Matenda a Celiac angapangitse kuopsa kwa atrophy, koma si chifukwa chokhacho chothetsera
Kuopsa kwa atrophy kumachitika pamene matumbo anu a m'mimba amatha kukhala aakulu, okhala ndi zizindikiro zofanana ndi zala. Popeza matumbo anu a m'mimba ndi omwe amachititsa kudya zakudya zomwe mumadya, kuwataya kuti awonongeke kwambiri kumatha kukhala ndi vuto lalikulu la zakudya.
Matenda a Celiac ndi omwe amadziwika bwino chifukwa cha machitidwe oopsa a atrophy. Pamene muli ndi celiac ndipo mudya zakudya zomwe zili ndi mapuloteni a gluten (omwe ali mu tirigu, balere, ndi rye), gluten amachititsa kuti chitetezo cha thupi lanu chitetezeke m'mimba yanu.
Kuopsa kwa matendawa kumayambitsa matenda oopsa, omwe madokotala amayesa ndi Mapepala a Marsh . Pa zochitika zovuta kwambiri ndi matenda a celiac, villi yanu ikhoza kuwonongedwa kwathunthu - chiwonongeko chowopsya. Zomwe zimaonedwa kuti ndi Msika wa 4, ndipo anthu omwe ali ndi chiwerengero chimenecho amakhala osoŵa zakudya kwambiri ndipo akhoza kukhala pangozi ya lymphoma.
Njira yokhayo yowonera ngati muli ndi atrophy wonyansa ndi kuyang'ana mwachindunji mkati mwa matumbo anu aang'ono. Madokotala amachita izi ndi njira yotchedwa endoscopy , momwe amachotsera chipangizo ndi kamera kakang'ono ndi zida zina pansi pa khosi, kudzera mmimba mwako, mpaka m'mimba mwako.
N'zotheka kumeza mapiritsi okhala ndi kamera-imeneyi imatchedwa capsule endoscopy .
Villous Atrophy ndi Celiac Disease (kapena Os)
Simunatsimikizidwe kukhala ndi matenda a Celiac chifukwa chakuti muli ndi atrophy oopsa. Mavuto angapo, kuphatikizapo mankhwala komanso ngakhale kupitirira kwa bakiteriya, akhoza kuwononga matumbo anu a m'mimba.
Nthaŵi zambiri, zizindikiro za matenda oopsa a atrophy osati chifukwa cha matenda a celiac otchedwa "nonceliac enteropathy" -imayambitsa zizindikiro zapachiyambi za matenda a leliac : kutsegula m'mimba, kuchepa, kupweteka m'mimba, ndi kutopa.
Choncho, zingakhale zovuta kufotokoza kusiyana pakati pa matenda a chililili ndi osakanikirana. Ndicho chifukwa madokotala amalimbikitsa kuyezetsa magazi m'magazi - kuyesa kumeneku kumayang'ana momwe chitetezo cha mthupi lanu chimakhudzidwa ndi mapuloteni a gluten mu zakudya zomwe mukudya.
Zili zotheka kukhala ndi matenda a Celiac ngakhale ndi zotsatira zolakwika paziyeso za magazi, koma ngati simumayamba kukhala bwino ngati mukupita kususuka, inu ndi dokotala wanu mungafunikire kulingalira zina zomwe zimayambitsa zizindikiro zanu ndi machitidwe anu oopsa a atrophy .
6 Zinthu Zina Zimene Zingayambitse Atrophy Villous
Pano pali mndandanda wa zifukwa zina zomwe zingayambitse zoopsa za atrophy:
- Benicar , mankhwala opatsirana magazi (dzina lachilendo: olmesartan). Kwa odwala ena, kutenga Benicar kumabweretsa machitidwe oopsa a atrophy kuphatikizapo kutsegula m'mimba komanso kutaya thupi. Bungwe la US Food and Drug Administration linachenjeza za izi mu 2013.
- Mankhwala ena. Mankhwala osokoneza ma chitetezo anu (monga Imuran ndi CellCept), neomycin, komanso anti-inflammatory drugs Colcrys, adagwirizananso ndi malipoti okhudza mankhwala oopsa omwe amachititsa mankhwalawa.
- Kusamvana Kwambiri kwa M'magazi, kapena CVID. Matendawa amachititsa anthu kukhala pachiopsezo ku matenda opatsirana.
- Matumbo aang'ono a Bakterial Overgrowth , kapena SIBO. Zizindikiro za SIBO zimatha kufanana ndi matenda a leliac.
- Matenda a Crohn. Matenda oterewa ndi achilendo ku Crohn's disease koma amapezeka nthawi zina.
- Lymphoma. Kafukufuku wina anapeza mitundu iwiri yosiyanasiyana ya lymphoma ingapangitse atrophy zowopsya: m'mimba yaing'ono T-cell lymphoma, komanso T-cell lymphoma yogwirizana. T-cell lymphoma yogwirizana ndi malingaliro amtunduwu imayenderana kwambiri ndi matenda a leliac .
Zina mwazifukwa zomwe zimayambitsa zowopsya zowonongeka, kuphatikizapo matenda ndi majeremusi kapena mabakiteriya omwe amachititsa zilonda za helicobacter pylori, nayenso awonetsedwa.
Choncho mfundo yaikulu sikuti pali vuto lililonse loyambitsa matendawa chifukwa cha matendawa. Ngati zotsatira za mayeso a magazi ndizoipa ndipo simukukula pa zakudya zopanda thanzi , muyenera kulankhula ndi dokotala za zifukwa zina zomwe zingayambitse zizindikiro zanu.
Zotsatira:
DeGaetani M et al. Kuopsa kwa atrophy ndi zolakwika za serology: vuto lachidziwitso ndi chithandizo. American Journal of Gastroenterology . 2013 May; 108 (5): 647-53.
Pallav K et al. Kusagwirizana ndi mankhwala osagwirizana ndi matenda: Kusiyanitsa kwa mitundu yosiyanasiyana ya atrophy yowonongeka m'zochitika zamakono zachipatala. Mankhwala Osokoneza Bwino ndi Opaleshoni . 2012; 35 (3): 380-390.
Tran TH et al. Olmesartan ndi Drug-Induced Enteropathy Pharmacy ndi Therapeutics . 2014 Jan; 39 (1): 47-50.