I-Colitis

I-Colitis ukuvuvukala (ukuvuvukala) kwamathumbu amakhulu (ikholoni).

Izikhathi eziningi imbangela ye-colitis ayaziwa.

Izimbangela ze-colitis zifaka:

• Izifo ezibangelwa igciwane noma i-parasite
• Ubuthi bokudla ngenxa yamagciwane
• Isifo seCrohn
• I-ulcerative colitis
• Ukuntuleka kokugeleza kwegazi (ischemic colitis)
• Imisebe edlule eya emathunjini amakhulu (i-radiation colitis kanye nokuqina)
• I-Necrotizing enterocolitis ezinganeni ezisanda kuzalwa
• I-Pseudomembranous colitis ebangelwa IClostridium difficile ukutheleleka

Izimpawu zingafaka:

• Ubuhlungu besisu nokuqunjelwa okungaba njalo noma kufike kudlule
• Izitulo ezinegazi
• Isifiso esiqhubekayo sokuba nokunyakaza kwamathumbu (tenesmus)
• Ukuphela kwamanzi emzimbeni
• Uhudo
• Imfiva

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Uzobuzwa futhi imibuzo mayelana nezimpawu zakho, njenge:

• Unezimpawu ezingakanani?
• Buhlungu Kangakanani Ubuhlungu Bakho?
• Uba nobuhlungu kangaki futhi buhlala isikhathi eside kangakanani?
• Uba nohudo kangaki?
• Uke wavakasha?
• Ngabe uphuza ama-antibiotic muva nje?

Umhlinzeki wakho angancoma i-sigmoidoscopy eguquguqukayo noma i-colonoscopy. Phakathi nalokhu kuhlolwa, kufakwa ithubhu eliguquguqukayo ngokusebenzisa i-rectum ukuhlola ikholoni. Ungaba nama-biopsies athathwe phakathi nalokhu kuhlolwa. Ama-Biopsies angabonisa izinguquko ezihlobene nokuvuvukala. Lokhu kungasiza ekutholeni imbangela ye-colitis.

Ezinye izifundo ezingakhomba i-colitis zifaka:

• I-CT scan yesisu
• I-MRI yesisu
• I-Barium enema
• Isiko le-Stool
• Ukuhlolwa kwesitokisi se-ova nezinambuzane

Ukwelashwa kwakho kuzoya ngesizathu sesifo.

Umbono uncike embangela yenkinga.

• Isifo seCrohn yisifo esingelapheki kodwa esingalawulwa.
• I-ulcerative colitis ivame ukulawulwa ngemithi. Uma ingalawulwa, ingaphulukiswa ngokususa ngokuhlinzwa ikholoni.
• I-virus, i-bacterial kanye ne-parasitic colitis ingalapheka ngemithi efanele.
• I-pseudomembranous colitis ingahle yelapheke ngama-antibiotic afanele.

Izinkinga zingafaka:

• Ukopha ngokuhamba kwamathumbu
• Ukugcwaliswa kwekholoni
• I-megacolon enobuthi
• Ubuhlungu (isilonda)

Shayela umhlinzeki wakho uma unezimpawu ezifana nalezi:

• Ubuhlungu besisu obungabi ngcono
• Igazi esitofini noma indle ebukeka imnyama
• Isifo sohudo noma ukuhlanza okungapheli
• Isisu esivuvukile

• I-ulcerative colitis
• Amathumbu amakhulu (ikholoni)
• Isifo seCrohn - i-X-ray
• Isifo samathumbu esivuthayo

ILichtenstein GR. Isifo samathumbu esivuthayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 132.

I-Osterman MT, iLichtenstein GR. I-ulcerative colitis. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 116.

UWald A. Ezinye izifo zekholoni nezikwele. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 128.