Mawallafi: Laura McKinney
Ranar Halitta: 6 Afrilu 2021
Sabuntawa: 21 Nuwamba 2024
Anonim
Laparoscopy : Total Laparoscopic Whipple’s Operation (Uncut Version, 2x Speed) - TWFC
Video: Laparoscopy : Total Laparoscopic Whipple’s Operation (Uncut Version, 2x Speed) - TWFC

Wadatacce

Menene Cutar Whipple?

Kwayar cuta ake kira Tropheryma whipplei haifar da cutar Whipple. Wannan kwayar cutar tana shafar tsarin narkewa kuma zai iya yaduwa zuwa:

  • zuciya
  • huhu
  • kwakwalwa
  • gidajen abinci
  • fata
  • idanu

Cuta ce mai yawan gaske, amma tana iya zama barazanar rai.

An yi imani da yawa cewa akwai ƙaddarar ƙwayar cuta don bunkasa rashin lafiya. Fararrun mutane tsakanin 40 zuwa 60 sun fi kamuwa da yanayin fiye da kowane rukuni. Adadin cutar ta Whipple kuma ya kan zama mafi girma a wuraren da ba su da ruwa mai kyau da kuma tsaftar tsafta. A halin yanzu, babu wata sananniyar hanyar hana cutar Whipple.

Kwayar cututtukan da ke hade da Cutar Whipple

Cutar Whipple tana hana jikinka shan kayan abinci mai kyau. Saboda wannan, yana shafar sassa daban-daban na jiki kuma yana da alaƙa da alamomi iri-iri. A matakan ci gaba na cutar, kamuwa da cutar na iya yaduwa daga hanji zuwa wasu gabobin kamar su:


  • zuciya
  • huhu
  • kwakwalwa
  • gidajen abinci
  • idanu

Mafi yawan alamun da alamun cutar ta Whipple sun haɗa da:

  • ciwon haɗin gwiwa na kullum
  • zawo mai ɗorewa wanda zai iya zama jini
  • asarar nauyi mai mahimmanci
  • ciwon ciki da kumburin ciki
  • rage gani da ciwon ido
  • zazzaɓi
  • gajiya
  • karancin jini, ko karancin kwayar jinin jini

Wadannan alamomi da alamomin da ke zuwa ba sa faruwa akai-akai amma suna iya nuna cewa yanayin yana daɗa taɓarɓarewa:

  • canza launin fata
  • kumburin kumburin lymph
  • tari mai dorewa
  • zafi a kirji
  • pericarditis, ko kumburin jakar da ke kewaye da zuciya
  • rashin zuciya
  • wata zuciya ta yi gunaguni
  • rashin hangen nesa
  • rashin hankali
  • rashin nutsuwa
  • rashin bacci
  • rauni na tsoka
  • tics
  • matsala tafiya
  • ƙwaƙwalwar ajiya mara kyau

Dalilin Cutar Whipple

Kamuwa da cuta tare da T. whipplei kwayoyin cuta shine sanannen sanannen sanadin Whipple's. Kwayoyin zasu haifar da ciwan ciwon ciki sannan su haifar da jijiyoyin jiki suyi kauri.


Villi sune kyallen-yatsu kamar na yatsa waɗanda ke shayar da abinci a cikin ƙananan hanji. Lokacin da villi ya fara yin kauri, yanayinsu na halitta yakan fara canzawa. Wannan yana lalata villi kuma yana hana su shan abubuwan gina jiki yadda ya kamata. Wannan yana haifar da yawancin alamun cutar Whipple.

Binciken Cutar Whipple

Binciken asali na cutar Whipple yana da rikitarwa, musamman saboda bayyanar cututtuka suna kama da sauran yanayin da suka fi dacewa waɗanda ke zuwa daga cutar celiac zuwa cututtukan jijiyoyi. Likitanku zai yi ƙoƙari ya kawar da waɗannan sauran yanayin kafin bincika ku da cutar Whipple.

Osarshen hoto

Alamar farko da likitanku zai nema don sanin ko kuna da cutar Whipple raunuka ne. Cutar endoscopy itace saka karamin bututu mai sassauci zuwa makogwaronku zuwa cikin hanjin hanji. Bututun yana da ƙaramar kyamara a haɗe. Likitanku zai lura da yanayin ganuwar hanjinku. Katangun masu kauri tare da creamy, ragged rufe suna alama ce ta Whipple’s.


Biopsy

Yayin gwajin lafiya, likitanku na iya cire nama daga bangon hanji don gwada gaban T. whipplei kwayoyin cuta. Wannan hanya ana kiranta biopsy kuma yana iya tabbatar da kamuwa da cuta.

Amincewar Sarkar Polymerase

Hanyar sarkar Polymerase jarabawa ce mai matuƙar mahimmanci wanda ke haɓaka DNA na T. whipplei daga samfurin ka. Idan kwayoyin sun kasance a jikinku, za'a sami shaidar DNA a ciki. Wannan gwajin zai iya tabbatar da wanzuwar T. whipplei kwayoyin cuta a jikinku.

Gwajin jini

Kwararka na iya yin odar cikakken jini. Wannan zai taimaka wajen tantance idan kuna da karancin adadin jajayen jini da kuma karancin albumin, wadanda duka alamu ne na karancin jini. Anemia alama ce ta cewa kuna iya samun cutar Whipple.

Jiyya don Cutar Whipple

Hanyar maganin rigakafin cuta yawanci shine matakin farko na magani, gami da makonni biyu na maganin rigakafi ta hanyar jijiyoyin jini (IV). Bugu da ƙari, wataƙila za ku kasance a kan maganin rigakafi na yau da kullun na shekara ɗaya zuwa biyu.

Sauran zaɓuɓɓukan magani sun haɗa da:

  • yawan shan ruwa mai kyau
  • shan maganin zazzabin cizon sauro na tsawon watanni 12 zuwa 18
  • amfani da sinadarin karafa don taimakawa cutar karancin jini
  • shan bitamin D, bitamin K, alli, da magnesium kari
  • kiyaye cin abinci mai yawan kalori don taimakawa tare da shayar da mai gina jiki
  • shan corticosteroids don taimakawa sauƙi ƙonewa
  • shan maganin rashin jin zafi na jiki, kamar su ibuprofen

Cutar Whipple cuta ce ta kwayar cuta da ke haifar da mutuwa idan ba a kula da ita da kyau ba.

Tsawon Lokaci

Bayan an fara jiyya, da yawa daga cikin alamun cutar za su tafi cikin wata guda. Mafi kyawu abin da zaka iya yi shine ci gaba da shan maganin rigakafinka. Rushewar ta zama ruwan dare. Lokacin da suka faru, ƙarin alamun bayyanar, kamar matsalolin jijiyoyin jiki, na iya nunawa suma.

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