Zizindikiro ndi chithandizo cha matenda a Whipple

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa matenda a Whipple
• Momwe mankhwalawa amachitikira
• Momwe mungapewere kufalikira ndi matendawa

Matenda a Whipple ndi omwe amabwera chifukwa cha bakiteriya, omwe nthawi zambiri amakhudza matumbo ang'onoang'ono ndipo zimapangitsa kuti chakudya chikhale chovuta, kuchititsa zizindikilo monga kutsekula m'mimba, kupweteka m'mimba kapena kuwonda.

Matendawa amalowa pang'onopang'ono, ndipo amathanso kukhudza ziwalo zina za thupi ndikupangitsa kupweteka kwamalumikizidwe ndi zisonyezo zina zosowa, monga kusintha mayendedwe ndi kusokonezeka kwa chidziwitso, chifukwa cha kufooka kwaubongo, komanso kupweteka pachifuwa, kupuma movutikira komanso kugundana, chifukwa cha kuwonongeka kwa mtima, mwachitsanzo.

Ngakhale matenda a Whipple atha kukhala owopsa pamene akupita patsogolo ndikuipiraipira, amatha kuthandizidwa ndi maantibayotiki operekedwa ndi gastroenterologist kapena dokotala wamba.

Zizindikiro zazikulu

Zizindikiro zofala kwambiri za matenda a Whipple ndizokhudzana ndi m'mimba ndipo zimaphatikizapo:

• Kutsekula m'mimba nthawi zonse;
• Kupweteka m'mimba;
• Kukokana komwe kumatha kuwonjezereka pambuyo pa chakudya;
• Kukhalapo kwa mafuta mu chopondapo;
• Kuchepetsa thupi.

Zizindikiro nthawi zambiri zimawonjezeka pang'onopang'ono pakapita nthawi, ndipo zimatha miyezi kapena zaka. Matendawa akamakula, amatha kukhudza ziwalo zina za thupi ndikupangitsa zizindikilo zina monga kupweteka kwa mafupa, chifuwa, malungo ndi ma lymph node owonjezera.

Mawonekedwe ovuta kwambiri, komabe, amapezeka pamene matenda amitsempha amaoneka, monga kusintha kwa kuzindikira, kusintha kwa maso, kusintha kwa mayendedwe ndi machitidwe, kukomoka ndi zovuta pakulankhula, kapena pamene zizindikilo za mtima zikuwonekera, monga kupweteka pachifuwa, kupuma movutikira komanso kugundana, chifukwa cha kusintha kwa ntchito yamtima.

Ngakhale adotolo angaganize kuti matendawa ndi matenda komanso mbiri yazachipatala, matendawa amatha kutsimikiziridwa ndi biopsy yamatumbo, yomwe nthawi zambiri imachotsedwa pa colonoscopy, kapena ziwalo zina zomwe zakhudzidwa.

Zomwe zimayambitsa matenda a Whipple

Matenda a Whipple amayamba ndi bakiteriya, wotchedwa Tropheryma whipplei, zomwe zimayambitsa zilonda zazing'ono mkati mwa matumbo zomwe zimalepheretsa ntchito yopezera mchere ndi michere, zomwe zimapangitsa kuti muchepetse thupi. Kuphatikiza apo, matumbo amalephera kuyamwa bwino mafuta ndi madzi ndipo chifukwa chake, kutsekula m'mimba kumakhala kofala.

Kuphatikiza pa m'matumbo, mabakiteriya amatha kufalikira ndikufikira ziwalo zina za thupi monga ubongo, mtima, mafupa ndi maso, mwachitsanzo.

Momwe mankhwalawa amachitikira

Chithandizo cha matenda a Whipple nthawi zambiri chimayambitsidwa ndi maantibayotiki ojambulidwa, monga Ceftriaxone kapena Penicillin, kwa masiku 15, ndiye kuti m'pofunika kukhala ndi maantibayotiki apakamwa, monga Sulfametoxazol-Trimetoprima, Chloramphenicol kapena Doxycycline, mwachitsanzo, zaka 1 kapena 2 , kuthetseratu mabakiteriya mthupi.

Ngakhale mankhwalawa amatenga nthawi yayitali, zizindikiritso zambiri zimasowa pakati pa 1 ndi 2 masabata kuyambira pomwe mankhwala adayamba, komabe, kugwiritsa ntchito maantibayotiki kuyenera kusamalidwa nthawi yonse yomwe dokotala akuwonetsa.

Kuphatikiza pa maantibayotiki, kumwa kwa maantibiobio ndikofunikira pakuwongolera momwe matumbo amagwirira ntchito ndikuthandizira kuyamwa kwa michere. Kungakhale kofunikira kuwonjezera mavitamini ndi michere, monga vitamini D, A, K ndi B mavitamini, komanso calcium, mwachitsanzo, chifukwa bakiteriya imalepheretsa kuyamwa kwa chakudya ndipo imatha kuyambitsa vuto la kuperewera kwa zakudya m'thupi.

Momwe mungapewere kufalikira ndi matendawa

Kuti mupewe matendawa ndikofunikira kumwa madzi akumwa ndikutsuka bwino musanakonzekere, chifukwa mabakiteriya omwe amayambitsa matendawa amapezeka m'nthaka komanso m'madzi owonongeka.

Komabe, pali anthu ambiri omwe ali ndi mabakiteriya mthupi, koma samayamba kudwala.