Mesadenitis - ntoni na? Mesadenitis: iimpawu, ebangela, isifo, unyango

Mesadenitis (oko kukuthi, kuya kuxoxwa kamva) ezinokubangelwa ezahlukeneyo izinto ezosulelayo. Imiba ngqo ingqondo ngezifo akukasekwa. Okulandelayo, sijonga mesadenitis kuboniswe njani ukuba, yintoni ungenelelo zonyango iyenziwa.

Overview

Ke mesadenitis. Yintoni na? wenza njani esi sifo? Le ngezifo kukukrala endlaleni okanye nkovu node kwamathumbu mesentery. Le yokugqibela iya kumthintela elibalulekileyo ukuya usulelo ethile nezibilini okanye emathunjini. Iyonke iindawo nkovu esiswini unamalunga 600 Ngokuqhelekileyo, le kwamagciwane sifo ukugqobhoza ngqo ukusuka sayo wamathumbu (yi enterogenous) okanye nkovu kunye lokuhamba igazi nakujoliso olutsha ezahlukeneyo esosulelayo (indlela limfogematogenny). Le kungahlanganisa, umz, kuba kwisihlomelo namathumbu, imiphunga, iphecana eliphezulu sokuphefumla. Ethetha mesadenitis njani ebonakalisiwe (oko kubhaliwe kwathiwa ngasentla), kufanele kuqatshelwe uphawu zimbini ziqhelekileyo. Pathology sikhatshwe ubuhlungu kwindawo esiswini kunye ukunxila syndrome.

Mesadenitis: Oonobangela

Njengoko sesitshilo ngasentla, izinto ngqo lophuhliso akukasekwa ukuza kuthi ga ngoku. Noko ke, iingcali ndakubiza oonobangela zixhaphakileyo zokugula. Phakathi kwabo:

• Adenovirus kunye enterovirus. Baqumbisa izifo uhlobo ezihlasela zosulele ngokuphefumla.
• Yersinia. It amagciwane pseudotuberculosis yersiniosis emathunjini. Bona omnye ezingunobangela ixhaphakileyo mezadenita kwiindawo ezininzi zehlabathi.
• Epstein-Barr yintsholongwane. Yena afune mononucleosis esosulelayo.
• Cytomegalovirus.
• Streptococci (zelenyaschy kunye beta-hemolytic), Staphylococcus kunye nabanye.
• Mycobacterium tuberculosis.
• Campylobacter kunye namanye amagciwane losulelo wamathumbu (Salmonella, intonga, njalo njalo).

Njengoko practice ibonisa, kwiimeko ezininzi, ngezifo ubanjwa ngokuzimeleyo, ngaphandle naluphi na ungenelelo therapeutic. Noko ke, kwezinye iimeko, unyango kwakusafuneka. Ngokukodwa, unyango emiselweyo inkqubo yokukrala kwi zamanzi kunye suppuration zabo mhlawumbi kunye ukwanda koko kosulelo. Ngokuqhelekileyo, le ngezifo ibanjiwe kakhulu rhoqo esakhula. Amantombazana ekucaca ukuba esi sifo, kangangoko ongaphantsi kwama amakhwenkwe.

picture clinical

Lidla iimpawu iyafana iimpawu appendicitis. Le ngezifo luqala imbonakalo paroxysmal (ngakumbi kunqabile osisigxina), iintlungu esiswini kwi ezayo ezalathelwe nkovu mesenteric. Ngelo xesha umxhelo leyo kukuba, nangona wabonakala ngokungenamkhethe elibukhali imeko jikelele isigulana xa lulonke eyanelisayo. Acute mesenteric adenitis usenokuphelekwa isicaphucaphu okanye ukugabha, ifiva, ukuphazamiseka isitulo (isisu okanye ukuqhina). Ixesha intlungu kwi ngezifo yangasemva idla ngokwexesha kwiiyure ezimbalwa ukuya kwiintsuku 2-3 (ngamaxesha ambalwa ngaphezulu ezintathu). Kwezinye iimeko, kunye mpawu zingasentla isigulane ubonisa iimpawu izitshanguba le iphecana yokuphefumla eliphezulu ngohlobo yokubanda, ukukhohlela, umqala eqhelekileyo obuhlungu.

Mycobacterium tuberculosis

obubonakala lwezonyango ngayo kule meko zahluke kancinane kulawo ezichazwe ngasentla. Xa mesadenitis, nomsindo nesifo Mycobacterium, kukho intlungu obufutshane-ngaphandle eyendawo gca. Ziphawuleka fever ephantsi-grade, ukwehla kobunzima, ubuthathaka jikelele. iindawo nkovu ke ekugqibeleni uphawu iviwe ngexesha Ngokucofa esiswini. Ngokubanzi, umfanekiso lonyango liya kuxhomekeka kakhulu izilonda ezikhoyo ezinye izigqeba. Kukho ingozi kubunzima sifo. Oku kunokuba iindidi sisifo esingapheliyo amathumbu akhe (umz isithintelo), iglu syndrome, nokudumba, peritonitis, necrosis kunye nophuhliso suppuration kunye amathumba.

amanyathelo zokuxilonga

Izifundo baye baqeshwa ngokusekelwe ngezifo ekhoyo kwezonyango. Kwiimeko ezinzima (ukuba kukho izifo ezingapheliyo le kwisisu esiswini okanye emathunjini) ukuxilongwa kungafuna ultrasound kunye laparoscopy diagnostic. Kwezinye iimeko oyingcaphephe unakho ukumisela i CT scan. Iindlela ngasentla ukuvumela ukuba nje kuphela ukuseka ukungabikho okanye ubukho mezadenita, kodwa ukuchonga okanye ngaphandle amathuba iingxaki. Ngethuba loviwo, isigulane emiselweyo njengoko iimvavanyo zegazi elebhu. Uhlalutyo lubonisa unobangela sifo nokuba ukwenza isifo umahluko. Bakhetha iintlobo tuberculous leengxaki enokuthethwa ulwazi anamnestic malunga nesifo bafudukele ngaphambili, kwakunye ezihle neziphumo tubproby. rhoqo i oogqirha mesadenitis etsolo kufuneka ukohlula kunye ezimbi ezininzi ngokwamalungu peritoneum, kunye nendawo retroperitoneal. Ezi ziquka, ingakumbi, iquka appendicitis, cholecystitis, asemahle (ethunjini) ukukhulelwa, salpingitis. diagnosis umahluko kufuneka kwenziwe ezimbi ezifana vasculitis, lymphoma, pyelonephritis kunye nesifo Crohn kaThixo, mesenteric (chronic) kunye nezinye ischemia.

Prevention and Therapy

unyango mezadenita (non-ezithile) yenziwa kusetyenziswa iindlela angqingqwa. Ngokuqhelekileyo, uthomalaliso lwenziwa kwisibhedlele yotyando. Eyona nto iphambili unyango antibiotics kunye kuluhlu olubanzi amanyathelo. Ezi ziquka, ingakumbi, iquka fluoroquinolones yesibini kunye cephalosporins besesithathu isizukulwana. umsebenzi wabo ijolise abathintela imisebenzi kwamagciwane. Ukuze ukuphelisa antispasmodics iintlungu esetyenzisiweyo. Oku, ingakumbi, iindlela ezinjalo njenge "Drotaverinum", "papaverine". Kwakhona emisiweyo analgesics ( "Ketorolac", njalo njalo). Kwiimeko ingakumbi kakhulu, sebenzisa kwafa perirenal. Ubuthi eyenziwa unyango pathogenetic nonspecific iquka ukuqaliswa izisombululo ukumnika ezahlukeneyo. Ukuyifundisa sincede kakhulu.

ulwazi oluthile

Kwimeko mesadenitis okukrokrelwayo ukuba akukho kuyacetyiswa kakhulu ukuba uthathe amayeza ngaphandle wabonisana yincutshe. Amanye amachiza, analgesics kunye antispasmodics ingakumbi, lunokuyitshintsha kakhulu umfanekiso lwezonyango, iyenza nzima ukubona. ingqalelo eyodwa yanikwa lokudla mesadenitis. Izigulana ziyacetyiswa itheyibhile inani 5. Ukuvunyelwa ukuba badle iimbotyi, isaladi, iziqhamo (hayi ezimuncu), isidudu friable. Zingadityaniswa kwi ezityiwa esezantsi-enkomo, inyama yenkuku, isuphu yemifuno, libya-fat cottage itshizi, iti (kunokuba buthathaka), juice, isonka sengqolowa. Kukhuthazwa izidlo fraction rhoqo. Akuvunyelwe ukuba ukutya yekofu emnyama, ipepile, lwemostade, ezinamafutha, isipinatshi, nangwevu, Bacon, khekhe entsha, ukutya lula, wosa.

Ekuphetheni

Zokugula jikelele iphendula kakuhle kunyango. Iingxaki kuvandlakanywa befundisa rhoqo. Bona lubonakala ikakhulu losuleleko isifo sephepha. isibheno ngexesha yingcali, ngazo zonke iimeko, ngokukhawuleza balahle esi sifo.