Yintoni i-Erythematous Mucosa kwaye inyangwa njani?

Umxholo

• Ziintoni iimpawu?
• Isisu okanye i-antrum
• Ikholoni
• Rectum
• Yintoni ebangela oku?
• Isisu okanye i-antrum
• Ikholoni
• Rectum
• Kufunyaniswa njani
• Isisu okanye i-antrum
• Ikholoni
• Rectum
• Ukudibana nomhlaza
• Iphathwa njani
• Isisu okanye i-antrum
• Ikholoni
• Rectum
• Yintoni imbonakalo?

Ushwankathelo

Inwebu yangaphakathi inwebu ebeka ngaphakathi kumgaqo wokugaya ukutya. I-Erythematous ithetha ubomvu. Ke ukuba ne-erythematous mucosa kuthetha ukuba ulusu lwangaphakathi lokugaya lubomvu.

I-erythematous mucosa ayisosifo. Kungumqondiso wokuba imeko engaphantsi okanye ukucaphuka kubangele ukudumba, okunyuse ukuhamba kwegazi ukuya kwi-mucosa kwaye kwayenza yabomvu.

Igama elithi erythematous mucosa lisetyenziswa ikakhulu ngoogqirha ukuchaza into abayifumanayo emva kokuvavanya indlela yakho yokwetyisa kunye nomthamo okhanyisiweyo ofakwe ngomlomo okanye ngetena. Imeko enxulunyaniswa nayo ixhomekeke kwinxalenye yendlela yakho yokwetyisa echaphazelekayo:

• Kwisisu, kubizwa ngokuba yigastritis.
• Kwikholoni, ibizwa ngokuba yi-colitis.
• Kwi-rectum, ibizwa ngokuba yi-proctitis.

Ziintoni iimpawu?

Iimpawu ze-erythematous mucosa ziyahluka ngokuxhomekeka apho ukudumba kufumaneka khona. Ezi ndawo zilandelayo zichaphazeleka kakhulu:

Isisu okanye i-antrum

I-Gastritis ihlala ichaphazela isisu sakho sonke, kodwa ngamanye amaxesha ichaphazela kuphela i-antrum-indawo esezantsi yesisu. I-Gastritis inokuba lixesha elifutshane (elibukhali) okanye elide (elingapheliyo).

Iimpawu ze-gastritis ebukhali zinokubandakanya:

• ukungaphatheki kakuhle okanye ukuziva ngokupheleleyo kwicala lasekhohlo kwicala lesisu emva kokutya
• isicaphucaphu nokugabha
• Ukuphelelwa ngumdla wokutya
• isitshisa, isisu esibuhlungu, esibuhlungu

Ukuba ukucaphuka kukubi kakhulu kubangela isilonda, unokugabha igazi. Ngamanye amaxesha, nangona kunjalo, i-gastritis ebukhali ayinazo iimpawu.

Uninzi lwabantu abane-gastritis engapheliyo abanazo iimpawu, nokuba. Kodwa unako ukufumana i-anemia kwi-B-12 ukusilela ngenxa yokuba isisu sakho asikwazi ukufihla i-molecule efunekayo ukufunxa i-B-12 kwakhona. Unokuziva udiniwe kwaye unesiyezi kwaye ujongeka uphaphathekile ukuba uneanemia.

Ikholoni

Ubukhulu bakho bamatye bubizwa ngokuba yikholoni yakho. Idibanisa amathumbu akho amancinci kwi-rectum yakho. Iimpawu ze-colitis zingahluka kancinci kuxhomekeke kwisizathu, kodwa iimpawu ngokubanzi zibandakanya:

• urhudo olunokuba ligazi kwaye luba qatha
• iintlungu esiswini kunye necramping
• isisu esiswini
• ukuhla ukusinda

Izifo ezibini eziqhelekileyo ezivuthayo zamathumbu (IBDs), isifo sikaCrohn kunye nesifo sezilonda zesilonda, sinokubangela ukuvuvukala kwezinye iindawo zomzimba wakho ngaphandle kwekholoni yakho. Oku kubandakanya:

• Amehlo akho, abangela ukuba arhawuzelele kwaye abe namanzi
• ulusu lwakho, olwenza ukuba lwenze izilonda okanye izilonda luze lube namaxolo
• amalungu akho, adala ukuba adumbe abe buhlungu
• umlomo wakho, obangela ukuba izilonda zikhule

Ngamanye amaxesha ifistula yenzeka xa ukudumba kuhamba ngokupheleleyo kuludonga lwakho lwamathumbu. Oku kukudibana okungaqhelekanga phakathi kwamacandelo amabini ahlukeneyo amathumbu akho - phakathi kwamathumbu akho kunye nesinyi sakho okanye ubufazi, okanye phakathi kwamathumbu akho nangaphandle komzimba wakho. Olu nxibelelwano luvumela isitulo ukuba sisuke emathunjini akho siye kwisinyi sakho, kwilungu lobufazi, okanye ngaphandle komzimba wakho. Oku kunokukhokelela kusulelo kunye nelindle eliphuma kwilungu lobufazi okanye ulusu.

Ngokuqhelekileyo, i-colitis ingaba yimbi kangangokuba ikholoni yakho iphule. Ukuba oku kuyenzeka, isitulo kunye neebhaktiriya zinokungena esiswini sakho kwaye zibangele i-peritonitis, kukukrala komda wesisu sakho esiswini. Oku kubangela iintlungu zesisu kwaye kwenza udonga lwakho lwesisu lube nzima. Ingxamiseko yezonyango kwaye inokusongela ubomi. Sebenza nogqirha wakho ukulawula iimpawu zakho ukunqanda le ngxaki.

Rectum

I-rectum yakho yinxalenye yokugqibela yendlela yakho yokwetyisa. Yityhubhu edibanisa ikholoni yakho ngaphandle komzimba wakho. Iimpawu zeproctitis zibandakanya:

• uziva iintlungu kwi-rectum yakho okanye ezantsi esiswini sasekhohlo, okanye xa unentshukumo yamathumbu
• ukudlulisa igazi kunye ne-mucus kunye okanye ngaphandle kokuhamba kwamathumbu
• uziva ngathi i-rectum yakho igcwele kwaye uhlala unyanzelekile ukuba uhambe
• ukuba norhudo

Iingxaki zinokubangela iimpawu, ezinje:

• Izilonda. Ukuvuleka kobuhlungu kwi-mucosa kunokwenzeka ngokudumba okungapheliyo.
• Ukunqongophala kwegazi. Xa usopha rhoqo kwi-rectum yakho, inani elibomvu leeseli zegazi linokwehla. Oku kunokukwenza uzive udiniwe, ungakwazi ukubamba umphefumlo wakho, kunye nesiyezi. Ulusu lwakho lunokujongeka ngathi luthuthu ngokunjalo.
• Iifistula. Ezi zinokuvela kwi-rectum njengakwikholoni yakho.

Yintoni ebangela oku?

Isisu okanye i-antrum

Isifo esibuhlungu segastritis sinokubangelwa:

• iziyobisi ezingasebenziyo ezichasayo (i-NSAIDS)
• Iasprini
• i-bile refluxing evela emathunjini
• Helicobacter pylori (H. pylori) kunye nezinye izifo ezibangelwa ziintsholongwane
• utywala
• Isifo sikaCrohn

Isifo esinganyangekiyo sisifo esingapheliyo esiqhelekileyo sidla ngokubangelwa H. pylori usulelo. Phantse umntu omnye kwabahlanu baseCaucasus baye banayo H. pylori, kwaye ngaphezulu kwesiqingatha sabase-Afrika baseMelika, i-Hispanics, kunye nabantu abadala abanayo.

Ikholoni

Izinto ezininzi zinokubangela i-colitis, kubandakanya:

• Ukudumba kwesifo. Kukho iintlobo ezimbini, isifo sikaCrohn kunye nesifo sezilonda zesilonda. Zizifo zombini ezizimeleyo, oko kuthetha ukuba umzimba wakho uzihlasela ngokungafanelekanga.
• Diverticulitis. Olu sulelo lwenzeka xa iingxowa ezincinci okanye iipakethi ezenziwe yincindi ye-mucosa zihamba kwiindawo ezibuthathaka kudonga lwekolon.
• Usulelo. Ezi zinokuvela kwiibhaktheriya kukutya okungcolileyo, njenge-salmonella, ii-virus kunye ne-parasites.
• Amayeza okubulala iintsholongwane. I-colitis ehambelana ne-Antibiotic ihlala yenzeka emva kokuba uthathe ii-antibiotics ezinamandla ezibulala zonke iintsholongwane ezilungileyo emathunjini akho. Oku kuvumela ibacteria ebizwa IClostridium difficile, enganyangekiyo kwiantibiotic, ukuba ithathe indawo.
• Ukungabikho kokuhamba kwegazi. Ischemic colitis yenzeka xa ukunikezelwa kwegazi kwinxalenye yekholoni yakho kuncitshisiwe okanye kumisiwe ngokupheleleyo, ukuze inxenye yekholoni iqale ukufa ngenxa yokuba ingafumani oksijini yaneleyo.

Rectum

Ezinye zezizathu eziqhelekileyo zeproctitis zi:

• iintlobo ezimbini ezifanayo zesifo sokukrala esinokuchaphazela ikholoni
• unyango lwe-radiation kwi-rectum okanye prostate yakho
• usulelo:
  • izifo ezidluliselwa ngeentlobano zesini ezifana ne-chlamydia, i-herpes, ne-gonorrhea
  • Iibhaktheriya kukutya okungcolileyo njenge-salmonella
  • Intsholongwane kaGawulayo

Kwiintsana, iproteinitis eyenzelwe iprotein, enxulunyaniswa nokusela isoya okanye ubisi lwenkomo, kunye ne-eosinophilic proctitis, ebangelwa kukugqithisa kweeseli ezimhlophe ezibizwa ngokuba yi-eosinophils elining.

Kufunyaniswa njani

Ukuchongwa kwe-mucosa erythematous yalo naliphi na icandelo lendlela yokugaya ukutya kuhlala kuqinisekiswa ngokuvavanya ii-biopsies zethishu efunyenwe nge-endoscopy. Kule nkqubo, ugqirha wakho usebenzisa i-endoscope- ityhubhu encinci, ekhanyisiweyo kunye nekhamera- ukujonga ngaphakathi ukuze ubone ngaphakathi kwinkqubo yakho yokwetyisa.

Iqhekeza elincinci le-erythematous mucosa linokususwa kwinqanaba kwaye lijongwe phantsi kwemicroscope. Xa ugqirha wakho esebenzisa oku, uhlala unikwa iyeza elenza ulale ngalo kwaye ungakhumbuli inkqubo.

Isisu okanye i-antrum

Xa ugqirha wakho ejonga isisu sakho ngomgangatho, sibizwa ngokuba yi-endoscopy ephezulu. Ubungakanani bufakwe ngeempumlo okanye emlonyeni kwaye ngobunono uhanjiselwe phambili kwisisu sakho. Ugqirha wakho uya kujonga indawo yakho kunye nenxalenye yokuqala yamathumbu akho amancinci (i-duodenum) ngexesha lenkqubo.

I-Gastritis inokuthi ifumaneke ngokusekelwe kwiimpawu kunye nembali, kodwa ugqirha wakho unokuqhuba ezinye iimvavanyo ukuze aqiniseke. Oku kubandakanya:

• umphefumlo, isitulo, okanye uvavanyo lwegazi unokuqinisekisa ukuba unayo H. pylori
• i-endoscopy inokuvumela ugqirha wakho ukuba akhangele ukuvuvukala kwaye athathe i-biopsy ukuba nayiphi na indawo ibonakala ngathi iyakrokra okanye ukuqinisekisa ukuba unayo H. pylori

Ikholoni

Xa ugqirha ejonga i-rectum yakho kunye nekholoni, ibizwa ngokuba yi-colonoscopy. Ngenxa yoku, ubungakanani bufakiwe kwi-rectum yakho. Ugqirha wakho uya kujonga yonke ikholoni yakho ngexesha lale nkqubo.

Umda omncinci okhanyisiweyo obizwa ngokuba yi-sigmoidoscope ungasetyenziselwa ukuvavanya ukuphela kwekholoni yakho (i-sigmoid colon), kodwa ikholonoscopy ihlala isenziwa ukujonga yonke ikholoni ukuze kuthathwe ii-biopsies zeendawo ezingaqhelekanga okanye iisampulu onokuzisebenzisa ukujonga usulelo.

Olunye uvavanyo olunokwenziwa ngugqirha wakho lubandakanya:

• iimvavanyo zegazi ukujonga i-anemia okanye iimpawu zesifo sokuzimela
• Uvavanyo lwelindle ukukhangela usulelo okanye igazi ongaliboniyo
• iskena se-CT okanye se-MRI ukujonga onke amathumbu okanye ukujonga i-fistula

Rectum

I-sigmoidoscope ingasetyenziselwa ukuvavanya i-rectum yakho ukukhangela iproctitis kunye nokufumana izicwili ze-biopsy. I-colonoscopy ingasetyenziselwa ukuba ugqirha wakho ufuna ukujonga ikholoni yakho yonke kunye nethambo lakho. Olunye uvavanyo lunokubandakanya:

• kuvavanyo lwegazi kusulelo okanye ianemia
• isampuli yestool yokuvavanya usulelo okanye izifo ezosulela ngokwabelana ngesondo
• i-CT scan okanye i-MRI ukuba ugqirha wakho ukrokrela ukuba ifistula ikhona

Ukudibana nomhlaza

H. pylori kunokubangela i-gastritis engapheliyo, enokubangela izilonda kwaye ngamanye amaxesha ibe ngumhlaza wesisu. Izifundo zibonisa ukuba umngcipheko wesifo somhlaza wesisu unokuba kathathu kuye kumaxesha amathandathu aphezulu ukuba unayo H. pylori kunokuba ungenjalo, kodwa ayingabo bonke oogqirha abavumelana nala manani.

Ngenxa yokwanda komngcipheko, kubalulekile ukuba H. pylori Uyanyangwa kwaye upheliswe esiswini sakho.

Ukudumba okwenziwa sisilonda sikabhobhosi kunye nesifo sikaCrohn kwandisa umngcipheko womhlaza wekolon ukuqala kwakho emva kweminyaka esibhozo. Ngelo xesha, ugqirha wakho uya kukucebisa ukuba ube nekholonoscopy minyaka le ukuze umhlaza ubanjwe kwangoko ukuba uyakhula. Ukuba i-ulcerative colitis yakho ichaphazela kuphela i-rectum yakho, umngcipheko womhlaza awunyukanga.

Iphathwa njani

Unyango luyahluka ngokuxhomekeka kwisizathu, kodwa inyathelo lokuqala lihlala limisa nantoni na enokubangela okanye iyenze mandundu njengotywala, i-NSAIDS okanye i-aspirin, ukutya okune-fiber encinci, okanye uxinzelelo. Ukudumba kuphucula ngokukhawuleza emva kokuba isicaphukiso sisuswe.

Isisu okanye i-antrum

Amayeza aliqela anciphisa isisu sakho seasidi ayafumaneka ngugqirha nangaphezulu kwekhawuntari. Ukunciphisa i-asidi esiswini kunceda ukudumba kuphole. La mayeza anokucetyiswa okanye amiselwe ngugqirha wakho:

• IiAntacids. Oku kunciphisa isisu esiswini kunye nokuyeka iintlungu zesisu ngokukhawuleza.
• Impompo Proton inhibitors. Oku kuyeka ukuveliswa kweasidi. Ukusebenzisa la mayeza ixesha elide kunokwenza amathambo akho abuthathaka, kungafuneka uthathe ikhalsiyam kunye nawo.
• Imbali ye-2 (H2) ye-receptor antagonists. Oku kunciphisa isixa seasidi esiveliswa sisisu sakho.

Unyango oluthile lubandakanya:

• Ukuba unobangela yi-NSAIDS okanye i-aspirin: La mayeza kufuneka amiswe kwaye kuthathwe elinye okanye ngaphezulu kula mayeza angentla.
• Kwifayile ye- H. pylori usulelo: Uya kunyangwa ngokudityaniswa kwee-antibiotics iintsuku ezisi-7 ukuya kwezi-14.
• Ukusilela kwe-B-12: Oku kusilela kunokunyangwa ngokutshintshwa.
• Ukuba i-biopsy ibonisa utshintsho olusengqiqweni: Ngokuqinisekileyo uyakufumana i-endoscopy kube kanye ngonyaka ukukhangela umhlaza.

Olunye unyango lubandakanya:

• Ukunciphisa okanye ukuphelisa utywala, okunciphisa ukucaphuka kwesisu sakho.
• Ukuphepha ukutya okwaziyo ukucaphukisa isisu sakho okanye kubangele ukutsha kwentliziyo, okunciphisa ukucaphuka kwesisu kwaye kunokunceda iimpawu zakho.

Ikholoni

Unyango lwe-colitis lusekwe kwisizathu:

• Ukudumba kwesifo inyangwa ngamayeza anciphisa ukudumba kwaye acinezele amajoni akho omzimba. Ukutshintsha ukutya okutyayo kunye nokunciphisa inqanaba loxinzelelo lwakho kunokunceda ekunciphiseni iimpawu okanye ukuzigcina kude. Ngamanye amaxesha ukususwa kotyando lwezinto ezonakaliswe kakhulu kwikholoni yakho kuyafuneka.
• Diverticulitis iphathwa ngamayeza okubulala iintsholongwane kunye nokutya okunexabiso elaneleyo lefayibha. Ngamanye amaxesha kunzima kakhulu ukufuna ukuba ulaliswe esibhedlele kwaye uphathwe nge-IV antibiotics kunye nokutya okumanzi ukuphumla ikholoni yakho.
• Usulelo lwebhakteria baphathwa ngamayeza okubulala iintsholongwane.
• Usulelo lwentsholongwane baphathwa nge-antivirals.
• IiParasites baphathwa nge-antiparasitics.
• I-colitis ehambelana ne-Antibiotic iphathwa ngamayeza okubulala iintsholongwane IClostridium difficile ayinako ukumelana nayo, kodwa ngamanye amaxesha kunzima kakhulu ukuyilahla ngokupheleleyo.
• Ischemic colitis Ngokwesiqhelo iphathwa ngokulungisa unobangela wokwehla kwegazi. Rhoqo ikholoni eyonakeleyo kufuneka isuswe ngotyando.

Rectum

• Ukudumba kwesifo kwi-rectum iphathwa ngokufanayo nakwikholoni, ngamayeza kunye notshintsho kwindlela yokuphila.
• Ukudumba okubangelwa lonyango lwemitha ayifuni unyango ukuba inobulali. Amayeza okuchasana nokusasazeka angasetyenziselwa ukuba kunzima kakhulu.
• Usulelo baphathwa ngamayeza okubulala iintsholongwane okanye ii-antivirals, kuxhomekeka kwisizathu.
• Iimeko ezichaphazela iintsana ziphathwa ngokujonga ukuba kukuphi ukutya kunye neziselo ezibangela ingxaki kunye nokuziphepha.

Yintoni imbonakalo?

Iimpawu ze-erythematous mucosa ngenxa yokuvuvukala zinokuba buthathaka okanye zibenzima kwaye zahlukile ngokuxhomekeke ekubeni leliphi icandelo lendlela yokugaya ukutya okubandakanyekileyo. Iindlela ezifanelekileyo zokuchonga nokunyanga ezi meko zikhona.

Kubalulekile ukuba ubone ugqirha wakho ukuba uneempawu zesisu, isifo sokudumba, okanye iproctitis. Ngale ndlela, imeko yakho inokuchongwa kwaye inyangwe ngaphambi kokuba ibenzima kakhulu okanye ube neengxaki.