Dabadhiig qaba Amoebic: pathogene ah, calaamado, daaweynta

caabuqa xiidmaha waa koox cuduro badan in isku daraa guuldaradii of mareenka caloosha iyo mindhicirka iyo calaamadaha dabeecad bukaan eegida sida lallabo, matag, shuban (xab leh oo dhiig ah) ama caloosha oo. wakiilada sababaya ah caabuqyada ba'an ee xiidmaha noqon kara bakteeriyada, fayrasyada, protozoa iyo goryaamo. Tani waxay u adag tahay in la ogaado oo u baahan marar badan daaweynta calaamadaha.

qeexid

Amoebiasis (dabadhiig qaba amoebic) - waa caabuq anthroponotic la farsamo saxaarada-afka la isugu gudbiyo. Its daliilka aasaasiga ah ugu jira colitis a noqoshada chronic iyo daliilka extraintestinal sida bax beerka, boogaha iyo kuwa kale. Inta badan, muddada yar waxaa loogu tala dabadhiig qaba amoebic amoebiasis, taas waxaa keena histolytica Entamoeba noole ah.

Ka mid ah amebiasis go'doonsan keratitis kale amoebic iyo encephalitis. Sida laga soo xigtay Ururka Caafimaadka Adduunka, toban boqolkiiba dadka dunida ayaa qaba cudurka this, waana mid ka mid ah sababaha ugu waaweyn ee dhimashada ka cudurro ka yimid dullin. daliilka dheeraadka-mindhicirka waa mid aad u adag tahay in la ogaado, si loo ogaado loona daweeyo amoebiasis markasta suurtagal ma aha.

saf-

In dhammaan dalalka la cimilada kulul oo qoyan waa amoebic caadi dabadhiig qaba. Calaamadaha cudurka inta badan waxaa laga heli karaa in dadka ka daalina heerarka caafimaadka iyo nadaafadda. -Gud si ay pathogene yihiin Bartamaha iyo Koonfurta America, gaar ahaan Mexico, iyo Hindiya.

Mararka qaarkood dillaaca badan oo cudurada caloosha ka diiwaan gashan wadamada xad iyo sidoo kale-off, sida in 1933, inta lagu guda jiro Expo adduunka, taas oo lagu qabtay Chicago. Currently, kiisaska mass iyo goosgoos ah ka dhacaan meelaha ay dalka u soo guuray gobollada-gud. Inta badan, caabuq u muuqato in xilli diiran.

halka uu cudurka waa qof ama side protozoa ah oo xanuunsan. Caabuqa dhacdaa iyada oo kaliya gacmaha wasakhda ah, cunto iyo biyo. Sidoo kale, cudurka la isugu gudbin karaa galmo xiriir qaniis yahay. Waxaa la og yahay in amoebas foomka fibrosis yaabaa inay ku faafan lugaha iyo baalasheeda cayayaanka.

exciter

Maxay tahay sababta loo dabadhiig qaba amoebic? Pathogene waxaa loola jeedaa in ay ugu fudud, oo jiri karaan saddex qaabab kala duwan:

- unugyada (heli karaa oo keliya bukaanka aadanaha);

- luminal;

- fibrosis.

laba la soo dhaafay waxaa la helay in cudur side yaal. Waa size unug of 40 micrometers, taas oo uu leeyahay asaasiga ah iyo wax badan oo vacuoles ah. Si aad u guurto in jidhka bini'aadamka isticmaalaa cagta been ah. Si aad u badinnay bakteeriyada ku haboon, fangaska, qayb cunto. dabadhiig qaba Amoebic sababa foomkan gaar ah.

Cyst waa size unug wareega ama ofaalka 30 micrometers. Waxaa laga yaabaa in dhowr nuclei (labo ilaa afar), waxay ku xiran tahay marxaladda horumarinta.

wareegga nolosha amoeba

Cyst gala xiidmaha yar iyada oo ay dad gacmaha wasakh ah, biyo, ama caleenta. Waxaa qolof cyst waa la wada baabbi'iyey, oo Lumen jidhka ka shisheeya waalidka baaluq amoeba. Tani foomka of bilowgii si ay ula wadaagaan. Sida ka dhashay geedi socodka this soo saaray sideed wareer cusub halka xudunta u ah. dabadhiig qaba Amoebic bilaabataa la joogo. Ugu kulanka xaaladaha wanaagsan ee jidhka iyo foomamka filan core daaqsinka hal of amoeba ah sii wadi in lagu dhufto oo dheeraad ah guurto xiidmaha.

In geeddi-socodka nolosha fudud walxaha qarsan ay in aadanuhu ay sun iyo sababi astaamaha caadiga ah ee cudurka xiidmaha. Iyada oo saxarada daaqsinka iyo foomamka fibrosis dhicin deegaanka dibadda. Halkaas oo ay ku jiri karaa muddo dheer. Intaa waxaa dheer, ay yihiin adkaysi u jeermiska dila.

pathogenesis

Sidee soo koraya laga yaabaa cudurada sida dabadhiig, amoebic? Cudurka bilaabmaa cunista cuntada aan dhaqnayn. Maxaa yeelay, amoeba geli colon indhala 'iyo mid kor u kacaya, kaas oo waxaa laga yaabaa in waqti dheer ay is ahaantii isu muujiyay. Laakiin xaalado aadanaha loo kasin (fuuq-bax, nafaqo xumo, dysbiosis) fiix ku daatay oo ay qolof, iyo waxaa jira foomka luminal of amoebas ah.

Iyada oo taageero ka ensaymes cytolytic iyo proteolytic iyaga u gaar ah pathogene u guskiisa dhumucda unugyada, barar ku keeni karo iyo formation of boogaha iyo meelaha yar yar ee galleeyda. Xaaladaha qaarkood, amoeba geli xididdada dhiigga iyo socodka dayrta dareere galay xubnaha kale, la xirrira bax halkaas.

In foomka xiidmaha cudurka bararka kordhiyay jihada hoos ka cecum si khadka. jirka edematous axaleedka, dhanka ah hyperemia muuqda qanjira yar yar iyo boogaha kuwaas oo ka kooban qashin necrotic iyo foomamka daaqsinka amoebae. Waqti ka, qanjira waa laga baabbi'iyey, taasoo ka dhigeysa in ay meel boogaha cusub ilaa sentimitir laba iyo badh dhexroor. cilladaha Deep ayaa salka ku daboolay malax. Haddii mid ka mid baarayaa biopsy derbiga boog ah, waxaad ka heli doontaa amoebas.

cudurada Chronic Ulasocto formation of fiix, polyps, iyo amoebae. formation buro Tani, taas oo ka kooban fibroblasts unugyada granulation iyo eosinophils.

foomka extraintestinal

dabadhiig qaba Amoebic ayaa labada calaamadaha dyspeptic, iyo degaaankaaga. Marka foomamka daaqsinka amoebae dhex gelin galay dhumucda derbiga xiidmaha, waxay geli karaan wareegga systemic. Tani waxay keenaysaa in faafinta pathogene ee jidhka. Sida laga soo xigtay nidaamka of portal xididka amoeba geli parenchyma beerka.

Hay'adda laga yaabaa in lesions of kala duwan ee darnaanta, ka protein ah ama in ay muujiyaan hepatitis tobnad iyo malax beerka, ku yaalaan hoos qubbad ee diaphragm ka. Mararka qaarkood waxaa sidoo kale loo yaqaan fiix shukulaatada sababtoo ah midabka gaar ah oo malax. Haddii caabuq la aan la daaweyn, waxaa jira yimaado shaqo furitaanka lamaro in saabka caloosha leh horumarinta peritonitis. Ama cyst jebin karaa diaphragm galay sambabada, mediastinum ama pericardium, sababaya dhibaatooyinka u dhiganta. Waxa intaa dheer in beerka, wakiilka waa awoodaa inuu baabbi'iyo maskaxda, maqaarka iyo xubnaha kale.

rugta caafimaadka

Xilliga cudurku soo socdaa ku saabsan toddobaadkii, ka dib markii taas teedu dabadhiig qaba amoebic. Astaamaha lagu bilaabayaa tabar guud, xanuunka ee gobolka iliac iyo kici ee heerkulka jidhka. Toban boqolkiiba kiisaska cudurka qaadataa kooras fulminant. Waxaa lagu gartaa shuban miidhan dhiig iyo xab, kaas oo keena fuuqbax daran iyo dhimashada. Meel in saddex meelood meel dadka qaba qandho lala wayneeyo beerka. Caabuq bilowga ah ee cudurka waa mid daciif ah, sidaas darteed in falanqaynta guud ee dhiig aan arkay isbedel dabeecadda.

In daliilka kale extraintestinal weheliyay dabadhiig qaba. Calaamadaha in lagu magacaabi karaa pathognomonic, haddii ay taasi ku maqan yahay. Amebiasis ku ool ah oo aan muuqan ee jirka ilaa ururay ilaa mass muhiim u ah wakiilka.

Haddii aadan qaadan wax talaabo ah marka la eego daaweynta cudurka, ka dibna muddo ka dib cudurka qaadataa dabiiciga ah ee joogtada ah. Tartiib tartiib, dhiig iyo cachexia. The hoose iska caabin ah jidhka, si dhakhso ah foomka xiidmaha ka galaa extraintestinal ah. category halista waxaa ka mid ah carruurta yar yar, dadka waayeelka ah, haweenka uurka leh iyo bukaanka qaadanaya immunosuppressants.

Baadhista xanuunada

By waxa shuruudaha ogaanshaha of "dabadhiig qaba" aasaasay? Cilad-iyo daaweynta cudurka this waxaa si dhow la xiriira wareegga nolosha ee protozoa ah. In si loo caddeeyo etiology shubanka, dhakhtarka qaadataa saxaro ah, taas oo ay jirto noocyada unugyada ee amoebas. Haddii saxarada waa fiix ama foomka translucent, tani waxay muujinaysaa qaadee iyo uma aad adeegi kartaan sida xaqiijinta cudurka.

Tan iyo jidhka bini'aadamka sida a flora keeneysa la pathogenic horay u jira dhawr nooc oo amoebas, cudurka waxaa laga yaabaa in dhib badan. Si khalad ah laga helay sidoo kale waxaa lagu ogaan karaa iyada oo Entamoeba dispar. Waa amoeba non-pathogenic, kaas oo gebi ahaanba aan dhib lahayn in ay aadanuhu, laakiin morphologically aad uula mid tahay dabadhiig qaba.

Si loo xaqiijiyo baaritaan iyo isticmaalka reaction silsilad polymerase iyo imtixaanada fuliyo. Si lagu ogaado noocyada extraintestinal of amoebiasis, waxaa lagama maarmaan ah si ay u qabtaan baaritaan X-ray, ultrasound iyo raajito loogu xisaabiyaa. Kala cudurka amoebic la curuka xundurta, salmonellosis iyo ulcerös kolit nonspecific.

daaweynta

Daaweynta dabadhiig qaba amoebic bilaabaa daawooyin cytotoxic sida metronidazole ama tinidazole. Haddii bukaanku leeyahay wax calaamado ah, waa in la baabi'iyo dulin waxaa loo isticmaali karaa yodohinod ama paromomycin.

Daawada ugu horeysay ka dhanka ah amoebiasis ahaa emetine, kaas oo ahaa miino ee South America Ipecac. Haddaba waxaa dhif ah loo isticmaalo, maadaama ay tahay aadka sun ah oo aan wax ku ool ah oo ku filan. By taasi ka dhigan tahay racfaan oo kaliya haddii ay dhacdo socodka dheer, in noocyada adkaysi iyo xasaasiyadda si metronidazole.

Wixii lagu daaweyn jiray noocyo dheeraad ah-mindhicirka waa metronidazole weheliso yatrenom, doydohinom, meksaformom iyo daroogooyinka kale. Xaaladaha qaarkood door biday in ay qaliin.

dhibaatooyin

dabadhiig qaba Amoebic in aadanuhu ay tahay in la qasan by daloolin waxay derbiga mindhicirka awoodaan. Tani waxay dhacdaa inta lagu guda jiro formation of iin aad u qoto dheer. Marka Dalool ku jira xiidmaha galay saabka caloosha iyo waxay qaadsiin. In la sameeyo dhibaatooyinka soo socda - peritonitis. In si loo badbaadiyo nolosha bukaan-socodka, waxaa lagama maarmaan ah in ay door biday in ay daryeel qalliin: Samee laparotomy midline ah iyo xubnaha caloosha si ay u qabtaan baaritaan.

dhibaatooyin kale oo khatar ah - dhiig xiidmaha. Sidoo kale waxa uu yeeshay ee geedi socodka of formation of boogaha. Si uu gargaar suurtagal ah qaadan doonaa hababka labada muxaafid iyo operative. boogaha Wanaajinta waxa sabab u ah formation of unug nabar Lumen cidhiidhi ah, sidaas jabiyay marinka cuntada.

ka hortagga

dabadhiig qaba Amoebic - cudurka xiidmaha, sidaas darteed si looga hortago, waa in lagu sun-waqtiga ilaha pathogene: balliyada har, baraagaha iyo nidaamka kale ee qaybinta biyaha.

Intaa waxaa dheer, baahida loo qabo in ay qaadaan tallaabooyin si loo ogaado sidayaal iyo sporovydeliteley, iyo sidoo kale in lagu daweeyo bukaanka qaba foomamka ba'an ee waafaqsan tallaabooyinka anti-faafa. dadka Convalescent iyo baabuurta ay dhacdo lahayn uma baahna in la oggol yahay in ay ka shaqeeyaan, dhaqaalaha.

Hab kale oo ah in la yareeyo tirada dadka qaba cudurka waa in la horumariyo nadaafadda shakhsiga ah iyo maaraynta habboon ee cuntada ka hor inta isticmaalka. Ka dib markii cudurka hore ee qofka waa in si joogto ah sanadkii la soo arkay daraasadda of cudurada faafa inta lagu guda jiro. Waxa ay ahayd oo kaliya ka dib falanqeynta, saddex bilood gudahood noqon doonaa negative for amoebiasis, bukaanka waxaa loo tixgelin doonaa sida ugu dambeyntii caafimaad.