Vim yog lub sij hawm ntev los sis tsis siv tshuaj tua kab mob, lub plab hnyuv microflora (dysbiosis) cuam tshuam thiab muaj kab mob txaus ntshai - pseudomembranous colitis - tsim. Nws tshwm sim tsis tshua muaj, tab sis ua rau muaj kev pheej hmoo ntawm kev mob tsis tuaj yeem vim qhov mob siab khov rau ntawm qhov hnoos qog ntawm lub cev.
Cov tsos mob ntawm tus kab mob pseudomembranous
Thawj qhov cim ntawm ib lub qe ntshauv yog mob raws plab heev. Lub rooj zaum muab tov nrog cov ntshav txhaws thiab cov hnoos qeev.
Lwm cov kev mob tshwm sim:
- xeev siab nrog nti ntawm ntuav;
- tsis muaj zog;
- nce hauv kub;
- mob mob hnyav, nce ua ntej plab nyhuv;
- tenesmus;
- cuav ntsig txog qhov tseeb.
Ntxiv nrog rau cov tsos mob ntawm kev qaug tshuaj, feem ntau muaj cov cim kab mob plawv - txo cov ntshav siab (hypotension), tachycardia, ua npaws thiab txawm tsis meej pem. Tshaj li, cov ntsha mob thiab lub cev qhuav dej feem ntau tau pom vim dej qaug, protein metabolism deteriorates. Qhov feem ntau txaus ntshai tshwm sim ntawm no hom mob plab yog plab hnyuv perforation, peritonitis.
Kev kuaj mob ntawm pseudomembranous colitis
Ua ntej tshaj plaws, ib qho anamnesis yog muab los txheeb xyuas qhov ua rau tus kab mob (noj tshuaj tua kab mob). Tom qab ntawd tus kws kho mob gastroenterist ua qhov kev kuaj xyuas ntawm tus neeg mob - palpates thaj tsam ntawm txoj hnyuv, ntsuas qhov kub ntawm lub cev.
Kev tshawb nrhiav txog kev kuaj muaj xws li:
- kev ntsuam xyuas dav dav thiab tshuaj ntsuam biochemical;
- kab mob bacteriological thiab quav quav;
- roj chromatography, kab mob culture thiab quav mass spectrometry (txhom qhov kuaj pom thiab qhov teeb meem ntawm dysbiosis).
Specification ntawm tus mob yog kwv yees siv endoscopic thiab visualizing technologies:
- computed tomography ntawm txoj hnyuv;
- Xoo hluav taws xob kuaj ntawm lub cev lumen;
- txoj haujlwm biopsy (histology);
- Kev kuaj mob colonoscopy lossis endoscopy siv nruab nrab hauv nruab nrab.
Raws li txoj cai, cov ntsiab lus ntawm kev tshuaj ntsuam xyuas tau ua kom pom tseeb tseeb ntawm cov kab mob ntawm cov kab mob uas ua rau muaj kev mob nkeeg, txiav txim siab qhov o ntawm cov hnoos qog thiab dilatation ntawm txoj hnyuv loj.
Yuav kho tus kab mob pseudomembranous li cas?
Qhov tseem ceeb, koj yuav tsum tau muab cov tshuaj tua kab mob tam sim ntawd tshem tawm kom sai li sai tau. Yog tias tsim nyog yuav tau siv tshuaj tua kab mob ntxiv, nws yog qhov pom zoo kom hloov cov tshuaj siv:
- sulfonamides;
- fluoroquinolones;
- aminoglycosides;
- tetracyclines;
- macrolides.
Scheme ntawm kev kho mob ntawm pseudomembranous colitis:
- Tsis kam noj cov tshuaj tsis sib thooj thiab cov neeg sawv cev nrog tshuaj antiperistaltic.
- Siv cov tshuaj hu ua Metronidazole (4 zaug hauv ib hnub rau 250 mg tshuaj) los yog tso dej khov, yog hais tias kev tswj hwm tus kheej tsis tuaj yeem ua tau.
- Lub hom phiaj Smekty, Hilaka-Forte thiab Linex nyob rau hauv tus qauv ntau npaum li cas.
- Kho cov dej-electrolyte tshuav kev ua txhaum.
Thaum siv tsis tau lossis tsis muaj peev xwm ntawm metronidazole rau kev kho mob ntawm tus kab mob pseudomembranous colitis Vancomycin. Nyob hauv
Kev noj haus rau pseudomembranous colitis
Hauv thawj 1-3 hnub, yoo mov nrog kev siv cov dej ntau ntau (dej, kua txiv hmab txiv ntoo, tsis muaj qab hau thiab tsis muaj zog tshuaj yej) kom pom zoo. Tom qab txhawm rau tag nrho cov mob thiab tshem tawm cov mob plab, qhov kev noj haus yuav tsum nthuav - kefir thiab kissels, tsev cheese (mashed).
Txav zuj zus, tus neeg mob tau xa mus rau ib qho kev noj haus uas tsis muaj txuam nrog 4a hauv Pevzner nrog rau cov dej cawv, cov khoom noj roj, khoom noj khoom haus, khoom qab zib thiab khoom qab zib.