Ðe wò dɔgbo evea siaa xɔ dzoa? Esiae nye Enterocolitis!

Ðe nèkpɔa dɔgbo ƒe veve, fuɖename, kple aɖuɖɔtoedɔ kpe ɖe dzesi bubuwo ŋu ɣeaɖewoɣia? Ɣeaɖewoɣi la, esia ate ŋu anye nusi nu sẽ wu dɔgbo ƒe vevesese dzro aɖe ko. Egbea míele nu ƒom tso nɔnɔme aɖe si woyɔna be enterocolitis , si ate ŋu adze dɔgbo sue kple dɔgbo gã siaa dzi le ɣeyiɣi ɖeka me ŋu . Ate ŋu agblẽ nu le ɖevi suewo kple amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ koŋ ŋu.

Eyata nukae nye Enterocolitis?

Kpuie ko la, Enterocolitis nye míaƒe dɔgbo ƒe dɔdzẽ . Akpa eve ye le eme. Ðekae nye "enteritis", si nye dɔgbo suea ƒe dɔdzẽ. Bubue nye "colitis", si nye dɔgbo gã la ƒe dɔdzẽ. Ne wotsɔ eve siawo ƒo ƒui la, míeyɔnae be Enterocolitis.

Zi geɖe la, ebɔ be dɔdzẽ dzɔna le dɔgbo sue alo dɔgbo gã la me. Gake ne wo ame evea siaa xɔ abi le ɣeyiɣi ɖeka me la, ate ŋu anye nusi nu sẽ vie wu . Azɔ hã, zi geɖe la, dɔléle sia gblẽa nu le amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ ŋu, vevietɔ vidzĩ yeyewo kple ɖevi suewo .

Aleke Enterocolitis kpɔa ŋusẽ ɖe ŋutilãa dzii?

Ne míaƒe dɔgbowo xɔ abi la, dɔgboa ƒe akpa si le tsɛ, si míeyɔna be lãkusi , koŋue wògblẽa nu le. Dzoxɔxɔ sia nana teƒea vuvu, wòvea ame, eye wòtrɔa alesi dɔgboa ɖea tsiwo doa goe hexɔa nunyiamewoe. Esia ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò nuɖuɖumeŋusẽ kple wò dɔgbo ƒe ʋuʋu dzi .

Bu eŋu kpɔ, ne dɔlékui aɖe, dɔlékui aɖe, alo abi aɖe xɔ míaƒe ŋutilã la, míaƒe ŋutilã ƒe ametakpɔnu, si nye dɔlélenutsiŋutete , va wɔa dɔ. Emae nye nusi dɔdzẽ nye. Eyata tsɔ kpe ɖe dɔgbo ƒe dɔdzẽ ŋu la, dzesi siwo bɔ abe vevesese kple dzoxɔxɔ ene hã ate ŋu adze.

Nukae nye Enterocolitis ƒe dzesiwo?

Dzesi siwo wokpɔna zi geɖe le nɔnɔme sia mee nye esiwo gbɔna:

• Dɔgbo ƒe vevesese kple lãmetutudɔ.
• Aɖuɖɔtoe, si kpena ɖe ʋu ŋu ɣeaɖewoɣi .
• Nuɖuɖua mevivina o.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Asrã.
• Sese le eɖokui me be ɖeɖi te ye ŋu vevie.
• Sese le ɖokuiwò me be yeƒe dɔgbo vuvu eye wòfu.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò, vevietɔ ne womeva nyo ɖe edzi le ŋkeke ʋɛ aɖewo megbe o la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Ɣeyiɣi didi kae enterocolitis ate ŋu anɔ anyi?

Enɔ te ɖe nusi le nɔnɔmea hem vɛ dzi ŋutɔŋutɔ. Nusi gbɔ wòtsona wue nye dɔlékuiwo . Zi geɖe la, nusiawo nɔa anyi ɣeyiɣi kpui aɖe ko. Míaƒe dɔlélenutsiŋutete ate ŋu aɖu wo dzi le eɖokui si. Gake ɣeaɖewoɣi la, ele be nàno atike.

Gake nusiwo gbɔ wòtsona dometɔ aɖewo li siwo mebɔ o, le kpɔɖeŋu me:Enterocolitis, si tso nuwo abe dɔléle siwo dɔlélenutsiŋutete hena vɛ ene gbɔ ate ŋu anɔ anyi hena ɣeyiɣi aɖe. Togbɔ be womate ŋu ada dɔléle siawo siwo nɔa anyi didi keŋkeŋ o hã la, ɖɔktawo ate ŋu aŋlɔ atikewo na amewo be woatsɔ aɖu dɔdzẽa dzi.

Nukawoe hea Enterocolitis vɛ?

Le nyateƒe me la, dɔgbo sue (dɔgbo ƒe dɔléle) kple dɔgbo gã (dɔgbo ƒe dɔléle) siaa ƒe dɔdzẽ ate ŋu adzɔ le susu ɖesiaɖe ta, eye dɔgbo eveawo siaa ate ŋu axɔ dɔ, si fia be dɔgbo ƒe dɔléle. Gake ne edzɔ nenema la, efia be enye nuwɔna si nu sẽ wu alesi wònɔna ɖaa , eye ate ŋu afia hã be dɔlélenutsiŋutete gbɔdzɔ.

Zi geɖe la, esia gbɔe wòtsona be:

• Dɔlékuiwo ƒe dɔlékuiwo: Le kpɔɖeŋu me, dɔgbo me dzamezã.
• Dɔlékui siwo tsoa dɔlékuiwo gbɔ: abe giardiasis ene.
• Dɔlékuiwo ƒe dɔlékuiwo: abe nuɖuɖu me aɖi ene.

Tsɔ kpe ɖe eŋu la, atike aɖewo zazã fũ akpa hã ate ŋu anye nusi gbɔ wòtso. Le kpɔɖeŋu me, aha sesẽ nono, atike vɔ̃ɖiwo abe cocaine ene, kple atike vɔ̃ɖi aɖewo siwo womeƒlena le atikedzraƒe o zazã atraɖii. Azɔ hã, dɔgbo me dɔléle siwo nɔa anyi didi abe Celiac dɔléle kple Crohn ƒe dɔléle hã ate ŋu ahe esia vɛ.

Ne wò dɔlélenutsiŋutete gbɔdzɔ la, anɔ eme be dɔlékuiwutikewo nadze dziwò. Zi geɖe la, nɔnɔme sia dzea vidzĩ yeyewo kple ɖevi suewo dzi , kpakple amesiwo ŋu dɔléle siwo nɔa anyi didi, abe HIV , ene le.

Ðe enterocolitis ƒomevi aɖewo koŋ lia?

Ẽ, ɖɔktawo de dzesi dɔdzẽ ƒomevi aɖewo koŋ. Woɖoa esiawo ɖe hatsotsowo me le nusiwo gbɔ wòtsona nu. Esiawo nye dɔlékui siwo sesẽ wu kple dɔléle siwo ate ŋu adze dɔgbo eveawo siaa dzi wu.

Dɔgbo ƒe Dɔléle si Naa Amewo Kuku (NEC) .

Esia bɔ ɖe vidzĩ siwo dze dɔ, siwo wodzi do ŋgɔ na ɣeyiɣi si woɖo na wo la me wu . Vidzĩ siawo ƒe dɔlélenutsiŋutete me gbɔdzɔ xoxo. Togbɔ be wotsɔa no me notsi naa dɔlékui siwo sɔ wo hã la, woƒe dɔgbowo wɔa nu gbegblẽ. Dɔdzẽa kple vuvua nu sẽ ale gbegbe be ʋu si yia dɔgboa me la nu tsona, eye lãmekawo ƒe kuku dzea egɔme. Emae nye nusi nya "necrotizing" fia.

Ðɔktawo menya nusi tututu hea NEC vɛ o. Ate ŋu anye esi ʋu mesɔ gbɔ ɖe vidzĩa ƒe dɔgbowo me o ta, alo esi ʋua nana dɔlékuiwo ƒe dɔlélewo te ŋu xɔa wo bɔbɔe wu ta. Edze abe nu evea siaae kpena ɖe eŋu ene.

Pseudomembranous Enterocolitis ƒe dɔléle

Wogayɔa esia be dɔlékuiwutikewo ƒe dɔlékuiwutikewo ƒe dɔlékuiwutikewo ƒe dɔléle si nye enterocolitis . Dɔlékui aɖe ƒe dɔléle gbɔe wòtsona. Nukutɔe la, wotsɔa dɔlékuiwutikewo daae .Dɔlékuiwutikewo zazã hã nye nusi gbɔ wòtsona. Dɔlékui tɔxɛ aɖe si woyɔna be Clostridium difficile (C. diff) gbɔe esia tsona. Esia `C. diff` dɔlékui dzɔna zi geɖe le amesiwo no dɔlékuiwutikewo tsɔ da dɔlékui bubu gbɔ. Dɔlékuiwutike akpa gãtɔ mewua `C. diff`, gake wowua dɔlékui nyui siwo le míaƒe dɔgbo me siwo wua `C. diff`. Emegbe `C. diff` ate ŋu atsi bɔbɔe le mɔ si dzi womate ŋu aɖu o nu.

Ne dɔlékui sia le tsitsim la, eɖea aɖiwo dona ɖe dɔgboa ƒe lãkusi me. Ame aɖewo ate ŋu awɔ nu ɖe ​​aɖi siawo ŋu vevie, si ana woaxɔ nɔnɔme aɖe si woyɔna be enterocolitis. Dɔlékui sia bɔ ɖe kɔdziwo kple ame tsitsiwo dzikpɔƒewo le esi afima nɔlawo ƒe dɔlélenutsiŋutete mede o, dɔlékuiwutikewo zazã fũu , kple ŋutete si le C. diff dɔlékuiwo si be woanɔ agbe ɣeyiɣi didi le anyigba vovovowo dzi ta.

Ʋusɔgbɔdɔ si woyɔna be Enterocolitis

Nɔnɔme sia ate ŋu atso E. coli dɔlékui aɖe gbɔ. E. coli nye dɔlékui aɖe si nɔa agbe le míaƒe dɔgbowo me afɔku aɖeke manɔmee le dzɔdzɔme nu. Gake afɔku le ƒomevi tɔxɛ aɖe si woyɔna be Enterohemorrhagic E. coli (EHEC) , alo Shiga toxin-producing E. coli (STEC) me. Dɔlékui sia léna ɖe míaƒe dɔgbo ƒe lãkusi ŋu eye wòwɔa aɖi siwo woyɔna be Shiga aɖi siwo nana míexɔa abi eye ʋu dona.

"Enterohemorrhagic" fia ʋu si dona le dɔgbo suea me. Ame siwo wɔa nu ɖe ​​Shiga aɖi ŋu vevie la ate ŋu axɔ enterocolitis kple ʋudodo le dɔgbo eveawo siaa me. Esia hea aɖuɖɔtoe si me ʋu le (aɖuɖɔtoe) vɛ . Nɔnɔme sia dzea ɖevi sue ŋutɔwo kple ame tsitsiwo dzi zi geɖe .

Nuɖuɖu me Protein Siwo Hea Dɔgbomedɔléle (FPIES) .

Esia nye nuɖuɖu ƒe nulɔdɔ. Edzea ɖevi siwo mexɔ ƒe eve haɖe o dzi wu. Enaa woƒe dɔgbo ƒe lãkusiwo xɔa dzo. `FPIES` nye nulɔdɔ si menye IgE o . Eyata eto vovo na nulɔdɔ bubu siwo ŋu nèse nu tsoe kpɔ.

Le nulɔdɔ akpa gãtɔ me la, míaƒe dɔlélenutsiŋutete wɔa dɔlékuiwutike tɔxɛ siwo woyɔna be IgE dɔlékuiwutike siwo tsia tre ɖe nulɔdɔa ŋu. Dɔlékuiwutike siawo nana wòwɔa dɔ enumake, si wɔnɛ be dzesiwo dzena le ŋɔti, ŋɔti, lãkusi, kple ŋutigbalẽ me. Gake le nulɔdɔ siwo menye IgE-tome o me la, womewɔa `IgE` dɔlékuiwutikewo o. Ke boŋ dɔgbowo me koe nuwɔna si tsi megbe la dzɔna, si hea dɔgbo me dɔléle ƒe dzesiwo vɛ.

Hirschsprung-dɔléle si do ƒome kple dɔgbomedɔ

Esia nye Hirschsprung dɔléle.Hirschsprung ƒe dɔlélea nye kuxi si bɔ eye wònye afɔku le vidzidzi ƒe gbɔdzɔgbɔdzɔ si gblẽa nu le dɔgbo gã ŋu me. Vidzĩ siwo ŋu Hirschsprung ƒe dɔlélea le la mekpɔa lãmenugbagbevi ƒomevi aɖewo le dɔgbo gã la ƒe lãkusi me o, zi geɖe la, le teƒe ɖeka. Lãmenugbagbevi siawo kpɔa gome le lãmekawo ƒe tete si kpena ɖe aɖuɖɔ ŋu toa dɔgbo gã la me, si woyɔna be peristalsis .

Le teƒe sia si lãmenugbagbeviwo mele o la, aɖuɖɔ tsia teƒe ɖeka eye mete ŋu yia ŋgɔ o, si wɔnɛ be wòxea mɔ . Mɔxexe sia naa nɔnɔme nyui aɖe nɔa anyi na dɔlékuiwo be woatsi. Dɔlékui ƒe tsitsi sia kaka ɖe dɔgboa katã me, eye mlɔeba la, egblẽa dɔgboa ƒe nutsyɔnu, si wɔnɛ be dɔlékuiwo gena ɖe ƒuƒoƒo ma me. Nu siawo katã ate ŋu ana dɔdzẽ nadze ame dzi.

Neutropenic Enterocolitis ƒe dɔléle

Esia gblẽa nu le amesiwo ŋu dɔléle aɖe si woyɔna be neutropenia le ŋu . Esia fia be ʋumenugbagbevi ɣi ƒomevi aɖe si woyɔna be neutrophils ƒe agbɔsɔsɔ le wo me ɖiɖi wu alesi wòle be wòanɔ . Neutrophil siawoe nye nusiwo kpena ɖe mía ŋu zi geɖe be míakpɔ mía ta tso dɔlékuiwo me. Amesiwo ŋu neutropenia le la ate ŋu axɔ dɔlékui sesẽwo, eye woate ŋu axɔ enterocolitis hã.

Ame geɖe siwo ŋu neutropenic enterocolitis le la xɔ atike na ʋumenugbagbeviɣidɔ abe ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ ene . Nɔnɔme siawo hea neutropenia vɛ, eye atikewɔmɔnu hã ate ŋu ana dɔgboa ƒe lãkusiwo nagbɔdzɔ. Gake ate ŋu adzɔ le amesiwo ŋu ahɔhɔ̃mekawo ƒe agbɔsɔsɔ si le lãme na ame si tso nɔnɔme bubuwo abe HIV/AIDS kple dɔléle siwo dɔlélenutsiŋutete hena vɛ ene hã dzi .

Aleke wowɔa dea dzesi Enterocolitis?

Le nyateƒe me la, dɔgbo, dɔgbo, kple dɔgbo ƒe dɔléle ƒe dzesiwo ɖi wo nɔewo ŋutɔ. Ðewohĩ ɖɔkta mate ŋu anya wò dɔgbo ƒe akpa si ŋu wògblẽ nu le enumake o. Gake le wò ŋutilã me dzesiwo kple dzesiwo nu la, asusui be dɔdzẽ le ŋuwò. Emegbe, eƒe dɔe nye be wòanya nusi gbɔ wòtso. Ema ko hafi woate ŋu anya dɔlékui ƒomevi si koŋ le dɔgboa me.

Ðɔktawo zãa ʋudodokpɔ, aɖuɖɔ dodokpɔ, kple nɔnɔmetatawo dodokpɔ tsɔ dia nusi gbɔ wòtso. Nɔnɔmetatawo dodokpɔ, abe ƒodo ƒe ultrasound alo CT scan ene, ate ŋu adi kpeɖodzi be dɔgbowo le dɔdzẽ kple kuxi siwo ate ŋu ado tso eme. Ʋudodokpɔ kple aɖuɖɔ dodokpɔ ate ŋu akpe ɖe ame ŋu woade dzesi dɔlékui alo dɔléle aɖewo koŋ siwo ate ŋu anɔ eme.

Aleke ɖɔktawo daa dɔlékuiwutikewoe?

Atikewɔwɔ nɔ te ɖe nusi gbɔ wòtso dzi. Atikewɔwɔ enumake ate ŋu anye:

• Dɔlékuiwutikewo , dɔlékuiwutikewo, alo dɔlékuiwutikewo nana be woatsɔ ada dɔlékuiwo.
• Lãmetsi siwo wodona ɖe ʋuka me kple elektrikŋusẽnamɔ̃wo nana be woatsɔ ada tsikuɖiɖi si aɖuɖɔtoe kple ʋuʋudedi hena vɛ.
• Corticosteroids nana be wòaɖe abi dzi akpɔtɔ.
• Vevesesenutsitikewo nana.

Le dɔléle sesẽ aɖewo me la, dɔnɔwo ate ŋu ahiã be:

• Lãmetsi, ya, alo nu sesẽwo ɖeɖe ɖa le dɔgboa alo dɔgboa me (tsi si dona le dɔgboa me) .
• Amekoko ƒe nudede dɔgboa me be woatsɔ adzra do aɖe ɖo le dɔgboa me, aɖe nusi xe mɔ na dɔgboa ɖa, alo aɖe lãkusi kukuawo ɖa.
• Ɣeyiɣi kpui aɖe ƒe colostomy alo ileostomy amekoko be woatrɔ mɔ na nuɖuɖu ƒe mɔzɔzɔ vaseɖe esime dɔgboa nahaya.
• Nunyiame si wodona ɖe ʋuka me (IV nutrition) nana .

Ðe vinyea ahaya ne exɔ enterocolitis?

Nɔnɔme siwo gblẽa nu le vidzĩwo ŋu, vevietɔ necrotizing enterocolitis (NEC) kple Hirschsprung-associated enterocolitis, ate ŋu ade woƒe agbe afɔku me . Gake ne wokpɔ vidzĩ akpa gãtɔ le ɣeyiɣi nyuitɔ dzi heda dɔ na wo la, hayahaya . Ame aɖewo ate ŋu axɔ dɔlékui siwo nɔa anyi ɖaa alo kuxi bubu siwo nɔa anyi didi.

Eyata ne viwò suea ɖe dzesi siawo dometɔ aɖe fia la, yi ɖɔkta gbɔ kaba ale si nàte ŋui. Zi alesi nède dzesii kaba la, zi nenemae edada nɔa bɔbɔe wu.

Kuxi kawoe ate ŋu ado tso enterocolitis sesẽ me?

Kuxi siwo ate ŋu ado tso eme ate ŋu anye:

• Sesẽ kple mɔxenu: Ne dɔgboa ƒe lãkusiwo xɔ abi ɣeyiɣi didi eye wòxɔ abi la, ate ŋu ana abi nadze ame dzi. Abi sia ate ŋu ana dɔgboa natsi eye wòana nuɖuɖu sesẽ nato eme asesẽ.
• Ischemia kple necrosis: Ne wotso ʋu si yia dɔgboa ƒe lãkusi me la, lãkusia ate ŋu aku. Ele be woaɖe lãkusi kuku sia ɖa be akpa susɔeawo nakpɔtɔ anɔ anyi.
• Dɔgbo kpui ƒe dɔléle: Ðevi siwo woɖe woƒe dɔgbo ƒe akpa aɖe le kuxiwo ta ate ŋu asesẽ be woaxɔ nunyiame siwo le nuɖuɖu me (malabsorption). Esia ate ŋu ana nunyuimakpɔɖu, kpododonu le tsitsi me, eye wòahe tsitsi kple tsitsi ɖe megbe.
• Cholestasis: Le enterocolitis me la, ʋumenugbagbeviɣi ate ŋu aƒo ƒu ɖe ɖevi siwo mete ŋu ɖua nuɖuɖu nyuie o ƒe ʋumenugbagbeviɣiwo me. Ne ʋumenugbagbeviɣi me sina yia dɔgboa me le mɔ nyuitɔ nu be wòakpe ɖe nuɖuɖu ŋu wòaɖu o la, ate ŋu aƒo ƒu eye wòatsi, si awɔe be aɖuɖɔtoe me kpewo.Ate ŋu ana ʋumenugbagbeviɣidɔ nayɔ fũ hã le aɖuɖɔtoe kple aklã me, si ana ame naxɔ abi.
• Dɔgboa ƒe ʋuʋu: Lãmetsiwo ƒe kuku, abixɔxɔ sesẽ, alo dɔlékuiwo ƒe gege ɖe dɔgboa me ate ŋu ana dɔgboa ƒe akpa si le eme nagbã alo ado, si ana dɔlékuiwo nado go.
• Septicemia, Sepsis, kple Shock: Ne dɔlékui aɖe si do tso dɔgboa me kaka ɖe ƒodo me (peritonitis) la, emegbe ate ŋu akaka ɖe ʋukawo me (septicemia). Esia ate ŋu ana dɔdzẽ kple ʋu natsi le ŋutilã bliboa me (sepsis). Sepsis nye nusi dzɔna kpata . Le nɔnɔme siwo nu sẽ ŋutɔ me la, ate ŋu ahe septic shock vɛ . Esia ate ŋu ana ŋutinu geɖe nawɔ dɔ nyuie o eye wòaku.

Nu vevitɔ kekeake si dzi wòle be nàɖo ŋkui (Take-Home Message) .

Dɔgbowo ƒe dɔdzẽ bɔ, vevietɔ ne dɔlékui aɖe dze ame dzi. Gake ne edze wò dɔgbo sue kple dɔgbo siaa dzi le ɣeyiɣi ɖeka me, si woyɔna be enterocolitis la, ate ŋu anye nusi nu sẽ vie wu . Nɔnɔme sia gblẽa nu le amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ ŋu wu. Eya ta, ate ŋu ado vɔvɔ̃ na amesiwo le ekpɔm kple woƒe lɔlɔ̃tɔwo wu dɔgbo ƒe veve dzro aɖe ko.

Gake ne ɖɔktawo lé be na wo eye wowɔ nu ɖe ​​eŋu kaba la , woate ŋu ada esia hafi kuxiwo nado mo ɖa. Ne wò alo wò lɔlɔ̃tɔ aɖe ƒe dɔlélenutsiŋutete gbɔdzɔ la, ele vevie ŋutɔ be nànya afɔku si le enterocolitis me. Ne ède dzesi dzesi aɖewo la, mègahe ɖe megbe o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Ekema míate ŋu aɖu nɔnɔme sia dzi hafi wòagblẽ ɖe edzi.

` Enterocolitis, dɔgbo ƒe dɔléle, dɔgbo ƒe dɔléle, aɖuɖɔtoe, ɖevimedɔléle, dɔlélenutsiŋutete, nuɖuɖumeŋusẽ