I-Enteritis

I-Enteritis ukuvuvukala kwamathumbu amancane.

I-Enteritis ivame ukubangelwa ukudla noma ukuphuza izinto ezingcoliswe ngamagciwane noma amagciwane. Amagciwane ahlala emathunjini amancane futhi abangele ukuvuvukala nokuvuvukala.

I-Enteritis nayo ingabangelwa:

• Isimo sokuzimela, njengesifo seCrohn
• Izidakamizwa ezithile, kufaka phakathi i-NSAIDS (njenge-ibuprofen ne-naproxen sodium) ne-cocaine
• Ukulimala ekwelashweni ngemisebe
• Isifo seCeliac
• I-tropical sprue
• Isifo semvubu

Ukuvuvukala kungabandakanya nesisu (i-gastritis) namathumbu amakhulu (i-colitis).

Izici zobungozi zifaka:

• Umkhuhlane wesisu wakamuva phakathi kwamalungu omndeni
• Ukuhamba kwakamuva
• Ukuchayeka emanzini angahlanzekile

Izinhlobo ze-enteritis zifaka:

• I-gastroenteritis yebhaktheriya
• I-Campylobacter enteritis
• E coli i-enteritis
• Ubuthi bokudla
• Imisebe enteritis
• I-Salmonella enteritis
• Shigella enteritis
• I-Staph aureus ukudla okunobuthi

Izimpawu zingaqala emahoreni kuya ezinsukwini ngemuva kokutheleleka. Izimpawu zingafaka:

• Ubuhlungu besisu
• Uhudo - olunzima futhi olunzima
• Ukuphelelwa isifiso sokudla
• Ukuhlanza
• Igazi esitokisini

Ukuhlolwa kungafaka:

• Isiko lesitulo ukubheka uhlobo lokutheleleka. Kodwa-ke, lokhu kuhlolwa kungahle kungakhombi njalo amagciwane abangela ukugula.
• I-colonoscopy kanye / noma i-endoscopy ephezulu ukubheka amathumbu amancane nokuthatha amasampula wezicubu uma kudingeka.
• Ukuhlola ukuhlolwa, okufana ne-CT scan ne-MRI, uma izimpawu ziqhubeka.

Amacala amancane kaningi awadingi ukwelashwa.

Ngezinye izikhathi kusetshenziswa umuthi wokwelapha uhudo.

Ungadinga ukuvuselelwa kabusha ngezixazululo ze-electrolyte uma umzimba wakho ungenawo uketshezi olwanele.

Ungadinga ukunakekelwa kwezokwelashwa kanye noketshezi ngomthambo (uketshezi olufakwa emithanjeni) uma unesifo sohudo futhi ungakwazi ukugcina uketshezi phansi. Lokhu kuvame ukwenzeka ezinganeni ezincane.

Uma uthatha isisu (amaphilisi amanzi) noma i-ACE inhibitor futhi uthuthukisa isifo sohudo, kungadingeka ukuthi uyeke ukuthatha imishanguzo yokwelapha isisu. Kodwa-ke, ungayeki ukuthatha noma imuphi umuthi ngaphandle kokuqala ukhulume nomhlinzeki wakho wezokunakekelwa kwempilo.

Ungadinga ukuthatha ama-antibiotic.

Abantu abanesifo sikaCrohn kuzodingeka bathathe imithi elwa nokuvuvukala (hhayi ama-NSAID).

Izimpawu zivame ukuphela ngaphandle kokwelashwa ezinsukwini ezimbalwa kubantu abangenempilo.

Izinkinga zingafaka:

• Ukuphela kwamanzi emzimbeni
• Uhudo lwesikhathi eside

Qaphela: Ezinsaneni, isifo sohudo singadala ukuphelelwa amandla emzimbeni okukhulu okuza ngokushesha okukhulu.

Shayela umhlinzeki wakho uma:

• Uphelelwa ngamanzi emzimbeni.
• Uhudo alupheli ezinsukwini ezintathu kuya kwezine.
• Unomkhuhlane ongaphezu kuka-101 ° F (38.3 ° C).
• Unegazi esitulweni sakho.

Izinyathelo ezilandelayo zingasiza ekuvimbeleni i-enteritis:

• Hlanza izandla zakho njalo ngemuva kokusebenzisa indlu yangasese nangaphambi kokudla noma ukulungisa ukudla noma iziphuzo. Ungase futhi uhlanze izandla zakho ngomkhiqizo osuselwa kotshwala oqukethe okungenani i-60% yotshwala.
• Bilisa amanzi avela emithonjeni engaziwa, njengemifudlana nemithombo yangaphandle, ngaphambi kokuwaphuza.
• Sebenzisa izitsha ezihlanzekile kuphela lapho udla noma uphatha ukudla, ikakhulukazi lapho uphatha amaqanda nezinkukhu.
• Pheka kahle ukudla.
• Sebenzisa izipholisi ukugcina ukudla okudinga ukuhlala kubanda.

• Salmonella typhi umzimba
• Yersinia enterocolitica umzimba
• I-Campylobacter jejuni umzimba
• Umzimba weClostridium difficile
• Uhlelo lokugaya ukudla
• I-Esophagus ne-anatomy yesisu

I-DuPont HL, i-Okhuysen PC. Sondela esigulini ngokutheleleka nge-enteric. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 267.

IMelia JMP, Sears CL. I-enteritis ethathelwanayo ne-proctocolitis. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 110.

I-Lima AAM, iWarren CA, i-Guerrant RL. Ama-syndromes ama-dysentery acute (isifo sohudo esinomkhuhlane). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 99.

USemrad CE. Sondela esigulini ngesifo sohudo kanye ne-malabsorption. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 131.