Kei te mumura ō whekau e rua? He mate puku tēnei!

Ka pāngia koe e te mamae o te puku, te pupuhi, me te mate korere me ētahi atu tohu? I ētahi wā, he mea kino ake tēnei i te mamae puku noa iho. I tēnei rā ka kōrero tātou mō tētahi mate e kiia nei ko te enterocolitis , ka pā ki te whekau iti me te whekau nui i te wā kotahi . He tino tūpono ka pā ki ngā tamariki nohinohi me te hunga he ngoikore te pūnaha ārai mate.

Na he aha te Enterocolitis?

Ki te kī māmā noa, ko te Enterocolitis he mumura o tō tātou pūnaha whekau. E rua ngā wāhanga o tēnei mate. Ko tētahi ko te "enteritis", arā, ko te mumura o te whekau iti. Ko tētahi ko te "colitis", arā, ko te mumura o te whekau nui. Ina honoa ēnei e rua, ka kiia ko te Enterocolitis.

He mea noa te mumura i roto i te whekau iti, i te whekau nui rānei. Heoi , ki te mumura ngā mea e rua i te wā kotahi, ka nui ake te kino . Waihoki, ko te nuinga o te wā ka pāngia te hunga ngoikore te pūnaha ārai mate, inā koa ko ngā pēpi hou me ngā tamariki nohinohi .

He pēhea te pānga o te enterocolitis ki te tinana?

Ina mumura ō tātou whekau, ka pā te nuinga ki te arai angiangi o ngā whekau, e kīia nei ko te mucosa . Ka pupuhi te rohe, ka mamae, ka huri hoki te huarahi e huna ai e ngā whekau ngā wai me te mimiti i ngā matūkai. Ka pā nui tēnei ki tō nakunaku me tō nekehanga puku .

Whakaarohia, ina pāngia tō tātou tinana e te iroriki, e te mate urutā, e te whara rānei, ka whai wāhi te pūnaha ārai mate o tō tātou tinana. Koinei te mumura. Nō reira, i te taha o te mumura o te puku, ka puta pea ngā tohu noa pēnei i te kore whakamarie me te kirika.

He aha ngā tohu o te enterocolitis?

Ko ngā tohu e whai ake nei e kitea whānuitia ana i roto i tēnei āhuatanga:

• Te mamae o te puku me te totitoti.
• Te mate korere, i ētahi wā ka haere tahi me te toto .
• Kāore he reka o te kai.
• Whakapairuaki me te ruaki.
• Te kirika.
• Tino ngenge te ngenge.
• Te āhua nei kua pupuhi, kua pūkahukahu hoki tō puku.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, ina koa kāore e pai ake i roto i ngā rā torutoru, he mea pai kia rapu tohutohu hauora.

Kia pēhea te roa o te enterocolitis?

Kei te pūtake o te mate te mea nui. Ko ngā mate pāwera te tino take. He wā poto noa iho ēnei. Ka taea e tō tātou pūnaha ārai mate te whakahaere i a rātou anō. Engari i ētahi wā me tango rongoā koe.

Heoi anō, kei reira ētahi take kāore i te tino kitea, hei tauira:Ko te enterocolitis, e puta mai ana i ngā mate pūnaha ārai mate, ka roa pea te wā. Ahakoa kāore e taea te whakaora katoa i ēnei mate pūmau, ka taea e ngā tākuta te tohu rongoā hei whakahaere i te mumura.

He aha ngā take o te enterocolitis?

Ina hoki, ka puta te mumura o te whekau iti (enteritis) me te whekau nui (colitis) mō tetahi take, ā, ka taea e ngā whekau e rua te mumura, arā, te enterocolitis. Engari ki te tupu tēnā, ko te tikanga he tauhohenga kino atu i te tikanga , ā, tera pea he ngoikore te pūnaha ārai mate.

Ko te nuinga o te wā ka puta tēnei i:

• Ngā mate huaketo: Hei tauira, te rewharewha puku.
• Ngā mate pirinoa: pērā i te giardiasis.
• Ngā mate pāwera huakita: pērā i te paihana kai.

Hei tāpiritanga, ko te nui rawa o te whakamahinga o ētahi matū ka taea hoki te take. Hei tauira, ko te whakamahinga tonu o te waipiro, ngā raau taero pēnei i te kōkāne, me ētahi raau taero ka hokona kore utu. Waihoki, ko ngā mate puku mau tonu pēnei i te mate Celiac me te mate a Crohn ka taea hoki te take o tēnei.

Ki te ngoikore tō pūnaha ārai mate, ka nui ake te tūponotanga ka pāngia koe e te enterocolitis. Ka pāngia ngā pēpi hou me ngā tamariki nohinohi e tēnei mate, tae atu ki te hunga whai mate pūmau, pērā i te HIV .

He momo motuhake o te enterocolitis?

Āe, kua tautuhia e ngā tākuta ētahi momo enterocolitis. Ka whakarōpūtia ēnei i runga i ngā take e puta ai. He mate urutā uaua ake ēnei, ā, he nui ake te tūponotanga ka pā ki ngā whekau e rua.

Te Enterocolitis Necrotizing (NEC)

He mea tino kitea tēnei i roto i ngā pēpi mate, whānau wawe . Kua ngoikore kē te pūnaha ārai mate o ēnei pēpi. Ahakoa e whāngaihia ana rātou ki ngā huakita noa mā te waiū ū, he kino te urupare a ō rātou whekau. He tino kino te mumura me te pupuhi, ā, ka motuhia te rere o te toto ki te arai o ngā whekau, ka tīmata te mate o ngā kiko . Koinei te tikanga o te kupu "necrotizing".

Kāore ngā tākuta i te tino mōhio he aha te take o te NEC. Tērā pea nā te korenga o te toto i roto i ngā whekau o te pēpi, nā te mea rānei nā te toto i ngāwari ake ai rātou ki te pangia e ngā mate kitakita. Te āhua nei he whai wāhi ngā āhuatanga e rua.

Te Enterocolitis Pseudomembranous

E kiia ana hoki tēnei ko te enterocolitis e pā ana ki te paturopi . Nā te mate huakita i puta ai. He mea whakamiharo, ka rongoatia ki ngā paturopi .Ko te whakamahinga o ngā paturopi tētahi atu take. He huakita motuhake e kiia nei ko te Clostridium difficile (C. diff) te take o tēnei. Ko te nuinga o te wā ka puta tēnei mate `C. diff` i roto i te hunga kua tango i ngā paturopi hei rongoā i tētahi atu mate. Ko te nuinga o ngā paturopi kāore e patu i te `C. diff`, engari ka patu i ngā huakita pai i roto i ō tātou whekau e patu ana i te `C. diff`. Kātahi ka ngāwari te tipu haere o te `C. diff`.

I te tipu haere o tēnei huakita, ka tukuna ngā paitini ki roto i te arai o ngā whekau. Ka pāngia ētahi tāngata e te mate kino ki ēnei paitini, ka hua ake he mate e kiia nei ko te enterocolitis. He mea noa tēnei mate i roto i ngā hōhipera me ngā whare tiaki kaumātua nā te iti o te ārai mate o ngā kainoho, te nui o te whakamahinga o ngā paturopi , me te kaha o ngā huakita C. diff ki te ora mō ngā wā roa i runga i ngā mata rerekē.

Te Enterocolitis Hemorrhagic

Tērā pea ka puta tēnei āhuatanga i te mate E. coli . He huakita te E. coli e noho ora ana i roto i ō tātou whekau, kāore he kino. Heoi, he momo motuhake e kiia nei ko te Enterohemorrhagic E. coli (EHEC) , ko te Shiga toxin-producing E. coli rānei (STEC), he mea morearea. Ka piri tēnei momo ki te arai o ō tātou whekau, ka whakaputa i ngā paitini e kiia nei ko ngā paitini Shiga e puta ai te mumura me te toto.

Ko te tikanga o te "Enterohemorrhagic" ko te toto i roto i te whekau iti. Ko te hunga e tino pāngia ana e te paitini Shiga ka pāngia e te enterocolitis me te toto i roto i ngā whekau e rua. Ka puta te mate korere toto (dysentery) . Ko te nuinga o te wā ka pāngia ngā tamariki nohinohi me ngā kaumātua e tēnei mate.

Te Mate Enterocolitis i Puta mai i te Pūmua Kai (FPIES)

He mate pāwera kai tēnei. Ko te nuinga o te wā ka pā ki ngā tamariki kei raro iho i te rua tau te pakeke. Ka mumura te arai o ō rātou whekau. Ko te 'FPIES' he mate pāwera kāore i te IgE . Nō reira, he rerekē tēnei i ētahi atu mate pāwera kua rongo pea koe.

I roto i te nuinga o ngā mate pāwera, ka whakaputahia e tō tātou pūnaha ārai mate ngā paturopi motuhake e kiia nei ko ngā paturopi IgE hei ārai i te mate pāwera. Ka puta he tauhohenga tonu i roto i ēnei paturopi, ka puta ngā tohu i roto i te ihu, te korokoro, ngā pukahukahu, me te kiri. Heoi, i roto i ngā mate pāwera kāore i te IgE, kāore ngā paturopi 'IgE' e puta. Engari, ka puta he tauhohenga whakaroa i roto i ngā whekau anake, ka puta ngā tohu o te enterocolitis.

Te Enterocolitis e pā ana ki a Hirschsprung

Ko te mate Hirschsprung tēnei.He mate urutā noa, he mate kino hoki te mate Hirschsprung o tētahi whānautanga hapa e pā ana ki te whekau nui. He ngoikore ētahi momo pūtau o ngā pēpi e pangia ana e te mate Hirschsprung i roto i te arai o te whekau nui, i te nuinga o te wā i te wāhi kotahi. Kei roto i ēnei pūtau ngā uaua e whakakorikori ana i te paru e āwhina ana ki te neke i te paru mā roto i te whekau nui, e kiia nei ko te peristalsis .

I tēnei wāhi kāore he pūtau, ka piri te tūtae ki te wāhi kotahi, ā, kāore e taea te neke whakamua, ka puta he aukati . Ka puta he taiao pai mō te tipu o te huakita i tēnei aukati. Ka horapa te tipu o te huakita puta noa i ngā whekau, ā, ka mutu, ka whakangaro i te arai o te whekau, ka taea ai e te huakita te tomo ki taua paparanga. Ka taea e ēnei āhuatanga katoa te whai wāhi ki te whanaketanga o te enterocolitis.

Te Enterocolitis Neutropenia

Ka pā tēnei ki te hunga whai mate e kiia nei ko te neutropenia . Ko te tikanga he iti iho i te mea noa te taumata o tētahi momo toto ma e kiia nei ko ngā neutrophil . Ko ēnei neutrophil te mea e āwhina ana ki te tiaki i a tātou mai i ngā mate. He nui ake te tūponotanga o te hunga whai neutropenia ki te pāngia e ngā mate kino, ā, ka pāngia hoki e te enterocolitis.

He tokomaha ngā tāngata e pāngia ana e te neutropenic enterocolitis kua whiwhi i te chemotherapy mō ngā mate pukupuku toto pērā i te leukemia me te lymphoma . Ka puta te neutropenia i ēnei āhuatanga, ā, ka taea hoki e te chemotherapy te ngoikore i te arai o ngā whekau. Heoi, ka taea hoki te puta i roto i ngā tāngata e pāngia ana e te neutropenia nā ētahi atu āhuatanga, pērā i te HIV/AIDS me ngā mate pūnaha ārai mate .

Me pēhea te tautuhi i te enterocolitis?

Ina hoki, he tino ōrite ngā tohu o te enteritis, te colitis, me te enterocolitis. Tērā pea kāore e taea e te tākuta te kī tonu ko tēhea wāhanga o ō whekau e pāngia ana. Heoi, i runga i ō tohu me ō tohumate tinana, ka whakapae ia kei te mumura. Kātahi, ko tāna mahi he kimi i te take o te mumura. Ko reira anake ka taea te tautuhi i te momo enterocolitis.

Ka whakamahia e ngā tākuta ngā whakamātautau toto, ngā whakamātautau tūtae, me ngā whakamātautau whakaahua hei kimi i te pūtake. Ka taea e ngā whakamātautau whakaahua, pērā i te ultrasound puku , te CT scan rānei, te rapu i ngā taunakitanga o te mumura i roto i ngā whekau me ngā raruraru pea. Ka taea e ngā whakamātautau toto me ngā whakamātautau tūtae te āwhina ki te tautuhi i ngā mate pāwera, i ngā mate rānei e pā ana.

Me pēhea te rongoā a ngā tākuta i te enterocolitis?

Kei te pūtake te maimoatanga. Ko ngā maimoatanga tonu ka uru atu ki:

• Te hoatu i ngā rongoā paturopi , ngā rongoā ārai huaketo, ngā rongoā ārai pirinoa rānei hei rongoā i ngā mate urutā.
• Te hoatutanga o ngā wai me ngā electrolytes ki te tinana hei rongoā i te matewai i puta mai i te mate korere me te ruaki.
• Te whakahaere i ngā corticosteroids hei whakaiti i te mumura.
• Te hoatu i ngā rongoā whakamamae.

I ētahi wā tino kino, ka hiahiatia pea e ngā tūroro:

• Te tango i te wai, te hau, ngā mea totoka rānei mai i ngā whekau, i te kōhao peritoneal rānei (te rerenga wai) .
• Ngā pokanga hei whakatika i tētahi kōhao i roto i te whekau, hei tango i tētahi mea kua āraia, hei tango rānei i te kiko mate.
• He pokanga colostomy rangitahi, he pokanga ileostomy rānei hei whakatikatika i te ara o te kai kia ora rā anō ngā whekau.
• Te whakarato i te kai mā te uaua (kai mā te IV) .

Ka ora rānei taku pēpi mēnā ka pāngia ia e te enterocolitis?

Ko ngā āhuatanga e pā ana ki ngā pēpi, inā koa ko te necrotizing enterocolitis (NEC) me te Hirschsprung-associated enterocolitis, ka mōrearea pea ki te ora . Heoi, mā te tātaritanga me te maimoatanga i te wā tika, ka ora te nuinga o ngā pēpi . Tērā pea ka pāngia ētahi e ngā mate pūmau, e ētahi atu raruraru roa rānei.

Nō reira, ki te whakaatu mai tāu tamaiti i tētahi o ēnei tohu, me toro atu ki te tākuta i te wā e taea ai. Mēnā ka kite wawe koe i tēnei mate, ka māmā ake te rongoā.

He aha ngā āhuatanga kino ka puta mai i te enterocolitis nui?

Ko ngā raruraru ka uru atu ki:

• Te whakawhāiti me te aukati: Mā te mumura roa me te whara o te arai o te whekau ka puta he koha. Ka taea e tēnei kiko koha te whakawhāiti i te whekau, ā, ka uaua te haere o te kai mārō.
• Te ischemia me te necrosis: Ki te motuhia te rere o te toto ki te arai o te whekau, ka mate pea te kiko. Me tango atu tēnei kiko mate hei tiaki i ngā wāhanga e toe ana.
• Te mate puku poto: Ko ngā tamariki kua tangohia tetahi wāhanga o ō rātou whekau nā runga i ngā raruraru, tera pea ka uaua ki te mimiti i ngā matūkai mai i te kai (he koretake o te kai). Ka arahi pea tēnei ki te kore kai pai, te kore e tupu pai, me te whakaroa i te tipu me te whanaketanga.
• Kore-pūmua: I te wā o te enterocolitis, ka taea e te au te hanga i roto i ngā awa au o ngā tamariki kāore e taea te nakunaku kai i te tikanga tika. Ina kore te au e rere i te tikanga tika ki roto i ngā whekau hei āwhina i te nakunaku kai, ka taea e ia te hanga me te whakatō, ka hanga he kōhatu au.Ka taea hoki e ia te puea ake o te au i roto i te pūkahukahu me te ate, ka puta ai te mumura.
• Te poka o te puku: Mā te matenga o te kiko, te whara kino, te whakaekenga mai rānei o te huakita ka pakaru, ka pokaia rānei te arai o te puku, ka turuturu mai ai ngā huakita.
• Te Mate Pūkahukahu, te Mate Pūkahukahu, me te Ru: Ki te horapa te mate e puta mai ana i ngā whekau ki te kōhao puku (peritonitis), ka horapa ki te toto (septicemia). Ka puta te mumura me te toto totoka puta noa i te tinana (sepsis). He āhuatanga ohorere te mate pūkahukahu . I ngā take tino kino, ka arahi pea ki te ru pūkahukahu . Ka taea e tēnei te ngoikore o ngā whekau maha me te mate.

Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)

He mea noa te mumura o ngā whekau, inā koa i te urupare ki tētahi mate. Heoi, ki te pāngia tō whekau iti me te koroni i te wā kotahi, e kiia nei ko te enterocolitis, ka nui ake te kino . Ko te nuinga o te wā ka pāngia tēnei mate e te hunga ngoikore te pūnaha ārai mate. Nō reira, ka nui ake te whakamataku i te mamae puku noa mō te hunga e pāngia ana e tēnei mate me ō rātou whanaunga.

Heoi, mā te āta tirotiro me te tere o te urupare , ka taea e ngā tākuta te rongoā i tēnei i mua i te puta mai o ngā raruraru. Mena he ngoikore tō pūnaha ārai mate, he mea nui kia mōhio koe ki te mōrearea o te enterocolitis. Mena ka kite koe i ētahi tohu, kaua e whakaroa, rapu tohutohu hauora. Kātahi ka taea e tātou te whakahaere i tēnei āhuatanga i mua i te kino haere.

` Enterocolitis, mate puku, mumura puku, korere, mate tamarikitanga, ārai mate, nakunaku