Matenda opatsirana

Zamkati

• Mitundu ya colitis ndi zomwe zimayambitsa
• Zilonda zam'mimba
• Pseudomembranous matenda a m'matumbo
• Ischemic matenda am'mimba
• Matenda a microscopic
• Matenda opatsirana m'mimba mwa makanda
• Zowonjezera zina
• Ndani ali pachiwopsezo cha matenda a colitis
• Zizindikiro za matenda a m'matumbo
• Nthawi yoti muwonane ndi dokotala
• Kuzindikira matenda am'mimba
• Kuchiza matenda am'matumbo
• Kupuma matumbo
• Mankhwala
• Opaleshoni
• Chiwonetsero

Chidule

Colitis ndikutupa kwa koloni yanu, yomwe imadziwikanso kuti matumbo anu akulu. Ngati muli ndi colitis, mudzamva kusapeza bwino komanso kupweteka m'mimba mwanu komwe kumatha kukhala kofatsa komanso kocheperanso kwakanthawi, kapena koopsa ndikuwoneka mwadzidzidzi.

Pali mitundu yosiyanasiyana ya colitis, ndipo chithandizo chimasiyanasiyana kutengera mtundu womwe muli nawo.

Mitundu ya colitis ndi zomwe zimayambitsa

Mitundu ya colitis imagawidwa pazomwe zimawapangitsa.

Zilonda zam'mimba

Ulcerative colitis (UC) ndiimodzi mwazinthu ziwiri zomwe amadziwika kuti zotupa m'matumbo. Wina ndi matenda a Crohn.

UC ndi matenda okhalitsa omwe amatulutsa zilonda zotupa komanso zotuluka magazi mkatikati mwa matumbo anu akulu. Nthawi zambiri imayamba mu rectum ndikufalikira kumtunda.

UC ndiye mtundu wamatenda omwe amapezeka kwambiri. Zimachitika pamene chitetezo cha mthupi chimachita monyanyira mabakiteriya ndi zinthu zina m'matumbo, koma akatswiri sakudziwa chifukwa chake izi zimachitika. Mitundu yodziwika ya UC ndi iyi:

• proctosigmoiditis, yomwe imakhudza rectum ndi gawo lotsika la colon
• kumanzere kwa colitis, komwe kumakhudza mbali yakumanzere kwa colon kuyambira pa rectum
• pancolitis, yomwe imakhudza matumbo onse akulu

Pseudomembranous matenda a m'matumbo

Pseudomembranous colitis (PC) imachitika chifukwa chakukula kwa bakiteriya Clostridium difficile. Mtundu uwu wa mabakiteriya nthawi zambiri umakhala m'matumbo, koma sizimayambitsa mavuto chifukwa zimakhala bwino ndikupezeka kwa mabakiteriya "abwino".

Mankhwala ena, makamaka maantibayotiki, amatha kuwononga mabakiteriya athanzi. Izi zimalola Clostridium difficile kuti atenge ulamuliro, kumasula poizoni yemwe amayambitsa kutupa.

Ischemic matenda am'mimba

Ischemic colitis (IC) imachitika pamene magazi amayenda m'matumbo amadulidwa mwadzidzidzi kapena amaletsa. Kuundana kwamagazi kumatha kukhala chifukwa cha kutsekeka kwadzidzidzi. Matenda a atherosclerosis, kapena kuchuluka kwa mafuta, m'mitsempha yamagazi yomwe imatumiza m'matumbo nthawi zambiri imayambitsa IC.

Mtundu wamatenda amtunduwu nthawi zambiri umakhala chifukwa cha zovuta. Izi zingaphatikizepo:

• vasculitis, matenda otupa m'mitsempha yamagazi
• matenda ashuga
• khansa ya m'matumbo
• kusowa kwa madzi m'thupi
• kutaya magazi
• kulephera kwa mtima
• kutchinga
• kupwetekedwa mtima

Ngakhale ndizosowa, IC imatha kuchitika ngati zotsatira zoyipa zakumwa mankhwala ena.

Matenda a microscopic

Microscopic colitis ndichachipatala chomwe dokotala amatha kudziwa pokhapokha atayang'ana mtundu wa colon pansi pa microscope. Dokotala adzawona zizindikiro za kutupa, monga ma lymphocyte, omwe ndi mtundu wa khungu loyera la magazi.

Nthawi zina madokotala amagawira tizilombo tating'onoting'ono tating'ono ting'onoting'ono m'magulu awiri: lymphocytic and collagenous colitis. Matenda a lymphocytic colitis ndipamene dokotala amapeza ma lymphocyte ambiri. Komabe, ziwalo zamatumbo ndi zotchinga sizimakulira modabwitsa.

Collagenous colitis imachitika pamene matumbo a colon amakhala olimba kuposa masiku onse chifukwa cha kuchuluka kwa kolajeni pansi pamtambo wakunja. Pali malingaliro osiyanasiyana amtundu uliwonse wamatenda am'mimba, koma madokotala ena amati mitundu yonse ya colitis ndi mitundu yofanana.

Madokotala sakudziwa chomwe chimayambitsa microscopic colitis. Komabe, akudziwa kuti anthu ena ali pachiwopsezo chotere. Izi zikuphatikiza:

• osuta amakono
• jenda wamkazi
• Mbiri ya matenda am'thupi
• okalamba kuposa zaka 50

Zizindikiro zofala kwambiri za microscopic colitis ndi matenda otsekula m'madzi, m'mimba, komanso kupweteka m'mimba.

Matenda opatsirana m'mimba mwa makanda

Allergic colitis ndi vuto lomwe limatha kuchitika kwa makanda, makamaka mkati mwa miyezi iwiri yoyambirira atabadwa. Matendawa amatha kuyambitsa makanda omwe amaphatikizapo reflux, kulavulira kwambiri, kukangana, komanso kutuluka magazi m'magazi a mwana.

Madokotala sakudziwa bwino zomwe zimayambitsa matenda opatsirana. Malinga ndi kafukufuku wa 2013 wofalitsidwa mu, imodzi mwazinthu zodziwika bwino kwambiri ndikuti makanda amakhala ndi vuto losagwirizana ndi zina mwa zinthu zina mu mkaka wa m'mawere.

Madokotala nthawi zambiri amalimbikitsa amayi kuti azidya zakudya zochepa pomwe amasiya kudya zakudya zina zomwe zimayambitsa matenda opatsirana. Zitsanzo zimaphatikizapo mkaka wa ng'ombe, mazira, ndi tirigu. Ngati mwana asiya kukhala ndi zizindikilo, ndiye kuti mwina ndizomwe zimayambitsa mavutowa.

Zowonjezera zina

Zina mwazomwe zimayambitsa matenda am'matumbo zimaphatikizapo kutenga matenda kuchokera kuma parasites, ma virus, komanso poyizoni wazakudya kuchokera kubakiteriya. Muthanso kukhala ndi vutoli ngati matumbo anu akulu athandizidwa ndi radiation.

Ndani ali pachiwopsezo cha matenda a colitis

Zowopsa zosiyanasiyana zimakhudzana ndi mtundu uliwonse wa matenda am'matumbo.

Muli pachiwopsezo chachikulu cha UC ngati:

• ali pakati pa zaka 15 ndi 30 (zofala kwambiri) kapena 60 ndi 80
• ndi ochokera ku Chiyuda kapena ku Caucasus
• kukhala ndi wachibale ndi UC

Muli pachiwopsezo chachikulu cha PC ngati:

• akumwa mankhwala opha tizilombo a nthawi yayitali
• agonekedwa mchipatala
• akulandira chemotherapy
• amamwa mankhwala osokoneza bongo
• ndi achikulire
• ndinali ndi PC kale

Muli pachiwopsezo chachikulu ku IC ngati:

• ali ndi zaka zopitilira 50
• kukhala kapena pachiwopsezo cha matenda amtima
• khalani ndi mtima wosalimba
• amachepetsa kuthamanga kwa magazi
• anachitidwa opaleshoni m'mimba

Zizindikiro za matenda a m'matumbo

Kutengera ndi momwe muliri, mutha kukhala ndi chimodzi kapena zingapo mwa izi:

• kupweteka m'mimba kapena kuphwanya
• kuphulika m'mimba mwanu
• kuonda
• kutsekula m'mimba kapena popanda magazi
• magazi mu mpando wanu
• kufunika kofulumira kusuntha matumbo anu
• kuzizira kapena malungo
• kusanza

Nthawi yoti muwonane ndi dokotala

Ngakhale kuti munthu aliyense amatha kutsekula m'mimba nthawi ndi nthawi, onani dokotala ngati muli ndi matenda otsekula m'mimba omwe samawoneka kuti akukhudzana ndi matenda, malungo, kapena zakudya zilizonse zodetsa. Zizindikiro zina zomwe zikuwonetsa kuti ndi nthawi yoti muwone dokotala ndi awa:

• kupweteka pamodzi
• Ziphuphu zomwe sizidziwika
• magazi ochepa m'mipando, monga chopondapo chofiyira pang'ono
• kupweteka m'mimba komwe kumangobwerera
• kuonda kosadziwika

Pitani kuchipatala mwachangu ngati muwona magazi ochulukirapo.

Ngati mukuwona kuti china chake sichili bwino m'mimba mwanu, ndibwino kuti mulankhule ndi dokotala wanu. Kumvera thupi lanu ndikofunikira kuti mukhalebe athanzi.

Kuzindikira matenda am'mimba

Dokotala wanu akhoza kufunsa za kuchuluka kwa zizindikilo zanu komanso nthawi yomwe zidayamba. Adzawunika mokwanira ndikugwiritsa ntchito mayeso monga:

• colonoscopy, yomwe imaphatikizapo kulumikiza kamera pa chubu chosinthika kudzera mu anus kuti muwone rectum ndi colon
• sigmoidoscopy, yofanana ndi colonoscopy koma imangowonetsa rectum ndi m'munsi colon
• zitsanzo chopondapo
• kulingalira kwam'mimba monga MRI kapena CT scan
• ultrasound, yomwe imathandiza malinga ndi dera lomwe likuyang'aniridwa
• barium enema, X-ray ya colon pambuyo pobayidwa ndi barium, yomwe imathandiza kuti zithunzi ziwoneke

Kuchiza matenda am'matumbo

Mankhwala amasiyana ndi zinthu zingapo:

• mtundu wa colitis
• zaka
• thupi lathunthu

Kupuma matumbo

Kuchepetsa zomwe mumamwa pakamwa kungakhale kothandiza, makamaka ngati muli ndi IC. Kutenga madzi ndi zakudya zina kudzera m'mitsempha kungakhale kofunikira panthawiyi.

Mankhwala

Dokotala wanu akhoza kukupatsani mankhwala oletsa kutupa kuti azitha kutupa ndi kupweteka, komanso maantibayotiki kuti athetse matenda. Dokotala wanu amathanso kukuthandizani ndi mankhwala opweteka kapena mankhwala a antispasmodic.

Opaleshoni

Kuchita opaleshoni kuchotsa gawo kapena coloni yanu yonse kapena rectum kungakhale kofunikira ngati mankhwala ena sakugwira ntchito.

Chiwonetsero

Maganizo anu amatengera mtundu wamatenda omwe muli nawo. UC angafunikire chithandizo chamankhwala amoyo wonse pokhapokha mutachitidwa opaleshoni. Mitundu ina, monga IC, imatha kusintha popanda opaleshoni. PC nthawi zambiri imayankha bwino maantibayotiki, koma itha kuyambiranso.

Nthawi zonse, kuzindikira koyambirira ndikofunikira kuti munthu achire. Kuzindikira msanga kungathandize kupewa zovuta zina zazikulu. Lolani dokotala wanu adziwe za zizindikiro zilizonse zomwe mukukumana nazo.