Yintoni iProctitis, iimpawu eziphambili kunye nonyango

Umxholo

• Zintoni izizathu
• Iimpawu eziphambili
• Uqinisekisa njani
• Unyango lwenziwa njani
• Unyango lwendalo

Iproctitis kukudumba kwethishu eligcina i-rectum, ebizwa ngokuba yi-rectal mucosa. Oku kudumba kunokuvela ngezizathu ezininzi, kusulelo olunjenge-herpes okanye i-gonorrhea, isifo sokudumba, esifana nesilonda esibuhlungu (colcer colitis) okanye isifo sikaCrohn, utshintsho ekujikelezeni kwegazi, ukungezwani nezinto ezithile emzimbeni okanye nakwimpembelelo ye-radiotherapy.

Iimpawu kunye neempawu zeproctitis ziyahluka, kubandakanya iintlungu kwi-anus okanye kwi-rectum, ukuphuma kwegazi, i-mucus okanye i-pus nge-anus, ubunzima bokuphuma kunye nokopha esitulweni. Ubunzulu beempawu ziyahluka ukuba ukudumba kuthambile okanye ukuba kunzima, njengakwimeko apho yenza izilonda ezinzulu.

Unyango lukhokelwa yingcali yegazi, ngokwesizathu sokudumba kwaye lubandakanya ii-antibiotics okanye iziyobisi ezichasayo, ezinje nge-corticosteroids, i-mesalazine okanye i-sulfasalazine, umzekelo, ngomlomo okanye ngokuthe ngqo. Kwiimeko ezinzima kakhulu, kunokuba yimfuneko ukwenza utyando ukususa izicwili ezonakalisiweyo.

Zintoni izizathu

Oonobangela abaphambili beproctitis zezi:

• Izifo ezosulela ngokwabelana ngesondo, ezinje nge-herpes, gonorrhea, syphilis, chlamydia okanye icytomegalovirus, umzekelo, kwaye zichaphazela ikakhulu abantu abanonxibelelwano olusondeleyo lwasekhaya nababuthathaka ukhuseleko. Funda nzulu malunga nezifo ezosulela ngokwabelana ngesondo kumathumbu;
• Usulelo, ezinje nge-rectal schistosomiasis, i-amoebiasis, okanye ebangelwa yi-bacterial Clostridium difficile, ebangela ukudumba kwamathumbu okukhulu, okubizwa ngokuba yi-pseudomembranous colitis, kwaye kwenzeka ikakhulu kubantu abanyangwa ngamayeza okubulala iintsholongwane. Jonga indlela yokuchonga kunye nokunyanga isifo sepseudomembranous colitis;
• Ukudumba kwesifo, ezinjengesifo sikaCrohn okanye isifo sokudumba okwenziwa sisilonda sikabhobhosi, esibangela ukudumba ngenxa yezizathu zokuzimela komzimba;
• Iproctitis esebenzayo, kubangelwe sisenzo sonyango ngemitha, esetyenziselwa unyango lomhlaza;
• Utshintsho kwimithambo-luvo okanye ukujikeleza igazi elivela kwi-rectum, njenge-ischemia okanye isifo se-rheumatic, umzekelo;
• Isifo sokudumba komzimba, kubangelwa kukutya ukutya okubangela i-aleji, enje ngeprotein yobisi lwenkomo, exhaphake kakhulu kwiintsana;
• Unyango lwesifo sokudumba kolusu, Kubangelwa sisenzo samayeza, ngakumbi amayeza okubulala iintsholongwane, anokutshintsha iintyatyambo zamathumbu.

Kufuneka kukhunjulwe ukuba izilonda ezikwe-rectum kunye ne-anus zinokuba luphawu lomhlaza kwingingqi. Kukwanokwenzeka ukuba oyena nobangela weproctitis awuchongwanga, yiyo loo nto kudweliswa njenge-idiopathic proctitis.

Iimpawu eziphambili

Iimpawu zeproctitis ziintlungu kwi-rectum okanye kwi-anus, ubunzima bokuhamba kwamathumbu, urhudo, ukopha kwi-anus okanye oko kuqatshelwe esitulweni, unxuse ukuphuma ngobuninzi okanye ukuphuma kwencindi okanye ubofu kwi-anus. Ukuqina kweempawu kuyahluka ngokobungqongqo besifo.

Uqinisekisa njani

Ukuchongwa kweproctitis kwenziwa yi-coloproctologist, kuvavanyo lweklinikhi kunye nokucela iimvavanyo ezinje nge-anuscopy, sigmoidoscopy okanye i-colonoscopy yokuvavanya amathumbu amaninzi.

I-biopsy ye-rectum inokuchonga ubunzima bokuvuvukala, njengoko kunokubonisa isizathu. Ukongeza, uvavanyo lwegazi lunokunceda ekuchongeni unobangela ngokujonga iimpawu zosulelo okanye uphawu lokudumba.

Unyango lwenziwa njani

Unyango lweproctitis lwenziwa ngokwesizathu sayo, kwaye lukhokelwa yi-coloproctologist. Ke, kubalulekile ukuba izizathu zoqhaqho zisuswe, nokuba kungamayeza okubulala iintsholongwane, kunye nokususa ukutya okanye amayeza anokuthi ayenze mandundu imeko.

Amayeza anesiphumo sokuchasana nokudumba, nokuba kungomlomo okanye ngamacala, njenge-corticosteroids, isulfasalazine okanye i-mesalazine, umzekelo, zisetyenziselwa ukunciphisa iimpawu, ngakumbi kwimeko yesifo sokudumba. Kule meko, kunokuba yimfuneko ukusebenzisa iziyobisi ezinamandla.

Kwiimeko zokuphazamiseka kakhulu ngenxa yokudumba okanye i-ischemia ye-rectum okanye xa iimpawu zingapheli kunyango lweklinikhi, utyando lunokufuneka ekususeni izicubu ze-necrotic okanye ezonakaliswe kakhulu.

Unyango lwendalo

Ngexesha lonyango olucetyiswe ngugqirha, kunokuthathwa amanyathelo athile okuzenzela ukubuyisela kwimeko yesiqhelo, kodwa akufuneki athathe indawo yesikhokelo sikagqirha.

Ke, ngexesha lokudumba kwamathumbu, kuyacetyiswa ukuba ukhathalele ukutya, unika ukuthanda ukutya okugayekayo ngokulula, njengejusi yeziqhamo, ukutya okuziinkozo okunje ngerayisi kunye nepasta emhlophe, inyama engenamafutha, iyogathi yendalo, iisobho kunye nemifuno.

Ngokukhethekileyo, kufuneka ityiwe ngesixa esincinci, amaxesha amaninzi ngemini. Kukwacetyiswa ukuba kunqandwe ukutya okunamaqokobhe, iimbewu, amandongomane, umbona, iimbotyi, iziselo ezinekhabhon, icaffeine, utywala kunye nokutya okunezipayisi. Jonga ngakumbi izikhokelo zesondlo malunga nokutya ukudumba kwamathumbu.