Kuyini i-Erythematous Mucosa futhi iphathwa kanjani?

-Delile

• Ziyini izimpawu?
• Isisu noma i-antrum
• Ikholoni
• I-Rectum
• Kubangelwa yini lokhu?
• Isisu noma i-antrum
• Ikholoni
• I-Rectum
• Kutholakala kanjani
• Isisu noma i-antrum
• Ikholoni
• I-Rectum
• Ukuhlobana nomdlavuza
• Iphathwa kanjani
• Isisu noma i-antrum
• Ikholoni
• I-Rectum
• Uyini umbono?

Ukubuka konke

I-mucosa ulwelwesi olugxilisa ingaphakathi lomgudu wakho wokugaya ukudla. I-Erythematous isho ububomvu. Ngakho-ke, ukuba ne-mucosa erythematous kusho ukuthi ulwelwesi lwangaphakathi lwendlela yakho yokugaya lubomvu.

I-erythematous mucosa ayisona isifo. Kuwuphawu lokuthi isimo esiyisisekelo noma ukucasuka kubangele ukuvuvukala, okwenyuse ukugeleza kwegazi kuye ku-mucosa futhi kwenze kwaba bomvu.

Igama elithi erythematous mucosa lisetshenziswa kakhulu odokotela ukuchaza abakutholayo ngemuva kokuhlola umgudu wakho wokugaya ukudla ngomthamo okhanyisiwe ofakwe ngomlomo noma ngethumbu lakho. Isimo esihambisana nayo sincike engxenyeni yengxenye yakho yokugaya ethintekile:

• Esiswini, kubizwa ngokuthi i-gastritis.
• Ekoloni, kubizwa ngokuthi i-colitis.
• Ku-rectum, ibizwa nge-proctitis.

Ziyini izimpawu?

Izimpawu ze-mucry erythematous ziyahlukahluka kuye ngokuthi ukuvuvukala kutholakala kuphi. Izindawo ezilandelayo zithinteka kakhulu:

Isisu noma i-antrum

I-Gastritis ivame ukuthinta isisu sakho sonke, kepha kwesinye isikhathi ithinta kuphela i-antrum - ingxenye engezansi yesisu. I-Gastritis ingaba yesikhashana (acute) noma yesikhathi eside (engapheli).

Izimpawu zesifo esibi se-gastritis zingafaka:

• ukungakhululeki okuncane noma umuzwa ogcwele ohlangothini lwesobunxele esiswini sakho ngemuva kokudla
• isicanucanu nokuhlanza
• ukulahlekelwa isifiso sokudla
• isilungulela noma ukugaya isisu, okubuhlungu obushisayo, nobuthuntu

Uma ukucasuka kukubi kakhulu kudala isilonda, ungahlanza igazi. Kwesinye isikhathi, noma kunjalo, i-gastritis ebukhali ayinazo izimpawu.

Iningi labantu abane-gastritis engapheli alinazo izimpawu, noma. Kodwa ungathola i-anemia kusuka ekushodeni kwe-B-12 ngoba isisu sakho asikwazi ukukhipha imolekyuli edingekayo ukumunca i-B-12 futhi. Ungazizwa ukhathele futhi unesiyezi futhi ubukeka uphaphathekile uma une-anemic.

Ikholoni

I-greatintestine yakho ibizwa nangokuthi ikholoni yakho. Ixhuma amathumbu akho amancane ku-rectum yakho. Izimpawu ze-colitis zingahluka kancane ngokuya ngesizathu, kepha izimpawu ezijwayelekile zifaka:

• isifo sohudo esingahle sibe negazi futhi esivame ukuba nzima
• ubuhlungu besisu nokuqaqamba
• ukuqunjelwa esiswini
• ukuncipha komzimba

Izifo ezimbili ezivame kakhulu ukuvuvukala kwamathumbu (IBDs), isifo sikaCrohn nesifo sezilonda emathunjini, zingadala ukuvuvukala kwezinye izingxenye zomzimba wakho ngaphandle kwekholoni lakho. Lokhu kufaka phakathi:

• amehlo akho, okwenza ukuthi alume futhi abe namanzi
• isikhumba sakho, esidala ukuthi sakhe izilonda noma izilonda bese kuba nesikhumba
• amalunga akho, okwenza ukuthi avuvuke abe buhlungu
• umlomo wakho, odala izilonda

Kwesinye isikhathi ifistula yakha lapho ukuvuvukala kudlula ngokuphelele odongeni lwakho lwamathumbu. Lokhu ukuxhumana okungavamile phakathi kwezingxenye ezimbili ezihlukene zamathumbu akho - phakathi kwamathumbu akho nesinye sakho noma isitho sakho sangasese, noma phakathi kwamathumbu akho nangaphandle komzimba wakho. Lokhu kuxhumana kuvumela indle ukuthi isuke emathunjini akho iye esinyeni sakho, esithweni sangasese sowesifazane, noma ngaphandle komzimba wakho. Lokhu kungaholela ekungenweni yizifo kanye nendle ephuma esithweni sakho sangasese noma esikhunjeni.

Ngokuvamile, i-colitis ingaba yimbi kakhulu ukuthi ikoloni lakho liqhume. Uma lokhu kwenzeka, indle namagciwane angangena esiswini sakho futhi abangele i-peritonitis, okuwukuvuvukala kolwelwesi lwesisu sakho esiswini. Lokhu kubangela ubuhlungu obukhulu besisu futhi kwenza udonga lwakho lwesisu lube lukhuni. Kuyisimo esiphuthumayo sezokwelapha futhi kungasongela impilo. Sebenza nodokotela wakho ukuphatha izimpawu zakho ukugwema le nkinga.

I-Rectum

I-rectum yakho ingxenye yokugcina yomgudu wakho wokugaya ukudla. Kuyishubhu elixhumanisa ikholoni lakho nengaphandle lomzimba wakho. Izimpawu ze-proctitis zifaka:

• ukuzwa ubuhlungu engxenyeni yakho noma esiswini esingezansi kwesobunxele, noma lapho unyakaza amathumbu
• ukudlulisa igazi kanye namafinyila ngokuhamba noma ngaphandle kwamathumbu
• uzizwe sengathi i-rectum yakho igcwele futhi njalo kufanele ube nokunyakaza kwamathumbu
• ukuba nohudo

Izinkinga zingadala nezimpawu, njenge:

• Izilonda. Ukuvuleka okubuhlungu ku-mucosa kungenzeka ngokuvuvukala okungapheli.
• Ukushoda kwegazi. Uma uqhubeka wopha kusuka kunxande lakho, inani lakho elibomvu lamaseli egazi lingehla. Lokhu kungakwenza uzizwe ukhathele, ungakwazi ukuphefumula, futhi ube nesiyezi. Isikhumba sakho singabukeka siphaphathekile.
• AmaFistula. Lezi zingakha kusuka kunxande njengakwikholoni yakho.

Kubangelwa yini lokhu?

Isisu noma i-antrum

I-gastritis enamandla ingabangelwa:

• izidakamizwa ezingezona ukuvuvukala (i-NSAIDS)
• i-aspirin
• i-bile refluxing evela emathunjini
• I-Helicobacter pylori (H. pylori) kanye nezinye izifo ezibangelwa amagciwane
• utshwala
• Isifo sikaCrohn

I-gastritis engapheli ivame ukubangelwa i- H. pylori ukutheleleka. Cishe umuntu oyedwa kwabahlanu baseCaucasus unakho H. pylori, futhi ngaphezu kwengxenye yabantu base-Afrika baseMelika, amaHispanics, nabantu abadala banayo.

Ikholoni

Izinto eziningana zingadala i-colitis, kufaka phakathi:

• Isifo samathumbu esivuthayo. Kunezinhlobo ezimbili, isifo sikaCrohn nesifo sezilonda emathunjini. Zombili izifo ezizimele, okusho ukuthi umzimba wakho uzihlasela ngokungafanele.
• I-Diverticulitis. Lokhu kutheleleka kwenzeka lapho amasaka amancane noma amasaka amancane enziwe yi-mucosa anamathela ezindaweni ezibuthakathaka odongeni lwamakholoni.
• Izifo. Lokhu kungavela kubhaktheriya ekudleni okungcolisiwe, okufana ne-salmonella, amagciwane kanye nama-parasites.
• Imithi elwa namagciwane. I-colitis ehambisana namagciwane ivame ukwenzeka ngemuva kokuthatha ama-antibiotic aqinile abulala wonke amabhaktheriya amahle emathunjini akho. Lokhu kuvumela ibhaktheriya elibizwa ngokuthi IClostridium difficile, emelana ne-antibiotic, ukuthatha izintambo.
• Ukuntuleka kokugeleza kwegazi. Ischemic colitis kwenzeka lapho ukunikezwa kwegazi engxenyeni yekoloni lakho kuncishisiwe noma kumiswe ngokuphelele, ukuze leyo ngxenye yekholoni iqale ukufa ngoba ayitholi i-oxygen eyanele.

I-Rectum

Ezinye zezimbangela ezivame kakhulu ze-proctitis yilezi:

• izinhlobo ezimbili ezifanayo zezifo zamathumbu ezivuthayo ezingathinta ikholoni
• ukwelashwa ngemisebe ku-rectum yakho noma kwi-prostate
• izifo:
  • izifo ezithathelwana ngocansi ezifana ne-chlamydia, i-herpes ne-gonorrhea
  • amabhaktheriya ekudleni okungcolile njenge-salmonella
  • I-HIV

Ezinsaneni, i-proctitis eyenziwe nge-protein, ehambisana nokuphuza ubisi lwe-soy noma lwenkomo, kanye ne-eosinophilic proctitis, edalwa ukweqisa kwamaseli amhlophe abizwa ngama-eosinophils kulolayini, kungenzeka.

Kutholakala kanjani

Ukuxilongwa kwe-mucosa erythematous yanoma iyiphi ingxenye yendlela yakho yokugaya ukudla kuvame ukuqinisekiswa ngokuhlola ama-biopsies wezicubu ezitholwe ngesikhathi se-endoscopy. Kulezi zinqubo, udokotela wakho usebenzisa i-endoscope - ithubhu elincane, elikhanyisiwe elinekhamera - ukubheka ukuze ubone ngaphakathi kohlelo lwakho lokugaya ukudla.

Ucezu oluncane lwe-mucosa erythematous lungasuswa esikhaleni futhi lubhekwe ngaphansi kwesibonakhulu. Lapho udokotela wakho esebenzisa lokhu, imvamisa uzonikezwa umuthi okwenza ulale ngawo futhi ungakhumbuli inqubo.

Isisu noma i-antrum

Lapho udokotela wakho ebheka isisu sakho ngesilinganiso, sibizwa ngokuthi i-endoscopy ephezulu. Ububanzi bufakwa ngamakhala akho noma ngomlomo bese buhanjiswa ngobumnene buye esiswini sakho. Udokotela wakho uzobheka nesisu sakho nengxenye yokuqala yamathumbu akho amancane (i-duodenum) ngesikhathi senqubo.

I-Gastritis ivame ukutholakala ngokuya ngezimpawu zakho nomlando wakho, kepha udokotela wakho angahle enze ezinye izivivinyo ukuze aqiniseke. Lokhu kufaka phakathi:

• ukuphefumula, indle, noma ukuhlolwa kwegazi kungakuqinisekisa uma unayo H. pylori
• i-endoscopy ingavumela udokotela wakho ukuthi abheke ukuvuvukala futhi athathe i-biopsy uma noma iyiphi indawo ibukeka isolisa noma ukuqinisekisa ukuthi unayo H. pylori

Ikholoni

Lapho udokotela wakho ebheka i-rectum ne-colon yakho, ibizwa nge-colonoscopy. Kulokhu, ubukhulu bufakwa ku-rectum yakho. Udokotela wakho uzobheka yonke ikholoni yakho phakathi nale nqubo.

Ububanzi obuncane obukhanyisiwe obubizwa nge-sigmoidoscope bungasetshenziselwa ukuhlola ukuphela kwekholoni yakho kuphela (i-sigmoid colon), kepha i-colonoscopy ivame ukwenziwa ukubheka ikholoni yakho yonke ukuze kuthathwe ama-biopsies wezindawo ezingajwayelekile noma amasampula ongawasebenzisa ukubheka yokutheleleka.

Ezinye izivivinyo udokotela wakho angazenza zifaka:

• ukuhlolwa kwegazi ukubheka i-anemia noma izimpawu zesifo esizimele
• indle uhlola ukuthola izifo noma igazi ongeke ulibone
• i-CT noma i-MRI scan ukubheka wonke amathumbu noma ukubheka i-fistula

I-Rectum

I-sigmoidoscope ingasetshenziselwa ukuhlola i-rectum yakho ukubheka i-proctitis nokuthola izicubu ze-biopsy. I-colonoscopy ingasetshenziswa uma udokotela wakho efuna ukubheka ikholoni yakho yonke kanye ne-rectum yakho. Ezinye izivivinyo zingafaka:

• ukuhlolwa kwegazi ukuthola izifo noma i-anemia
• isampula lendle ukuhlola ukutheleleka noma izifo ezithathelwana ngocansi
• i-CT scan noma i-MRI uma udokotela wakho esola ukuthi kukhona i-fistula

Ukuhlobana nomdlavuza

H. pylori kungadala i-gastritis engapheli, engaholela ezilondeni kwesinye isikhathi nomdlavuza wesisu. Ucwaningo lukhombisa ukuthi ubungozi bokuba nomdlavuza wesisu bungaphindwa kathathu noma kasithupha uma unayo H. pylori kunokuba ungenjalo, kodwa hhayi bonke odokotela abavumelana nalezi zinombolo.

Ngenxa yengozi eyengeziwe, kubalulekile ukuthi H. pylori welashwa futhi uqedwe esiswini sakho.

I-ulcerative colitis kanye nesifo sikaCrohn kwandisa ingozi yokuba nomdlavuza wamathumbu kusukela usuneminyaka engaba yisishiyagalombili. Ngaleso sikhathi, udokotela wakho uzokuncoma ukuthi ube ne-colonoscopy njalo ngonyaka ngakho umdlavuza ubanjwa masisha uma ukhula. Uma i-ulcerative colitis yakho ithinta kuphela i-rectum yakho, ingozi yomdlavuza wakho ayengezwa.

Iphathwa kanjani

Ukwelashwa kuyahluka kuye ngesizathu, kodwa isinyathelo sokuqala ngaso sonke isikhathi ukumisa noma yini engase ikubange noma ikwenze kubi njengotshwala, i-NSAIDS noma i-aspirin, i-low-fiber diet, noma ukucindezeleka. Ukuvuvukala kuthuthuka ngokushesha ngemuva kokukhishwa kokucasula.

Isisu noma i-antrum

Imithi eminingana eyehlisa isisu sakho i-asidi iyatholakala ngomuthi kadokotela nangaphezulu kwekhawunta. Ukunciphisa i-acid esiswini kusiza ukuvuvukala kuphole. Le mithi inganconywa noma inqunywe udokotela wakho:

• Ama-Antacids. Lokhu kunciphisa i-asidi esiswini futhi kumise ubuhlungu besisu ngokushesha.
• Proton pump inhibitors. Lokhu kumisa ukukhiqizwa kwe-asidi. Ukusebenzisa lo muthi omningi isikhathi eside kungenza amathambo akho abe ntekenteke, ngakho-ke kungadingeka uthathe i-calcium nawo.
• Abamelene ne-Histamine-2 (H2) receptor. Lokhu kwehlisa inani le-asidi esiswini sakho esikhiqizayo.

Imithi ethile ihlanganisa:

• Uma imbangela iyi-NSAIDS noma i-aspirin: Le mithi kufanele imiswe futhi kuthathwe umuthi owodwa noma ngaphezulu yale mithi engenhla.
• Okwe- H. pylori ukutheleleka: Uzokwelashwa ngokuhlanganiswa kwama-antibiotic izinsuku eziyi-7 kuya kwezingu-14.
• Ukuntuleka kwe-B-12: Lokhu kushoda kungelashwa ngokushintshwa esikhundleni.
• Uma i-biopsy ikhombisa ushintsho olusengaphambili: Mhlawumbe uzobhekana ne-endoscopy kanye ngonyaka ukubheka umdlavuza.

Ezinye izindlela zokwelapha zifaka:

• Ukunciphisa noma ukuqeda utshwala, okwehlisa ukucasuka lapho ulwelwesi lwesisu lwakho luvezwa kulo.
• Ukugwema ukudla owaziyo kuphazamisa isisu sakho noma kubangele isilungulela, nakho okunciphisa ukucasuka kwesisu futhi kungasiza izimpawu zakho.

Ikholoni

Ukwelashwa kwe-colitis kusekelwe embangela:

• Isifo samathumbu esivuthayo iphathwa ngemithi eyehlisa ukuvuvukala futhi icindezele amasosha akho omzimba. Ukushintsha indlela odla ngayo nokunciphisa izinga lakho lokucindezeleka nakho kungasiza ekunciphiseni izimpawu noma ukuzigcine zikude. Kwesinye isikhathi ukususwa kokuhlinzwa kwezingxenye ezilimele kakhulu kukholoni lakho kuyadingeka.
• I-Diverticulitis iphathwa ngama-antibiotic kanye nokudla okuqukethe inani elanele le-fiber.Kwesinye isikhathi kuba nzima ngokwanele ukudinga ukuthi ulaliswe esibhedlela futhi welashwe ngama-antibiotic e-IV kanye nokudla oketshezi ukuphumula ikholoni yakho.
• Ukutheleleka kwamagciwane ziphathwa ngemithi elwa namagciwane.
• Ukutheleleka ngegciwane ziphathwa ngemithi elwa namagciwane.
• Izimuncagazi baphathwa ngama-antiparasitics.
• I-colitis ehambisana namagciwane iphathwa ngama-antibiotics lokho IClostridium difficile ayimelani nayo, kepha kwesinye isikhathi kunzima kakhulu ukuyisusa ngokuphelele.
• Ischemic colitis imvamisa iphathwa ngokulungisa imbangela yokwehla kwegazi. Imvamisa, ikholoni elimele kufanele lisuswe ngokuhlinzwa.

I-Rectum

• Isifo samathumbu esivuthayo ku-rectum iphathwa ngokufana nakwikholoni, ngemithi nangezinguquko zokuphila.
• Ukuvuvukala okubangelwa ukwelashwa ngemisebe ayidingi ukwelashwa uma imnene. Imithi elwa nokuvuvukala ingasetshenziswa uma inzima kakhulu.
• Izifo ziphathwa ngemithi elwa namagciwane noma ngama-antivirals, kuya ngesizathu.
• Izimo ezithinta izinsana ziphathwa ngokunquma ukuthi yikuphi ukudla neziphuzo ezidala inkinga nokuzigwema.

Uyini umbono?

Izimpawu ze-erythematous mucosa ngenxa yokuvuvukala zingaba mnene noma zibe nzima futhi zehluke kuye ngokuthi iyiphi ingxenye yomgudu wakho wokugaya ukudla ehilelekile. Zikhona izindlela eziphumelelayo zokuxilonga nokwelapha lezi zimo.

Kubalulekile ukuthi ubonane nodokotela wakho uma unezimpawu zokuqaqamba kwesisu, i-colitis, noma i-proctitis. Ngaleyo ndlela, isimo sakho singatholakala futhi siphathwe ngaphambi kokuba sibe sibi kakhulu noma ube nezinkinga.