Pseudomembranous colitis

Chifukwa cha kudya kwa nthawi yaitali kapena kosalamulirika kwa ma antibiotic amphamvu, matumbo a microblora (dysbiosis) amasokonezeka ndipo matenda owopsa - pseudomembranous colitis - amayamba. Zimapezeka kawirikawiri, koma zimawonjezera chiopsezo cha mavuto osasinthika chifukwa cha kupweteka kwakukulu kwa mazira a chiwalo.

Zizindikiro za pseudomembranous colitis

Chizindikiro choyamba cha matenda ndi kutsekula m'mimba. Mpando umasakanizidwa ndi mitsempha yamagazi ndi kamasi.

Mawonetseredwe ena am'chipatala:

• kunyozetsa ndi kusanza;
• kufooka;
• kuwonjezeka kwa kutentha;
• matenda opweteka, kuwonjezeka pamaso pa kuyenda kwa matumbo;
• tenesmus;
• chilakolako chonyenga choletsa.

Kuphatikiza pa zizindikiro za kumwa mowa wambiri, nthawi zambiri zimakhala zizindikiro za matenda a mtima - kuchepetsa kuthamanga kwa magazi (hypotension), tachycardia, malungo komanso chisokonezo. Kuwonjezera pamenepo, matenda a electrolyte ndi kutaya madzi kwa madzi amapezeka nthawi zambiri chifukwa cha kutayika kwa madzi, mapuloteni a metabolism amawonongeka. Mawonetseredwe owopsa kwambiri a mtundu uwu wa colitis ndi matumbo perforation, peritonitis.

Kuzindikira kwa pseudomembranous colitis

Choyamba, anamnesis amasonkhanitsidwa kuti adziwe chifukwa cha matendawa (kutenga mankhwala opha tizilombo). Kenaka gastroenterologist imapenda kukayezetsa wodwalayo - kumalo amkati mwa matumbo, kuyesa kutentha kwa thupi.

Kafukufuku wamaphunziro akuphatikiza:

• kafukufuku wambiri wa zamoyo zamagazi;
• mabakiteriya ndi abambo ambiri;
• gasi chromatography, chikhalidwe cha bakiteriya ndi sitima masewera spectrometry (kuti azindikire kupezeka ndi kuchuluka kwa dysbiosis).

Mafotokozedwe a matendawa akugwiritsidwa ntchito pogwiritsa ntchito makompyuta amatha:

• chiwerengero cha tomography cha m'matumbo;
• X-ray kufufuza kwa lumen ya organ;
• biopsy (histology);
• Colonoscopy kapena endoscopy pogwiritsa ntchito sing'anga.

Momwemo, njira zomwe tazitchulazi zimapangitsa kuti zikhale zotheka kudzipatula molondola magulu a mabakiteriya omwe amayambitsa njira yotupa, kudziwa momwe kutupa kwa mazira ndi kutsekula kwa matumbo ambiri.

Kodi mungatani kuti muchepetse matendawa?

Kwenikweni, muyenera kuchotsa mwamsanga kugwiritsa ntchito mankhwala opha tizilombo omwe amachititsa kuti matendawa asokonezeke, ngati n'kotheka. Ngati kuli koyenera kupitiriza mankhwala opatsirana pogwiritsa ntchito mankhwalawa, ndikulimbikitsidwa kuti mutenge mankhwalawa:

• sulfonamides;
• chiwonongeko;
• aminoglycosides;
• tetracycline;
• macrolides.

Njira yothandizira pseudomembranous colitis:

1. Kukana kulandira mankhwala aliwonse amatsenga ndi othandizira okhala ndi antiperistaltic action.
2. Gwiritsirani ntchito Metronidazole pamlomo (4 patsiku pa 250 mg ya mankhwala) kapena intravenously, ngati kudzikonda sikungatheke.
3. Cholinga Smekty, Hilaka-Forte ndi Linex muyezo woyenera.
4. Kukonzekera kwa kusinthana kwa madzi a electrolyte kumaphwanya malamulo.

Ngati kusagwirizana kapena kusagwira ntchito kwa metronidazole kuchipatala Vancomycin akugwiritsidwa ntchito. Mu mapiritsi amatenga 125 mg ya mankhwala yogwira ntchito 4 pa tsiku, monga njira yothetsera - jekeseni kudzera mu chubu.

Kudya kwa pseudomembranous colitis

M'masiku oyambirira 1-3, kusala ndi kugwiritsa ntchito madzi ochulukirapo (madzi, msuzi wa mbatata, tiyi osasakaniza komanso opanda tiyi) tikulimbikitsidwa. Pambuyo kuchepetsa vutoli ndi kuthetsa kutsekula m'mimba, chakudyacho chikhoza kuwonjezeredwa - kefir ndi nsapato, tchizi (mashed).

Pang'onopang'ono, wodwalayo amasamukira ku chakudya chokwanira. Nambala 4a ku Pevzner kupatulapo zakumwa zakumwa zoledzeretsa, zakudya za mafuta, kusuta fodya, maswiti ndi pickles.