Pseudomembranous colitis

Pseudomembranous colitis rinoreva chakasimba, zvirwere zvinogona zvakakomba pakati muura. Kukura chirwere chokuita nokushandiswa inorwisa mabhakitiriya. Pseudomembranous colitis kunoratidzwa paumbwe uye kupatsanurwa faeces membranous zvinhu. zvivako izvi vanomirirwa fibrin uye madzihwa.

Pseudomembranous colitis hwuratidzwe ne manyoka ane mwero kana kusvetuka mu zvakakomba siyana. The chirwere kunoratidzwa chakasimba uye idzokororo kosi.

Kazhinji, pseudomembranous colitis inobata vanhu pakati pemakore makumi mana kusvikira makumi manomwe nemashanu. Muchipatara munenge gumi kusvika makumi maviri muzana varwere kuzviona Clostridium difficile enterotoxins (anaerobic bacteria rakapararira).

Zvinofanira kucherechedzwa kuti kuchiita hosha kwakacherechedzwa vanenge kurwisa zviri microorganism kuti asingaurayiwi mishonga inokwanisa kudzvanyirira upenyu basa asara microflora ari ura. Panyaya iyi, iyo wakakurumidza kuwanda kwemabhakitiriya kukonzerwa kushaya makwikwi. Pamwe izvi, pane chinhu nokukurumidza kuunganidza muchetura.

Most kazhinji chirwere kukura semubairo pakugamuchira clindamycin, ampicillin. Zvisinei, zvinofanira kucherechedzwa kuti kushandiswa chero mushonga, kuva inorwisa utachiona basa (semuenzaniso, kuti penicillin, chloramphenicol, erythromycin, tetracycline) kungawedzera mukati kunoita kuti chirwere.

Zvinhu Risk inofanira kusanganisirwa, kunze pakutsanangura kushandisa inorwisa mabhakitiriya, mishonga (methotrexate, fluorouracil, uye Integrated zvishandiso), kuvhiya ari intestinal nzvimbo, uremia, ischemia ari GI turakiti, mwongo transplantation.

Pseudomembranous colitis. zviratidzo

The inonyanya kuratidzwa kuri kakawanda zvituru. Kazhinji, zvinoita sokuti mugumo vhiki kushandiswa kwemishonga inorwisa mabhakitiriya ari kurapwa wechipiri. Mune zvisingawanzoitiki zviitiko, chiratidzo sokuti pashure zvavo (vhiki dzimwe nguva pashure nhanhatu) kurega.

Mvura chetsoka ane mutema ruvara, risingafadzi kwakanaka, kunogona kufamba mune ropa manyoka tsvina. Pamwe chete mutsvina yadzo dzinounzwa membranous zvinhu. Pfungwa defecation achabatsirwa cramping kurwadziwa mukati dzapasi mudumbu.

A maitiro chiratidzo kuri fivhiri. Zvinofanira kucherechedzwa kuti gumi muzana zvose kacho ndiye chete nokuratidzwa chirwere.

Pseudomembranous colitis. mabatiro

The huru uye yokutanga kuchirapa kwazvo kubviswa afunge mushonga chirwere. chiyero ichi, muzviitiko zvakawanda, kunyanya ne munhu munyoro marudzi maperembudzi, kutadzisa kuchiita pseudomembranous colitis.

Kuchirapa mabasa zvinosanganisira kugadzwa etiotrop kurapwa. Ndicho kushandiswa kwezvinodhaka antibacterial kuti chokuita kwemabhakitiriya Clostridium difficile. Kazhinji, nokuti zvinangwa izvi zviri ushandiswe metronidazole uye vancomycin. The yokupedzisira ine murombo Absorção de Água ari dumbu. Oral Kutarisirwa chinokurwadzai akurumidze kuwedzera wevasungwa.

Metronidazole anogona kupiwa nomutsinga (panyaya nomumukanwa Kutarisirwa parumananzombe).

Zvinokosha zvikuru uye pathogenetic kurapa. Izvi ndezvechokwadi kunyanya varwere zvikuru pseudomembranous colitis. Its chikuru mirayiridzo vari kururamiswa mapuroteni muviri uye mvura-electrolyte kusaenzana. Mukuwedzera, chiitiko achasanganisirawo kudzorerwa kwagara nengaidzo pakati intestinal microflora uye kunyorerana pamusoro toxin inokonzera utachiona. Iziviswe mvura-electrolyte zvinetso dzinosanganisira kushandisa zvakakwana yevanorwara zvikuru.