Kutupa kwa peritoneum kapena peritonitis, zizindikiro zomwe zimakhala zovuta kwambiri, ndizoopsa kwambiri zomwe zimafuna kuchipatala mwamsanga. Kuchedwa kwa chithandizo chamankhwala choyenera nthawi zambiri kumakhala koyenera kwa wodwalayo.
Zimayambitsa zizindikiro za peritonitis m'mimba
Kutupa kwa peritoneum kumayamba chifukwa cha nkhanza (bile, imfine, magazi, mkodzo) zomwe zagwera m'mimba mwa ziwalo zowonongeka (kuphatikizapo mpeni, zilonda za mfuti), komanso matenda opatsirana a peritoneum.
Wodwala amamva kupweteka kwambiri pamimba, komwe kumawonjezeka ndi kusintha kwa malo. Pali nseru, kusanza, komwe sikubweretsa mpumulo, kuzizira, thukuta. Mimba ya wodwalayo ndi yovuta komanso yopweteka kwambiri. Makhalidwe a peritonitis amasonyeza Voskresensky (kutuluka kwa aorta chifukwa cholowa mu malo otchedwa retroperitoneal kudumpha mu ngodya yachitsulo-yotsika mtengo). Poyamba kutentha kwa peritoneum (tsiku loyamba), chizindikiro cha Blumberg-Schetkina chimawonedwa - wodwala akumva kupweteka kwambiri pamene adokotala amachotsa dzanja kuchokera pamimba pambuyo poyamwa kwambiri.
Kuyezetsa magazi kumasonyeza kwambiri za leukocyte.
Khalidwe lodziwika bwino la piritonitis ndilo chizindikiro cha kukhala ndi moyo wabwino - pambuyo pa ululu wophatikizapo ululu wopweteketsa, zovomerezeka za peritoneal zikuwoneka zikukhazikika, ndipo wodwalayo amayamba kumva bwino. Pambuyo pa maola awiri ndi atatu, matenda ake amachepa kwambiri, ululu umakula.
Zizindikiro za peritonitis mu appendicitis
Kutupa kwazowonjezereka kumaphatikizapo zizindikiro zofanana ndi za poizoni wa zakudya, chifukwa chake odwala ambiri amachedwa kucheza dokotala, koma yesetsani kulimbana ndi matendawo. Nthaka nthawi zambiri imakhala ndi mavitamini. Gawo lake loyamba limakhala ndi chipsinjo ndi kusanza, m'mimba ndi kutupa, ululu sichimveka bwino. Pachigawo chachiwiri, zizindikirozi zimakhala zochepa, koma kutsekula kwa m'mimba, tachycardia , komanso kuthamanga kwapang'onopang'ono. Pa siteji yachitatu ndikumwa moledzeretsa komanso kutupa kwapang'onopang'ono, m'mimba mwa wodwala ndi kutupa, ululu ndi wochepa. Gawo lachinayi, monga lamulo, limathera ndi zotsatira zovulaza chifukwa cha ziwalo zingapo zolephera, chifukwa cha kuledzera kwakukulu ndi kutupa.
Zizindikiro za bile peritonitis
Kutupa kwa peritoneum kungayambe pambuyo pa cholecystectomy (gallbladder removal), kuika chiwindi, kusokonezeka kwa biliary, komanso chifukwa cha kupweteka kwamtundu wa intrahepatic.
Pamene bile imalowa mu peritoneum, mantha amayamba, chifukwa cha kukhudzana ndi bile salt. Pali kutuluka kwa madzi ambiri a madzi, ululu wamimba , kuthamanga kwa magazi, tachycardia, kutseka m'mimba. Wodwalayo ali wotumbululuka, akugona mopanda pake. Maola angapo atalowa mu peritoneum ya bile, kachilombo koyambanso kumayamba: kupweteka m'mimba kumapitirira, kutentha kumatuluka.
Zizindikiro za purulent peritonitis
Ngati pali matenda a purulent a m'mimba, ziwalo za m'mimba zimachokera kuderalo