Whipple chirwere

chirwere Whipple iri panoonekwa nevanhu biopsy yacho ura duku. Chirwere inobata kunyanya vanhu vane chena ganda, vakwegura kubva matatu kusvika pamakore makumi matanhatu. Izvi haiwanzowaniki systemic chirwere makatsamwisa Tropheryma whippelii. Pakurapa chirwere kunosanganisira kutora trmetoprima-sulfamethoxazole kuti gore rimwe chete.

The maitiro lesion ichaongororwa mucosa of ura diki pamwe chirwere, uye zviratidzo kuonekwa zvakakodzera. The chikuru zvinoratidza chirwere zvinosanganisira manyoka uye uremu. Zvisinei, chirwere Whipple kuti chinobata zhinji dzimwe nhengo uye munyama (nemapapu, mwoyo, serous mhango, uropi, majoini, nemudumbu, maziso). Tikafunga hosha kuva arthritis, paiva zvishomanana chakadzama kuremara mu cellular kutapata, predisposing kuti chirwere kuzvidzora.

The kuratidzwa chirwere wokutanga zvekuchipatara dzinoratidzwa kukura fivha. A yakawanda varwere vane idzokororo tracheobronchitis. The kutanga nzendo chirwere inozivikanwa pamberi dzinotama kurwadziwa zvikuru nezviduku majoini. Kazhinji, zviratidzo kuzvimba inoratidzwa ivo vasipo. Mamirire riri intemittiruyuschy chearthritis, kusiyana RA haana deform majoini.

The apa zvekuchipatara kuratidzwa kunogona kuitika muna matatu nemasere pamberi Pazvinotanga huru zviratidzo.

Zviratidzo nehana chirwere kuenda Whipple nehosha (abdominal marwadzo, steatorrhea, neanorexia, etc.) kuonekwa ari mberi weboka chirwere kwayo azara. Typical ndiyo chisingaperi manyoka. Kuburitswa mu ichaitika kubva mashanu kagumi pazuva hwakawanda chaizvo, pakabudiswa mafuta akawanda. Uyezve, pane dzimwe nguva, asi tsika zvinogona zvakavanzika kana kunonyengedza ropa ari muura. Kwakadaro mananara kazhinji chokuita coagulation nyonganyonga kunokonzerwa hypoprothrombinemia. Ichi chirwere kunokonzerwa nokuziva chakaremara kubvisa K-vhitamini. Zvisinei, zvinofanira kucherechedzwa kuti manyoka ari kuonekwa nevanhu chiratidzo, hazvisi fanira.

Vamwe varwere vane kupatirwa, kunyanya mukutanga nzendo chirwere. The akazotevera zvokukura kurapwa Kugadzirwa zvokurwara pamwe chitarisiko uye zvokuongorora chakakomba malabsorption. Kana tichiita zvimwe kuongorora kwakaratidza yakawedzerwa pigmentation ganda, node raiva pedyo nebundu nedumbu, kupererwa neropa, poliserozita, chikosoro, chisingaperi hunhu, zviratidzo nechepakati tsinga zvinetso, uye peripheral edema.

At kuongororwa murwere anonzwa marwadzo ari palpation achiine rukuvhute mugove kuti zvinoderedza pashure defecation uye pedza magasi.

Zvinofanira kucherechedzwa kuti marwadzo mesogaster vangava intensities zvakasiyana. Mune zvimwe zviitiko, vanoratidza pachavo muchimiro distention pashure zvokudya, dzimwe nguva - muchimiro colic. In chakakomba kwokuomerwa marwadzo uye flatulence pavarwere vane vanofungidzirwa ileus (Kuvharwa kana aienda pamusoro intestinal lumen) iri vakabvuma kuti kuvhiyiwa.

chirwere Whipple inogona chirwere muna vanhu pasina pamberi zviratidzo zviri nemudumbu. Apo panowanikwa chirwere vakafunga akaita endoscopy yokumusoro gastrointestinal nzvimbo, biopsy pamusoro ura duku. Panoongororwa chaiwo maronda chirwere. Kazhinji, kuramba uye kuchinja chokuita proximal.

Pasina nenguva uye ruzivo pakurapa chirwere mberi nokukurumidza uye anogona kuva kuurayisa. Inoshanda vaiona siyana nemishonga (tetracycline, chloramphenicol, trimethoprim-sulfamethoxazole, ampicillin, cephalosporins, kuti penicillin).