Chii chinonzi Whipple's Disease? Zviratidzo, Zvinokonzera, & Kurapa

Whipple's disease chirwere chisingawanzoitika chinokonzerwa nemabhakitiriya chinotapurisa kunyanya ura duku uye chinogona kupararira kune dzimwe nhengo dzemuviri. Iyi chirwere chinoitika kana mabhakitiriya anonzi Tropheryma whipplei apinda mukati meura rako richivhiringidza kugona kwemuviri wako kukodzera zvinovaka muviri zvakakwana.

Kunyangwe izvi zvinganzwa zvichitya, nhau dzakanaka ndeyekuti Whipple's disease inorapika zvikuru nekurapwa kweantibiotic kana yakawanikwa pakutanga. Kunzwisisa zviratidzo uye kuwana kurapwa kwakakodzera kunogona kutungamira pakurapa kwakakwana kune vanhu vazhinji.

Zviratidzo zveWhipple's disease ndeapi?

Zviratidzo zveWhipple's disease kazhinji zvinoonekwa zvishoma nezvishoma uye zvinogona kusiyana-siyana, izvo dzimwe nguva zvinoita kuti kuongororwa kuve kwakaoma. Muviri wako kazhinji unopa zviratidzo zvine chekuita nekukundikana kukodzera zvinovaka muviri kutanga, zvichiteverwa nedzimwe mhedzisiro yemuviri sezvo hutachiona huchikwira.

Zviratidzo zvakajairika zvepakutanga zvaunogona kuona zvinosanganisira:

• Manyoka asingaperi anogona kuva nemvura kana mafuta
• Kurasikirwa uremu kukuru kunyange uine chido chakanaka chekudya
• Kurwadziwa kwemudumbu nekukwenya
• Kurwadziwa kwemapfupa nekukura, kunyanya mumabvi, maziso, uye makwati
• Kuneta nekushaya simba
• Kutemwa nemhepo

Sezvo chirwere ichi chikufambira mberi, unogona kuona zviratidzo zvimwe zvinokanganisa mamwe masisitimu emuviri. Izvi zvinogona kusanganisira fivha, kuzvimba kwema lymph nodes, kusviba kwe ganda, uye kunyange zviratidzo zvehuropi senge kusanzwisisa kana matambudziko ekurangarira mumamiriro ezvinhu akaoma.

Zvinokosha kucherechedza kuti kurwadziwa kwemapfupa kazhinji kunoonekwa makore asati asvika zviratidzo zvekutadza kwegastrointestinal, izvo zvinogona kuita kuti hukama neWhipple's disease huve husina pachena pakutanga. Ndosaka vanhu vazhinji vachitambudzika nekuongororwa kwenguva refu.

Chii chinokonzera Whipple's disease?

Chirwere cheWhipple chinokonzerwa nehutachiona hwebhakitiriya rinonzi Tropheryma whipplei. Bhakitiriya iri rakasiyana zvikuru nekuti rinokura zvishoma uye rinogona kuoma kuonekwa nemiedzo yekurabhoritari yakajairwa.

Bhakitiriya iri rinopinda kunyanya mukati memukati mudumbu duku, uko rinokanganisa kunwa kwezvinovaka muviri zvakajairwa. Nekufamba kwenguva, kana risina kurapwa, hutachiona hunogona kupararira kuburikidza nesystem yekurwisa muviri kuenda kune dzimwe nhengo dzemuviri, kusanganisira mwoyo, mapapu, uropi, uye majoini.

Chinhu chinoita kuti chirwere ichi chive chinonakidza ndechekuti bhakitiriya iri rinoita seriripo munzvimbo yakapoteredza, asi vanhu vazhinji vanosangana naro havaiti chirwere ichi. Izvi zvinoratidza kuti vanhu vamwe chete vangave vane chirwere chemajini kana hunhu hwesystem yekurwisa muviri hunoita kuti vave nyore kukurwara.

Vatsvakurudzi vanotenda kuti vanhu vanorwara nechirwere cheWhipple vangave vane kushomeka kwakakosha kwesystem yekurwisa muviri kunovadzivisa kurwisa bhakitiriya iri zvakakwana, kunyangwe system yavo yekurwisa muviri ichishanda zvakanaka pane mamwe hutachiona.

Rini unofanira kuona chiremba nekuda kwechirwere cheWhipple?

Unofanira kutsvaka rubatsiro rwechiremba kana uine zviratidzo zvekutadza kwedumbu zvinoramba zvichiitika pamwe nekudzikira kweuremu kusina tsananguro, kunyanya kana zviratidzo izvi zvichitora mavhiki akawanda. Kuongororwa nekurapwa pakutanga kunogona kudzivirira hutachiona hwekupinda kune dzimwe nhengo.

Taura nachiremba wako nekukurumidza kana ukaona:

• Manyoka asingaperi anopfuura mavhiki mashoma
• Kudzikira kweuremu kusina kuzivikanwa kwemakilogramu mashanu kana kupfuura
• Kurwadziwa kwemudumbu kunoramba kuripo nekuchinja kwekutadza kwedumbu
• Kurwadziwa kwemajoni kunorasikirwa nekuzorora kana mishonga inowanikwa pasina chinyorwa chechiremba
• Kuneta kunoramba kuripo kunokanganisa mabasa ezuva nezuva

Tsvakai kurapwa nekukurumidza kana muine zviratidzo zvehuropi senge kusanzwisisa, matambudziko ekurangarira, kuoma kufamba, kana kuchinja kwekuona. Izvi zvinogona kuratidza kuti chirwere chacho chapararira kune hurongwa hwako hwematumbu uye chinoda kurapwa nekukurumidza.

Yeuka kuti chirwere cheWhipple chinonzwisisika, saka zviratidzo zvako zvinogona kunge zvakakonzerwa nezvimwe zvirwere zvakajairika. Zvisinei, kana kurapwa kwakajairika kwezvinetso zvekudiridzira kuchinge kusina kubatsira, zvinokosha kutaura nezvekuita kwezvikonzero zvisingawanzoitika nachiremba wako.

Zvinokonzera chirwere cheWhipple ndizvipi?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana chirwere cheWhipple, kunyangwe zvakakosha kuyeuka kuti chirwere ichi chinonzwisisika zvikuru. Kunzwisisa izvi zvinokonzera zvinogona kukubatsira iwe nemutariri wako wehutano kuongorora mamiriro ako pachako.

Zvinokonzera zvikuru zvinosanganisira:

• Kuva murume wechidiki chena (chirwere ichi chinotapura varume kanopfuura kaviri vakadzi)
• Kuva nemhuri yakave nechirwere ichi, zvichiratidza kuti pane chinhu chinogona kunge chiri chemagwenya
• Kugara munzvimbo dzekumaguta kana kuenda kazhinji kunzvimbo dzemaguta kana masangano ekurima
• Kuve nekuita basa kunobatanidza ivhu, mhuka, kana marara
• Kuva nemamwe maitiro emagwenya anokanganisa basa rehurongwa hwekuzvidzivirira

Zera rinotambawo basa, nemazhinji acho achionekwa muvanhu vane makore ari pakati pe40 ne60. Zvisinei, chirwere ichi chinogona dzimwe nguva kutapura vana nevakuruwo.

Zvakakosha kunzwisisa kuti kuva nezvinokonzera izvi hazvirevi kuti uchawana chirwere cheWhipple. Chirwere ichi chinoramba chichiri chisingawanzoitika, chinotapura vanhu vashoma kupfuura 1 pamariyoni pagore. Izvi zvinhu zvinongobatsira madokota kunzwisisa kuti ndiani angave ari panjodzi yakakwirira zvishoma.

Matambudziko anogona kuitika echi Whipple ndeapi?

Kana chirwere cheWhipple chisingarapwi, hutachiona hwebhakitiriya hunogona kupararira kunze kwezvimwe zvematumbo ako uye kukonzera matambudziko akakomba mumuviri wako wese. Mashoko akanaka ndeakuti kurapwa nekukurumidza kweantibiotic kunogona kudzivirira akawanda ematambudziko aya kuti arege kuitika.

Matambudziko anotyisa zvikuru aunogona kusangana nawo anosanganisira:

• Kushaya zvokudya zvakakwana kubva pakushomeka kwenguva refu kwekutorwa kwezvokudya
• Matambudziko emwoyo, kusanganisira hutachiona hwema valves emwoyo (endocarditis)
• Matambudziko eneurological akadai sekurasikirwa nekuyeuka, kusanzwisisika, kana kuita zvikwata
• Matambudziko ekuona kana matambudziko ekufamba kwemaziso
• Matambudziko emapapu anosanganisira kukosora kwenguva refu kana kuunganidzwa kwemvura
• Kukuvadzwa kwakakomba kwezvibatanidza kubva pakurwadziwa kwenguva refu

Muitiko ushoma, kana hutachiona hwatosvika kuuropi hwako, hunogona kukonzera kuora kwehutano hwenkuroji kunogona kunge kuri kuoma kudzorera zvachose, kunyangwe kurapwa kuripo. Ndokusaka kuongororwa nekukurumidza kurapwa zvakakosha kwazvo.

Mashoko akanaka ndeakuti nerapira rakanaka reantibiotic, vanhu vazhinji vanodzoka zvakakwana kubva kuchirwere cheWhipple. Kunyangwe kana matambudziko achangobva kuitika, akawanda anogona kudzoreredzwa kana kuvandudzwa zvakanyanya nerapira rakakodzera.

Chirwere cheWhipple chinoongororwa sei?

Kuongorora chirwere cheWhipple kunogona kunge kuri kuoma nekuti zviratidzo zvayo kazhinji zvinoita semamwe matambudziko emudumbu akajairika. Chiremba wako anowanzo shandisa musanganiswa wekuyedza kusimbisa kuongororwa uye kubvisa mamiriro ekurapa.

Maitiro ekuongorora anowanzo tanga ne nhoroondo yakakwana yezvokurapa uye bvunzo yemuviri. Chiremba wako achabvunza nezvezviratidzo zvako, nguva yacho, uye chero zviitiko zvinogona kukudziridza njodzi yako.

Kuongorora kunonyanya kusimbisa chirwere cheWhipple ndiko kuongorora tishu diki remudumbu, kazhinji rinotorwa panguva yekuongorora mudumbu. Panguva ino, chiremba wenyu achabvisa sampuro diki yetishu kubva mudumbu rako ozoiongorora pasi pemakrofoni kuti aone zviratidzo zvehutachiona hweTropheryma whipplei.

Kuongorora kwakawedzerwa kunogona kurairwa nachiremba wenyu kunosanganisira bvunzo yeropa kuti aone zviratidzo zvekushaya zvinovaka muviri kana kuzvimba, sampuro dzematumbu kuti abvise zvimwe zvinokonzera manyoka, uye kuongorora mifananidzo senge CT scans kana paine hanya nekupararira kwehutachiona kuzvimwe zvikamu zvomuviri.

Chishandiso chitsva chekuongorora chinonzi PCR (polymerase chain reaction) testing chinogona kuona zvinhu zvemajini ebhakitiriya mumasampuro etishu, zvichipa nzira inonyanya kunzwisisika uye chaiyo yekusimbisa chirwere.

Chii kurapwa kwechirwere cheWhipple?

Kurapwa kwechirwere cheWhipple kunosanganisira nzira yakarongwa zvakanaka yeantibiotics inogona kubvisa mabhakitiriya eTropheryma whipplei mumuviri wako. Nekurapwa kwakakodzera, vanhu vazhinji vanozorodzwa zvizere.

Kurapwa kwako kazhinji kunotevera nzira ine zvikamu zviviri. Danho rekutanga kazhinji rinosanganisira mavhiki maviri eantibiotics inoiswa mumutsinga, kazhinji ceftriaxone kana penicillin, izvo zvinobatsira kuderedza huwandu hwebhakitiriya mumuviri wako nekukurumidza.

Danho rechipiri rinosanganisira kushandisa kwenguva refu kweantibiotics inonwiwa nemuromo, kazhinji trimethoprim-sulfamethoxazole, inotorwa kwemakore 1 kusvika ku2. Kurapwa uku kwenguva refu kunodiwa nekuti mabhakitiriya anogona kuoma kubviswa zvachose uye anogona kuvanza munzvimbo dzemuviri wako kwaasingapindi zvakanaka kwazvo antibiotics.

Panguva yekurapwa, chiremba wenyu achaongorora kufambira mberi kwako nemisangano yekutevera nguva dzose uye anogona kudzokorora kuongorora tishu kuti aone kuti mabhakitiriya ari kubviswa. Vanhu vazhinji vanotanga kunzwa zvakanaka mukati memavhiki mashoma ekutanga kurapwa, kunyangwe kuporeswa kwakazara kunogona kutora mwedzi yakati wandei.

Kana uine zvirwere zvemafungiro, chiremba wako angachinja mushonga wako weantibiotic kuti usanganisire mishonga inopinda zvakanaka muropa-uropi, senge doxycycline kana chloramphenicol.

Ungadzikamisa sei zviratidzo pamba panguva yekurapa?

Kunyangwe maantibiotic ari kurapwa kukuru kwechirwere cheWhipple, kune nzira dzakawanda dzekuzvibatsira dzaunogona kuita pamba kuti ukwanise kudzora zviratidzo zvako uye kutsigira kupora kwako. Aya maitiro anoshanda pamwe chete nekurapa kwako kwechiremba, kwete sechinoshandiswa panzvimbo payo.

Kutsigira kwekudya kunokosha zvikuru sezvo muviri wako ungave uine dambudziko rekugamuchira zvinovaka muviri zvakanaka. Funga kushanda nemunyanzvi wekudya kuti ugadzire chirongwa chekudya chinogadzirisa kushomeka kwezvinovaka muviri kwaunenge uine.

Ungawana aya mazano anobatsira:

• Idya zvokudya zviduku, kazhinji panzvimbo pezvitatu zvikuru kuti zvive nyore kugaya
• Tarisisa zvokudya zvine zvinovaka muviri zvakawanda kuti urwise kushomeka kwezvinovaka muviri
• Tora zvinowedzerwa zvemavhitamini neminerari sezvakarayirwa nachiremba wako
• Ramba wakanyorova, kunyanya kana uine manyoka
• Zorora zvakakwana kuti utsigire kupora kwehurongwa hwako hwekuzvidzivirira
• Dzivisa zvokudya zvinoita kunge zvinoita kuti zviratidzo zvako zvekuyambuka zvinyanye kuipa

Kudzikamisa marwadzo ezviratidzo zvemajombo kunogona kusanganisira kutambanudza zvinyoro nyoro, kupisa kwemvura inodziya, uye zvinodzima marwadzo zvinowanikwa pasina chinyorwa nachiremba sezvakabvumidzwa nemupi wako wehutano. Zvisinei, gara uchibvunza chiremba wako usati watora mishonga mitsva paunenge uchirapwa chirwere cheWhipple.

Chengeta bhuku rezviratidzo kuti utevedze kufambira kwako uye nyora chero shanduko kana zvinokunetsa zvaunoda kukurukura nechikwata chako chehutano panguva yekushanya kwekuongororwa.

Ungagadzirira sei kuenda kuchiremba?

Kuagadzirira zvakanaka usati waenda kuna chiremba kunogona kubatsira kuve nechokwadi chekuti unowana chirwere chaicho uye kurapwa kwakakodzera. Sezvo chirwere cheWhipple chisingawanzoitika, kupa ruzivo rwakadzama nezve zviratidzo zvako ne nhoroondo yako yezvokurapa zvakakosha zvikuru.

Usati waenda kuna chiremba, tenga nguva yekunyora zviratidzo zvako zvakanyatsonaka. Nyora nguva iyo chimwe nechimwe chezviratidzo chakatanga, kuti chakasimba sei, uye chii chinochiita kuti chivandudze kana kuipa. Ruzivo urwu ruchabatsira chiremba wako kunzwisisa maitiro uye kufambira mberi kwechirwere chako.

Uyai neruzivo urwu pakuenda kwenyu kuna chiremba:

• Rondedzero yakazara yezviratidzo zvako zvose uye nguva yavakatanga
• Nhoroondo yako yezvokurapa, kusanganisira matambudziko api ose ekudya kwaimbovapo
• Rondedzero yezvinodhaka zvose ne zvinowedzerwa zvamuri kutora
• Ruzivo nezve rwendo rwakaitwa munguva pfupi yapfuura kana zvinhu zvingangokonzera chirwere zvakakupoteredza
• Nhoroondo yezvokurapa yemhuri, kunyanya mamiriro api ose asingawanzoitika kana asingawanzozivikanwa
• Mibvunzo yaunoda kubvunza chiremba wako

Usazengurire kubvunza chiremba wako kuti akutsanangurire chero chinhu chisinganzwisisiki kwauri. Mibvunzo yaunogona kufunga nezvekubvunza inosanganisira bvunzo dzinoshaikwa, zvinoreva zvibereko, sarudzo dzekurapa dziripo, uye zvaunofanira kutarisira panguva yekuvandudzika.

Kana zvichibvira, uyai neshamwari yenyu inovimbwa nayo kana nhengo yemhuri kuti ikubatsire kuyeuka ruzivo rwakakosha uye kupa rutsigiro panguva yechinogona kuva chirongwa chinotyisa.

Chii chinonyanya kukosha nezve chirwere cheWhipple?

Chinhu chinonyanya kukosha kunzwisisa nezve chirwere cheWhipple ndechekuti kunyangwe iri chirwere chakakomba, chinotambirwawo zvikuru kana chaonekwa nekukurumidza. Nerapira yakakodzera yeantibiotic, vanhu vazhinji vanovandudzika zvizere uye vanogona kudzoka kune zviitiko zvavo zvakajairwa.

Kuziva zviratidzo pakutanga kunokosha nekuti kurapwa kwakaremara kunogona kukonzera matambudziko anova akaoma kudzorera. Kana uine zviratidzo zvekutadza kwedumbu zvinoramba zvichiitika pamwe nekudzikira kweuremu kusina tsananguro uye kurwadziwa kwemashure, usambofa wakarega kutsvaga kurapwa kwemishonga.

Yeuka kuti chirwere cheWhipple chinonyanya kushomeka, saka zviratidzo izvi zvinonyanya kukonzerwa nezvimwe zvirwere zvakajairika. Zvisinei, kana kurapwa kwakajairika kuchinge kusina kubatsira, zvinokosha kutaura nezvemikana isingawanzoitika nechipo chako chehutano.

Chiratidzo chechirwere cheWhipple chinowanzova chakanaka nerapira rakakodzera. Vanhu vazhinji vanoona kugadziriswa kukuru kwezviratidzo zvavo mukati memasvondo ekutanga kushandisa mishonga inorwisa mabhakitiriya, uye mhedzisiro yenguva refu inonyanya kuva yakanaka kune avo vanopedza kosi yavo yose yekurapa.

Mibvunzo inobvunzwa kazhinji nezve chirwere cheWhipple

Chirwere cheWhipple chinobatsira here?

Kwete, chirwere cheWhipple hachibatsiri uye hachigone kupararira kubva kumunhu kuenda kune mumwe munhu. Kunyange zvazvo mabhakitiriya anochikonzera angave ari munzvimbo yakatenderedza, chirwere ichi chinoita sokuti chinoitika chete kune vanhu vane kukurumidza kukanganiswa nehutachiona uhwu. Haufaniri kunetseka nezvekuhwina kubva kune munhu ane chirwere ichi kana kuchigovana nevamwe.

Chirwere cheWhipple chinogona kudzoka here mushure mekurapwa?

Kudzokazve kunogona kuitika kana kurapwa kusina kupedzwa zvizere kana mabhakitiriya asina kubviswa zvachose mumuviri wako. Ndosaka vanachiremba vanorayira makosi marefu emishonga inorwisa mabhakitiriya uye vanotarisa varwere zvakanyatsonaka panguva yekurapa uye mushure mekurapwa. Kutevera mirairo yechiremba wako chaizvo uye kupedza kosi yose yemishonga inorwisa mabhakitiriya kunoderedza njodzi yekudzoka zvakanyanya.

Zvinotora nguva yakareba sei kupora kubva kuchirwere cheWhipple?

Vanhu vakawanda vanotanga kunzwa zvakanaka mukati memavhiki maviri kusvika mana ekutanga kurapwa neantibiotic, nemarwadzo emuviri kazhinji achipora kutanga. Zvisinei, kupora kwakakwana kunogona kutora mwedzi yakati wandei, uye uchafanirwa kuramba uchitora maantibiotic kwemakore 1 kusvika 2 kuitira kuti hutachiona hubviswe zvachose. Kurwadziwa kwemunwe uye zviratidzo zvehuropi, kana zviripo, zvinogona kutora nguva yakareba kuti zviporese zvachose.

Vana vanogona here kuwana chirwere cheWhipple?

Kunyangwe chirwere cheWhipple chisingawanzoitiki kuvana, chinogona kuitika dzimwe nguva. Kana chikaita vana, zviratidzo zvinogona kusiyana zvishoma nezvinoonekwa muvakuru, uye mamiriro acho anogona kuva akaoma kunyanya kuona. Kana mwana akaita zviratidzo zvemuviri zvisinganzwisisiki nekudzikira uremu, kuongororwa nachiremba kunokosha pasinei nekuti zvinokonzera zvinogona kunge zvisingawanzoitiki sei.

Ko pane zvirambidzo zvechikafu panguva yekurapwa kwechirwere cheWhipple here?

Hapana zvirambidzo zvechikafu zvakakosha pakurapa chirwere cheWhipple pachacho, asi chiremba wako anogona kukurudzira nzira dzakati dzezvokudya kubatsira kugadzirisa kushomeka kwezvokudya nekutsigira kupora kwako. Tarisa pakudya kudya kwakaringana, kwakapfuma muzvokudya uye usadya zvokudya zvinoita sekunyanya kuipa zviratidzo zvako zvemuviri. Mupi wako wehutano kana nyanzvi yezvokudya inogona kupa mazano akakodzera zvinoenderana nezvinodiwa nemarwadzo ako chaiwo.