Matenda opatsirana

Colitis ndikutupa (kutupa) kwa m'matumbo akulu (colon).

Nthawi zambiri, chifukwa cha colitis sichidziwika.

Zomwe zimayambitsa matenda am'matumbo ndi monga:

• Matenda oyamba ndi kachilombo kapena tiziromboti
• Chakudya chakupha chifukwa cha mabakiteriya
• Matenda a Crohn
• Zilonda zam'mimba
• Kupanda magazi (ischemic colitis)
• Kuchepetsa ma radiation m'mbuyomu (radiation colitis and strictures)
• Necrotizing enterocolitis mwa ana obadwa kumene
• Pseudomembranous colitis yoyambitsidwa ndi Clostridium difficile matenda

Zizindikiro zimatha kuphatikiza:

• Zowawa m'mimba ndi zotupa zomwe zitha kukhala zosasintha kapena kubwera ndikupita
• Zojambula zamagazi
• Kulimbikitsana nthawi zonse kukhala ndi matumbo (tenesmus)
• Kutaya madzi m'thupi
• Kutsekula m'mimba
• Malungo

Wothandizira zaumoyo adzayesa. Mufunsidwanso mafunso okhudzana ndi zizindikilo zanu, monga:

• Kodi mwakhala ndi zizolowezi mpaka liti?
• Kodi ululu wanu ndiwotani?
• Kodi mumamva kupweteka kangati ndipo zimatenga nthawi yayitali bwanji?
• Kodi mumakhala m'mimba kangati?
• Kodi mwakhala mukuyenda?
• Kodi mwakhala mukumwa maantibayotiki posachedwa?

Wopereka wanu atha kulimbikitsa sigmoidoscopy kapena colonoscopy yosinthasintha. Pakati pa mayeserowa, chubu chosinthika chimalowetsedwa kudzera mu rectum kuti chifufuze m'matumbo. Mutha kukhala ndi ma biopsies omwe adatengedwa pamayesowa. Biopsies atha kuwonetsa zosintha zokhudzana ndi kutupa. Izi zitha kuthandiza kudziwa chomwe chimayambitsa colitis.

Maphunziro ena omwe angazindikire matenda am'matumbo ndi awa:

• CT scan pamimba
• MRI ya pamimba
• Enema wa Barium
• Chopondapo chikhalidwe
• Kupondapo chopondapo ova ndi tiziromboti

Chithandizo chanu chimadalira chifukwa cha matenda.

Maganizo amatengera zomwe zimayambitsa vutoli.

• Matenda a Crohn ndi matenda osachiritsika koma amatha kuwongoleredwa.
• Ulcerative colitis nthawi zambiri imatha kulamulidwa ndi mankhwala. Ngati sichilamuliridwa, chitha kuchiritsidwa ndikuchotsa m'matumbo.
• Mavairasi, bakiteriya ndi parasitic colitis amatha kuchiritsidwa ndi mankhwala oyenera.
• Pseudomembranous colitis nthawi zambiri imachiritsidwa ndi maantibayotiki oyenera.

Zovuta zingaphatikizepo:

• Kutuluka magazi ndi matumbo
• Kuwonongeka kwa colon
• Megakoloni woopsa
• Zilonda (zilonda zam'mimba)

Itanani omwe akukuthandizani ngati muli ndi zizindikiro monga:

• Kupweteka m'mimba komwe sikumakhala bwino
• Magazi pogona kapena ndowe omwe amaoneka akuda
• Kutsekula m'mimba kapena kusanza komwe sikutha
• Kutupa pamimba

• Zilonda zam'mimba
• Matumbo akulu (colon)
• Matenda a Crohn - X-ray
• Matenda otupa

Lichtenstein GR. Matenda otupa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 132.

Osterman MT, Lichtenstein GR. Zilonda zam'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 116.

Wald A. Matenda ena am'matumbo ndi m'matumbo. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 128.