Peritonitis - siama faʻafuaseʻi

O le peritoneum o ni mea manifinifi e laina i le puipui totonu o le manava ma ufiufi ai le tele o totoga. Peritonitis e i ai pe a fai o lenei sela ua afaina pe afaina.

O loo iai i le taimi nei le peritonitis o siama (SBP) pe a aafia lenei siama ma e leai se mafuaaga manino.

SBP e masani ona mafua mai faʻamaʻi i suavai e aoina i le peritoneal ana (ascites).O le suavai faʻaputu e masani ona tupu ma le alualu i luma ate poʻo maʻi.

Mea lamatia mo faʻamaʻi o le ate aofia ai:

• Matua mamafa le taumafa ava malosi
• Hepatitis faaumiumi B po o le hepatitis C
• O isi faʻamaʻi e mafua ai le cirrhosis

SBP e faʻapea foi ona tupu i tagata o loʻo i luga o peritoneal dialysis mo fatugaʻo faʻaletonu.

Peritonitis ono i ai isi mafuaʻaga. E aofia ai faʻamaʻi mai isi totoga poʻo leakage o enzymes poʻo isi vailaʻau oona i totonu o le manava.

Faʻailoga aofia ai:

• Manava manava ma fulafula
• Manaʻomia le manava
• Fiva
• Galue mimi maualalo

Isi faʻailoga aofia ai:

• Chills
• Tiga soʻoga
• Faanoi ma puaʻi

O le a faia suʻega e siaki ai faʻamaʻi ma isi mafuaʻaga o tiga o le manava:

• Toto aganuu
• White cell cell count i se faʻataʻitaʻiga o le peritoneal suavai
• Suʻesuʻega o vailaʻau o vai peritoneal
• Aganuu o peritoneal suavai
• CT scan poʻo ultrasound o le manava

Togafitiga faʻalagolago i le mafuaʻaga o le SBP.

• E manaʻomia se taotoga pe a fai o le SBP e mafua mai i se mea mai fafo, pei o le catheter o loʻo faʻaaogaina i le peritoneal dialysis.
• Vailaau vailaʻau e faʻatonutonu ai siama.
• Fluids foaʻi atu i alatoto.

Oe e manaʻomia le nofo i le falemaʻi ina ia mafai e le au tausi soifua maloloina ona teteʻe isi mafuaʻaga pei o le ruptured faʻaopoopoga ma diverticulitis.

I le tele o tulaga, o le siama mafai ona togafitia. Peitaʻi, o faʻamaʻi fatu poʻo le ate e ono faʻatapulaʻaina le toe faʻaleleia.

Faʻafitauli e ono aofia ai:

• Leiloa o le faiʻai gaioiga e tupu pe a le mafai e le ate aveese 'oʻona mai le toto.
• Faʻafitauli o fatugaʻo e mafua mai ile le lelei ole ate.
• Sepsis

Valaʻau lau tautua peʻa iai ni faʻailoga o le peritonitis. Lenei mafai ona avea ma faʻalavelave faʻafuaseʻi tulaga.

Laasaga e tatau ona faia e puipuia ai siama i tagata ma peritoneal catheters.

Faʻaauau vailaʻau faʻafomaʻi e mafai ona faʻaaogaina:

• Ia puipuia le peritonitis mai le toe foʻi mai i tagata e le lelei le ate
• Ia puipuia le peritonitis i tagata e maua i le toto gastrointestinal toto ona o isi tulaga

Peritonitis siama oso fua (SBP); Ascites - peritonitis; Cirrhosis - peritonitis

• Peritoneal faʻataʻitaʻiga

Garcia-Tsao G. Cirrhosis ma lona faʻasologa. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 144.

Kuemmerle JF. Fula i le toto, peritoneum, mesentery, ma omentum. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 133.

Sola E, Gines P. Ascites ma le tupu fua siama peritonitis. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma Fordtran's Gastrointestinal ma le Maʻi o le ate. 11th lomiga. Filatelefia, PA: Elsevier; 2021: mata 93.