Yini ithumba lesibindi

-Delile

• Ziyini izimpawu nezimpawu
• Izimbangela ezingaba khona
• Amoebic ithumba lesibindi
• Yini ukuxilongwa
• Yelashwa kanjani

Isibindi isitho esithinteka kakhulu ekwakhekeni kwamathumba, angaba wedwa noma amaningi, futhi angavela ngenxa yokusabalala kwamagciwane ngegazi noma ukusakazwa kwendawo kwamabala okutheleleka emgodini we-peritoneal, eduze kwesibindi, njengoba kwenzeka.isifo se-appendicitis, izifo ezihambisana nepheshana le-biliary noma i-pileflebitis, isibonelo.

Ngaphezu kwalokho, ithumba lesibindi yisifo esingabangelwa yi-protozoa, eyaziwa njenge-amoebic abscess abscess.

Ukwelashwa kuncike emzimbeni okungumthombo wokutheleleka kepha imvamisa uqukethe ukuphathwa kwama-antibiotic, ukudonswa kwethumba noma ezimweni ezinzima kakhulu, kunganconywa ukuthi usebenzise ukuhlinzwa.

Ziyini izimpawu nezimpawu

Izimpawu nezimpawu ezivame ukwenzeka kubantu abane-abscess yesibindi umkhuhlane futhi kwabanye abantu, ikakhulukazi labo abanezifo ezihambisana nepheshana le-biliary, bangakhombisa izimpawu nezimpawu ezise-quadrant engenhla kwesokudla, njengobuhlungu besisu.

Ngaphezu kwalokho, kungavela futhi amakhaza, i-anorexia, ukuncipha komzimba, isicanucanu nokuhlanza.

Kodwa-ke, cishe isigamu nje sabantu abanamathumba esibindi abanesibindi esandisiwe, ubuhlungu bokubamba i-quadrant engenhla kwesokudla, noma i-jaundice, okungukuthi, abantu abaningi abanazo izimpawu eziqondisa ukunakekela isibindi. Umkhuhlane wemvelaphi engaqondakali kungaba ukuphela kokubonakaliswa kwethumba lesibindi, ikakhulukazi kubantu abadala.

Izimbangela ezingaba khona

Amathumba esibindi angabangelwa amagciwane amancane ahlukene, njengamagciwane noma isikhunta, esingavela ngenxa yokusabalala kwamagciwane egazini noma ukusabalala kwendawo kwamabala okutheleleka emgodini we-peritoneal, eduze kwesibindi, njengoba kunjalo nange-appendicitis ., Izifo ezihambisana nepheshana le-biliary noma i-pileflebitis, isibonelo. Funda kabanzi nge-appendicitis nokuthi ungasibona kanjani.

Ngaphezu kwalokho, amathumba wesibindi nawo angaba yi-amoebic:

Amoebic ithumba lesibindi

Ithumba le-Amoebic isibindi ukutheleleka kwesibindi yi-protozoa. Lesi sifo siqala lapho i-protozoaE. histolytica ngena ngaphakathi kwe-mucosa yamathumbu, uwele ukusakazwa kwengosi futhi ufinyelele esibindini. Iningi leziguli ezinalesi sifo azibonisi zimpawu nezimpawu noma ukutholakala kweprotozoan esitulweni.

Lesi sifo singavela ezinyangeni kuye eminyakeni emva kohambo noma indawo yokuhlala endaweni, ngakho-ke kubalulekile ukwazi umlando ocophelelayo wohambo lokwenza ukuxilongwa. Izimpawu ezivame kakhulu ubuhlungu ku-quadrant engenhla kwesokudla, umkhuhlane, nesibindi.

Imininingwane ejwayelekile kakhulu yaselebhu yi-leukocytosis, i-alkaline phosphatase ephezulu, i-anemia emnene kanye nesilinganiso se-erythrocyte sedimentation.

Yini ukuxilongwa

Okuwukuphela kokutholakala kwe-laboratory ethembeke kakhulu ukwanda kokuhlushwa kwe-serum kwe-alkaline phosphatase, okuvame ukuba phezulu kubantu abane-abscess yesibindi. Kungabuye kube nokwanda kwe-bilirubin ne-aspartate aminotransferase egazini, i-leukocytosis, i-anemia ne-hypoalbuminemia cishe engxenyeni yamacala.

Ukufanekisa izivivinyo kuvame ukwethenjelwa kakhulu ekuhlolweni kwalesi sifo, njenge-ultrasound, i-computed tomography, i-scintigraphy enama-leukocyte amakwe nge-indium noma nge-gallium ne-resonance kazibuthe. I-X-ray yesifuba nayo ingathathwa.

Ukuxilongwa kwe-amoebic abscess abscess kusekelwe ekutholakaleni kwe-ultrasound noma i-computed tomography, yesilonda esisodwa noma ngaphezulu, okuhlala isikhala esibindini kanye nokuhlolwa okuhle kwe-serological kwama-antibodies kuma-antigenE. histolytica.

Yelashwa kanjani

Ukwelashwa kungenziwa ngokusebenzisa umsele wamanzi onqenqemeni, nge-catheter enezimbobo eziseceleni ezigcinwe zikhona. Ngaphezu kwalokho, amakhambi athile wama-antibiotic we-microorganism abhekene nokutheleleka nawo angasetshenziswa ngemuva kokuthatha isampula lethumba. Ezimweni lapho kunomsele wamathumba, isikhathi esiningi sokwelashwa ngama-antibiotic siyadingeka.

Uma ukutheleleka kubangelwa i-candida, ukwelashwa kuvame ukuqukethe i-amphotericin, ngokuqhubeka nokwelashwa nge-fluconazole. Kwezinye izimo, kungasetshenziswa kuphela ukwelashwa nge-fluconazole, okungukuthi kubantu abazinzile basemtholampilo, abane-microorganism yabo ehlukanisiwe etholakala kuleli thuluzi.

Ekwelapheni ithumba lesibindi se-amoebic, imithi efana ne-nitroimidazole, i-tinidazole ne-metronidazole ingasetshenziswa. Kuze kube manje, le protozoan ayikhombisanga ukumelana nanoma iyiphi yale mithi. Ukugeleza kwamathumba esibindi e-amoebic akuvamile ukuthi kudingeke.