Pamusana pokudya kwenguva refu kana kusingadzorwi kwemishonga inorwisa mabhakitiriya, hutachiwana microflora (dysbiosis) hunovhiringidzika uye chirwere chinotyisa - pseudomembranous colitis - inokura. Inowanzoitika kazhinji, asi inowedzera njodzi yezvinetso zvisingagadziriswi nekuda kwekunyanyisa kunokonzera kushandiswa kwemucous membrane yechiri.
Zviratidzo zvepseudomembranous colitis
Chiratidzo chekutanga chechirwere chirwere chakanyanya. Chigaro chinosanganiswa nemagazi anopa ropa uye mucus.
Zvimwe zvipatara zviratidzo:
- kushungurudzika nemakumbo ekurutsa;
- kushaya simba;
- kuwedzera mukushisa;
- chirwere chinorwadza, kuwedzera pamberi pemaviri;
- tenesmus;
- kunyengera kukurudzira kuzvidzivirira.
Mukuwedzera kune zviratidzo izvi zvekudhakwa, pane zvinowanzoratidza zvirwere zvepfungwa-kuderedza ropa (hypotension), tachycardia, fever uye kunyange kuputika. Uyezve, zvirwere zve electrolyte uye kupera mvura kunowanzoonekwa nekuda kwekurasikirwa kwemvura, mapuroteni metabolism anowedzera. Kuratidzwa kwakaipisisa kworudzi urwu rwehutachikiti ihwo huputi hwekurwa, peritonitis.
Kuongororwa kwepseudomembranous colitis
Chokutanga pane, an anamnesis inounganidzwa kuti aone chinokonzera chirwere (kutora antibiotics). Zvadaro gastroenterologist inoita kuongororwa kwemurwere-palpates nzvimbo yemukumbo, inoyera kutonhora kwemuviri.
Kutsvakurudza kwebhuku kunosanganisira
- huwandu uye huwandu hwehupenyu hwekuongorora ropa;
- bacteriological uye general stool analysis;
- gesi chromatography, bhakitiriya tsika uye chigaro chemasero mashekironi (kuti aone kuvepo uye uwandu hwekuita dysbiosis).
Tsanangudzo yekuongororwa inoitwa kuburikidza ne endoscopic uye kuongorora magetsi:
- computed tomography yemukumbo;
- X-ray kuongorora kwemwenje yemuviri;
- biopsy (histology);
- Colonoscopy kana endoscopy kushandisa shanduro yakasiyana.
Sezvo mutemo, nzira dzataurwa pamusoro apa dzinoita kuti zvive nyore kugadzirisa zvakakwana makoloni emabhakitiriya ayo akaita kuti chirwere chinopisa, chigadzirise kuputika kwemukasi membrane uye kuputika kwematumbo makuru.
Nzira yekurapa pseudomembranous colitis?
Kunyanya, iwe unoda kubva pakarepo kubvisa kushandiswa kwemishonga inorwisa mabhakitiriya iyo yakagumbura chirwere chinotsanangurwa, kana zvichibvira. Kana zvakakosha kuti urambe uchirapa maantibhakitiriya, zvinokurudzirwa kutora mishonga inoshandiswa:
- sulfonamides;
- fluoroquinolones;
- aminoglycosides;
- tetracyclines;
- macrolides.
Chirongwa chekurapa kwepseudomembranous colitis:
- Kuramba kutora chero mararamiro nemaanisi ane antiperistaltic action.
- Kushandisa Metronidazole mumuromo (kanomwe pazuva pazuva 250 mg yemishonga) kana intravenously, kana kuzvitonga kusingaiti.
- Chinangwa Smekty, Hilaka-Forte uye Linex mumatareji akaenzana.
- Kururamiswa kwemvura-electrolyte kukanganisa kuenzanisa.
Kana kusawirirana kana kusagadzikana kwe metronidazole mukurapa kwepseudomembranous colitis Vancomycin inoshandiswa. In the
Kudya kwepseudomembranous colitis
Mumazuva okutanga 1-3, kutsanya nekushandiswa kwekuwedzera kwehuwandu hwemvura (mvura, muto weshumba, unoteredened uye kwete simba chai) inokurudzirwa. Mushure mokuderedza mamiriro acho uye kubvisa marwere, kudya kunogona kuwedzerwa - kefir uye kissels, cottage cheese (mashed).
Zvishoma nezvishoma, murwere anoendeswa kune zvokudya zvakakwana zvisingabatsiri Nha. 4a muPevzner kunze kwezvinwiwa zvinodhaka, mafuta ekudya, kusvuta zvinodyiwa, masukisi uye mapukisi.