Kodi ndi zilonda zam'mimba? Kodi magazi amapezeka mukapita kuchimbudzi? - Tiyeni tiphunzire za Solitary Rectal Ulcer Syndrome (SRUS) m'njira yosavuta!

Kupita kuchimbudzi nthawi zina kumakhala kovuta kwambiri, sichoncho? Ndizachibadwa kuchita mantha, makamaka ngati mukuona magazi pang'ono m'chimbudzi chanu, kapena ngati muyenera kuchita khama kuti muchotse chimbudzi. Zingakhale zochititsa manyazi pang'ono kukambirana za izi ndi ena. Koma izi ndi zinthu zofunika kwambiri zokhudzana ndi thanzi. Lero tikambirana za matenda osowa omwe angayambitse zizindikirozi, koma anthu ambiri sanamvepo za izi. Umenewo ndi Solitary Rectal Ulcer Syndrome (SRUS) .

Kodi Solitary Rectal Ulcer Syndrome (SRUS) ndi chiyani?

Mwachidule, SRUS ndi matenda a nthawi yayitali, omwe si a khansa omwe amachititsa kuti zilonda chimodzi kapena zingapo zipangike mkati mwa rectum yathu. Tsopano mwina mukudabwa kuti, "Kodi rectum iyi ndi chiyani?" Rectum ndi gawo lomaliza la matumbo athu akuluakulu (colon), komwe ndowe zimakhala kwakanthawi zisanatuluke m'thupi lathu.

Koma dzinali likhoza kukhala losokeretsa pang'ono. Ngakhale kuti liwu lakuti "lokha," nthawi zina pamakhala zilonda zingapo. Komanso, izi sizikhala zilonda nthawi zonse. Nthawi zina zimakhala zotupa, minofu yofiira. Nthawi zina vutoli limatha kuwonekanso m'chigawo cha m'matumbo pamwamba pa anus.

Madokotala ndi ofufuza akuphunzirabe zambiri za vutoli. Kafukufuku akuchitikabe kuti adziwe zomwe zimayambitsa matendawa komanso njira zabwino kwambiri zochiritsira.

Kodi vutoli ndi lofala bwanji?

Matenda a SRUS ndi matenda osowa kwambiri. Amakhudza munthu m'modzi pa anthu 100,000. Amafala kwambiri mwa anthu azaka zapakati pa 30 ndi 40. Komabe, amathanso kuchitika kwa ana aang'ono ndi okalamba.

Kodi nkhaniyi ndi yoopsa? Kodi tiyenera kuopa?

Funso ili likhoza kukhala loyamba lomwe limabwera m'maganizo mwanu. Nkhani yabwino ndi yakuti zilondazi nthawi zambiri sizimakhala zazikulu. Izi zikutanthauza kuti sizimakhala khansa.

Musanyalanyaze chizindikiro ngati ichi. Si bwino kungoganiza kuti, "Chidzatha patatha masiku ochepa." Chifukwa kutuluka magazi m'matumbo kungayambitsidwe ndi matenda oopsa kuposa SRUS.

Kodi zizindikiro za SRUS ndi ziti?

Zizindikiro zimenezi nthawi zambiri zimawonekera pang'onopang'ono. Zingapangitse kupita kuchimbudzi kukhala kovuta kwambiri. Tiyeni tiwone zizindikiro zazikulu.

Chodabwitsa n'chakuti, pafupifupi munthu m'modzi mwa anayi (25%) omwe ali ndi SRUS alibe zizindikiro zilizonse. Zimapezeka mwangozi panthawi yoyezetsa pazifukwa zina.

N’chifukwa chiyani vutoli limachitika?

Choyambitsa chenicheni cha vutoli sichinadziwikebe. Komabe, madokotala amakhulupirira kuti chikugwirizana ndi matenda angapo omwe angawononge khoma lamkati la rectum. Izi zikutanthauza kuti zilondazi zitha kuchitika chifukwa cha matenda ena omwe amabwera chifukwa cha matendawa.

Pali matenda angapo omwe amapezeka nthawi zambiri ndi SRUS:

• Kutuluka kwa Rectal Prolapse: Apa ndi pamene rectum imatuluka kudzera mu anus. Taganizirani ngati kutembenuza sokisi mkati. Kukankhana ndi kupanikizika komwe kumachitika minofu ikatuluka kungayambitse zilonda.
• Kulowa m'mimba mwa rectum: Apa ndi pamene gawo limodzi la rectum limakankhira mbali ina ya rectum, monga telescope. Izi zingayambitsenso kuwonongeka kwa minofu.
• Kudzimbidwa kosatha: Tikamavutika kutulutsa ndowe, timakakamira kwa nthawi yayitali. Kupanikizika kwambiri kumeneku kumatha kuwononga minofu yofewa ya rectum. Anthu ena amayesa kuchotsa ndowe ndi zala zawo ikamatirira. Ichi ndi chifukwa chachikulu cha kuvulala kwa rectum.
• Kusadziletsa kwa ndowe: Mavuto okhudzana ndi rectum angachitikenso pamene munthu sangathe kulamulira matumbo ake.

Limodzi mwa mfundo zazikulu ndi lakuti pamene minofu yathu ya pansi pa chiuno, yomwe imatithandiza kutuluka chopondapo, sigwira ntchito bwino, njira yotulutsira chopondapo imakhala yosakhazikika ndipo kuvulala kotere kumachitika.

Kodi mwapeza bwanji izi, Dokotala?

Mukapita kwa dokotala yemwe ali ndi zizindikiro zomwe mwatchula pamwambapa, choyamba adzakufunsani za zizindikiro zanu komanso momwe mumachitira chimbudzi (monga, kodi mumatenga nthawi yayitali kuti muchotse chimbudzi?). Kenako, adzakuyesani mayeso ena kuti atsimikizire ngati muli ndi zilondazi.

Mayeso akuluakulu

• Endoscopy: Iyi ndi njira yodziwika kwambiri yoyezera. Mu njira iyi, chubu chopyapyala komanso chosinthasintha chokhala ndi kamera chimayikidwa kudzera mu anus kuti muwone zilonda zilizonse kapena kusintha kwina mkati mwa sikirini. Pali mitundu ingapo ya njira iyi:
• Anoscopy: Imafufuza mphuno ndi gawo lomaliza la rectum.
• Sigmoidoscopy Yosinthasintha: Imafufuza rectum ndi pansi pa matumbo.
• Colonoscopy: Imafufuza m'matumbo onse.

Mayeso ena ofunikira

Dokotala wanu angakulangizeni mayeso ena angapo kuti muwonetsetse kuti mulibe matenda ena akuluakulu (monga matenda otupa m'matumbo (IBD) kapena khansa ya m'matumbo ) omwe amayambitsa zizindikiro zofanana ndi SRUS.

• Kuyeza kwa Ultrasound kwa Transrectal: Kachipangizo kakang'ono kamayikidwa mu rectum ndipo mafunde a phokoso amagwiritsidwa ntchito popanga zithunzi zomveka bwino za makoma amkati mwa rectum.
• Kuchotsa chotupa: Iyi ndi njira yapadera yoyezera. Njira yochotsera chotupa imajambulidwa pogwiritsa ntchito makina a X-ray kapena MRI. Izi zimathandiza kudziwa molondola ngati pali vuto monga kutsika kwa rectal.
• Anorectal Manometry: Mayeso omwe amayesa ntchito ndi kupanikizika kwa minofu mkati ndi mozungulira anus. Izi zingathandize kudziwa ngati minofu yomwe imagwira ntchito yochotsa chimbudzi ikugwira ntchito bwino.
• Biopsy: Pa nthawi ya endoscopy, chidutswa chaching'ono kwambiri cha minofu chimatengedwa kuchokera pachilondacho ndikutumizidwa ku labotale kuti chikayang'aniridwe pogwiritsa ntchito maikulosikopu. Kuyesaku ndikofunikira kuti titsimikize 100% kuti iyi si khansa.

Kodi mankhwala ochizira izi ndi otani?

Chithandizo chimadalira kuopsa kwa zizindikiro zanu komanso chifukwa chake matendawa akuyamba. Nthawi zambiri, kusintha kosavuta pa moyo wanu komanso zizolowezi zanu zochizira kungathandize.

Kodi nthawi yabwino yoti mukaonane ndi dokotala ndi iti?

Izi ndizofunikira kwambiri. Pali zizindikiro zina zomwe sitiyenera kuzinyalanyaza.