Collagenous Colitis ndi Lymphocytic Colitis Sitikugwirizana ndi IBD
Kuchulukitsa tizilombo toyambitsa matenda tizilombo toyambitsa matenda ndizochitika ziwiri zofanana koma zosiyana: kugwidwa ndi matenda osokoneza ubongo komanso kupweteka kwa m'mimba. Ngakhale kuti ali ndi "colitis" m'dzina lawo, izi sizigwirizana ndi ulcerative colitis kapena matenda a Crohn (omwe amadziwika kuti ndi kutupa matumbo, kapena IBD ).
Anthu omwe ali ndi zaka za m'ma 50 ndi gulu lomwe nthawi zambiri limapezeka ndi collagenous colitis.
Chikhalidwechi chimakhudza amayi ambiri kuposa amuna. Avereji ya msinkhu wa kuyambira kwa lymphocytic colitis mu zaka za 60, ndipo akazi amawoneka kuti akukhudzidwa pang'ono mochuluka kuposa amuna.
Kusakanikirana kwa microscopic sikunayambe kafufuzidwa kwambiri, kotero sikudziwikabe momwe zingakhalire wamba. Ngakhale kuti zizindikirozo zingakhale zovuta, matendawa ndi ochiritsira kwambiri, ndipo nthawi zina amadziwongolera okha.
Zifukwa Za Microscopic Colitis
Chifukwa cha microscopic colitis sichikudziwika (ndi matenda a idiopathic ). Nthano imodzi ndi yakuti kugwiritsa ntchito mankhwala osagwiritsa ntchito steroidal-anti-inflammatory (NSAIDs, monga ibuprofen) amathandizira kuti chitukuko cha tizilombo toyambitsa matenda tizilombo tizilombo tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Nthano ina ndi yakuti, microscopic colitis imayambitsidwa ndi yankho lokhalokha , komwe chitetezo cha thupi chimagonjetsa ziwalo zina m'thupi.
Amaganiziranso kuti mabakiteriya kapena mavairasi angathandize kuti chitukuko chikhale chonchi.
Pakali pano, mgwirizano weniweni ndi kayendedwe ka izi sizodziwika.
Zizindikiro ndi Zizindikiro Za Microscopic Colitis
Zizindikiro zosonyeza kuti tizilombo ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono tomwe timakhala ndi matenda otsegula m'mimba, nthawi zina timakhala ndi zopweteka ndi m'mimba. Kutsegula m'mimba kumatha kuchoka pakupitiriza komanso kukhala kovuta pakati pa chilengedwe.
Magazi mu mpando , womwe ndi chizindikiro chofala cha ulcerative colitis, si chizindikiro cha microscopic colitis.
Zizindikiro zina zingaphatikizepo malungo, kupweteka pamodzi, ndi kutopa. Zizindikirozi zikhoza kukhala chifukwa cha kutupa komwe kumakhala mbali imodzi ya matenda omwe amadzipangira okha kapena matenda otetezedwa ndi chitetezo cha mthupi.
Kuzindikira Kwa Microscopic Colitis
Mu microscopic colitis, colon imakhala yowoneka bwino. Choncho, colonoscopy kapena sigmoidoscopy sangathe kusonyeza umboni uliwonse wa matenda. Kwa odwala ena pakhoza kukhala malo otupa kapena redness mu colon, koma izi zingakhale zovuta kuziwona.
Pofuna kudziŵa, ma biopsies angapo ayenera kutengedwa kuchokera ku colon pa colonoscopy. Ma biopsies ameneŵa adzabwera kuchokera kumadera osiyanasiyana mu colon. Zizindikilo zozizwitsa za matendawa zimatha kuwona microscopically pa tinthu ting'onoting'ono, choncho dzina la "microscopic" colitis.
Collagen ndi chinthu chomwe chimakhala pansi pa chida cha colon. Mu collagenous colitis, minofu yambiri imasonyeza zazikulu kuposa collagen wamba pansi pa lining ya koloni. Chiwopsezo chingasonyezenso kuchuluka kwa ma lymphocytes - mtundu wa selo loyera la magazi.
Mu lymphocytic colitis, kufufuza chidziwitso chidzawonetsa kuchuluka kwa ma lymphocytes mu minofu yamtundu.
Kusowa kwa collagen mu minofu yonyansa ndichinthu china chomwe chimasonyeza kuti matendawa ndi lymphocytic colitis osati ma collagenous colitis.
Kuchiza Kwa Microscopic Colitis
Matenda ena a tizilombo ting'onoting'onoting'ono ting'onoting'ono tingasankhe okha, popanda chithandizo china chilichonse. Pazochitika zomwe zimafuna thandizo lachipatala, mankhwala angayambe kuyamba ndi kuwonjezerapo zakudya zowonjezera zakudya. Zida zowonjezera mavitamini monga psyllium, methylcellulose, kapena polycarbophil, zomwe zingagulidwe pa-counter-mankhwala mu mankhwala osokoneza bongo. Chifukwa chizindikiro chachikulu cha kupweteka kwa tizilombo toyambitsa matenda ndi matenda otsegula m'mimba, mankhwala amatha kuphatikizapo mankhwala oletsa kutsekula m'mimba monga loperamide kapena diphenoxylate .
Pa milandu yowopsa kwambiri ya tizilombo toyambitsa matenda, mankhwala opha tizilombo kapena mankhwala odana ndi kutupa angathenso kulangizidwa. Zambiri zotsutsana ndi inflammatories zomwe zimagwiritsidwa ntchito pozilombo toyambitsa matenda ndi zofanana ndi zomwe zimagwiritsidwa ntchito pochiza IBD: mesalamine , sulfasalazine, ndi budesonide . Corticosteroids monga prednisone ingagwiritsidwenso ntchito, kuti ikhale ndi tizilombo toyambitsa matenda, ndi cholinga chosiya ntchito yawo mwamsanga pamene zizindikiro zikuyendetsedwa.
Zotsatira:
Crohn's ndi Colitis Foundation ya America. "Microscopic ndi ischemic colitis." Crohn's ndi Colitis Foundation ya America. 22 September 2005.
Zokonza Zowonongeka Zokhudza National Digestive Diseases. "Collagenous Colitis ndi Lymphocytic Colitis." Zokonza Zowonongeka Zokhudza National Digestive Diseases. January 2006.