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Samenvatting Regulatie en Afweer 3 (1/4)

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Dit is deel 1 van 4 samenvattingen van het vak Regulatie en Afweer 3 van de opleiding Geneeskunde aan de Uva. Deze samenvatting bestaat uit 20 pagina’s handgeschreven tekst, plaatjes en zelfgemaakte tekeningen. Ik heb deze samenvatting gemaakt met behulp van zso’s, colleges en de samenvatting ...

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  • March 31, 2022
  • April 1, 2022
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  • 2021/2022
  • Summary
avatar-seller
RA-3 iz.jo
:÷ï;ÉhgËÏ÷÷
=

, Infectieuze Darmziekten
Diarree = • 23 / 24 u lozen van omgevormde
ontlasting


ontlasting die vaker voorkomt dan
normaal voor de patiënt
Soorten Diarree
Acute diarree → duur < 14 d
-
.




Persisterende diarree
-
duur → > Hd
Chronische diarree → duur ±
-

Jood

Community acquired diarree
-





b kinderen <
5J meestal viraal

b kinderen 5-
14J meestal giardia lamblia
en Campylobacter jejuni

b volwassenen vooral bacterieel (salmonella)
en parasitair
-

Nosocomiale diarree (ziekenhuis diarree)
Dysenterie (
reizigersdiarree)
-





bloederig
↳ ontstaat in eerste 2 weken van
aankomst (30% van
reizigers kr gt dit)



verwekkers van infectieuze diarree :




westerse landen Derdewereldlanden
-

Norooirus -

Entero toxische E. Coli ( ETEC)
-

Rotauirus (vaakst) -



Shigella
Giardia lambia Campylobacter
-
-




-


Campylobacter -

Salmonella
-

Salmonella -
Uibrio cholera
Shigella Rotavirus
- -




(zeldzaam) Noro virus
Yersinia
- -




-

Clostridium -



Giardia lamblia
-
Entamoeba histdytica
Cryptosporidium parvum
-




(yelospora cayetanensis
-





Virus =


Bacterie =



Parasiet =




ij
ij
ijij

, Voor het verteren van voedsel is er
veel vocht nodig (totaal = 8L )


Uitscheiding : -

speeksel 1.0L
1.5L
maag
-




-




gal 1.5L
1 0L
pancreas
-
.




dunne darm
-
1 0L.




( drinken ) 2.01--1
8. 0L


Resorbering :
maag 0.0L
-




3.5L
jejunum
-




-

ilecum 3.0L
-
colon t.LI t

7. 9L


Er is dus alt d vochtverlies via de
darmen C- 100mL) Wanneer het resorberen .




in het
jejunum of ileum fout gaat
verlies je al snel liters .




Inoculum = aantal ziektemakers nodig om
ziek te worden

↳ -



Shigella = 10 -
100
-
Rota, Noro virus = 10 100 -




-

Salmonella > 1.000.000
-
Cholera > 1 . 000 000
.




Pathologisch meganisme 1


Productie enterotoxines : secretaire diarree
Gaan eerst de darm in en produceren
daar toxines → minder vocht resorbtie
meer vocht secretie

vb . ETEC produceerde toxines HL en HS
Cholera produceert toxine CL
Campylobacter


ij

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