Ngenxa yokudla isikhathi eside noma okungalawulwa kwamagciwane aphikisayo, i-microflora yamathumbu (i-dysbiosis) iphazamiseka futhi isifo esiyingozi - isifo se-colitis - siphuthuma. Kubonakala kungavamile, kodwa kwandisa ingozi yezinkinga ezingenakugwenywa ngenxa yenqubo yokuvuvukala okukhulu emagqumeni amancane omzimba.
Izimpawu ze-colitis engafakazi
Isibonakaliso sokuqala se-pathology yisifo sohudo esibi kakhulu. Isihlalo sixubene namaqabunga egazi kanye ne-mucus elula.
Okunye ukubonakaliswa kwemitholampilo:
- isicanucanu esinamanzi okuhlanza;
- ubuthakathaka;
- ukwanda kokushisa;
- isifo sosizi, sanda ngaphambi kokuhamba komzimba;
- i-tenesmus;
- isifiso samanga sokuthi sinqabile.
Ngaphandle kwalezi zimpawu zokudakwa ngokweqile, kunezibonakaliso zezifo zenhliziyo - ukwehlisa ukucindezeleka kwegazi (hypotension), i-tachycardia, i-fever kanye nokudideka. Ngaphezu kwalokho, izifo ze-electrolyte nokuphelelwa amandla kwamanzi zivame ukubonwa ngenxa yokulahlekelwa kwamanzi, amaprotheni emetabolism ehla. Ukubonakaliswa okuyingozi kakhulu kwalolu hlobo lwe-colitis yi-perforation yamathumbu, i-peritonitis.
Ukuxilongwa kwe-colitis epseudomembranous
Okokuqala, i-anamnesis iqoqwe ukuze ibone imbangela yesifo (ukuthatha ama-antibiotics). Khona-ke i-gastroenterologist yenza ukuhlolwa kwesiguli - i-palpates indawo yomathumbu, ibeka izinga lokushisa komzimba.
Ucwaningo lwelabhu luhlanganisa:
- ukuhlolwa kwegazi okujwayelekile kanye nokuningiliziwe kwegazi;
- Ukuhlaziywa kwe-bacteriological kanye jikelele;
- i-chromatography yegesi, isiko le-bacterium kanye nesitembu samathambo amaningi (ukubona ukuthi ubukhona nobungakanani be-dysbiosis).
Ukucaciswa kokuxilongwa kwenziwa nge-endoscopic nokubuka ubuchwepheshe:
- isifo se-tomography samathumbu;
- Ukuhlolwa kwe-X-ray ye-lumen yomzimba;
- i-biopsy (histology);
- I-colonoscopy noma i-endoscopy ngokusebenzisa i-medium medium.
Ngokusemthethweni, izindlela ezibalulwe ngenhla zenza ukuba kube lula ukuhlukanisa ngokunembile amakoloni amabhaktheriya abangela inqubo yokuvuvukala, anqume ukuvuvukala kwamangqamuzana emangcwabeni nokuxubha kwamathumbu amakhulu.
Indlela yokuphatha ukwelashwa okungahambi kahle?
Ngokuyinhloko, udinga ukukhansela ngokushesha ukusetshenziswa kwama-antibiotic okwenyusa i-pathology echazwe, uma kungenzeka. Uma kudingekile ukuqhubeka nokwelashwa kwama-antibiotic, kunconywa ukuba ubeke esikhundleni semithi esetshenzisiwe:
- i-sulfonamide;
- i-fluoroquinolones;
- aminoglycosides;
- i-tetracycline;
- macrolides.
I-Scheme yokwelashwa kwe-colitis engapheliyo:
- Ukwenqaba ukuthatha noma yimaphi ama-analgesics nama-agent anesenzo sokuphikisa.
- Ukusebenzisa i-Metronidazole ngomlomo (izikhathi ezine ngosuku 250 mg wemithi) noma ngokuzenzekelayo, uma ukuzimela kungenakwenzeka.
- Inhloso Smekty, i- Hilaka-Forte ne-Linex kumaningi ajwayelekile.
- Ukulungiswa kwamanani okulinganisa kwamanzi-electrolyte.
Uma ukungezwani noma ukungasebenzi kahle kwe-metronidazole yokwelashwa kwe-pseudomembranous colitis Vancomycin kuyasetshenziswa. Ku
Ukudla ngokubamba iqhaza kwe-colitis
Ezinsukwini zokuqala ezingu-1-3, ukuzila ngokusetshenziswa kwevolumu ekhuphukile yamanzi (amanzi, umhluzi wezinhlanzi, itiye elingenayo i-unsweetened futhi elingenamandla) unconywa. Ngemuva kokunciphisa isimo nokuqeda uhudo, ukudla kunganwetshwa - i-kefir ne-kissels, i-cottage shizi (i-mashed).
Kancane kancane, isiguli sidluliselwa ekudleni okuphelele okungekho 4a ePevzner ngaphandle kweziphuzo ezidakayo, ukudla okunamafutha, imikhiqizo yokubhema, amaswidi kanye nama-pickle.