Umbhali: Eugene Taylor
Umhla Wokudalwa: 9 Eyethupha 2021
Hlaziya Umhla: 16 Eyenkanga 2024
Anonim
Ulcerative Colitis - Histopathology
Ividiyo: Ulcerative Colitis - Histopathology

Umxholo

Ushwankathelo

I-Cryptitis ligama elisetyenziswe kwi-histopathology ukuchaza ukudumba kwamathumbu emathumbu. I-crypts ngamadlala afunyanwa kuludwe lwamathumbu. Ngamanye amaxesha kuthiwa zii-crypts zikaLieberkühn.

I-Histopathology luphononongo oluncinci lweethisisi ezigulayo. I-Histopathology sesinye sezixhobo ezibalulekileyo oogqirha abazisebenzisayo ukunceda ukufumanisa izifo ezithile.

Xa izicubu ezivela emathunjini zivavanywa phantsi kwemicroscope, ubukho be-cryptitis bunokuba luncedo ekuchongeni izifo ezinje:

  • ukudumba okwenziwa sisilonda sikabhobhosi
  • Isifo sikaCrohn
  • ukuphambuka
  • isifo sokudumba
  • Ischemic ukudumba
  • isifo semitha

Xa ujongwa phantsi kwemicroscope, umntu one-cryptitis uya kuba neeseli ezimhlophe zegazi, ezaziwa ngokuba zii-neutrophils, phakathi kweeseli zamathumbu. Izicubu zisenokubonakala zibomvu, zidumbile, kwaye zityebile.

Iqondo le-cryptitis linokuba luncedo koogqirha ukuba baqonde ukuba zide kangakanani iimeko ezithile, ezinjenge-ulcerative colitis, eziye zaqhubela phambili. Olu lwazi lunokusetyenziswa xa kusenziwa isigqibo sonyango olululo.


I-Cryptitis kunye ne-colitis

I-Cryptitis kunye ne-colitis omabini la magama asetyenziselwa ukuchaza ukudumba emathunjini, kodwa amagama asetyenziswa kwiimeko ezahlukeneyo.

I-Cryptitis ibhekisa ngqo kubukho bokudumba kwi-crypts yamathumbu amancinci okanye amakhulu xa ujongwa phantsi kwemicroscope. I-Cryptitis ayisosifo okanye isifo. Endaweni yoko, kukubonakaliswa okanye uphawu lokuba unokuba nesinye isifo.

IColitis ligama ngokubanzi. IColitis ibhekisa kwiimeko ezibonakaliswa kukudumba (ukudumba) naphina emathunjini amakhulu (ikholoni). Ubukho be-cryptitis emathunjini amakhulu kunokuthathwa njengophawu lwe-colitis.

Zeziphi iimpawu ezinxulunyaniswa ne-cryptitis?

Ukuba une-cryptitis, uya kuba nakho ukufumana ezinye iimpawu okanye iimpawu ezibangelwa sisifo sesisu, esinjenge-ulcerative colitis okanye isifo esosulelayo.

Iimpawu ezinxulumene ne-cryptitis zingabandakanya:

  • intlungu zesisu
  • urhudo
  • ifiva
  • Ukugodola
  • ilindle elinegazi
  • irhasi
  • ukudumba
  • ukuqhina
  • Ukuphelelwa ngumdla wokutya
  • Imfuno engxamisekileyo yokuhamba kwamathumbu

Yintoni ebangela i-cryptitis?

I-Cryptitis sisiphumo senkqubo yokukrala emathunjini. Usulelo lwee-parasites okanye ibhaktheriya yetyhefu yokutya kunokubangela ukudumba emathunjini. Unako kwakhona ukuphuhlisa i-cryptitis ukuba ithumbu lakho elikhulu liphathwe ngemitha.


Kwisifo esiphambukayo, iipokethi ezaziwa njengefom diverticula xa amabala abuthathaka kwibhaluni yamathumbu emathunjini ngaphandle. Iipakethi emva koko ziyavutha. Iibhaktheriya ziqokelela kuzo kwaye zibangele intsholongwane, engakhokelela kwi-cryptitis.

I-Ulcerative colitis kunye nesifo sikaCrohn kucingelwa ukuba sibangelwa xa amajoni omzimba efumana impendulo engaqhelekanga kwiibhaktheriya nakwiiseli emathunjini. Amajoni omzimba anokuhlasela ngokungalunganga iiseli ezisemathunjini, zikhokelela ekudumbeni.

Iimeko ezinxulumene ne-cryptitis

I-Cryptitis inokunceda ugqirha wakho ukuba abhaqe isifo okanye usulelo lwamathumbu. Ukuba uhlalutyo lwe-histopathological lubonisa ukuba une-cryptitis, kunokwenzeka ukuba unenye yezi meko zilandelayo:

  • Ukhetho lonyango lwe-cryptitis

    Unyango lwe-cryptitis luxhomekeke kwisizathu esingunobangela.

    Diverticulitis

    Kwi-diverticulitis, unyango lubandakanya ukutya okune-fiber esezantsi okanye ukutya okungamanzi, kwaye kwezinye iimeko, ii-antibiotics.

    Isifo sikaCrohn kunye ne-ulcerative colitis

    Abantu abane-ulcerative colitis okanye isifo sikaCrohn banokufuna ukwenza utshintsho kwizidlo zabo okanye bathathe amayeza ukunciphisa ukudumba kunye nokudumba. Imizekelo yamayeza asetyenziselwa ukunyanga le miqathango ibandakanya i-mesalamine (Asacol kunye neLialda) kunye ne-sulfasalazine (Azulfidine).


    Kwiimeko ezinzima kakhulu, unokufuna ukuthatha iziyobisi ezaziwa ngokuba yi-corticosteroids ukunciphisa ukudumba. Iiarhente ezintsha ezaziwa njengebhayoloji zinokunceda ekuthinteleni ukudumba ngendlela eyahlukileyo.

    Abanye abantu banokufuna utyando ukuze kususwe inxenye yamathumbu abo amancinci, ikholon, okanye i-rectum.

    Isifo esosulelayo

    Unyango kubandakanya ukubuyisela endaweni yamanzi okanye ilahleko kwakhona ngezisombululo ze-electrolyte. Iimpawu zihlala zihamba zodwa kwiintsuku ezimbalwa.

    Imitha colitis

    Olunye unyango lwe-colitis olubangelwa yimitha lubandakanya:

    • iyeza elwa norhudo
    • ii-steroids
    • amayeza entlungu
    • Utshintsho ekudleni, kubandakanya ukuphepha i-lactose kunye nokutya okunamafutha aphezulu
    • iyeza lokubulala iintsholongwane
    • ulwelo

    Ukuba une-radiation colitis, ugqirha wakho kungafuneka enze utshintsho kunyango lwakho lwemitha.

    Ischemic colitis

    Amatyala amancinci e-ischemic colitis ahlala ephathwa ngamayeza okubulala iintsholongwane, amayeza eentlungu, ulwelo kunye nokutya okungamanzi. Ukuba i-ischemic colitis iza ngesiquphe (i-acute ischemic colitis), unyango lunokubandakanya:

    • i-thrombolytics, amayeza anceda ekunyibilikeni kwamahlwili
    • i-vasodilators, ezizizo iziyobisi ezinokwandisa imithambo yakho ye-mesenteric
    • utyando ukususa ukucinywa kwemithambo yakho

    Yintoni imbono?

    Imbonakalo ye-cryptitis ixhomekeke kwimeko engaphantsi. Ezinye zezinto ezibangela i-cryptitis, njenge-colitis eyosulelayo, ziya kuzicacisa ngokwazo kwiintsuku nje ezimbalwa.

    Ukuba ayinyangwa, i-cryptitis ebangelwa ziimeko ezingapheliyo, njenge-ulcerative colitis, inokwanda iye kwizicubu ezijikelezileyo kwaye ikhokelele ekwakhiweni kwethumba okanye i-fistula.

    Abantu abanesifo sikaCrohn okanye i-ulcerative colitis baya kudinga ukulandela isicwangciso sonyango esizimeleyo kubo bonke ubomi babo. Kwezinye iimeko, unyango kuphela kwimeko ebangele ukuba i-cryptitis isuswe yonke ikholoni kunye ne-rectum.

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