परिभाषा
Peritonitis is an inflammation or infection of the peritoneum. The peritoneum is a thin tissue lining that covers the inside of the abdominal cavity. It also covers the outside of the intestines and other abdominal organs.
There are several types:
- Primary
- Secondary
- Peritoneal dialysis-related
Peritonitis is a serious condition. It requires immediate treatment. If not promptly treated, it can be fatal.
का कारण बनता है
- Primary peritonitis—occurs when there is a buildup of fluid in the abdomen. This is called ascites. It is caused by chronic liver disease, among other conditions.
- Secondary peritonitis—caused by bacteria that enter the abdominal cavity. Can be due to an injury or a condition, such as a ruptured appendix.
- Dialysis-related peritonitis—caused by bacteria that enter the peritoneal cavity during or after peritoneal dialysis (a treatment for kidney disease).
जोखिम कारक
A risk factor is something that increases your chance of getting a disease or condition. Risk factors for peritonitis include:
- Abdominal penetration or trauma
- Immune compromise
- Blood in the abdomen
- फटा हुआ परिशिष्ट
- पेप्टिक छाला
- Colitis
- विपुटीशोथ
- Gangrene of the bowel
- अग्नाशयशोथ
- Pelvic inflammatory disease
- Inflamed gallbladder
- Recent surgery
- Tubes or shunts in the abdomen
- Cortisone drugs
लक्षण
लक्षणों में शामिल हो सकते हैं:
- Severe pain or tenderness in the abdomen
- Pain in the abdomen that is worse with motion
- Bloating of the abdomen
- कब्ज़
- बुखार
- समुद्री बीमारी और उल्टी
- Weakness or dizziness
- सांस लेने में कठिनाई
- Rapid pulse or breathing rate
- Dehydration—signs include dry skin and lips, decreased urine production
निदान
डॉक्टर आपके लक्षणों और चिकित्सा इतिहास के बारे में पूछेंगे, और एक शारीरिक परीक्षण करेंगे। परीक्षण में शामिल हो सकते हैं:
- रक्त परीक्षण
- Analysis of fluids from the peritoneum
- Abdominal x-rays—to look for signs of inflammation
- Laparotomy—surgery to open and examine the abdomen
उपचार
Treatment depends on the cause. It may include:
- Surgery to repair openings in the skin surface or to remove damaged tissue
- Antibiotics to treat infection
- Replacement of fluids
If you are diagnosed with peritonitis, follow your doctor’s instructions.
रोकथाम
There are no guidelines for preventing peritonitis.