Kodi inunso mumatuluka m'mimba pafupipafupi? Tiyeni tiphunzire za matenda a m'mimba osawoneka bwino awa!

Kodi nthawi zina mumatuluka madzi m'mimba kwa masiku ambiri? Kuphatikiza apo, mumamva kusasangalala komanso kupweteka m'mimba, sichoncho? Uwu ndi vuto lomwe sitilankhula kwambiri, koma lingakhudze anthu ambiri. Umu ndi momwe matenda a m'mimba otchedwa microscopic colitis amakhalira. Lero, tikambirana za izi mwatsatanetsatane komanso mosavuta.

Kodi Microscopic Colitis ndi chiyani?

Mwachidule, matenda a m'matumbo ang'onoang'ono (microscopic colitis) ndi kutupa kosatha (kwanthawi yayitali) kwa matumbo anu akuluakulu (omwe amadziwikanso kuti matumbo anu a m'mimba). Mawu oti "colitis" amatanthauza kutupa kwa matumbo akuluakulu. Amatchedwa "microscopic" chifukwa kutupako sikuoneka ndi maso. Kungathe kuwoneka bwino kokha ndi maikulosikopu.

Uwu ndi mtundu wa matenda otupa m'matumbo (IBD). Koma ndi wosiyana pang'ono ndi mitundu ina ya IBD. Maselo m'matumbo mwanu amakwiya nthawi zonse. Chizindikiro chachikulu ndi kutsegula m'mimba pafupipafupi, komwe kumakhala ndi madzi. Monga matenda ena osatha, kumatha kubwera ndi kupita, kenako nkutha, kenako nkubwerera. Izi zikutanthauza kuti, zinthu zina (zomwe timazitcha "zoyambitsa") zimatha kupangitsa matendawa kukhala ovuta, nthawi zina amatha okha, kenako n’kubwerera pakapita kanthawi. Ngakhale kuti ikhoza kukhala vuto la moyo wonse, nthawi zambiri imatha kuthetsedwa bwino ndi chithandizo chamankhwala .

Ndani amene angapeze izi?

Matendawa amatha kufalikira mwa aliyense, koma anthu ena amakhala ndi vutoli.

• Izi zimachitika kawirikawiri mwa anthu akuluakulu .
• Zapezekanso kuti akazi amakula pang'ono kuposa amuna.
• Chiwopsezochi chilinso chachikulu kwa osuta fodya .
• Zingathenso kuchitika kwa anthu omwe ali ndi matenda enaake a autoimmune, makamaka matenda a celiac (gluten allergy).

Matenda a microscopic colitis nthawi zambiri ankaganiziridwa kuti ndi osowa kwambiri poyerekeza ndi matenda ena otupa m'matumbo. Komabe, popeza kuti biopsy ya m'matumbo imafunika kuti idziwike bwino, tsopano akukhulupirira kuti anthu ambiri akhoza kukhala ndi vutoli kuposa momwe tinkaganizira .

Kodi iyi ndi matenda oopsa?

Ayi, poyerekeza ndi mitundu ina yoopsa ya IBD, matenda a m'mimba osawoneka ngati matenda oopsa komanso oopsa. Komabe, kutsegula m'mimba kosalekeza komanso koopsa kungayambitse kutaya madzi m'thupi, kuchepa thupi, komanso mwina kusowa zakudya m'thupi. Komabe, nthawi zambiri sikukhala koopsa choncho.

Uwu ndi vuto lomwe limabwera ndi kutha ndipo lingathe kuthetsedwa ndi mankhwala, kotero palibe chifukwa chochita mantha. Komabe, kukhala ndi vuto la m'mimba mukatha kudya kungayambitse kusintha kwa moyo wanu . Chifukwa chake, ndikofunikira kudziwa izi.

Kodi mitundu ikuluikulu ya matenda a m'matumbo ang'onoang'ono ndi iti?

Madokotala angatsimikizire matendawa pongoyang'ana minofu yochokera mu matumbo anu (intestinal mucosa) pogwiritsa ntchito maikulosikopu. Kenako amatha kuzindikira makhalidwe enieni a maselo amenewo. Makhalidwe amenewa amagwiritsidwa ntchito kudziwa mitundu ya matendawa. Pakadali pano pali mitundu iwiri ikuluikulu yomwe yapezeka. Ena angapo akukambidwanso.

• Collagenous colitis: Minofu yolumikizana m'matumbo mwanu imapangidwa ndi collagen ndi elastin. Mu mtundu uwu, mikanda ya collagen yomwe ili m'matumbo mwanu imakhala yokhuthala kwambiri. Izi zikufanana ndi momwe collagen ndi elastin zimatukukira m'matenda ena olumikizana, monga nyamakazi. Matendawa a autoimmune amapezekanso mwa anthu omwe ali ndi microscopic colitis.

• Matenda a Lymphocytic colitis: Mu mtundu uwu, pali kuwonjezeka kosazolowereka kwa chiwerengero cha ma lymphocytes, mtundu wa selo mu matumbo (epithelium). Ma lymphocytes ndi mtundu wa maselo oyera a magazi. Ndi gawo la chitetezo chathu chamthupi ndipo amatiteteza ku matenda. Ndizachilendo kuti chiwerengero cha maselo oyera amagazi chiwonjezeke pakakhala kutupa kokhudzana ndi chitetezo chamthupi.

Chabwino kwambiri n'chakuti zizindikiro za mitundu yonse iwiri zimafanana. Ndipo chithandizo chake ndi chimodzimodzi. Kusiyana kokha ndi pamene mukuziyang'ana pogwiritsa ntchito maikulosikopu. Asayansi ena amaganiza kuti awa ndi milandu iwiri ya matenda omwewo. Nthawi zina, mutha kuwona zizindikiro za mitundu yonse iwiri mwa munthu m'modzi. Izi zimatchedwa "incomplete microscopic colitis."

Kuphatikiza apo, anthu ena amaganiza kuti vuto lotchedwa mastocytic enterocolitis liyeneranso kuonedwa ngati mtundu wa matenda a m'matumbo ang'onoang'ono. Lili ndi zizindikiro zambiri zomwezo. Komabe, "enterocolitis" imatanthauza kuti silikhudza matumbo akulu okha, komanso matumbo ang'onoang'ono. "Mastocytic" imatanthauza kuti pali kuwonjezeka kosazolowereka kwa maselo ena a chitetezo chamthupi otchedwa mast cells m'kati mwa matumbo.

Kodi zizindikiro za izi ndi ziti?

Chizindikiro chachikulu komanso chodziwika bwino cha matenda a microscopic colitis ndi matumbo osatha komanso odzaza ndi madzi.Kawirikawiri, munthu amatha kuchita matumbo asanu kapena khumi patsiku. Anthu ena amatha kukhala ndi matumbo ochulukirapo kapena ocheperapo. Nthawi zambiri, matenda a m'mimba osawoneka bwino amanenedwa kuti amachitika popanda matumbo kapena ndi kudzimbidwa. Nthawi zina, amapezeka mwangozi pamene akufunafuna china chake.

Kuwonjezera pa zizindikiro zazikulu, palinso zotsatirapo zina zomwe zingawonekere:

• Kupweteka m'mimba ndi kupweteka m'mimba.
• Kutupa ndi kutupa m'mimba.
• Kufunika kopita kuchimbudzi mwachangu komanso kuvutika kugwira chopondapo kumbuyo.
• Kumva kulira kwa m'mimba (monga momwe m'mimba mukugwedezeka).
• Anthu ena amavutika kudya zakudya zomwe zili ndi gluten (monga buledi ndi Zakudyazi).
• Kumva kutopa nthawi zonse (Kutopa).

Ngati vutoli ndi lalikulu kwambiri, zizindikiro monga:

• Kusowa madzi m'thupi.
• Kusanza ndi kusanza.
• Kuchepetsa thupi.

Kuwonjezera pa izi, anthu ena amatchula zinthu zina:

• Kupweteka kwa minofu kapena kupweteka kwa minofu.
• Kupweteka ndi kuuma kwa mafupa.
• Mutu kapena migraine.
• Zilonda pakamwa.
• Ziphuphu pakhungu.
• Kutentha pamtima, acid reflux.
• Kutupa kwa ma lymph nodes.
• Mavuto a chithokomiro.
• Mavuto a mitsempha (monga, kuvutika kuyenda - `(ataxia)`).

Chofunika: Ngati muli ndi chimodzi mwa zizindikiro izi, sizikutanthauza kuti muli ndi matenda a m'matumbo osawoneka bwino. Komabe, ndi bwino kufunafuna upangiri wa dokotala, makamaka ngati mukutsegula m'mimba kosalekeza.

Kodi zifukwa zake ndi ziti?

Asayansi sanapezebe chifukwa chenicheni cha izi, koma akuganiza kuti pali zinthu zingapo zomwe zingayambitse izi:

• Kukumana ndi mabakiteriya ena, poizoni wa bakiteriya, ndi mavairasi.
• Kuyankha kwa chitetezo chamthupi ndi yankho lomwe limachitika chifukwa cha cholakwika chomwe chimachitika m'thupi lathu. Izi zikutanthauza kuti, chitetezo chamthupi chimagwira ntchito motsutsana ndi maselo athu.
• Majini. Izi zikutanthauza kuti ikhoza kukhala chinthu chomwe chimachokera ku mibadwomibadwo.

Kafukufuku wina akusonyeza kuti mankhwala ena omwe timagwiritsa ntchito angayambitsenso vutoli. Mwachitsanzo:

• Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) - mwachitsanzo, mankhwala ochepetsa ululu monga ibuprofen ndi diclofenac.
• Mankhwala oletsa kupopera kwa proton (PPIs) - mankhwala monga Omeprazole, omwe amagwiritsidwa ntchito pochiza gastritis.
• Mankhwala oletsa kubwerezabwereza kwa serotonin (SSRIs) - mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala monga kuvutika maganizo.
• Chithandizo chobwezeretsa mahomoni (HRT).
• Beta blockers - mankhwala ena omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi.
• Ma Statin - Mankhwala ochepetsa cholesterol m'magazi.

Si aliyense amene amamwa mankhwala awa amene amakhala ndi vutoli. Komabe, akuganiza kuti izi zitha kukhala chimodzi mwa zifukwa zake. Ngati mukumwa mankhwala awa, musasiye kumwa popanda kulankhula ndi dokotala wanu.

Kodi mungadziwe bwanji matendawa molondola? (Kuzindikira)

Dokotala wa matenda a m'mimba nthawi zambiri amazindikira matenda a microscopic colitis. Iye adzakufunsani kaye za mbiri yanu yachipatala komanso mankhwala aliwonse omwe mukumwa panopa. Kenako, angachite mayeso osiyanasiyana kuti aone ngati pali zinthu zina zomwe zingayambitse vutoli.

• Kuyezetsa magazi
• Mayeso a chopondapo
• Mwina mayeso ojambulira zithunzi

Ngati mayesowa sakupeza chifukwa chomveka bwino, dokotalayo adzalangiza kuti apimidwe m'matumbo ndi biopsy . Iyi ndiyo njira yayikulu yotsimikizira matenda a m'matumbo ang'onoang'ono.

Pa nthawi ya colonoscopy, dokotala wanu adzaika chida chachitali komanso chosinthasintha (chotchedwa colonoscope) kudzera mu rectum yanu ndi m'matumbo anu akuluakulu. Mudzagonekedwa panthawiyi, kotero simudzamva kupweteka kulikonse. Chida chaching'ono chidzaikidwa kudzera mu chipangizocho ndipo chidutswa chaching'ono cha minofu (biopsy) chidzatengedwa kuchokera mu m'mimba mwanu ndikuwunikidwa pansi pa maikulosikopu. Iyi ndiyo njira yokhayo yodziwira ngati muli ndi matenda a microscopic colitis.

Kodi chimachiritsidwa bwanji?

Chithandizo chingasiyane malinga ndi zizindikiro zanu komanso kuopsa kwake. Anthu ena angafunike kusintha pang'ono zakudya zawo ndi moyo wawo. Ena angafunike mankhwala ogulitsidwa ndi dokotala (OTC) kapena mankhwala olembedwa ndi dokotala.

Tangoganizirani, kwa anthu ena, zizindikiro zimabwera mwadzidzidzi kenako n’kuzisiya zokha. Kwa ena, kulamulira zakudya zawo kungathandize kwambiri. Kwa ena, angafunike kumwa mankhwala okha akayamba kuphulika, kapena angafunike kumwa mankhwala mosalekeza.

Mankhwala ena omwe amagwiritsidwa ntchito kwambiri:

• Mankhwala omwe amalimbitsa ndowe ndi kuchepetsa kuchuluka kwa mayendedwe a m'mimba (`Zopangira zotupa`): Mwachitsanzo, zinthu monga Isabgol `(psyllium).`
• Mankhwala oletsa kutsegula m'mimba: Mankhwala omwe amachepetsa kuthamanga kwa matumbo ndikuletsa kutsegula m'mimba : Mwachitsanzo, loperamide kapena diphenoxylate.
• Bismuth subsalicylate (monga Pepto Bismol®): Yothandiza kutsegula m'mimba, kutentha pamtima, nseru, ndi kusagaya bwino chakudya.
• Budesonide:Uwu ndi mtundu wa corticosteroid. Umalowa m'thupi m'matumbo akulu, komwe umachepetsa kutupa.
• Mesalamine: Iyi ndi mankhwala a matenda a zilonda zam'mimba, matenda ena otupa m'matumbo. Koma imagwiritsidwanso ntchito kuchepetsa kutupa ndi ululu.
• Mankhwala oletsa asidi a bile (monga colesevelam, colestipol): Mankhwalawa amaperekedwa ngati muli ndi vuto pamene thupi lanu silikuyamwa bwino bile (bile acid malabsorption).

Ngati mankhwala omwe ali pamwambawa sakuthandiza kwambiri, ndipo dokotala wanu akuganiza kuti mwina chifukwa cha vuto la chitetezo chamthupi, ndiye kuti mankhwala ena omwe amakhudza chitetezo chamthupi angakupatseni:

• Mankhwala oletsa chitetezo chamthupi.
• Mankhwala oletsa TNF (monga adalimumab, infliximab).
• Cromolyn sodium (imayang'ana maselo a mast, makamaka mu mastocytic enterocolitis).
• Mlingo wochepa wa naltrexone.

Malangizo ena omwe mungalandire kuchokera kwa dokotala wanu:

• Ngati mukumwa mankhwala ena panopa, ganizirani kusintha mlingo wawo kapena kusintha mankhwala.
• Kusiya kusuta fodya kotheratu.
• Kuyesa kuzindikira zakudya zomwe muli ndi vuto la ziwengo komanso zomwe zimakulitsa zizindikiro zanu.

Kodi matendawa adzachiritsidwa kwathunthu?

Osati kwamuyaya. Koma, mutha kukhala opanda zizindikiro kwa nthawi yayitali . Timatcha izi kuti "kuchotsa" matendawa. Kuchotsa kumeneku kumatha kwa miyezi ingapo, ngakhale zaka. Koma, monga matenda aliwonse osatha, kumatha kubweranso chifukwa cha "zimayambitsa" matenda. Ngati mutazindikira zomwe zimayambitsa matendawa, mutha kuchepetsa kuphulika kwa zizindikiro.

Kodi kuphulika kwa moto kumatenga nthawi yayitali bwanji ?

Izi zimasiyana malinga ndi munthu. Komabe, nthawi yodziwika bwino ya kuphulika kwa matenda imatha kuyambira masiku angapo mpaka milungu ingapo. Anthu ambiri atha kuchepetsa nthawi ndi kuopsa kwa kuphulika kumeneku mwa kupewa zakudya ndi mankhwala omwe amawakwiyitsa, komanso kumwa mankhwala pakafunika kutero. Onetsetsani kuti mwalankhula ndi dokotala wanu ngati zizindikiro zanu zikukulirakulira.

Kodi zakudya ndi zakumwa zabwino kwambiri kwa munthu amene ali ndi matenda a m'matumbo ang'onoang'ono ndi ziti?

Palibe "zakudya za microscopic colitis" zenizeni za matenda a m'matumbo a microscopic. Komabe, zingathandize kuthana ndi zizindikiro zanu mwa kuchepetsa zakudya zomwe zimazipangitsa kukhala zovuta kwambiri ndikuwonjezera zakudya zina zomwe zimachepetsa kutupa. Zakudya zanu zidzakhala zosiyana kwa inu. Zidzafunika kuchitapo kanthu kuti mudziwe zomwe zikukuyenderani bwino. Dokotala wanu angakupatseni malangizo monga:

Kuchotsa zakudya zomwe nthawi zambiri zimayambitsa ziwengo

Nazi zakudya zina zomwe zapezeka kuti zimatha kuwonjezera zizindikiro za matenda a microscopic colitis:

• Mowa.
• Kafeini (yomwe imapezeka mu khofi, tiyi, ndi zakumwa zina zoziziritsa kukhosi).
• Gluten (puloteni yomwe imapezeka mu tirigu monga tirigu, barele, ndi rye - mu zinthu monga buledi, pasitala, ndi makeke).
• Mkaka ndi zinthu zopangidwa ndi mkaka.
• Shuga.
• Zotsekemera zopangidwa.

Zakudya zochepa mafuta ndi ulusi wochepa

Pa nthawi ya kukwiya kwambiri, madokotala ena amalimbikitsa "zakudya zofewa m'mimba." Izi zimaphatikizapo kudya zakudya zomwe zili ndi mafuta ochepa komanso ulusi wochepa. Izi zimachepetsa ntchito m'thupi lanu. Komabe, zakudya zina zomwe zili mu zakudyazi zingakhale zosasangalatsa kwa inu.

Zakudya zochotseratu

Njira imodzi yodziwira zakudya zomwe muli ndi vuto la ziwengo ndi kuyesa kudya zakudya zochotsa poizoni m'thupi. Mwachitsanzo, kudya zakudya zopanda mafuta ambiri. Iyi ndi njira yanthawi yochepa. Mu izi, mumachotsa kwathunthu magulu ena a zakudya kenako pang'onopang'ono mumawabwezeretsanso limodzi ndi limodzi kuti muwone omwe mumawakonda kwambiri. Ndikofunikira kufunafuna malangizo kwa katswiri wazakudya wovomerezeka pochita izi.

Zakudya zotsutsana ndi kutupa

Zakudya zina, monga zakudya zokhala ndi mafuta ambiri osaturated, zapezeka kuti zimachepetsa kutupa m'thupi. Zakudya za ku Mediterranean ndi chitsanzo chabwino cha zakudya zotere zotsutsana ndi kutupa. Turmeric ndi yowonjezeranso bwino pazakudya zanu, chifukwa ili ndi mphamvu zotsutsana ndi kutupa.

Kodi ma probiotics ndi abwino pa izi?

Ma probiotics ankalimbikitsidwa kale ngati mankhwala a microscopic colitis. Komabe, malangizo omwe alipo pano sakulimbikitsa chifukwa kafukufuku wowonjezereka akufunika. Chifukwa chake, musamwe ma probiotics popanda upangiri wa dokotala.

Matenda a m'matumbo otchedwa microscopic colitis ndi matenda omwe sakudziwika bwino. Mwa matenda ena otupa m'matumbo, ndi omwe sakudziwika kwenikweni. Komabe, asayansi tsopano akuganiza kuti akhoza kukhala ofala ngati ena. Palibe kafukufuku wokwanira pankhaniyi, ndipo pakadali pano palibe mankhwala enieni. Mwamwayi, nthawi zambiri amatha kulamulidwa ndi mankhwala omwe alipo. Mukayesetsa pang'ono, kupeza mankhwala oyenera komanso zakudya zoyenera, mutha kuthana ndi zizindikiro zanu bwino zikabuka.

Pomaliza, zinthu zingapo zoti muzikumbukira

• Microscopic Colitis ndi matenda omwe angathe kuchiritsidwa , choncho musadandaule.
• Kuti mudziwe bwino izi, colonoscopy ndi biopsy zimafunika.
• Gwirani ntchito ndi dokotala wanu kuti mupeze chithandizo chomwe chingakuthandizeni.
• Ndikofunikira kwambiri kuzindikira zakudya, zakumwa, ndi zinthu zina zomwe zimakudwalitsani (zomwe zimayambitsa).
• Ngati muli ndi zizindikiro, musabise ndipo musavutike, koma funsani upangiri kwa dokotala. Simuli nokha!

Microscopic Colitis, Kutsegula m'mimba, Kupweteka m'mimba, Kutupa m'mimba, Colitis, Ziwengo za chakudya, Gastroenterology