Pseudomembranous matenda a m'matumbo

Pseudomembranous matenda a m'matumbo amatanthauza pachimake, matenda zingakhale kwambiri m'matumbo. Chitukuko cha matenda kugwirizana ndi ntchito antibayotiki. Pseudomembranous matenda a m'matumbo amakhala ndi mapangidwe ndi kulekana kwa ndowe membranous zakuthupi. nyumba izi ankaimira Ulimbo ndi ntchofu.

Pseudomembranous matenda a m'matumbo uoneke ndi m'mimba ya zolimbitsa kapena kulumpha m'njira kwambiri. Matendawa ali ndi makhalidwe Inde pachimake ndi kobwereza.

Monga ulamuliro, pseudomembranous matenda a m'matumbo amakhudza anthu a zaka zapakati pa forte kuti zaka sevente-faifi. M'chipatala za gawo khumi ndi ziwiri odwala kudziwa Clostridium difficile enterotoxins (anaerobic mabakiteriya anafalikira m'dziko).

Tikumbukenso kuti kudwala matenda anaona milandu ya kulimbikira kwa bakiteriya kuti mankhwala opha tizilombo angathe kupondereza ntchito moyo otsala microflora mu intestine lapansi. Pankhaniyi, kuchuluka mofulumira mabakiteriya amayamba chifukwa chakuti mpikisano. Pamodzi ndi ichi, pali kudzikundikira inapita wa poizoni.

Nthawi zambiri matenda akufotokozera chifukwa cha kulandira clindamycin, ampicillin. Komabe, tisaiwale kuti kugwiritsa ntchito mankhwala aliwonse, ndi ntchito antimicrobial (mwachitsanzo, penicillin, chloramphenicol, mankhwalawa, tetracycline) zingachititse kupitirira mkati mwa matendawa.

Zifukwa ayenera kukhala mbali, kuwonjezera ndi ntchito yaitali mankhwala mankhwala amphamvu (methotrexate, fluorouracil, ndi zipangizo Integrated) opaleshoni mu malo matumbo, uremia, ischemia mu GI thirakiti, mafupa kupatsidwa zina.

Pseudomembranous matenda a m'matumbo. zizindikiro

Mawonetseredwe ambiri ndi pafupipafupi chimbudzi. Monga ulamuliro, zikuoneka kuti mapeto a sabata chachiwiri cha ntchito mankhwala monga mankhwala. Nthawi zina, ndi chizindikiro limapezeka pambuyo achire awo (masabata nthaŵi zina zisanu ndi chimodzi).

Madzi chopondapo ali ndi mtundu wobiriwira, chinthu chosangalatsa fungo, ikuyenda magazi zosafunika m'mimba. Pamodzi ndi ndowe allocated zinthu membranous. The ndondomeko ya defecation limodzi ndi cramping ululu mu kunsi kwa m'mimba.

A chizindikiro khalidwe ndi malungo. Tikumbukenso kuti anthu khumi a milandu onse ndi mawonetseredwe yekha matendawa.

Pseudomembranous matenda a m'matumbo. chithandizo

Waukulu woyamba muyeso achire ndi kuchotsa n'zothandiza matenda opha tizilombo. Izi muyeso, nthawi zambiri, makamaka mitundu bata cha matenda, kuteteza kupitirira kwa matenda a m'matumbo pseudomembranous.

ntchito achire monga poika etiotrop chithandizo. Ndi ntchito mankhwala antibacterial zimene zimakhudza mabakiteriya Clostridium difficile. Monga ulamuliro, kwa zolinga zimenezi Kwalamulidwa mankhwala a metronidazole ndi vancomycin. Yotsirizira ali mayamwidwe osauka m'matumbo. Dongosolo Oral amakwiya kuwonjezeka mofulumira ndende.

Metronidazole awerenge m'nsinga (mu nkhani ya m'kamwa makonzedwe vuto).

Ndi zofunika kwambiri ndipo chithandizo pathogenetic. Zimenezi ndi zoona makamaka kwa odwala ndi aakulu pseudomembranous matenda a m'matumbo. mayendedwe Aika ndi kukonzedwa mapuloteni kagayidwe ndi madzi electrolyte vutoli. Komanso, chochitika idzakhalanso ndi kubwezeretsa bwino wabwinobwino wa microflora ndi matumbo ndi kumangako wa poizoni kuchititsa bakiteriya. Akadzauzidwa madzi electrolyte matenda zimagwiritsa ntchito mokwanira odwala mwakayakaya.