Momwe IBD Yodziwira

Magazi ndi zikhomo, x-rays, ndi njira zotsirizira nthawi zambiri zimagwiritsidwa ntchito

Pamene matenda opatsirana amadzimadzi (IBD) akukayikira pogwiritsa ntchito zizindikiro ndi mbiri, mayesero angapo angagwiritsidwe ntchito kutsimikizira kuti matendawa ndi otani. Nthawi zina, zikhoza kuganiziridwa kuti IBD, koma zifukwa zina zoyambitsa zizindikiro ziyenera kuwonetsedwa poyamba poyesedwa. Nthawi zina pamene IBD ndi matenda opatsirana, zingakhale zovuta kusiyanitsa mtundu wa IBD (kaya Crohn's disease kapena ulcerative colitis) alipo.

Mayesero ambiri, kapena kuyembekezera kuyembekezera, angagwiritsidwe ntchito kuthandizira kusiyanitsa mawonekedwe a IBD.

Zizindikiro za IBD

Chinthu choyamba chodziwitsa kuti IBD ndi chiyani:

• Kutsegula m'mimba
• Magazi ndi / kapena ntchentche muchitetezo (chofala kwambiri ndi ulcerative kupweteka kuposa matenda a Crohn)
• Fever
• Kupweteka m'mimba

Komabe, zina mwa zizindikirozi zingakhalepo ndi matenda a parasitic, diverticulitis , matenda a leliac , khansara yamtumbo , kapena zina zosavomerezeka. Poganizira izi, IBD sichikhoza kukhala matenda omwe a gastroenterologist ali nawo mndandanda wa zizindikiro zosiyana siyana (mndandanda wa matenda omwe angafanane ndi zizindikiro).

Mayesero a Magazi

Mayesero oyambirira omwe angachitike ndi kuyezetsa magazi ndi mayeso ogwiritsira ntchito, kuphatikizapo:

• Kuwerengera kwa CBC kungaphatikizeko cheke ya chiwerengero cha magazi oyera (WBC) ndi count red blood (RBC) . Kuwerengera kwapamwamba kwa WBC kungakhale chizindikiro kuti pali kutupa penapake m'thupi. Kuwerengera kochepa kwa RBC kungakhale chizindikiro chakuti magazi amapezeka kwinakwake mu thupi (ngati siwonekeratu kuchokera ku maonekedwe owoneka m'magazi) kapena kuwonetsa kuti magazi amataika poyerekeza ndi chiwerengero choyambirira cha RBC.

• Pulogalamu ya electrolyte imayesa mlingo wa sodium, potaziyamu, kloride, ndi carbon dioxide m'thupi. Kutsegula m'mimba kumapangitsa kuti electrolytes awa adzike pamtundu wochepa.
• Matenda a chiwindi (LFTs) amayesa alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), albumin, mapuloteni okwanira, komanso kuchuluka kwa bilirubin. Mawonekedwe osalimba angayambe chifukwa cha kuperewera kwa zakudya m'thupi chifukwa chakuti m'mimba mulibe zakudya zokwanira monga momwe ziyenera kukhalira.

• Mayeso a magazi amatsenga (omwe amatchedwanso stool guaiac kapena mayeso a hemoccult) amagwiritsidwa ntchito kufufuza zitsulo zamagazi zomwe sitingathe kuwona ndi maso. Chophimba chikhoza kuyesedwa kukhalapo kwa kachilombo ka bakiteriya komwe kangayambitse zizindikiro.

Endoscopy ndi Mayesero Ena

Gastroenterologist akhoza kuyembekezera zotsatira za mayeserowa asanayambe kuyesedwa kwina monga radiology (X-rays) kapena njira zotchedwa endoscopic (colonoscopy kapena sigmoidoscopy). Ngati zizindikirozo zili zovuta, ndipo wodwalayo ali pavuto kapena akudwala kwambiri, gastroenterologist silingakhoze kuyembekezera asanayambe kuyeza mayesero ena, kuphatikizapo:

• X-rays ndi ofunda, otchipa, osakhala oopsa, ndipo X-ray ya mimba ingasonyeze ngati matumbowa ndi opapatiza, oletsedwa, kapena osungunuka.
• Barium enema (yotchedwanso m'mimba m'munsi) ndi mtundu wapadera wa X-ray umene umagwiritsira ntchito sulfate ndi babu kuti afotokozerere chigawo cha rectum ndi colon. Zotsatira zingasonyeze mapuloteni, zotupa, kapena diverticulosis.
• Mndandanda wa m'mimba wamtundu wapamwamba (wapamwamba wa GI) ndi mtundu wa X-ray womwe umagwiritsidwa ntchito kufufuza mimba, m'mimba, ndi duodenum (gawo loyamba la matumbo aang'ono). Nthawi zina zimagwiritsidwa ntchito kufufuza matumbo aang'ono.
• Chizindikiro chotchedwa sigmoidoscopy ndi njira yotsiriza yomwe imagwiritsidwa ntchito kufufuza matumbo otsiriza a matumbo akuluakulu, omwe amaphatikizapo kachilomboka ndi sigimoid. Mayesowa angagwiritsidwe ntchito pofuna kuyang'ana khansa, kukula kosawerengeka (polyps), kutupa, ndi zilonda .

• Colonoscopy ndi ndondomeko yotchedwa endoscopic yogwiritsira ntchito mkatikati mwa coloni yomwe ikhoza kupitirira pambali pa sigmoidoscopy yomwe ingafike. Colonoscopy ndi othandiza pozindikira khansa yamtundu, zilonda, kutupa, ndi mavuto ena mu colon. Zizindikirozi zimatha kuthandizidwa panthawi ya colonoscopy ndipo zimayesedwa kuti zidziwitsidwe.
• Chipangizo cham'mwamba chotchedwa endoscopy chimagwiritsidwa ntchito kuti chiwone mkati mwa mimba, m'mimba, ndi duodenum (gawo loyamba la matumbo aang'ono). Angagwiritsidwe ntchito kupeza gwero la kumeza mavuto, kunyoza, kusanza, reflux, magazi, indigestion, ululu m'mimba, kapena kupweteka pachifuwa.

Malingana ndi zizindikiro ndi zomwe akuganiza kuti zimayambitsa vutoli, kuphatikiza kwa mayeserowa akhoza kulamulidwa.

Mayeso aliwonse ali ndi ubwino ndi zovuta, ndipo dokotala adzagwiritsa ntchito zomwe adzipeza kuchokera m'mbiri ya wodwalayo (monga kuuma komanso kutalika kwa zizindikiro ndi mbiri ya banja ) kuti ayese mayesero omwe angathandize kwambiri kudziwa chomwe chimayambitsa zizindikiro. Zotsatira za mayeserowo zidzafunsidwa kuti awone ngati zikugwirizana ndi matenda a IBD, kapena ngati pangakhale chifukwa china cha zizindikiro.

Chidziwitso Chochokera

Nthawi zina, zingatenge nthawi kuti mupeze matenda a IBD. Kuzindikira kumakhala kofulumira ngati zipangizo zomwe zimagwiritsidwa ntchito pozindikira kuti IBD ikukula bwino ndipo odwala komanso madokotala akudziŵa bwino za kufalikira kwa matendawa. Kwa anthu amene amamva ngati kuti IBD n'zotheka, kuona katswiri wa IBD kungakhale njira yabwino yothetsera matenda oyenera. Izi zikutanthawuza kuti mupite kukaonana ndi dokotala pa malo a IBD ndipo mwinamwake, kulipira mthumba. Zonsezi sizothandiza, koma kupeza nthawi yoyenera yothandizira kuti chithandizo chitha kuyamba ndizofunikira kwambiri mu kuyendetsa bwino kwa IBD.

_{Zotsatira :}

_{Velayos F, Mahadevan, U. "Momwe IBD Yodziwira." Crohn's ndi Colitis Foundation ya America 2008. 09 Apr 2008.}

_{Clinical Cleveland. "Matenda Opatsirana Opunduka." ClevelandClinic.org 2008. 09 Apr 2008.}

_{Gawo la Gastroenterology. "Pafupi IBD." University of California, San Diego 2006. 09 Apr 2008.}