Matenda ndi Matenda (omwe si IBD)
Mankhwalawa amakuthandizani kutenga zakudya kuchokera ku zakudya zanu ndikusungira zomwe zasala. Popeza aliyense amadya (ndi poops), izi zonse zimawoneka bwino. Mwatsoka, zinthu nthawi zina zimalakwika.
Ndizovuta (komanso osalangizidwa) kuti muyese kulingalira za zomwe zikukukhudzani, pokhapokha mutapezeka kuti mwadzidzidzi. Matenda ambiri ndi matenda ali ndi zizindikiro zambiri, zomwe zingakhale zosatheka kuti muzindikire.
Pamene chinachake chimasintha ndi chimbudzi, ndikofunika kuika zizindikiro kapena zizindikiro zirizonse. Nthawi zina chizindikiro chimatha kupatsidwa kusintha kwa moyo monga kudya kwambiri, kumwa madzi ambiri, kapena kuchita masewera olimbitsa thupi. Chizindikiro chofulumira, monga kupweteka kwambiri kapena kutuluka magazi, chikutanthauza kuwona dokotala nthawi yomweyo ndi kupeza chithandizo ndi chithandizo.
Pambuyo pa zizindikiro zonse za m'mimba zimayambira, sitepe yoyamba nthawi zonse ndiyo kupanga nthawi yopita kuchipatala ndikupeza thandizo kuti mudziwe zoyenera kuchita.
Mmene Matenda Osadziŵika Amadziŵira
Diverticulitis: Zizindikiro, Zizindikiro, ndi Zovuta
Nthawi zina vuto linalake lakumadya limafuna kutumiza kwa katswiri mu matenda opatsirana, omwe ndi gastroenterologist .
Padakali pano, zidzakuthandizani kumvetsetsa zosiyanasiyana za mavuto omwe amabwera chifukwa cha kugaya komwe kulipo ndi zomwe zimaphatikizapo, komanso zizindikilo zina zomwe zingagwiritse ntchito kuti vuto limodzi likhoza kukukhudzani.
Zizindikiro zofiira zapadera
Ngakhale kuti mavuto ambiri obisala siwodzidzimutsa, pali zizindikiro zina zomwe ziyenera kuchitidwa ndi nkhawa zambiri. Nthawi iliyonse pamakhala magazi ambiri operekedwa ndi kayendedwe ka m'mimba , kapena kutuluka magazi sikungoyima, ichi ndi chifukwa chabwino chopita ku chipinda chodzidzimutsa.
Kupweteka kwa m'mimba, makamaka ngati pali zizindikiro zina monga fever, kusanza, kutaya, komanso kutsekula m'mimba, kapena kutsegula m'mimba, ndizifukwa zina zoyenera kupeza chithandizo chamankhwala mwamsanga kapena kuyitana ambulansi.
Kwa anthu omwe adapezeka kuti ali ndi matenda opatsirana, monga matenda opatsirana (IBD, kapena Crohn's disease kapena ulcerative colitis), posankha ngati chizindikiro chiyenera kutanthauza kuitana dokotala kapena ulendo wopita kuchipatala chosavuta kungakhale kovuta chisankho. Zizindikiro monga kupweteka, kupweteka koopsa, kapena magazi ambiri kungakhale kosavuta, ndipo ER adzakhala malo abwino kwambiri ochiritsira nthawi yomweyo. Kwa zizindikiro zomwe zimakhala zoyamba, monga kutsegula m'mimba kapena kupweteka, kuyitana kwa gastroenterologist kusankha chochita kungakhale chinthu choyamba choyambirira.
Kusintha kwa Mtundu wa Zojambula
Mtundu wa kayendedwe ka m'mimba nthawi zambiri umakhudzidwa ndi zakudya. Nthawi zina, kudya zakudya ndi zolimba (kaya zachibadwa kapena zopangira) zingayambitse kusintha kanthawi kochepa.
Pamene mtundu wa chithunzithunzi umasintha ndikubwerera kumbuyo kwa chakudya kapena chowonjezera, nthawi zambiri palibe chifukwa chodandaula. Pamene kusintha kwa khungu kumapitirira kwa masiku angapo kapena simungathe kufotokozera ndi chakudya, zikhoza kukhala nthawi yoyang'ana chifukwa china.
Ngati akuganiza kuti magazi amachiza magazi, dokotala ayenera kuwonedwa pomwepo, ngakhale kwa anthu omwe ali ndi matenda omwe amachititsa kuti magazi asatuluke, monga matenda opweteka m'mimba kapena matenda a diverticular. Mitundu ina ya ubweya yomwe ingayambitsidwe ndi zakudya, koma nthawi zina zimachokera ku matenda amtenda kapena chikhalidwe, kuphatikizapo:
- Malo okhala ndi Orange
- Zithunzi zofiira
- Zithunzi zakuda
- Zithunzi zobiriwira
- Zolemba zamtengo wapatali kapena zadongo
Kusintha Kwambiri M'sitolo
Kutsekula m'mimba ndi kudzimbidwa ndi mavuto ambiri, ndipo zimachitika kwa aliyense nthawi ndi nthawi. Kawirikawiri, chifukwa sichipezeka chifukwa cha kutsegula m'mimba kapena kudzimbidwa, ndipo chidzatha palokha popanda mankhwala apadera. Pankhani ya kutsekula m'mimba, anthu ena akhoza kukhala osasintha kusintha zakudya zawo kwa kanthawi mpaka zitsimezo zitadutsa.
Kwa kudzimbidwa, kudya msempha, madzi akumwa, kapena kuchita masewera olimbitsa thupi kungachititse mwano. Ngati kutsekula m'mimba kapena kudzimbidwa, ngati kupitirira kwa masiku owerengeka kapena kukupitirira ngakhale mutapanga zakudya zina ndi kusintha kwa moyo wanu, kuona wothandizira zaumoyo ndi sitepe yotsatira.
Ngati kutsekula m'mimba kapena kutsekula m'mimba kumakhala ndi fever, magazi, kapena ululu wamimba, dokotala ayenera kufunsidwa. Apanso, dokotala ayenera kupereka ndemanga zokhudzana ndi mankhwala kuti azichepetsanso kayendedwe kake kapena kuti ayambe kuyambiranso, monga mankhwala osokoneza bongo sangakhale oyenera kapena othandiza pazinthu zina (monga mitundu ina ya IBD kapena mabakiteriya matenda).
Kutsekemera ndi GERD
Matenda a reflux kapena gastroesophageal reflux (GERD) ndi vuto pamene minofu pansi pa mimba , m'munsi mwa esophageal sphincter (LES), siigwira ntchito moyenera. The LES akuyenera kuti asiye m'mimba asidi kuti asatuluke m'mimba, ndipo pamene sichitero, asidi akhoza kuwonetsa zizindikiro za kupweteka kwa mtima, monga kuyaka kapena kusokonezeka.
Ngakhale kupweteka kwa mpweya kumangochitika kamodzi kokha, tiyenera kukambirana ndi dokotala chifukwa kusintha kwa zakudya kapena mankhwala ena oposa amatha kuletsa zizindikiro kapena kuziletsa kuti zisadzachitike.
Kutentha kwa mtima nthawi zambiri sikuli chifukwa chodandaula. Komabe, zikachitika nthawi zambiri (kuposa kawiri pa sabata), zikhoza kukhala GERD . GERD imafuna chithandizo chifukwa, m'kupita kwa nthawi, mimba ya m'mimba imatha kuvulaza LES ndi mimba. Nthaŵi zambiri, GERD ikhoza kupezedwa ndi dokotala popanda kuyesedwa kwakukulu ndipo imatha kuchiritsidwa bwino ndi mankhwala owonjezera kapena mankhwala .
Ululu wa Peptic kapena Ulcer wa m'mimba
Chilonda chimakhala pakhungu kapena pamphuno ya chiwalo chimene chimayambitsa zilonda, ndipo zilonda zam'mimba zimakhala zilonda m'mimba kapena m'mimba yoyamba ya m'mimba (duodenum). Zilonda zambiri zam'mimba zimayambitsidwa ndi matenda omwe amabakiteriya amatchedwa Helicobacter pylori ( H. pylori ). Chinthu chachiwiri chomwe chimayambitsa zilonda zam'mimba zimatenga mankhwala osokoneza bongo (NSAIDs) tsiku ndi tsiku kapena kangapo pa sabata. Kawirikawiri, mwa mmodzi mwa anthu miliyoni, zilonda zam'mimba zingagwirizane ndi matenda otchedwa Zollinger-Ellison matenda (ZES), omwe amachititsa zotupa m'magazi.
Chifukwa chilonda chingayambitse zina, mavuto aakulu , monga magazi kapena dzenje m'mimba kapena matumbo aang'ono (perforation), zilonda zimafuna chithandizo. Matendawa amatha kugwiritsidwa ntchito pogwiritsa ntchito mankhwala osokoneza bongo omwe amapezeka kuti ayang'ane mavuto omwe amapezeka m'mimba yopweteka (m'mimba ndi m'mimba). Chida chosinthika chotchedwa endoscope chadutsa pamimba ndi m'mimba. Odwala amapatsidwa chisokonezo ndipo akugona panthawi ya mayesowa, choncho sangakumbukire kapena kumva chilichonse. Pankhani ya zilonda zopangidwa ndi H. pylori , mankhwala opha tizilombo ndi mankhwala ena, monga acid reducers, adzalamulidwa kuti athetse zizindikiro ndi kupha mabakiteriya.
Gastritis
Mawu akuti gastritis amatanthauza kuti mimba ya m'mimba imatha. Mimba ya m'mimba imatulutsa ntchentche ndi zina zomwe zimatetezera ku zidulo za m'mimba. Pamene chipinda chimatha, mimba imatulutsa pang'ono ndipo sichitha kudziletsa. Gastritis amachititsanso kuti m'mimba mwake azikhala ndi zidulo zochepa zomwe zimagwiritsidwa ntchito mu chimbudzi. Zizindikiro za m'mimba zimatha kupweteka m'mimba (m'mimba pamimba), kuthamangitsidwa, kunyozetsa, kusanza, ndi mdima, koma anthu ena alibe zizindikiro. Zifukwa za gastritis zimaphatikizapo matenda ndi mabakiteriya H. pylori , kugwiritsa ntchito NSAID, ndi kumwa mowa. Anthu omwe ali ndi matenda a Crohn omwe amakhudza mimba angakhalenso ndi tizilombo toyambitsa matenda.
Gastritis angapezeke kupyolera pamapeto apamwamba. Pali mitundu iwiri ikuluikulu ya gastritis: yokha komanso yopanda mphamvu. M'kupita kwa nthawi, gastritis yokha ingachititse kuti m'mimba muwonongeke komanso zilonda zingapangidwe. Gastritis nthawi zambiri amachizidwa ndi mankhwala kuti achepetse matumbo a m'mimba ( antacids , H2 blockers , ndi proton pump inhibitors ). Ngati gastritis imayambitsidwa ndi matenda ena, monga matenda a Crohn, kuthetsa vutoli kungapangitse tizilombo toyambitsa matenda.
Gastroparesis
Gastroparesis ndi matenda omwe chakudya chimayenda pang'onopang'ono, kapena ayi, kuchokera m'mimba mpaka m'mimba mwaching'ono . Nthaŵi zambiri, sizidziwika chifukwa chake munthu amachititsa gastroparesis, koma zina zimayambitsa matendawa ndi matenda a shuga , matenda a Parkinson , multiple sclerosis , kapena opaleshoni yoyamba pamtunda. Mitsempha yomwe imayambitsa kusuntha chakudya kumatchedwa vagus nerve , ndipo ngati mitsempha iyi yowonongeka, mwachitsanzo ndi shuga yosayendetsedwa, gastroparesis ikhoza kuchitika. Gastroparesis amavomerezeka kwambiri mwazimayi, ndipo zizindikiro zimatha kuphatikizapo kudya, kusanza, GERD, bloating, ndi kupweteka kwa m'mimba (ululu wamimba m'mimba).
Kuzindikira kungapangidwe pogwiritsa ntchito mayesero osiyanasiyana, omwe angaphatikizepo mapeto apamwamba ndi apamwamba a GI mndandanda , pakati pa ena. Gastroparesis ndi matenda aakulu, omwe amatanthauza kuti zizindikiro zimatha kusintha ndikubweranso. Ngati gastroparesis ikugwiritsidwa ntchito ndi matenda a shuga, kusintha kwa matenda a shuga kukuthandizani kusintha shuga kwa magazi. Pazifukwa zina za gastroparesis, mankhwala amodzi kapena ambiri angagwiritsidwe ntchito pofuna kulimbitsa minofu imene imasunthira chakudya kuchokera mmimba mpaka m'mimba yaing'ono. Anthu ena amafunika kusintha zakudya zawo, zomwe zimaphatikizapo kudya zakudya zing'onozing'ono kuti azigwiritsa ntchito chakudya chamadzimadzi kwa nthawi, kapena ngakhale kulandira zakudya kudzera mwa IV.
Miyala
Miyala imakhala yowamba ndipo imakhudza amayi kuposa amuna. Nkhumba ndi kachilombo kakang'ono kamene kamakhala pachiwindi chomwe chimasunga bile . Miyala imakhalapo pamene bile ilibe mchere wambiri, mafuta a kolera, ndi bilirubin. Miyala imakhala yosiyana kwambiri mu kukula (kuchokera ku mchenga kupita ku golfball) ndipo ikhoza kukhala nambala kuchokera pa imodzi mpaka mazana. Anthu ambiri omwe ali pachiopsezo chotenga mitsempha yam'mimba ndi amayi, omwe ali ndi zaka zoposa 40, omwe ali ochepa kwambiri, omwe ataya kwambiri, komanso omwe ali ndi matenda ena monga Crohn's disease .
Anthu ambiri okhala ndi gallstones alibe zizindikiro zilizonse, koma mitsempha imatha kupweteka kwambiri pakatha kudya maola angapo, kunyoza, kusanza, jaundice , ndi malo otumbululuka. Mitsinje yomwe imakanikizidwa mu nthaka za bile ingayambitse kutentha kwa ndulu ndi kutupa m'matope, ndulu, kapena chiwindi. Kutupa kwa kapangidwe ( pancreatitis ) ikhoza kuchitika ngati kutsekedwa kumachitika mu njira imodzi ya bile yomwe imatchedwa kuti bile bile. Chithandizo cha mitsempha yambiri yomwe imayambitsa matenda amachititsa kuti thupi likhale cholecystectomy , lomwe ndilo kuchotsa opaleshoni ya ndulu. Nthaŵi zambiri, izi zikhoza kuchitidwa mwachisawawa , zomwe zikutanthauza kuti opaleshoniyo imagwiritsidwa ntchito pogwiritsa ntchito zochepa zomwe zimachitika ndikuchira msanga.
Matenda Osadziwika
Matenda opatsirana amaphatikizapo mitundu yonse ya diverticulosis ndi diverticulitis. Diverticulosis ndi pamene phokoso laling'onoting'ono limapezeka mkati mwa khoma la mkati (utumbo waukulu) . Pamene mankhwalawa atuluka kapena atatuluka, amadziwika kuti diverticulitis. Anthu ambiri omwe ali pangozi ya matenda osiyanasiyana ndi awa omwe ali ndi zaka 40 ndi anthu omwe akukhala m'mayiko omwe zakudyazo zimaphatikizapo pang'ono, monga United States, United Kingdom, ndi Australia. Anthu ambiri omwe ali ndi chiwonetsero m'matumbo awo alibe zizindikiro, koma omwe amachita angathe kumva ululu, kutuluka m'magazi, komanso kusintha kwa ziwalo.
Diverticulitis sizolowereka (zimachitika ndi anthu asanu okha pa anthu 100 alionse omwe ali ndi matenda osiyana siyana), koma angayambitse mavuto ena, monga abscess (kachilombo kodzaza ndi pus), fistula (kugwirizana pakati pa ziwalo ziwiri) , peritonitis (matenda opatsirana m'mimba), kapena phokoso (hole) m'matumbo. Kuwona gastroenterologist kawirikawiri mankhwala ndi kuwunika kudzawathandiza. Kusintha kwa moyo komwe kawirikawiri kumalimbikitsidwa kuti musamalire diverticulosis akudya zowonjezera zowonjezera komanso kutenga fiber supplement.
Matenda a Celiac
Matenda a Celiac (omwe amatchedwa kuti celiac sprue) ankaganiziridwa ngati matenda a ubwana, koma tsopano akudziwika kuti ndi moyo wonse kuti anthu "asatulukemo." Gluten ndi mtundu wa mapuloteni omwe amapezeka tirigu, balere, ndi rye. Anthu omwe ali ndi matenda a chilomboli amakhala ndi yankho lokhazikika pamene amadya zakudya zomwe zili ndi gluten, zomwe zingayambitse mavuto akudya chakudya komanso zimayambitsa zizindikiro zambiri kunja kwa kadyedwe kake. Ngati matendawa akugwiritsidwa ntchito, dokotala akhoza kuyezetsa monga kuyezetsa mwazi, mayeso a majini, kapena ma biopsies kuchokera m'matumbo aang'ono kuti atsimikizidwe kuti ali ndi matendawa kapena ayi.
Chithandizo cha celiac ndiko kupewa gluten, zomwe zingathandize kuthetsa zizindikiro. Zakudya zopanda thanzi zimapangidwa bwino poyang'aniridwa ndi kutsogozedwa kwa zakudya zowonjezera. Katundu akamatha kudya, anthu ambiri amamva bwino. Zakudya zopanda thanzi zimakhala zosavuta kuzigwiritsira ntchito, ndi kulenga zakudya zatsopano, malonda komanso gluten zomwe zimatchulidwa momveka bwino pazakudya.
Mawu Ochokera
Chinthu chofunika kwambiri kukumbukira pamene muli ndi zizindikiro za m'mimba ndikuti mavuto ambiri sali ovuta komanso angachiritsidwe. Chofunika ndi kuwona dokotala mwamsanga (kapena mwamsanga ngati pali zizindikiro zina zofiira) kuti apeze matenda. Kunyalanyaza madandaulo osokoneza bongo kungachititse kuti zizindikiro zowonjezereka ziwonjezeke, chifukwa chake kupeza chithandizo ndi chithandizo mwamsanga ndikofunika. Posakhalitsa vutoli likudziwika, ndondomeko yothetsera mwamsanga imatha kukhazikitsidwa ndipo zizindikiro zanu zikhoza kulamulidwa.
> Zotsatira:
> Matenda a National Digestive Clearinghouse. "Tanthauzo ndi Zoonadi za Diverticulosis ndi Diverticulitis." May 2016. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/diverticulosis-diverticulitis/Pages/definition-facts.aspx
> Matenda a National Digestive Clearinghouse. "Tanthauzo ndi Zoonadi za GER ndi GERD." National Institute of Diabetes and Digestive and Kidney Diseases. 13 Nov 2014. http://digestive.niddk.nih.gov/ddiseases/pubs/gerd/#5
> Matenda a National Digestive Clearinghouse. "Kuzindikira Matenda a Celiac." 16 Jun 2016. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/celiac-disease/Pages/diagnosis.aspx
> Matenda a National Digestive Clearinghouse. "Magalasi." National Institute of Diabetes and Digestive and Kidney Diseases. 13 Nov 2014. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/gallstones/pages/facts.aspx
> Matenda a National Digestive Clearinghouse. "Gastroparesis." National Institute of Diabetes and Digestive and Kidney Diseases. 13 Nov 2014. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/gastroparesis/pages/facts.aspx