I-perforation yesilonda yisifo esibi kakhulu sesilonda se-peptic sesisu noma i-duodenum, lapho i-perforation yodonga kanye nokugeleza kokuqukethwe kwesisu noma emathumbu kuya emgodini wesisu. Ngenxa yalokho, isiguli sikhula nge-peritonitis, okungekho ukungenelela kokuhlinzekwa ngesikhathi esifanele, kungabangela umphumela obulalayo.
Izimpawu ze-perforation yesilonda
Njengoba i-duodenum engxenyeni engenhla yamathumbu amancane ngokushesha ngemuva kwesilonda sesisu, lapho isilonda esiswini kanye namathumbu siphathwa, izibonakaliso ezivamile kanye nokwehlukaniswa kobuhlungu kuhambisana.
Izimpawu ze-perforation zesilonda sonke zihlukaniswe ngamaqembu amabili:
- Okuyisisekelo. Lokhu kufaka phakathi ubuhlungu, ukuhlukumeza kwodonga lwesisu, ukutholakala kwesilonda se-peptic ku-anamnesis.
- Okusizayo. Lokhu kufaka phakathi ushintsho ekucindezelweni, izinga lokushaya kwenhliziyo, izinga lokushisa komzimba, isicanucanu, uphawu lwe-fluid yamahhala emgodini wesisu.
Ekuthuthukiseni i-peritonitis ngesikhathi se-ulcer of the stomach noma duodenum, izigaba ezintathu zivelele, zonke izibonakaliso eziphawulekayo:
- Isikhathi sokuphazamiseka kobuhlungu noma isikhathi se-chemical peritonitis. Ihlala emahoreni amathathu kuya ku-6, kuye ngokuthi kugcwaliswe isisu nobukhulu be-perforation. Kuhambisana nobuhlungu obukhulu obuqhamuka esifundeni se-epigastric, okuyinto ekupheleni kwesikhathi iphela. Udonga lwesisu selukhuni, isikhumba siyaphaphathekile, ukujuluka kuqina, ukuphefumula akusizi futhi kuphuthumayo, kepha ukushayela ngokuvamile kuhlala emingcele evamile. Ukuvota kungase kwenzeke.
- Isikhathi se-peritonitis yebhaktheriya (inhlalakahle engqondweni). Ngalesi sigaba, ukuphefumula kuyajula nakakhulu ngisho, isisu sidlula, isiguli sizwa ukukhululeka okukhulu. Ngokumelene nalesi sizinda, kunciphisa okunye ukucindezeleka kwegazi, ukuqhuma, i-tachycardia, ukwanda
ukushisa komzimba, ulimi lwesiguli lumile futhi kuhlanganiswa umbala ompunga kuwo. - Isikhathi se-peritonitis esingafani (ukuphuza ngokweqile). Iqala ngokujwayelekile ngemuva kwamahora angu-12 emva kokubonakala kwezimpawu zokuqala zesifo. Kubonakala ukuhlanza okukhulu, okuholela ekudambiseni amanzi , ukuncipha okubukhali ekushiseni komzimba okude ngaphambilini, isikhumba esomile nesicwebekile, ukwehla okunamandla kwengcindezi yegazi, kanye nokushaya kwamaphesenti angu-120 noma ngaphezulu ngomzuzu. Isisu sithukuthele kakhulu, ukuvuthwa kumisiwe, izimpawu zokudakwa ngokweqile, ukungahambi kahle, ukuphendula okuphuthumayo kokuzikhandla kwangaphandle kubonakala.
