Mesadenitis - ndichiyani? Mesadenitis: zizindikiro osiyanasiyana, matenda, mankhwala

Mesadenitis (icho chiri, nkhani zotsatirazi) bwino zimayamba ndi zinthu zosiyanasiyana wothandizila opatsirana. Mfundo yeniyeni n'zothandiza kudwala ndiribe akhazikitsidwa. Kenako, tidzamva mmene mesadenitis taonetsa kuti ndi, zimene achire zikunena akutsatiridwa.

mwachidule

Choncho mesadenitis. Ndi chiyani icho? Kodi matenda? The kudwala ndi kutukusira kwa prostate kapena lymph mfundo matumbo mesentery. Yotsirizira pali chitsekerezo kwambiri ndi matenda makamaka kwa ziwalo kapena matumbo. Total m'mimba lymph mfundo pafupifupi 600. Childs, tizilombo toyambitsa matenda matenda kudutsa mwachindunji ku lumen matumbo (by enterogenous) kapena lymph ndi nthenda yotaya magazi kwa matenda foci zosiyanasiyana (limfogematogenny njira). May yamasika, mwachitsanzo, udzakhazikitsidwe mu zakumapeto ndipo matumbo, mapapo, chapamwamba kupuma thirakiti. Ponena za mmene owonetseredwa mesadenitis (zomwe zikunenedwa pamwamba), tisaiwale awiri chizindikiro wamba. Kudwala limodzi ndi zomverera chowawa m'dera m'mimba ndi matenda kuledzera.

Mesadenitis: Zoyambitsa

Monga zinanenedwa pamwamba, zinthu enieni chitukuko sizinachitike anakhazikitsa kuti tsiku. Komabe, akatswiri anamucha zimakonda matenda. Pakati pawo:

• Adenovirus ndi enterovirus. Zoyambitsa matenda mtundu pachimake kupuma.
• Yersinia. Iwo tizilombo toyambitsa matenda pseudotuberculosis ndi matumbo yersiniosis. Iwo ali mmodzi wa zimakonda mezadenita m'madera angapo a dziko.
• Epstein-Barr HIV. Iye amakwiya opatsirana mononucleosis.
• Cytomegalovirus.
• Streptococci (zelenyaschy ndi beta-hemolytic), Staphylococcus ndi ena.
• Mycobacterium TB.
• Campylobacter ndi tizilombo toyambitsa matenda ena matenda m'mimba (nsomba, ndodo, etc.).

Monga mmene kuchita, nthawi zambiri, ndi kudwala umachitika paokha, popanda aliyense achire. Komabe, nthawi zina, mankhwala akadali zofunika. Makamaka, chithandizo Kwalamulidwa kwa yotupa njira lymph ndi mfundo ndi suppuration awo Nkosatheka ndipo anayamba kufala kwa matenda. Monga ulamuliro, ndi kudwala ndi wapezeka kaŵirikaŵiri ana ndi unyamata. Atsikana poyera kuti matenda, pamlingo wocheperapo kusiyana ndi anyamata.

chithunzi matenda

Nthawi zambiri, zizindikiro ofanana ndi zizindikiro za appendicitis. The kudwala akuyamba ndi, ululu maonekedwe paroxysmal (more kawirikawiri okhazikika) m'mimba mu ziyerekezo kwa mfundo mesenteric lymph. Pa yomweyo chidwi ndi chakuti, ngakhale kuti maonekedwe mwachilungamo lakuthwa ambiri mkhalidwe wa mtima wonse ndi zogwira mtima. Pachimake mesenteric adenitis akhozanso kukopeka ndi nseru kapena kusanza, malungo, matenda chopondapo (m'mimba kapena kudzimbidwa). Kutalika kwa ululu pa maziko kudwala ndi zambiri kwa maola angapo masiku 2-3 (kawirikawiri zoposa zitatu). Nthawi zina, pamodzi ndi zizindikiro zakumwamba wodwala amasonyeza zizindikiro za zotupa wa chapamwamba kupuma thirakiti mu mawonekedwe a chimfine, chifuwa, zilonda zapakhosi.

mycobacterium TB

Matenda mawonetseredwe mu nkhani iyi ndi yosiyana ndi anthu tafotokozazi. Pamene mesadenitis, chikwiyire ndi Mycobacterium TB, pali sakhalitsa ululu popanda kutanthauzira zolaula. Iwo amatchuka otsika kalasi malungo, kuwonda, kufooka ambiri. Lymph mfundo amadzamasulidwa losindikizidwa ndi palpated pa palpation m'mimba. Nthawi zambiri, chithunzi matenda kudzadalira makamaka zotupa alipo ziwalo zina. Pali chiopsezo cha matenda oyamba matenda. Zimenezi zingakhale zosiyanasiyana matenda aakulu matumbo (mwachitsanzo kutsekeka), syndrome zomatira, sepsis, peritonitis, necrosis ndi chitukuko cha suppuration ndi abscesses.

miyeso matenda

Kafukufuku amasankhidwa chifukwa cha kupezeka kudwala matenda. Nthawi yovuta (ngati pali matenda aakulu a zonse m'mimba kapena intestine) kwa matenda zolondola kungafune ultrasound ndi matenda laparoscopy. Nthawi zina katswiri mwina mankhwala ndi CT jambulani. The njira pamwamba kulola ife osati kukhazikitsa pakalibe kapena pamaso pa mezadenita, komanso kudziwa kapena kupatula Mwina matendawo. Pamene anali kumupima, mtima wa Kwalamulidwa ngati mayesero zasayansi magazi. Analysis zikusonyeza chifukwa cha matenda ndi kuchita ndi matenda masiyanidwe. Mokomera mitundu tuberculous wa kudwala tinganene mudziwe anamnestic za TB kale asamuka, komanso zotsatira zabwino tubproby. Nthawi zambiri ndi pachimake mesadenitis madokotala ndi kusiyanitsa ndi ambiri pathologies ziwalo mu peritoneum, ndipo retroperitoneal danga. Zikuphatikizapo, makamaka monga appendicitis, cholecystitis, ectopic (ectopic) mimba, salpingitis. matenda masiyanidwe ayenera kukhala ndi pathologies monga vasculitis, lymphoma, pyelonephritis ndi matenda amene amatupitsa, mesenteric (aakulu) ndi ischemia ena.

Kupewa ndi Therapy

mezadenita chithandizo (si yeniyeni) ikuchitika ntchito njira ndiwofatsa. Mwachibadwa, mankhwala amachitidwa pa chipatala opaleshoni. The mbali yaikulu ya mankhwala ndi mankhwala ndi sipekitiramu yotakata kanthu. Zikuphatikizapo, makamaka monga fluoroquinolones chachiwiri ndi cephalosporins m'badwo wachitatu. ntchito yawo umalimbana kupondereza ntchito ya tizilombo toyambitsa matenda. Kuthetsa ululu ntchito MANKHWALA OLETSA VUTOLI. Izi, makamaka, chuma monga "Drotaverinum", "papaverine". Komanso zoikika ndi analgesics ( "Ketorolac", etc.). Nthawi kwambiri, ntchito perirenal anatseka misewu. Pakuti detoxification anachita pathogenetic nonspecific mankhwala ikukhudza oyamba njira zosiyanasiyana kulowetsedwa. Physiotherapy othandiza kwambiri komanso.

tsatanetsatane

Pankhani ya amaganiziridwa mesadenitis si kwambiri analimbikitsa kumwa mankhwala popanda kufunsira woyamba ndi katswiri. Ena mankhwala, analgesics ndi MANKHWALA OLETSA VUTOLI makamaka, akhoza kwambiri kupotoza chithunzi matenda, zikhale zovuta oterewa. mwapadera wapatsidwa zakudya ndi mesadenitis. Odwala analimbikitsa tebulo chiwerengero 5. Anandilola kudya nyemba, saladi zipatso (osati wowawasa), friable phala. Kodi zidzawonjezedwa kwa zakudya ng'ombe otsika-mafuta, nyama nkhuku, soups masamba, otsika-mafuta kanyumba tchizi, tiyi (m'malo ofooka), madzi, chakudya tirigu. Yovomereza fractional chakudya pafupipafupi. Ndi zoletsedwa kutenga chakudya wakuda khofi, tsabola, mpiru, nsomba wochuluka, sipinachi, sorelo, nyama yankhumba, pastry atsopano, zakudya zapamwamba, soseji.

pomaliza

Mu kudwala ambiri amayankha bwino mankhwala. Zovuta sizitsatiridwa zambiri. Iwo yodziwika makamaka nthenda TB. Panthawi yake Kudandaula katswiri wa, pafupifupi milandu onse, mwamsanga kuchotsa matenda.