Kodi Ndikuyambitsa Colitis yanga ndi Kodi Ndimatani?

Zamkati

• Kutupa kwa colon kumayambitsa
• Matenda
• Matenda otupa (IBD)
• Ischemic matenda am'mimba
• Thupi lawo siligwirizana
• Matenda a microscopic
• Matenda osokoneza bongo
• Zizindikiro zotupa zam'matumbo
• Chithandizo cha kholoni yotupa
• Nthawi yoti muwonane ndi dokotala
• Tengera kwina

Kutupa kwa colon

Colitis ndi mawu wamba otupa mkatikati mwa matumbo, omwe ndi matumbo anu akulu. Pali mitundu yosiyanasiyana ya colitis yomwe imagawidwa chifukwa. Matenda, kuchepa kwa magazi, ndi tiziromboti zimatha kuyambitsa khansa yotupa.

Ngati muli ndi kholoni yotupa, mumakhala ndi ululu m'mimba, kupunduka, ndi kutsegula m'mimba.

Kutupa kwa colon kumayambitsa

Pali mitundu ingapo ya colitis ndi zina zomwe zingayambitse kutupa kwamatumbo.

Matenda

Matenda opatsirana amatha kuyambitsidwa ndi mavairasi, mabakiteriya, ndi tiziromboti. Munthu amene ali ndi matenda opatsirana amatha kukhala ndi matenda otsekula m'mimba ndi malungo, komanso chopondapo chomwe chimayesa zopatsirana monga:

• salmonella
• kutchfuneralhome
• Escherichia coli (E. coli)

Kutengera zomwe zimayambitsa matendawa, matenda opatsirana angatengeke ndi madzi owonongeka, matenda obwera chifukwa cha chakudya, kapena ukhondo.

Pseudomembranous colitis ndi mtundu wina wa matenda opatsirana. Amatchulidwanso kuti matenda opatsirana okhudzana ndi maantibayotiki kapena C. kusiyana colitis chifukwa chimabwera chifukwa cha kuchuluka kwa mabakiteriya Clostridium difficile. Nthawi zambiri zimayambitsidwa ndi maantibayotiki omwe amalepheretsa kuchuluka kwa mabakiteriya athanzi m'matumbo.

Matenda otupa (IBD)

Malinga ndi, pafupifupi anthu 3 miliyoni aku US anali ndi IBD kuyambira 2015. IBD ndi gulu la matenda osachiritsika omwe amayambitsa kutupa m'mimba. Pali zinthu zambiri zomwe zimakhala pansi pa ambulera ya IBD, koma mitundu iwiriyi ndi iyi:

• Matenda a Crohn. Vutoli limayambitsa kutupa kwa gawo lakumimba. Gawo lililonse lamagawo am'mimba limatha kukhudzidwa, koma nthawi zambiri limayamba mu leamu, yomwe ndi gawo lotsiriza la m'mimba.
• Zilonda zam'mimba. Izi zimayambitsa kutupa kosatha ndi zilonda zamkati mkatikati mwa colon ndi rectum. Anthu omwe ali ndi ulcerative colitis ali ndi chiopsezo chowonjezeka cha khansa ya m'matumbo.

Ischemic matenda am'mimba

Ischemic colitis imachitika pakachepetsa magazi kutuluka pagawo la m'matumbo. Izi zimayimitsa ma cell am'mimba mwanu kuti asalandire oxygen yomwe amafunikira.

Nthawi zambiri zimayambitsidwa ndi mitsempha yochepetsetsa kapena yotseka. Anthu omwe ali ndi zaka 60 kapena kupitilira apo, ali ndi cholesterol yambiri, kapena matenda osokoneza bongo amakhala ndi chiopsezo chowonjezeka cha ischemic colitis.

Ischemic colitis imatha kukhudza gawo lililonse la matumbo anu koma nthawi zambiri mumamva kupweteka kumanzere kumimba. Zitha kuchitika pang'onopang'ono kapena mwadzidzidzi.

[INSERT BLOCK QUOTE: Ngati mukumva kuwawa kwambiri kumanja kwanu, pitani kuchipatala mwadzidzidzi.]

Zizindikiro kudzanja lanu lamanja zitha kuwonetsa mitsempha yotsekedwa m'matumbo anu ang'ono omwe atha kuyambitsa necrosis yamatumbo. Izi zimawopseza moyo ndipo zimafuna kuchitidwa opaleshoni mwachangu kuti athetse kutsekeka ndikuchotsa gawo lomwe lawonongeka.

Thupi lawo siligwirizana

Matenda opatsirana amayamba kufalikira m'makanda kuposa achikulire, omwe amakhudza pakati pa 2 ndi 3 peresenti ya makanda. Kutupa ndikulimbana ndi mapuloteni omwe amapezeka mkaka wa ng'ombe. Mwana yemwe ali ndi kholoni yotupa amatha kupsa mtima, kuterera, komanso kukhala ndi magazi kapena ntchofu. Kuchepa kwa magazi m'thupi komanso kusowa kwa zakudya m'thupi ndizothekanso.

Eosinophilic colitis ndi ofanana ndi matupi awo sagwirizana. Zikafika khanda, nthawi zambiri zimatha kutha msinkhu. Achinyamata ndi achikulire, vutoli nthawi zambiri limakhala lachilendo. Chifukwa chenicheni cha eosinophilic colitis sichidziwika nthawi zonse, ngakhale mapuloteni mumkaka wa ng'ombe nthawi zambiri amachititsa kuti zizindikilo ziwonjezeke. Anthu omwe ali ndi mbiri yaumwini kapena ya banja ya chifuwa ndi mphumu amawoneka kuti ali pachiwopsezo chachikulu.

Matenda a microscopic

Microscopic colitis imatha kuwonedwa kudzera pa microscope. Amadziwika ndi kuwonjezeka kwa ma lymphocyte, omwe ndi mtundu wamagazi oyera, m'mbali mwa kholingo.

Pali mitundu iwiri ya microscopic colitis ndipo ngakhale zonsezi zikuwonetsa kuwonjezeka kwa ma lymphocyte, mtundu uliwonse umakhudza minofu ya m'matumbo mwanjira ina.

• Matenda a Lymphocytic colitis ali ndi ma lymphocyte ochulukirapo, ndipo matumba ndi zotupa za m'matumbo ndizokwanira.
• Mu collagenous colitis, kachulukidwe ka kolajeni pansi pazitsulo za koloni ndi yolimba kuposa yachibadwa.

Chifukwa cha microscopic colitis sichidziwika, koma ofufuza amakhulupirira kuti chitha kulumikizidwa ndi:

• Matenda osokoneza bongo
• mankhwala ena
• matenda
• chibadwa

Zizindikiro zamatenda amtunduwu zimabwera ndikumatha, nthawi zina zimasowa popanda chithandizo.

Matenda osokoneza bongo

Mankhwala ena, makamaka mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) amalumikizidwa ndi koloni yotupa mwa anthu ena. Okalamba ndi anthu omwe ali ndi mbiri yogwiritsa ntchito ma NSAID kwa nthawi yayitali akuwoneka kuti ali pachiwopsezo chachikulu chotenga matenda amtunduwu.

Zizindikiro zotupa zam'matumbo

Ngakhale pali mitundu yosiyanasiyana ya colitis yomwe imayambitsa zifukwa zosiyanasiyana, zizindikilo zake ndizofanana:

• kutsekula m'mimba kapena popanda magazi
• kupweteka m'mimba ndi kuphwanya
• malungo
• Kufulumizitsa kukhala ndi matumbo
• nseru
• kuphulika
• kuonda
• kutopa

Chithandizo cha kholoni yotupa

Kuchiza kwa colitis kumatha kusiyanasiyana kutengera chifukwa. Ngati zimayambitsidwa ndi zovuta za zakudya zinazake kapena zovuta zina kuchokera ku mankhwala, dokotala wanu angakulimbikitseni kuchotsa chakudya kuchokera ku zakudya zanu kapena kusintha mankhwala.

Mitundu yambiri yamatenda amathandizidwa pogwiritsa ntchito mankhwala komanso kusintha kwa zakudya zanu. Cholinga cha chithandizo cha kutupa m'matumbo ndikuchepetsa kutupa komwe kumayambitsa matenda anu.

Mankhwala omwe amagwiritsidwa ntchito pochiza colitis atha kukhala:

• mankhwala odana ndi kutupa, monga corticosteroids ndi aminosalicylates
• chitetezo cha mthupi
• maantibayotiki
• Mankhwala oletsa kutsegula m'mimba
• zowonjezera, monga iron, calcium, ndi vitamini D

Kusintha kwotsatira kwa moyo kungakuthandizeni kuthana ndi matenda anu:

• tsatirani ndi kupewa zakudya zomwe zimayambitsa kapena kukulitsa zizindikiritso zanu
• idyani zakudya zazing'ono, zomwe zimachitika pafupipafupi tsiku lonse
• pewani zakudya zomwe zimawonjezera chopondapo, monga caffeine ndi zipatso ndi ndiwo zamasamba zosaphika
• kuchepetsa kumwa mowa
• siyani kusuta; izi zingakhale zovuta, koma dokotala akhoza kukuthandizani kupanga ndondomeko yomwe ili yoyenera kwa inu

Kuchita opaleshoni kungalimbikitsidwe ngati mankhwala ena sangathe kuthetsa zizindikiro zanu kapena ngati mwawonongeka kwambiri m'matumbo.

Nthawi yoti muwonane ndi dokotala

Kutsekula m'mimba, kupweteka m'mimba, kapena magazi mu mpando wanu kuyenera kuyesedwa ndi dokotala. Zowawa zam'mimba zomwe zimabwera mwadzidzidzi ndikukulepheretsani kukhala bwino zitha kukhala chizindikiro cha vuto lalikulu lomwe limafunikira chithandizo chadzidzidzi.

Tengera kwina

Zizindikiro za kholoni yotupa, yotchedwa colitis, imatha kuyambitsa mavuto omwe amakhudza moyo wanu. Pali njira zamankhwala zomwe zingathandizire. Lankhulani ndi dokotala kuti mupeze njira yabwino yochizira matenda anu.