Chirwere cheWhipple

Zvemukati

• Zviratidzo Zvakabatana neWhipple's Disease
• Zvinokonzera Chirwere cheWhipipple
• Kuongorora Chirwere cheWhipple
• Endoscopy
• Biopsy
• Polymerase Chain Kuita
• Kuedzwa kweropa
• Kurapa kweWhipple's Disease
• Yakareba-Nguva Maonero

Chii chinonzi Whipple's Disease?

Hutachiona hwakadanwa Tropheryma whipplei kukonzera chirwere cheWhipple. Iyi bhakitiriya inokanganisa kugaya uye inogona kupararira kune:

• mwoyo
• mapapu
• uropi
• majoini
• ganda
• maziso

Icho chirwere chisingawanzoitiki, asi chinogona kutyisidzira hupenyu.

Zvinotendwa zvakawandisa kuti kune hutachiona hunogona kusimudzira chirwere. Varume vachena vari pakati pemakumi mana nemakumi matanhatu vanowanzo batira mamiriro acho kupfuura chero rimwe boka. Chiyero chechirwere cheWhipple chinowanzo kuve chakakwirira munzvimbo dzisina mvura yakachena nehutsanana hwakakodzera. Parizvino, hapana nzira inozivikanwa yekudzivirira chirwere cheWhipple.

Zviratidzo Zvakabatana neWhipple's Disease

Chirwere cheWhipple chinodzivirira muviri wako kubva mukumwisa zvakakwana zvinovaka muviri. Nekuda kweizvi, inobata mativi akasiyana emuviri uye inosanganiswa nezviratidzo zvakasiyana. Mumatanho epamberi echirwere, hutachiona hunogona kupararira kubva mumatumbu kune dzimwe nhengo dzakadai se:

• mwoyo
• mapapu
• uropi
• majoini
• maziso

Zviratidzo uye zviratidzo zvechirwere cheWhipple zvinosanganisira:

• kurwadziwa kusingaperi kwemajoini
• manyoka asingagumi anogona kunge ane ropa
• rakakosha uremu
• kurwadziwa nemudumbu uye kuzvimba
• kuderera kwekuona uye kurwadziwa kweziso
• kupindwa nechando
• kuneta
• anemia, kana yakaderera tsvuku masero eropa kuverenga

Zviratidzo nezviratidzo zvinotevera hazviitike sezvakawanda asi zvinogona kuratidza kuti mamiriro ari kuramba achiwedzera.

• kushanduka kweganda
• inflamed lymph node
• kukosora kusingaperi
• kurwadziwa mubhokisi
• pericarditis, kana kuzvimba kwesaga rakakomberedza moyo
• kutadza kwemoyo
• moyo unogunun'una
• kusaona zvakanaka
• kuora mwoyo
• chiveve
• kushaya hope
• kushaya simba kwetsandanyama
• tics
• kunetseka kufamba
• ndangariro yakaipa

Zvinokonzera Chirwere cheWhipipple

Kubatwa neiyo T. whipplei mabhakitiriya ndiyo imwe chete uye inozivikanwa chikonzero cheWhipple's. Iyo bhakitiriya inotungamira mukuvandudzika kwemaronda emukati uye inokonzeresa kuti nyama dzemuviri dzikure.

Iyo villi zvinyoro-semasukisi maturu ayo anonwisa zvinovaka muviri mudumbu diki. Kana iyo villi yatanga kukora, chimiro chavo chechisikigo chinotanga kuchinja. Izvi zvinokuvadza villi uye zvinodzivirira kubva mukunyatsotora zvinovaka muviri. Izvi zvinotungamira kune mazhinji ezviratidzo zvechirwere cheWhipple.

Kuongorora Chirwere cheWhipple

Kuongororwa kwechirwere cheWhipple kwakaoma, kunyanya nekuti zviratidzo zvakafanana nemamwe mamiriro akajairika anotangira kuchirwere chechiliac kusvika kumatambudziko etsinga. Chiremba wako anoedza kutonga kunze kwemimwe iyi mamiriro asati akuongorora iwe nechirwere cheWhipple.

Endoscopy

Chiratidzo chekutanga chiremba wako achatsvaga kuti aone kana uine chirwere cheWhipple chiri maronda. Endoscopy iko kuiswa kweye diki inochinja chubhu pasi pehuro yako kuenda kuura hudiki. Iyo chubhu ine mini kamera yakanamatira. Chiremba wako anoona mamiriro emukati memadziro ako. Madziro makobvu ane ruomba, akavharika akavhara chiratidzo chingangoita chiratidzo cheWhipple's.

Biopsy

Munguva ye endoscopy, chiremba wako anogona kubvisa zvinyama kubva mumatumbu ako kuti aedze kuvepo kweiyo T. whipplei mabhakitiriya. Iyi nzira inonzi biopsy uye inogona kusimbisa hutachiona.

Polymerase Chain Kuita

Polymerase keteni reaction ibvunzo ine hunyanzvi inowedzera iyo DNA yeiyo T. whipplei kubva pane yako tishu sampuli. Kana mabhakitiriya anga ari munyama yako, pachave neDNA humbowo hwawo. Bvunzo iyi inogona kusimbisa kuvapo kweiyo T. whipplei mabhakitiriya munyama yako.

Kuedzwa kweropa

Chiremba wako anogona kuraira yakakwana kuverenga ropa. Izvi zvinobatsira kuona kana uine yakaderera kuverenga masero matsvuku eropa uye yakaderera huwandu hwealbumin, izvo zviri zviviri zviratidzo zveanemia. Anemia chiratidzo chekuti unogona kuve nechirwere cheWhipple.

Kurapa kweWhipple's Disease

Nzira ine hukasha yemishonga inorwisa mabhakitiriya inowanzove danho rekutanga mukurapa, kusanganisira vhiki mbiri dzemishonga inorwisa mabhakitiriya kuburikidza neiyo intravenous (IV). Uye zvakare, iwe ungangove uri pamazuva ese maantibioti kwegore rimwe kana maviri.

Dzimwe nzira dzokurapa dzinosanganisira:

• kumedza zvakaenzana mvura
• kutora mishonga inorwisa marariya kwemwedzi gumi nemaviri kusvika gumi neshanu
• kushandisa simbi zvinowedzera kubatsira neanemia
• kutora vitamini D, vitamini K, calcium, uye magnesium zvinowedzera
• kuchengetedza chikafu chakakwira-calori kubatsira nekubata kwehutano
• kutora corticosteroids kubatsira kurerutsa kuzvimba
• kutora nonsteroidal pain pain, senge ibuprofen

Chirwere cheWhipple chirwere chebhakitiriya chinogona kutungamira kurufu kana chikasarapwa zvakanaka.

Yakareba-Nguva Maonero

Mushure mekurapa kwatanga, mazhinji ezviratidzo anozoenda mukati memwedzi. Chinhu chakanakisa chaungaite kuramba uchingotora maantibayoti. Kudzokorora kwakajairika. Kana zvikaitika, zvimwe zviratidzo, senge matambudziko emitsipa, zvinogona kuratidza zvakare.