Mesadenitis - yog dab tsi? Mesadenitis: cov tsos mob, ua rau, mob, kev kho mob

Mesadenitis (nws yog dab tsi, yuav tsum tau tham tom qab) muaj peev xwm muab tau los ntawm ib tug ntau yam ntawm kab nrog. Lub caij nyoog yam provoking pathology tsis tau tsim muaj. Tom ntej no, peb saib yuav ua li cas mesadenitis qhia hais tias nws yog, dab tsi kho tiv thaiv yog nqa tawm.

Txheej txheem cej luam

Yog li ntawd mesadenitis. Yuav ua li cas yog nws? Yuav ua li cas puas muaj tus kab mob? Lub pathology yog ib tus mob o ntawm lub prostate los yog qog plob tsis so tswj mesentery. Cov yav tas yog ib tug tseem ceeb tsim teeb meem rau ib tug kab mob ntawm hauv nruab nrog cev los yog cov hnyuv. Tag nrho cov plab qog muaj txog 600. Feem ntau, tus kab mob pathogens txeem ncaj qha los ntawm lub plab hnyuv lumen (los ntawm enterogenous) los yog qog thiab cov ntshav yuav khiav tau los ntawm ntau yam kab mob foci (limfogematogenny txoj kev). Cov yav tas tej zaum, e.g., yuav nyob rau hauv lub appendix thiab cov hnyuv, lub ntsws, Upper pa ib ntsuj av. Hais txog yuav ua li cas manifested mesadenitis (dab tsi nws yog hais tias saum toj no), nws yuav tsum tau muab sau tseg rau hauv lub ob feem ntau cov tsos mob. Pathology nrog mob ncus nyob rau hauv lub plab cheeb tsam thiab intoxication syndrome.

Mesadenitis: Ua

Raws li twb hais los saum no, lub caij nyoog yam tseem ceeb ntawm txoj kev loj hlob tsis tau tsim rau hnub tim. Cuaj kaum, cov kws txawj hu feem ntau ua rau cov kev mob nkeeg. Cov lawv:

• Adenovirus thiab enterovirus. Lawv ntxias mob mob ua pa hom.
• Yersinia. Nws pathogens pseudotuberculosis thiab plab hnyuv yersiniosis. Lawv yog ib tug ntawm feem ntau ua rau cov mezadenita nyob rau hauv ob peb qhov chaw ntawm lub ntiaj teb no.
• Epstein-Barr virus. Nws provokes kab mononucleosis.
• Cytomegalovirus.
• Streptococci (zelenyaschy thiab beta-hemolytic), Staphylococcus thiab lwm tus neeg.
• Mycobacterium tuberculosis.
• Campylobacter thiab lwm yam pathogens ntawm plab hnyuv kab mob (tus kab mob Salmonella, stick, thiab lwm yam).

Raws li kev xyaum qhia tau hais tias, nyob rau hauv Feem ntau, lub pathology yog muaj nws tus kheej, tsis muaj kev kho kev cuam tshuam. Txawm li cas los, nyob rau hauv tej rooj plaub, kev kho mob yog tseem yuav tsum tau. Nyob rau hauv kev, cov kev kho mob kws kho rau lub inflammatory txheej txheem nyob rau hauv lub qog nrog lawv tam suppuration thiab tom ntej kis kab mob. Raws li ib tug txoj cai, lub pathology yog kuaj feem ntau nyob rau hauv thaum yau thiab thaum tiav hluas. Cov menyuam ntxhais raug tus kab mob no, rau ib tus twg lesser tshaj cov tub hluas.

soj ntsuam daim duab

Heev feem ntau, cov tsos mob no zoo xws li cov tsos mob ntawm hnyuv tws. Lub pathology pib nrog lub tsos paroxysmal (ntau tsis tshua ruaj khov), mob plab mob nyob rau hauv lub projection ntawm mesenteric lymph node. Nyob rau tib lub sij hawm tawm yog qhov tseeb hais tias, txawm tus haum ntse ces kev mob ntawm tus neeg mob raws li ib tug tag nrho yog fee. Mob mesenteric adenitis yuav tsum tau nrog los ntawm xeev siab los yog ntuav, kub taub hau, quav mob (raws plab los yog cem quav). Lub duration ntawm lub mob nyob rau hauv lub keeb kwm yav dhau pathology yog feem ntau los ntawm ib tug ob peb xuab moos mus rau 2-3 hnub (tsis tshua muaj ntau tshaj li peb). Nyob rau hauv tej rooj plaub, ua ke nrog rau cov saum toj no cov tsos mob ntawm tus neeg mob qhia tau hais tias tej yam tshwm sim ntawm qhov txhab ntawm lub Upper pa ib ntsuj av tau nyob rau hauv daim ntawv ntawm tus mob khaub thuas, hnoos, mob caj pas.

mycobacterium tuberculosis

Soj ntsuam ces nyob rau hauv cov ntaub ntawv no yog sib txawv dog dig los ntawm cov neeg piav saum toj no. Thaum mesadenitis, provoked los ntawm Mycobacterium tuberculosis, muaj short-lived mob tsis qhia tau meej heev localization. Nws yog muab sau tsawg-qib kub taub hau, poob phaus, kev tsis muaj zog. Lymph ntshav no nws thiaj li muab zwm tseg thiab palpated thaum lub sij hawm plab palpation. Nyob rau hauv dav dav, lub soj ntsuam daim duab yuav nyob ntawm seb lom zem ntau rau uas twb muaj lawm txhab ntawm lwm yam kabmob. Muaj txoj kev pheej hmoo ntawm tus kab mob mob. Qhov no yuav ua tau ib tug ntau yam ntawm mob plab hnyuv kab mob (e.g. rhuav txhua), nplaum syndrome, sepsis, peritonitis, necrosis nrog txoj kev loj hlob ntawm suppuration thiab ua paug.

diagnostic ntsuas

Kev tshawb fawb tau tsa rau lub hauv paus ntawm muaj kev soj ntsuam pathology. Nyob rau hauv tsis yooj yim mob (yog hais tias muaj yog mob cov kab mob ntawm lub plab kab noj hniav los sis txoj hnyuv) rau ib tug muaj tseeb mob tej zaum yuav ultrasound thiab diagnostic laparoscopy. Nyob rau hauv tej rooj plaub tshwj xeeb tej zaum yuav muab ib tug CT scan. Qhov saum toj no txoj kev tso cai rau peb tsis tau tsuas yog kom txhim tsa lub tsis tuaj kawm ntawv los yog muaj cov mezadenita, tab sis kuj yuav txheeb xyuas los sis cais qhov yuav tshwm muaj teeb meem. Thaum lub sij hawm qhov kev xeem, tus neeg mob yog cov tshuaj raws li kuaj kev kuaj ntshav. Analysis qhia qhov ua rau ntawm tus kab mob no thiab mus nqa tawm ib differential mob. Nyob rau hauv dej siab ntawm cov tuberculous ntaub ntawv ntawm cov pathology yuav hais anamnestic cov lus qhia txog yav tas los migrated tuberculosis, raws li zoo raws li zoo tau tubproby. Heev feem ntau ib tug mob mesadenitis cov kws kho mob yuav tsum tau qha nrog ntau pathologies kabmob nyob rau hauv lub peritoneum, thiab retroperitoneal qhov chaw. Cov no muaj xws, nyob rau hauv particular, xws li mob hnyuv tws, cholecystitis, ectopic (ectopic) uas cev xeeb tub, salpingitis. Differential mob yuav tsum tau ua nrog rau tej pathologies li vasculitis, nqaij hlav, pyelonephritis thiab Crohn tus kab mob, mesenteric (mob) thiab lwm yam ischemia.

Kev tiv thaiv thiab kev kho

mezadenita kev kho mob (non-kev) yog nqa tawm siv conservative txoj kev. Feem ntau, txoj kev kho yog ua nyob rau hauv ib tug phais tsev kho mob. Cov ntsiab keeb ntawm cov kev kho mob yog tshuaj tua kab mob nrog ib tug broad spectrum ntawm kev txiav txim. Cov no muaj xws, nyob rau hauv particular, xws li fluoroquinolones thib ob thiab thib peb tiam cephalosporins. Lawv kev ua si yog aimed ntawm suppressing cov kev ua ub ntawm pathogens. Yuav kom tshem tawm cov kev mob siv antispasmodics. Qhov no, nyob rau hauv particular, xws li txhais tau tias raws li "Drotaverinum", "papaverine". Tsis tas li ntawd tsa thiab analgesics ( "Ketorolac", thiab lwm yam). Nyob rau hauv tshwj xeeb yog mob loj, siv perirenal blockade. Rau detoxification ua pathogenetic nonspecific txoj kev kho yuav cov kev taw qhia ntawm txawv Txoj kev lis ntshav daws teeb meem. Physiotherapy yog tseem heev zoo.

Cov ntaub ntawv

Nyob rau hauv cov ntaub ntawv ntawm xav tias mesadenitis nws yog tsis heev pom zoo kom noj cov tshuaj tsis muaj thawj noj kev haus nrog ib tug tshwj xeeb. Ib co tshuaj, analgesics thiab antispasmodics nyob rau hauv particular, yuav ho pauv tus soj ntsuam daim duab, ua rau nws tsis yooj yim rau kev tshawb nrhiav. Tshwj xeeb mloog yog muab noj cov zaub mov uas muaj mesadenitis. Cov neeg mob uas tau pom zoo cov lus xov tooj 5. Pub rau noj taum, nyias, txiv hmab txiv ntoo (tsis qaub), friable porridge. Yuav muab ntxiv rau kev noj haus ntawm cov uas tsis muaj roj nyuj, nqaij qaib nqaij, zaub kua zaub, muaj roj tsawg tsev cheese, tshuaj yej (es tsis muaj zog), kua txiv, nplej. Nws pom zoo fractional heev noj mov. Nws yog txwv tsis pub nqa mus siv rau khoom noj khoom haus kas fes dub, kua txob, mustard, oily ntses, spinach, sorrel, nqaij npuas kib, tshiab pastry, yooj yim cov zaub mov, Roasts.

Nyob rau hauv xaus

Nyob rau hauv kev pathology teb zoo rau kev kho mob. Teeb meem cai nyob rau hauv kev xyaum ntau heev. Lawv tsiag ntawv mas rau tuberculosis kab mob. Raws sij hawm txaus siab mus rau tus kws khomob tshwjxeeb, nyob rau hauv txhua tus neeg mob, sai sai tau tshem ntawm tus kab mob.