Kubuda ropa mudumbu

Gastrointestinal (GI) kubuda ropa kunoreva chero kubuda ropa kunotangira mudumbu.

Kubuda ropa kunogona kuuya kubva kune chero saiti padhuze neiyo GI turakiti, asi inowanzo kuve yakakamurwa kuita:

• Kumusoro kweGI kubuda ropa: Iyo yepamusoro GI turakiti inosanganisira iyo esophagus (iyo chubhu kubva pamuromo kuenda mudumbu), mudumbu, uye chikamu chekutanga chemukati mudumbu.
• Yepazasi GI kubuda ropa: Iyo yepasi GI turakiti inosanganisira yakawanda yeiyo diki ura, hukuru ura kana ura, rectum, uye anus.

Huwandu hwekubuda ropa kweGI hunogona kuve hushoma zvekuti hunogona kungoonekwa pabvunzo bvunzo senge fecal zvemashiripiti eropa bvunzo. Zvimwe zviratidzo zveGI kubuda ropa zvinosanganisira:

• Rima, zvigaro
• Huru huwandu hweropa hwakapfuura kubva parevhuru
• Idiki shoma reropa mumudziyo wechimbuzi, pabepa repachimbuzi, kana mumitsara pachituru (tsvina)
• Kusvipa ropa

Kubuda ropa kwakanyanya kubva kuGI turakiti kunogona kuva nenjodzi. Nekudaro, kunyangwe zvidiki kwazvo zvekubuda ropa izvo zvinoitika kwenguva yakareba zvinogona kutungamira kumatambudziko akadai seanemia kana mashoma eropa kuverenga.

Kana imwe nzvimbo yekubuda ropa yawanikwa, kurapwa kwakawanda kunowanikwa kumisa kubuda kweropa kana kurapa chikonzero.

GI kubuda ropa kunogona kunge kuri nekuda kwemamiriro asiri akakomba, kusanganisira:

• Anal fissure
• Mamota

Kubuda ropa kweGI kunogona zvakare kunge kuri chiratidzo cheakanyanya zvirwere uye mamiriro. Izvi zvinogona kusanganisira kanzira dzeGI turakiti senge:

• Gomarara rekoloni
• Gomarara remudumbu
• Kenza yemudumbu
• Intestinal polyps (pre-cancerous mamiriro)

Zvimwe zvikonzero zveGI kubuda ropa zvinogona kusanganisira:

• Mitezo yeropa isina kujairika mumucheto wematumbo (inonziwo angiodysplasia)
• Kubuda ropa diverticulum, kana diverticulosis
• Chirwere cheCrohn kana ulcerative colitis
• Esophageal varices
• Esophagitis
• Gastric (mudumbu) chironda
• Intussusception (bowel telescoped pachayo)
• Mallory-Weiss kuchema
• Meckel diverticulum
• Radiation kukuvara kune ura

Iko kune yekumba zvituru zviyero kune microscopic ropa iro rinogona kukurudzirwa kune vanhu vane anemia kana yekoloni kuongorora gomarara.

Fonera wako mupi wezvehutano kana:

• Une dema, mira zvituru (ichi chingave chiratidzo cheGI kubuda ropa)
• Iwe une ropa muzvigaro zvako
• Unorutsa ropa kana kurutsa zvinhu zvinoita kunge kofi nzvimbo

Wako mupi anogona kuwana kubuda kweGI kubuda ropa panguva yekubvunzo pahofisi yako.

Kubuda ropa kweGI kunogona kuve mamiriro ekukurumidzira anoda kurapwa nekukurumidza. Kurapa kunogona kusanganisira:

• Kuisirwa ropa.
• Mvura nemishonga kuburikidza nemutsinga.
• Esophagogastroduodenoscopy (EGD). Chubhu mutete ine kamera pamagumo inopfuudzwa nemumuromo mako kupinda mudumbu, mudumbu, uye mudumbu.
• Chubhu inoiswa kuburikidza nemuromo wako mudumbu kudurura zvemukati zvemudumbu (gastric lavage).

Kamwe mamiriro ako paachagadzikana, iwe unenge uine bvunzo yemuviri uye yakadzama bvunzo yedumbu rako. Iwe zvakare uchabvunzwa mibvunzo nezve ako zviratidzo, kusanganisira:

• Wakatanga rini kuona zviratidzo?
• Wanga uine nhema here, zvituru zvekugara kana tsvuku reropa muzvituru?
• Wakarutsa ropa here?
• Wakarutsa zvinhu zvinoita kunge kofi nzvimbo here?
• Iwe une nhoroondo yezvironda zvepeptic kana duodenal?
• Wakambove uine zviratidzo seizvi zvisati zvaitika here?
• Ndezvipi zvimwe zviratidzo zvaunazvo?

Miedzo inogona kuitwa inosanganisira:

• Abdominal CT scan
• Abdominal MRI scan
• Abdominal x-ray
• Angiography
• Kubuda ropa scan (tagged red blood cell scan)
• Ropa rekuvhara miedzo
• Capsule endoscopy (kamera piritsi inomedzwa kuti itarise ura hudiki)
• Colonoscopy
• Yakazara kuverenga kweropa (CBC), kuomesa bvunzo, kuverenga kweplatelet, uye kumwe kuongororwa kwerabhoritari
• Enteroscopy
• Sigmoidoscopy
• EGD kana esophago-gastro endoscopy

Lower GI kubuda ropa; GI kubuda ropa; Kumusoro kweGI kubuda ropa; Hematochezia

• GI kubuda ropa - akateedzana
• Fecal zvemashiripiti kuongorora ropa

Kovacs TO, Jensen DM. Kubuda ropa mudumbu. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 135.

Meguerdichian DA, Goralnick E. Utumbo kubuda ropa. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 27.

Inochengetedza TJ, Jensen DM. Kubuda ropa mudumbu. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 20.