Whipple ta cuta

Whipple ta cuta da aka yi fama da biopsy na kananan hanji. Cuta yafi shafar mutane da fararen fata, shekaru daga talatin zuwa shekaru sittin. Wannan shi ne wani m tsari cuta tsokani Tropheryma whippelii. Jiyya da cutar ya shafi shan trmetoprima-sulfamethoxazole for akalla shekara guda.

A halayyar rauni ne dauke mucosa daga cikin kananan hanji da cuta, da kuma bayyanar cututtuka bayyana dace. Babban manifestations da cutar sun hada da gudawa da kuma nauyi asara. Duk da haka, Whipple ta cutar rinjayar da yawa wasu gabobin da kyallen takarda (huhu, zuciya, serous rami, kwakwalwa, gidajen abinci, gastrointestinal fili, da idanu). Kan bango da cutar ci gaba amosanin gabbai, akwai wani kadan babban lahani a salon salula rigakafi, predisposing to kamuwa da cuta.

A farko na asibiti bayyanuwar cuta halin da ci gaban da zazzabi. A yawa na marasa lafiya da maimaita tracheobronchitis. A matakin farko da cutar halin gaban migratory zafi a ƙanana da manyan gidajen abinci. Yawanci, da bayyanar cututtuka na kumburi da aka bayyana a gare su, mãsu fakowa ba. Halayyar ne intemittiruyuschy amosanin gabbai, wanda, sabanin rheumatoid ba deform gidajen abinci.

The sama na asibiti manifestations na iya faruwa a uku zuwa shekaru takwas kafin farko na babban bayyanar cututtuka.

Ãyõyin buga ciwo rakiyar Whipple ta cuta (ciki zafi, steatorrhea, anorexia, da dai sauransu) ya bayyana a kara mana da cutar a ci-gaba mataki. Hankula ne na kullum zawo. Emptying faruwa daga biyar zuwa goma a rana sau ne sosai m, tare da saki na mai a manyan yawa. Bugu da kari, a wasu lokuta, da halayyar iya zama boye ko profuse zub da jini a cikin hanjinsu. Irin mamaki yawa ana hade da coagulation cuta sakamakon hypoprothrombinemia. Wannan yanayin ne ya sa ta a aibi tsotsa K-bitamin. Ya kamata a lura cewa zawo da aka dauke su a kowa alama, duk da haka, shi ne, ba m.

Wasu marasa lafiya da maƙarƙashiya, musamman a farkon matakai da cutar. A baya matakai na asibiti ci gaban da Pathology tare da bayyanar da ganewar asali na tsanani malabsorption. Lokacin dauke da fitar da dama sauran nazarin Mun saukar da wani ya karu pigmentation na fata, Lymph kumburi kara girma, anemia, poliserozita, tari, na kullum yanayi, ãyõyin tsakiya m tsarin cuta, da kuma na gefe edema.

A jarrabawa da haƙuri ji zafi a kan palpation cibiyarki rabo cewa rage-rage bayan defecation da kuma shaye gas.

Ya kamata a lura da cewa zafi a mesogaster iya daban-daban intensities. A wasu lokuta, su bayyana kansu a cikin irin distention bayan da abinci, wani lokacin - a cikin nau'i na colic. A tsanani tsananin zafi da flatulence a marasa lafiya tare da zargin ileus (rufe ko takaita da na hanji lumen) aka shigar da shi tiyata.

Whipple ta cutar za a iya bincikar lafiya a mutane ba tare da kasancewar cututtuka na gastrointestinal fili. Lokacin da ya faru da cutar da ake zargin ya yi endoscopy babba gastrointestinal sites, biopsy na kananan hanji. A gano takamaiman raunuka kamu. Kamar yadda mai mulkin, naci da kuma gagarumin canje-canje da lãbãri ga proximal.

A rashin dace da m magani na rashin lafiya progresses sauri kuma zai iya zama m. Tasiri dauke daban-daban maganin rigakafi (tetracycline, chloramphenicol, trimethoprim-sulfamethoxazole, ampicillin, cephalosporins, penicillin).