Lefu Whipple e

lefu Whipple o fumanoa ke biopsy ya intestine nyenyane. Lefu ama haholo-holo batho ba nang le letlalo le lesoeu, ba hōlileng ho tloha mashome a mararo ho lilemo tse mashome a tšeletseng. Ena ke ka seoelo systemic lefu halefile Tropheryma whippelii. Kalafo ea lefu lena le ho akarelletsa ho nka trmetoprima-sulfamethoxazole selemo bonyane le nngwe.

The lethopa bath ho nkoa mucosa ba intestine tse nyenyane le lefu lena, 'me matšoao a hlaha e loketseng. The liponahatso tsa sehlooho tsa lefu lena le kenyeletsa letšollo le boima ba 'mele. Leha ho le joalo, lefu la Whipple bo le amang litho tse ngata tse ling tse 'me lisele tse (matšoafo, pelo, serous cavity, boko, manonyeletso, pampitšana gastrointestinal, mahlo). Khahlanong le semelo sa lefu lena le hlahisa ramatiki, ho na le e ne e le o fokolang tebileng likoli ka maloetseng lisele, predisposing ho taolo tshwaetso.

Pele litleleniki tsa pontšo ea lefu tšoauoa ka tsoelo-pele ea feberu. A mangata bakuli na tracheobronchitis iphetang. Methati ea pele ea lefu lena le tšoauoa ka ho ba teng ha bohloko fallang ka manonyello kholo le tse nyenyane. Ka tloaelo ho, matšoao a ho ruruha a bolela ho eona li le sieo. Bath ke intemittiruyuschy ramatiki, e leng, ho fapana le e ruruhisang se deform manonyeletso.

Tse ka holimo liponahatso litleleniki tsa ka 'na etsahala ka lilemo tse tharo ho isa ho robeli pele ho qala ho ea le matšoao tse khōlō.

Lipontšo tsa lefu makala tsamaea Whipple ya lefu (bohloko mpeng, steatorrhea, ho ipolaisa tlala, joalo-joalo) hlaha ka tsela e 'ngoe ea lefu lena ka sethaleng lona e tsoetseng pele. Tloaelehileng e sa foleng letšollo. Li fella ho etsahala ho tloha ka makhetlo a mahlano ho tse leshome ka letsatsi o tletse haholo, ka ho lokolloa ha mafura ka ngata. Ho phaella moo, maemong a mang, e bath ka ba patiloeng kapa profuse dutla ka mala. liketsahalo tse joalo li hangata amanang le coagulation boloetse bo bakoang ke hypoprothrombinemia. boemo ena ho bakoa ke ho le sekoli fire K-vithamine. Re lokela ho hlokomela hore letšollo e nkoa e le letšoao tloaelehileng, Leha ho le joalo, ho ke ke ha e tlamang.

Ba bang ba bakuli ba le pipitlelano, haholo-holo ka mekhahlelo ea pele ea lefu lena. Methati hamorao ea ho hōla ea tleleniki ea bolwetse e tsamaea le ponahalo le phumano ya malabsorption matla. Ha ho phetha palo ea lithuto tsa tse ling tse u li senoletse e eketsehileng pigmentation tsa letlalo, lisele tsa mmele kholiso noute, khaello ea mali, poliserozita, khohlela, sa foleng tlhaho, matšoao a mafu a bohareng tsamaiso ea methapo, 'me edema pheriferale.

Ka ho hlahloba ka mokuli o ikutloa bohloko ka palpation lelana kabelo hore decreases mora defecation le ho qeta monono likhase.

Re lokela ho hlokomela hore bohloko ba ka mesogaster ka 'na na le intensities fapaneng. Maemong a mang, ba bontša ba le mokgwa wa distention ka mor'a lijo, ka linako tse ling - ka mokgwa wa colic. Ka ho tiea e mpe ea 'bohloko le flatulence ka bakuli ba ileus belaela (koaloa kapa narrowing tsa lumen le mala) e ile a lumela ho etsa opereishene.

lefu Whipple bo ka fumanoa ka ho motho ka mong ntle le ho ba teng ha matšoao a pampitšana gastrointestinal. Ha ketsahalo ea lefu lena le ho belaelloang hore o ile a etsa endoscopy holimo gastrointestinal libaka, biopsy ya intestine nyenyane. Ka ho hlwaya diso itseng fumanoa. E le busa, phehellang le bohlokoa liphetoho amana proximal ena.

Ho ba sieo ha ka nako e loketseng le ho tšoaneleha kalafo ea bokuli ba ka tsoela pele ka potlako 'me e ka ba bolaeang. E sebetsang hantle nkoa lithibela-mafu tse fapa-fapaneng (tetracycline, chloramphenicol, trimethoprim-sulfamethoxazole, ampicillin, cephalosporins, penicillin e).