Matenda Whipple a

matenda Whipple a amawapeza ndi biopsy za m'mimba yaing'ono. Matenda amakhudza makamaka anthu ndi khungu loyera, zaka zoyambira makumi atatu kwa zaka makumi asanu ndi limodzi. Izi ndi osowa zokhudza zonse matenda chikwiyire Tropheryma whippelii. Chithandizo cha matenda kumaphatikizapo kutenga trmetoprima-Sulfamethoxazole kwa chaka chimodzi.

The chotupa khalidwe imatengedwa mucosa za m'mimba ang'ono ndi matenda, ndi zizindikiro kuoneka yoyenera. Mawonetseredwe chachikulu cha matenda monga kutsekula m'mimba ndi kuwonda. Komabe, matenda Whipple ukuchititsa ziwalo zina zambiri ndipo zimakhala (m'mapapo, mtima, serous M'mimbamo, ubongo, mafupa, kapepala m'mimba, maso). Against maziko a matenda kukhala nyamakazi, panali pang'ono kwambiri zopindika chitetezo chokwanira ma, zinanso ulamuliro matenda.

Woyamba kuchipatala chiwonetsero cha matenda yodziwika ndi chitukuko cha malungo. A ambiri odwala ndi tracheobronchitis kobwereza. Magawo koyamba matenda yodziwika ndi kukhalapo kwa ululu maulendo ataliatali mu mfundo zazikulu ndi zazing'ono. Childs, zizindikiro za kutupa m'kukoma iwo ali kwina. Khalidwe ndi intemittiruyuschy nyamakazi, amene, mosiyana rheumatoid osati deform zimfundo.

Pamwamba mawonetseredwe matenda kumachitika mu zaka zitatu ndi zisanu ndi zitatu pamaso pa isanayambike zizindikiro zazikulu.

Zizindikiro za matenda mantha m'munsili Whipple ndi matenda (ululu m'mimba, steatorrhea, anorexia, etc.) azaonekera mu njira zina za matenda mbali yake zotsogola. Chitsanzo chabwino ndi aakulu m'mimba. Ndikudzikhuthula kumachitika ku nthawi zisanu mpaka khumi tsiku ndi kwakukulu kwambiri, ndi kutuluka kwa mafuta lalikulu zedi. Komanso, nthawi zina, khalidwe chingabisike kapena profuse magazi mu matumbo. zochitika oterowo amaonera coagulation matenda chifukwa hypoprothrombinemia. Matenda amayamba ndi chilema suction K-vitamini. Tikumbukenso kuti m'mimba amati chizindikiro wamba Komabe, si kuvomerezedwa.

Odwala ena ndi kudzimbidwa, makamaka magawo oyambirira a matenda. Magawowa patapita chitukuko matenda a kudwala ndi limodzi mwa maonekedwe ndi matenda a malabsorption kwambiri. Pamene tikugwira maphunziro ambiri a ena ndakufotokozerani kochulukira mtundu wa khungu, lymph kukulitsa mfundo, kuchepa magazi, poliserozita, chifuwa, aakulu chikhalidwe, zizindikiro za matenda chapakati mantha dongosolo, ndi edema zotumphukira.

Pa kumupima wodwala akumva kupweteka pa palpation umbilical gawo kuti amachepetsa pambuyo defecation ndi utsi mpweya.

Tikumbukenso kuti ululu mesogaster mwina intensities osiyana. Nthawi zina, iwo zimapezeka mu mawonekedwe a distention mukatha kudya, nthawi zina - mu mawonekedwe a colic. Mu mwamphamvu kwambiri chifukwa cha ululu ndi flatulence odwala ndi ileus amaganiziridwa (kutseka kapena kuchepetsa wa lumen wa matumbo) ndi anavomereza opaleshoni.

matenda Whipple angathe anapezeka pa anthu popanda kukhalapo kwa zizindikiro za mundawo m'mimba. Pamene pakutchulidwa matenda anaganiza anachita endoscopy chapamwamba m'mimba malo, biopsy za m'mimba yaing'ono. Kudziwa zotupa enieni matenda. Monga ulamuliro, amakhala ndi chidwi kusintha ikukhudzana bwanji ndi proximal lapansi.

Popeza yake ndi woyenera chithandizo cha matenda ili m'kati msanga ndipo akhoza chakupha. Kugwiritsa ankaona mankhwala osiyanasiyana (tetracycline, chloramphenicol, trimethroprim-Sulfamethoxazole, ampicillin, cephalosporins Penicillin).