Kodi inunso mumavutika kupita kuchimbudzi? Tiyeni tiphunzire za proctitis?

Kodi nthawi zina mumamva kupweteka m'mimba mukapita kuchimbudzi, kapena mumawona magazi pang'ono kapena ntchofu mu ndowe zanu? Kapena mumamva ngati muyenera kupita kuchimbudzi nthawi zonse? Musanyalanyaze zinthu izi. Chifukwa izi zitha kukhala zizindikiro za matenda otchedwa `(Proctitis)`. Lero, tiyeni tikambirane za `(Proctitis)`, chifukwa chake imachitika, komanso zomwe tiyenera kuchita.

Kodi ichi ndi chiyani (Proctitis)? Mwachidule...

Proctitis ndi kutupa kwa chigawo cha rectum, gawo lomaliza la matumbo akuluakulu, asanafike ku anus. Kunena zoona, Procto amatanthauza rectum ndipo itis amatanthauza kutupa. Matendawa amapezeka pamene chigawo cha rectum chikwiya (kutupa, kufiira) pazifukwa zosiyanasiyana, monga mabakiteriya, mankhwala, kapena matenda monga matenda otupa m'matumbo. Izi zingayambitse zizindikiro zosasangalatsa, monga kupweteka, kutuluka magazi m'matumbo, komanso kusintha kwa machitidwe a m'matumbo.

Kodi pali mitundu yosiyanasiyana ya `(Proctitis)`?

Inde, kutengera chifukwa cha `(Proctitis)`, ikhoza kukhala ya nthawi yochepa (yoopsa) kapena yayitali (yosatha) . `(Yoopsa)` imatanthauza kuti imachitika mwadzidzidzi ndipo imatha pakapita nthawi yochepa. `(Yosatha)` imatanthauza kuti imatenga nthawi yayitali. Mitundu ya `(Proctitis)` yomwe imachitika chifukwa cha zifukwa zosiyanasiyana nthawi zina imatchedwa mayina osiyanasiyana. Mwachitsanzo, yomwe imayambitsidwa ndi matenda opatsirana pogonana `(Matenda opatsirana pogonana - Matenda opatsirana pogonana)` imatchedwa `(infectious proctitis)`. Yomwe imayambitsidwa ndi radiation therapy ya khansa imatchedwa `(radiation proctitis)`. Mofananamo, yomwe imayambitsidwa ndi matenda otchedwa `(Ulcerative colitis)` imatchedwanso `(ulcerative proctitis)`.

Kodi zizindikiro za `(Proctitis)` ndi ziti?

Zizindikiro zomwe zimawonedwa nthawi zambiri ndi izi:

• Kupweteka kwa m'mimba. Zingakhale zovuta kukhala chete.
• Kupweteka m'mimba mwanu kumanzere kwa gawo.
• Kutulutsa madzi ngati magazi kapena ntchofu ndi ndowe. Ichi ndi chinthu choyamba chomwe anthu ambiri amazindikira.
• Kumva ngati rectum yatupa komanso yadzaza.
• Kumva nthawi zonse kuti ukufuna kuchita chimbudzi (tenesmus), koma nthawi zina pang'ono chabe ndi zomwe zimatuluka ukapita kuchimbudzi.
• Kuvutika kapena kupweteka pamene mukuyenda m'mimba (dyschezia).
• Kudzimbidwa.
• Kutsegula m'mimba.

Kodi zizindikiro zoyamba za `(Proctitis)` ndi ziti?

Kawirikawiri zizindikiro zoyamba zimawonekera mukapita kuchimbudzi. Kuvutika, kutentha, kapena kumva kupanikizika mukamachita chimbudzi.Zingamveke ngati. Mungamve ngati mukuyenera kupita kuchimbudzi mwadzidzidzi, koma mwina simunatulukemo konse. Kutsegula m'mimba, magazi kapena ntchofu ndi zizindikiro zoyamba zodziwika bwino.

N’chifukwa chiyani `(Proctitis)` imeneyi imachitika? Kodi zimayambitsa chiyani?

Pali zifukwa zingapo zomwe zimayambitsa proctitis, zina zofala kwambiri kuposa zina.

Zomwe zimayambitsa `(Proctitis)`:

• Matenda a m'matumbo otupa (IBD): Matenda monga matenda a Crohn ndi ulcerative colitis amayambitsa kutupa kwa nthawi yayitali m'matumbo osiyanasiyana. Pafupifupi 30% ya anthu omwe ali ndi matendawa, kutupa kumakhudza kwambiri rectum. Ichi ndiye chifukwa chachikulu cha proctitis nthawi zambiri.
• Matenda opatsirana pogonana (STI): Matenda opatsirana pogonana ndi mavairasi komanso matenda a bakiteriya amatha kulowa mu anus kudzera mu anus. Zitsanzo zake ndi izi:
• `(Chizonono)` (Chizonono)`
• `(Chlamydia)` (Chlamydia)
• (Herpes simplex 2)` (Herpes simplex 2)
• `(Chimfine)` (Chimfine)
• `(Human Papillomavirus - HPV)` (Human Papillomavirus)`

Matendawa angakhudze akazi ndi amuna omwe amagonana ndi munthu amene amalandira maliseche kudzera mu maliseche.

• Matenda a m'mimba: Matenda a bakiteriya m'matumbo omwe amayamba chifukwa cha poizoni wa chakudya nthawi zina amatha kukhudza rectum. Zitsanzo:
• `(Salmonella)` (Salmonella)
• `(Shigella)` (Shigella)
• `(Campylobacter)` (Campylobacter)

Ngati mwangomaliza kumene kumwa mankhwala opha tizilombo toyambitsa matenda, mungakhalenso pachiwopsezo chotenga matenda m'matumbo ndi m'matumbo chifukwa cha bakiteriya wotchedwa Clostridium difficile (C. diff). C. diff ndi bakiteriya yomwe ili kale m'matumbo mwanu. Koma mabakiteriya abwino m'matumbo mwanu akaphedwa ndi mankhwala opha tizilombo, mabakiteriya omwe amaletsa C. diff amachoka, ndipo C. diff imatha kukula kwambiri.

• Matenda a mapuloteni a ana: Makanda omwe ali ndi vuto la mitundu ina ya mkaka, makamaka mkaka wa mkaka kapena soya, amatha kutupa kulikonse m'matumbo awo, kuphatikizapo rectum. Makanda amatha kupeza mapuloteni awa kuchokera ku mkaka wa m'mawere kapena kudzera mu mkaka wa m'mawere ngati amayi awo adya zakudya zomwe zili ndi mapuloteni awa.
• Chithandizo cha khansa pogwiritsa ntchito radiation:Pamene chithandizo cha radiation chiperekedwa pa khansa, vuto lotchedwa `(radiation mucositis)` likhoza kuchitika kulikonse m'thupi lathu. Uku ndi kutupa kwa `(mucous lining)` mkati mwa dongosolo la kugaya chakudya. `(radiation enteritis)` (kutupa kwa matumbo ang'onoang'ono) ndi `(radiation colitis)` (kutupa kwa matumbo akulu) ndizofala kwambiri pamene chithandizo cha radiation chiperekedwa kumimba ya pamwamba kapena pansi. Pamene chithandizo cha radiation chiperekedwa ku `(dera la pelvic)`, mutha kukhala ndi `(radiation proctitis)` (kutupa kwa radiation ya rectum).

Zomwe sizimayambitsa `(Proctitis)`:

• Diversion proctitis: Ichi ndi zotsatira zoyipa zomwe zingachitike mwa anthu omwe adachitidwa opaleshoni ya colostomy (njira yomwe gawo la matumbo akulu limachotsedwa m'thupi kuti apange njira yolowera chopondapo) kapena ileostomy (njira yomwe gawo la matumbo ang'onoang'ono limachotsedwa m'thupi kuti apange njira yolowera chopondapo) ndikudutsa chopondapo kudzera m'njira yosiyana ndi kudzera mu anus. Akuti chifukwa chopondapo sichidutsa mu anus, anus imasowa michere ndi mafuta afupiafupi omwe nthawi zambiri amalowa mu anus (omwe amathandiza kuti anus ikhale yonyowa komanso yathanzi), zomwe zimayambitsa kutupa kwa anus komwe sikugwiritsidwa ntchito. Komabe, anthu ochepa okha ndi omwe amakumana ndi zizindikiro.
• Matenda a ischemic m'mimba: Monga matenda a ischemic colitis, ischemic proctitis imatha kuchitika pamene magazi akupita ku rectum atsekedwa, zomwe zimapangitsa kuti minofu isapeze mpweya. Ischemia nthawi zambiri imayamba chifukwa cha kutsekeka kwa mtsempha wamagazi, monga magazi kuundana, aneurysm, kapena plaque.
• Kuvulala kwa m'mimba: Ngati chinthu chakunja kapena mankhwala alowetsedwa kudzera mu anus, zingayambitse kutupa kwa anus ndi rectum. Mankhwala omwe amapezeka mu mitundu ina ya enemas nawonso angayambitse izi.
• Matenda a m'mimba otchedwa eosinophilic gastrointestinal disorders (EGID): Eosinophilia ndi kuchuluka kwa maselo oyera a m'magazi otchedwa eosinophils. Maselo oyera a m'magazi amathandiza chitetezo chathu chamthupi kuyambitsa kutupa. Mu EGID, chitetezo chathu chamthupi chimatumiza ma eosinophils ambiri kwambiri ku gawo la m'mimba, zomwe zimayambitsa kutupa kwa nthawi yayitali. Ofufuza akuganiza kuti izi zitha kukhala chifukwa cha kukwiya kwambiri ndi vuto la chakudya. Eosinophilic proctitis nthawi zambiri imakhudza ana osakwana zaka ziwiri.
• Proctitis yomwe palibe chifukwa chomwe chingapezeke (`Idiopathic proctitis`):Anthu ochepa omwe ali ndi proctitis sadziwa chifukwa chake. Komabe, amayankha bwino kusintha kwa zakudya. Idiopathic proctitis ndi vuto lomwe limatenga nthawi yayitali, lomwe limabwereranso. Pafupifupi 10% ya milandu iyi pamapeto pake imasanduka zilonda zam'mimba.

Kodi Proctitis ndi vuto lalikulu?

Muzochitika zachizolowezi, proctitis siimayambitsa imfa ndipo imagwira bwino ntchito ikalandira chithandizo. Komabe , ngati ndi yoopsa, imatenga nthawi yayitali, siichiritsidwa, kapena siilandira chithandizo, ingayambitse mavuto aakulu.

Mwachitsanzo, chilonda chomwe sichichira chingayambitse kutuluka magazi ambiri, kapena khoma la rectum likhoza kuwonongeka. Nthawi zambiri, proctitis imatha kukhudza mitsempha yozungulira, zomwe zimayambitsa matenda a neuropathy.

Mavuto omwe angachitike chifukwa cha kutupa kwa nthawi yayitali:

• Kutuluka magazi ambiri, zomwe zimapangitsa kuti pakhale kuchepa kwa magazi m'thupi.
• Fistula (njira zodutsa pakhoma la rectum).
• Kuchepa kwa rectum kapena stenosis (kuchepa kwa rectum chifukwa cha zipsera za minofu).

Mavuto okhudzana ndi dongosolo la mitsempha ndi osowa, koma angaphatikizepo:

• Kulephera kwa chikhodzodzo cha neurogenic.
• Kumva dzanzi ndi kumva kuwawa m'mapazi (paresthesia).
• Kulephera kugwira ntchito kwa erectile.

Kodi proctitis imachiritsidwa bwanji?

Dokotala adzakufunsani kaye za zizindikiro zanu kenako adzakuyang'anani rectum yanu kuti aone ngati muli ndi zizindikiro za proctitis. Izi zitha kuphatikizapo kuyezetsa rectum ndi anoscopy . Ngati zikuwoneka kuti muli ndi proctitis, dokotala wanu adzakufunsani mafunso ambiri kuti adziwe chomwe chikuyambitsa matendawa komanso mtundu wake. Mwachitsanzo:

• Ndi mankhwala ati omwe mwamwa posachedwapa?
• Kodi pali aliyense m'banjamo amene ali ndi matenda a autoimmune?
• Kodi mumagonana mosadziteteza kapena mumagonana ndi anthu omwe simunayezetse?
• Kodi mwapita kudziko lina posachedwapa?

Kutengera mayankho awa ndi zomwe mayesowa akuwonetsa, dokotala wanu adzasankha mayeso ena omwe mukufuna.

Mayeso ena angaphatikizepo:

• Kuyezetsa magazi: Kuyezetsa magazi kumatha kuzindikira matenda ndi matenda ena omwe angayambitse proctitis. Kungasonyezenso kuchepa kwa magazi kapena kuwonjezeka kwa kuchuluka kwa maselo oyera m'magazi.
• Kuyesa chopondapo: Dokotala adzatenga chitsanzo cha chopondapo chanu ndikuyang'ana ngati muli ndi matenda, kutuluka magazi, kapena kuchuluka kwa maselo oyera a magazi.
• Kumera kwa m'matumbo: Pa mayeso awa, dokotala amapaka mkati mwa m'matumbo ndi swab kenako amaika chitsanzocho kuti adziwe mabakiteriya kapena mavairasi omwe alipo.
• Proctoscopy: Iyi ndi njira yowunikira mkati mwa rectum pogwiritsa ntchito chida chachifupi komanso cholimba chonga chubu. Proctoscope ndi chubu chopanda kanthu chokhala ndi kamera ndi kuwala kumapeto. Ngati kuli kofunikira, dokotala akhoza kulowetsa chida kudzera mu chubucho kuti akatenge chithunzi cha minofu (biopsy).
• Sigmoidoscopy Yosinthasintha: Ngati dokotala akufuna kuyang'ana kwambiri m'matumbo a sigmoid, gawo lomaliza la matumbo akuluakulu lomwe limalumikizana ndi anus, chubu chachitali komanso chosinthasintha chotchedwa sigmoidoscopy chingagwiritsidwe ntchito. Ngati pali vuto ndi matumbo akulu, likhoza kusonyeza zizindikiro za matenda otupa m'matumbo kapena matenda m'mimba. Kukonzekera matumbo kungachitike mayesowa asanachitike.

Kodi Proctitis imadzichiritsa yokha?

Zingakhale choncho, koma palibe chifukwa chovutikira. Ngati muli ndi matenda, maantibayotiki kapena mavairasi angakuthandizeni kuchira mwachangu. Ngati sichinayambike ndi matenda, dokotala wanu angakupatseni mankhwala monga ma steroids kuti muchepetse kutupa. Ngati muli ndi radiation proctitis, nthawi zambiri imatha mkati mwa milungu ingapo mutalandira chithandizo cha radiation. Koma pakadali pano, mankhwala opweteka angathandize. Ngati muli ndi IBD kwa nthawi yayitali, proctitis ikhoza kubwera ndikutha. Koma mutha kugwiritsa ntchito mankhwala enaake ikayamba kuphulika.

Kodi proctitis imatenga nthawi yayitali bwanji?

Izi zimasiyana malinga ndi chomwe chayambitsa komanso munthuyo. Ndi chithandizo, nthawi zambiri zimatha msanga. Kawirikawiri, zimatenga milungu inayi kapena isanu ndi umodzi kuti ichiritse pambuyo poti chifukwa cha kutupa chathetsedwa. Ngakhale kuti proctitis ikuchira, mutha kumwa mankhwala operekedwa ndi dokotala (OTC) kuti muchepetse ululu kapena kutsegula m'mimba.

Kodi mankhwala a `(Proctitis)` ndi ati?

Chithandizo chimadalira chomwe chimayambitsa matendawa komanso momwe vutoli lilili lalikulu. Zingaphatikizepo:

• Kuletsa chomwe chimayambitsa kutupa.
• Mankhwala opha tizilombo toyambitsa matenda kapena mavairasi.
• Mankhwala oletsa chitetezo chamthupi omwe amayambitsidwa ndi matenda a autoimmune.
• Mankhwala monga Sulfasalazine kapena Mesalamine a matenda a ulcerative colitis/proctitis.
• Mankhwala monga Infliximab a Proctitis omwe amayamba chifukwa cha matenda a Crohn.
• Mankhwala oletsa kutupa otchedwa corticosteroids amagwiritsidwa ntchito ngati mafuta odzola kuti achepetse ululu ndi kutupa.
• Ma enema a sucralfate amagwiritsidwa ntchito pochiza zilonda zam'mimba.
• Njira zoyezera magazi m'mimba kuti musiye kutuluka magazi.

Kodi tsogolo langa ndi lotani ngati ndili ndi `(Proctitis)`?

Matenda ambiri a proctitis amachira bwino akalandira chithandizo. Ngati ndi vuto la kanthawi kochepa (loopsa), liyenera kutha mkati mwa milungu inayi kapena isanu ndi itatu mwa akuluakulu kapena miyezi ingapo mwa makanda. Ngati muli ndi proctitis ya nthawi yayitali yokhudzana ndi IBD, mutha kupeza kuti kutupa kumabwera ndikutha. Mutha kuchiza kuphulika ndi mankhwala oletsa kutupa pakafunika kutero. Anthu ochepa amakhala ndi proctitis yosatha. Matenda a nthawi yayitali amakhala ndi mavuto ambiri ndipo amatha kukhala ovuta kuchiza.

Kodi proctitis ingapewedwe?

Kuyesa anzanu musanagonane kungachepetse chiopsezo cha matenda opatsirana pogonana. Njira zodzitetezera monga makondomu zingathandize nthawi zina, koma matenda ena amathanso kufalikira kudzera mu kugonana mkamwa. Kugwiritsa ntchito madamu a mano kungachepetse kufalikira kapena matenda opatsirana pogonana kudzera mu kugonana mkamwa. Kuchita masewera olimbitsa thupi okonzekera chakudya komanso kusamala ndi zomwe mumadya ndi kumwa, makamaka mukamapita kunja, kungachepetse chiopsezo cha matenda opatsirana m'mimba omwe amayamba chifukwa cha poizoni wa chakudya. Mwatsoka, palibe njira yopewera IBD kapena radiation proctitis.

Kodi muyenera kupita kwa dokotala liti pankhani ya `(Proctitis)`?

Nthawi zonse pitani kwa dokotala ngati muli ndi zizindikiro za proctitis. Ndikofunikira kudziwa chomwe chikuyambitsa ndikuchichiza kuti vutoli lisakule kwambiri. Ngati mukulandira chithandizo, koma sichikugwirabe ntchito, pitirizani kulankhula ndi dokotala wanu. Mitundu ina ya proctitis imafuna khama kuti ithetsedwe bwino. Nthawi zina, milandu ina singathe kuyankha chithandizo chilichonse chokhazikika. Pazochitika zotere, opaleshoni ingafunike.

Zizindikiro za proctitis, kaya ndi zakanthawi kapena zopitilira, zingakhale zosasangalatsa kwambiri. Chithandizo cha proctitis chimayang'ana kwambiri chomwe chimayambitsa kutupa ndi zizindikiro zake. Nthawi zina, monga radiation proctitis, zizindikiro zokha ndi zomwe zimatha kuchiritsidwa. Nthawi zina, monga matenda, ndikofunikira kuyezetsa kuti mudziwe mabakiteriya kapena kachilombo komwe kamayambitsa zizindikiro zanu.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsetsa bwino zomwe takhala tikulankhula, `(Proctitis)`. Chofunika kwambiri ndichakuti, ngati muli ndi kusasangalala kwachilendo, kupweteka, magazi kapena ntchofu mukapita kuchimbudzi, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo kuti mudziwe chomwe chikuyambitsa. Nthawi zambiri, matendawa amatha kuchiritsidwa bwino.

Usachite mantha, komanso usachedwe! Thanzi lako lili m'manja mwako.

Komanso, kuchita zogonana zodzitetezera komanso kudya zakudya zoyera kungathandize kupewa zinthu ngati zimenezi.

'Proctitis, kutupa kwa rectum, kutuluka magazi ndi ndowe, kupweteka kwa m'matako, matenda opatsirana pogonana, IBD, dongosolo la m'mimba