Chii chinonzi chiropa chiropa

Zvemukati

• Ndezvipi zviratidzo nezviratidzo
• Zvinogona kukonzerwa
• Amoebic chiropa abscess
• Chii chinonzi kuongororwa
• Kurapwa kunoitwa sei

Chiropa ndiyo nhengo inonyanya kubatwa nekuumbwa kwemapundu, ayo anogona kunge ari ega kana akawanda, uye anogona kumuka nekuda kwekupararira kwebhakitiriya kuburikidza neropa kana kupararira kwenzvimbo dzehutachiona munzvimbo yeparitoneal cavity, padyo nechiropa, sezvazviri nyaya yeappendicitis, zvirwere zvinosangana ne biliary turakiti kana pileflebitis, semuenzaniso.

Uye zvakare, chiropa chiropa chirwere chinogona kukonzereswa neprotozoa, inozivikanwa se amoebic chiropa chironda.

Kurapa kunoenderana nehupenyu hunova hutachiona hwehutachiona asi kazhinji hunowanikwa nekutungamirwa kwemishonga inorwisa mabhakitiriya, kubuda kwemubundu kana mune zvakakomba zviitiko, zvinogona kukurudzirwa kuti uvhure.

Ndezvipi zviratidzo nezviratidzo

Zviratidzo nezviratidzo zvinowanzoitika kune vanhu vane chiropa chiropa vane fivha uye kune vamwe vanhu, kunyanya avo vane chirwere chinosangana ne biliary turakiti, vanogona kuratidza zviratidzo nezviratidzo zviri kumusoro kwekurudyi quadrant, senge kurwadziwa kwemudumbu.

Uye zvakare, chill, anorexia, kuonda, kuda kurutsa uye kurutsa zvinogona kuoneka.

Nekudaro, ingangoita hafu chete yevanhu vane chironda chemaropa vane chiropa chakakura, kurwadziwa pakurova kweiyo yepamusoro yepamusoro quadrant, kana jaundice, ndiko kuti, vanhu vazhinji havana zviratidzo zvinotarisisa chiropa. Fivhiri yemavara asina kujeka anogona kunge ari iwo ega maratidziro eropa rekubuda, kunyanya kune vakwegura.

Zvinogona kukonzerwa

Chiropa abscesses chinogona kukonzerwa nema microorganisms akasiyana, senge mabhakitiriya kana kunyange fungi, ayo anogona kusimuka nekuda kwekupararira kwebhakitiriya muropa kana kupararira kwenzvimbo dzehutachiona munzvimbo yeparitoneal mhango, padyo nechiropa, sezvazviri chiitiko cheappendicitis ., Zvirwere zvine chekuita neye biliary turakiti kana pileflebitis, semuenzaniso. Dzidza zvakawanda nezve appendicitis uye kuti ungazvizive sei.

Mukuwedzera, chiropa chinobuda chinogonawo kuva amoebic:

Amoebic chiropa abscess

Amoebic chiropa abscess hutachiona hwechiropa neprotozoa. Chirwere chinotanga kana protozoaE. histolytica pinda nepakati pematumbo mucosa, yambuka kutenderera kweiyo portal uye usvike pachiropa. Vazhinji varwere vane chirwere ichi havaratidze zviratidzo nezviratidzo kana kuvapo kweprotozoan muchitsiko.

Chirwere ichi chinogona kuoneka kubva pamwedzi kusvika pamakore mushure merwendo kana pekugara munzvimbo inogara vanhu, saka zvakakosha kuti uzive nhoroondo yekungwarira yerwendo rwekuita kuongororwa. Zviratidzo zvakajairika marwadzo ari kumusoro kurudyi quadrant, fivha, uye chiropa unyoro.

Iyo yakajairika dhata re laboratori ndeye leukocytosis, yakakwira alkaline phosphatase, kuperevedza kweropa kushomeka uye yakakwira erythrocyte sedimentation chiyero.

Chii chinonzi kuongororwa

Kuwanikwa chete murabhoritari kunovimbika ndiko kuwedzerwa kweiyo serum yevasanganiswa yealkaline phosphatase, iyo inowanzo kuve yakakwira kune vanhu vane chiropa chiropa. Panogona zvakare kuve nekuwedzera kwe bilirubin uye aspartate aminotransferase muropa, leukocytosis, kupererwa neropa uye hypoalbuminemia mune inenge hafu yematambudziko.

Kufungidzira bvunzo kunowanzo kuve kwakavimbika kwazvo mukuongororwa kwechirwere ichi, senge ultrasound, computed tomography, scintigraphy ine leukocytes yakaratidzirwa ne indium kana ne gallium uye magnetic resonance. Bhokisi reX-ray rinogonawo kutorwa.

Kuongororwa kwe amoebic chiropa kuputika kunoenderana nekuonekwa ne ultrasound kana computed tomography, yeimwe kana akawanda maronda, ayo anotora nzvimbo muchiropa uye yakanaka serological bvunzo yeanorwisa maantigen eE. histolytica.

Kurapwa kunoitwa sei

Iyo yekurapa inogona kuitwa kuburikidza neaccutcut drainage, iine catheter ine lateral maburi akachengetwa munzvimbo. Uye zvakare, chaiyo mishonga inorwisa mabhakitiriya yeiyo microorganism inokonzeresa hutachiona inogona zvakare kushandiswa mushure mekutora semuenzaniso webundu. Mune zviitiko panenge paine kudhirika kweiyo abscess, yakawanda yekurwisa mabhakitiriya nguva inodiwa.

Kana hutachiona hunokonzerwa nekandida, kurapwa kunowanzo kuve nekumisikidza amphotericin, pamwe nekurapwa ne fluconazole. Mune zvimwe zviitiko, kurapwa chete ne fluconazole kunogona kushandiswa, kureva mune vanhu vakagadzikana mune zvekiriniki, vane hutachiona husingaite hunowanikwa pamushonga uyu.

Nekurapa kwe amoebic chiropa chiropa, mishonga yakadai senitroimidazole, tinidazole uye metronidazole inogona kushandiswa. Parizvino, iyi protozoan yakaratidza kusagadzikana kune chero emishonga iyi. Kudonhedza mvura kweamoebic chiropa kuputika hakuwanzo kudikanwa.