Pseudomembranous colitis

Pseudomembranous colitis e bua ka a hlobaetsang le, mafu a nang e tebileng ea mala le. Ntshetsopeleng ya lefu lena le amana le tšebeliso ea lithibela-mafu. Pseudomembranous colitis e tšoauoa ka sebopeho le karohano ea masi membranous lintho tse bonahalang. dibopeho tsena li emeloa fibrin le mucus.

Pseudomembranous colitis ka talima ka letšollo ea itekanetseng kapa ho qhomela ka mefuta e matla. Lefu lena le e tšoauoa ka 'nete hore a hlobaetsang le iphetang.

E le busa, pseudomembranous colitis ama batho ba pakeng tsa lilemo tse mashome a mane ho lilemo tse mashome a supileng a metso e mehlano. Ka sepetlele ka nako e ka etsang liphesente tse leshome ho mashome a mabeli tsa bakuli ba khona ho utloa Clostridium difficile enterotoxins (anaerobic libaktheria hasana ho pholletsa le).

Re lokela ho hlokomela hore letotong la lefu lena le o ile a re ka maemo a ho ho hanyetsa ea kokoana-hloko ea ho lithethefatsi lithibela-mafu ka khona ho hatella mosebetsi bophelo setseng microflora ka intestine le. Tabeng ena, ho ata potlakisa ea libaktheria e bakoa ke ho haella ha tlhōlisano. Hammoho le sena, ho na le ke bokella potlakisa ya chefo.

Hangata ka ho fetisisa lefu lena le hlaha ka lebaka la ho amohela clindamycin, ampicillin. Leha ho le joalo, re lokela ho hlokomela hore ho sebelisa lithethefatsi leha e le life, ho ba le mosebetsi loantsang likokoana (mohlala, penicillin, chloramphenicol, erythromycin, tetracycline) ka 'na kenya letsoho hore ho letotong la tse ka hare tsa lefu lena.

Kotsi lintlha o lokela ho kenngoa, ho phaella ho e sebedisa e telele lithibela-mafu, ka chemotherapy (methotrexate, fluorouracil, 'me lisebelisoa tse setshehetso se), ho buuoa ka sebaka sa mala, uremia, ischemia ka GI pampitšana, lesapo moko transplantation.

Pseudomembranous colitis. le matšoao

Ponahatso atileng ka ho fetisisa ke khafetsa litulo. E le busa, ho bonahala eka ho ea qetellong ea beke ea bobeli ea ho sebelisoa ha lithibela-mafu ka kalafo ya. Maemong a sa tloaelehang, le letšoao bonahala ka mor'a a khaotsa ho tsuba bona (libeke ka linako tse ling ka mor'a matsatsi a tseletseng a).

Metsi setuloana se na le 'mala o motala, e monko o seng monate, e ka tsamaisa ka sehlōhō litšila letšollo. Hammoho le mantle abelwa tse bonahalang membranous. Tshebetso ya ho defecation e tsamaea le cramping bohloko ba likarolong tse ka tlaase ea mpeng.

A letšoao bath e boetse ke feberu. Re lokela ho hlokomela hore ba etsang liphesente tse leshome ba maemong 'ohle ke ponahatso feela lefu lena.

Pseudomembranous colitis. kalafo

Ba ka sehloohong le pele tekanyo phekolo e ho tloswa ha susumelletsang motho lefu lithibela-mafu. tekanyo ena, maemong a mangata, haholo-holo le diforomo tsa bate haholo oa lefu lena le, ho thibela letotong la colitis pseudomembranous.

mesebetsi phekolo e kenyeletsa ho khethoa etiotrop kalafo. Ho sebelisoa ha lithethefatsi antibacterial tse amang libaktheria Clostridium difficile. E le busa, bakeng sa merero tsena e hlophisitsweng metronidazole le vancomycin. Ea bobeli e na le absorption mafutsana e ntse likahare ka. tsamaiso molomo qholotsa le keketseho e potlakileng ea mahloriso ya.

Metronidazole ka abeloa entoe (tabeng ea ho nyanyana litho tsa tsamaiso lokisa).

Ke ea bohlokoa haholo 'me phekolo pathogenetic. Sena ke 'nete haholo-holo ho bakuli ba matla pseudomembranous colitis. litaelo tsa lona ka sehloohong ke khalemelo protheine metabolism le metsi-electrolyte imbalance. Ho phaella moo, ketsahalo ena e tla akarelletsa ho tsosolosoa ha e ho leka-lekana tloaelehileng ea microflora le mala le tlamme tsa toxin tse bakang baktheria. Bitsoa metsi-electrolyte mafu a amanang le tshebediso ya ho lekaneng tlhokomelo e matla.