Izimbangela, izimpawu kanye nokwelashwa yesifo pseudomembranous

Amacala nesifo pseudomembranous zokwelapha zanamuhla iyivelakancane. Lesi sifo kuhambisana izilonda colonic mucosa ulwelwesi ukuthi avame eyayihambisana nokusetshenziswa isikhathi eside kwama-antibiotic. Siyini ngempela lesi sifo futhi yiziphi izimpawu zaso?

The main kubangela nesifo pseudomembranous

Njengoba sekuphawuliwe, lwamafinyila ulwelwesi ukuvuvukala kwenzeka ku ngemuva yokwelapha elwa namagciwane. Kuyinto imfihlo ukuthi le mithi zivimbela umsebenzi cishe wonke amagciwane abahlala emathunjini. Kodwa igciwane anaerobic Clostridium difficile lukhuthazelela umthelela ezibanzi ejenti elwa namagciwane. In the ukungabikho mncintiswano, lezi Amagciwane uqale ande ngokushesha, ukugqamisa imikhiqizo zokuphila zabo - ubuthi obulimaza nezicubu ikholoni, okubangela ukuvuvukala.

Kungaholela ekwakhiweni yesifo pseudomembranous kungenzeka yokwamukela cishe yimaphi ama-antibiotic. Nokho, ezimweni eziningi, lesi sifo kwenzeka phezu zangokwasemuva zezinhlelo ngemithi ezifana "Ampicillin", "Clindamycin", okungenani - "Erythromycin" "Chloramphenicol" "penicillin", "TMP" futhi "Erythromycin".

Ngaphezu enwetshiwe ukusetshenziswa kwemithi elwa namagciwane, kunezinye izici eziyingozi, ikakhulukazi, ukuphathwa isisu ischemia, ukuhlinzwa, amakhemikhali, umnkantsha transplantation.

Yini izimpawu nesifo ephelezelwa?

Ngokuvamile izimpawu zokuqala isifo avele amasonto amabili emva kokuqala ukuphuza imithi elwa namagciwane. Okuningi mancane amathuba ukuthuthukisa isifo emva ukumisa ukwelashwa. Imfiva cramping ubuhlungu besisu - izimpawu zokuqala yesifo pseudomembranous.

Ngaphezu kwalokho, ingxenye ebalulekile isithombe emtholampilo uhudo. Fecal kungenzeka zamanzi nge isici tint ogqamile futhi iphunga malodorous. Ngo ezinkulu izimo, kungabonakala kwesihlalo igazi amanyela. Kanye indle labelwe impahla filmy, okuyinto isikhwehlela futhi fibrin amahlule - kuyinto uphawu ezibalulekile ukuze kuhlonzwe.

Kuyaphawuleka ukuthi enterocolitis pseudomembranous - isifo esiyingozi kakhulu, ikakhulu uma isiguli ngeke banikezwe usizo olufanele. Emacaleni angu-olunzima, kungenzeka wamathumbu perforation.

Indlela esiphatha ngayo nesifo pseudomembranous?

Yiqiniso, into yokuqala okumelwe uyenze ahlolwe yezokwelapha, kudlule phezu ukuhlaziya amasampula egazi sezinyawo, ngoba kuwukuphela kwendlela ukuqinisekisa khona isifo. Kufanele ayeke ukuphuza imithi elwa namagciwane (ngaphandle kuphela amacala lapho ukwesula zale ndlela yokwelapha ebingayilimaza ukuphila lesiguli). Esikhathini kusaqalwa ukumisa yokwelapha ngemithi elwa namagciwane kungaholela umuntu alulame ngokugcwele.

Ngokwemvelo, kubaluleke kakhulu ukuba silondoloze amanzi electrolyte ibhalansi emzimbeni, njengoba yisisu kungaba ngokushesha kuholele amanzi emzimbeni. ukwelashwa enterocolitis e abadala ngezinye izikhathi kuhlanganisa eyamukelayo kusho "metronidazole" noma "Vancomycin" - ngezinye izikhathi kuphela ukusetshenziswa lesengililungiselele kusiza ukuqeda amagciwane anaerobic - Amagciwane isifo. Ngaphezu kwalokho, kumele kuphinde esiswini nezilwanyana ezincane ezuzisayo. Ngenxa yale njongo, zisebenzisa izidakamizwa, "Linex", "Bifiform" kanye nabanye. Lapho wamathumbu perforation kanye nezinye izinkinga zidinga ukuhlinzwa.