Enteritis

Enteritis iko kuzvimba kwemukati mudumbu.

Enteritis inowanzo kukonzereswa nekudya kana kunwa zvinhu zvakasvibiswa nehutachiona kana hutachiona. Utachiona hunogara mumatumbo mudiki uye hunokonzera kuzvimba nekuzvimba.

Enteritis inogona zvakare kukonzerwa ne:

• Mamiriro ekuzvidzivirira, akadai seCrohn chirwere
• Mimwe mishonga, kusanganisira NSAIDS (senge ibuprofen uye naproxen sodium) uye cocaine
• Kukuvadza kubva kune radiation radiation
• Chirwere cheCeliac
• Tropical sprue
• Whipple chirwere

Iko kuzvimba kunogona zvakare kusanganisira mudumbu (gastritis) uye hombe ura (colitis).

Njodzi zvinhu zvinosanganisira:

• Nguva pfupi yadarika dumbu furu pakati penhengo dzemhuri
• Recent kufamba
• Kusangana nemvura isina kuchena

Mhando dze enteritis dzinosanganisira:

• Hutachiona gastroenteritis
• Campylobacter enteritis
• E coli enteritis
• Chikafu chepfu
• Radiation enteritis
• Salmonella enteritis
• Shigella enteritis
• Staph aureus chikafu chepfu

Zviratidzo zvinogona kutanga maawa kusvika mazuva mushure mekutapukirwa. Zviratidzo zvinogona kusanganisira:

• Marwadzo emudumbu
• Dhairrhea - yakaoma uye yakaoma
• Kupererwa nechido
• Kusvipa
• Ropa muzvigaro

Miedzo inogona kusanganisira:

• Chitsiko tsika yekutsvaga mhando yehutachiona. Nekudaro, uyu muedzo haugone kugara uchiona mabhakitiriya anokonzera chirwere.
• Colonoscopy uye / kana yekumusoro endoscopy kutarisa ura hudiki uye kutora zvinyama sampuli kana zvichidikanwa.
• Kufungidzira bvunzo, senge CT scan neMRI, kana zviratidzo zvichiramba.

Makesi akapfava kazhinji haadi kurapwa.

Mushonga wekudzivirira manyoka dzimwe nguva unoshandiswa.

Iwe ungangoda kugadziriswazve nemagetsi electrolyte mhinduro kana muviri wako usina mvura yakakwana.

Iwe ungangoda kurapwa uye zvinwiwa kuburikidza nemutsinga (intravenous fluids) kana uine manyoka uye usingakwanise kuchengeta mvura pasi. Izvi zvinowanzoitika kuvana vadiki.

Kana iwe ukatora diuretics (mapiritsi emvura) kana iyo ACE inhibitor uye ukaita manyoka, ungangoda kumira kutora iyo diuretics. Zvisinei, usamire kutora chero mushonga usati watanga kutaura nemupi wako wezvehutano.

Ungangoda kutora mishonga inorwisa mabhakitiriya.

Vanhu vane chirwere cheCrohn vanowanzoda kutora mishonga inorwisa-kupisa (kwete maNSAID).

Zviratidzo zvinowanzoenda zvisina kurapwa mumazuva mashoma mune vamwe vanhu vane hutano.

Zvinetso zvinogona kusanganisira:

• Kupera mvura mumuviri
• Manyoka enguva refu

Ongorora: Muvacheche, manyoka anogona kukonzera kupera simba kwemvura kunouya nekukurumidza.

Fonera mupiki wako kana:

• Unopera mvura.
• Manyoka haapere mumazuva matatu kusvika mana.
• Une fivhiri inopfuura 101 ° F (38.3 ° C).
• Iwe une ropa muzvigaro zvako.

Aya anotevera matanho anogona kubatsira kudzivirira enteritis:

• Nguva dzose geza maoko ako mushure mekushandisa chimbuzi uye usati wadya kana kugadzira chikafu kana zvinwiwa. Iwe unogona zvakare kushambidza maoko ako nechinwiwa-chinogadzirwa chigadzirwa chine kanenge 60% doro.
• Bira mvura inobva kunzvimbo dzisingazivikanwe, senge hova uye matsime ekunze, usati wainwa.
• Shandisa chete midziyo yakachena pakudya kana kubata chikafu, kunyanya pakubata mazai nehuku.
• Nyatso kubika chikafu.
• Shandisa zvinotonhorera kuti uchengete chikafu chinoda kugara chakatonhora.

• Salmonella typhi muviri
• Yersinia enterocolitica muviri
• Campylobacter jejuni muviri
• Clostridium difficile muviri
• Kugaya chirongwa
• Esophagus uye mudumbu anatomy

DuPont HL, Okhuysen PC. Kusvika kumurwere nekufungidzirwa hutachiona hutachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 267.

Melia JMP, Sears CL. Infectious enteritis uye proctocolitis. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chits. 110.

Lima AAM, Warren CA, Guerrant RL. Acute dysentery syndromes (manyoka nefivha). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 99.

Semrad CE. Kusvika kumurwere nedhara uye malabsorption. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 131.