I-peritonitis yama-pelvic ibizwa ngokuthi ukuvuvukala kwe-peritoneum. Kwabesifazane, lesi simo siqala ngenxa yokuvuvukala okungenasisindo ku-appendages, kanye nasezinkingeni emva kokukhipha isisu nokubeletha.
Izimbangela ze-pelvioperitonitis ezinyangeni zokubeletha yizifo ezithathelwanayo ezidlulile ezithombeni ezinsikazi ezishisayo ezibhekene ne-peritoneal surface. Lona i-E. coli nezinye izifo ezinama-pathogenic, i-gonococci, njll.
Izimpawu ze-pelvioperitonitis
Inkambo enzima ye-peritonitis ibonakala ngezibonakaliso ezicacile nezimbi:
- ubuhlungu obukhulu besisu;
- umkhuhlane omkhulu kanye nobuthakathaka;
- izikhukhula, isicanucanu nokuhlanza;
- isimo sokuphelelwa amandla;
- ukuvuvukala nokuvuvukala kwesisu;
- ubunzima bokuvuthwa nokuhlukunyezwa.
Ngalesi sikhathi, izinqubo ezimbi kakhulu ze-pathological zikhona ngaphakathi kwesikhumba: i-peritoneum iphenduka ebomvu futhi ivuvuke, i-serous exudate iqoqa, ekugcineni iba yi-purulent futhi idale i-abscess ye-hindlimb; i-fibrin esebenzayo iyakhiwa, i-peritoneum ene-soldering enezindandatho zamathumbu namathumbu.
I-Pelvioperitonitis ezimpawu zayo zifana nezibonakaliso zokukhulelwa kwe-tubal , ukuvuthwa kwe-cyst kanye ne-apoplexy ye-ovary, i-appendicitis. Udokotela kuphela ongakwazi ukucacisa indawo yangempela ye-purulent inqubo, kodwa noma iyiphi yalezi zimo idinga ukunakekelwa okuphuthumayo nokubekwa okuphuthumayo kwesiguli esibhedlela.
Ukwelashwa kwe-pelvioperitonitis
Uma kubhekwa ukuthuthukisa i-pelvioperitonitis, kuyadingeka ukuthi kutholakale esibhedlela ngokushesha. Isiguli sigxilwe esigcini sesisu, uma ngesikhathi sokuqoqwa kwama-anamnesis amaqiniso alandelayo ecaciswa:
- owesifazane usanda kubeletha (postpartum pelvioperitonitis);
- isiguli sasikhiphe isisu, saqala ukusikhipha noma ukungenelela kwamanye ama-intra-uterine;
- kwakukhona ukuhlinzwa kwezinkinga zokubeletha;
- waphathwa isifo se-venereal (gonorrheal pelvioperitonitis);
- ine-inflammation enzima noma engapheliyo kwesibeletho, ama-ovari, ama-tublopian tubes, umlomo wesibeletho.
Kwezinye izimo, isiguli sithunyelwa ekuhlinzekweni jikelele.
Kubalulekile ukungathathi ama-analgesics uma izimpawu zalesi sifo zivela, ngaphandle kwalokho ukuxilongwa kuyoba nzima ukusungula.
Phatha i-pelvioperitonitis ye-gynecologic nge-antibiotic enamandla, kanye nokuziphatha okulinganiselwe ukuxosha umzimba. Owesifazane kufanele aqaphele ukubuyisana okuqinile, afake ukushisa emathunjini aphansi futhi abe esibhedlela kuze kube yilapho ephiliswa ngokuphelele.