O'smirda salmonella infektsiyasi fonida og'ir yarali kolitning klinik holati
Referat
Maqsad. Ushbu ishning maqsadi o'smirda yarali kolit va salmonella infektsiyasining kombinatsiyasining noyob klinik holatini tavsiflash, diagnostika va terapiyadagi qiyinchiliklarni tahlil qilish, shuningdek, bunday bemorlarni boshqarishda kompleks yondashuv zarurligini namoyish etishdir.
Materiallar va usullar. Tadqiqot yarali kolitga shubha qilingan 16 yoshli bemorning klinik kuzatuv ma'lumotlaridan foydalangan. Laboratoriya usullari (umumiy va biokimyoviy qon testlari, Clostridium difficile testlari, salmonellalarni aniqlash uchun serologik va bakteriologik tadqiqotlar), shuningdek instrumental tadqiqotlar (biopsiya bilan kolonoskopiya, laparoskopiya, ultratovush va qorin bo'shlig'i organlarining multispiral kompyuter tekshiruvi) qo'llanilgan. Ichakning zararlangan hududlaridan biop-tatlarni gistopatologik o'rganish tashxisni to'ldirdi. Semptomlarni dinamik kuzatish, yallig'lanish ko'rsatkichlarini tahlil qilish va buyurilgan terapiya samaradorligini baholash ülseratif kolit va salmonella infektsiyasining kombinatsiyasini tasdiqlash va davolash taktikasini aniqlash imkonini berdi.
Natijalar. Tadqiqot yarali kolitga shubha qilingan 16 yoshli bemorning klinik kuzatuv ma'lumotlaridan foydalangan. Laboratoriya usullari (umumiy va biokimyoviy qon testlari, Clostridium difficile testlari, salmonellalarni aniqlash uchun serologik va bakteriologik tadqiqotlar), shuningdek instrumental tadqiqotlar (biopsiya bilan kolonoskopiya, laparoskopiya, ultratovush va multispiral kompyuter tekshiruvi) qo'llanilgan.qorin bo'shlig'i organlari). Ichakning ta'sirlangan joylaridan olingan biopsiyalarni gistopatologik o'rganish tashxisni to'ldirdi. Semptomlarni dinamik kuzatish, yallig'lanish ko'rsatkichlarini tahlil qilish va buyurilgan terapiya samaradorligini baholash ülseratif kolit va salmonella infektsiyasining kombinatsiyasini tasdiqlash va davolash taktikasini aniqlash imkonini berdi.
Xulosa. Salmonellyoz va yarali kolitning tasodifiyligi kamdan-kam uchraydigan klinik muammodir. IBD bilan og'rigan bemorlarni davolashda ichak infektsiyalari mavjudligidan ehtiyot bo'lish kerak, xususan, salmonella infektsiyasi yarali kolitni murakkablashtirishi, uning paydo bo'lishi yoki faollashishiga yordam berishi ma'lum. Bunday bemorlarda dekompensatsiya tezda paydo bo'lishi mumkin va shuning uchun to'g'ri terapiya talab etiladi.
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