Kuwala kumakhala mkati mwa matumbo ndipo n'kofunika kuti ikhale yoyera
Chizindikirocho chimatseguka mkati mwa thupi la tubulalo lomwe lili ndi ziwalo za thupi zomwe zimadziwika kuti epithelial membrane. Zitsanzo za ziwalo za thupi zomwe zili ndi lumen zimaphatikizapo matumbo akulu , matumbo aang'ono , mitsempha, ndi mitsempha. Dzinali limachokera ku Chilatini "lūmen," lomwe limatanthauza "kuwala." Izi mwina chifukwa cha lumen ndikutsegula mkati mwa chubu, ndipo kuwala kudutsa mu chubu.
Ukulu wa lumen m'matumbo ukhoza kuyesedwa kuti adziwe ngati matumbo a m'mimba akuwongolera. Pamene makoma a m'matumbo amakoka ndikuchititsa kuti lumen ikhale yochepa kwambiri, ikhoza kumabweretsa mavuto monga zizindikiro.
M'mimba ya M'mimba
M'kati mwa matumbo, kuwala ndikutsegula mkati mwa matumbo ndipo kuzungulira ndi mbali zina za m'mimba: mucosa, submucosa, muscularis, ndi serosa.
Kuti chakudya chidutse pamatumbo, lumen iyenera kukhala yomveka bwino. Kwa anthu omwe ali ndi matenda opatsirana (IBD), lumen ingakhudzidwe. Mu IBD, pali nthawi zotupa zomwe zimakhudza mucosal wosanjikiza wa intestine, zomwe zingayambitse zilonda. Kutupa kumatha kuchiza m'malo, zomwe zimayambitsa minofu. Kubwereza mobwerezabwereza kwa kutupa ndi machiritso kungapangitse minofu yofiira mpaka pamene imadula khoma la matumbo.
Pamene Lumen Iyamba Kugwedezeka
Minofu yambiri sikuti imasintha ngati minofu yambiri komanso imakhala yosiyana. Ngati muli ndi minofu m'matumbo, lumen imakhudzidwa, ndipo imatha kukhala yopepuka kapena yopingidwa. Mbali yopapatiza ya lumen imatchedwa kuti stricture . Zotayika sizingathe kudutsa mu lumen bwino, zomwe zingabweretse kuzimitsa thupi kapena zovuta zina.
Zizindikiro zimakhala zofala kwambiri ku matenda a Crohn kusiyana ndi matenda a zilonda zam'mimba, komabe zikhoza kuchitika mu IBD zonse. Chifukwa cha ichi ndikuti matenda a Crohn akhoza kuchitika paliponse m'kati mwa mkaka kuchokera pakamwa kupita ku anus, ndipo amatha kusintha mbali zingapo za khoma lamatumbo. Kutupa kwa ulcerative kumakhudza matumbo akulu ndi rectum, ndipo kutupa kumangokhala mkati mwa mkati mucosal wosanjikiza. Mu matenda a Crohn, mitsempha imakhala mumatumbo aang'ono, ndipo m'magulu a zilonda zam'mimba, zimakhala zovuta kwambiri.
Miyeso imatha kukhala yovuta kwambiri kwa anthu omwe ali ndi IBD chifukwa amaletsa chakudya kuchoka m'mimba. Ndi mankhwala omwe ali ochepa kwambiri, chakudya chimayamba kubwerera m'mimba. Izi zikhoza kuyambitsa chitetezo chamatumbo, ndipo pangakhale zizindikiro za ululu, kusanza, kutsegula m'mimba, kapena kudzimbidwa. Nthaŵi zina, zoletsedwa zingathe kuchiritsidwa kuchipatala ndi chubu la nasogastric (NG) ndi njira zina, koma zida zina zimapitirira mokwanira zomwe zimafuna opaleshoni. Popanda opaleshoni, zolepheretsa zingangopitirirabe.
Kutchulidwa: lū'men
> Zotsatira:
> Calabrese E, Zorzi F, Zuzzi S, et al. "Kupititsa patsogolo Mndandanda wa Numerical Quantity Minimum Dommage As Severed by Ultrasonography mu Matenda a Crohn." J Crohns Colitis . 2012; 6: 852-860.
> Chang CW, Wong JM, Tung CC, et al. "Kudwala Kwambiri M'mimba mwa Matenda a Crohn." Zofufuzidwa m'mimba . 2015; 13 (1): 19-26. do: 10.5217 / ir.2015.13.1.19.
> Parray FQ, Wani ML, Malik AA, et al. "Ulcerative Colitis: Chovuta kwa Ochita Opaleshoni." International Journal of Preventive Medicine . 2012; 3 (11): 749-763.
> Renata D, Caccarocaro R. "Matenda Oyesera Ntchito mu Matenda a Crohn: Kodi Mchipatala Ali Wotani?" Clin Exp Exp Gastroenterol . 2014; 7: 151-161.