Form and form _'s general knowledge of enteritis of sense of organization

Form and form _'s general knowledge of enteritis of sense of organization
[Sum up ] The intersection of connective tissue and disease involves the gastrointestinal one scleroderma, systemic lupus erythematosus, nodular large arteritis, leather myositis, rheumatoid arthritis,etc., among them stress most with scleroderma. [Treat the measure ] 1.The scleroderma patient 57% has small intestines to give much trouble, the person who gives much trouble small intestine is 50%, the companion absorbs the bad syndrome and fat and rushes down, this because the intersection of intestines and expand, silt up, cause the intersection of fungus and clump breed in a large amount, decompose bile salt make it reduce not to combine the bile salt, thus influence the little micelle forming and absorption of the fat, the bacterium hinders the absorption of the latter by and combination of complex of factor in the vitamin B12. Employ antibiotic inhibit from bacterium breed, can make fat and vitamin B12 absorb the obstacle and return to normal within several days in the characteristic nature excrement in the abdominal cavity. 2.The drug therapy of systemic lupus erythematosus takes adrenocortical hormone, sulphur thiazole purine as the core. Wait for complication need, carry on surgery treat as soon as possible to intestinal perforation. 3.Prednisone of nodular many arteritis can lighten gastrointestinal symptom. Have obvious enterorrhagia, can add, use anticoagulatory pharmaceutical, intestinal massive haemorrhage or person who punch should perform a surgical operation treatment as soon as possible. [Pathology changes ] 1.The scleroderma patient 57% has small intestines to give much trouble, the pathologic change of small intestine has smooth amyotrophy, mucomembranous lower floor, the skin storey and flaky collagenous thread of one storey of spots of serous coat are deposited, the inherent membrane of mucous membrane has chronic inflammation cells that is soaked. 2.The small intestine has expansion and metameric change, companion's low power at various degrees and lengthens through time at the leather myositis. The naked eye can be seen in the intestines wall edemaed, increases thick. The mirror examines and shows the rotten, mucomembranous lower floor of many mucous membrane edema, skin storey to wither and soak with fiber companion's lymph and plasma cell. Intestines mucomembranous lower floor increase to the intersection of serous coat and layers of arteriolar, the intersection of venule and inner membrane thick and apt to have thrombosis and in charge of hard to get. 3.The intestine of the systemic lupus erythematosus are damaged and mainly resulted from vascular inflammation, is shown as a kind of sex change of fibrin, thrombosis, bleeds and ischemic, mainly infringe the intestine and glue lower floor, skin storey and mesenterium is arteriolar, venule. 4.Nodular many arteritis can involve any position of the intestine, but mainly infringe in the mesenterium, arteriolar and mucomembranous lower floor and skin are arteriolar on storey, secondly it is a venule. Damage and present segment distribution, every layer of tube wall is involved. The histologic characteristic is a kind of sex change of fibrin, necrosis and thrombosis, soak with inflammation nature cells. 5.Rheumatoid arthritis can also erupt the small intestine simultaneously and absorb the bad, fat and rush down and tolerate with lactose of alternative badly. It is due to erupting a kind of sex change of starch of small intestine simultaneously to absorb badly, can accompany gastrointestinal protein to lose. [Clinical manifestation ] 1.The scleroderma patient is clinical there can be uncomfortable belly, abdominal distension, borborygmus behind the food, appetite fail and nausea, vomit, and the intersection of discontinuity and the intersection of diarrhoea and the intersection of constipation and the intersection of person who replace and intestinal function lack proper care and behave. 2.The small intestine has expansion and metameric change, companion's low power at various degrees and lengthens through time at the leather myositis. The naked eye can be seen in the intestines wall edemaed, increases thick. 3.The intestine of the systemic lupus erythematosus are damaged and mainly resulted from vascular inflammation, common gastrointestinal symptom includes suffering from abdominal pain, losing the appetite, being disgusting, vomiting. I haven't seen you for a long time diarrhoea, melena, accidental intestinal obstruction. A few patients have fine hair to wither, the companion sends the small intestine without absorbing albumen losing intestines disease, limitation enteritis, non- specific ulcer colitis, acute appendicitis,etc.. 4.Nodular many arteritis and intestinal symptom are very common, when the intestine are some and ischemic, suffer from abdominal pain, vomit or suffer from diarrhoea malicously. It can cause intestines ulcer, infarction, punch that the sick blood vessel is stopped up. Clinical symptom is exactly like the enteritis of limitation or non- specific ulcer colitis sometimes. [Auxiliary examination ] 1.It has characteristic nature that hard leather disease X-ray examination duodenum and proximal jejunum are expanded, the whole small intestine is expanded sometimes, the ring pleat is often increased thickly. Fill on one of edges of barium intestines and take the form of burr. 2.Leather myositis mirror is examined, shown the rotten, mucomembranous lower floor of many mucous membrane edema, skin storey to wither and soak with fiber companion's lymph and plasma cell. Intestines mucomembranous lower floor increase to the intersection of serous coat and layers of arteriolar, the intersection of venule and inner membrane thick and apt to have thrombosis and in charge of hard to get. 3..Nodular many the intersection of arteritis and X-ray examination reveal small intestine mucomembranous disorder, ulcer, polyp hyperplasia, segment getting narrow, also the X-ray which is exactly like the limitation enteritis or non- specific ulcer colitis behaves.
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