I-Cryptitis

-Delile

• I-Cryptitis vs. colitis
• Yiziphi izimpawu ezihambisana ne-cryptitis?
• Yini ebangela i-cryptitis?
• Izimo ezihambisana ne-cryptitis
• Izinketho zokwelashwa kwe-cryptitis
• I-Diverticulitis
• Isifo sikaCrohn nesifo sezilonda emathunjini
• I-colitis esithathelwanayo
• Imisebe colitis
• Ischemic colitis
• Uyini umbono?

Ukubuka konke

I-Cryptitis igama elisetshenziswa ku-histopathology ukuchaza ukuvuvukala kwama-crypts wamathumbu. Ama-crypts yizindlala ezitholakala kulwelwesi lwamathumbu. Ngezinye izikhathi zibizwa ngokuthi ama-crypts kaLieberkühn.

I-Histopathology isifundo esincanyana sezicubu ezinesifo. I-Histopathology ingelinye lamathuluzi amaningi abalulekile odokotela abawasebenzisayo ukusiza ukuthola izifo ezithile.

Lapho izicubu ezisuka emathunjini zihlolwa ngaphansi kwesibonakhulu, ukuba khona kwe-cryptitis kungasiza ekutholeni izifo ezinjenge:

• ukulunywa yizilonda emathunjini
• Isifo sikaCrohn
• ukwelashwa
• isifo sofuba esithathelwanayo
• i-ischemic colitis
• imisebe colitis

Uma ubhekwa ngaphansi kwesibonakhulu, umuntu one-cryptitis uzoba namaseli amhlophe egazi, aziwa ngokuthi ama-neutrophil, phakathi kwamaseli akhe emathumbu. Izicubu nazo zingavela zibe bomvu, zivuvuke futhi ziwugqinsi.

Izinga le-cryptitis lingasiza futhi odokotela ukuthi baqonde ukuthi izimo ezithile, njenge-ulcerative colitis, sezithuthuke kangakanani. Lolu lwazi lungasetshenziswa lapho kunqunywa indlela engcono yokwelashwa.

I-Cryptitis vs. colitis

I-Cryptitis ne-colitis womabili la magama asetshenziselwa ukuchaza ukuvuvukala emathunjini, kepha amagama asetshenziswa ezimeni ezahlukahlukene.

I-Cryptitis ibhekisa ngqo ebukhoneni bokuvuvukala kuma-crypts wamathumbu amancane noma amakhulu lapho kubukwa ngaphansi kwesibonakhulu. I-Cryptitis ayisona isifo noma ukuxilongwa. Kunalokho, kuwukubonakaliswa noma uphawu lokuthi ungaba nesinye isifo.

IColitis yigama elijwayelekile. IColitis ibhekisa ezimeni ezibonakala ngokuvuvukala (ukuvuvukala) noma kuphi emathunjini amakhulu (ikholoni). Ukuba khona kwe-cryptitis emathunjini amakhulu kungabhekwa njengophawu lwe-colitis.

Yiziphi izimpawu ezihambisana ne-cryptitis?

Uma une-cryptitis, kungenzeka ukuthi uhlangabezana nezinye izimpawu noma izimpawu ezibangelwa yisifo samathumbu esiyimbangela, njenge-ulcerative colitis noma isifo sofuba esithathelwanayo.

Izimpawu ezihambisana ne-cryptitis zingafaka:

• ubuhlungu besisu
• isifo sohudo
• imfiva
• Ukugodola
• indle enegazi
• igesi
• ukuqunjelwa
• ukuqunjelwa
• ukulahlekelwa isifiso sokudla
• isidingo esiphuthumayo sokuba nokunyakaza kwamathumbu

Yini ebangela i-cryptitis?

I-Cryptitis ingumphumela wenqubo yokuvuvukala emathunjini. Ukutheleleka ngama-parasites noma amabhaktheriya anobuthi bokudla kungaholela ekuvukeleni emathunjini. Ungaba futhi ne-cryptitis uma amathumbu akho amakhulu elashwe ngemisebe.

Esifweni esihlukile, izikhwama ezaziwa njengefomu le-diverticula lapho amabala abuthakathaka ebhaluni lamathumbu emathunjini ngaphandle. Izikhwama bese zivutha. Amagciwane ahlangana kuzo futhi abangele ukutheleleka, okungaholela ku-cryptitis.

I-ulcerative colitis kanye nesifo sikaCrohn kucatshangwa ukuthi kubangelwa lapho amasosha omzimba ethola impendulo engajwayelekile kumagciwane nakumaseli emathunjini. Amasosha omzimba angahlasela ngokungalungile amaseli emathunjini, okuholele ekuvukeleni.

Izimo ezihambisana ne-cryptitis

I-Cryptitis ingasiza udokotela wakho ukuthola isifo noma ukutheleleka kwamathumbu. Uma ukuhlaziywa kwe-histopathological kukhombisa ukuthi une-cryptitis, kungenzeka ukuthi unalezi zimo ezilandelayo:

• Izinketho zokwelashwa kwe-cryptitis

  Ukwelashwa kwe-cryptitis kuya ngesizathu esiyimbangela.

  I-Diverticulitis

  Nge-diverticulitis, ukwelashwa kufaka ukudla okune-fiber ephansi noma ukudla oketshezi, futhi kwezinye izimo, ama-antibiotics.

  Isifo sikaCrohn nesifo sezilonda emathunjini

  Abantu abane-ulcerative colitis noma isifo sikaCrohn bangadinga ukwenza izinguquko ekudleni kwabo noma baphuze imithi yokwehlisa ukuvuvukala nokuvuvukala. Izibonelo zemithi esetshenziselwa ukwelapha lezi zimo zibandakanya i-mesalamine (i-Asacol ne-Lialda) ne-sulfasalazine (i-Azulfidine).

  
  

  Ezimweni ezinzima kakhulu, ungadinga ukuthatha izidakamizwa ezaziwa njenge-corticosteroids ukunciphisa ukuvuvukala. Ama-ejenti amasha aziwa njenge-biologics nawo angasiza ukuvimba ukuvuvukala ngendlela ehlukile.

  Abanye abantu bangadinga ukuhlinzwa ukuze kususwe ingxenye yamathumbu abo amancane, i-colon, noma i-rectum.

  I-colitis esithathelwanayo

  Ukwelashwa ngokuvamile kubandakanya ukufaka esikhundleni samanzi oketsheziwe noma ukufaka kabusha izixazululo ze-electrolyte. Izimpawu zihamba zodwa ezinsukwini ezimbalwa.

  Imisebe colitis

  Ezinye izindlela zokwelashwa kwesifo esibangelwa imisebe zifaka:

  • umuthi olwa nohudo
  • ama-steroids
  • imishanguzo yobuhlungu kadokotela
  • izinguquko zokudla, kufaka phakathi ukugwema i-lactose nokudla okunamafutha amaningi
  • ama-antibiotic
  • uketshezi

  Uma une-radiation colitis, udokotela wakho angadinga ukwenza izinguquko ekwelashweni ngemisebe yakho.

  Ischemic colitis

  Amacala amancane we-ischemic colitis avame ukuphathwa ngama-antibiotics, imithi yezinhlungu, uketshezi, nokudla oketshezi. Uma i-ischemic colitis ifika ngokuzumayo (acute ischemic colitis), ukwelashwa kungafaka:

  • i-thrombolytics, okuyimithi esiza ukuncibilikisa amahlule
  • ama-vasodilator, okuyizidakamizwa ezinganweba imithambo yakho ye-mesenteric
  • ukuhlinzwa ukuze ususe ukuvinjelwa emithanjeni yakho

  Uyini umbono?

  Umbono we-cryptitis uncike esimweni esingaphansi. Ezinye izimbangela ze-cryptitis, njenge-colitis esithathelwanayo, zizosula zodwa ezinsukwini ezimbalwa.

  Uma ingalashwa, i-cryptitis ebangelwa izimo ezingalapheki, njenge-ulcerative colitis, ingadlulela kwizicubu ezizungezile futhi iholele ekwakhiweni kwethumba noma i-fistula.

  Abantu abanesifo sikaCrohn noma i-ulcerative colitis bazodinga ukulandela uhlelo lokwelashwa olwenzelwe impilo yabo yonke. Kwezinye izimo, okuwukuphela kokwelapha kwesimo esidale i-cryptitis ukususwa kwayo yonke ikholoni ne-rectum.