Kutchuka monga matenda opweteka kwambiri (IBD), ulcerative colitis ndi matenda omwe amachititsa kuti thupi likhale ndi thupi, koma nthawi zambiri limakhudza mbali zina za thupi. Ikhoza kuyambitsa zizindikiro za kutsegula m'magazi, kupweteka kwa m'mimba, ndi kusowa kofunikira kutulutsa matumbo. Zizindikiro zimatha kudutsa nthawi ya kukhululukidwa ndi matenda okhudzidwa.
Zizindikiro zingakhale zosiyana ndi munthu wina, zomwe zingapangitse kuti munthu adziwe ngati akudwala matendawa, koma pali ochepa omwe amasonyeza kuti ali ndi vutoli.
Zizindikiro Zowonjezereka
Zizindikiro za ulcerative colitis zimasiyana pang'ono malinga ndi siteji ndi malo omwe matendawa amapezeka, koma zomwe zimakhala zofala kwambiri ndizo:
- Zilonda (mabowo) m'kati mwa matumbo akuluakulu
- Mphazi wamagazi
- Kupweteka kwa m'mimba ndi zipsinjo
- Kutsekula m'mimba
- Kufunika kofulumira kukhala ndi kayendedwe kake (tenesmus)
- Fever
- Kutaya njala
- Mucus mu mpando
Ulcerative colitis ndi matenda opitirira. Zilondazi zimayamba kumapeto kwa matumbo akuluakulu, omwe amatchedwa sigmoid colon, ndipo amatha kufalikira kupyola mu coloni yonseyo. Zizindikiro zikhoza kukhala zosiyana malinga ndi kuchuluka kwa matumbo omwe akukhudzidwa ndi kutupa.
Mitundu yosiyanasiyana ya ulcerative colitis ndi zizindikiro zawo zambiri ndi izi:
- Ulcerative proctitis: Kutupa kumakhala pamtunda, kumayambitsa kutsegula m'mimba, mimba yamagazi, kupweteka kwa m'mimba, komanso kufunika kosavuta kutulutsa matumbo (tenesmus).
- Proctosigmoiditis: Kutupa kumakhala pamtunda ndi chizindikiro cha sigimoid, kumayambitsa kutsegula m'mimba, kutsegula m'magazi, kupweteka kwapachimake, kufulumira, ndi kupweteka kumbali ya kumanzere kwa mimba.
- Kuchokera kumbali ya kumanzere (kugwiritsidwa ntchito kumbali ya kumanzere kapena kupweteka kwa m'mimba): Kutupa kumbali yakumanzere ya colon (rectum, sigmoid colon, kutsika kolon) kuchititsa kutsegula m'mimba, ziwalo zamagazi, kuchepa kwa thupi, kusowa kwa kudya, komanso nthawi zina ululu kumbali ya kumanzere .
- Pancolitis: Kutupa m'kati mwa koloni yonse, kuyambitsa kutsekula m'mimba, kupweteka, kulemera kolemera, ndi ululu waukulu wamimba.
Mavuto
Ulcerative colitis imakhudzana ndi mavuto omwe ali mkati mwa dongosolo la kugaya ndi kunja kwa dongosolo la kudya (zomwe zimatchedwa zizindikiro za m'mimba).
Zovuta za m'mimba zingaphatikizepo:
- Zomwe zimapangidwira. Phokoso mu colon yomwe ndi yachangu yachipatala yomwe ingayambitse kupweteka kwamagazi ndi mimba ya m'mimba. Izi zimakhala zachilendo kwa anthu omwe ali ndi zilonda zam'mimba.
- Wopeka. Kuwongolera kuli misozi imene imapezeka muzitsulo za mchere zomwe zingayambitse magazi ndi kupweteka koma nthawi zambiri zimatha kuchiritsidwa kunyumba.
- Megacolon yoopsa. Chinthu chosadziwika chomwe chimayambitsa kutalika kwa koloni, megacolon yoopsa ndi vuto lalikulu limene limafuna chithandizo cham'tsogolo.
Zovuta zowonjezera m'mimba zingaphatikizepo:
- Kulephereka kukula kwa ana. Mankhwala ena okalamba omwe amachititsa kuti matenda a zilonda zam'mimba komanso matenda osowa zakudya m'thupi amayamba chifukwa cha matendawa amathandizira kuwonjezeka .
- Matenda a m'maso. Mavuto angapo a maso, kuphatikizapo uveitis , glaucoma , keratopathy, episcleritis , ndi maso owuma, amapezeka ndi ulcerative colitis kapena mankhwala a matenda.
- Arthritis. Ambiri mwa maonekedwe a m'mimba, mitundu yambiri ya nyamakazi ikhoza kuchitika kwa anthu omwe ali ndi matenda a zilonda zam'mimba, kuphatikizapo nyamakazi, nyamakazi yamatenda, nyamakazi, ndi ankylosing spondylitis .
- Zinthu zapakhungu. Erythema nodosum ndi pyoderma gangrenosum ndizosazolowereka zomwe zimachitika kawirikawiri mwa anthu omwe ali ndi IBD. Psoriasis , chikhalidwe china chotetezera chitetezo cha thupi, chimakhalanso chofala kwa anthu omwe ali ndi IBD.
- Zilonda za m'mphuno. Amatchedwanso aphthous stomatitis , awa ndi zilonda m'kamwa kamene kamatha kuchitika limodzi ndi ulcerative colitis.
- Zizindikiro pa nthawi ya kusamba. Azimayi ena omwe ali ndi IBD amapeza kuti matenda oyamba kusamba (PMS) omwe amayamba masiku awo akubweretsa kutsekula m'mimba ndi ululu.
Nthawi Yomwe Muwone Dokotala
Kwa anthu omwe ali ndi zilonda zam'mimba, zingakhale zovuta kudziŵa kuti ndizidzidzidzi zotani, zomwe ziyenera kuyambitsa kuyitana kwa gastroenterologist , ndi zomwe zingayembekezere.
Pambuyo pochita zabwino komanso kukhala ndi zizindikiro zochepa kapena zosaoneka, pamene zizindikiro ( kugona tulo , kutsekula m'mimba, ziwalo zamagazi, malungo, kulemera kwa thupi) zimayambanso, ndi chifukwa choyitanira dokotala ndikuyesa kuti awonongeke. Zingakhale zofunikira kuti musinthe mankhwala kapena kusintha ndondomeko ya chisamaliro kuti mupeze kutupa kulikonse mwamsanga.
Kawirikawiri, zizindikiro monga kupweteka kwa m'mimba, kutaya mwazi kwambiri, ndi zizindikiro za kuchepa kwa madzi (kupweteka kwa mwendo, kuchepa kwa mkodzo, kumutu) ndi chifukwa chofunsira chithandizo mwamsanga. Ngati n'kotheka, kuyitana gastroenterologist musanapite kuchipatala kungakuthandizeni kusankha chisamaliro chofunika.
Komabe, ngati chithandizo chikufunika nthawi yomweyo, kupita ku dipatimenti yosavuta kungakhale kusankha bwino. Ngati mukuganiza kuti pali vuto lalikulu monga chifuwa chachikulu kapena megacolon, zingakhale zofunikira kuitanitsa 911, chifukwa izi ndizo zoopsa zachipatala.
> Zotsatira:
> Crohn & Colitis Foundation. "Arthritis." CrohnsColitisFoundation.org. 2 May 2005.
> Crohn & Colitis Foundation. "Mavuto a Diso mu IBD." CrohnsColitisFoundation.org. 1 May 2012.
> Chidziwitso cha Zaumoyo. "Ulcerative Colitis." National Institute of Diabetes and Digestive and Kidney Diseases Sept 2014.