Kodi matumbo anu onse awiri akutupa? Ichi ndi matenda a Enterocolitis!

Kodi nthawi zina mumamva kupweteka m'mimba, kudzimbidwa, ndi kutsegula m'mimba pamodzi ndi zizindikiro zina? Nthawi zina izi zingakhale zovuta kwambiri kuposa kupweteka m'mimba kokha. Lero tikambirana za matenda otchedwa enterocolitis , omwe angakhudze matumbo ang'onoang'ono ndi matumbo akuluakulu nthawi imodzi . Amatha kukhudza ana aang'ono komanso omwe ali ndi chitetezo chamthupi chofooka.

Kotero, kodi Enterocolitis ndi chiyani?

Mwachidule, Enterocolitis ndi kutupa kwa matumbo athu. Ili ndi magawo awiri. Chimodzi ndi "enteritis", chomwe ndi kutupa kwa matumbo ang'onoang'ono. China ndi "colitis", chomwe ndi kutupa kwa matumbo akulu. Tikaphatikizana, timatcha Enterocolitis.

Kawirikawiri kutupa kumachitika m'matumbo ang'onoang'ono kapena m'matumbo akuluakulu. Komabe , ngati zonse ziwiri zatupa nthawi imodzi, zimatha kukhala zoopsa kwambiri . Komanso, vutoli nthawi zambiri limakhudza anthu omwe ali ndi chitetezo chamthupi chofooka, makamaka makanda ndi ana aang'ono .

Kodi enterocolitis imakhudza bwanji thupi?

Matumbo athu akatupa, zimakhudza kwambiri matumbo, omwe timawatcha kuti mucosa . Kutupa kumeneku kumapangitsa kuti malowo atupa, amve kupweteka, ndipo kumasintha momwe matumbo amatulutsira madzi ndi kuyamwa michere. Izi zitha kukhudza kwambiri kugaya chakudya ndi matumbo anu.

Taganizirani izi, thupi lathu likalandira kachilombo, matenda, kapena kuvulala, chitetezo cha mthupi lathu, chitetezo cha mthupi , chimayamba kugwira ntchito. Ndicho chimene kutupa kumatanthauza. Chifukwa chake, pamodzi ndi kutupa m'mimba, zizindikiro zodziwika bwino monga kusasangalala ndi kutentha thupi zingawonekerenso.

Kodi zizindikiro za enterocolitis ndi ziti?

Zizindikiro zomwe zimapezeka nthawi zambiri mu mkhalidwe uwu ndi izi:

• Kupweteka m'mimba ndi kupunduka.
• Kutsegula m'mimba, nthawi zina kumayendera limodzi ndi magazi .
• Chakudyacho sichikoma.
• Kusanza ndi kusanza.
• Malungo.
• Kumva kutopa kwambiri.
• Kumva ngati mimba yanu yatupa komanso yatupa.

Ngati muli ndi chimodzi mwa zizindikirozi, makamaka ngati sizikuchira patatha masiku ochepa, ndi bwino kufunafuna upangiri wa dokotala.

Kodi matenda a enterocolitis amatha nthawi yayitali bwanji?

Zimatengeradi chomwe chikuyambitsa vutoli. Choyambitsa matendawa nthawi zambiri chimakhala matenda . Izi nthawi zambiri zimakhala zakanthawi. Chitetezo chathu cha mthupi chimatha kuzilamulira zokha. Koma nthawi zina muyenera kumwa mankhwala.

Komabe, pali zifukwa zina zomwe sizimafala kwambiri, mwachitsanzo:Matenda a enterocolitis, omwe amayamba chifukwa cha zinthu monga matenda odziteteza ku matenda enaake, amatha kukhalapo kwa kanthawi. Ngakhale kuti matenda osatha amenewa sangachiritsidwe kwathunthu, madokotala amatha kupereka mankhwala oletsa kutupa.

Kodi ndi zinthu ziti zomwe zimayambitsa enterocolitis?

Ndipotu, kutupa kwa matumbo ang'onoang'ono (enteritis) ndi matumbo akuluakulu (colitis) kungachitike pazifukwa zilizonse, ndipo matumbo onse awiri akhoza kutupa, kutanthauza enterocolitis. Koma ngati zimenezo zitachitika, zikutanthauza kuti ndi vuto lalikulu kuposa masiku onse , ndipo zingatanthauzenso kuti chitetezo cha mthupi ndi chofooka.

Izi nthawi zambiri zimachitika chifukwa cha:

• Matenda opatsirana ndi mavairasi: Mwachitsanzo, chimfine cha m'mimba.
• Matenda opatsirana ndi tizilombo toyambitsa matenda: monga giardiasis.
• Matenda a bakiteriya: monga poizoni wa chakudya.

Kuphatikiza apo, kugwiritsa ntchito mopitirira muyeso zinthu zina kungayambitsenso vutoli. Mwachitsanzo, kupitiriza kumwa mowa, mankhwala osokoneza bongo monga cocaine, ndi mankhwala ena omwe amagulitsidwa mumsika. Komanso, matenda osatha a m'mimba monga matenda a Celiac ndi matenda a Crohn angayambitsenso izi.

Ngati chitetezo chanu cha mthupi chili chofooka, mumakhala ndi mwayi waukulu wopeza matenda a enterocolitis. Matendawa nthawi zambiri amakhudza makanda ndi ana aang'ono , komanso anthu omwe ali ndi matenda osatha, monga HIV .

Kodi pali mitundu yeniyeni ya enterocolitis?

Inde, madokotala apeza mitundu ina ya enterocolitis. Izi zimagawidwa m'magulu kutengera zomwe zimayambitsa. Izi ndi matenda ovuta kwambiri komanso matenda omwe amatha kukhudza matumbo onse awiri.

Kutupa kwa Enterocolitis (NEC)

Izi zimachitika kwambiri mwa makanda odwala komanso obadwa msanga . Ana awa amakhala kuti alibe chitetezo chamthupi. Ngakhale kuti amapatsidwa mabakiteriya abwinobwino kudzera mu mkaka wa m'mawere, matumbo awo sachita bwino. Kutupa ndi kutupa kumakhala koopsa kwambiri kotero kuti magazi opita ku matumbo amatsekedwa, ndipo minofu imayamba kufa . Ndicho chimene mawu oti "necrotizing" amatanthauza.

Madokotala sakudziwa chomwe chimayambitsa NEC. Zingakhale chifukwa chakuti matumbo a mwana alibe magazi okwanira, kapena chifukwa chakuti magazi amawapangitsa kukhala pachiwopsezo chachikulu cha matenda a bakiteriya. Zinthu zonsezi zikuoneka kuti zikuwonjezera vutoli.

Pseudomembranous Enterocolitis

Izi zimatchedwanso kuti enterocolitis yokhudzana ndi maantibayotiki . Zimayambitsidwa ndi matenda a bakiteriya. Chodabwitsa n'chakuti, zimachiritsidwa ndi maantibayotiki .Kugwiritsa ntchito maantibayotiki ndi chifukwa china. Bakiteriya yapadera yotchedwa Clostridium difficile (C. diff) ndiye amachititsa izi. Matenda a `C. diff` nthawi zambiri amapezeka mwa anthu omwe adamwa maantibayotiki kuti achiritse matenda ena. Maantibayotiki ambiri sapha `C. diff`, koma amapha mabakiteriya abwino m'matumbo mwathu omwe amapha `C. diff`. Kenako `C. diff` imatha kukula mosavuta.

Pamene mabakiteriyawa akukula, amatulutsa poizoni m'matumbo. Anthu ena amatha kudwala kwambiri poizoniyu, zomwe zimapangitsa kuti akhale ndi vuto lotchedwa enterocolitis. Matendawa amapezeka kwambiri m'zipatala ndi m'nyumba zosungira okalamba chifukwa cha chitetezo chochepa cha mthupi cha anthu okhala m'deralo, kugwiritsa ntchito kwambiri maantibayotiki , komanso kuthekera kwa mabakiteriya a C. diff kukhala ndi moyo kwa nthawi yayitali pamalo osiyanasiyana.

Kutuluka kwa magazi m'thupi (Hemorrhagic Enterocolitis)

Matendawa angayambitsidwe ndi matenda a E. coli . E. coli ndi mabakiteriya omwe nthawi zambiri amakhala m'matumbo mwathu osavulaza. Komabe, mtundu wapadera wotchedwa Enterohemorrhagic E. coli (EHEC) , kapena Shiga toxin-producing E. coli (STEC), ndi woopsa. Mtundu uwu umamatira kumkati mwa matumbo athu ndipo umapanga poizoni wotchedwa Shiga toxins omwe amayambitsa kutupa ndi kutuluka magazi.

"Enterohemorrhagic" amatanthauza kutuluka magazi m'matumbo ang'onoang'ono. Anthu omwe amachitapo kanthu kwambiri ndi poizoni wa Shiga amatha kudwala enterocolitis ndi kutuluka magazi m'matumbo onse awiri. Izi zimayambitsa kutsegula m'mimba kwa magazi (kutsegula m'mimba) . Matendawa nthawi zambiri amakhudza ana aang'ono kwambiri komanso okalamba .

Matenda a Enterocolitis Oyambitsidwa ndi Mapuloteni A Chakudya (FPIES)

Izi ndi ziwengo za chakudya. Zimakhudza kwambiri ana osakwana zaka ziwiri. Zimayambitsa kutupa kwa matumbo awo. `FPIES` ndi ziwengo zomwe sizimayambitsa IgE . Chifukwa chake ndizosiyana ndi ziwengo zina zomwe mwina mudamvapo.

Mu ziwengo zambiri, chitetezo chathu chamthupi chimapanga ma antibodies enieni otchedwa ma IgE antibodies motsutsana ndi allergen. Ma antibodies amenewa amayambitsa nthawi yomweyo, zomwe zimayambitsa zizindikiro m'mphuno, pakhosi, m'mapapo, ndi pakhungu. Komabe, mu ziwengo zomwe sizimachokera ku IgE, ma antibodies a `IgE` sapangidwa. M'malo mwake, kuchedwa kumachitika m'matumbo okha, zomwe zimayambitsa zizindikiro za enterocolitis.

Enterocolitis Yogwirizana ndi Hirschsprung

Ichi ndi matenda a Hirschsprung.Matenda a Hirschsprung ndi vuto lofala komanso loopsa la chilema chobadwa nacho chomwe chimakhudza matumbo akulu. Ana omwe ali ndi matenda a Hirschsprung amakhala ndi kusowa kwa mitundu ina ya maselo m'kati mwa matumbo akulu, nthawi zambiri m'dera limodzi. Maselo amenewa amagwira ntchito mu minofu yomwe imathandiza kusuntha ndowe kudzera m'matumbo akulu, yotchedwa peristalsis .

M'derali lopanda maselo, ndowe zimamatira pamalo amodzi ndipo sizingapite patsogolo, zomwe zimapangitsa kuti pakhale kutsekeka . Kutsekeka kumeneku kumapangitsa kuti mabakiteriya azikula bwino. Kukula kwa mabakiteriya kumeneku kumafalikira m'matumbo onse, pamapeto pake kumawononga matumbo, zomwe zimapangitsa kuti mabakiteriya alowe mu gawo limenelo. Zonsezi zingathandize kuti matenda a enterocolitis ayambe.

Neutropenic Enterocolitis

Izi zimakhudza anthu omwe ali ndi matenda otchedwa neutropenia . Izi zikutanthauza kuti ali ndi kuchuluka kochepa kuposa kwachibadwa kwa mtundu wa maselo oyera a m'magazi otchedwa neutrophils . Ma neutrophils amenewa nthawi zambiri amatiteteza ku matenda. Anthu omwe ali ndi neutropenia amakhala ndi mwayi waukulu wopeza matenda oopsa, ndipo amathanso kudwala enterocolitis.

Anthu ambiri omwe ali ndi neutropenic enterocolitis adalandira mankhwala a chemotherapy a khansa ya m'magazi monga leukemia ndi lymphoma . Matendawa amayambitsa neutropenia, ndipo chemotherapy imathanso kufooketsa matumbo. Komabe, imathanso kuchitika kwa anthu omwe ali ndi neutropenia yomwe imayambitsidwa ndi matenda ena, monga HIV/AIDS ndi matenda odziteteza ku matenda .

Kodi matenda a enterocolitis amachiritsidwa bwanji?

Ndipotu, zizindikiro za matenda a enteritis, colitis, ndi enterocolitis zimafanana kwambiri. Dokotala sangathe kudziwa nthawi yomweyo gawo la matumbo anu lomwe lakhudzidwa. Komabe, kutengera zizindikiro zanu zakuthupi, adzakayikira kutupa. Kenako, ntchito yake ndikupeza chomwe chikuyambitsa. Pamenepo ndi pomwe mtundu weniweni wa enterocolitis ungadziwike.

Madokotala amagwiritsa ntchito mayeso a magazi, mayeso a ndowe, ndi mayeso ojambulira kuti apeze chomwe chimayambitsa vutoli. Mayeso ojambulira, monga ultrasound ya m'mimba kapena CT scan, amatha kuwona umboni wa kutupa m'matumbo ndi zovuta zomwe zingachitike. Mayeso a magazi ndi mayeso a ndowe angathandize kuzindikira matenda kapena matenda enaake omwe angakhale nawo.

Kodi madokotala amachizira bwanji enterocolitis?

Chithandizo chimadalira chomwe chimayambitsa vutoli. Chithandizo chadzidzidzi chingaphatikizepo:

• Kupereka mankhwala opha tizilombo toyambitsa matenda , mavairasi, kapena mankhwala opha tizilombo toyambitsa matenda kuti tichiritse matenda.
• Kupereka madzi m'mitsempha (madzi a m'mitsempha) ndi ma electrolyte pochiza kutaya madzi m'thupi komwe kumachitika chifukwa cha kutsegula m'mimba ndi kusanza.
• Kupereka mankhwala a corticosteroids kuti achepetse kutupa.
• Kupereka mankhwala ochepetsa ululu.

Pa milandu ina yovuta kwambiri, odwala angafunike:

• Kuchotsa madzi, mpweya, kapena zinthu zolimba m'matumbo kapena m'mimba (madzi otuluka m'mimba) .
• Opaleshoni yokonza dzenje m'matumbo, kuchotsa kutsekeka, kapena kuchotsa minofu yakufa.
• Opaleshoni ya kanthawi yochotsa mimba m'mimba kapena ileostomy kuti chakudya chilowe m'mimba mpaka matumbo atachira.
• Kupereka zakudya zopatsa thanzi kudzera m'mitsempha (IV nutrition) .

Kodi mwana wanga adzachira ngati atadwala matenda a enterocolitis?

Matenda omwe amakhudza makanda, makamaka matenda a enterocolitis (NEC) ndi matenda a Hirschsprung-associated enterocolitis, akhoza kukhala pachiwopsezo chachikulu . Komabe, akapezeka ndi matenda nthawi yake komanso kulandira chithandizo, makanda ambiri amachira . Ena amatha kukhala ndi matenda osatha kapena mavuto ena a nthawi yayitali.

Choncho, ngati mwana wanu akuwonetsa zizindikiro izi, pitani kwa dokotala mwamsanga. Mukazindikira msanga, zimakhala zosavuta kuchiza.

Kodi ndi mavuto otani omwe angabwere chifukwa cha enterocolitis yoopsa?

Mavuto angaphatikizepo:

• Kutsekeka ndi kutsekeka: Kutupa ndi kuvulala kwa nthawi yayitali kwa matumbo kungayambitse zipsera. Zipsera zimenezi zimatha kuchepetsa matumbo ndikupangitsa kuti chakudya cholimba chisadutse.
• Kufooka kwa magazi ndi kufalikira kwa magazi: Ngati magazi opita ku matumbo atsekedwa, minofuyo imatha kufa. Minofu yakufa iyi iyenera kuchotsedwa kuti ziwalo zina zisungike.
• Matenda a m'mimba afupi: Ana omwe achotsedwa gawo la matumbo awo chifukwa cha mavuto ena angavutike kuyamwa michere kuchokera muzakudya (malabsorption). Izi zingayambitse kusowa zakudya m'thupi, kulephera kukula bwino, komanso kuchedwa kukula ndi chitukuko.
• Cholestasis: Pa nthawi ya enterocolitis, ndulu imatha kusonkhana m'mitsempha ya ndulu ya ana omwe sangathe kugaya chakudya bwino. Ngati ndulu siyenda bwino m'matumbo kuti ithandize kugaya chakudya, imatha kusonkhana ndikugwa, ndikupanga miyala ya ndulu.Zingayambitsenso kuti ndulu ichuluke mu ndulu ndi chiwindi, zomwe zimayambitsa kutupa.
• Kuboola kwa m'mimba: Kufa kwa minofu, kuvulala kwambiri, kapena kulowa kwa mabakiteriya kungayambitse kusweka kwa matumbo kapena kuboola, zomwe zimapangitsa kuti mabakiteriya atuluke.
• Septicemia, Sepsis, ndi Shock: Ngati matenda omwe atuluka m'matumbo afalikira mpaka m'mimba (peritonitis), amatha kufalikira mpaka m'magazi (septicemia). Izi zingayambitse kutupa ndi magazi kuundana m'thupi lonse (sepsis). Sepsis ndi yadzidzidzi . Pa milandu yoopsa kwambiri, ingayambitse septic shock . Izi zingayambitse kulephera kwa ziwalo zambiri ndi imfa.

Chinthu chofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kutupa kwa matumbo n'kofala, makamaka chifukwa cha matenda. Komabe, ngati kumakhudza matumbo ang'onoang'ono ndi m'matumbo nthawi imodzi, komwe kumatchedwa enterocolitis, kungakhale koopsa kwambiri . Matendawa nthawi zambiri amakhudza anthu omwe ali ndi chitetezo chamthupi chofooka. Chifukwa chake, amatha kukhala oopsa kuposa kupweteka m'mimba kokha kwa iwo omwe amakumana nako komanso okondedwa awo.

Komabe, mosamala komanso mwachangu , madokotala amatha kuchiza vutoli asanayambe mavuto. Ngati inu kapena wokondedwa wanu muli ndi chitetezo chamthupi chofooka, ndikofunikira kwambiri kudziwa za chiopsezo cha enterocolitis. Ngati muwona zizindikiro zilizonse, musachedwe ndipo funsani upangiri kwa dokotala. Kenako tikhoza kuwongolera vutoli lisanafike poipa kwambiri.

Matenda a m'mimba, matenda a m'mimba, kutupa m'mimba, kutsegula m'mimba, matenda a ana, chitetezo chamthupi, kugaya chakudya m'mimba