Amebic chiwindi abscess

Amebic chiwindi chotupa ndi gulu la mafinya m'chiwindi chifukwa cha tiziromboti tomwe timatchedwa Entamoeba histolytica.

Amebic chiwindi chotupa amayamba ndi Entamoeba histolytica. Tizilombo toyambitsa matenda timayambitsa amebiasis, matenda opatsirana m'mimba omwe amatchedwanso amebic dysentery. Matendawa akachitika, tizilomboto timatha kunyamulidwa ndi magazi kuchokera m'matumbo mpaka pachiwindi.

Amebiasis imafalikira chifukwa chodya chakudya kapena madzi omwe adetsedwa ndi ndowe. Izi nthawi zina zimachitika chifukwa chogwiritsa ntchito zinyalala zaumunthu ngati feteleza. Amebiasis imafalikiranso kudzera m'masom'pamaso.

Matendawa amapezeka padziko lonse lapansi. Amakonda kupezeka m'malo otentha kumene kumakhala anthu ambiri komanso ukhondo. Africa, Latin America, Southeast Asia, ndi India ali ndi mavuto azaumoyo kuchokera ku matendawa.

Zowopsa za chifuwa cha chiwindi cha amebic ndizo:

• Ulendo waposachedwa wopita kudera lotentha
• Kuledzera
• Khansa
• Kudziteteza kumatenda, kuphatikizapo matenda a HIV / AIDS
• Kusowa zakudya m'thupi
• Ukalamba
• Mimba
• Kugwiritsa ntchito steroid

Nthawi zambiri palibe zizindikilo za matenda am'mimba. Koma anthu omwe ali ndi chiwindi cha amebic amakhala ndi zizindikilo, kuphatikiza:

• Kupweteka m'mimba, makamaka kumanja, kumtunda kwa pamimba; ululu ndiwowopsa, wopitilira kapena wobaya
• Tsokomola
• Malungo ndi kuzizira
• Kutsekula m'mimba, kopanda magazi (m'modzi mwa atatu mwa odwala)
• Kusapeza bwino, kusakhazikika, kapena kudwala (malaise)
• Ma Hiccups omwe samatha (osowa)
• Jaundice (chikasu cha khungu, mamina, kapena maso)
• Kutaya njala
• Kutuluka thukuta
• Kuchepetsa thupi

Wothandizira zaumoyo adzayesa. Mudzafunsidwa za zizindikiro zanu komanso maulendo aposachedwa. Mayeso omwe angachitike ndi awa:

• M'mimba ultrasound
• M'mimba mwa CT scan kapena MRI
• Kuwerengera kwathunthu kwa magazi
• Chiwindi cha chiwindi chimayang'ana matenda a bakiteriya mu chotupa cha chiwindi
• Kusanthula chiwindi
• Kuyesa kwa chiwindi
• Kuyesa magazi kwa amebiasis
• Kuyesa chopondapo kwa amebiasis

Maantibayotiki monga metronidazole (Flagyl) kapena tinidazole (Tindamax) ndi omwe amachiza chiwindi. Mankhwala monga paromomycin kapena diloxanide ayeneranso kumwa kuti achotse ameba onse m'matumbo ndikupewa matendawa kuti asabwererenso. Mankhwalawa amatha kudikirira mpaka chifuwa chitatha.

Nthawi zambiri, chotupacho chimatha kuthiridwa pogwiritsa ntchito catheter kapena opaleshoni kuti muchepetse zowawa zam'mimba ndikuwonjezera mwayi wopambana.

Popanda chithandizo, chotupacho chimatha kutseguka ndikufalikira m'ziwalo zina, ndikupha. Anthu omwe amachiritsidwa ali ndi mwayi waukulu kwambiri wochiritsidwa kwathunthu kapena zovuta zochepa chabe.

Chifuwacho chimatha kuphulika m'mimbamo, m'mapapo, m'mapapo, kapena m'thumba mozungulira mtima. Matendawa amathanso kufalikira ku ubongo.

Itanani omwe akukuthandizani ngati mukudwala matendawa, makamaka ngati mwapita kudera lomwe matendawa amadziwika kuti amapezeka.

Mukamayenda m'maiko otentha opanda ukhondo, imwani madzi oyera ndipo musadye masamba osaphika kapena zipatso zosasenda.

Chiwindi amebiasis; Msana amebiasis; Abscess - chiwindi cha amebic

• Kufa kwa khungu
• Amebic chiwindi abscess

Huston CD. Protozoa wamatumbo. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 113.

Petri WA, Haque R. Entamoeba mitundu, kuphatikiza amebic colitis ndi chiwindi chotupa. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Mfundo za Bennett ndi Kuchita kwa Matenda Opatsirana, Kusinthidwa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 274.