I-colitis epseudomembranous

Ngenxa yokutya okungapheliyo okanye okungalawulwayo kwemithi enamandla, i-intestinal microflora (dysbiosis) iphazamiseka kwaye isifo esiyingozi - i-colitis-epseudomembranous colitis-ikhula. Kwenzeka ngokungaqhelekanga, kodwa kwandisa umngcipheko weengxaki ezingenakunqunyulwa ngenxa yenkqubo enkulu yokuvuvukala kwiimbumba ezinobumba zelilungu.

Iimpawu zokubamba i-colitis

Isibonakaliso sokuqala se-pathology isifo sohudo. Usihlalo uxutywe kunye namaqabunga egazini kunye ne-mucus elula.

Ezinye izibonakaliso zekliniki:

• isicashu
• buthathaka;
• ukwanda kweqondo lokushisa;
• isifo sesifo, sinyuka phambi kokunyakaza kwezilwanyana;
• tenesmus;
• unqwenela ukuxhathisa.

Ukongezelela kule miqondiso yobunxila obuninzi, kukho iziganeko zesifo sengqondo somzimba-ukunciphisa uxinzelelo lwegazi (hypotension), i-tachycardia, umkhuhlane kunye nokudideka. Ukongezelela, ukuphazamiseka kwe-electrolyte nokudambisa amanzi kudlalwa ngenxa yokulahleka kwamanzi, iprotheni yemetabolism iyancipha. Ubonakaliso obunobungozi obuninzi bolu hlobo lwe-colitis yi-intestinal perforation, peritonitis.

Ukuxilongwa kwe-colitis

Okokuqala, i-anamnesis iqokelelwe ukuchonga isizathu sesifo (ukuthatha i-antibiotics). Emva koko i-gastroenterologist yenza uviwo lwesigulane - i-palpates indawo yomathumbu, ilinganisa ukushisa komzimba.

Uphando lweLebhu luquka:

• ukuhlolwa kwegazi ngokubanzi kunye neenkcukacha ngokubanzi;
• Uhlalutyo lwebhakteriological kunye jikelele;
• i-chromatography yegesi, i-bacterial culture kunye ne-stool mass spectrometry (ukufumana ubukho kunye nobukhulu be-dysbiosis).

Ukucaciswa kokuxilongwa kwenziwa ngokusebenzisa ubuchwepheshe be-endoscopic kunye nobugcisa:

• i-tomography yamathumbu;
• Uhlolo lwe-X-ray lwe-lumen yombutho;
• i-biopsy (histology);
• I-Colonoscopy okanye i-endoscopy usebenzisa i-medium medium.

Njengomthetho, iindlela ezikhankanyiwe ngasentla zenza ukuba kube lula ukuhlukanisa ngokuchanekileyo ikoloni yeebhaktheriya ezibangele inkqubo yokuvuvukala, ukucacisa ukuvuvukala kweembrane kunye nokuxutywa kwamathumbu amakhulu.

Indlela yokunyanga i-colitis epseudomembrane?

Ngokukodwa, kufuneka ukhansele ngokukhawuleza ukusetyenziswa kwee-antibiotiki ezenza ukuba i-pathology ichazwe, xa kunokwenzeka. Ukuba kuyimfuneko ukuqhubeka unyango lwe-antibiotic, kucetyiswa ukuba ubeke endaweni yamachiza asetyenziswayo:

• sulfonamide;
• i-fluoroquinolones;
• aminoglycosides;
• tetracycline;
• macrolides.

Inkqubo yokonyango kwe-colitis ye-pseudomembranous:

1. Ukwenqaba ukuthatha nayiphi na i-analgesics kunye nee-agent kunye nesenzo sokuchasana.
2. Ukusetyenziswa kweMetronidazole ngomlomo (amaxesha amane ngosuku ngosuku lwamayeza ama-250 mg) okanye nge-intravenously, ukuba ulawulo lokuzimela alukwazi.
3. Injongo yeSmekty, i- Hilaka-Forte kunye ne-Linex kuma-dose aqhelekileyo.
4. Ukulungiswa kwamanani okuphulwa kwamanzi-electrolyte.

Xa ukungathobeli okanye ukungasebenzi kwe-metronidazole kunyango lwe-colitis Vancomycin isetyenziswe. Kulo iipilisi zithatha i-125 mg yesistim esebenzayo amaxesha amane ngosuku, ngesimo sesisombululo - injected nge-tube yogundas.

Isidlo sokufumana i-colitis

Kwiintsuku zokuqala ezingu-1-3, ukuzila ukutya kunye nokusetyenziswa kwamanzi okwanda kwamanzi (umxube, umhluzi we-dogrose, i-tea e-unsweetened kunye ne-tea eqinile) iyanconywa. Emva kokunciphisa imeko kunye nokuphelisa isifo sohudo, ukutya kunokunyuka - i-kefir ne-kissels, i-cottage cheese (i-mashed).

Kancinci, isigulane sidluliselwa kwisondlo esipheleleyo esinguNombolo 4a ePevzner ngaphandle kwezilwelo zotywala, ukutya okunamafutha, iimveliso ezibhema, iipekese kunye ne-pickle.