Kusuntha Kuchokera ku Rectum Kungakhale Chizindikiro cha IBD
Chimodzi mwa zizindikiro zambiri za kutupa matumbo (IBD) ndikutuluka magazi. Mwazi ukhoza kuwonekera mkati kapena pachitetezo kapena anthu ena sangadutsepo nthawi iliyonse, ndipo amangopitirira magazi. Kutsekemera kuchokera m'matumbo ndi matumbo akuluakulu kuchokera ku IBD nthawi zambiri kumakhala wofiira kapena wofiira , pamene magazi akubwera kuchokera kumtunda wa m'mimba akhoza kuoneka ngati mdima wakuda kapena wakuda .
Kawirikawiri magazi awa amachedwetsa. Ngati kutaya magazi kuli koopsa, kapena mukusanza magazi, muyenera kuyang'ana mwamsanga. N'chimodzimodzinso ngati mukumva kuti mukufooka kapena mukumva zofooka.
Magazi amatha kukhala oopsa koma sikutanthawuza kuti pali vuto kapena kuti pakufunika ulendo wopita kuchipatala. Nthawi zina ndi mbali ya IBD yomwe imayenera kuyankhulana ndi dokotala mwamsanga, makamaka ngati sizinachitike kanthawi. Kusuta kumatanthawuza kuti pali kutupa kwina kwinakwake, ndipo kusintha kwa mankhwala kungafunike. Pali mankhwala ambiri omwe alipo tsopano kwa IBD omwe angathandize kuchepetsa kutupa ndi kutuluka magazi.
Kutsekemera mu Ulcerative Colitis
Kuchetsa kuchokera ku rectum kumakhala kofala kwambiri mu ulcerative colitis kusiyana ndi matenda a Crohn. Ulcerative colitis nthawi zambiri imakhala ndi rectum. Chifukwa chakuti kachilomboka kali kumapeto kwa matumbo akuluakulu, magazi ochokera ku gweroli amapezeka kwambiri kapena pachitetezo.
Kuperewera kwa magazi kumayambanso ndi ulcerative colitis chifukwa mtundu uwu wa IBD umayambitsa chida cha matumbo akuluakulu. Matumbo omwe amapanga mu mucasa wa m'matumbo akulu amayamba kutuluka magazi.
Nthawi zina, kutuluka magazi kuchokera ku zilonda zam'mimba kungayambitse magazi ambiri. Cholinga chachikulu cha chithandizo chidzakhale kuchepetsa kutupa ndikuletsa kutuluka kwa magazi, koma kuchepetsa kutayika kwa magazi kungakhalenso kofunikira.
M'madera oopsa a kuchepa kwa magazi kuchokera ku zilonda zam'mimba, kuphatikiza ndi chitsulo , folic acid , ndi vitamini B12 zingathandize kupanga maselo atsopano a magazi. Pazochitika zazikulu zowonongeka kwa magazi, kuika magazi kungafunike.
Kuchetsa magazi kwambiri (kutchedwa kutaya magazi) komwe kumayambitsa ulcerative colitis kungakhale koopsa. Izi si zachilendo, koma ngati kutaya magazi sikungathe kuchitidwa, opaleshoni yochotsa chidebe ndikupanga ileostomy ingafunike. Pa opaleshoni ya ileostomy matumbo akulu amachotsedwa ndipo chimbudzi chimapangidwa kuti chilowetse kutuluka kunja kwa thupi ndi thumba la chikwama lomwe lavala pamimba . Opaleshoni ina ikhoza kuchitidwa patsiku lomaliza kuti apange j-poch , yomwe imapanga njira yopita ku bafa kupyolera mu chibowo m'malo mwa stoma.
Kutsegula m'mimba ku Matenda a Crohn
Matenda a Crohn amachititsa kuti magazi asapitirire kuchepa kusiyana ndi matenda a zilonda zam'mimba, koma izi zimasiyana pakati pa odwala pogwiritsa ntchito kumene Crohn akuchititsa kutupa. Matenda a Crohn omwe amapezeka mu colon kapena rectum, osati m'matumbo aang'ono, amachititsa kuti magazi awoneke kapena atseke.
Kuchiza magazi kuchoka ku matenda a Crohn kudzafanana ndi matenda a ulcerative colitis: kutenga IBD kulamulira, kuwonjezera mavitamini, kulandira magazi, kapena opaleshoni.
Ndi matenda a Crohn, opaleshoni ya resection ingapangidwe pofuna kuchotsa ziwalo za m'matumbo zomwe zawonongeka ndi kutupa kwakukulu. Kuchita opaleshoni ya J-pouch sikuchitika kwa matenda a Crohn chifukwa ali ndi chiopsezo kuti Crohn's ikhozanso kuphulika mu thumba.
Kuwonongeka kwa magazi kungathenso kuchitika pamene kunjenjemera kwa ana kunayamba ngati vuto la matenda a Crohn. Mafinya amafala kwambiri ndi matenda a Crohn kuposa omwe ali ndi zilonda zam'mimba. Nthaŵi zambiri, fissures amatha kuchiritsidwa bwinobwino popanda opaleshoni.
Chidziwitso Chochokera
Kutsekemera kuchokera ku rectum ndi magazi akuwonekera kapena pa chopondera si zachilendo ku IBD.
Ichi ndi chimodzi mwa zizindikiro zozizwitsa za ulcerative colitis, chifukwa odwala ambiri amawona chizindikiro ichi. Ngakhale zili choncho, magazi ayenera kukambirana nthawi zonse ndi gastroenterologist chifukwa zimatanthauza kuti chinachake chikuchitika ndi IBD komanso kusintha kwa mankhwala kungafunike. Ngakhale kutuluka kwa magazi kwachitika kale, ndikofunika kukambirana ndi dokotala. Ngati pali kutayika kwambiri kwa magazi, kusamalira nthawi yomweyo ndikofunikira. Ngati pali zizindikilo zina monga kufooka, chizungulire, kapena kupweteka koopsa, zingakhale zochitika mwadzidzidzi ndikuitana ambulansi ndi lingaliro lopambana.
Zotsatira:
American Gastroenterological Association. "Matenda Opopa Matenda." Gastro.org Apr 2008.
Crohns ndi Colitis Foundation ya America. "Kodi matenda a Crohn ndi otani?" CCFA.org 2012.
Zokonza Zowonongeka Zokhudza National Digestive Information. "Matenda a Crohn." National Institute of Diabetes ndi Digestive and Kidney Diseases (NIDDK) Dec 2011.