Colitis

Zvemukati

• Mhando dzecolitis uye zvikonzero zvavo
• Ulcerative colitis
• Pseudomembranous colitis
• Ischemic colitis
• Microscopic colitis
• Allergic colitis muvacheche
• Zvimwe zvikonzero
• Ndiani ari panjodzi yekukanganiswa
• Zviratidzo zvecolitis
• Nguva yekuona chiremba
• Kuongorora colitis
• Kurapa colitis
• Zororo remuviri
• Mishonga
• Kuvhiya
• Outlook

Mhedziso

Colitis iko kuzvimba kwekoloni yako, inozivikanwawo seura hwako hukuru. Kana iwe uine colitis, iwe unonzwa kusagadzikana uye kurwadziwa mudumbu rako izvo zvingave zvinyoro uye zvichidzokororazve kwenguva yakareba yenguva, kana zvakanyanya uye zvichioneka nekukasira.

Kune mhando dzakasiyana dzecolitis, uye kurapwa kunosiyana zvichienderana nerudzi rwaunayo.

Mhando dzecolitis uye zvikonzero zvavo

Mhando dzecolitis dzakakamurwa nezvinozvikonzera.

Ulcerative colitis

Ulcerative colitis (UC) ndeimwe yemamiriro maviri akarondedzerwa seanopisa chirwere chemuviri. Chimwe chirwere cheCrohn.

UC chirwere cheupenyu hwese chinogadzira kuzvimba uye kubuda maronda maronda mukati memukati memukati memukati mako matumbo. Inowanzo tanga mu rectum uye inopararira kune colon.

UC ndiyo inonyanya kuzivikanwa rudzi rwecolitis. Izvo zvinoitika apo immune system inodarika mabhakitiriya nezvimwe zvinhu zviri mudumbu, asi nyanzvi hadzizive kuti nei izvi zvichiitika. Mhando dzakajairika dzeUC dzinosanganisira:

• proctosigmoiditis, iyo inokanganisa rectum uye yakaderera chikamu chekoloni
• kuruboshwe-kuruboshwe colitis, iyo inokanganisa ruboshwe kuruboshwe rekoloni kutanga parece
• pancolitis, iyo inobata ura hwese hukuru

Pseudomembranous colitis

Pseudomembranous colitis (PC) inoitika kubva pakukura kwebhakitiriya Clostridium difficile. Rudzi urwu rwebhakitiriya runowanzo gara mumatumbu, asi harukonzere matambudziko nekuti rwakaenzana nekuvapo kwemabhakitiriya "akanaka".

Mimwe mishonga, kunyanya mishonga inorwisa mabhakitiriya, inogona kuparadza hutachiona hwakanaka. Izvi zvinobvumira Clostridium difficile kutora nzvimbo, kuburitsa chepfu inokonzera kuzvimba.

Ischemic colitis

Ischemic colitis (IC) inoitika kana kuyerera kweropa kuenda kukoni kunongoerekana kwagurwa kana kudzivirirwa. Ropa clots inogona kuve chikonzero chekukurumidza kuvhara. Atherosclerosis, kana kuwanda kwemafuta ane mari, mumidziyo yeropa inopa colon kazhinji ndicho chikonzero cheIC inodzokororwa.

Rudzi urwu rwecolitis runowanzo kuve mhedzisiro yemamiriro ezvinhu ari pasi. Izvi zvinogona kusanganisira:

• vasculitis, chirwere chinoputika chemitsipa yeropa
• chirwere cheshuga
• gomarara rekoloni
• kupera mvura mumuviri
• kurasikirwa neropa
• kutadza kwemoyo
• chipingaidzo
• kushungurudzika

Kunyangwe zvisingawanzoitika, IC inogona kuitika semhedzisiro mhedzisiro yekutora mimwe mishonga.

Microscopic colitis

Microscopic colitis chirwere chekurapa chiremba anokwanisa kungoziva nekutarisa sampuro yemuviri wekoloni pasi pe microscope. Chiremba anozoona zviratidzo zvekuzvimba, senge ma lymphocyte, ari marudzi eropa jena reropa.

Vanachiremba dzimwe nguva vanoisa microscopic colitis muzvikamu zviviri: lymphocytic uye collagenous colitis. Lymphocytic colitis ndeye apo chiremba anozivisa huwandu hunokosha hwema lymphocyte. Nekudaro, iwo matukoni maturu uye lining hazvina kuwanda zvisina kujairika.

Collagenous colitis inoitika kana iyo mbichana yekoloni ikava mukobvu kupfuura zvakajairwa nekuda kwekuvakwa kwecollagen pasi pekunze kwetishu. Dzidziso dzakasiyana dziripo nezve yega yega microscopic colitis mhando, asi vamwe vanachiremba vanofungidzira kuti ese ari maviri maronda marudzi akasiyana mafomu eiyo mamiriro.

Vanachiremba havazivi chaizvo chinokonzera microscopic colitis. Nekudaro, ivo vanoziva vamwe vanhu vari panjodzi yemamiriro acho. Izvi zvinosanganisira:

• vaputi vazvino
• mukadzi chikadzi
• nhoroondo ye autoimmune kusagadzikana
• mukuru pane zera makumi mashanu

Zviratidzo zvakajairika zveiyo microscopic colitis ndeyekusingaperi yemvura manyoka, kudumbu kwepamuviri, uye kurwadziwa mudumbu.

Allergic colitis muvacheche

Allergic colitis mamiriro anogona kuitika muvacheche, kazhinji mukati memwedzi miviri yekutanga mushure mekuzvarwa. Mamiriro acho anogona kukonzera zviratidzo muvacheche zvinosanganisira reflux, kunyanya kupfira mate, kukakavara, uye nekugona kubuda kweropa muchigaro checheche.

Vanachiremba havazive chaizvo izvo zvinokonzeresa kuti ioregger colitis. Sekureva kwechidzidzo cha2013 chakaburitswa muiyo, imwe yedzidziso dzakakurumbira ndeyekuti vacheche vane allergiki kana hypersensitive reaction kune zvimwe zvikamu mumukaka wemvere.

Vanachiremba vanowanzo kurudzira chikafu chekubvisa kuna amai kwavanomira zvishoma nezvishoma kudya zvimwe zvekudya zvinozivikanwa kuti zvinopa chirwere chechirwere. Mienzaniso inosanganisira mukaka wemombe, mazai, uye gorosi. Kana mwana akamira kuva nezviratidzo, izvi zvekudya zvinogona kunge zviri izvo zvinokonzeresa.

Zvimwe zvikonzero

Zvimwe zvinokonzera colitis zvinosanganisira hutachiona kubva kuzvipembenene, mavairasi, uye chepfu yekudya kubva kubhakitiriya. Iwe unogona zvakare kukura mamiriro acho kana ura hwako hukuru hwakarapwa nemwaranzi.

Ndiani ari panjodzi yekukanganiswa

Zviitiko zvakasiyana zvengozi zvinosanganiswa nemhando yega yega colitis.

Iwe uri panjodzi yeUC kana iwe:

• vari pakati pemakore gumi nemashanu nemakumi matatu (akajairika) kana makumi matanhatu nemakumi masere
• ndevechiJudha kana veCaucasian
• kuva nenhengo yemhuri ine UC

Iwe uri panjodzi yePC kana iwe:

• vari kutora kwenguva refu maantibhakitiriya
• vari muchipatara
• vari kugamuchira chemotherapy
• vari kutora immunosuppressant zvinodhaka
• vakura
• ndakave nePC kare

Iwe uri panjodzi yeIC kana iwe:

• vane makore anopfuura makumi mashanu
• vane kana vari panjodzi yechirwere chemwoyo
• vane mwoyo kutadza
• vane low blood pressure
• ndakavhiyiwa mudumbu

Zviratidzo zvecolitis

Zvichienderana nemamiriro ako ezvinhu, unogona kusangana nechimwe kana zvimwe zvezvinotevera zviratidzo.

• kurwadziwa mumimba kana kupwanya
• kuzvimba mudumbu mako
• kuonda
• manyoka ane kana asina ropa
• ropa mune chako chigaro
• chimbichimbi chinodiwa kufambisa ura hwako
• kutonhora kana kupisa fivha
• kurutsa

Nguva yekuona chiremba

Nepo munhu wese achigona kusangana nemanyoka nguva nenguva, ona chiremba kana iwe uine manyoka ayo asingaite seanoenderana nehutachiona, fivha, kana chero chikafu chinozivikanwa chine tsvina. Zvimwe zviratidzo zvinoratidza kuti inguva yekuona chiremba inosanganisira:

• kurwadza kwemajoini
• mapundu asina chikonzero chinozivikanwa
• shoma reropa muzvigaro, senge seturu tsvuku ine mitsetse
• kurwadziwa nemudumbu kunoramba kuchidzoka
• kusanzwisisika kuonda

Tsvaga kurapwa nekukurumidza kana iwe ukaona yakakosha huwandu hweropa muduru rako.

Kana iwe uchinzwa kuti chimwe chinhu hachina kunaka nedumbu rako, zviri nani kutaura nachiremba wako. Kuteerera muviri wako kwakakosha kuti ugare zvakanaka.

Kuongorora colitis

Chiremba wako anogona kubvunza nezve kuwanda kwezviratidzo zvako uye pazvakatanga kuitika. Vachaita bvunzo dzepanyama dzakakwana uye vanoshandisa bvunzo dzekuongorora dzakadai se:

• colonoscopy, iyo inosanganisira kushinda kamera pane inochinjika chubhu kuburikidza neiyo anus kuti uone rectum nekoloni
• sigmoidoscopy, iyo yakafanana nekolonoscopy asi inoratidza chete rectum uye yakadzika colon
• zvituru sampuli
• kufungidzira kwepamuviri senge MRI kana CT scan
• ultrasound, iyo inobatsira zvichienderana nenzvimbo iri kuongororwa
• barium enema, X-ray yekoloni mushure mekunge yajowa ne barium, iyo inobatsira kuti mifananidzo iwedzere kuoneka

Kurapa colitis

Marapirwo anosiyana nezvishoma zvikonzero:

• rudzi rwechirwere
• zera
• mamiriro ezvinhu epanyama

Zororo remuviri

Kugumira zvaunotora nemuromo zvinogona kubatsira, kunyanya kana uine IC. Kutora zvinwiwa uye zvimwe zvinovaka muviri mukati mutsinga kunogona kudikanwa panguva ino.

Mishonga

Chiremba wako anogona kupa mishonga inorwisa-kupisa kurapa kuzvimba uye kurwadziwa, uye mishonga yekurapa utachiona. Chiremba wako anogona zvakare kukubata iwe nemarwadzo ekurapa kana antispasmodic zvinodhaka.

Kuvhiya

Kuvhiya kubvisa chikamu kana yako yese colon kana rectum kunogona kudikanwa kana mamwe marapirwo asingashande.

Outlook

Maonero ako anoenderana nerudzi rwecolitis yauinayo. UC ingangoda kurapwa kweupenyu hwese kunze kwekunge wavhiyiwa. Dzimwe mhando, senge IC, dzinogona kuvandudza pasina kuvhiyiwa. PC inowanzo pindura zvakanaka kumishonga inorwisa mabhakitiriya, asi inogona kuitika zvakare.

Muzviitiko zvese, kuona kwekutanga kwakakosha kupora. Kukurumidza kuona kunogona kubatsira kudzivirira mamwe matambudziko akakomba. Rega chiremba wako azive nezve chero zviratidzo zvauri kusangana nazvo.