I-Mezadenit - iyini? I-Mesadenitis: Izimpawu, Izimbangela, Ukuxilongwa, Ukwelashwa

I-Mezadenitis (okuyiyo, ezoxoxwa kamuva) ingabangelwa yizinhlobo ezehlukene zezifo ezithathelwanayo. Izizathu eziqondile ezivusa ukwelashwa aziqinisekisiwe. Ngokuqhubekayo sizoqonda, njengoba i-tabledenitis iboniswa, yikuphi, yiziphi izinyathelo zokwelapha ezenziwa.

Ulwazi jikelele

Ngakho, i-tabledenite. Kuyini? Lesi sifo sibonakala kanjani? Ukukhubazeka ukuvuvukala kwegland noma i-lymph node ye-mesentery yamathumbu. Lesi siphetho siyisithiyo esiyingozi endleleni yokutheleleka ezivela ezingxenyeni zangaphakathi noma emathunjini. Ngokuphelele, isigxobo esiswini samantombazane angama-lymph nendawo engaba ngu-600. Njengomthetho, amagciwane awela ngokuqondile emathunjini emathumbu (umzila we-enterogenic) noma nge-lymph kanye nokugeleza kwegazi ezivela ezinhlobonhlobo zezindlela ezithathelwanayo (i-lymphohematogen pathway). Lezi zinsuku zingakhona kwisithasiselo, amathumbu, amaphaphu, ipheshana eliphezulu lokuphefumula. Ekhuluma ngendlela i-mesadenite eboniswa ngayo (kuyini, kushiwo ngenhla), izimpawu ezimbili ezivame kakhulu kufanele ziphawulwe. I-pathology ihambisana nokuzwa okubuhlungu emathunjini nasesidakwa.

I-Mesadenitis: Izimbangela

Njengoba kukhulunywe ngenhla, izici zokuthuthukiswa eziqondile azange zenziwe kuze kube manje. Noma kunjalo, ochwepheshe bathi izimbangela ezivame kakhulu zesifo. Phakathi kwabo:

• I-Adenovirus ne-enterovirus. Bavusa ukuvela kwezifo zohlobo oluphefumula lokuphefumula.
• Yersinia. Lawa angama-causative agents of pseudotuberculosis kanye nama-intestinal yersiniosis. Zingenye yezimbangela ezivame kakhulu zokuvela kwe-mesadenitis ezindaweni eziningi zomhlaba.
• I-Epstein-Barr virus. Lokhu kubangela i-mononucleosis esithathelwanayo.
• I-Cytomegalovirus.
• I-Streptococcus (eluhlaza ne- beta-hemolytic), i-staphylococcus nabanye.
• I-Mycobacterium isifo sofuba.
• I-Campylobacter nezinye izinambuzane zamagciwane omzimba (salmonella, induku nabanye).

Njengomkhuba wokubonisa, ezimweni eziningi, ukugula kuhamba ngokwakho, ngaphandle kokungenelela kwezokwelapha. Nokho, kwezinye izimo, ukwelashwa kusadingeka. Ikakhulukazi, ukwelashwa kunqunywe ngenqubo yokuvuvukala emilenzeni ye-lymph ne-suppuration engenzeka kanye nokutheleleka okulandelayo. Njengomthetho, ukukhubazeka kuvame ukutholakala ebuntwaneni nasebusheni. Amantombazane ahloselwe ukugula kunabantwana.

Isithombe somtholampilo

Ngokuvamile, i-symptomatology ifana nezibonakaliso zokufaka uhlelo lokusebenza. I-pathology iqala ngokuqala kwe-paroxysmal (ezimweni ezingavamile kakhulu zokuhlala unomphela) ubuhlungu esiswini lapho kubonakala khona i-lymph nodes yama-mesenteric. Ngokuhambisana nalokhu, kuyaphawuleka ukuthi, naphezu kokubonakaliswa okubukhali, isimo sesiguli esiphelele sinelisekile. I-tabledenitis enhle ingahle ihambisane ne-nausea noma ukuhlanza, umkhuhlane, ukuphazamiseka kwesitokisi (isifo sohudo noma ukuqothulwa). Isikhathi sokuthuthukiswa kwesifo sobuhlungu ngokumelene nesizinda se-pathology ngokuvamile sivela emahoreni amaningana kuya ezinsukwini ezingu-2-3 (okungekho cishe ngaphezulu kwezintathu). Kwezinye izimo, kanye nezimpawu ezingenhla, isiguli sibonisa izimpawu zokuphefumula okuphezulu okuphefumula ngendlela yephunga eligijimayo, ukukhwehlela, nomphimbo obuhlungu.

I-Mycobacterium isifo sofuba

Ukubonakaliswa kwemitholampilo kuleli cala kunemibono ehlukile kulabo okuchazwe ngenhla. Nge-mesadenitis, ecasulwa yi-mycobacterium isifo sofuba, ubuhlungu besikhathi esifushane ngaphandle kwendawo ebonakalayo ebonakalayo. Kulokhu, ukushisa okuncane kakhulu, ukulahlekelwa isisindo, ubuthakathaka obujwayelekile kubonakala. Ama-lymph nodes ekugcineni abe denser and palpable ngesikhathi sokulunywa kwesisu. Ngokuvamile, isithombe somtholampilo sizoxhomeke kakhulu ezilonda ezikhona kwezinye izitho. Kukhona amathuba okuba nezinkinga ze-pathology. Kungaba izifo ezihlukahlukene ezingenasifo samathumbu emathunjini (ukuvimbela isibonelo), i-adhesive syndrome, i-sepsis, i-peritonitis, i-necrosis kanye ne-suppuration ngokuthuthukiswa kwama-abscesses.

Izinyathelo zokuhlola

Izifundo zinikwe ukucabangela isithombe esitholakalayo somtholampilo se-pathology. Ezimweni ezinzima (uma izifo ezingelapheki zesitho zomzimba zesisu noma zamathumbu zikhona), i- laparoscopy ye-ultrasound neyokuxilonga ingadingeka ukuze kutholakale ukuxilongwa okunembile . Kwezinye izimo, ochwepheshe angakhetha ikhompyutha ye-computer. Lezi zindlela ezingenhla zenza kube lula ukuthi kungabonakali ukuphela noma ukutholakala kwe-mesadenitis, kodwa futhi ukucacisa noma ukukhipha izinkinga zayo ezinokwenzeka. Ngesikhathi sokuhlolwa, isiguli sinikezwa nokuhlolwa kwegazi le-laboratory. Ukuhlaziywa kukuvumela ukuba uqagele imbangela yalesi sifo futhi wenze ukuxilongwa okuhlukile. Ngokuphathelene nesifo sofuba, ulwazi olune-amnestic mayelana nesifo sofuba esidluliselwa ngaphambili singakhulunywa, kanye nemiphumela emihle yesifo sofuba. Ngokuvamile imilenze ye-mesenitis ephawulekayo kudokotela kufanele ihlukanise ne-pathologies eminingi yezingxenye ezisekelweni ze-peritoneum ne-retroperitoneal. Phakathi kwazo, ikakhulukazi, kufaka i-appendicitis, i-cholecystitis, i-ectopic (ectopic) ukukhulelwa, i-salpingitis. Ukuxilongwa okuhlukile kufanele kwenziwe nge-pathologies njenge-vasculitis, i-lymphomas, i-pyelonephritis nesifo se-Crohn, i- mesenteric (engavamile) ischemia nezinye.

Ukuvimbela kanye nokwelapha

Ukwelashwa kwe-mesadenitis (okungekho emthethweni) kwenziwa ngezinqubo ezizimele. Ngokuvamile, ukwelashwa kwenziwa esibhedlela sokuhlinzeka. Into eyinhloko yokwelashwa yi-antibiotics enezenzo eziningi. Zihlanganisa, ikakhulukazi, i-fluoroquinolones yesibili kanye ne- cephalosporins yesizukulwane sesithathu. Umsebenzi wabo uhloswe ekunciphiseni umsebenzi wezifo eziphilayo. Ukuqeda ubuhlungu, i-antispasmodics isetshenziswa. Lokhu, ikakhulukazi, kusho ukuthi "Drotaverin", "Papaverin." Okunye okushiwo yi-analgesics ("Ketorolac" nabanye). Ezimweni ezimbi kakhulu, kusetshenziswe i-blockades ye-paranephric. Ukwehlisa umzimba, ukwelashwa okungahambi kahle kwe-pathogenetic, kwenziwa ukuphakamisa izixazululo ezihlukahlukene ze-infusion. Izinqubo ze-Physiotherapy nazo ziyasebenza kakhulu.

Ulwazi olukhethekile

Uma kwenzeka ukusola nge-mesadenitis, kuhle kakhulu ukuba ungathathi imithi ngaphandle kokubonisana nochwepheshe kuqala. Ezinye izidakamizwa, ama-analgesics kanye nama-antispasmodics ikakhulukazi, zingaphazamisa kakhulu isithombe somtholampilo, ngaleyo ndlela kube nzima ukuyihlolisisa. Ukuqaphela okukhethekile kufanele kudingeke ukuba kudliwe iminsenite. Iziguli eziphakanyisiwe zethebula lenombolo 5. Ivumelekile ukuba idle izithelo, isaladi, izithelo (okungewona acidic), ama-porridges we-crumbly. Ungakwazi ukwengeza izinyosi ezinomsoco, inkukhu, izitshalo zemifino, ama-cottage, amaqanda angenamafutha, itiye (hhayi eqinile), i-compote, isinkwa sikakolweni ekudleni. Kunconywa ukudla okuphindaphindiwe njalo. Akuvunyelwe ukudla ikhofi emnyama, pepper, lwesinaphi, inhlanzi enamafutha, isipinashi, i-sorrel, isinqumelo, ama-muffins amasha, imikhiqizo eqedile isigamu, inyama ethosiwe.

Ekuphethweni

Ngokuvamile, ukukhubazeka kungaphathwa kahle. Izinkinga azivamile ekusebenzeni. Ziyisici esiyinhloko ngokutheleleka kwesifo sofuba. Ukufinyelela ngesikhathi esifanele kunomchwepheshe kukuvumela ukuba ususe ngokushesha lesi sifo cishe kuzo zonke izimo.