Exudative enteropathy tsis muaj kev cuam tshuam nrog cov txheej txheem inflammatory hauv txoj hnyuv, vim nws yog ib qho kab mob uas ua ke nrog fermentopathy lossis congenital anomaly. Nws tsis yog ib txwm muaj peev xwm txiav txim siab tus kab mob tam sim ntawd, qhov no yuav xav tau kev kuaj mob. Nws tsis tuaj yeem suav hais tias enteropathy yog ib yam kab mob uas tshwm sim ntau zaus, tab sis ib qho xwm txheej zoo li no yuav tsum tau tshawb xyuas kom meej txhawm rau txhawm rau nrhiav kev kho kom raug.
daim duab kho mob
Exudative enteropathy feem ntau tshwm sim hauv cov menyuam yaus. Qhov tseeb yog tias tus kab mob nws tus kheej pib tsim tsuas yog tias cov kev ua hauv kev tsim khoom raug cuam tshuam los yog cov enzymes uas ncaj qha rau hauv kev zom zaub mov lossis kev nqus ntawm ntau cov as-ham tsis tuaj yeem ua tiav. Congenital enteropathy feem ntau tshwm sim, tab sis muaj cov kab mob kis tau.
Thawj kis, kev loj hlob ntawm tus kab mob yog tshwm sim los ntawm kev hloov pauv uas tshwm sim ntawm qib caj ces, tab sis cov ntaub ntawv tau txais los ntawmdystrophic hloov nyob rau hauv lub mucous daim nyias nyias ntawm txoj hnyuv me.
Yog vim li cas
Hnub no, qhov ua rau exudative enteropathy tau nkag siab zoo. Xav txog cov tseem ceeb:
- Yog lub cev muaj gluten intolerance lossis kis kab mob, kab mob cab, ces nws yog qhov ua tau tias tus kab mob no yuav pib tsim.
- Tus kab mob tuaj yeem tiv thaiv keeb kwm yav dhau los ntawm kev raug tshuaj lom thiab hluav taws xob.
- Thaum tus neeg muaj kab mob ntawm cov ntshav lossis endocrine system.
- Heredity.
Yog tias tsim tau qhov ua rau tus kab mob, ces qhov kev rov zoo tuaj yeem ua tiav. Sai li qhov kev cuam tshuam ntawm pathological raug tshem tawm, nws yuav muaj peev xwm rov qab kho cov qauv thiab kev ua haujlwm, ua tiav kev tshem tawm tiav. Yog tias tus kab mob hnyav heev, ces qhov kev cia siab rau kev rov zoo tuaj yeem loj dua.
Poob protein nrog lymph
Protein deficiency yog tshwm sim los ntawm kev poob ntawm cov proteins hauv cov ntshav mus rau txoj hnyuv lumen los ntawm cov hlab ntsha. Feem ntau, qhov teeb meem yog congenital txawv txav, thaum muaj plab hnyuv lymphangiectasia. Qhov thib ob yog vim li cas rau qhov poob ntawm cov protein yog txuam nrog kev nthuav dav ntawm cov hlab ntsha lymphatic, qhov no yog vim mob plawv lossis tom qab siv tshuaj khomob.
Thaum cov protein poob nrog exudate
Poob cov protein tuaj yeem tshwm sim yog tias cov hnyuv mucosa cuam tshuam, piv txwv li, kev yaig lossis kab mob tuaj yeem tsim. Tsis tas li ntawd, yog vim li cas tej zaum yuav muab zais nyob rau hauv lub permeability ntawm lub mucous daim nyias nyias. Qhov phom sij tseem ceeb yog cov protein nkag mus rau hauv plab hnyuv.
Yog tias cov qog ntshav qis tshwm sim, ces tej zaum yuav muaj cov lymphocytes thiab immunoglobulins poob loj, uas ua rau lub cev tsis muaj zog, nqus cov rog thiab qee cov vitamins.
Yuav ua li cas thiaj paub tus kab mob
Ua ntej ntawm tag nrho cov, exudative enteropathy yog nrog los ntawm kev mob raws plab thiab malabsorption ntawm cov as-ham hauv txoj hnyuv. Yog hais tias muaj ib tug pronounced fermentopathy, ces intolerance tshwm. Cov quav ua kua thiab ua npuas dej. Yog tias koj ua tib zoo tshuaj xyuas qhov khoob, tom qab ntawd hauv cov quav koj tuaj yeem pom cov khoom noj tsis zoo, thiab thaum kawm cov kev ntsuam xyuas, tus kws kho mob tuaj yeem kuaj pom cov protein ntau hauv cov quav. Yog tias tus kab mob hnyav heev, ces, feem ntau, kev xav mus rau chav dej tuaj yeem nquag, txawm tias qee zaum txog 15 zaug hauv ib hnub.
Yog tias tus neeg mob tsis ua ib qho kev ntsuas, ces multivitamin deficiency tshwm sim. Lwm cov tsos mob uas tsis tuaj yeem saib tsis tau yog qhov poob phaus sai. Sij hawm dhau mus, qhov mob kuj tshwm sim, tab sis qhov mob no dhau mus sai txaus thiab tshwm sim nws tus kheej hauv kev tawm tsam.
Diagnosis
Exudative enteropathy yog kuaj pom siv lub chaw kuaj mob thiab ntsuas kev ntsuas. Raws li kev kuaj ntshav biochemical, kuaj ntshav tau ua tiav. Nyob rau hauv xws li ib tug kev soj ntsuam, nws yog heev feem ntau muaj peev xwm mus nrhiav tau anemia nrog ib tug txo nyob rau hauv hemoglobin thiaberythrocytes. Qhov no tuaj yeem cuam tshuam ncaj qha rau malabsorption ntawm hlau thiab vitamin hauv cov hnyuv. Nws yuav tsum raug sau tseg tias kev tshawb fawb hauv chav kuaj tsis yog tib txoj hauv kev los kawm lub cev. Tsis tas li ntawd, tus kws kho mob tuaj yeem sau tshuaj kuaj ntshav biochemical.
Vim yog malabsorption ntawm cov as-ham hauv cov hnyuv, lub cev yuav pom tias tsis muaj calcium, magnesium, chlorine thiab protein. Yog tias tus kab mob hnyav, ces albumin proteins yuav ua tsis tau hauv kev tshuaj ntsuam. Cov neeg laus feem ntau raug sau tseg xws li kev tshawb fawb xws li x-ray nrog barium lossis endoscopy. Nrog kev pab los ntawm cov kev tshawb fawb no, nws tuaj yeem tshawb pom cov kab mob loj thiab fistulas uas tau tsim nyob rau hauv cov hnyuv me thiab pib kho thaum lub sijhawm. Qee zaum, kev kuaj mob tshwj xeeb yuav raug siv, xws li kev kuaj kev ntxhov siab gliadin, biopsy ntawm cov hnyuv mucosa. Txhawm rau txiav txim siab tus kab mob, coprogram yog nqa tawm. Kev txiav txim siab cov kev sim no hauv cov menyuam yaus thiab cov neeg laus kuj tuaj yeem qhia tias muaj tus kabmob.
Kev kho mob
Kev kho mob ntawm exudative enteropathy yuav tsum ua ntej ntawm txhua qhov pib nrog kev tshem tawm ntawm qhov ua rau ua rau muaj tus kab mob. Tus kws kho mob yuav twv yuav raug hu ib qho khoom noj tshwj xeeb uas yuav pab tshem tawm kev siv qee yam khoom noj uas muaj glutogen, piv txwv li, lawv suav nrog: nplej, barley thiab oats. Cov khoom no tuaj yeem hloov tau yooj yim nrog mov, qos yaj ywm thiab cov nqaij boiled. Cov khoom noj khoom haus ntawm tus neeg mob yuav tsum raug xam raws li txoj kevthiaj li tsis muaj allergens. Hauv cov xwm txheej nyuaj, exudative enteropathy tuaj yeem kho nrog tshuaj tua kab mob thiab tshuaj tua kab mob.
Tsis tas li ntawd, kev kho tshuaj tuaj yeem ua rau lub cev ua haujlwm ntawm lub plab zom mov, cov tshuaj pab txhim kho kev nqus ntawm cov as-ham. Nyob rau hauv rooj plaub thaum cov qib protein poob mus rau theem tseem ceeb, albumin yog txhaj rau hauv lub cev los ntawm kev txhaj tshuaj rau hauv cov hlab ntsha. Raws li kev tiv thaiv ntawm tus kab mob no, nws muaj cov khoom noj kom zoo thiab kev noj haus uas pab txhim kho txoj haujlwm ntawm cov hnyuv. Ntau yam nyob ntawm daim ntawv ntawm tus kab mob, thiab qhov kev cia siab rau kev rov zoo tag nrho nyob ntawm nws. Yog tias ib tug neeg nrhiav kev pab tsim nyog nyob rau lub sijhawm thiab pib kho kom muaj peev xwm, ces nws yuav ua tau kom tau txais kev zam txim mus ntev txawm tias nyob rau theem nyuaj. Muaj tsawg zaus, kev phais yuav tsum tau ua, feem ntau yog ib qho kev ua haujlwm kom tshem tawm ib feem ntawm lub cev muaj kab mob yog tias exudative enteropathy yog congenital. Txawm li cas los xij, nws yuav tsis ua haujlwm los tiv thaiv tus kabmob ntawm koj tus kheej, yog li koj yuav xav tau kev pabcuam los ntawm tus kws tshaj lij.