Nthawi zambiri Zinthu Zosafunikira Zomwe Zimapezeka M'mimba (GI)

Zamkati

• 1. Exocrine kapamba kusakwanira (EPI)
• 2. Matenda otupa (IBD)
• 3. Matenda owopsa a m'mimba (IBS)
• 4. Diverticulitis
• 5. Ischemic colitis
• Zochitika zina za GI
• Tengera kwina

Chifukwa chiyani kuzindikira kuti matenda a GI ndi ovuta

Kuphulika, gasi, kutsegula m'mimba, ndi kupweteka m'mimba ndi zizindikilo zomwe zitha kugwiritsidwa ntchito pamitundu iliyonse yam'mimba (GI). Ndikothekanso kukhala ndi zovuta zopitilira chimodzi ndi zofananira.

Ndicho chifukwa chake kuzindikira matenda a GI kungakhale njira yovuta kwambiri. Zitha kutenga mayesero osiyanasiyana kuti athetse matenda ena ndikupeza umboni wa ena.

Ngakhale kuti mwina mukufunitsitsa kupeza matenda msanga, ndi bwino kudikirira yolondola. Ngakhale zizindikilozo ndizofanana, zovuta zonse za GI ndizosiyana. Kuzindikira kolakwika kumatha kubweretsa kuchedwa kapena chithandizo cholakwika. Ndipo popanda chithandizo choyenera, zovuta zina za GI zitha kukhala ndi zovuta zowopsa pamoyo.

Mutha kuthandiza ndondomekoyi pouza dokotala wanu za matenda anu onse, mbiri yazachipatala, komanso mbiri yazachipatala yabanja. Osasiya chilichonse. Zinthu monga kusowa kwa njala ndi kuwonda ndizofunikira.

Mukapeza kuti muli ndi matendawa, dokotala wanu amatha kufotokoza zomwe mungachite kuti muthandizidwe. Kungakhalenso bwino kupeza lingaliro lachiwiri ngati mukuganiza kuti matenda anu anyalanyazidwa.

Pitilizani kuwerenga kuti muphunzire za zovuta zina za GI zomwe zimakhala ndi zizindikilo zomwe zingakulepheretseni kuzindikira.

1. Exocrine kapamba kusakwanira (EPI)

EPI ndipamene kapamba wanu samatulutsa michere yomwe muyenera kuphwanya chakudya. EPI ndi mavuto ena angapo a GI amagawana zizindikiro monga:

• kusapeza m'mimba
• kuphulika, kumverera nthawi zonse
• mpweya
• kutsegula m'mimba

Poyerekeza ndi anthu wamba, muli pachiwopsezo chachikulu cha EPI ngati muli:

• matenda kapamba
• cystic fibrosis
• matenda ashuga
• khansa ya kapamba
• Ndondomeko yobwezeretsa kapamba

Ndikothekanso kukhala ndi EPI kuphatikiza vuto lina la GI monga:

• Matenda otupa (IBD)
• matenda a celiac
• Matenda opweteka a m'mimba (IBS)

Kuzindikiritsa izi ndikofunikira. EPI imalepheretsa kutengera zakudya zofunikira. Kuchedwa kuzindikira ndi kulandira chithandizo kumatha kuyambitsa njala komanso kuchepa thupi. Popanda chithandizo, EPI imatha kubweretsanso kusowa kwa zakudya m'thupi. Zizindikiro za kusowa kwa zakudya m'thupi ndizo:

• kutopa
• kusasangalala
• kufooka kwa minofu
• kufooketsa chitetezo cha mthupi, kuchititsa matenda pafupipafupi kapena matenda

Palibe mayesero amodzi omwe angapeze EPI. Kuzindikira nthawi zambiri kumaphatikizapo mayeso angapo, kuphatikiza kuyesa kwa kapamba.

2. Matenda otupa (IBD)

Matenda a Crohn ndi ulcerative colitis onse ndi matenda opatsirana otupa. Pamodzi, zimakhudza kuposa ku United States ndi mamiliyoni angapo padziko lonse lapansi.

Zizindikiro zake ndi izi:

• kupweteka m'mimba
• kutsekula m'mimba
• kutopa
• magazi akutuluka, ndowe zamagazi
• kuonda

Ulcerative colitis imakhudza mkatikati mwa matumbo akulu ndi rectum. Zimakonda kukhudza amuna ambiri kuposa akazi.

Matenda a Crohn amaphatikizapo gawo lonse la GI kuyambira mkamwa kupita kumatako ndipo limakhudza zigawo zonse za khoma la m'mimba. Zimakhudza amayi ambiri kuposa amuna.

Njira yodziwira matenda a IBD imatha kukhala yovuta kwambiri popeza zizindikiro za matenda a Crohn ndi ulcerative colitis ndizofanana. Kuphatikiza apo, amakhala ndi zizindikiritso zamatenda ena a GI. Koma kupita kuchipatala choyenera ndikofunikira pakusankha chithandizo choyenera ndikupewa zovuta zazikulu.

3. Matenda owopsa a m'mimba (IBS)

IBS imakhudza pafupifupi 10 mpaka 15 peresenti ya anthu padziko lonse lapansi. Ngati muli ndi IBS, thupi lanu limakhudzidwa kwambiri ndi mpweya m'dongosolo lanu ndipo mapangano anu amakoloni nthawi zambiri. Zizindikiro zimatha kuphatikiza:

• kupweteka m'mimba, kuphwanya, komanso kusapeza bwino
• kutsekula m'mimba, kudzimbidwa, ndikusintha kwamatumbo anu
• mpweya ndi kuphulika
• nseru

IBS imakonda kwambiri azimayi kuposa amuna ndipo nthawi zambiri imayamba mwa akulu azaka zapakati pa 20 ndi 30.

Kuzindikira kumayambira makamaka pazizindikiro. Dokotala wanu akhoza kuyitanitsa mayeso angapo kuti athetse IBS ndi zovuta zina za GI, makamaka ngati muli:

• Zizindikiro zowonjezereka monga zimbudzi zamagazi, malungo, kuonda
• mayesero achilendo a labu kapena zofufuza
• mbiri ya banja la IBD kapena khansa yoyipa

4. Diverticulitis

Diverticulosis ndi momwe matumba ang'onoang'ono amapangidwira m'malo ofooka m'matumbo akulu. Diverticulosis ndi osowa asanakwanitse zaka 30, koma amapezeka pambuyo pa zaka 60. Nthawi zambiri sipakhala zizindikiro zilizonse, ndiye kuti simungathe kudziwa kuti muli nazo.

Vuto la diverticulosis ndi diverticulitis. Izi zimachitika mabakiteriya atakola m'matumba, ndikupangitsa matenda ndikutupa. Zizindikiro zimatha kuphatikiza:

• magazi
• kuzizira, malungo
• kuphwanya
• kukoma mtima pamunsi pamimba
• kutsekeka kwa colon

Zizindikiro zitha kukhala zofanana ndi za IBS.

Kuzindikira koyenera ndikofunikira chifukwa ngati khoma la m'mimba likung'amba, zotayidwa zimatha kutuluka m'mimbamo. Izi zitha kubweretsa matenda opweteka m'mimba, zotupa, komanso zotsekeka m'mimba.

5. Ischemic colitis

Ischemic colitis ndi pamene mitsempha yochepetsedwa kapena yotsekedwa imachepetsa magazi kutuluka m'matumbo akulu. Popeza imalepheretsa mpweya wanu kugaya chakudya, mutha kukhala ndi:

• kupweteka kwa m'mimba, kupweteka, kapena kupweteka
• kutsegula m'mimba
• nseru
• magazi akutuluka

Zizindikiro zimakhala zofanana ndi za IBD, koma kupweteka m'mimba kumakhala mbali yakumanzere. Ischemic colitis imatha kuchitika msinkhu uliwonse koma imatha kuchita pambuyo pa zaka 60.

Ischemic colitis imatha kuchiritsidwa ndi hydration ndipo nthawi zina imatha yokha. Nthawi zina, zitha kuwononga colon yanu, ndikupangitsa kuti kukonzanso kofunikira kukhale kofunikira.

Zochitika zina za GI

Ngati muli ndi mavuto osadziwika a GI, zizindikiro zanu komanso mbiri yazachipatala zithandizira dokotala kudziwa njira zotsatirazi. Mavuto ena a GI omwe ali ndi zizindikilo zomwe zikuphatikizika ndi awa:

• matenda a bakiteriya
• matenda a celiac
• tizilombo ting'onoting'ono
• Matenda a endocrine monga matenda a Addison kapena zotupa za khansa
• kukhudzidwa kwa chakudya ndi chifuwa
• matenda a reflux a gastroesophageal (GERD)
• gastroparesis
• kapamba
• matenda a parasitic
• Khansa yam'mimba ndi yoyipa
• zilonda
• matenda opatsirana

Tengera kwina

Ngati mukukumana ndi zisonyezo za GI monga zomwe zalembedwa pamwambapa, pangani msonkhano ndi dokotala wanu. Onetsetsani kuti mwayang'ana pazizindikiro zanu zonse komanso kuti mwakhala mukukhala nazo nthawi yayitali bwanji. Khalani okonzeka kukambirana za mbiri yanu yamankhwala komanso ziwengo zilizonse zomwe mungakhale nazo.

Tsatanetsatane wazizindikiro zanu ndi zomwe zingayambitse ndizofunikira kwambiri kwa dokotala kuti adziwe momwe aliri ndikukuchitirani moyenera.