Kua tino pāngia tō koroni e te paitini? (Megakoroni Paitini) Me ako tātou mō tēnei.

Kua pāngia koe e te mamae nui o te puku, te pupuhi, me te kore whakamarie tonu i roto i tō tinana? I ētahi wā, koinei pea te tīmatanga o tētahi raruraru nui ake. I tēnei rā ka kōrero tātou mō tētahi mate he kino rawa, engari ka taea te whakaora mēnā ka tere te kite. Ko te ingoa o tēnei ko te `(Toxic Megacolon)`. He ahua whakamataku te ingoa, kāore? Engari kia mārama noa tātou ki tēnei.

He aha te `(Toxic Megacolon)`? He māmā noa iho...

Ki te kī ngāwari, he mate tino kino, he mate ohorere te `(Toxic Megacolon)` e puta ana i roto i tō whekau nui (e mōhiotia ana ko `(Colon)`). Ka puta mai i te mumura nui, arā, te pupuhi, te whara rānei (`(Colitis)`) o te whekau nui.

Whakaarohia pēnei: ​​he rite tō tātou whekau nui ki tētahi ngongo ngāwari. He kiriuhi angiangi kei roto. I te nuinga o te wā, ka pāngia tēnei kiriuhi ina pāngia koe e te mate puku. Engari ki te tino kaha te mumura, ka horapa ki ngā paparanga hohonu o te whekau, arā, ki ngā uaua i roto i ngā pakitara o te whekau.

Ka ahatia ina tupu tēnei? Ka mutu te mahi tika a ngā uaua o ngā pakitara o ngā whekau. Ko ēnei uaua te mea e pana ana i te kai me te hau ki raro i ngā whekau. Ina mutu te mahi, ka mau te kai me te hau ki roto i ngā whekau. Kātahi ka ngoikore, ka totoro, ka whānui ngā pakitara o ngā whekau. Ka pupuhi pērā i te poihau. Ko te mea tino morearea ko ngā hua para e kohia ana i tēnei ara ka hanga i ngā paitini ka turuturu mā roto i aua pakitara ngoikore ki roto i te toto. Kātahi ka tīmata te tinana katoa ki te paitini. Ka kiia tēnei ko te megacolon paitini , ko te "Toxic Megacolon" rānei.

He aha te rerekētanga i waenga i te `(Megacolon paitini)` me ētahi atu momo `(Megacolon)`?

Inaianei kei te whakaaro pea koe, "Kāore ianei ētahi atu mate e pupuhi ai te koroni?" Ae, kei reira. I ētahi wā ka pupuhi te koroni nā te mea he aukati (`(Obstructions)`), i ētahi wā kāore he aukati (`(Pseudo-obstructions)`). Ka kiia hoki tēnei ko te `(Megacolon)`.

Heoi, ko te āhuatanga motuhake o te `(Toxic Megacolon)`, e ai ki te kōrero i mua ake nei, ka horapa te paitini puta noa i te tinana (`(Systemic Toxicity)`) . Kāore tēnei e tupu tonu i roto i ētahi atu momo `(Megacolon)`. Ina koa, ko tēnei āhuatanga paitini ka kitea pinepinetia me te `(Colitis)` e puta mai ana me te mumura o te whekau (`(Colitis)`, arā, nā ngā mate pāwera, ngā āhuatanga `(Inflammatory)` rānei. Koinei te wā ka puta ai ngā tohu pēnei i te toto toto iti, te tere o te ngakau, me te pōhēhē.

He aha ngā raruraru kino ka puta mai i te Toxic Megacolon?

E kiia ana tēnei he āhuatanga ohorere hauora , nā te mea ka ara ake pea he maha ngā raruraru nui ka mōrearea ai te ora.

• Te pakaru/te pakaru o te puku : Ko tāku e kī nei, ka ngoikore, ka totoro hoki ngā pakitara o te puku. Ina tupu tēnā, ka ngawari te pakaru, te pakū rānei.
• Te toto nui o te puku me te ngaronga toto : Tērā pea kua whara ngā whekau, ā, ka nui te toto e puta.
• Mate pāwera pūnaha me te sepsis: Ina uru ngā paitini mai i ngā whekau ki roto i te toto, ka horapa te mate puta noa i te tinana, ka arahi atu ki tētahi mate morearea e kiia nei ko te sepsis.
• Te mate puku: Ka pā te pēhanga nui ki roto i te puku ki ētahi atu okana.

He mea tino nui: Mena kei a koe ēnei tohu, ko te mea pai ko te rapu tohutohu hauora i te wā tonu.

Me pēhea te mate e puta mai i te Toxic Megacolon?

He take nui tēnei. E ai ki te kōrero i mua ake nei, ka ngawari te haehae o ngā pakitara o te koroni, kua ngoikore, kua totoro hoki, ā, ka pokaia. Mēnā ka puta he pokaia pēnei, ka puta he toto nui i roto i te puku, ā, ka turuturu ngā mea pēnei i te paru ki roto i te kōhao puku, ka puta he mate i roto i te puku (peritonitis). Ka tere te kohikohi o tēnei mate i roto i te toto, ka paitini i te tinana katoa, ka arahi ki te āhua e kiia nei ko te toxic shock. Waihoki, ina nui rawa te pikinga o te pēhanga i roto i te puku, ka raru te rere o te toto ki ētahi atu okana nui (pērā i ngā whatukuhu me ngā pukahukahu), ā, ka kore e whiwhi hāora, ka ngoikore. Koinei te tino take o te mate.

He aha ngā tohu o te `(Toxic Megacolon)`?

I tēnei āhuatanga, ka puta pea ngā momo tohu. Ko ētahi o aua tohu ka rite ki te mamae puku noa. Engari, ki te nui atu i te kotahi o ēnei tohu kei a koe, ki te kino rawa atu rānei, me āwangawanga koe.

• Korere (he toto tonu) : Te rere tonu o te puku, ā, ki te haere tahi me te toto, he tohu morearea tēnā.
• Mamae me te ngawari o te puku : He mamae e rite ana ki te pēhia ana tō puku, ā, ka mamae tonu ahakoa pā atu koe.
• Puku pupuhi : Kua rahi te puku, me te mea kua kī i te hau.
• Te pupuhi me te mamae o te hau (`(Te mamae o te hau me te hau)`) : Kī tonu te puku i te hau, ka mamae.
• Whakapairuaki me te ruaki : Te māuiui o tō puku, te āhua me te mea ka ruaki koe.
• Whatiwhati (`(Whaiwhati)`)
• Te matewai : Te ngaromanga o te wai i roto i te tinana. Ko ngā tohu ko te waha maroke me te iti o te mimi.
• Te tere o te manawa : He pikinga ake o te tere o te pao o te manawa.
• Kirika (`(Kirika)`)
• Te toto toto iti (`(Te toto toto iti)`) : He hekenga o te pēhanga.
• Pōhēhē hinengaro : Kāore e taea te mārama ki ngā mea e tupu ana, te pōhēhē.
• Ngenge/māuiui : He ngoikore te tinana.

He aha te tino take o te `(Toxic Megacolon)`?

Ina hoki, ka taea e tetahi momo mate puku kino te whakaputa i te megacolon paitini. Heoi, ko te nuinga o te wā ka puta mai i te mate e kiia nei ko te mate puku mumura (IBD).Ko te mate puku mumura (IBD) he kupu whānui mō ētahi momo mate puku roa, arā, he roa te wā e mau ana, ā, he uaua ki te rongoā. Hei tauira, ko te Mate Pukupuku Ulcerative me te Mate a Crohn kei roto i tēnei kāwai. Ki te kore e whakahaeretia tika ēnei āhuatanga mā te kai me te rongoā, ka pā pea ki ngā paparanga hohonu o te koroni, ka arahi ki te Megacolon Toxic.

He aha ētahi atu take o te Megacolon Paitini?

He raruraru te `(Toxic Megacolon)` o te `(Colitis)` kino. Nō reira, he maha ngā take mō tēnei `(Colitis)`. Arā, ka taea te `(Toxic Megacolon)` te puta mai i ngā momo mate `(Colitis)` rerekē. Kia tirohia tātou he aha ēnei:

• Te Mate Pukupuku Ulcerative : Koinei te momo IBD tino noa, ā, he tino take hoki o te Toxic Megacolon. He maha ngā wā ka puta te Toxic Megacolon i roto i ngā tau tuatahi i muri i te tātaritanga.
• Te Mate a Crohn : Ko tētahi atu momo IBD tēnei. Ko te nuinga o te wā ka pā ki te whekau iti, engari ka pā anō hoki ki te whekau nui. Ko te hunga whai Mate a Crohn kei te mōrearea hoki ki te whakawhanake i te Toxic Megacolon i te tīmatanga o te mate.
• Te Mate Pukupuku Ischemic : Ina kore e rere tika te toto ki roto i ngā whekau (Intestinal Ischemic Syndrome), ka hua ake pea tēnei i te Mate Pukupuku Ischemic. He uaua te rongoā i tēnei, ā, ka taea te whanake hei Toxic Megacolon.
• Te Matepukupuku Irahiko : Ka taea e te rongoā irahiko mō ngā mate pēnei i te matepukupuku te whakaputa i te matepukupuku poto hei pānga taha. Heoi, i roto i ētahi tāngata, ka roa pea te noho, ā, ka puta he raruraru.
• Te Mate Pukupuku : Ka taea e ngā mate kitakita, pirinoa, huaketo rānei te mate pukupuku. Ko ētahi momo mate ka pā ki ētahi tāngata. Ahakoa te paihana kai noa, te rewharewha puku rānei, ka taea e ētahi tāngata te mate pukupuku kino. Ko te hunga he ngoikore te pūnaha ārai mate ka tino mōrearea ki ngā mate pēnei i te cytomegalovirus.
• Pseudomembranous Colitis : He momo colitis hopuhopu tēnei i puta mai i te huakita Clostridium difficile (C. diff). E kiia ana hoki he take mōrearea mō te megacolon paitini. He maha tonu te pānga ki te hunga e tango ana i ngā paturopi mō tētahi atu mate. Nā te mea ka mate ngā huakita pai i roto i ngā whekau i ngā paturopi, ka tīmata te tipu haere o ngā huakita C. diff. Ka tere te kino o tēnei mate C. diff.

He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te `(Toxic Megacolon)`?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate. Ko wai rātou?

• Ngā tāngata e pāngia ana e te `(Mate Puku Mumura (IBD))`.
• Ngā tāngata whai mate pūnaha ārai mate (arā, ngā mate e whakaekehia ai e te pūnaha ārai mate ngā pūtau o te tinana)
• Ngā tāngata whai `(HIV/AIDS)`.
• Ko te hunga kua whakawhiti okana, kei te tango rānei i ngā rongoā ārai mate.
• Ngā tāngata e pāngia ana e te mate huka.
• Ngā tāngata whai mate tākihi.
• Ngā tāngata e pāngia ana e te mate pūkahukahu mau tonu (Chronic Obstructive Pulmonary Disease - COPD).
• Ngā tāngata whai mate manawa (`(Congestive Heart Failure)`).

Waihoki, ka taea e ētahi rongoā e tangohia ana e koe te whakakino ake i tēnei āhua "Toxic Megacolon":

• Ngā momo rongoā whakamamae mamae (`(Opioids)`)
• Ngā rongoā anti-mumura kore-steroidal (NSAID - hei tauira, Ibuprofen, Diclofenac)
• Ētahi rongoā mō te pouri (`(Ngā rongoā ārai pouri)`)
• Ngā rongoā ārai-kōrini
• Ngā rongoā ārai mate puku (kia tūpato ki te whakamahi i ēnei, nā te mea ka kino ake te āhua mā te aukati i ngā nekehanga o te puku)
• Te whakarite i te puku (he rongoā hei horoi i te puku i mua i te colonoscopy) (He mea morearea pea tēnei mō te tangata kua pāngia e te colitis)

Me pēhea te tautuhi i te mate pukupuku nui?

Ka pātai atu te tākuta ki a koe mō ō tohumate, ō mate o mua, me ngā rongoā e tangohia ana e koe. He mea nui ēnei mōhiohio nā te mea ka taea e ētahi mate, rongoā rānei te whakanui ake i te mōrearea o te whakawhanake i te Toxic Megacolon. Ka taea hoki e ētahi rongoā, pērā i ngā steroids, te pehi i ngā tohumate o te Toxic Megacolon. Kātahi ka tirotirohia koe e te tākuta.

I te wā o te whakamātautau tinana, ka tirohia e tō tākuta mēnā he puku pupuhi, he mamae ki te pā atu, me ngā tohu o te kore whakamarie. Tērā pea ka whakamahia e ia he stethoscope hei whakarongo ki te hekenga o te nekehanga o te puku. Ka tirohia ō tohu ora (te pā o te manawa, te pāmahana, me te toto toto) mō ngā tohu o te paitini, pērā i te kirika, te toto toto iti, me te tere o te manawa.

Hei tāpiritanga, me whai whakamātautau toto me te whakamātautau whakaahua puku (hei tauira, te hihi-X, te ultrasound puku, te matawai CT rānei) hei whakaū i te mate. Ka tirohia e ēnei whakamātautau whakaahua te whānui o te koroni me te mea he raruraru kē atu. Ka taea e te whakamātautau toto te tirotiro i te maha o ngā toto toto mā me ngā toto toto whero, ā, ka taea te whakatau mena he mumura nui.

He maha ngā paearu e whakamahia ana hei tautuhi i te `(Toxic Megacolon)`:

• He taunakitanga e neke atu ana i te 6 henimita te whānui o te koroni.
• Kia toru pea ngā āhuatanga e whai ake nei:
• He kirika nui atu i te 38 Celsius (100.4 Fahrenheit).
• Te tere o te manawa e neke atu ana i te 120 ngā pao i te meneti.
• Te pikinga ake o te maha o ngā pūtau toto mā.
• Te mate toto iti (te hekenga o te maha o ngā toto toto whero).
• Me whai i tētahi o ngā āhuatanga e whai ake nei:
• Te maroketanga (`(Te maroketanga)`).
• Te kore taurite o te irahiko me te wai.
• Te āhua hinengaro kua rerekē.
• Te toto toto iti (`(Te toto toto iti)`).

Hei tāpiri, ka hiahia pea te tākuta ki te whakamātautau i ō tauira toto, i ō tauira paru rānei, kia kitea ai mēnā he mate pāwera motuhake kei roto.

He aha ngā maimoatanga mō te `(Toxic Megacolon)`?

E hiahiatia ana he maimoatanga hōhipera mō tēnei mate. Ko te whāinga o te maimoatanga tuatahi he whakaū i tō mate me te whakaiti i te kaha o te mate puku. Mena he mate pēnei i te sepsis tōu, me rongoa pea koe i te wāhanga tiaki nui (ICU). Hei tauira, he manawa mīhini mō ngā raruraru manawa, he dialysis rānei mō te ngoikore o te whatukuhu.

Ki te kore, koinei ngā maimoatanga tuatahi mō te `(Toxic Megacolon)`:

• Wai IV : Whakaorahia te matewai me te whakataurite i ngā electrolytes.
• Ngā rongoā paturopi : Whakaorahia ngā mate pāwera mēnā kei te pā mai, āraihia rānei te putanga mai o ngā mate pāwera.
• `(Corticosteroids)` : He momo rongoā e hoatu ana hei whakaiti i te mumura (pupuhi).
• Okiokinga whekau : Kai mā roto i te ngongo / Whāngai mā roto i te pūwero.

Ki te kore e pai ake te āhua i ngā corticosteroids, ka whakamahia pea e te tākuta tētahi atu momo rongoā, pērā i te immunomodulator. Ka taea e ēnei te āwhina ki te whakaiti i te tauhohenga nui rawa o te pūnaha ārai mate, ka arahi pea ki te mumura nui me te pikinga o ngā pūtau toto mā i roto i ngā kiko.

Pokanga

Tata ki te 50% anake o ngā tūroro ka taea te whakaora mā te rongoā. Ko ētahi atu pea me pokanga, inā koa mēnā he raruraru morearea ki te ora. I te wā e rongoatia ana te tangata he megacolon paitini, ka kōrero wawe ngā tākuta ki ngā taote pokanga hei āwhina i te whakatau. I ētahi wā, ka whakatau pea te tākuta he pai ake te tango i te wāhanga kua pakaru o te koroni (he colectomy) hei ārai i ngā raruraru me ngā mōrearea anō.

Mena ka tangohia tō puku, me tango anō hoki he ostomy. Ko te ostomy he kōhao i roto i tō puku hei tuku i te paru kia puta. Koinei te kōhao e puta ai te paru ina kore e mahi tika ō whekau. I runga i te momo o te colectomy kei a koe, me tango pea he ostomy mō te wā poto, mō te wā roa rānei. Ahakoa he wā poto, he wā roa rānei, he nui te huringa o te urutau ki te ostomy, inā koa i roto i te āhuatanga ohorere. Engari ka whiwhi koe i te tautoko e hiahiatia ana e koe hei wikitoria i tēnei āhuatanga.

Ka taea te whakaora i te Megacolon paitini?

Āe, ki te rapu wawe koe i te rongoā, he tino teitei te tūponotanga ka ora koe. Tata ki te 93% o te hunga e rongoatia ana mō te `(Toxic Megacolon)` ka ora katoa. Heoi, ki te puta he raruraru pēnei i te poka o te puku, ko te ōrau ora he tata ki te 75%. Ka puta te nuinga o ngā raruraru ina kore e rongoatia te `(Toxic Megacolon)` mō te wā roa. Nō reira, he mea tino nui kia mārama koe ki te kino o tō mate, ā, kia tere te mahi.

He āhuatanga ohorere hauora te megacolon paitini ka puta ohorere mai, ā, kāore i te tūmanakohia. He nui ake tō mōrearea mēnā kua kitea tata nei koe he mate puku mumura (IBD) kāore i te pai te whakahaere. Heoi, ka puta anō hoki i te wā o te mate kino, i tētahi atu mate puku kino rānei. Kia tūpato ki ngā huringa, ki te kino haere rānei o ō tohumate noa.

Ki te pāngia koe e te mate puku kino, ā, ka tīmata koe ki te māuiui, ki te paitini rānei, rapua tonutia he tohutohu hauora. Ko te maimoatanga wawe te huarahi pai hei ārai i ngā raruraru e morearea ana ki te ora. Ka taea hoki e ia te āwhina i a koe ki te karo i te pokanga. Ahakoa me tango ohorere koe i te puku me te tango i te ostomy, kia mahara ka whiwhi koe i te āwhina katoa e hiahiatia ana e koe hei urutau ki ngā huringa.

Te mea tino nui (Karere hei kawe ki te kāinga)

He mate tino kino, he mate ohorere te Megacolon Toxic e puta ana i roto i te whekau nui. Ka puta mai i te colitis kino (mumura/whara o te koroni). Mena kei a koe ngā tohu pēnei i te pupuhi, te mamae nui o te puku, te korere toto, te kirika, me te tere o te ngakau, kaua e warewarehia. He mate ohorere hauora tēnei. Mena ka tere te whiwhi maimoatanga hōhipera, ka taea e koe te ora katoa. Nō reira, ki te pāngia koe e ēnei tohu, tirohia tonutia te tākuta. Ka roa ake tō tatari, ka nui ake ngā raruraru ka pā mai, ā, ka nui ake te tūponotanga ka mate koe. Kia tiakina tō hauora.

` Megacolon paitini, Colitis, Mumura o te koroni, Mamae puku, Korere, Pokanga, Āwhina ohorere