kumburin hanta

Menene kumburin hanta

Kurjin hanta wani cyst ne da ke cike da mugu. Ciwon hanta na iya faruwa a kowa. Da kanta, ba yana da haɗari ga rayuwa ba, kamar yadda ƙwayar ƙwayar cuta ta ɓoye kuma ta rabu da dukkan kyallen takarda. Amma yana iya zama haɗari idan capsule ya buɗe kuma abin da ke ciki ya zubo. Yana iya faruwa ba zato ba tsammani, don haka ya kamata ku duba tare da likitan ku koyaushe.

Idan an sami kumburin hanta da wuri, yawanci ana iya magance shi. Idan ba tare da magani ba, yana iya fashewa da yada kamuwa da cuta, wanda zai haifar da sepsis, kamuwa da kwayar cutar kwayar cuta mai barazana ga rayuwa.

Abubuwan da ke haifar da kumburin hanta a cikin manya

Akwai manyan dalilai guda biyu da zasu iya haifar da kurjin hanta.

Mai kamuwa da cuta:

• kamuwa da cuta na kwayan cuta a cikin biliary fili;
• cututtuka na kwayan cuta na rami na ciki da ke hade da appendicitis, diverticulitis, ko perforation na hanji;
• cututtuka na jini;
• Entamoeba histolytica kamuwa da cuta (wani kwayoyin halitta wanda kuma ke haifar da dysentery amoebic - ana iya yada shi ta hanyar ruwa ko hulɗar mutum-da-mutum).

Mai rauni:

• endoscopy na bile ducts da ducts;
• duka, hadura;
• faduwar rayuwa.

Hakanan akwai abubuwan da ke ƙara haɗarin haɓaka ƙuruciyar hanta:

• Cutar Crohn;
• ciwon sukari;
• tsufa;
• barasa;
• nakasa tsarin garkuwar jiki saboda yanayi irin su HIV ko AIDS, da kuma sauran raunin rigakafi, amfani da corticosteroid, dashen gabobin jiki, ko maganin ciwon daji;
• rashin abinci mai kyau;
• tafiya zuwa yankunan da cututtukan amoebic suka zama ruwan dare.

Alamomin kumburin hanta a cikin manya

Mahimman bayyanar cututtukan hanta da gunaguni tare da shi sun bambanta, amma galibi sun haɗa da haɗuwa da alamun cututtuka:

• ciwon ciki (musamman a cikin babban ciki na dama ko ƙarƙashin hakarkarinsa);
• mai launin yumbu ko launin toka, feces masu launin launi;
• duhun fitsari;
• yellowing na fata da fararen idanu (jaundice);
• gudawa;
• zazzabi ko sanyi;
• haɗin gwiwa;
• tashin zuciya tare da ko ba tare da amai ba;
• asarar ci;
• asarar nauyi wanda ba a bayyana ba;
• rashin lafiya ko rashin jin daɗi;
• gumi.

A wasu lokuta, kurjin hanta na iya zama barazana ga rayuwa. Kira XNUMX nan da nan idan mai haƙuri yana da ɗayan waɗannan alamun:

• Canjin hali na kwatsam, kamar ruɗewa, ɓacin rai, gajiyawa, hasashe, da haske;
• high zafin jiki (sama da 38 ° C);
• tashin hankali ko lethargy;
• saurin bugun zuciya (tachycardia);
• matsalolin numfashi kamar gazawar numfashi, matsala ko rashin iya numfashi, huci ko shakewa;
• zafi mai ƙarfi;
• amai.

Maganin kumburin hanta a cikin manya

An tabbatar da ganewar asali idan akwai wuraren cystic ko wuya a cikin hanta, daga abin da aka fitar da ruwa mai tsabta tare da al'adu masu kyau lokacin da aka dauki abin da ke ciki. Yana da mahimmanci don samun waɗannan gwaje-gwaje da sauri kuma a fara magani saboda babban haɗarin rikitarwa.

kanikancin

Bayan nazarin da tattara anamnesis game da yadda mai haƙuri ya kamu da rashin lafiya, ana buƙatar gwaje-gwaje da yawa. Da farko, wannan shine gwajin jini na gabaɗaya - enzymes na jini yana nuna aikin hanta (alkaline phosphatase, ALT, AST), al'adun jini, lokacin prothrombin da lokacin thromboplastin da aka kunna, gwajin jini don ƙwayoyin rigakafi zuwa Entamoeba histolytica,

Bugu da ƙari, za a yi nazarin stool don Entamoeba histolytica antigen kuma za a yi gwajin maganin antigen ko polymerase chain reaction (PCR) na ruwan ƙurar ƙuracewa.

Suna kuma yin duban dan tayi na hanta da na'urar daukar hoto.

Magungunan zamani

Ana kula da ƙurar hanta tare da magunguna da kuma tiyata.

Maganin rigakafi. Ana amfani da maganin rigakafi iri-iri don magance kurjin hanta. Zaɓin su ya dogara da yanayin kamuwa da cuta. Manyan magunguna:

• aminoglycosides kamar amikacin (Amikin) ko gentamicin (Garamycin);
• clindamycin (Cleocin);
• piperacillin-tazobactam hade (Zosin);
• metronidazole (Flagyl).

Idan ciwon amoebic ne, bayan ciwon ya warke, za a sake rubuta wa majiyyaci wani magani don kashe amoeba a cikin hanji don hana kumburin daga sake dawowa.

hanyoyin tiyata. Sun bambanta, kuma zaɓin ya dogara da girman lalacewar hanta da tsananin yanayin mai haƙuri:

• sha'awar - a cikin wannan yanayin, ana fitar da turawa tare da allura ta cikin rami na ciki, yana faruwa sau da yawa (don abscesses kasa da 5 cm a diamita);
• magudanar ruwa - yana buƙatar shigar da catheter don magudanar ruwa (don ƙuruciya fiye da 5 cm a diamita).

Duk waɗannan hanyoyin suna laparoscopic, ana yin su ta hanyar ƙananan incisions. Amma wani lokaci ana buƙatar tiyata a buɗe don peritonitis, ƙuraje masu kauri mai kauri, ƙurar ƙuraje masu ɓarna, manyan ƙurji masu yawa, da hanyoyin magudanar ruwa a baya.

Rigakafin ciwon hanta a cikin manya a gida

Ba koyaushe yana yiwuwa a guje wa ƙuruciyar hanta ba. Koyaya, a yawancin halaye, zaku iya rage haɗarin haɓaka cututtukan cuta ta guje wa amfani da gurbataccen abinci ko ruwa, iyakance tafiya zuwa yankuna inda cututtukan cututtukan ruwa na yau da kullun suke.

Shahararrun tambayoyi da amsoshi

Ya amsa tambayoyin mu game da ciwon hanta likitan gastroenterologist, likitan hanta, masanin abinci mai gina jiki Natalya Zavarzina.