Enteritis

Enteritis ndikutupa kwamatumbo ang'ono.

Enteritis nthawi zambiri imayamba chifukwa chodya kapena kumwa zinthu zomwe zili ndi mabakiteriya kapena ma virus. Majeremusiwo amakhala m'matumbo ang'onoang'ono ndipo amayambitsa kutupa ndi kutupa.

Enteritis amathanso kuyambitsidwa ndi:

• Mkhalidwe wodziyimira wokha, monga matenda a Crohn
• Mankhwala ena, kuphatikiza NSAIDS (monga ibuprofen ndi naproxen sodium) ndi cocaine
• Kuwonongeka kwa mankhwala a radiation
• Matenda a Celiac
• Kutentha kotentha
• Matenda achikwapu

Kutupa kumatha kuphatikizanso m'mimba (gastritis) ndi matumbo akulu (colitis).

Zowopsa ndi izi:

• Chimfine chaposachedwa m'mimba
• Maulendo aposachedwa
• Kuwonetseredwa ndi madzi osayera

Mitundu ya enteritis ndi monga:

• Bakiteriya gastroenteritis
• Campylobacter enteritis
• E coli enteritis
• Chakudya chakupha
• Poizoniyu enteritis
• Salmonella enteritis
• Shigella enteritis
• Staph aureus poyizoni wazakudya

Zizindikirozi zimatha kuyamba patadutsa masiku angapo mutadwala. Zizindikiro zimaphatikizapo:

• Kupweteka m'mimba
• Kutsekula m'mimba - kovuta komanso koopsa
• Kutaya njala
• Kusanza
• Magazi pansi

Mayeso atha kuphatikiza:

• Chikhalidwe chopondapo kuti muwone mtundu wa matendawa. Komabe, mayesowa sangakhale nthawi zonse kuzindikira mabakiteriya omwe akuyambitsa matendawa.
• Colonoscopy ndi / kapena chapamwamba chotchedwa endoscopy kuti muwone m'matumbo ang'onoang'ono ndikutenga zitsanzo zamatenda ngati kuli kofunikira.
• Kujambula mayeso, monga CT scan ndi MRI, ngati zizindikiro zikupitilira.

Milandu yofatsa nthawi zambiri safuna chithandizo.

Nthawi zina amagwiritsira ntchito mankhwala oletsa kutsegula m'mimba.

Mungafunike kukhazikitsanso madzi m'thupi ndi mayankho a electrolyte ngati thupi lanu lilibe madzi okwanira.

Mungafunike chithandizo chamankhwala ndi madzi kudzera mumtsempha (madzi amkati mwamitsempha) ngati muli ndi kutsekula m'mimba ndipo simungathe kusunga madzi. Nthawi zambiri zimakhala choncho ndi ana aang'ono.

Ngati mumamwa diuretics (mapiritsi amadzi) kapena ACE inhibitor ndikutsegula m'mimba, mungafunikire kusiya kumwa okodzetsa. Komabe, musasiye kumwa mankhwala musanalankhulane ndi omwe amakuthandizani.

Mungafunike kumwa maantibayotiki.

Anthu omwe ali ndi matenda a Crohn nthawi zambiri amafunika kumwa mankhwala oletsa kutupa (osati ma NSAID).

Zizindikiro nthawi zambiri zimatha popanda chithandizo m'masiku ochepa mwa anthu athanzi.

Zovuta zingaphatikizepo:

• Kutaya madzi m'thupi
• Kutsekula m'mimba nthawi yayitali

Chidziwitso: Kwa makanda, kutsekula m'mimba kumatha kuyambitsa kuchepa kwa madzi m'thupi komwe kumabwera mwachangu kwambiri.

Itanani omwe akukuthandizani ngati:

• Mumakhala wopanda madzi.
• Kutsekula m'mimba sikutha masiku atatu kapena anayi.
• Muli ndi malungo opitilira 101 ° F (38.3 ° C).
• Muli ndi magazi mu mpando wanu.

Njira zotsatirazi zitha kuthandiza kupewa enteritis:

• Nthawi zonse muzisamba m'manja mukachoka kuchimbudzi musanadye kapena kuphika chakudya kapena zakumwa. Muthanso kusamba m'manja ndi mankhwala opangidwa ndi mowa okhala ndi mowa osachepera 60%.
• Wiritsani madzi omwe amachokera kumalo osadziwika, monga mitsinje ndi zitsime zakunja, musanamwe.
• Gwiritsani ntchito ziwiya zoyera zokha pakudya kapena kusamalira zakudya, makamaka mukamagwiritsa mazira ndi nkhuku.
• Phikani chakudya bwinobwino.
• Gwiritsani ntchito zoziziritsa kukhosi kuti musunge chakudya chomwe chiyenera kukhala chozizira.

• Salmonella typhi chamoyo
• Yersinia enterocolitica chamoyo
• Campylobacter jejuni chamoyo
• Clostridium difficile chamoyo
• Dongosolo m'mimba
• Minyewa yam'mimba ndi m'mimba

DuPont HL, PC ya Okhuysen. Yandikirani kwa wodwala yemwe akuganiza kuti ali ndi matenda opatsirana. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 267.

Melia JMP, Sears CL. Opatsirana enteritis ndi proctocolitis. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 110.

Lima AAM, Warren CA, Wachiwawa RL. Matenda oopsa am'mimba (kutsegula m'mimba ndi malungo). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 99.

Semrad CE. Yandikirani wodwalayo ndi kutsekula m'mimba komanso kusowa kwa malabsorption. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 131.