Kodi Proctosigmoiditis ndi chiyani?

Zamkati

• Zizindikiro za proctosigmoiditis
• Proctosigmoiditis zimayambitsa ndikuwopsa
• Chithandizo cha proctosigmoiditis
• Mankhwala
• Opaleshoni
• Kuzindikira proctosigmoiditis
• Zovuta za proctosigmoiditis
• Maonekedwe a proctosigmoiditis

Chidule

Proctosigmoiditis ndi mtundu wa ulcerative colitis womwe umakhudza rectum ndi sigmoid colon. Bokosi la sigmoid limalumikiza m'matumbo mwanu, kapena m'matumbo akulu, mpaka kumtunda. Rectum ndipamene chopondapo chimachotsedwa mthupi.

Ngakhale mtundu uwu wa ulcerative colitis umakhala ndi gawo lochepa kwambiri m'matumbo anu, amathabe kuyambitsa zizindikilo zazikulu.

Mitundu ina ya ulcerative colitis ndi iyi:

• colitis wamanzere (distal colitis): zimakhudza colon kuyambira kutsika mpaka ku rectum
• kapamba Zimaphatikizapo kutupa m'matumbo ambiri

Kudziwa mtundu wa ulcerative colitis womwe uli nawo kungakuthandizeni kudziwa mtundu wa mankhwala omwe angakhale othandiza kwambiri.

Pafupifupi 50 peresenti ya anthu onse omwe amapezeka ndi ulcerative colitis ali ndi proctosigmoiditis.

Zizindikiro za proctosigmoiditis

Kutsekula m'mimba nthawi zambiri ndi chizindikiro chofunikira kwambiri pamitundu yonse ya ulcerative colitis. Nthawi zina kutsegula m'mimba kumachitika koposa kanayi patsiku.

Kutsekula m'mimba ndichizindikiro chofala kwambiri. Mpando wanu ukhoza kukhala ndi mikwingwirima yamagazi chifukwa cha kutupa m'matumbo.

Kuwonongeka ndi kukwiya kwa rectum kumatha kukupangitsani kumva kuti nthawi zonse mumayenera kuyenda. Komabe, mukamapita kubafa, chopondapo nthawi zambiri chimakhala chaching'ono.

Zizindikiro zina zokhudzana ndi ulcerative colitis ndi monga:

• kupweteka m'mimba kapena kupweteka kwammbali
• malungo
• kuonda
• kudzimbidwa
• ziphuphu zam'mbali

Simuyenera kunyalanyaza magazi am'mbali omwe amakhala owoneka bwino kapena owoneka ofiira. Nthawi zina magazi amatha kuwoneka osachedwa kupondapo. Muyenera kupita kuchipatala ngati mwakumana ndi izi.

Proctosigmoiditis zimayambitsa ndikuwopsa

Proctosigmoiditis ndi chifukwa cha kutupa kosaneneka m'matumbo, monga mitundu yonse ya ulcerative colitis. Kutupa uku ndi chifukwa cha kuyankha kwamthupi. Madokotala sakudziwa chomwe chimayambitsa kuyankha kwamatendawa.

Anthu ena ali pachiwopsezo chachikulu kuposa ena kukhala ndi ulcerative colitis. Zowopsa za mitundu yonse ya ulcerative colitis ndizofanana. Zikuphatikizapo:

• kukhala ndi mbiri yabanja ya ulcerative colitis
• kukhala ndi mbiri yakudwala ndi Salmonella kapena Msika mabakiteriya
• kukhala kumtunda wapamwamba
• kukhala m'dziko lotukuka

Izi zimangowonjezera chiwopsezo cha ulcerative colitis. Kukhala ndi chimodzi kapena zingapo mwaziwopsezo sizikutanthauza kuti mudzapeza vutoli.

Chithandizo cha proctosigmoiditis

Mankhwala

Proctosigmoiditis sikuphatikizapo gawo lalikulu la colon. Chifukwa chake, njira yoyamba yothandizira ndi 5-aminosalicylic acid (5-ASA). Madokotala amatha kukupatsani mankhwala a mesalamine, mankhwala odana ndi zotupa.

Mesalamine imapezeka m'njira zingapo, kuphatikiza pakamwa, suppository, thovu, ndi enema. Amagulitsidwa pansi pa mayina monga:

• Lialda
• Asacol
• Pentasa
• Apriso
• Zamgululi

Malangizo aposachedwa azachipatala amalimbikitsa ma mesalamine enemas ndi ma suppositories pamlomo mesalamine kwa anthu omwe ali ndi proctosigmoiditis.

Chifukwa proctosigmoiditis imangokhudza gawo lochepa lamatumbo, nthawi zambiri mumatha kugwiritsa ntchito ma suppositories m'malo mwa enema. Mutha kumwa pakamwa mesalamine ngati simungathe kulekerera kapena kupereka ma enema.

Ngati simukuyankha mesalamine, pali mankhwala ena omwe alipo. Izi zikuphatikiza:

• makoswe amtundu wa corticosteroid
• m'kamwa corticosteroids
• infliximab (Remicade), yomwe imachepetsa chitetezo cha mthupi chomwe chimayambitsa kutupa

Opaleshoni

Ngati muli ndi matenda otsekula m'mimba kwambiri kapena magazi, mungafunike kupita kuchipatala. Kuchipatala, mutha kulandira mankhwala opatsirana pogonana. Milandu yayikulu kwambiri imafunika opaleshoni kuti ichotse gawo lomwe lakhudzidwa.

Kuzindikira proctosigmoiditis

Kuti mupeze ulcerative colitis, dokotala wanu akhoza kuyesa kuti colonoscopy. Izi zimaphatikizapo kugwiritsa ntchito endoscope, chomwe ndi chida chapadera chokhala ndi kamera yoyatsa kumapeto. Dokotala wanu amalowetsa izi mu rectum ndikulola kukula kwake kukwera mmwamba, ndikuwona mzere wa colon.

Kuyesaku kumathandizira dokotala kuti awone madera otupa, ofiira, ndi mitsempha yamagazi yotupa m'matumbo mwanu. Ngati muli ndi proctosigmoiditis, zizindikilo izi sizimapitilira sigmoid colon.

Zovuta za proctosigmoiditis

Monga mitundu ina ya ulcerative colitis, zovuta zina za proctosigmoiditis ndi monga:

• kuchepa kwa magazi m'thupi
• chiopsezo chowonjezeka cha khansa ya m'matumbo
• kusowa kwa madzi m'thupi
• kutuluka magazi m'matumbo
• dzenje m'matumbo (zotsekemera)
• megacolon wa poizoni (uku ndi kwadzidzidzi kwachipatala)

Maonekedwe a proctosigmoiditis

Ngakhale anthu omwe ali ndi ulcerative colitis nthawi zambiri amakhala pachiwopsezo cha khansa yoyipa, omwe ali ndi proctosigmoiditis mwina sali. Komabe, kwa anthu ambiri omwe ali ndi ulcerative colitis, kutupa kumakula ndikumakhudza coloni yawo yambiri pasanathe zaka zisanu atazindikira.

Proctosigmoiditis sangachiritsidwe, koma zizindikilo zimatha kuyendetsedwa kudzera mu chithandizo komanso kusintha kwa moyo.