Proctitis ndi chiyani, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zomwe zimayambitsa
• Zizindikiro zazikulu
• Momwe mungatsimikizire
• Momwe mankhwalawa amachitikira
• Chithandizo chachilengedwe

Proctitis ndikutupa kwa minofu yomwe imayendetsa rectum, yotchedwa rectal mucosa. Kutupa kumeneku kumatha kuchitika pazifukwa zingapo, kuchokera ku matenda monga herpes kapena gonorrhea, matenda otupa, monga ulcerative colitis kapena matenda a Crohn, kusintha kwa magazi, chifuwa kapena zotsatira zoyipa za radiotherapy.

Zizindikiro za proctitis ndizosiyanasiyana, kuphatikiza kupweteka kwa anus kapena rectum, kutuluka kwa magazi, ntchofu kapena mafinya kudzera mu anus, zovuta kutuluka ndikutuluka magazi pansi. Kukula kwa zizindikirazo kumasiyanasiyana ngati kutupa kuli kofatsa kapena ngati kuli kovuta, monga momwe zimapangira zilonda zakuya zam'mimba.

Chithandizochi chimatsogozedwa ndi proctologist, malinga ndi zomwe zimayambitsa kutupa ndikuphatikizanso maantibayotiki kapena mankhwala oletsa kutupa, monga corticosteroids, mesalazine kapena sulfasalazine, mwachitsanzo, pakamwa kapena pakamwa. Pazovuta kwambiri, pangafunike kuchita opaleshoni kuti muchotse minofu yomwe yasokonekera.

Zomwe zimayambitsa

Zomwe zimayambitsa proctitis ndi izi:

• Matenda opatsirana pogonana, monga herpes, chinzonono, chindoko, chlamydia kapena cytomegalovirus, mwachitsanzo, ndipo zimakhudza kwambiri anthu omwe ali ndi zibwenzi zapamtima komanso omwe afooketsa chitetezo chamthupi. Dziwani zambiri zamatenda opatsirana pogonana opatsirana pogonana;
• Matenda, monga rectal schistosomiasis, amoebiasis, kapena chifukwa cha bakiteriya ya Clostridium difficile, yomwe imayambitsa kutupa kwamatumbo, komwe kumatchedwa pseudomembranous colitis, komwe kumachitika makamaka mwa anthu omwe akuchiritsidwa ndi maantibayotiki. Onani momwe mungadziwire ndikuchizira pseudomembranous colitis;
• Matenda otupa, monga matenda a Crohn kapena ulcerative colitis, omwe amayambitsa kutupa chifukwa cha zomwe zimayambitsa autoimmune;
• Actinic proctitis, yoyambitsidwa ndi radiotherapy, yogwiritsidwa ntchito pochiza khansa;
• Kusintha kwa mitsempha kapena kuzungulira magazi ochokera ku rectum, monga ischemia kapena rheumatic matenda, mwachitsanzo;
• Matenda opatsirana, amayamba chifukwa cha kudya zakudya zomwe zimayambitsa chifuwa, monga mapuloteni amkaka a ng'ombe, omwe amapezeka kwambiri mwa makanda;
• Mankhwala a colitis, amayamba chifukwa cha mankhwala, makamaka maantibayotiki, omwe amatha kusintha maluwa am'mimba.

Tiyeneranso kukumbukira kuti zotupa mu rectum ndi anus zitha kukhalanso chizindikiro cha khansa mderalo. N'zotheka kuti chifukwa cha proctitis sichidziwika, motero amadziwika kuti idiopathic proctitis.

Zizindikiro zazikulu

Zizindikiro za proctitis ndikumva kuwawa kwa rectum kapena anus, kuvutika ndi matumbo, kutsekula m'mimba, kutuluka magazi mu anus kapena komwe kumawonekera mu chopondapo, kulimbikitsa kutuluka pafupipafupi kapena ntchofu kapena mafinya otuluka mu anus. Kukula kwa zizindikirazo kumasiyanasiyana malinga ndi kukula kwa matendawa.

Momwe mungatsimikizire

Kuzindikira kwa proctitis kumapangidwa ndi coloproctologist, kudzera pakuwunika kwamankhwala ndikupempha mayeso monga anuscopy, sigmoidoscopy kapena colonoscopy kuti awone m'matumbo onse.

Biopsy ya rectum imatha kuzindikira kukula kwa kutupa, chifukwa kumatha kuwonetsa chifukwa. Kuphatikiza apo, kuyesa magazi kumatha kuthandizira kuzindikira chomwe chikuyambitsa poyang'ana zizindikiro za matenda kapena chodetsa.

Momwe mankhwalawa amachitikira

Chithandizo cha proctitis chimachitika molingana ndi zomwe zimayambitsa, ndipo amatsogozedwa ndi coloproctologist. Chifukwa chake, ndikofunikira kuti zomwe zimayambitsa kutupa zichotsedwe, mwina kudzera mu maantibayotiki kuti athetse tizilombo, komanso kuchotsa zakudya kapena mankhwala omwe atha kukulitsa vutoli.

Mankhwala omwe ali ndi anti-yotupa, kaya pakamwa kapena pakamwa, monga corticosteroids, sulfasalazine kapena mesalazine, amagwiritsidwa ntchito kuthana ndi zofooka, makamaka ngati matumbo ali ndi zotupa. Zikatero, zingakhale zofunikira kugwiritsa ntchito mankhwala osokoneza bongo.

Mukakhala ndi vuto lalikulu chifukwa cha kutupa kapena ischemia ya rectum kapena ngati zizindikilo sizikutha ndi chithandizo chamankhwala, kuchitidwa opaleshoni kumafunika kuchotsa minofu ya necrotic kapena yomwe yasokonekera kwambiri.

Chithandizo chachilengedwe

Mukamalandira chithandizo chofunidwa ndi adotolo, njira zina zopangira kunyumba zitha kutengedwa kuti zithandizire kuchira, koma siziyenera kulowa m'malo mwa malangizo a dotolo.

Chifukwa chake, pakatupa m'matumbo, tikulimbikitsidwa kuti tizisamala ndi zakudya, ndikupatsa zakudya zosavuta kudya, monga msuzi wazipatso, chimanga monga mpunga ndi pasitala yoyera, nyama zowonda, yogurt wachilengedwe, msuzi ndi masamba.

Makamaka, ayenera kudyedwa pang'ono, kangapo patsiku. Ndikulimbikitsanso kupewa zakudya zokhala ndi mankhusu, mbewu, mtedza, chimanga, nyemba, zakumwa za kaboni, tiyi kapena khofi, mowa ndi zakudya zonunkhira. Onani zambiri pazakudya pa zotupa zamatumbo.