Cov neeg mob pseudomembranous colitis hauv kev kho mob niaj hnub no kuj tsis tshua muaj. Tus kab mob yog nrog los ntawm kev puas tsuaj rau cov mucous daim nyias nyias ntawm txoj hnyuv loj, uas feem ntau yog txuam nrog kev siv tshuaj tua kab mob ntev. Tus kab mob no yog dab tsi thiab nws cov tsos mob dab tsi?
Qhov laj thawj tseem ceeb ntawm pseudomembranous colitis
Raws li twb tau hais lawm, qhov mob ntawm cov mucous membrane tshwm sim tawm tsam keeb kwm ntawm kev kho tshuaj tua kab mob. Nws tsis pub leejtwg paub tias cov tshuaj tua kab mob inhibit qhov kev ua ntawm yuav luag txhua cov kab mob uas nyob hauv cov hnyuv. Tab sis cov kab mob anaerobic Clostridium difficile endures cov teebmeem ntawm broad-spectrum antibacterial agents. Thaum tsis muaj kev sib tw, cov kab mob no pib ntau zuj zus, tso lawv cov khoom pov tseg - co toxins uas ua rau cov nqaij mos ntawm txoj hnyuv loj, ua rau mob.
Ua rau txoj kev loj hlob ntawm pseudomembranous colitis tuaj yeem noj yuav luag txhua yam tshuaj tua kab mob. Txawm li cas los xij, hauvFeem ntau, tus kab mob tshwm sim thaum kho nrog tshuaj xws li Ampicillin, Clindamycin, tsawg zaus - Erythromycin, Levomycetin, Penicillin, Trimethoprim thiab Erythromycin.
Ntxiv rau kev siv tshuaj tua kab mob mus ntev, muaj lwm yam kev pheej hmoo, xws li plab hnyuv ischemia, phais, tshuaj kho mob, hloov pob txha pob txha.
Cov tsos mob ntawm tus mob plab yog dab tsi?
Feem ntau, thawj cov tsos mob tshwm sim ob lub lis piam tom qab pib tshuaj tua kab mob. Feem ntau tsawg dua, tus kab mob no tshwm sim tom qab kev kho mob raug tso tseg. Ua npaws thiab mob plab plab yog thawj cov tsos mob ntawm pseudomembranous colitis.
Tsis tas li ntawd, raws plab yog ib feem tseem ceeb ntawm daim duab kho mob. Cov quav tuaj yeem yog dej nrog cov yam ntxwv ntsuab tint thiab tsw ntxhiab fetid. Hauv qhov mob hnyav dua, cov ntshav tuaj yeem pom hauv cov quav. Ua ke nrog cov quav, cov khoom membranous raug tso tawm, uas yog txhaws ntawm cov hnoos qeev thiab fibrin - qhov no yog cov tsos mob tseem ceeb rau kev kuaj mob.
Nws tsim nyog sau cia tias pseudomembranous enterocolitis yog ib yam kab mob txaus ntshai heev, tshwj xeeb tshaj yog tias tus neeg mob tsis tau txais kev pab tsim nyog. Hauv qhov mob hnyav tshaj plaws, plab hnyuv perforation yog ua tau.
Pseudomembranous colitis kho tau li cas?
Tau kawg, ua ntej ntawm tag nrho, nws yog qhov yuav tsum tau mus kuaj mob, coj mus kuajkuaj ntshav thiab quav, vim qhov no yog tib txoj hauv kev kom paub meej tias muaj tus kab mob. Cov tshuaj tua kab mob yuav tsum tau txiav tawm (tsuas yog qhov tshwj xeeb yog cov xwm txheej uas qhov kev tshem tawm ntawm qhov kev kho mob no yuav ua rau tus neeg mob lub neej). Nyob rau theem pib, kev txiav tawm ntawm kev kho tshuaj tua kab mob tuaj yeem ua rau rov ua kom tiav.
Tau kawg, nws yog ib qho tseem ceeb heev uas yuav tsum tswj cov dej-electrolyte sib npaug hauv lub cev, vim tias raws plab tuaj yeem ua rau lub cev qhuav dej sai. Kev kho mob enterocolitis hauv cov neeg laus qee zaum suav nrog kev noj tshuaj Metronidazole lossis Vancomycin - qee zaum tsuas yog siv cov tshuaj no pab tshem tawm cov kab mob anaerobic - cov kab mob ua rau tus kab mob. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum rov tsim cov hnyuv nrog cov kab mob uas muaj txiaj ntsig zoo. Rau lub hom phiaj no, cov tshuaj "Linex", "Bifiform" thiab lwm yam yog siv. Lub plab hnyuv perforation thiab lwm yam teeb meem yuav tsum tau kev phais.
