Izimpawu nokwelashwa kwesifo sikaWhipple

-Delile

• Izimpawu eziyinhloko
• Yini ebangela isifo sikaWhipple
• Yelashwa kanjani
• Ungakugwema kanjani ukusuleleka ngesifo

Isifo sika-Whipple isifo esingajwayelekile futhi esingelapheki sebhaktheriya, esivame ukuthinta amathumbu amancane futhi sikwenze kube nzima ekudleni ukuthi kubambe, okwenza izimpawu ezifana nohudo, ubuhlungu besisu noma ukwehla kwesisindo.

Lesi sifo siqala kancane, futhi singathinta nezinye izitho zomzimba futhi sidale izinhlungu ezihlangene kanye nezinye izimpawu eziyivelakancane, njengokushintsha kokunyakaza nokuphazamiseka kwengqondo, ngenxa yokukhubazeka kobuchopho, nobuhlungu besifuba, ukuphefumula okuncane kanye nokushaywa umoya, ngenxa ukukhubazeka kwenhliziyo, isibonelo.

Yize isifo sikaWhipple singasongela impilo njengoba siqhubeka futhi siba sibi kakhulu, singelashwa ngemithi elwa namagciwane ebekwe yi-gastroenterologist noma udokotela ojwayelekile.

Izimpawu eziyinhloko

Izimpawu ezivame kakhulu zesifo sika-Whipple zihlobene nesistimu yamathumbu futhi zibandakanya:

• Uhudo olungapheli;
• Ubuhlungu besisu;
• Amajaqamba angaba sibi kakhulu ngemuva kokudla;
• Ubukhona bamafutha esitokisini;
• Ukwehla kwesisindo.

Izimpawu zivame ukuba zimbi kancane ngokuhamba kwesikhathi, futhi zingahlala izinyanga noma iminyaka. Njengoba lesi sifo siqhubeka, singathinta ezinye izingxenye zomzimba futhi sidale ezinye izimpawu ezinjengezinhlungu ezihlangene, ukukhwehlela, umkhuhlane kanye nama-lymph node akhulisiwe.

Ifomu elibi kakhulu, nokho, lenzeka lapho kuvela izimpawu zezinzwa, njengokushintsha kwengqondo, ukunyakaza kwamehlo, izinguquko ekunyakazeni nasekuziphatheni, ukuqubuka nobunzima enkulumweni, noma lapho kuvela izimpawu zenhliziyo, ezinjengobuhlungu besifuba, ukuphefumula okuncane nokushaywa, ngenxa yezinguquko ekusebenzeni kwenhliziyo.

Yize udokotela esola lesi sifo ngenxa yezimpawu nomlando wezokwelapha, ukuxilongwa kungaqinisekiswa kuphela nge-biopsy yamathumbu, evame ukususwa ngesikhathi se-colonoscopy, noma ezinye izitho ezithintekile.

Yini ebangela isifo sikaWhipple

Isifo sikaWhipple sibangelwa yigciwane, elaziwa ngokuthi I-Tropheryma whipplei, okudala izilonda ezincane ngaphakathi emathunjini okuvimba umsebenzi wokumunca amaminerali nezakhi zomzimba, okuholela ekwehliseni isisindo. Ngaphezu kwalokho, ithumbu futhi alikwazi ukumunca kahle amafutha namanzi, ngakho-ke, isifo sohudo sivamile.

Ngaphezu kwamathumbu, amabhaktheriya angasakazeka futhi afinyelele kwezinye izitho zomzimba ezinjengobuchopho, inhliziyo, amalunga namehlo, ngokwesibonelo.

Yelashwa kanjani

Ukwelashwa kwesifo sika-Whipple kuvame ukuqalwa nge-antibiotic ejojowe, njengeCeftriaxone noma iPenicillin, izinsuku eziyi-15, kuyadingeka ukugcina ama-antibiotic omlomo, njengeSulfametoxazol-Trimetoprima, Chloramphenicol noma iDoxycycline, ngokwesibonelo, phakathi konyaka owodwa noma emibili , ukuqeda ngokuphelele amagciwane emzimbeni.

Yize ukwelashwa kuthatha isikhathi eside, izimpawu eziningi ziyanyamalala phakathi kwamasonto awu-1 kuya kwayi-2 ngemuva kokuqala kokwelashwa, noma kunjalo, ukusetshenziswa kwe-antibiotic kufanele kugcinwe sonke isikhathi esikhonjiswe ngudokotela.

Ngaphezu kwama-antibiotic, ukuphuza ama-probiotic kubalulekile ukulawula ukusebenza kwamathumbu nokuthuthukisa ukumuncwa kwezakhamzimba. Kungadingeka futhi ukwengeza amavithamini namaminerali, njengevithamini D, A, K no-B amavithamini, kanye ne-calcium, ngokwesibonelo, ngoba ibhaktheriya livimbela ukumuncwa kokudla futhi lingadala amacala okungondleki.

Ungakugwema kanjani ukusuleleka ngesifo

Ukuvikela leli gciwane kubalulekile ukuthi uphuze nje amanzi okuphuza futhi ugeze ukudla kahle ngaphambi kokukulungisa, njengoba amabhaktheriya abangela lesi sifo atholakala enhlabathini nasemanzini angcolile.

Kodwa-ke, kunabantu abaningi abanamagciwane emzimbeni, kepha abakaze babe nalesi sifo.