Whipple o ka maʻi

Whipple ka maʻi ua diagnosed ma biopsy o ka uuku liʻiliʻi. Maʻi i loli aiʻano nui kanaka me keʻokeʻoʻili, elemakule mai he kanakolu i ka makahiki kanaono. He He pohihihi keia systemic maʻi hoʻonāukiuki Tropheryma whippelii. Lapaau ana i ka maʻi komo ai lawe trmetoprima-sulfamethoxazole no ma ka liʻiliʻi loa hoʻokahi makahiki.

Ke ano lesion Ua noʻonoʻo mucosa o ka uuku liʻiliʻi a me ka maʻi, a me nā symptomsʻikeʻia kūpono. I ka papa kuhikuhiE hoike ana mai o ka maʻi nā diarrhea a me ke kaumaha me keia poho. Eia naʻe, Whipple ka maʻi e loli ai na mea he nui 'ē aʻe nā loko a me nā'aʻaʻa (maʻiʻaʻai, naau, serous lua, lolo, ami, gastrointestinal'āpana, maka). E kū'ē i ke kāʻei kua o ka maʻi ulu arthritis, ua he hōʻemi iki kulou malie mā ma ke kelepona hele e hoʻonele, predisposing i ka maʻiʻaʻai ke kāohi.

Ka mua lapaʻau hoike ana o ka maʻi wehewehe aku ma ka hooulu ana o ke kuni. A hailona no nā mea maʻi i recurrent tracheobronchitis. I ka loiloi mua kuʻina o ka maʻi wehewehe aku ma ke alo o ka migratory eha ma ka nui a me ka uuku ami. Nō kāu, na symptoms o ka li nui i hoike ia ma ia ma kahi e. Ano mea intemittiruyuschy arthritis, a, e like rheumatoid i ino na ami.

Ka mea ma luna o lapaʻau hoike ana e hana i ka ekolu i ewalu makahiki ma mua o ka hoouka kaua ana o ka papa kuhikuhiE symptoms.

Na hoailona o ka hawewe maʻi pale hele pū ana Whipple ka maʻi (abdominal eha, steatorrhea, anorexia, etc.) hōʻike ma ka hou papa o ka maʻi i loko o kona holomua ke kahua. Typical mea maʻi diarrhea. Emptying e wahi mai ka elima a hiki i ka umi manawa i ka lā ka loa nui, a me ke kala o ke kaikea me ka nui mea. Eia hou kekahi, ma kekahi hihia, i ke ano hiki e hunaia paha profuse kahe ana ke koko i loko o ka naʻau liʻiliʻi. Oiaʻike manaʻo i IeAUPIIe, IAa IO me ka coagulation kāna hana mai ana hypoprothrombinemia hou pili. Keia ano ua kauoha ae la ia e ke kina omo K-wikamina. It E e kaulana i diarrhea ua manaoia e lilo i mau symptom, nae, ia mea,ʻaʻole OAXA.

Kekahi nā mea maʻi i constipation, o ka oi aku i loko o nā kuʻina kakahiaka o ka maʻi. Ka hope kahua o ka hoʻonaʻauao o ka lapaʻau kūpono 'ana o ke pathology pu ma ke ano a me kaʻike, o ka loa malabsorption. I ka lawe ana mai i ka helu o nā haʻawina i hoike mai i ka mahuahua pigmentation o kaʻili, lymph wahi hoʻonui, anaemia, poliserozita, cough, maʻi ano, na hoailona o Central ko mākou hopohopo'ōnaehana kāna hana, a me kaʻike ākea edema.

I nana i ka hoʻomanawanui Kahalaopuna eha ma palpation umbilical hapa e emi ma hope o defecation, a no ka maluhiluhi kinoea.

It E e kaulana i kaʻeha ma ka mesogaster e i kekahi mau intensities. Ma kekahi mau hihia, e hoike mai ai ia lakou iho i loko o ka palapala o ka distention ma hope oʻai, i kekahi manawa - i loko o ka palapala o ka colic. I loa oolea o kaʻeha a me ka flatulence i loko o nā mea maʻi i kēia ileus (panina ole hou o ka intestinal lumen) ua hoʻokomo i kaʻoki kino.

Whipple ka maʻi hiki ke diagnosed i loko o ke kanaka me ke alo o symptoms o ka gastrointestinal'āpana. A hiki i ka hanana o ka maʻi kēia i hoʻokō endoscopy maluna gastrointestinal kahua, biopsy o ka uuku liʻiliʻi. Ma nä kekahi lesions diagnosed. E like me ka rula, ka pinepine, a nui nā loli hai aku i ka proximal.

I ka wa e kaawale aku o ka 'āwīwī a me ke akamai lapaau o ka maʻi progresses koke mai, a hiki e ona. Haʻi'ōlelo noonoo likeʻole antibiotics (tetracycline, chloramphenicol, trimethoprim-sulfamethoxazole, ampicillin, cephalosporins, penicillin).