Amebiasis: Chithandizo. Dr. Nsonga

A lapansi limene tikukhalali, mwatsoka, ndi anthu mazana a anthu amene tikugwira kokha kutipatsa mabvuto, ndipo nthawizina kusokoneza miyoyo yathu. mdani mmodzi wa gulu lankhondo la majeremusi ndi - ndi ziwembu zopulula tosaoneka amoeba zimene zimachititsa oopsa matenda amebiasis. Kuliona ayenera kuyamba panopo ndi moto chofunika mankhwala. Amebiasis ndi sioneka kwambiri chifukwa amoeba tiziromboti anabwera kwa ife mu matumbo, magazi angathe kusamukira ku ziwalo zina, pati kovuta. Ndi oopsa kwa moyo, ngati amoeba kulowa ubongo. Muyenera poyamba chizindikiro cha matenda kuthamangira kwa dokotala kuti sizinachitike. Tiyeni tione pa mafunso otsatirawa: kodi amebiasis, zizindikiro ndi chithandizo cha matenda, ndipo ambiri Chofunika, ndi zodzitetezera kumwedwa kuchita osati adzawombana nawo.

Nthumwi causative wa amebiasis

Kuyamba jambulani chithunzi cha losavuta zokhala ndi selo imodzi cholengedwa amoeba kamwazi, kapena, sayansi Entamoeba histolytica. Achibale awo, iye ali ndi zambiri wodzichepetsa kukula prolegs ndi ng'ombe wonse. Iye amakhala amoeba uyu yekha parasitic, ndi anthu amene akhoza kukhala ife anthu okha. Tiziromboti kakang'ono ndi kuchenjerera amene anatha kuwononga dziko anthu oposa 900 mwa awarding iwo matenda monga amoebiasis. matenda chithandizo mudayamba yake, ali ndi madokotala ananena zawo zabwino. Ngati mulibe kufulumira kwa dokotala ndi kudzimvera medicate, mukhoza kupereka miyoyo yawo. Kamwazi amoeba akhoza kukhalapo mumaonekedwe atatu ofanana ndithu:

1. cysts. Iwo tingauyerekeze dzira. Iwo wozungulira waung'ono kwambiri, mpaka microns 12 wandiweyani TACHIMATA ndi bilayer Kakhungu, ndi osakhwima (Pasanathe 4 mtima) ndi okhwima (4 bwino mkati phata la). Mu anthu athanzi, matenda ndi cysts ndi mlandu. Kupangidwa mu thupi la wodwalayo, iwo ndi ndowe kupita kunja. Chilengedwe amakhala kwa mwezi umodzi, ndi madzi - 3-4 miyezi, ambiri masaka njira sangathe kulimbana nawo. Choncho nthawi yonse iyi, inu mosavuta kukatenga amebiasis, mankhwalawa imene tikambirane pansipa.

M'mimba anthu cysts kukhalabe mu siteji a mpumulo. Iwo kupasuka chipolopolo yekha mu intestine yaing'ono. Pali Quad okhwima munthu, wotchedwa mavabodi, nagawanika, wodziwonetsa 8 mononuclear bulanchi.

2. luminal mawonekedwe. Amoeba-mwana kudya tizilombo ting'onoting'ono zokhala matumbo athu, kukula kwambiri ndipo pang'onopang'ono kusuntha kwa intestine tating'ono lalikulu. Ngakhale kuti vuto lililonse salembedwa.

3. minofu mawonekedwe. Akafike m'mimba, amoebae wamkulu anapatsa makoma ake, pamene iwo anayamba kuchulukitsa mofulumira. matumbo Ulcerated, ndi mamilioni a majeremusi latsopano kuoneka m'manyi. Ndi thickening awo aang'ono amoeba retract phazi lake onyenga, adzakhale yokutidwa ndi chipolopolo awiri ndi kuwasandutsa cysts.

The mkombero akubwerezedwa.

Njira kachilombo

Kuyambira takambiranazi, n'zoonekeratu kuti matenda kumafuna cysts yekha. Small ndi Hardy kwambiri, iwo ndowe msanga anakakhala m'madera. Thandizeni izo ntchentche, mphemvu, ndi tizilombo tina. Zimbudzi zinyalala, amene, monga ife tikudziwira, sali pansi chithandizo chapadera, ntchito m'minda monga fetereza kwambiri kapena kungoti anazitsanulira mwa chilengedwe. Ichinso timapitiriza malo amoebae. Nyama, mbalame, nsomba, iwo sakhala chabe mwa munthu.

Njira ina yabwino kupeza latsopano wovulalayo cysts - azikwera mu zinthu tsiku ndi tsiku ntchito manja ake onyansa a anthu amene agwidwa ndi amebiasis. Muzilemekeza odwala akhoza kuyamba nthawi yomweyo, koma ngakhale anthu awa kukhwimitsa yake, iwo ali ndi matenda, pamene matumbo awo kupitiriza kukhala allocated cysts.

Choncho, njira ya matenda amebiasis zotsatirazi:

- manja zonyansa;

- madzi akumwa ku mitsinje, m'mayiwewa, malo onse lotseguka;

- kugwiritsa ntchito zipatso osasamba ndi masamba.

Pali njira zitatu za matenda:

- kugonana kumatako;

- kugwiritsa ntchito thaulo ndi kuvala zovala wamba ndi chonyamulira amebiasis;

- kufala kuchokera kwa mayi wodwala naye ukhondo mwana sanali kugwilizana.

Matumbo amoebiasis akuluakulu, zizindikiro ndi mankhwala

Matendawa ambiri komwe nyengo yofunda, koma m'chilimwe izo m'kaundula ndi M'madera a zitunda wathu. Azungu aigwire amebiasis oyendayenda ku mayiko zosowa kum'mwera ndipo kuchokera kumeneko kubwera naye kunyumba. Ngati thupi mphamvu zokwanira, cysts ndi ngakhale akalumikidzidwa translucent amoeba moyo ndi yaitali kapepala kakuti m'mimba popanda kuchititsa matenda. Ngati Komabe, chitetezo ofooka, ndi kale pa tsiku lachisanu ndi chiwiri pambuyo matenda angayambe kuonekera amebiasis. Akuluakulu, zizindikiro ndi chithandizo zimadalira kumene mu thupi izo zinakhazikitsa amoeba. Ngati ndi intestine, matenda matumbo amebiasis. Amoebas zatenga pafupifupi onse magulu ake - ndi cecum, akukwera m'matumbo, sigmoid ndi molunjika. M'makoma matumbo anapanga makumi erosions ndi zilonda za osiyanasiyana m'mimba mwake ndipo kuya (mpaka 3 cm), nthawi zina ukufika perforation ndi peritonitis. Mulimonsemo ndi mucosa matumbo kuvutika, mafinya amasonkhana zilonda.

zizindikiro:

- kutentha;

- tulo, kufooka;

- ululu m'matumbo;

- malungo;

- lotayirira chimbudzi.

Zofunika: aakulu m'mimba m'masiku oyambirira a matenda kumachitika okha 10% ambiri amene kachilombo.

M'tsogolo, onse anawonjezera kuti zizindikirozo:

- chimbudzi pafupipafupi (madzi, mafinya ndi mwazi);

- zizindikiro za kuchepa madzi m'thupi (pakamwa youma, lilime, khungu turgor ofooka);

- zizindikiro za kuledzera (mutu, kusanza);

- wakuta.

Zizindikiro za chiwindi extraintestinal amebiasis

Majeremusi, kukanirira mu m'magazi, ali inathetsedwa ndi matupi ena. Nthawi zambiri akudwala chiwindi, koma iwo alinso mapapo abwino, ubongo, pericardium, diso, ndulu, ndi khungu. Ngati zimenezi zachitika, owonjezera matumbo amebiasis amawapeza, chithandizo kumatengera ndi kutanthauzira kwa majeremusi lapansi. Nthawi zina pali pamaso pa amoebas ndi ziwalo zina pambuyo kuletsedwa m'matumbo.

chiwindi ali ndi amebiasis, ntchito mokhazikika, ndi mayesero magazi majeremusi si anasonyeza. Kupatulapo ndi ALPL chizindikiro - zamchere phosphatase. Pamene kwa chiwindi amebiasis zake pamwamba 140 IU / l.

Mu chiwindi abscess anapanga chikwama (abscess), ngati molakwa anasankha zochizira amoebiasis angathe perforated. Pomwepo anathira zili mu zonse m'mimba, pali magazi mkati, sepsis angayambe.

Zizindikiro za amoebas kupezeka chiwindi:

- kupweteka ululu kumanja, nthawi zambiri anakafika pansi tsamba phewa ndi / kapena phewa;

- mphamvu ya ululu ufulu nusu chapamwamba utachepa pamene mtima wa watsata kumanzere;

- hepatomegaly (chiwindi malire kuchuluka);

- mwachikondi;

- nseru;

- m'mimba;

- kutentha;

- thukuta, kuzizira;

- kusowa chilakolako cha ndipo, chotero, kulemera.

Zizindikiro za m'mapapo amebiasis

Vuto zimenezi pa zifukwa ziwiri:

- amoeba magazi kugunda kuwala kwa m'matumbo;

- mankhwala zochizira amoebiasis mu chiwindi amasankhidwa bwino, chifukwa cha panali yojambula mu abscess chiwindi ndi mafinya chinatsanulidwa M'mimbamo pleural.

Pamene kulowerera ya majeremusi mu mapapo ndi magazi ayenera kuchenjeza zizindikiro:

- chifuwa chosatha ndi phlegm, imene pali magazi wodetsedwa;

- kufupika kwa mpweya;

- kutentha;

- chifuwa ululu.

Popanda mankhwala moyenera komanso kupangidwa mu m'mapapo abscess abscess. Pankhaniyi, wodwalayo:

- malungo;

- High soreness pa malo abscess ndi;

- zizindikiro za matenda a mtima.

Ndi kutsegula suppuration limapezeka chifuwa chocolate, glossitis, pharyngitis.

Matenda a m'mapapo mwanga amebiasis monga MAGAZI, x-ray, kuphunzira ndowe kudziwa cysts, sputum , ndi madzimadzi pleural mayesero serological.

Amoebiasis ziwalo zina

Kawirikawiri, koma pali khungu amoebiasis. matendawo amakhala ndi zilonda, nthawi zambiri anati pamimba, crotch ndi matako. Kawirikawiri bala zakuya, mdima pa m'mbali, ndi chinthu chosangalatsa fungo.

Amoebiasis ubongo - mmodzi wa mavuto chopweteka kwambiri za matendawa. Yodziwika ndi mutu amphamvu osati stoped, khunyu, zipolowe imalandira ziwalo. Kodi tikhale ndi abscess kapena kutupa kwa minofu ubongo. Zizindikiro mogwirizana ndi osiyana, malinga ndi kutanthauzira mapangidwe abscess m'madera a ubongo, ndipo lifanane ndi ofanana matenda a ubongo. Chithandizo cha amoebiasis akuluakulu ndi ana akuwuka kuchokera m'dera matumbo unachitika ndi mankhwala kuvomerezedwa mankhwala mu tandem ndi minofu amebotsidami ( "Metronidazole", "Degidroemitin", "Hingamin"). Pamene amebiasis ubongo mankhwala zovuta akuwonjezeka mankhwala nootropic.

Pamene amebiasis chiwindi ndi khungu, kuwonjezera mankhwala zofunika, Kwalamulidwa "Diyodohin", "intestopan", "Meksaform".

Ngati mankhwala amphamvu sapereka zotsatira kuyembekezera ndi kukhalapo kwa abscesses kuchititsa opaleshoni.

amoebiasis aakulu

Kamwazi amoeba angakhale mu matumbo athu kwa zaka, ndiye pali mtundu pachimake matendawa amakhala aakulu. Izi zimachitika pamene amebiasis chithandizo chinali cholakwika akuluakulu ndi ana, osati kwathunthu kapena ayi anachita. Odwala amene ankazunza mwezi watha kapena, amayamba kupeza analandiridwa mpumulo. ululu m'mimba wapita, kutsegula m'mimba, nayenso, thanzi akukhudzidwira bwino. Zimenezi zimatchedwa chikhululukiro, zomwe zimakondweretsa za mwezi ndi nthawi zina miyezi itatu kapena inayi. Munthu amayamba ngati kuti matenda anabwerera. Koma pambuyo chikhululukiro nthawi zonse exacerbations yatsopano, imene zonse akubwerezedwa kachiwiri. Chotero mawonekedwe amebiasis aakulu otchedwa kobwereza.

Palinso mtundu chachiwiri, wotchedwa mosalekeza. Aya ake khalidwe la amoebiasis ndi nakweza mawu ake, ndiye ndichepe, koma sanasiye kwathunthu.

Zizindikiro za amebiasis aakulu:

- kusafuna kudya, zikubweretsa kuwonda, magazi m'thupi;

- utachepa ntchito, nyonga;

- kutopa;

- syndrome asthenic;

- vitamini akusowa;

- hepatomegaly;

- tachycardia;

- m'matumbo angathe tizilombo ting'onoting'ono, kuchepetsa wa intestine, ndi perforation ya mpanda wake, kuukha.

diagnostics

Asanayambe mankhwalawa amebiasis matumbo, ndi zosiyanasiyana tizilombo toyambitsa matenda anazindikiritsidwa mu ndowe za wodwalayo. Pakhoza kukhala pano osati kamwazi amoeba, komanso m'mimba amoeba (Entamoeba coli), nyenyezi yaing'ono amoeba (Endolimax Nana) kapena ena, ndi kutsimikiza matenda "amoebiasis", muyenera kupeza ndendende kamwazi amoeba ndipo mu mawonekedwe a nsalu. Ngati chopondapo cysts awo okha kapena mitundu translucent, matenda - chotengera cha amoebiasis. Zosiyanasiyana imagwiridwa ndi PCR. Kuwonjezera nkhani ya chopondapo zinachitikira amoebiasis matumbo kuchita colonoscopy.

chithandizo

Aliyense anatsimikizira matenda a "amoebiasis", mankhwala ndi amebotsidami anachita m'chipatala. Kuikidwa ndi "Metronidazole", "Ornidazole", "Tinidazole" kapena mankhwala ena ofanana, kumafooketsa pa kamwazi amoeba. Zovuta mankhwala mankhwala tertatsiklinov magulu zimene zimayenda ndi tiziromboti izi.

Pa akamaliza njira zofunika akapatsidwa zina kuphatikizapo amebotsidy kuchita mawonekedwe luminal. Izi "Klefamid", "Etofamid", "Paromomycin." Mankhwalawa n'za anthu amene akupezeka mu chopondapo cysts yekha ndi mawonekedwe luminal wa amoeba lapansi.

ethnoscience

Popeza palibe mankhwalawa kungachititse kuti imfa amoebiasis, mankhwala wowerengeka mankhwala a matenda n'chotheka monga zowonjezerazo mayendedwe chachikulu. Kwenikweni kuthandiza ochiritsa kuleketsa odwala matenda otsekula m'mimba wamagazi. Anthu yosonyezedwa zosiyanasiyana zophikira kukuthandizani ndi vutoli. Ena a iwo:

- Film wa gizzards nkhuku. Iwo analekanitsidwa, bwinobwino kuchapa zouma, nthaka ndi kudya 2 kapena 3 pa tsiku.

- tiyi kuuma masamba tiyi. Chosakwanira supuni bwinobwino kutafuna ndi kumeza ndi madzi.

- Oak khungwa. (Medicine akuluakulu). A supuni ya tiyi ya makungwa youma ufa kutsanulira 400 ml ya madzi ozizira ndi yophika koma kunena maola 8. Wokonzeka njira kumwa patsiku.

- chimagwiritsidwa ntchito mabulosi abulu, chitumbuwa, buckthorn, hawthorn, phiri phulusa. Chinsinsi kukonzekera ndi zofanana kwa zomera zonse - magalamu 100 youma zipatso udzathiridwa 400 ml ya madzi owiritsa ndi kutenga 100 ml pa tsiku. Only zipatso za mbalame chitumbuwa kutenga magalamu 10 okha.

- Garlic. Wake, nthaka koyera, womwewo magalamu 40 ndi kutsanulira kapu theka la mowa wamphamvu, mupatseni Brew. Nthawi iliyonse theka la ola pamaso chakudya kutenga madontho 15.

Amebiasis ana: Zizindikiro ndi Chithandizo

matenda pafupifupi silinkachitidwa makanda. Koma ana chaka chimodzi mpaka zaka zitatu amadwala kawirikawiri, chifukwa anaphunzira kuyenda, ndikufuna zambiri zimene zikuchitika ndi kuchita izo kwambiri ndi dzanja. Ndipo ana okulirapo kuposa zaka zitatu kale ndamva kuti simungakhoze kukoka zonse mkamwa mwake. Makolo ayenera kuganizira zinthu izi ndi zotheka kuteteza mwana wanu ku matenda.

Zizindikiro za amebiasis ana:

- m'mimba (waukulu ndi khalidwe lofunika kwambiri);

- moodiness;

- kukana kudya;

- ululu pamimba ndi;

- kutentha (kapena kukwera pang'ono mpaka highs).

Ana, kutsegula m'mimba si sizachilendo poyamba, za 6-7 nthawi tsiku, liquefied chopondapo, ntchofu akhoza kupezeka mu iwo. Kenako pafupipafupi adzafune nthawi 20 kapena kuposa kwambiri allocated chopondapo kuchepetsedwa mphamvu ndi magazi ndi ntchofu. The mwana panthawi imeneyi amakhala lethargic, akukana masewera, anadandaula ululu m'mimba, kunyansidwa.

mitundu Extraintestinal wa amebiasis ana n'zochepa. matenda awo ndi amodzi mwa akulu. Mawonekedwe pachimake cha matenda popanda mankhwala oyenera mwa masabata atatu kapena anayi amakhala aakulu.

Matendawa zachokera mbiri zachipatala ndi kusanthula chopondapo (zimapezeka ntchofu, erythrocytes, cysts, eosinophils). kusanthula izi ikuchitika kangapo kuthetsa cholakwa. Nthawi zina, mwana ikuchitika serological oteteza mayeso, koma iye ayamba "ntchito" pokhapokha masabata 2 zizindikiro woyamba. zotsatira magazi amebiasis pachimake satero, koma aakulu amalembedwa kuwonjezeka ESR ndi eosinophils, kuchepetsa hemoglobin.

Chithandizo cha amebiasis ana ikuchitika kuchipatala. Ntchito "Osarsol" mankhwala "kuchita Lago", tetracycline mankhwala, "mbendera", "Trykhopol", "Fasizhin", "Meratin" mavitamini "Bififor", "Symbiter". chidwi linaperekedwa kwa kubwezeretsa madzi anataya thupi, amene mwana wapatsidwa zambiri chakumwa (akusanza pa supuni, koma nthawi zambiri). Kupewa imfa ya salt, ndi wolakalakika wakupatsa kumwa njira: 1 L madzi, kuphatikiza 1 tsp .. popanda phiri la mchere ndi koloko, kuphatikiza 2 tbsp. L. shuga mix kupasuka zigawo zikuluzikulu, mkangano ndi kutentha +37 ° C pamaso ntchito.

kupewa

Mofanana ndi matenda aliwonse matumbo, amebiasis angathe kupewedwa ngati ukhondo ndi kusamba m'manja asanayambe kudya ndipo pambuyo pogwiritsa ntchito chimbudzi, kusamba mankhwala onse, anagula kapena anang'amba pa dziko payekha, kuwiritsa madzi otengedwa Madamu lotseguka. Komanso, m'pofunika kuwononga malonda cysts - ntchentche, mphemvu.

Zizindikiro loyamba amoebiasis muyenera kuthamangira kwa dokotala ndi kupewa kudzipatsa machiritso, ngakhale ndi zambiri zotsimikizika "odziwa" maphikidwe. Izi matenda amebiasis achibale.