Contents
Waa maxay nabarka beerka
Beerka soo baxa waa fiix ka buuxo malax. Caanaha beerka ayaa ku dhici kara qof kasta. Laftigeeda, maaha mid nafta halis gelinaysa, maadaama malaxdu ay isku duuban tahay oo ay ka soocday dhammaan unugyada. Laakin waxay noqon kartaa khatar haddii kaabsalku furmo oo waxa ku jira ka soo daato. Waxay u dhici kartaa si lama filaan ah, markaa waa inaad had iyo jeer ka hubiso dhakhtarkaaga.
Haddii xuubka beerka goor hore la helo, badanaa waa la daweyn karaa. Daawaynta la'aanteed, way dillaaci kartaa oo faafin kartaa caabuqa, taasoo u horseedaysa sepsis, caabuqa dhiigga ee bakteeriyada nafta halis gelisa.
Sababaha keena nabarrada beerka ee dadka waaweyn
Waxaa jira laba sababood oo waaweyn oo kicin kara nabarka beerka.
Caabuqa:
- caabuqa bakteeriyada ee mareenka biliary;
- caabuqa bakteeriyada ee daloolka caloosha ee la xidhiidha appendicitis, diverticulitis, ama dalool xiidmaha;
- caabuqyada dhiigga;
- Infekshanka Entamoeba histolytica (noole sidoo kale sababa dysentery amoebic - wuxuu ku kala qaadi karaa biyaha ama xiriirka qof-ka-qof).
Naxdin leh:
- endoscopy ee xiniinyaha iyo tubbada;
- dharbaaxo, shilal;
- dhicista nolosha.
Waxa kale oo jira arrimo kordhiya khatarta ah in uu yeesho beerka beerka.
- Cudurka 'Crohn';
- sonkorowga;
- da'da weyn;
- aalkolo;
- habdhiska difaaca oo daciifa oo ay ugu wacan tahay xaaladaha sida HIV ama AIDS-ka, iyo sidoo kale difaac la'aanta kale, isticmaalka corticosteroid, xubnaha taranka, ama daaweynta kansarka;
- nafaqada liidata;
- U safrida gobollada ay ku badan yihiin caabuqyada amoebic-ka.
Calaamadaha lagu garto nabarka beerka ee dadka waaweyn
Calaamadaha ugu muhiimsan ee nabarrada beerka iyo cabashooyinka ay qabaan way kala duwan yihiin, laakiin inta badan waxaa ku jira calaamado isku dhafan:
- calool xanuun (gaar ahaan dhinaca midig ee caloosha sare ama feeraha hoostooda);
- dhoobo-midab leh ama cawl, saxaro midab leh;
- kaadi madow;
- maqaarka oo jaale ah iyo caddaanka indhaha (cagaarshow);
- shuban biyood;
- qandho ama qarqaryo;
- kalagoys xanuun;
- lalabo leh ama aan lahayn matag;
- cunto xumo;
- miisaanka oo aan la sharraxin;
- caajisnimo ama caajisnimo;
- dhidid.
Xaaladaha qaarkood, nabarka beerka ayaa noqon kara mid aad khatar u ah nolosha. Isla markiiba wac XNUMX haddii bukaanku leeyahay mid ka mid ah calaamadahan:
- isbeddel degdeg ah oo ku yimaada dabeecadda, sida jahawareerka, delirium, caajisnimo, dhalanteed, iyo madax-furnaan;
- heerkulka sare (ka sarreeya 38 ° C);
- kacsanaan ama caajisnimo;
- garaaca wadnaha oo degdeg ah (tachycardia);
- dhibaatooyinka neefsashada sida neefta oo ku yaraata, dhib ama awood la'aanta neefsashada, hiinraag ama neefsashada;
- xanuun xoog leh;
- matagid.
Daawaynta xuubka beerka ee dadka waaweyn
Cilad-sheegiddu waxay xaqiijinaysaa haddii ay jiraan meelo cystic ama adag oo beerka ku yaal, kuwaas oo dheecaanka dheecaanka leh ee leh dhaqamo wanaagsan la sii daayo marka waxa ku jira la qaado. Waa muhiim inaad si dhakhso ah u hesho baadhitaanadan oo aad bilowdo daawaynta sababtoo ah khatarta sare ee dhibaatooyinka.
Bioscience
Ka dib markii la baaro oo la ururiyo anamnesis ku saabsan sida bukaanku u bukooday, tiro tijaabo ah ayaa loo baahan yahay in la sameeyo. Marka ugu horeysa, tani waa baaritaanka dhiigga guud - enzymes serum oo muujinaya shaqada beerka (alkaline phosphatase, ALT, AST), dhaqamada dhiigga, waqtiga prothrombin iyo qayb firfircoon oo thromboplastin ah, baaritaanka serum ee unugyada difaaca jirka ee Entamoeba histolytica,
Intaa waxaa dheer, falanqaynta saxarada ee Entamoeba histolytica antigen ayaa la qaadi doonaa waxaana la samayn doonaa tijaabada antigen ama polymerase chain reaction (PCR) ee dareeraha naasaha ee la hamiyay.
Waxay kaloo sameeyaan ultrasound-ka beerka iyo sawir-qaadista.
Daaweynta casriga ah
Bararka beerka waxaa lagu daaweeyaa dawooyin iyo qalliin labadaba.
Antibiyootikada. Antibiyootigyo kala duwan ayaa loo isticmaalaa in lagu daweeyo nabarka beerka. Doorashadooda waxay ku xiran tahay nooca caabuqa. Daawooyinka ugu muhiimsan:
- aminoglycosides sida amikacin (Amikin) ama gentamicin (Garamycin);
- clindamycin (Cleocin);
- isku darka piperacillin-tazobactam (Zosin);
- metronidazole (Flagyl).
Haddii ay tahay amoebic abcess, ka dib marka caabuqa laga bogsado, bukaanka ayaa loo qori doonaa daawo kale si ay u disho amoeba ee xiidmaha si looga hortago in nabarku soo noqnoqda.
hababka qalliinka. Way kala duwan yihiin, doorashaduna waxay ku xiran tahay heerka dhaawaca beerka iyo darnaanta xaaladda bukaanka:
- hamiga - kiiskan, malax ayaa irbad laga soo saaray iyada oo loo marayo godka caloosha, waxay dhacdaa dhowr jeer (mararka malaxda ka yar 5 cm dhexroor);
- dareere - waxay u baahan tahay rakibaadda tuubada si ay u daadiso malaxda (maxaa yeelay in ka badan 5 cm dhexroor).
Labadan habraac waa laparoscopic, oo lagu sameeyo jeexyo yaryar. Laakiin mararka qaarkood qalliin furan ayaa loo baahan yahay peritonitis, nabarrada derbiyada dhumuc weyn leh, nabarrada dillaacsan, nabarrada waaweyn ee badan, iyo hababka dheecaannada ee hore u fashilmay.
Ka-hortagga nabarrada beerka ee dadka waaweyn ee guriga
Mar walba suurtagal ma aha in laga fogaado beerka soo baxa. Si kastaba ha ahaatee, marar badan, waxaad yarayn kartaa khatarta ah in uu ku dhaco cudurka loo yaqaan 'pathology' adiga oo iska ilaalinaya isticmaalka cuntada ama biyaha wasakhaysan, xaddidaya safarka gobollada ay ku badan yihiin caabuqyada amoebic-ka.
Su'aalaha iyo jawaabaha caanka ah
Waxay ka jawaabeen su'aalaheena ku saabsan boogaha beerka gastroenterologist, hepatologist, nafaqada Natalya Zavarzina.
Caadi ahaan, nabarrada beerka waxaa sababi kara duulaanka amoebic (oo ay sababto Entamoeba histolitica), burada beerka necrosis, qaaxada, iyo dhaawaca caloosha.