Anthu omwe ali ndi IBD samakhala ndi ululu nthawi zonse
Zizindikiro za matenda opatsirana a m'magazi (IBD) zingathenso kutsegula m'mimba , magazi mu mpando , kuchepa kwa thupi, ndi ululu m'mimba. Mtundu ndi malo a ululu m'mimba sizongopeka pakati pa mitundu iwiri yosiyanasiyana ya IBD (Crohn's disease ndi zilonda zam'mimba), komanso ndi ziwalo za matendawa. Kuonjezerapo, ululu ndipadera payekha kwa munthu aliyense, kumene ngakhale anthu omwe ali ndi kachilombo komweko ka matenda a Crohn kapena ulcerative colitis akhoza kumva zowawa mosiyana.
Ndipotu, anthu ena omwe ali ndi IBD alibe ululu uliwonse m'mimba mwa IBD; Kuwonjezera apo, ululu wa m'mimba ukhoza kugwirizana ndi zina, monga appendicitis , gallstones , kapena gastroesophageal reflux eisease (GERD) . Koma monga ululu wa m'mimba ndi chizindikiro chodziwika cha IBD, apa pali kufotokoza mwachidule mitundu ya mazunzo a m'mimba omwe nthawi zambiri amamva ndi anthu omwe ali ndi IBD.
Mimba ya m'mimba
Kumvetsetsa ndi kuyankhulana komwe kupweteka kulipo kungakhale kothandiza pamene mukugwira ntchito ndi madokotala anu. Mimba nthawi zambiri amaganiza kuti ali ndi zigawo zinayi: pomwepo pamtundu wapamwamba, quadrant yakumunsi, wotsika pamwamba quadrant, ndi kumapeto kwa quadrant. Mzere wongoganizira pakati pa quadrants chapamwamba ndi wotsika komanso quadrants zolondola ndi kumanzere zimayenda pamphepete (umbilicus kapena mimba). "Kumanja" ndi "kumanzere" ali kumanja ndi kumanzere (osati dokotala). Zigawo zosiyana za mimba zili ndi ziwalo zosiyana, kotero kudziŵa komwe kumakhala kupweteka kungathandize kumalo omwe mapangidwe amakhudzidwa.
Kumeneko kapena pakati pa ubongo wamimba
Kupweteka komwe kumamveka ngati kupondaponda pakati pa mimba kapena pansi pamanja bwino ndi mtundu wa matenda a Crohn omwe amadziwika kuti leocolitis ndi ileitis. Ileocolitis ndiyo njira yofala kwambiri ya matenda a Crohn ndipo imatanthauzidwa ndi kutupa komwe kumapezeka gawo lomaliza la matumbo aang'ono ( ileamu ) komanso m'matumbo akuluakulu ( colon ).
Ileitis ndi mtundu wa matenda a Crohn omwe amakhudza kokha ileamu ndipo ndiwonekedwe yachiwiri kwambiri. Anthu omwe ali ndi leite angapezenso kuti kupweteka kwawo kapena kuvutika kwawo kumawoneka patangotha maola angapo kuti adye chakudya.
Upper Middle Abdomen Pain
Mtundu wa matenda a Crohn wotchedwa gastroduodenal Crohn's disease nthawi zambiri umapweteka pakati ndi pamtunda. Matenda a Crohn's disease amakhudza mimba ndi duodenum (gawo loyamba la matumbo aang'ono). Mtundu uwu wa matenda a Crohn ndi ochepa kwambiri kuposa ileocolitis ndi ileitis.
Zowawa za m'mimba zosiyana
Ndijjunoileitis, kupweteka kwa m'mimba kumasiyanasiyana kwambiri ndipo kungawonongeke kukhala wofatsa kapena wovuta. Mtundu umenewu wa Crohn's disease umakhudza jejunamu (pakatikati ya m'mimba mwachinyamatayo) ndipo ndizosaoneka bwino. Anthu omwe ali ndi jjunoileitis amatha kupweteka kwambiri akamadya.
Mavuto Ovuta
Ululu umene uli mu rectum (kapangidwe komwe kumapeto kwa matumbo akulu) ndi chizindikiro cha ulcerative proctitis. Ulcerative proctitis ndi mtundu wa ulcerative colitis , ndipo pafupifupi gawo limodzi mwa magawo atatu a ulcerative colitis amayamba.
Ululu Wakumanzere
Ululu kumbali ya kumanzere ya m'mimba ndi chimodzi mwa zizindikiro zachilendo za ulcerative colitis.
Mitundu iwiri ya ulcerative colitis yomwe ingayambitse ululu wamanzere ndi proctosigmoiditis ndi distal kapena side-colitis colitis. Mu proctosigmoiditis, chilonda chiri mu rectum ndi sigmoid colon (gawo lotsiriza la matumbo akulu). Kumalo otsekemera, kumtunda, chizindikiro cha sigimoid, ndi kutsika kwa koloni kumakhudzidwa ndi kutupa. Kumva ululu wa m'mimba kumakhala kovuta nthawi zina.
Mimba Yam'mimba Yambiri
Ululu waukulu m'mimba ukhoza kukhala chizindikiro cha mikhalidwe yosiyanasiyana ya kugaya, koma ngati ikukhudzana ndi ululu wa IBD, ukhoza kugwirizanitsidwa ndi pancolitis. Pancolitis ndi mtundu wa ulcerative colitis umene umakhala ndi zilonda m'matumbo ambiri.
Ululu ngati Chida Chothandizira Kuzindikira
Chifukwa chakuti ululu ukhoza kubwera kuchokera ku malo osiyana, ndipo kupweteka m'mimba kuli kovuta kufotokozera, kupweteka sikukugwiritsidwa ntchito kuti muzindikire IBD kapena mtundu wina wa IBD. M'malo mwake, mtundu ndi malo a ululu amagwiritsidwa ntchito mogwirizanitsa ndi zizindikilo zina pamene mukuwona kuti IBD kapena zochitika zina.
Pamene Zowawa Zimakhala ndi Nkhawa
Ndi IBD, ululu wina umawoneka ngati chizindikiro, koma mitundu ina ya ululu iyenera kukhala ngati mbendera yofiira ndi kukambirana ndi dokotala mwamsanga. Zowawa zonse zomwe ziri zatsopano kwa inu, ndizoopsa kwambiri, kapena zikuphatikizapo zizindikiro monga kusowa kwa chitukuko, kupweteka m'mimba, kunyoza, kudzimbidwa, kapena kusanza ndiko chifukwa cha kuyitana kwa dokotala kapena ulendo wopita ku ER. Zizindikirozi zikhoza kukhala chifukwa cha vuto lalikulu, monga megacolon poizoni kapena chitetezo .
Zotsatira:
Crohn's ndi Colitis Foundation ya America. Mitundu ya Matenda a Crohn ndi Zizindikiro Zogwirizana. " CCFA.org. 2013. 6 Sep 2013.
Crohn's ndi Colitis Foundation ya America. Mitundu ya Ulcerative Colitis. CCFA.org. 2013. 6 Sep 2013.
Tan WC, Allan RN. " Kulimbana ndi jjunoileitis ya matenda a Crohn ." Kutha . 1993; 34: 1374-1378. 6 Septemba 2013.
Walfish AE, Sachar DB. "Ulcerative Colitis." Merck Manual. Dec 2012. 6 Sep 2013.