Nesifo pseudomembranous

nesifo Pseudomembranous libhekisela acute, izifo emibi ye ikholoni. Ukuthuthukiswa lesi sifo ezihlobene nokusetshenziswa kwamaphilisi. nesifo Pseudomembranous libhekene kumiswa nokuhlukaniswa indle impahla membranous. Letakhi ivezwa fibrin ne isikhwehlela.

nesifo Pseudomembranous kungenzeka owabonakaliswa sohudo ka emaphakathi noma ngena amafomu ezinzima. Lesi sifo libhekene Yiqiniso oyingozi futhi yansukuzonke.

Njengomthetho, nesifo pseudomembranous kuthinta abantu abaneminyaka ephakathi kwengu-amane ukuze kuphelele iminyaka engamashumi ayisikhombisa nanhlanu. Kuleso sibhedlela ngo ezingaba yishumi amabili amaphesenti iziguli ukubona Clostridium difficile enterotoxins (amagciwane anaerobic zasakazekela kulo lonke).

Kufanele kuqashelwe ukuthi ukuqhubeka kwesifo ebonwe amacala ukumelana ukuba lesi silwanyana sikwazi imithi engama-antibiotic uyakwazi abacindezela umsebenzi ukuphila esele microflora emathunjini. Kulokhu, ukwanda esasizosheshisa amagciwane senziwa nokungabikhona kokuncintisana. Njengoba sihambisana nale, kukhona ukunqwabelana yashesha ubuthi.

Ngokuvamile lesi sifo eba ngenxa kokuthola clindamycin, ampicillin. Nokho, kufanele kuphawulwe ukuthi ukusetshenziswa kwanoma yiluphi izidakamizwa, ukuba umsebenzi elwa namagciwane (isib penicillin akuzange kusize, chloramphenicol, erythromycin, tetracycline) ezingaba nomthelela kule inchubekelembili wangaphakathi isifo.

Izinto eziyingozi ezingabangela i kumelwe ifakwe ngaphezu ukusetshenziswa enwetshiwe kwamaphilisi, amakhemikhali okwelapha (methotrexate, fluorouracil, namathuluzi okuhlangene), ukuhlinzwa endaweni emathunjini, uremia, ischemia ku GI pheshana, umnkantsha transplantation.

nesifo Pseudomembranous. izimpawu

Ukubonakaliswa obujwayelekile izigqiki njalo. Njengomthetho, kubonakala ukuphela lweviki nokusetshenziswa kwamaphilisi njengendlela yokwelapha yesibili. Ezimweni ezingavamile, uphawu ibonakala ngemuva ehoxile (amasonto ngezinye izikhathi ngemva eziyisithupha).

sezinyawo eliwumbhubhudlo uba nombala oluhlaza, nephunga ezingemnandi, ongasusa endaweni olunegazi sohudo amanyela. Bekanye indle labelwe impahla membranous. Inqubo sokuzikhulula kuhambisana cramping ubuhlungu ezindaweni eziphansi esiswini.

Sici uphawu futhi imfiva. Kufanele kuqashelwe ukuthi amaphesenti ayishumi azo zonke izimo kuwukuphela okubonakalisa isifo.

nesifo Pseudomembranous. ukwelashwa

The main futhi ngesilinganiso esidala zokwelapha ukususwa ingqondo isifo antibiotic. Lesi isilinganiso, ezimweni eziningi, ikakhulukazi izinhlobo onomoya omnene lesi sifo, ukuvimbela ukuqhubeka nesifo pseudomembranous.

imisebenzi zokwelapha zihlanganisa ukuqokwa ukuphathwa etiotrop. Kuyinto ukusetshenziswa kwezidakamizwa elwa namagciwane ezithinta amabhaktheriya difficile Clostridium. Njengomthetho, ngalezi zinhloso ezinqunyiwe metronidazole futhi vancomycin. Lesi sakamuva has ukumuncwa ompofu esiswini. ekuphathweni Oral kuphakamisa ekwandiseni e emakamu.

Metronidazole angabelwa ngemithambo yegazi (esimweni temlomo ekuphathweni fix).

Kubaluleke kakhulu futhi ukwelashwa pathogenetic. Lokhu kuyiqiniso ikakhulukazi iziguli nesifo ezinzima pseudomembranous. izinkomba zako ezisemqoka ezisetshenzisiwe ukulungiswa amaprotheni umzimba futhi amanzi-electrolyte ukungalingani. Ngaphezu kwalokho, uma kwenzeka ayohlanganisa ukubuyiselwa ibhalansi ejwayelekile le microflora emathunjini kanye esibophezelayo we igciwane ushevu-okubangela. Njengoba kuthiwa amanzi-electrolyte iziyaluyalu kuhilele ukusetshenziswa ngokwanele esegumbini labagula kakhulu.