Yini i-Proctitis, izimpawu eziyinhloko nokwelashwa

-Delile

• Ziyini izimbangela
• Izimpawu eziyinhloko
• Ungaqinisekisa kanjani
• Yelashwa kanjani
• Ukwelashwa kwemvelo

I-Proctitis ukuvuvukala kwezicubu ezigcwala i-rectum, ebizwa ngokuthi i-rectal mucosa. Lokhu kuvuvukala kungavela ngezizathu eziningana, kusuka ezifweni ezifana ne-herpes noma i-gonorrhea, isifo sokuvuvukala, njenge-ulcerative colitis noma isifo sikaCrohn, ukuguquka kokujikeleza kwegazi, ukungezwani komzimba noma umphumela we-radiotherapy.

Izimpawu nezimpawu ze-proctitis ziyahlukahluka, kufaka phakathi ubuhlungu ku-anus noma i-rectum, ukuphuma kwegazi, i-mucus noma i-pus ngokusebenzisa i-anus, ubunzima bokuphuma nokuphuma esitokisini. Ubukhulu bezimpawu buyehluka uma ukuvuvukala kukuncane noma uma kunzima, njengasesimweni lapho kwakha khona izilonda zezicubu ezijulile.

Ukwelashwa kuqondiswa yi-proctologist, ngokusho kwesizathu sokuvuvukala futhi kufaka phakathi ama-antibiotics noma izidakamizwa ezilwa nokuvuvukala, njenge-corticosteroids, i-mesalazine noma i-sulfasalazine, ngokwesibonelo, ngomlomo noma ngohlangothi. Ezimweni ezinzima kakhulu, kungadingeka ngisho nokuhlinzwa ukuze kususwe izicubu eziyekethisiwe.

Ziyini izimbangela

Izimbangela ezinkulu ze-proctitis yilezi:

• Izifo ezithathelwana ngocansi, njenge-herpes, i-gonorrhea, i-syphilis, i-chlamydia noma i-cytomegalovirus, ngokwesibonelo, futhi ikakhulu kuthinta abantu abanobudlelwano obuseduze bendunu nobuthaka bokuzivikela emzimbeni. Funda kabanzi ngezifo ezithathelwana ngocansi zamathumbu;
• Izifo, njenge-rectal schistosomiasis, i-amoebiasis, noma ebangelwa yi-bacterium Clostridium difficile, ebangela ukuvuvukala okukhulu kwamathumbu, okubizwa nge-pseudomembranous colitis, futhi okwenzeka ikakhulukazi kubantu abelashwa ngemithi elwa namagciwane. Bheka ukuthi ungabona kanjani futhi welaphe i-pseudomembranous colitis;
• Isifo samathumbu esivuthayo, njengesifo sikaCrohn noma i-ulcerative colitis, ebangela ukuvuvukala ngenxa yezimbangela zokuzivikela komzimba;
• I-Actinic proctitis, kubangelwa isenzo se-radiotherapy, esisetshenziswa ekwelapheni umdlavuza;
• Izinguquko ezinzwa noma ekusakazeni kwegazi igazi elivela kwi-rectum, njenge-ischemia noma isifo se-rheumatic, isibonelo;
• Isifo sokungezwani komzimba nesifo somzimba, kubangelwa ukusetshenziswa kokudla okubangela ukungezwani komzimba, njenge-protein yobisi lwenkomo, okuvame kakhulu ezinganeni;
• I-colitis yokwelashwa, Kubangelwa isenzo semithi, ikakhulukazi ama-antibiotic, angashintsha izimbali zamathumbu.

Futhi kufanele kukhunjulwe ukuthi izilonda ku-rectum ne-anus nazo zingaba wuphawu lomdlavuza esifundeni. Kungenzeka futhi ukuthi imbangela ye-proctitis ayibonwa, ngaleyo ndlela ihlukaniswe njenge-idiopathic proctitis.

Izimpawu eziyinhloko

Izimpawu ze-proctitis ubuhlungu e-rectum noma endunu, ubunzima bokuhamba kwamathumbu, uhudo, ukuphuma egazini noma lokho okubonwa esitokisini, kunxusa ukuphuma njalo noma amafinyila noma ubomvu ophuma endunu. Ubukhulu bezimpawu buyahlukahluka kuye ngobukhulu besifo.

Ungaqinisekisa kanjani

Ukuxilongwa kwe-proctitis kwenziwa yi-coloproctologist, ngokuhlola komtholampilo nokucela ukuhlolwa okufana ne-anuscopy, sigmoidoscopy noma i-colonoscopy ukuhlola lonke ithumbu elikhulu.

I-biopsy ye-rectum ingakhomba ubunzima bokuvuvukala, njengoba kungakhombisa imbangela. Ngaphezu kwalokho, ukuhlolwa kwegazi kungasiza ekuboneni imbangela ngokubheka izimpawu zokutheleleka noma uphawu lokuvuvukala.

Yelashwa kanjani

Ukwelashwa kwe-proctitis kwenziwa ngokwesizathu sako, futhi kuqondiswa yi-coloproctologist. Ngakho-ke, kubalulekile ukuthi izimbangela zokuvuvukala zisuswe, kungaba ngama-antibiotic ukuqeda ama-microorganisms, kanye nokususwa kokudla noma imishanguzo engase yenze isimo sibe sibi kakhulu.

Imithi enomphumela wokulwa nokuvuvukala, kungaba ngomlomo noma ngohlangothi, njenge-corticosteroids, i-sulfasalazine noma i-mesalazine, isibonelo, isetshenziselwa ukudambisa izimpawu, ikakhulukazi ezimweni zezifo zamathumbu ezivuthayo. Kulezi zimo, kungadingeka futhi ukusebenzisa izidakamizwa ezinamandla zokuzivikela.

Ezimweni zokukhubazeka okukhulu ngenxa yokuvuvukala noma i-ischemia ye-rectum noma lapho izimpawu zinganciphi nokwelashwa komtholampilo, ukuhlinzeka kungadingeka ukukhipha izicubu ze-necrotic noma ezonakaliswe kakhulu.

Ukwelashwa kwemvelo

Ngesikhathi sokwelashwa okunconywe ngudokotela, kungathathwa ezinye izindlela zokuzenzela ukusiza ukutakula, kepha akufanele neze zithathe indawo yesiqondiso sikadokotela.

Ngakho-ke, ngesikhathi sokuvuvukala kwamathumbu, kunconywa ukuthi unakekele ngokudla, unikeze ukuthanda ukudla okugaya kalula, njengejusi yezithelo, okusanhlamvu okufana nerayisi kanye ne-pasta emhlophe, inyama engenamafutha, iyogathi yemvelo, amasobho nemifino.

Okuncanyelwayo, kufanele idliwe ngamanani amancane, izikhathi eziningana ngosuku. Kuyanconywa futhi ukuthi ugweme ukudla okunamakhoba, imbewu, amantongomane, ummbila, ubhontshisi, iziphuzo ezinekhabhoni, i-caffeine, utshwala nokudla okubabayo. Bheka imihlahlandlela eminingi yokondleka ekudleni kokuvuvukala kwamathumbu.