Besisu pseudomembranous

ukudumba okwenziwa sisilonda Pseudomembranous libhekisela izifo ezihlasela zosulele, ngokumandla ngokunzulu ikholoni. Uphuhliso kwesi sifo ezinxulumene nokusetyenziswa antibiotics. ukudumba okwenziwa sisilonda Pseudomembranous luphawulwa kusekwe kwaye ukwahlulwa ilindle eziphathekayo membranous. Ezi zithinteli zimelwe fibrin kunye yencindi yomlomo.

ukudumba okwenziwa sisilonda Pseudomembranous ibonakalaliswe yi sorhudo nganiso okanye baxhumele kwiintlobo eziqatha. Esi sifo sizibonakalisa ngekhondo oyingozi futhi yomhla nezolo.

Njengomgaqo, okwenziwa sisilonda pseudomembranous ichaphazela abantu abaphakathi kweminyaka engamashumi amane ukuya kwiminyaka engamashumi asixhenxe anesihlanu. Esibhedlele malunga neshumi ukuya kumashumi amabini ekhulwini izigulane zokuva zeClostridium enterotoxins difficile (iintsholongwane anaerobic basasazeke).

Kufuneka kuqatshelwe ukuba ukuqhubela phambili kwesifo waphawula kwiimeko kweelana esi silwanyana leziyobisi zintsholongwane ekwaziyo abathintela umsebenzi ngobomi obushiyekileyo microflora ethunjini. Kulo mzekelo, ukwanda olukhawulezisiweyo amagciwane kubangelwa kukungabikho ukhuphiswano. Kunye nale, kukho ukuqokelela olukhawulezisiweyo ityhefu.

Isikakhulu sifo kuphuhliswa ngenxa yokufumana clindamycin, ampicillin. Nakuba kunjalo, kufanele kuqatshelwe ukuba ukusetyenziswa kwaso nasiphi na isiyobisi, ukuba umsebenzi elwa (umz, penicillin, chloramphenicol, erythromycin, tetracycline) ukuze negalelo ongaphakathi ukuqhubeka kwesifo.

Imiba yomngcipheko kufuneka zibandakanywe, ukongeza ukusetyenziswa elide-ntsholongwane, chemotherapy (methotrexate, fluorouracil, kunye nezixhobo ezihlangeneyo), utyando kwindawo isisu, uremia, ischemia kwi GI phecana, lomongo wethambo abohlukeneyo.

besisu Pseudomembranous. iimpawu

Kuzibonakalisa iqhelekileyo ilindle rhoqo. Njengomgaqo, kubonakala ekupheleni kweveki yesibini ukusetyenziswa antibiotics nje unyango. Kwiimeko ezinqabe kakhulu, uphawu kubonakala emva zokurhoxa yabo (iiveki maxa wambi emva ezintandathu).

isitulo utwa uba umbala oluhlaza, ivumba elibi, ungahambisa ku ubumdaka sorhudo wamagazi. Kunye endleni ezabelwe izinto membranous. Inkqubo defecation lukhatshwa cramping buhlu- kutshona kwezisezantsi iindawo esiswini.

A uphawu Uphawu nalo nomkhuhlane. Kufuneka kuqatshelwe ukuba ishumi ekhulwini zonke iimeko yiyo nokubonakaliswa kuphela esi sifo.

besisu Pseudomembranous. unyango

Eyona engundoqo kunye nomlinganiselo lokuqala zonyango ke ukususwa ingqondo olwa isifo. Eli nyathelo, kwiimeko ezininzi, ingakumbi iintlobo zamva zesi sifo, nokuthintela ukuqhubela phambili yokudumba pseudomembranous.

Imisebenzi therapeutic ziquka unyango etiotrop ukuqeshwa. Yeyona ukusetyenziswa kweziyobisi antibacterial echaphazela intsholongwane difficile zeClostridium. Ngokuqhelekileyo, kuba ezi njongo emiselweyo metronidazole kunye vancomycin. Owokugqibela kukufakwa ihlwempu ethunjini. ulawulo Oral kuphakamisa ukwanda kokuziswa xi.

Metronidazole linokukwenziwa yegazi (kwimeko ngomlomo ulawulo fix).

Oku kubaluleke kakhulu kunye nonyango pathogenetic. Oku kuyinyani ngakumbi kwezigulane yokudumba kakhulu pseudomembranous. indlela yayo na ulungiso protein ukutya kunye namanzi-electrolyte ukungalingani. Ukongeza, lo mcimbi uya kuquka nokubuyiselwa eseleyo eqhelekileyo le microflora amathumbu kunye ezibophelelayo oko ngentsholongwane ye yoluvo-ebangela. Luvakaliswe ukuphazamiseka kwamanzi-electrolyte zibandakanya ukusetyenziswa ngokwaneleyo labagula kakhulu.