Mitundu ya Matenda a Chiwindi Ophatikizidwa ndi Matenda a Crohn ndi Ulcerative Colitis
Matenda opweteka kwambiri (IBD) amakhudza kapangidwe kakang'ono ka m'mimba, koma imakhudzanso mbali zina za thupi. Anthu omwe ali ndi matenda a Crohn ndi matenda a zilonda zingakhale pangozi yothetsera mavuto a chiwindi. Mavuto ena a chiwindi omwe amapezeka ndi IBD ndi oyamba sclerosing cholangitis , chifuwa chachikulu cha chiwindi, ndi chiwerengero choyambirira cha biliary cirrhosis.
Chiwindi N'chiyani?
Chiwindi, chomwe chiri chiwalo chachikulu kwambiri m'thupi, chimapereka ntchito zingapo zofunikira popanda thupi lomwe silingathe kukhala nalo. Chiwindi chimachotsa zonyansa ndi matupi achilendo ku magazi, zimapanga mapuloteni omwe amathandiza magazi, ndipo amapanga bile. Pamene matenda amaletsa kugwira ntchito kwa chiwindi, zingayambitse matenda aakulu.
Zimayambitsa Cirrhosis ya Chiwindi
Kwa anthu omwe ali ndi IBD, chiwindi chimayambitsa matenda a chiwindi kapena chiwindi chachikulu cha biliary cirrhosis. Kutsegula kwa chiwindi kumayambitsa matenda a chitetezo cha thupi. Matenda oyambirira a biliary cirrhosis ndi kutupa kwa madontho a bile omwe angalepheretse bile kusiya chiwindi ndikupita m'mimba. Nthendayi ikamathandizidwa, imatha kuyambitsa chiwindi cha chiwindi. Matenda oyambirira a cholangitis, omwe amagwiritsidwa ntchito kwambiri ndi ulcerative colitis, amatha kukhala ndi matenda a chiwindi (omwe nthawi zina amatchedwa "sylaprome").
Zizindikiro za Matenda a Chiwindi
Chomwe chimadetsa nkhaŵa kwambiri pa matenda a chiwindi ndi chakuti kumayambiriro kwake, sipangakhale zizindikiro konse. Anthu ena akhoza kukhala ndi matenda a chiwindi, komabe sakusonyeza zizindikiro za izo kaya zizindikiro zawo kapena mayesero a chiwindi. Pamene matenda a cirrhosis ayamba kuchititsa zizindikiro, amatha kukhala:
- Kutopa
- Kutopa
- Kutaya njala
- Nausea
- Kufooka
- Kutaya thupi
Zovuta za Matenda a Chiwindi
Nthawi zina, matenda a chiwindi amayamba kupezeka pamene ayamba kuchititsa mavuto, monga:
- Madzi otentha m'milingo (edema) kapena m'mimba ( ascites )
- Kupweteka kwambiri ndi kutuluka magazi
- Jaundice , yomwe ili ndi chikasu cha maso ndi khungu zomwe zimayambitsidwa ndi bilirubin
- Kuchetsa, komwe kumayambitsidwa ndi mankhwala obisika mu khungu
- Miyala yamaluwa , yomwe imakhalapo pamene bile imatsekedwa kuti asalowe mu ndulu
- Toxin imamangirira mu magazi ndi ubongo
- Kumvetsetsa kwa mankhwala chifukwa cholephera chiwindi kuti agwiritse ntchito mankhwala osokoneza bongo
- Matenda opatsirana, omwe ndi kuwonjezeka kwa kuthamanga kwa magazi mu mitsempha yotchedwa mitsempha yam'nyumba
- Mankhwala, omwe ali ndi mitsempha yowonjezera ya magazi yowonongeka magazi imayenda kudzera mu mitsempha yam'nyumba
- Zovuta zina monga matenda a chitetezo cha mthupi, matenda, ndi impso
Kodi Matenda a Chiwindi Amadziwika Motani?
Zina mwa mayesero omwe amagwiritsidwa ntchito pofuna kupeza matenda a chiwindi ndi awa:
- Mayeso a magazi
- Kusintha kwa computerized axial tomography (CAT)
- Chiwindi chimawoneka
- Chiwindi cha chiwindi ndi radioisotope kapena laparoscope
- Mbiri yachipatala
- Kupima thupi
- Zizindikiro
- Ultrasound
Kodi Matenda a Chiwindi Amatha?
Kuwonongeka kwa chiwindi sikutembenuzidwanso, koma pamene matenda a chiwindi alipo, kuwonongeka kwina kungalephereke.
Kupeza chithandizo chabwino, kudya zakudya zabwino, ndi kupewa zakumwa zoledzeretsa ndizofunikira kuti chilepheretsedwe cha matenda a chiwindi. Matenda onse ochokera ku matenda a chiwindi ayeneranso kupatsidwa mankhwala, kuti asapitirire kuwonongeka kwa machitidwe ena a thupi kuchokera ku poizoni wopangidwa mu ubongo ndi magazi. Mankhwala angagwiritsidwenso ntchito poyang'anira matenda opatsirana ndi makondomu.
Nanga Bwanji Kutembenukira?
Nthawi zina, chiwindi chimakhala chowonongeka kwambiri ndipo kuwedza kwa chiwindi kumafunika. Kuikapo kumachokera kwa wopereka, ndipo ndi luso lapamwamba lamakono, limapambana bwino.
Kuwunika Matenda a Chiwindi
Anthu omwe ali ndi IBD omwe ali ndi nkhaŵa zokhudzana ndi matenda a chiwindi ayenera kufunsa azimayi awo momwe angayesere kuchuluka kwa chiwindi.
Mankhwala ena amatha kugwiritsidwa ntchito ndi matenda a chiwindi, ndipo kufufuza nthawi zonse kumalimbikitsidwa.
Chitsime:
Olsson R, Glaumann H, Almer S, et al. "Kukula kwakukulu kwa ngodya yaying'ono ya primary sclerosing cholangitis pakati pa odwala omwe ali ndi matenda a hepatitis ndi omwe amayamba kudwala matenda a hepatitis ndi primary sclerosing cholangitis." Eur J Intern Med . 2009 Mar 20: 190-196.