Enteritis

Enteritis ke ho ruruha ha mala a manyane.

Enteritis hangata e bakoa ke ho ja kapa ho noa lintho tse silafalitsoeng ke baktheria kapa livaerase. Likokoana-hloko li lula ka maleng a manyenyane 'me li baka ho ruruha le ho ruruha.

Enteritis le eona e ka bakoa ke:

• Boemo bo ikemetseng, bo kang lefu la Crohn
• Lithethefatsi tse ling, ho kenyeletsoa NSAIDS (joalo ka ibuprofen le sodium naproxen) le cocaine
• Tšenyo ea phekolo ea radiation
• Lefu la Celiac
• Lebelo la tropike
• Boloetse ba whipple

Ho ruruha ho ka kenyelletsa le mpa (gastritis) le mala a maholo (colitis).

Mabaka a kotsi a kenyelletsa:

• Lefuba la mpa la morao tjena har'a litho tsa lelapa
• Maeto a morao-rao
• Ho pepesetsoa metsi a sa hloekang

Mefuta ea enteritis e kenyelletsa:

• Bacteria gastroenteritis
• Campylobacter enteritis
• E coli enteritis
• Chefo ea lijo
• Enteritis ea mahlaseli
• Salmonella enteritis
• Shigella enteritis
• Staph aureus chefo ea lijo

Matšoao a ka qala lihora ho isa ho matsatsi kamora hore o tšoaetsoe. Matšoao a ka kenyelletsa:

• Bohloko ba mpeng
• Letšollo - a hlobaetsang le matla
• Ho felloa ke takatso ea lijo
• Ho hlatsa
• Mali ka setuloaneng

Liteko li ka kenyelletsa:

• Tloaelo ea setuloana ho sheba mofuta oa ts'oaetso. Leha ho le joalo, tlhahlobo ena e kanna ea se khetholle hangata baktheria e bakang bokuli.
• Colonoscopy le / kapa endoscopy e holimo ho sheba mala a manyane le ho nka mehlala ea lisele ha ho hlokahala.
• Ho etsa liteko, joalo ka CT scan le MRI, haeba matšoao a ntse a phehella.

Maemong a bonolo hangata ha a hloke kalafo.

Ka linako tse ling ho sebelisoa meriana ea ho thibela letshollo.

U kanna oa hloka phepelo ea metsi 'meleng ka litharollo tsa elektrolyte haeba' mele oa hau o sena maro a lekaneng

U kanna oa hloka tlhokomelo ea meriana le maro ka mothapo (maro a kenang methapong) haeba u na le lets'ollo 'me u sa khone ho boloka maro a teng. Hangata ho ba joalo ka bana ba banyenyane.

Haeba u noa diuretics (lipilisi tsa metsi) kapa ACE inhibitor 'me u ba le lets'ollo, u kanna ua hloka ho emisa ho noa diuretics. Leha ho le joalo, u se ke ua emisa ho noa moriana u sa bua le mofani oa tlhokomelo ea bophelo.

U kanna ua hloka ho noa lithibela-mafu.

Batho ba nang le lefu la Crohn hangata ba hloka ho noa meriana e thibelang ho ruruha (eseng li-NSAID).

Matšoao hangata a ea tlasa kalafo matsatsing a 'maloa ho batho ba seng ba phetse hantle.

Mathata a ka kenyelletsa:

• Ho felloa ke metsi 'meleng
• Letšollo la nako e telele

Tlhokomeliso: Ho masea, lets'ollo le ka baka ho felloa ke metsi 'meleng ho tlang kapele haholo.

Bitsa mofani oa hau haeba:

• U felloa ke metsi.
• Letšollo ha le fele ka matsatsi a 3 ho isa ho a mane.
• O na le feberu e fetang 101 ° F (38.3 ° C).
• U na le mali ka setuloaneng sa hau.

Mehato e latelang e ka thusa ho thibela enteritis:

• Kamehla hlapa matsoho ha u qeta ho sebelisa ntloana le pele u ja kapa u pheha lijo kapa lino. U ka hlatsoa matsoho ka sehlahisoa se nang le joala se nang le joala bonyane 60%.
• Pheha metsi a tsoang mehloling e sa tsejoeng, joalo ka melatsoana le liliba tsa kantle, pele o a noa.
• Sebelisa lisebelisoa tse hloekileng feela bakeng sa ho ja kapa ho tšoara lijo, haholo ha u sebetsana le mahe le likhoho.
• Pheha lijo ka botlalo.
• Sebelisa lintho tse pholileng ho boloka lijo tse hlokang ho lula li bata.

• Salmonella typhi e phelang
• Yersinia enterocolitica mmele
• Campylobacter jejuni 'mele
• Clostridium difficile e phelang
• Tsamaiso ea ho sila lijo
• Esophagus le anatomy ea mpa

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Melia JMP, Sears CL. Enteritis e tšoaetsanoang le proctocolitis. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 110.

Lima AAM, Warren CA, Guerrant RL. Matšoao a matla a letšollo (letšollo le feberu). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 99.

Semrad CE. Atamela mokuli ka letšollo le malabsorption. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 131.