Mesadenitis - chii? Mesadenitis: zviratidzo, hunokonzera, nechirwere, kurapwa

Mesadenitis (chii ichakurukurwa, gare gare) inogona kukonzerwa dzakasiyana-siyana zvinokonzera zvirwere. Chaiwo zvikonzero afunge zvokurwara hazvina dzatangwa. Next, tinotarisa sei mesadenitis kuratidzwa kuti, chii kuchirapa kupindira yaitwa.

tsananguro

Saka mesadenitis. Chii? chirwere sei? The zvokurwara chinhu kuzvimba kweprostate kana node raiva pedyo nebundu bowel mesentery. Ekupedzisira chinhu chinokosha chipingamupinyi chimwe chirwere ane nhengo dzomukati kana neura. Total abdominal node nodes ane anenge 600. Kazhinji, chirwere utachiona pinda zvakananga kubva intestinal lumen (by enterogenous) kana node uye ropa richibuda siyana kutapuriranwa foci (limfogematogenny nzira). Zvapedzisira may, semuenzaniso, kuti riri okuwedzera uye ura, mapapu, repamusoro kufema turakiti. Achitaura pamusoro vakaratidzawo sei mesadenitis (chii zvinonzi pamusoro), zvinofanira kucherechedzwa maviri rakajairika chiratidzo. Zvokurwara achiperekedzwa kurwadza nezvekufadza ari abdominal nzvimbo uye kudhaka syndrome.

Mesadenitis: Zvinokonzera

Sezvakataurwa kumusoro, chaiwo zvikonzero okukura vasina asimbiswa zvevakomana. Kunyange zvakadaro, vanamazvikokota anonzi vakawanda zvinokonzera chirwere. Pakati pavo:

• Adenovirus uye enterovirus. Ivo vanotsamwisa zvirwere chakasimba kufema mhando.
• Yersinia. It Utachiona pseudotuberculosis uye intestinal yersiniosis. Ndivo chimwe chezvinhu zvakafanana zvinokonzera mezadenita munharaunda dzakawanda munyika.
• Epstein-Barr utachiwana. Iye chinokurwadzai rwarisa mononucleosis.
• Cytomegalovirus.
• Streptococci (zelenyaschy uye Beta-hemolytic), anonzi Staphylococcus nevamwe.
• Mycobacterium tibhii.
• Campylobacter nezvimwe utachiona kubva intestinal zvirwere (Salmonella, tsvimbo, nezvimwewo).

Sezvo tsika inoratidza kazhinji, kuti zvokurwara iri rakaitirwa vakazvimiririra, pasina mishonga kupindira. Zvisinei, mune zvimwe zviitiko, kurapwa ichiri kudikanwa. Kunyanya, marapirwo nachiremba kushoma iri node nodes yavo fungidzira suppuration kwaizotevera kupararira chirwere. Sezvo kutonga, zvokurwara iri dzakaonekwa inonyanyoshandiswa pauduku uye kuyaruka. Girls pachena kuti chirwere, kuti muduku zvakadini pane vakomana.

zvekuchipatara mufananidzo

Kazhinji, zviratidzo akafanana zviratidzo appendicitis. The zvokurwara inotanga chitarisiko paroxysmal (more kashoma zvechigarire), abdominal kurwadziwa fungidziro pamusoro mesenteric node nodes. Panguva iyoyowo unoshamisa ndiye chokwadi kuti, pasinei kumbonyanya unopinza kuratidzwa mukuru ezvinhu omurwere rose riri inogutsa. Chenjera mesenteric adenitis angaperekedzwa svoto kana kurutsa, fivha, chetsoka zvirwere (manyoka kana kupatira). Ya marwadzo ari kumashure zvokurwara rinowanzova kubva mashoma maawa mazuva 2-3 (kashoma kupfuura vatatu). Mune zvimwe zviitiko, pamwe chete pamusoro zviratidzo murwere achiratidza maronda vaikudzwa kufema turakiti iri muchimiro zvavo chando, chikosoro, kwazvo huro.

mycobacterium tiibhii

Clinical kuratidzwa mune iyi vari siyanei ivavo pamusoro. Kana mesadenitis, kushatiriswa Mycobacterium tibhii, pane ndevenguva marwadzo pasina yakajeka localization. It rinozivikanwa nefivha yakaderera-sosaiti, uremu, mukuru utera. Node nodes vari pakupedzisira chisimbiso uye palpated panguva abdominal palpation. Kazhinji, ari kurapwa mufananidzo kuchaenderana zvikurukuru pamusoro huripo maronda vemamwe nhengo. Pane mukana chirwere yematambudziko. Izvi zvinogona kuva zvakasiyana chirwere intestinal chirwere (semuenzaniso mhingaidzo), namira urwere, sepsis, peritonitis, necrosis pamwe kukura suppuration uye abscesses.

chirwere matanho

Ongororo vakagadzwa maererano iripo kunotoda zvokurwara. In dzakaoma (kana pane chirwere zvirwere abdominal mhango kana ura) kuti kuongororwa zvakarurama kungada Ultrasound uye chirwere laparoscopy. Mune zvimwe zviitiko nyanzvi anogona mishonga ine CT scan. The pamusoro nzira unotipa kwete chete kumisa asipo kana kuvapo mezadenita, asiwo kuziva kana haabatanidzi mukana yematambudziko. Munguva kuongororwa, murwere ushandiswe sezvo nemiedzo rabhoritari ropa. Analysis rinoratidza mhaka chirwere uye kuti vaite imwe differential kuongorora chirwere. In nyasha tuberculous siyana zvokurwara chingataurwa anamnestic ruzivo pamusoro kare vaitama tibhii, uyewo yakanaka tubproby. Kakawanda kusachengeteka kukuru mesadenitis vanachiremba vane kusiyanisa yakawanda pathologies nhengo iri peritoneum, uye retroperitoneal nzvimbo. Izvi zvinosanganisira, kunyanya zvinosanganisira appendicitis, cholecystitis, ectopic (ectopic) pamuviri, salpingitis. Differential Dambudziko yaakaita pathologies akadai vasculitis, rwekenza yelymphoma, pyelonephritis uye Crohn, chirwere mesenteric (chirwere) uye dzimwe ischemia.

Madzivirirwe Therapy

mezadenita mabatiro (non-chaiyo) rinoitwa kushandisa kuchinja nzira. Kazhinji, kurapa rinoitwa muchipatara zvomusejari. The chikuru che kurapa muri mishonga ine chakarondedzera chiito. Izvi zvinosanganisira, kunyanya zvinosanganisira fluoroquinolones wechipiri uye chechitatu nechizvarwa cephalosporins. basa ravo nechinangwa kudzivisa mabasa utachiona. Kubvisa marwadzo aishandisa antispasmodics. Izvi, zvikurukuru, nzira dzakadaro se "Drotaverinum", "papaverine". Also yakatarwa uye analgesics ( "Ketorolac", etc.). In yakanyanya kuoma Muzviitiko, shandisa perirenal blockade. Nokuti detoxification akaita pathogenetic nonspecific kurapa kunosanganisira kutanga yakasiyana aizomupa mhinduro. Physiotherapy zvakare zvikuru kunobudirira.

chaicho mashoko

Kana vakafunga mesadenitis haisi inokurudzirwa zvikuru kutora mishonga pasina kutanga kurangana nyanzvi. Vamwe zvinodhaka, analgesics uye antispasmodics zvikurukuru, vanogona yekudyidzana kukanganisa kunotoda mufananidzo, zvichiita kuti zviome kuziva. Special nzeve anopiwa kudya pamwe mesadenitis. Varwere vari varumbidzwa tafura nhamba 5. Kubvumirwa kudya bhinzi, Salad, zvibereko (kwete anovava), friable Porridge. Inogona kuwedzerwa zvokudya yakaderera-mafuta nyama, huku nyama, miriwo soups, yakaderera-mafuta koteji chizi, tii (asi simba), muto, gorosi chingwa. It akakurudzira fractional kakawanda zvokudya. Zvinonzi rambidzwa kutora zvokudya dema kofi, mhiripiri, netsanga, hove jikichira, sipinachi, zvakarungwa, bhekoni, matsva chikanywa, kurerukirwa zvokudya, anogocha.

In mhedziso

Vakawanda zvokurwara anopindura zvakanaka kurapwa. Matambudziko kuchengetwa tsika kakawanda. Ivo dzinoratidzwa zvikurukuru tibhii hweHIV. Panguva Chaiyo kuteterera chiremba, anenge nyaya dzose, Kurumidza kubvisa chirwere.