Matenda a Whipple

Zamkati

• Zizindikiro Zokhudzana ndi Matenda a Whipple
• Zoyambitsa Matenda a Whipple
• Kuzindikira Matenda a Whipple
• Endoscopy
• Chisokonezo
• Kusintha kwa unyolo wa Polymerase
• Kuyesa Magazi
• Chithandizo cha Matenda a Whipple
• Kuwona Kwakale

Kodi Matenda a Whipple Ndi Chiyani?

Bacteria amatchedwa Tropheryma whipplei zimayambitsa matenda a Whipple. Mabakiteriyawa amakhudza dongosolo logaya chakudya ndipo amatha kufalikira ku:

• mtima
• mapapo
• ubongo
• mafupa
• khungu
• maso

Ndi matenda osowa kwenikweni, koma amatha kupha moyo.

Anthu ambiri amakhulupirira kuti pali chibadwa chomwe chimayambitsa matendawa. Azungu azaka zapakati pa 40 ndi 60 ali pachiwopsezo chotenga matendawa kuposa gulu lina lililonse. Mlingo wa matenda a Whipple umakhalanso wapamwamba m'malo omwe alibe madzi abwino komanso ukhondo woyenera. Pakadali pano, palibe njira yodziwika yopewa matenda a Whipple.

Zizindikiro Zokhudzana ndi Matenda a Whipple

Matenda a Whipple amalepheretsa thupi lanu kuti lisamwe zakudya zoyenera. Chifukwa cha izi, zimakhudza magawo osiyanasiyana amthupi ndipo limalumikizidwa ndi zizindikilo zosiyanasiyana. Matendawa atayamba kudwala, matendawa amatha kufalikira kuchokera m'matumbo kupita ku ziwalo zina monga:

• mtima
• mapapo
• ubongo
• mafupa
• maso

Zizindikiro zofala kwambiri za matenda a Whipple ndi awa:

• ululu wophatikizika
• kutsegula m'mimba komwe kumatha kukhala kwamagazi
• kuonda kwambiri
• kupweteka m'mimba ndi kuphulika
• kuchepa kwa masomphenya ndi kupweteka kwa diso
• malungo
• kutopa
• kuchepa kwa magazi m'thupi, kapena kuchuluka kwama cell ofiira ofiira

Zizindikiro zotsatirazi sizimachitika pafupipafupi koma zitha kuwonetsa kuti vutoli likuipiraipira:

• khungu
• zotupa zamatenda zotupa
• chifuwa chosatha
• kupweteka pachifuwa
• pericarditis, kapena kutupa kwa thumba lozungulira mtima
• kulephera kwa mtima
• mtima ukudandaula
• kusawona bwino
• matenda amisala
• dzanzi
• kusowa tulo
• kufooka kwa minofu
• masewera
• kuyenda movutikira
• kusakumbukira bwino

Zoyambitsa Matenda a Whipple

Kutenga ndi T. whipplei mabakiteriya ndi omwe amadziwika chifukwa cha Whipple's. Mabakiteriyawa amatsogolera kukulira zilonda zamkati ndikupangitsa kuti matupi a thupi akule.

Ma villi ndi minofu yofanana ndi chala yomwe imayamwa michere m'matumbo ang'onoang'ono. Villi ikayamba kukulira, mawonekedwe ake achilengedwe amayamba kusintha. Izi zimawononga ma villi ndikuwateteza kuti asatenge bwino zakudya. Izi zimabweretsa zizindikilo zambiri za matenda a Whipple.

Kuzindikira Matenda a Whipple

Kuzindikira matenda a Whipple kumakhala kovuta, makamaka chifukwa zizindikiro zimakhala zofanana ndi zina zomwe zimafalikira kuyambira matenda a leliac kupita pamavuto amitsempha. Dokotala wanu adzayesa kuthana ndi izi asanakupatseni matenda a Whipple.

Endoscopy

Chizindikiro choyamba chomwe dokotala adzayang'ana kuti adziwe ngati muli ndi matenda a Whipple ndi zotupa. Endoscopy ndikulowetsa kachubu kakang'ono kosunthika kummero kwanu mpaka m'matumbo ang'onoang'ono. Chubu chimakhala ndi kamera yaying'ono yolumikizidwa. Dokotala wanu adzawona momwe matumbo anu alili. Makoma olimba okhala ndi zokutira, zokutira zokutidwa ndi chizindikiro chowonekera cha a Whipple's.

Chisokonezo

Pa endoscopy, dokotala wanu akhoza kuchotsa minofu m'makoma anu am'mimba kuti ayesere kupezeka kwa T. whipplei mabakiteriya. Njirayi imatchedwa biopsy ndipo imatha kutsimikizira kuti pali matenda.

Kusintha kwa unyolo wa Polymerase

Kuyankha kwa unyolo wa Polymerase ndi mayeso ovuta kwambiri omwe amakulitsa DNA ya T. whipplei kuchokera pazitsanzo za minofu yanu. Ngati mabakiteriya akhala ali munyama yanu, padzakhala umboni wa DNA. Kuyesaku kungatsimikizire kukhalapo kwa T. whipplei mabakiteriya mu minofu yanu.

Kuyesa Magazi

Dokotala wanu akhoza kuyitanitsa kuwerengera kwathunthu kwa magazi. Izi zidzakuthandizani kudziwa ngati mulibe magazi ofiira ochepa komanso mulibe albinamu yocheperako, zomwe ndizizindikiro zonse za kuchepa kwa magazi. Kuchepa kwa magazi ndichizindikiro choti mutha kukhala ndi matenda a Whipple.

Chithandizo cha Matenda a Whipple

Njira yowawa ya maantibayotiki nthawi zambiri ndiyo gawo loyamba lamankhwala, kuphatikiza milungu iwiri yamankhwala opha tizilombo kudzera mu intravenous (IV). Kuphatikiza apo, mwina mudzakhala ndi maantibayotiki tsiku lililonse kwa chaka chimodzi kapena ziwiri.

Njira zina zochiritsira ndi izi:

• kumeza madzi okwanira
• kumwa mankhwala olimbana ndi malungo kwa miyezi 12 mpaka 18
• kugwiritsa ntchito zowonjezera mavitamini zothandizira kuchepa kwa magazi m'thupi
• kutenga vitamini D, vitamini K, calcium, ndi magnesium zowonjezera
• kukhala ndi zakudya zopatsa mphamvu kwambiri kuti zithandizire kuyamwa michere
• kutenga corticosteroids kuthandiza kuchepetsa kutupa
• kumwa mankhwala osamva kupweteka, monga ibuprofen

Matenda a Whipple ndi matenda a bakiteriya omwe amatha kupha ngati sakuchiritsidwa moyenera.

Kuwona Kwakale

Chithandizo chikayamba, zizindikilo zambiri zimatha patangotha ​​mwezi umodzi. Chinthu chabwino kwambiri chomwe mungachite ndikupitiliza kumwa maantibayotiki anu. Kubwereranso kumakhala kofala. Zikachitika, zowonjezera, monga mavuto amitsempha, zitha kuwonekeranso.