Isifo Whipple kaThixo

isifo Whipple kukaThixo axilonge biopsy ye emathunjini amancinci. Sifo sichaphazela abantu kakhulu eluswini emhlophe, oneminyaka ukususela mathathu ukuya kominyaka imashumi mathandathu. Esi sisifo enqabileyo systemic Bamqumbisa Tropheryma whippelii. Unyango kwesifo kuquka ukuthatha trmetoprima-sulfamethoxazole zawo ubuncinane isithuba sonyaka omnye.

Le sisilonda esidumbileyoesingaphakathi uphawu igqalwa isifo ye emathunjini amancinci kunye sifo, kwaye iimpawu zivela ezifanelekileyo. Ezibonisa ezingundoqo sifo ziquka urhudo kunye umzimba. Noko ke, isifo Whipple kaThixo kuchaphazela nezinye izigqeba ezininzi kunye namalaphu (imiphunga, intliziyo, kwisisu serous, ingqondo, amalunga, iphecana zesisu, amehlo). Ngokuchasene nentsukaphi sifo ukuphuhlisa samathambo, kwakukho iziphene kakhulu kancinane sifo zeselula, predisposing ukuya ulawulo losulelo.

Nokubonakaliswa lokuqala kwezonyango sisifo luphawulwa kuphuhliso umkhuhlane. A lot of izigulane kufuneka tracheobronchitis nezolo. Kwisigaba sokuqala esi sifo luphawulwa ubukho intlungu ndawonye amalungu ezinkulu nezincinane. Ngokuqhelekileyo, iimpawu ukudumba bavakalisa kuzo bengekho. Uphawu na samathambo intemittiruyuschy, leyo, ngokungafaniyo samathambo hayi ukugqabhuza le amalungu.

Wabonakala zonyango zingasentla kwenzeka kwiminyaka emithathu ukuya kwezisibhozo phambi kokuqala kwekhefu iimpawu eziphambili.

Iimpawu ethukile syndrome ehamba Whipple kaThixo izifo (iintlungu esiswini, steatorrhea, ukudla, njl) kuvela kule khosi ngakumbi esi sifo sikwinqanaba eliphezulu. Omnye udla utyatyazo ezigulo ezondeleyo. Lokusula kwenzeka ukususela izihlandlo ezihlanu ukuya kwishumi imini luninzi kakhulu, kunye ukukhululwa kwamafutha ezininzi. Ukongezelela, kwezinye iimeko, uphawu kunokuba ezifihlakeleyo okanye lweenkcukacha ukopha emathunjini. izenzakalo Loo nto idla coagulation ezibangelwa hypoprothrombinemia disorder. Le meko ibangelwa ziziphene sokufunxa K-vitamin. Kufuneka kuqatshelwe ukuba urhudo kuthathwa ukuba kube uphawu eqhelekileyo, Noko ke, oko ayisosinyanzelo.

Ezinye izigulane kufuneka ukuqhina, ingakumbi xa nisaqala zesi sifo. Izigaba kamva sophuhliso kwezonyango ngezifo kunye nenkangeleko une malabsorption kakhulu. Xa wenza inani ezinye izifundo phendla i nombala eyandileyo eluswini, nkovu node ukukhula, ianemia, poliserozita, khohlo, indalo ezondeleyo, iimpawu ukuphazamiseka kwenkqubo luvo central, kunye nokudumba neuropathy.

Xa yoviwo isigulane lusiva intlungu kwi Ngokucofa isabelo yosana ukuba uyancipha emva defecation kunye zeemoto iigesi.

Kufuneka kuqatshelwe ukuba intlungu kwi mesogaster inokuba intensities ezahlukeneyo. Kwezinye iimeko, azibonakalisa ngohlobo distention emva kokutya, maxa wambi - ngohlobo kwesisu. Xa aqine kakhulu intlungu flatulence kwizigulane kunye ileus kuyakrokreleka (wokuvala okanye licuthe le mithambo wamathumbu) wamkelwa uqhaqho.

isifo Whipple kaThixo ukuba olufunyanwa abantu ngaphandle phambi iimpawu iphecana zesisu. Xa okuvela sifo kukrokrelwa eyenziwa endoscopy iisayithi aphezulu zesisu, biopsy ye emathunjini amancinci. Ekuchongeni izilonda ezithile sifo. Njengomgaqo, utshintsho zokunyanzelisa ezibalulekileyo zinxulumene proximal.

Xa engekho unyango ngexesha nabanobuchule yokugula sanda ngokukhawuleza kwaye lunokubulala. Eyiyo ingqalelo antibiotics ezahlukeneyo (tetracycline, chloramphenicol, trimethoprim-sulfamethoxazole, ampicillin, cephalosporins, penicillin).