Yintoni ithumba lesibindi
Umxholo
Isibindi lelona lungu lichaphazeleka kakhulu ekwakhekeni kwamathumba, anokuzimela wedwa okanye aphindaphinde, kwaye anokuvela ngenxa yokusasazeka kwebhakteria egazini okanye ukusasazeka kwendawo yosulelo kumngxunya we-peritoneal, kufutshane nesibindi, imeko ye-appendicitis, izifo ezinxulumene nephepha le-biliary okanye i-pileflebitis, umzekelo.
Ukongeza, ithumba lesibindi sisifo esinokubangelwa yiprotozoa, eyaziwa njenge-amoebic abscess abscess.
Unyango luxhomekeke kwinto engunobangela wosulelo kodwa ihlala inolawulo lwee-antibiotics, ukukhutshwa kwethumba okanye iimeko ezinobuzaza, kunokucetyiswa ukuba ubhenele kuqhaqho.
Zithini iimpawu?
Iimpawu kunye neempawu ezihlala zenzeka kubantu abane-abscess yesibindi ngumkhuhlane nakwabanye abantu, ngakumbi abo banezifo ezinxulumene nephepha le-biliary, banokubonisa iimpawu kunye neempawu ezikwi-quadrant ephezulu ngasekunene, njengentlungu zesisu.
Ukongeza, kukho ukubanda, i-anorexia, ukwehla kobunzima, isicaphucaphu kunye nokugabha.
Nangona kunjalo, sisiqingatha kuphela sabantu abanamathumba esibindi abanesibindi esandisiweyo, iintlungu zokucofa i-quadrant ephezulu, okanye i-jaundice, oko kukuthi, abantu abaninzi abanazimpawu zijolise esibindini. Umkhuhlane wemvelaphi engacacanga inokuba kuphela kwesibonakaliso sesibindi sesibindi, ngakumbi kubantu abadala.
Izizathu ezinokubangela
Amathumba esibindi anokubangelwa zii-microorganisms ezahlukeneyo, ezinje ngebhaktheriya okanye isikhunta, ezinokuvela ngenxa yokusasazeka kwebhaktiriya egazini okanye ukusasazeka kwendawo yosulelo kumngxunya we-peritoneal, kufutshane nesibindi, njengoko kunjalo kwimeko yeappendicitis ., Izifo ezinxulunyaniswa ne-biliary tract okanye i-pileflebitis, umzekelo. Funda ngakumbi malunga ne-appendicitis kunye nendlela yokuchonga.
Ukongeza, amathumba esibindi anokuba yi-amoebic:
Amoebic ithumba lesibindi
Ithumba lesibindi se-Amoebic sisifo sesibindi yi-protozoa. Esi sifo siqala xa iprotozoaE. histolytica Ngena kwi-mucosa yamathumbu, uwele ukujikeleza kwe-portal kwaye ufikelele kwisibindi. Uninzi lwezigulana ezinesi sifo azibonisi zimpawu kunye neempawu okanye ubukho beprotozoan kwisitulo.
Esi sifo sinokuvela kwiinyanga ukuya kwiminyaka emva kohambo okanye indawo yokuhlala, ngoko kubalulekile ukuba wazi imbali enomdla yohambo lokwenza isifo. Ezona mpawu zixhaphakileyo ziintlungu kwi-quadrant ephezulu ngasekunene, umkhuhlane kunye nokuthamba kwesibindi.
Idatha eqhelekileyo yelabhoratri yi-leukocytosis, i-alkaline phosphatase ephezulu, i-anemia encinci kunye ne-erythrocyte sedimentation rate.
Yintoni isifo
Eyona nto ifunyenwe yilebhu kukunyuka kwe-alkaline phosphatase, ehlala iphakame kubantu abane-abscess yesibindi. Kukho ukonyuka kwe-bilirubin kunye ne-aspartate aminotransferase egazini, i-leukocytosis, i-anemia kunye ne-hypoalbuminemia malunga nesiqingatha samatyala.
Ukulinganisa iimviwo kuhlala kuthembekile ekuchongeni esi sifo, njenge-ultrasound, ikhompyuter ye-tomography, i-scintigraphy ene-leukocytes ephawulwe nge-indium okanye nge-gallium kunye ne-magnetic resonance. I-X-ray yesifuba nayo inokuthathwa.
Ukufunyaniswa kwamathumba esibindi se-amoebic kusekwe ekufumanekeni kwe-ultrasound okanye itomografi ebalwayo, inesilonda esinye okanye ezingaphezulu, ezihlala kwindawo yesibindi kunye novavanyo oluqinisekileyo lwe-serological kwii-antibodies kwiiantigenE. histolytica.
Unyango lwenziwa njani
Unyango lunokwenziwa ngokusebenzisa umjelo wamanzi ojikelezayo, kunye ne-catheter enemingxunya esecaleni egcinwe endaweni. Ukongeza, amayeza okubulala iintsholongwane kwi-microorganism anoxanduva losulelo anokusetyenziswa emva kokuthatha isampula yethumba. Kwiimeko apho kukho ukukhutshwa kwethumba, kufuneka ixesha elingakumbi lonyango lwe-antibiotic.
Ukuba usulelo lubangelwa yi-candida, unyango luhlala luqukethe i-amphotericin, kunye nonyango olongezelelweyo nge-fluconazole. Ngamanye amaxesha, unyango olunokusetyenziswa kuphela yi-fluconazole, oko kukuthi, kubantu abazinzileyo eklinikhi, abanama-microorganism akhethekileyo anokuchaphazeleka kwesi sixhobo.
Ukunyanga ithumba lesibindi se-amoebic, amayeza afana ne-nitroimidazole, tinidazole kunye ne-metronidazole anokusetyenziswa. Ukuza kuthi ga ngoku, le protozoan ayibonisanga kuchasana nalo naliphi na kula machiza. Umjelo wamanzi wamathumba esibindi e-amoebic awufuneki kangako.
Ngokunomdla
