Peritonitis hais txog a mob hnyav ntawm peritoneum, membrane npog lub plab kab noj hniav. Feem ntau ntawm cov keeb kwm kis mob, peritonitis suav nrog a kev kho mob kub ceev vim nws tuaj yeem tsim kev phom sij rau lub neej.

Peritonitis yog ib qho mob inflammatory kab mob nyob rau hauvplab. Nws tshwm sim ntau dua raws qib ntawm peritoneum, daim nyias nyias uas nyob ib puag ncig lub viscera ntawm lub plab kab noj hniav.

Nyob ntawm qhov loj thiab chav kawm ntawm qhov mob, mob peritonitis tuaj yeem txiav txim siab tau:

• localized peritonitis ;
• generalized peritonitis.

Qhov mob no tuaj yeem raug cais raws li nws keeb kwm. Muaj ob hom loj:

• thawj peritonitis uas yog tshwm sim los ntawm kev kis tus kab mob nrog thawj zaug tsis muaj qhov txhab hauv qhov txhab;
• thib ob peritonitis, feem ntau, uas yog tshwm sim los ntawm kev kis kab mob vim yog mob txhab rau hauv plab thiab muaj qhov ua kom pom kev sib kis intraabdominal.

Peritonitis feem ntau yog kis mob los ntawm keeb kwm.

Thaum kis tus kab mob peritoneum yog tshwm sim, tus mob peritonitis tau hais tias yog thawj thiab yuav yog vim muaj kab mob sib txawv. Qhov sib txawv tau tsim tshwj xeeb ntawm pneumococcal peritonitis thiab tuberculous peritonitis.

Sawv cev rau 90% ntawm kev mob hnyav ntawm cov kab mob hauv lub plab, mob peritonitis thib ob tuaj yeem tshwm sim los ntawm:

• kab mob hauv plab los yog qhov txhab, xws li mob plab hnyuv, qhov txhab ntawm lub plab peptic, sigmoid diverticulitis, lossis cholecystitis;
• ib qho kev tshwm sim tom qab ua haujlwm, uas tuaj yeem tshwm sim thaum kis kab mob sib kis los yog tsis sib thooj anastomotic;
• qhov xwm txheej tom qab raug mob, uas tuaj yeem yog qhov txhab nkag mus, kaw kev raug mob nrog perforation, zom ischemia, endoscopic perforation, lossis perforation los ntawm lub cev txawv teb chaws.

Peritonitis tuaj yeem kis tau lossis kis thoob plaws lub cev. Qhov no hu ua sepsis. Generalized peritonitis yog ib qho kev kho mob kub ceev vim nws koom nrog txoj haujlwm tseem ceeb.

Peritonitis yog tus yam ntxwv ntawm qhov mob hnyav hauv plab, hauv ib cheeb tsam lossis dav dav, ntawm qhov tshwm sim sai sai. Qhov mob plab no yog cuam tshuam nrog kev cog lus ntawm cov leeg ntawm lub plab lub plab. Nyuaj, hnyav, ruaj khov thiab mob, qhov mob plab no feem ntau hu ua "ntoo plab".

Ntxiv rau qhov mob hauv plab, peritonitis tuaj yeem tshwm sim nrog lwm cov tsos mob xws li:

• ntuav;
• nres cov quav;
• zawv plab;
• cov tsos mob sib kis xws li ua npaws;
• qaug zog heev;
• kev puas tsuaj ntawm qhov xwm txheej dav dav.

Kev kuaj mob ntawm tus mob peritonitis yuav xav tau kev tshuaj xyuas ntau yam xws li:

• kev soj ntsuam kuaj mob txhawm rau txheeb xyuas cov tsos mob pom;
• kev kuaj ntshav los kuaj xyuas tias muaj kab mob;
• kev kuaj mob kho mob, xws li xoo hluav taws xob lossis ultrasound, kom pom lub plab kab noj hniav.

Thaum kis tus kab mob tshwm sim, thawj tus mob peritonitis yuav tsum tau mus pw hauv tsev kho mob kom pom thiab kho tus kab mob. Ua ntej pom tus kab mob sib kis, kev kho tshuaj tua kab mob ib ntus feem ntau tau muab tso rau hauv qhov chaw.

Zoo li thawj tus mob peritonitis, mob plab thib ob yuav tsum tau mus pw hauv tsev kho mob thiab kho tshuaj tua kab mob. Txawm li cas los xij, nws kuj tseem feem ntau raws kev kho phais uas suav nrog tshem tawm qhov chaw kis mob hauv plab. Kev cuam tshuam kev phais yog nyob ntawm keeb kwm thiab chav kawm ntawm tus mob peritonitis. Nws tuaj yeem piv txwv li:

• ib qho kev phais plab, uas yog tshem tawm tag nrho ntawm daim ntawv ntxiv tom qab;
• suture ntawm peptic rwj;
• gastrectomy, uas yog ib feem lossis tag nrho tshem tawm ntawm lub plab;
• colectomy, uas yog tshem tawm txoj hnyuv.

Kev kho phais rau mob peritonitis theem ob feem ntau yog nrog tso quav tso zis, uas tshem tawm cov kua dej hauv plab.