Kodi chiwindi chotupa ndi chiyani

Zamkati

• Zizindikiro zake ndi ziti
• Zomwe zingayambitse
• Amoebic chiwindi abscess
• Kodi matendawa ndi ati?
• Momwe mankhwalawa amachitikira

Chiwindi ndi chiwalo chomwe chimatha kupangika ziphuphu, zomwe zimatha kukhala zokha kapena zingapo, ndipo zimatha kuchitika chifukwa cha kufalikira kwa mabakiteriya kudzera m'magazi kapena kufalikira kwamatenda am'mimba mwa peritoneal cavity, pafupi ndi chiwindi, monga momwe zilili. matenda a appendicitis, matenda omwe amabwera chifukwa cha thirakiti ya biliary kapena pileflebitis, mwachitsanzo.

Kuphatikiza apo, abscess ya chiwindi ndi matenda omwe amathanso kuyambitsidwa ndi protozoa, wotchedwa amoebic abscess chiwindi.

Chithandizocho chimadalira chamoyo chomwe chimayambitsa matendawa koma nthawi zambiri chimakhala ndi kuyang'anira maantibayotiki, ngalande za abscess kapena pamavuto owopsa, atha kulimbikitsidwa kuti achite opaleshoni.

Zizindikiro zake ndi ziti

Zizindikiro zomwe zimapezeka mwa anthu omwe ali ndi chiwindi cha chiwindi ndi malungo ndipo mwa anthu ena, makamaka omwe ali ndi matenda omwe amapezeka ndimatenda a biliary, amatha kuwonetsa zizindikilo zomwe zili kumtunda chakumanja, monga kupweteka m'mimba.

Kuphatikiza apo, kuzizira, anorexia, kuwonda, nseru ndi kusanza kumawonekeranso.

Komabe, ndi theka lokha la anthu omwe ali ndi zilonda zotupa pachiwindi omwe ali ndi chiwindi chokulitsa, kupweteka pakumenyedwa kwa dzanja lamanja lamtundu wapamwamba, kapena jaundice, ndiye kuti, anthu ambiri alibe zizindikilo zomwe zimawunikira chiwindi. Kutentha kwamtundu wosadziwika kumatha kukhala chiwonetsero chokha cha chiwindi cha chiwindi, makamaka okalamba.

Zomwe zingayambitse

Zilonda za chiwindi zimatha kuyambitsidwa ndi tizilombo tosiyanasiyana, monga mabakiteriya kapena bowa, zomwe zimatha kupezeka chifukwa cha kufalikira kwa mabakiteriya m'magazi kapena kufalikira kwamatenda am'mimba, pafupi ndi chiwindi, monga momwe zimakhalira ndi appendicitis ., Matenda omwe amabwera chifukwa cha thirakiti ya biliary kapena pileflebitis, mwachitsanzo. Dziwani zambiri za appendicitis ndi momwe mungazindikire.

Komanso, abscesses a chiwindi amathanso kukhala amoebic:

Amoebic chiwindi abscess

Amoebic abscess chiwindi ndi matenda a chiwindi ndi protozoa. Matendawa amayamba protozoaE. histolytica kudutsa mu mucosa m'matumbo, kuwoloka makope ndikufika pachiwindi. Odwala ambiri omwe ali ndi matendawa samawonetsa zizindikilo kapena kupezeka kwa protozoan mu chopondapo.

Matendawa amatha kuwonekera miyezi ndi zaka pambuyo paulendo kapena malo okhala mdera lomwelo, chifukwa chake ndikofunikira kudziwa mbiri yosamalitsa yaulendowu kuti akafufuze. Zizindikiro zofala kwambiri ndikumva kuwawa kumtunda chakumanja kwa quadrant, malungo, komanso chiwindi.

Ma data omwe amapezeka kwambiri mu labotale ndi leukocytosis, alkaline phosphatase, kuchepa kwa magazi m'thupi komanso kutentha kwa erythrocyte sedimentation.

Kodi matendawa ndi ati?

Njira yokhayo yodalirika yopezera labotale ndi kuchuluka kwamchere wamchere wa phosphatase, womwe nthawi zambiri umakhala ndi anthu ambiri omwe ali ndi chotupa cha chiwindi. Mwinanso kuwonjezeka kwa bilirubin ndi aspartate aminotransferase m'magazi, leukocytosis, kuchepa magazi m'thupi ndi hypoalbuminemia pafupifupi theka la milanduyo.

Kuyesa mayeso nthawi zambiri kumakhala kodalirika kwambiri pofufuza za matendawa, monga ultrasound, computed tomography, scintigraphy yokhala ndi leukocyte yodziwika ndi indium kapena gallium ndi maginito. X-ray ya chifuwa ingathenso kutengedwa.

Matenda a amoebic chiwindi amatuluka chifukwa chodziwika ndi ultrasound kapena computed tomography, chotupa chimodzi kapena zingapo, zomwe zimakhala mchiwindi komanso kuyesa kwabwino kwa ma antibodies to antigen aE. histolytica.

Momwe mankhwalawa amachitikira

Mankhwalawa amatha kuchitidwa kudzera mu ngalande yokhotakhota, yokhala ndi catheter yokhala ndi mabowo ofananira nawo osungidwa. Kuphatikiza apo, mankhwala apadera a tizilombo tating'onoting'ono tomwe timayambitsa matendawa amathanso kugwiritsidwa ntchito mutatenga mtundu wa abscess. Pakakhala kukoka kwa abscess, pamafunika nthawi yambiri yothandizira maantibayotiki.

Ngati matendawa amayamba chifukwa cha candida, mankhwala nthawi zambiri amakhala ndi amphotericin, omwe amathandizanso ndi fluconazole. Nthawi zina, ndi mankhwala okhawo omwe angagwiritsidwe ntchito ndi fluconazole, omwe ndi anthu okhazikika kuchipatala, omwe tizilombo tawo tokha timakhala pachiwopsezo chotere.

Pochizira abscess ya chiwindi cha amoebic, mankhwala monga nitroimidazole, tinidazole ndi metronidazole angagwiritsidwe ntchito. Pakadali pano, protozoan uyu sanawonetse kukana mankhwala aliwonsewa. Kutulutsa kwamatenda a chiwindi cha amoebic sikofunikira kwenikweni.