes ko wasu gubobi a cikin ciki.
Kwayar cutar sun hada da:
- Ciwon ciki da kumburin ciki
- Tausayin ciki
- Zazzaɓi
- Urinearancin fitsari
Sauran cututtukan sun hada da:
- Jin sanyi
- Hadin gwiwa
- Tashin zuciya da amai
Za a yi gwaje-gwaje don bincika kamuwa da cuta da sauran abubuwan da ke haifar da ciwon ciki:
- Al'adar jini
- Cellidaya ƙwayar ƙwayar jinin jini a cikin samfurin ruwan hanci
- Binciken kemikal na ruwa mai laushi
- Al'adar ruwa ta fitsari
- CT scan ko duban dan tayi na ciki
Jiyya ya dogara da dalilin SBP.
- Ana iya buƙatar aikin tiyata idan SBP ya samo asali ne daga wani abu na ƙasashen waje, kamar catheter da aka yi amfani da shi wajen wankin ciki.
- Maganin rigakafi don magance kamuwa da cuta.
- Ruwan ruwa da aka bayar ta jijiyoyi.
Kuna buƙatar zama a cikin asibiti don haka masu ba da kiwon lafiya na iya yin sarauta da wasu dalilai kamar ɓarke ɓataccen shafi da diverticulitis.
A mafi yawan lokuta, ana iya magance cutar. Koyaya, koda ko cutar hanta na iya iyakance murmurewa.
Matsaloli na iya haɗawa da:
- Rashin aikin kwakwalwa yana faruwa yayin da hanta ya kasa cire gubobi daga cikin jini.
- Matsalar koda ta lalacewar hanta.
- Sepsis.
Kirawo mai bayarwa idan kana da alamomin cututtukan peritonitis. Wannan na iya zama yanayin gaggawa na likita.
Yakamata a dauki matakai don rigakafin kamuwa da cutar a cikin mutanen da ke dauke da hanji.
Za a iya amfani da maganin rigakafi na ci gaba:
- Don hana cutar peritonitis daga dawowa cikin mutanen da ke fama da ciwon hanta
- Don hana cututtukan peritonitis a cikin mutanen da ke fama da zubar da jini mai yawa ta hanji saboda wasu yanayi
Kwayar cututtukan ƙwayoyin cuta na yau da kullun (SBP); Ascites - peritonitis; Cirrhosis - peritonitis
- Samfurin Peritoneal
Garcia-Tsao G. Cirrhosis da kuma bayanansa. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 144.
Kuemmerle JF. Cututtukan kumburi da na anatomic na hanji, peritoneum, mesentery, da omentum. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 133.
Sola E, Gines P. Ascites da cututtukan ƙwayoyin cuta na kwatsam. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 93.