Isifo Whipple sika

isifo Whipple sika ngomshini biopsy emathunjini amancane. Izifo sihlasela kakhulu abantu abanesikhumba esimhlophe, oneminyaka engu-kusukela kwabaneminyaka engamashumi amathathu kuya eminyakeni engamashumi ayisithupha. Lena ezingavamile isifo letindzala sokucasuka Tropheryma whippelii. Ukwelashwa lesi sifo kuhilela trmetoprima-sulfamethoxazole okungenani unyaka owodwa.

Isici lesion kubhekwa mucosa emathunjini amancane nalesi sifo, futhi izimpawu zibonakala ezifanele. I ukubonakaliswa oyinhloko sifo zihlanganisa isifo sohudo kanye kwesisindo. Nokho, isifo Whipple sika kuthinta nezinye izitho eziningi nezicubu (emaphashini, inhliziyo, ingaphakathi serous, ubuchopho, amalunga, pheshana emathunjini, amehlo). Against isizinda isifo ukuthuthukisa samathambo, kwakukhona ukukhubazeka okuncane ezinkulu amasosha omzimba yeselula, ungalokothi uphuze ukuze ukulawula ukutheleleka.

Ukubonakaliswa lokuqala basemtholampilo isifo libhekene ukuthuthukiswa imfiva. Baningi iziguli tracheobronchitis yansukuzonke. Izigaba sokuqala lesi sifo libhekene khona ubuhlungu ezifudukayo emalungwini ezinkulu nezincane. Ngokuvamile, izimpawu ukuvuvukala obonakaliswe kubo bengekho. Isici kuyinto sokuqaqamba kwamalunga intemittiruyuschy, okuyinto, ngokungafani rheumatoid hhayi deform emalungeni.

Okungenhla ukubonakaliswa emitholampilo kungenzeka eminyakeni emithathu kuya kweziyisishiyagalombili ngaphambi ukuqala izimpawu eziyinhloko.

Izimpawu shock syndrome ohambisana Whipple sika isifo (ubuhlungu besisu, steatorrhea, ukudla, njll) avele Yiqiniso kwaleso sifo e isigaba saso eziphambili. Nasi ukucubuluza okungapheli. Ukuthulula okwenzeka izikhathi emihlanu kuya kweyishumi ngosuku luningi kakhulu, lapho kukhululwa amafutha in inqwaba. Ngaphezu kwalokho, kwezinye izimo, isici kungaba ukopha ezifihliwe noma kakhulu emathunjini. imihlola ezinjalo ngokujwayelekile ohambisana nesifanekiso coagulation disorder okubangelwa hypoprothrombinemia. Lesi simo sibangelwa isici ukuncela K-Vitamin. Nokho, kufanele kuphawulwe ukuthi isifo sohudo ubhekwa uphawu olujwayelekile, akusiyo impoqo.

Ezinye iziguli ukuqunjelwa, ikakhulukazi kusaqalwa isifo. Izigaba kamuva yentuthuko emitholampilo ye zokugula ephelezelwa ngokubukeka sitholakele malabsorption ezinzima. Lapho efeza umsebenzi eziningi nezinye izifundo baye baveza lesikhumba okwandisiwe isikhumba, i-lymph node ukukhulisa, ukuntuleka kwegazi emzimbeni, poliserozita, ukukhwehlela, nemvelo okungamahlalakhona, izimpawu sezinzwa uhlelo iziyaluyalu, futhi edema neuropathy.

Ngezinye luhlolo isiguli uyazwelana nathi ebuhlungwini ku palpation ingxenye enkabeni encipha ngemva sokuzikhulula and qeda amagesi.

Kufanele kuqashelwe ukuthi ubuhlungu mesogaster kungase kudingeke kwemibala ezahlukene. Kwezinye izimo, babonisa ngokwabo ngesimo distention ngemva kokudla, ngezinye izikhathi - ngesimo colic. Ngo kobukhulu okunzima ubuhlungu futhi ukubuyisa in iziguli ileus esolwa (ukuvalwa noma ukuvaleka mafutha anciphisa isikhala esingaphakathi emathunjini) is wavuma ukuhlinzwa.

isifo Whipple sika kungenziwa kutholakala abantu ngaphandle kobukhona izimpawu pheshana emathunjini. Lapho izindawo elivela kuzo isifo kusolwa wenziwa Endoscopy amasayithi engenhla emathunjini, biopsy emathunjini amancane. Ekukhombeni izilonda ethize sitholakale. Njengomthetho, izinguquko esiqhubekayo abalulekile ihlobana proximal.

In the ukungabikho ukwelashwa esifike ngesikhathi futhi afanele ukugula iqhubeka ngokushesha futhi kungaba yingozi. Ngempumelelo kubhekwe imithi elwa namagciwane ahlukahlukene (tetracycline, chloramphenicol, trimethoprim-sulfamethoxazole, ampicillin, cephalosporins, penicillin akuzange kusize).