Koj puas muaj teeb meem mus rau chav dej thiab? Cia peb kawm txog proctitis?

Koj puas muaj tej lub sij hawm koj mob plab thaum koj mus rau chav dej, los yog koj puas pom me ntsis ntshav los yog hnoos qeev hauv koj cov quav? Los yog koj puas xav tias koj yuav tsum mus rau chav dej tas li? Tsis txhob tsis quav ntsej txog tej no. Vim tias cov no tuaj yeem yog cov tsos mob ntawm tus mob hu ua '(Proctitis)'. Hnub no, cia peb tham txog '(Proctitis)' yog dab tsi, vim li cas nws thiaj tshwm sim, thiab peb yuav tsum ua li cas.

Qhov no yog dab tsi (Proctitis)? Hais yooj yim xwb...

Kab mob Proctitis yog ib qho mob o ntawm daim ntaub ntawm lub qhov quav, qhov kawg ntawm txoj hnyuv loj, ua ntej lub qhov quav. Yog hais kom meej, Procto txhais tau tias lub qhov quav thiab itis txhais tau tias o. Qhov mob no tshwm sim thaum daim ntaub ntawm lub qhov quav khaus (o, liab) vim ntau yam, xws li cov kab mob, tshuaj lom neeg, lossis cov mob xws li kab mob plab hnyuv. Qhov no tuaj yeem ua rau muaj cov tsos mob tsis xis nyob, xws li mob, ntshav ntawm lub qhov quav, thiab kev hloov pauv ntawm kev coj ua ntawm lub qhov quav.

Puas muaj ntau hom mob '(Proctitis)'?

Yog, nyob ntawm seb qhov ua rau mob "(Proctitis)", nws tuaj yeem yog mob luv luv (mob hnyav) lossis mob ntev (mob ntev) . "(Acute)" txhais tau tias nws tshwm sim sai sai thiab ploj mus tom qab lub sijhawm luv luv. "(Chronic)" txhais tau tias nws kav ntev. Hom "(Proctitis)" uas tshwm sim vim muaj ntau yam ua rau qee zaum hu ua ntau lub npe sib txawv. Piv txwv li, qhov ua rau mob los ntawm kev sib deev "(Sexually-Transmitted Infections - STIs)" hu ua "(infectious proctitis)". Qhov ua rau mob qog noj ntshav hu ua "(radiation proctitis)". Ib yam li ntawd, qhov ua rau mob hu ua "(Ulcerative colitis)" kuj hu ua "(ulcerative proctitis)".

Cov tsos mob ntawm '(Proctitis)' yog dab tsi?

Cov no yog cov tsos mob uas feem ntau pom:

• Mob qhov quav. Tej zaum yuav nyuaj rau zaum twj ywm.
• Mob hauv koj lub plab sab laug quadrant.
• Tso cov kua dej xws li ntshav lossis cov hnoos qeev nrog cov quav. Qhov no yog thawj qhov uas feem ntau cov neeg pom.
• Zoo li lub qhov quav o thiab puv.
• Muaj ib qho kev xav tias yuav tsum tau tso quav tas li (tenesmus), tab sis qee zaum tsuas muaj me ntsis xwb thaum koj mus rau chav dej.
• Nyuaj siab los yog mob thaum lub sij hawm tso quav (dyschezia).
• Cem quav.
• Mob raws plab.

Cov tsos mob thawj zaug ntawm '(Proctitis)' yog dab tsi?

Feem ntau cov tsos mob thawj zaug tshwm sim thaum koj mus rau chav dej. Nyuaj siab, kub hnyiab, lossis xav tias muaj kev nyem thaum tso quav.Nws yuav zoo li. Tej zaum koj yuav xav tias koj yuav tsum mus rau chav dej tam sim ntawd, tab sis koj yuav tsis tau tsaus muag tag nrho. Raws plab, ntshav lossis cov hnoos qeev hauv cov quav yog cov tsos mob thaum ntxov.

Vim li cas qhov mob "Proctitis" no thiaj tshwm sim? Dab tsi yog cov ua rau muaj qhov teeb meem no?

Muaj ntau yam ua rau mob proctitis, qee qhov tshwm sim ntau dua li lwm tus.

Cov ua rau mob Proctitis feem ntau yog:

• Kab mob plab hnyuv (IBD): Cov kab mob xws li kab mob Crohn thiab kab mob ulcerative colitis ua rau mob ntev ntev rau ntau qhov ntawm txoj hnyuv. Kwv yees li 30% ntawm cov neeg uas muaj cov kab mob no, qhov mob feem ntau cuam tshuam rau lub qhov quav. Qhov no yog qhov ua rau mob proctitis feem ntau.
• Cov Kab Mob Sib Kis Los Ntawm Kev Sib Deev (STIs): Cov kab mob sib kis los ntawm kev sib deev thiab cov kab mob bacterial tuaj yeem nkag mus rau hauv lub qhov quav los ntawm lub qhov quav. Piv txwv li suav nrog:
• `(Kab mob Gonorrhea)` (Kab mob Gonorrhea)
• `(Chlamydia)` (Chlamydia)
• `(Kab mob Herpes simplex 2)` (Kab mob Herpes simplex 2)
• `(Syphilis)` (Syphilis)
• `(Tus kab mob Papillomavirus ntawm tib neeg - HPV)` (Tus kab mob Papillomavirus ntawm tib neeg

Tus kab mob no tuaj yeem cuam tshuam rau cov poj niam thiab cov txiv neej uas muaj kev sib deev nrog qhov quav.

• Kab mob hauv plab hnyuv: Cov kab mob hauv plab hnyuv uas tshwm sim los ntawm kev lom zaub mov qee zaum tuaj yeem cuam tshuam rau lub qhov quav. Piv txwv li:
• `(Salmonella)` (Salmonella)
• `(Shigella)` (Shigella)
• `(Campylobacter)` (Campylobacter)

Yog tias koj nyuam qhuav noj tshuaj tua kab mob tas, koj kuj tseem yuav muaj feem kis tau kab mob hauv koj txoj hnyuv thiab lub qhov quav los ntawm cov kab mob hu ua Clostridium difficile (C. diff). C. diff yog ib hom kab mob uas twb nyob hauv koj txoj hnyuv lawm. Tab sis thaum cov kab mob zoo hauv koj txoj hnyuv raug tua los ntawm cov tshuaj tua kab mob, cov kab mob uas tswj C. diff yuav ploj mus, thiab C. diff tuaj yeem loj hlob ntau dhau.

• Kev ua xua rau cov khoom noj uas muaj protein rau menyuam yaus: Cov menyuam mos uas ua xua rau qee hom mis nyuj, tshwj xeeb yog mis nyuj lossis taum pauv, tuaj yeem mob o rau txhua qhov chaw hauv lawv txoj hnyuv, suav nrog lub qhov quav. Cov menyuam mos tuaj yeem tau txais cov protein no los ntawm mis nyuj lossis los ntawm mis niam yog tias lawv niam noj cov khoom noj uas muaj cov protein no.
• Kev kho mob qog noj ntshav los ntawm kev siv hluav taws xob:Thaum muab kev kho mob hluav taws xob rau mob qog noj ntshav, ib qho mob hu ua '(kev mob ntsws ua pa)' tuaj yeem tshwm sim txhua qhov chaw hauv peb lub cev zom zaub mov. Qhov no yog kev o ntawm '(cov ntaub so ntswg mucous)' sab hauv lub cev zom zaub mov. '(kev mob ntsws ua pa)' (kev mob ntsws ua pa ntawm txoj hnyuv me) thiab '(kev mob ntsws ua pa colitis)' (kev mob ntsws ua pa ntawm txoj hnyuv loj) feem ntau tshwm sim thaum muab kev kho mob hluav taws xob rau lub plab sab saud lossis sab qis. Thaum muab kev kho mob hluav taws xob rau '(cheeb tsam pelvic)', koj tuaj yeem tsim '(kev mob ntsws ua pa proctitis)' (kev mob ntsws ua pa ntawm lub qhov quav).

Cov ua rau mob Proctitis tsawg dua:

• Kab mob Diversion proctitis: Qhov no yog ib qho kev mob tshwm sim uas tuaj yeem tshwm sim rau cov neeg uas tau muaj colostomy (ib qho txheej txheem uas ib feem ntawm txoj hnyuv loj raug tshem tawm ntawm lub cev los tsim ib txoj kev rau cov quav) lossis ileostomy (ib qho txheej txheem uas ib feem ntawm txoj hnyuv me raug tshem tawm ntawm lub cev los tsim ib txoj kev rau cov quav) thiab tso cov quav hla txoj kev sib txawv ntawm qhov quav. Nws xav tias vim tias cov quav tsis hla dhau qhov quav, qhov quav raug tshem tawm cov as-ham thiab cov roj fatty luv luv uas feem ntau nkag mus rau hauv qhov quav (uas pab kom qhov quav noo thiab noj qab haus huv), ua rau o ntawm qhov quav uas tsis siv. Txawm li cas los xij, tsuas yog ob peb tus neeg xwb thiaj muaj cov tsos mob.
• Cov tsos mob ntawm txoj hnyuv ischemic: Ib yam li ischemic colitis, ischemic proctitis tuaj yeem tshwm sim thaum cov ntshav ntws mus rau lub qhov quav raug txiav tawm, ua rau cov nqaij ntawm oxygen tsis muaj. Ischemia feem ntau yog tshwm sim los ntawm kev thaiv hauv cov hlab ntsha, xws li cov ntshav txhaws, aneurysm, lossis plaque.
• Kev raug mob ntawm qhov quav: Yog tias muaj ib yam khoom lossis tshuaj lom neeg sab nraud raug ntxig rau hauv qhov quav, nws tuaj yeem ua rau qhov quav thiab qhov quav o. Cov tshuaj lom neeg hauv qee hom enemas kuj tuaj yeem muaj qhov cuam tshuam no.
• Cov kab mob eosinophilic gastrointestinal (EGID): Eosinophilia yog ib qho kev tsim cov qe ntshav dawb hu ua eosinophils ntau dhau. Cov qe ntshav dawb pab peb lub cev tiv thaiv kab mob tsim cov lus teb inflammatory. Hauv EGID, peb lub cev tiv thaiv kab mob xa cov eosinophils ntau dhau mus rau ib feem ntawm txoj hnyuv plab, ua rau o ntev. Cov kws tshawb fawb xav tias qhov no yuav yog kev ua xua rau zaub mov ntau dhau. Eosinophilic proctitis feem ntau cuam tshuam rau cov menyuam yaus hnub nyoog qis dua 2 xyoos.
• Kab mob proctitis uas tsis muaj laj thawj nrhiav tau ('Idiopathic proctitis'):Muaj ob peb tug neeg uas muaj mob proctitis uas tsis paub tias yog vim li cas. Txawm li cas los xij, lawv teb tau zoo rau kev hloov pauv zaub mov. Mob proctitis uas tsis paub meej yog ib yam mob uas rov tshwm sim ntev. Kwv yees li 10% ntawm cov neeg mob no thaum kawg hloov mus ua mob ulcerative colitis.

Puas yog Proctitis yog ib qho mob hnyav?

Feem ntau, mob proctitis tsis ua rau tuag taus thiab kho tau zoo. Txawm li cas los xij , yog tias nws mob hnyav, kav ntev, tsis kho, lossis tsis kho, nws tuaj yeem ua rau muaj teeb meem loj dua.

Piv txwv li, qhov mob qog uas tsis kho tau tuaj yeem ua rau los ntshav ntau dhau, lossis phab ntsa ntawm qhov quav tuaj yeem raug rhuav tshem. Tsis tshua muaj, proctitis tuaj yeem cuam tshuam rau cov hlab ntsha ib puag ncig, ua rau muaj neuropathy.

Cov teeb meem uas yuav tshwm sim vim yog kev o mus sij hawm ntev:

• Kev los ntshav ntau dhau, ua rau anemia.
• Fistulas (qhov av los ntawm phab ntsa ntawm lub qhov quav).
• Kev nruj lossis stenosis (kev nqaim ntawm lub qhov quav vim yog qhov caws pliav ntawm cov ntaub so ntswg).

Cov teeb meem uas cuam tshuam rau lub paj hlwb tsis tshua muaj, tab sis lawv tuaj yeem suav nrog:

• Kev ua haujlwm tsis zoo ntawm lub zais zis neurogenic.
• Kev hnov ​​​​​​mob loog thiab tingling hauv qab taw (paresthesia).
• Kev ua haujlwm tsis zoo ntawm erectile.

Yuav kuaj mob Proctitis li cas?

Tus kws kho mob yuav xub nug koj txog koj cov tsos mob thiab tom qab ntawd kuaj koj lub qhov quav kom pom tias koj puas muaj cov cim qhia ntawm proctitis. Qhov no yuav suav nrog kev kuaj mob qhov quav thiab anoscopy . Yog tias nws zoo li koj muaj proctitis, koj tus kws kho mob yuav nug ntau cov lus nug kom paub seb dab tsi ua rau nws thiab nws yog hom twg. Piv txwv li:

• Koj tau noj tshuaj dab tsi tsis ntev los no?
• Puas muaj leej twg hauv tsev neeg muaj cov kab mob autoimmune?
• Koj puas muaj kev sib deev tsis muaj kev tiv thaiv lossis muaj kev sib deev nrog cov neeg koom tes uas tsis tau kuaj mob?
• Koj puas tau mus ncig teb chaws txawv teb chaws tsis ntev los no?

Raws li cov lus teb no thiab cov kev kuaj qhia, koj tus kws kho mob yuav txiav txim siab seb koj xav tau kev kuaj ntxiv dab tsi.

Cov kev ntsuam xyuas ntxiv yuav suav nrog:

• Kuaj ntshav: Kev kuaj ntshav tuaj yeem nrhiav tau cov kab mob thiab lwm yam mob uas ua rau mob proctitis. Nws kuj tseem tuaj yeem qhia tau tias cov ntshav tsawg dua lossis cov qe ntshav dawb ntau dua.
• kuaj quav: Tus kws kho mob yuav muab ib daim qauv ntawm koj cov quav thiab xyuas seb puas muaj kab mob, los ntshav, lossis muaj cov qe ntshav dawb ntau ntxiv.
• Kev kuaj kab mob ntawm lub qhov quav: Rau qhov kev kuaj no, tus kws kho mob yuav siv ib daim ntaub so los so sab hauv ntawm lub qhov quav thiab tom qab ntawd yuav kuaj cov qauv kom paub cov kab mob lossis cov kab mob uas muaj nyob.
• Kev Siv Lub Koob Tshuaj Ntsuam Xyuas: Qhov no yog kev kuaj sab hauv ntawm lub qhov quav siv lub cuab yeej luv luv, zoo li lub raj. Lub koob tshuaj ntsuam xyuas yog lub raj khoob uas muaj lub koob yees duab thiab lub teeb nyob rau ntawm qhov kawg. Yog tias tsim nyog, tus kws kho mob tuaj yeem siv lub cuab yeej los ntawm lub raj kom coj cov qauv nqaij (biopsy).
• Kev kuaj mob sigmoidoscopy uas yooj ywm: Yog tias tus kws kho mob xav saib ntxiv rau hauv txoj hnyuv sigmoid, qhov kawg ntawm txoj hnyuv loj uas txuas rau lub qhov quav, yuav siv tau ib lub raj ntev dua, yooj ywm dua hu ua flexible sigmoidoscopy. Yog tias muaj teeb meem nrog txoj hnyuv loj, nws tuaj yeem qhia cov cim ntawm kab mob inflammatory bowel lossis kev kis kab mob hauv txoj hnyuv. Kev npaj plab yuav ua tau ua ntej qhov kev kuaj no.

Puas yog Proctitis kho nws tus kheej?

Tej zaum yuav yog, tab sis tsis muaj laj thawj yuav raug kev txom nyem. Yog tias koj muaj kev kis kab mob, tshuaj tua kab mob lossis tshuaj tua kab mob tuaj yeem pab koj kom zoo sai. Yog tias nws tsis yog los ntawm kev kis kab mob, koj tus kws kho mob yuav sau ntawv rau cov tshuaj xws li tshuaj steroids kom txo qhov o. Yog tias koj muaj mob proctitis los ntawm kev siv hluav taws xob, nws feem ntau yuav ploj mus li ob peb lub lis piam tom qab kev kho mob los ntawm kev siv hluav taws xob. Tab sis lub sijhawm no, cov tshuaj mob sab nraud tuaj yeem pab tau. Yog tias koj muaj IBD ntev, mob proctitis yuav tuaj thiab mus. Tab sis koj tuaj yeem siv cov tshuaj tshwj xeeb thaum nws mob hnyav dua.

Kab mob proctitis kav ntev npaum li cas?

Qhov no txawv nyob ntawm seb ua rau mob thiab tus neeg mob li cas. Yog kho mob, feem ntau yuav zoo sai. Feem ntau, nws yuav siv sijhawm li plaub txog rau lub lis piam kom zoo tom qab kho qhov ua rau mob lawm. Thaum mob proctitis zoo lawm, koj tuaj yeem noj tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj (OTC) rau qhov mob lossis raws plab.

Cov kev kho mob rau '(Proctitis)' yog dab tsi?

Kev kho mob nyob ntawm seb ua rau mob li cas thiab mob hnyav npaum li cas. Qhov no yuav suav nrog:

• Nres qhov ua rau mob.
• Cov tshuaj tua kab mob los yog cov tshuaj tua kab mob rau kev kis kab mob.
• Cov tshuaj tiv thaiv kab mob rau cov mob proctitis uas tshwm sim los ntawm cov mob autoimmune.
• Cov tshuaj xws li Sulfasalazine lossis Mesalamine rau kev mob ulcerative colitis/proctitis.
• Cov tshuaj xws li Infliximab rau Proctitis uas tshwm sim los ntawm Crohn's tus kab mob.
• Cov tshuaj corticosteroids sab nraud yog siv los ua cov tshuaj pleev kom txo qhov mob thiab o.
• Cov tshuaj Sucralfate enemas siv los kho cov qhov txhab ntawm qhov quav.
• Cov txheej txheem endoscopic kom tsis txhob los ntshav hauv txoj hnyuv plab.

Yog tias kuv muaj mob Proctitis (mob qog nqaij hlav) yav tom ntej yuav zoo li cas?

Feem ntau cov mob proctitis teb tau zoo rau kev kho mob. Yog tias nws yog ib qho mob luv luv (mob hnyav), nws yuav tsum ploj mus hauv plaub txog yim lub lis piam rau cov neeg laus lossis ob peb lub hlis rau cov menyuam mos. Yog tias koj muaj mob proctitis ntev uas cuam tshuam nrog IBD, koj yuav pom tias qhov o tuaj thiab ploj mus. Koj tuaj yeem kho cov mob hnyav nrog cov tshuaj tiv thaiv kev o thaum xav tau. Muaj ob peb tus neeg uas mob proctitis ntev los ntawm kev siv tshuaj tua kab mob. Cov mob ntev yuav muaj feem ntau dua rau kev mob hnyav thiab tuaj yeem nyuaj rau kho.

Puas tiv thaiv tau tus mob Proctitis?

Kev kuaj cov neeg koom tes ua ntej sib deev tuaj yeem txo qhov kev pheej hmoo ntawm kev kis tus kab mob STIs. Cov kev tiv thaiv xws li cov hnab looj tes tuaj yeem pab tau rau qee kis, tab sis qee qhov kev kis tus kab mob kuj tuaj yeem kis tau los ntawm kev sib deev hauv qhov ncauj. Kev siv cov ntaub thaiv hniav tuaj yeem txo qhov kev kis lossis kev kis tus kab mob STIs los ntawm kev sib deev hauv qhov ncauj. Kev xyaum ua zaub mov kom muaj kev nyab xeeb thiab ceev faj txog yam koj noj thiab haus, tshwj xeeb tshaj yog thaum mus ncig txawv teb chaws, tuaj yeem txo qhov kev pheej hmoo ntawm kev kis tus kab mob hauv plab hnyuv los ntawm kev lom zaub mov. Hmoov tsis zoo, tsis muaj txoj hauv kev los tiv thaiv IBD lossis kev kho mob proctitis.

Thaum twg koj yuav tsum mus ntsib kws kho mob txog '(Proctitis)'?

Mus ntsib kws kho mob tas li yog tias koj muaj cov tsos mob ntawm proctitis. Nws yog ib qho tseem ceeb kom paub qhov ua rau thiab kho nws kom tiv thaiv qhov mob kom tsis txhob hnyav zuj zus. Yog tias koj tau txais kev kho mob, tab sis nws tseem zoo li tsis ua haujlwm, txuas ntxiv mus hu rau koj tus kws kho mob. Qee hom proctitis xav tau kev siv zog me ntsis kom tswj tau zoo. Tsis tshua muaj, qee kis yuav tsis teb rau ib qho kev kho mob ib txwm muaj. Hauv cov xwm txheej zoo li no, kev phais yuav tsum tau ua.

Cov tsos mob ntawm tus mob proctitis, txawm tias lawv yog ib ntus lossis txuas ntxiv mus, tuaj yeem ua rau tsis xis nyob heev. Kev kho mob rau tus mob proctitis tsom mus rau qhov ua rau mob thiab cov tsos mob. Hauv qee kis, xws li kev siv hluav taws xob los kho tus mob proctitis, tsuas yog cov tsos mob thiaj li kho tau. Hauv lwm kis, xws li kev kis kab mob, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj mob kom paub cov kab mob lossis tus kab mob tshwj xeeb uas ua rau koj cov tsos mob.

Tej yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li tam sim no koj nkag siab zoo dua txog qhov peb tau tham txog, '(Proctitis)'. Qhov tseem ceeb tshaj plaws yog, yog tias koj muaj kev tsis xis nyob, mob, ntshav lossis hnoos qeev thaum koj mus rau chav dej, tsis txhob tsis quav ntsej nws. Mus ntsib kws kho mob tam sim ntawd kom paub qhov ua rau. Feem ntau, cov mob no tuaj yeem kho tau zoo heev.

Tsis txhob ntshai, tab sis tsis txhob lig! Koj txoj kev noj qab haus huv nyob hauv koj txhais tes.

Tsis tas li ntawd, kev xyaum ua kev sib deev kom muaj kev nyab xeeb thiab noj cov zaub mov huv yuav pab tiv thaiv cov xwm txheej zoo li no.

`Mob qhov quav, o ntawm lub qhov quav, los ntshav nrog quav, mob qhov quav, STIs, IBD, lub cev zom zaub mov