TB ya intestine pa: Zoyambitsa, Zizindikiro, Matendawa ndi Chithandizo

Kuyambira kale, anthu akhala akumenyana ndi TB matumbo. Izi ndi lalikulu ndi loopsa matenda, ngati sanalandire chithandizo kungachititse kuti imfa. Aliyense ayenera kudziwa zizindikiro za matenda. Ndiye kodi TB ya intestine pa? Kodi zizindikiro ndi khalidwe iye?

Akamanena za TB matumbo

Chifuwa chachikulu - matenda amene kudziwitsa anthu onse. Akatswiri Mawu kumvetsa matenda aakulu opatsirana. Anthu ambiri amaganiza kuti matenda amagwirizana yekha ndi kuwononga dongosolo kupuma. Ndipotu si. Pali mitundu yosiyanasiyana ya matenda extrapulmonary. Mmodzi wa iwo - matumbo TB. Pali matenda otchedwa chifukwa mycobacteria. Gwero lina la matenda ndi odwala si amene asunga malamulo a ukhondo.

anthu kutali imeneyi Mycobacterium TB (MBT) ndi kuwononga chaka anthu ochepa. Gwero la matenda ndi monga ng'ombe. Mycobacterium TB kugonjetsedwa kwambiri chikoka cha zinthu zachilengedwe. Atadziŵa tizilombo zosiyanasiyana kukhala kopitilira muyeso-chabwino tinthu fyuluta kapena chimphona nyumba nthambi. Mu zikhalidwe labwino, ILO kupeza mawonekedwe lililonse.

Mafomu matumbo TB

The matenda mutu anawagawa pulayimale ndi sekondale. TB imafalikira monga matumbo, ndilo chifukwa kumeneko? Yankho la funso limeneli wapatsidwa. Choncho, chifuwa chachikulu limapezeka pa zifukwa zotsatirazi:

• Chifukwa ntchito mkaka unboiled ng'ombe tuberculous.
• Pamene hematogenous kufalitsa Mycobacterium matendawo ndi wofunika kwambiri mu phapo, lymph mfundo.
• Chifukwa cha ntchito ya chakudya kwa mbale ali ndi kachilombo Mycobacterium TB, kapena chotengera, amene wokwatibwa ndi anthu amene ali ndi matendawa.

A mtundu yachiwiri ya matenda kumachitika odwala anthu ndi kuwononga m'mapapo chifukwa ingestion wa sputum ndi malovu. Mycobacterium TB mwanjira imeneyi kuwafika intestine ndi kupatsira mpanda wake (makamaka bwanji ileum). Izi zimachititsa fistulas ndi ulcerations. Oopsa ngati ozungulira matumbo TB? легочной формы. Kafukufuku amasonyeza kuti matenda ndi zambiri njira yachiwiri zikuchitika pa ikuyendera mawonekedwe m'mapapo mwanga. Kwambiri kawirikawiri kwambiri m'mimba TB chofunika, kukhala chifukwa matenda alimentary.

zizindikiro

Mu chifuwa chachikulu cha intestine anthu ndemanga pa zizindikiro Muzisamala:

1. Zizindikiro za kuledzera. Chifukwa matenda kudya atayika, izo wayamba ndichepe thupi. Odwala amadandaula Thukuta usiku, malungo. Akazi akhale kwina kusamba.
2. Matumbo zizindikiro. Pa chiyambi cha matenda pali kudzimbidwa mu anthu ena. Kudzakhala kuchitidwa monga ulamuliro, yaitali komanso ofoola m'mimba. Odwala kufunsa akatswiri komanso amadandaula ululu pamimba.
3. Kupezeka kwa maphunziro. Pa palpation wa pamimba kungakhale palpable maloboleznennaya chotupa.

Pamene zowononga anam'peza matumbo chotupa amapezeka zizindikiro za kukhumudwa peritoneal. Odwala malungo. The ndowe akalipo magazi kapena zigawo zake (erythrocytes, leucocytes) zimapezeka mwa akatswiri mu kafukufuku ntchito maso. Pakuti anam'peza zowononga ndondomeko akhoza yodziwika ndi zosokonezeka. Nthawi zambiri pali magazi, matumbo kutsekeka, kuphwanya umphumphu wa mpanda wake.

Kupeza Vuto TB

The matenda a "TB matumbo" angathe kuperekedwa mwa akatswiri pambuyo khama chifukwa. Pamafunikanso:

• tuberculin;
• X-ray;
• colonoscopy;
• barium mankhwala;
• laparoscopy ndi biopsy.

njira ndithu nkhani ndi kompyuta tomography ndi laparoscopy. Mu ntchito njira izi wa akatswiri matenda omwe amapezeka odwala calcified mesenteric lymph mfundo, timabamputimabampu. Nkhani ndi X-ray bwino. Uyamiko kwa Iye, akatswiri awulule zizindikiro za chifuwa chachikulu cha intestine ndi (mwachitsanzo, barium posungira mu cecum ku kumasulidwa kwa m'madipatimenti zina).

Kvantiferonovy mayeso - ndi zasayansi njira zamakono kuti amalola kudziwa matenda. Amadzazira matenda a chifuwa chachikulu ayenera kuganizira ngati bwino. Choncho, akamanena za mayeso ndi kuphunzira magazi wodwalayo. Iye lendi kanthu m'mimba m'mawa kwa mtsempha ndipo anaikidwa zida wapadera ongokhala machubu atatu. Pambuyo kusonkhanitsa magazi akatswiri akafufuza. Kvantiferonovy mayeso angapereke zabwino, zoipa ndi equivocal:

1. A zabwino limasonyeza matenda ndi Office.
2. Chifukwa zoipa analandira athanzi. Komabe, tisaiwale kuti pamene si koyenera kuti akatsimikizire matenda ndi Mycobacterium TB. Zimenezi zikhoza kukhala zoipa onyenga. Izi zimachitika nthawi oyambirira a matenda, inati immunodeficiency.
3. chifukwa wofooka n'zotheka ndi makhalidwe munthu wa chitetezo chokwanira, komanso kuphwanya zofunika preanalytical. Kuti mudziwe zambiri, madokotala kusankha mpanda wa magazi atsopano kapena aikidwe Kafukufuku zina.

matenda masiyanidwe

makhalidwe amene amadziŵika ndi akatswiri pa kafukufuku wa anthu ndi amaganiziridwa TB ya intestine mwina yodziwika ndi matenda ena yotupa. Kwambiri matenda wamba amatchedwa anam'peza matenda a m'matumbo, matenda amene amatupitsa, amoebic kamwazi, matumbo zotupa. Kuika matenda zolondola amafuna matenda masiyanidwe :

1. Kuti pasapezeke kamwazi amoebic , ndi zotupa, histological Kupenda ayenera kuchitidwa.
2. Ndiyamika endoscopic biopsy granulomas sarkoidopodobnye angapezeke, wopangidwa mwa lymphocytes kuti ali pakati pa maselo lalikulu monga Pirogov-Langhans. nyumba Awa ndi khalidwe chifuwachi m'mimba ndi matenda amene amatupitsa. Kusiyanitsa matenda uliwonse akhoza ena nyumba caseous necrosis. Iwo kudzachitika pokhapo ndi granulomas mu chifuwa matumbo.

mankhwala a matenda

Pamene anapezeka ndi "matumbo TB" chithandizo kumayambira zipatala apadera. Cholinga chake - wolingalira machiritso a foci matenda, Kupha zizindikiro. Mankhwala a chifuwa chachikulu ndi yaitali ndithu. Kuchira amapezeka mkati mwa chaka pafupifupi. Nthawi zina, zimatenga nthawi zambiri kuchiritsa.

Mu chifuwa chachikulu cha intestine n'kofunika kuti malizitsani mankhwala. chigawo Aika - ndi mankhwala amphamvu. Madokotala anasankha formulations yeniyeni Mzimuyo kuphatikiza mlingo awo. Pa chiyambi cha mankhwala amphamvu kwambiri. Iwo kumabwezera mmbuyo chulutsa mycobacteria, amachepetsa chiwerengero chawo. Pankhani regimens chithandizo tisaiwale kuti tsiku lililonse angagwiritsidwe ntchito:

• "INH" ndi "Rifampicin";
• "INH" ndi "Ethambutol".

Kuphatikiza woyamba wa mankhwala zakonzedwa miyezi 9 mpaka 12, ndipo chachiwiri - pa 18. amenewa mankhwala yaitali n'kofunika chifukwa chakuti mycobacteria zikupitiriza pang'onopang'ono, ndipo mwina yaitali kukhala anafooka.

Ngati anaulula diagnostics matumbo TB, izo sikuti kupatsidwa mankhwala ndiwofatsa. Si nthawi zonse angathe kupereka zotsatira kuyembekezera. Nthawi zina madokotala mankhwala opaleshoni. Izo zimasonyeza chitukuko cha matendawo. Mwachitsanzo, opaleshoni ingaperekedwe ndi wambirimbiri madzimadzi mu zonse m'mimba. Opaleshoni amafuna makina kutsekeka m'matumbo. zimayambitsa mwina kukhala pambuyo kuchiritsa mabala ndi adhesions pakati pa matumbo zingwe zopota.

The mavuto a mankhwala

The vuto lalikulu ndi mankhwala a TB matumbo ndi kupanda khalidwe la anthu odwala. odwala ambiri musatsate malangizo a akatswiri usokoneze phwando mankhwala tuberculostatic. Chifukwa discontinuation msanga mankhwala amphamvu wagundika ndondomekoyi. Vuto lina n'lakuti pambuyo kumwa mankhwala akuchipatala angaoneke mavuto. Akuluakulu zotsatira za zotsatira poizoni mankhwala ndi:

1. Chiwindi - ndi yotupa matenda a chiwindi.
2. Thrombocytopenia - chikhalidwe chimene chiri chibadidwe kuchepetsa chiwerengero cha othandiza magazi kuundana.
3. Neuritis - ndi yotupa matenda a mitsempha.
4. Aimpso kulephera - chikhalidwe pathological yodziwika ndi chisokonezo cha ntchito impso.

Zotsatira zake zoyipa sizimaoneka nthawi zambiri. Amakumana 3-5% ya anthu akulandira "Rifampicin" ndi "INH", ndipo 1-2% odwala kuchizidwa "isoniazid wa" ndi "wa ethambutol". Pamene mavuto zimasiyanasiyana pulogalamu chithandizo.

zotsatira matumbo TB

Kuti madokotala ananena zawo za matenda zimadalira m'mene mwamsanga akatswiri matenda matenda ndipo apatsidwa mankhwala. Nthawi zapamwamba, ndi matenda owononga wa woonda intestine Mapa ndi akumane chifukwa zisadzachitikenso cha kutsekeka m'matumbo ndipo malabsorption zakudya. Zochepa zimene sizikuyenda bwino Mapa kuperekedwa ku zotupa ya m'matumbo.

kupewa matenda

Pofuna kupewa matumbo TB njira mankhwala. Pofuna kudziwa ngati pamafunika munthu winawake, kugwira mawu kuyambirira mayeso tuberculin. Ngati zotsatira zake zimakhala zabwino, mankhwala otetezera zakonzedwa. Ndi chemoprophylaxis "isoniazid wa" mu 1 chaka. kukonza njira ikuchitika osati ndi zabwino tuberculin khungu mayeso kupewa matenda monga TB ya intestine pa. The zifukwa kusankhidwa chake motere:

• Man zambiri anakumana ndi anthu amene ali ndi TB yogwira.
• Wodwala amatenga corticosteroids ndi wothandizila immunosuppressive.
• Munthu amadwala immunodeficiencies ya chiyambi zosiyanasiyana.

Pomaliza, tisaiwale kuti maonekedwe zizindikiro Muzisamala lililonse TB matumbo, mwamsanga kupita ku chipatala dokotala. Ngati akuwakayikira katswiri wina dzina lake matenda, mtima wa adzatumizidwa ku maofesi apadera TB.