Ese amara yawe yombi yabyimbye? Iyi ni indwara ya Enterocolitis!

Ese hari igihe uhura n'ikibazo cyo kubabara mu nda, kubyimba inda, no gucibwamo hamwe n'ibindi bimenyetso? Hari igihe ibi bishobora kuba bikomeye kuruta kubabara mu nda gusa. Uyu munsi tugiye kuvuga ku ndwara yitwa enterocolitis , ishobora gufata amara mato n'amara manini icyarimwe . Ikunze kwibasira abana bato ndetse n'abafite ubudahangarwa bw'umubiri budakomeye.

None se Enterocolitis ni iki?

Muri make, Enterocolitis ni indwara ifata amara yacu. Igizwe n'ibice bibiri. Kimwe ni "enteritis", ari byo kubyimba amara mato. Ikindi ni "colitis", ari byo kubyimba amara manini. Iyo ibi byombi bihujwe, tubyita Enterocolitis.

Ubusanzwe ububyimbirwe bukunze kubaho haba mu mara mato cyangwa mu mara manini. Ariko , iyo byombi bibyimbiwe icyarimwe, bishobora kuba bibi kurushaho . Nanone, iyi ndwara ikunze kwibasira abantu bafite ubudahangarwa bw'umubiri budakomeye, cyane cyane abana bato n'abana bato .

Enterocolitis igira ingaruka zite ku mubiri?

Iyo amara yacu abyimbye, ahanini bigira ingaruka ku gice cyoroshye cy’amara, ari cyo twita mucosa . Uku kubyimba gutuma agace kabyimba, kakagira ububabare, kandi bigahindura uburyo amara asohora amazi n’intungamubiri. Ibi bishobora kugira ingaruka zikomeye ku igogora ryawe no ku mikorere y’amara .

Tekereza nawe, iyo umubiri wacu urwaye mikorobe, indwara cyangwa igikomere, ubwirinzi bw'umubiri wacu, ubudahangarwa bw'umubiri , buratangira. Ni cyo kubyimba. Kubwibyo, hamwe no kubyimba amara, ibimenyetso bisanzwe nko kubabara no kugira umuriro nabyo bishobora kugaragara.

Ni ibihe bimenyetso bya Enterocolitis?

Ibi bikurikira ni ibimenyetso bikunze kugaragara muri iyi ndwara:

• Kubabara mu nda no gucumbagira.
• Impiswi, rimwe na rimwe iherekezwa n'amaraso .
• Ibiryo nta buryohe bwabyo.
• Isesemi no kuruka.
• Umuriro.
• Kumva unaniwe cyane.
• Kumva nk'aho igifu cyawe cyabyimbye kandi kibyimbye.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, cyane cyane iyo bitagenze neza mu minsi mike, ni byiza gushaka inama kwa muganga.

Enterocolitis ishobora kumara igihe kingana iki?

Biterwa cyane n'icyateye iyo ndwara. Impamvu ikunze kugaragara ni indwara zandura . Izi akenshi ziba iz'igihe gito. Ubudahangarwa bwacu bw'umubiri bushobora kuzigenzura ubwabwo. Ariko rimwe na rimwe ugomba gufata imiti.

Ariko, hari impamvu zimwe na zimwe zidakunze kugaragara, urugero:Enterocolitis, iterwa n'indwara nk'iz'ubwiyongere bw'umubiri, ishobora kumara igihe runaka. Nubwo izi ndwara zidakira zidashobora gukira burundu, abaganga bashobora kuguha imiti yo kugenzura ububyimbirwe.

Ni izihe mpamvu zitera Enterocolitis?

Mu by’ukuri, kubyimba amara mato (enteritis) n’amara manini (colitis) bishobora kubaho kubera impamvu iyo ari yo yose, kandi amara yombi ashobora kubyimba, ni ukuvuga enterocolitis. Ariko iyo bibaye, bivuze ko ari ikibazo gikomeye kurusha uko bisanzwe , kandi bishobora no gusobanura ko ubudahangarwa bw’umubiri buba bufite intege nke.

Ibi akenshi biterwa na:

• Kwandura virusi: Urugero, ibicurane byo mu gifu.
• Indwara zandurira mu mitsi: nka giardiasis.
• Indwara za bagiteri: nko kwandura ibiryo.

Byongeye kandi, gukoresha ibintu bimwe na bimwe birenze urugero nabyo bishobora kuba impamvu. Urugero, gukomeza gukoresha inzoga, ibiyobyabwenge nka kokayine, n'ibindi biyobyabwenge bigurishwa mu maguriro. Nanone, indwara zidakira zo mu mara nka Celiac disease na Crohn's disease nabyo bishobora kubitera.

Iyo ubudahangarwa bw'umubiri bwawe bufite intege nke, uba ufite amahirwe menshi yo kurwara indwara ya enteritis. Iyi ndwara ikunze kwibasira abana bato n'impinja , ndetse n'abantu bafite indwara zidakira nka virusi itera SIDA .

Ese hari ubwoko bwihariye bwa enterocolitis?

Yego, abaganga bagaragaje ubwoko bumwe na bumwe bw'indwara ya enteritis. Izi ndwara zishyirwa mu byiciro hashingiwe ku mpamvu zibitera. Izi ni indwara zikomeye cyane zishobora kwibasira amara yombi.

Enterocolitis Itera Kurwara (NEC)

Ibi bikunze kugaragara ku bana barwaye kandi batagejeje igihe . Aba bana baba basanzwe bafite ubudahangarwa bw'umubiri. Nubwo bahabwa bagiteri zisanzwe binyuze mu mashereka, amara yabo arabyakira nabi. Kubyimba no kubyimba birakomeye ku buryo amaraso ajya mu nda ahagarara, maze ingingo zigatangira gupfa . Ni cyo ijambo "necrotizing" risobanura.

Abaganga ntibazi neza impamvu ya NEC. Bishobora guterwa n'uko amara y'umwana adafite amaraso ahagije, cyangwa amaraso atuma yibasirwa cyane n'indwara za bagiteri. Ibyo bintu byombi bisa nkaho bigira uruhare muri ibyo.

Enterocolitis y'agakoko gatera indwara

Ibi kandi byitwa enterocolitis ifitanye isano na antibiyotike . Biterwa n'ubwandu bwa bagiteri. Igitangaje ni uko bivurwa na antibiyotike .Gukoresha imiti yica udukoko nabyo ni impamvu. Bagiteri yihariye yitwa Clostridium difficile (C. diff) ni yo nyirabayazana w'ibi. Iyi ndwara ya `C. diff` ikunze kugaragara mu bantu bafashe imiti yica udukoko kugira ngo bavure ubundi bwandu. Imiti myinshi yica `C. diff`, ariko yica bagiteri nziza zo mu mara yacu zica `C. diff`. Hanyuma `C. diff` ishobora gukura byoroshye.

Uko iyi bagiteri ikura, irekura uburozi mu mara. Hari abantu bashobora kugira ingaruka zikomeye kuri ubu burozi, bigatera indwara yitwa enterocolitis. Ubu bwandu bukunze kugaragara mu bitaro no mu bigo byita ku bageze mu za bukuru bitewe n'ubudahangarwa buke bw'abayituyemo, ikoreshwa ryinshi rya antibiyotike , ndetse n'ubushobozi bwa bagiteri za C. diff bwo kubaho igihe kirekire ku buso butandukanye.

Enterocolitis yo kuva amaraso

Iyi ndwara ishobora guterwa n'ubwandu bwa E. coli . E. coli ni bagiteri isanzwe iba mu mara yacu nta kibazo. Ariko, ubwoko bwihariye bwitwa Enterohemorrhagic E. coli (EHEC) , cyangwa Shiga toxin-producing E. coli (STEC), ni bubi cyane. Ubu bwoko bufata ku gice cyo hejuru cy'amara yacu kandi bugatanga uburozi bwitwa Shiga toxins butera ububyimbirwe no kuva amaraso.

"Enterohemorrhagic" bivuze kuva amaraso mu mara mato. Abantu bakira cyane uburozi bwa Shiga bashobora kurwara enterocolitis no kuva amaraso mu mara yombi. Ibi bitera impiswi zikomoka ku mara (disenteri) . Iyi ndwara ikunze kwibasira abana bato cyane n'abageze mu za bukuru .

Indwara ya Enterocolitis iterwa na poroteyine y'ibiribwa (FPIES)

Iyi ni allergie iterwa n'ibiribwa. Ikunze kwibasira abana bari munsi y'imyaka ibiri. Itera kubyimba kw'uruti rw'amara yabo. `FPIES` ni allergie idaterwa na IgE . Bityo rero itandukanye n'izindi allergie ushobora kuba warumvise.

Mu ndwara nyinshi ziterwa n’ubwivumbure, ubudahangarwa bwacu bw’umubiri bukora ubudahangarwa bwihariye bwitwa ubudahangarwa bwa IgE burwanya indwara ziterwa n’ubwivumbure. Izi budahangarwa zitera ingaruka z’ako kanya, bigatera ibimenyetso mu mazuru, mu muhogo, mu bihaha no ku ruhu. Ariko, muri ubwivumbure buterwa n’ubwivumbure buterwa n’ubwivumbure buterwa n’ubwivumbure, ubudahangarwa bwa 'IgE' ntibukorwa. Ahubwo, ingaruka zitinze zibaho mu mara gusa, bigatera ibimenyetso bya enterocolitis.

Enterocolitis ifitanye isano na Hirschsprung

Iyi ni indwara ya Hirschsprung.Indwara ya Hirschsprung ni ikibazo gikunze kugaragara kandi giteje akaga giterwa n'ubumuga bwo kuvukana bufata amara manini. Abana barwaye indwara ya Hirschsprung baba bafite ubwoko bumwe na bumwe bw'uturemangingo mu gice cy'amara manini, akenshi mu gace kamwe. Utu turemangingo tugira uruhare mu mitsi ifasha mu kwimura umwanda mu mara manini, witwa peristalsis .

Muri aka gace kadafite uturemangingo, umwanda ufata ahantu hamwe ntushobore kujya imbere, bigatuma habaho kuziba . Uku kuziba gutuma bagiteri zikura neza. Uku gukura kwa bagiteri gukwirakwira mu mara yose, amaherezo bigasenya igice cy'amara, bigatuma bagiteri zinjira muri urwo rwego. Ibi bintu byose bishobora kugira uruhare mu gutera indwara ya enterocolitis.

Enterocolitis ya Neutropenic

Ibi bigira ingaruka ku bantu bafite indwara yitwa neutropenia . Ibi bivuze ko bafite urugero ruri hasi ugereranyije n’urusanzwe rw’ubwoko bw’uturemangingo tw’amaraso tw’umweru twitwa neutrophils . Izi neutrophils ni zo zisanzwe zidufasha kwirinda indwara. Abantu bafite neutropenia bashobora kwandura indwara zikomeye, kandi bashobora no kurwara enterocolitis.

Abantu benshi barwaye neutropenic enterocolitis bahawe imiti ya kanseri yo mu mara nka kanseri ya kanseri y’amaraso na kanseri ya kanseri y’amaraso . Izi ndwara zitera neutropenia, kandi imiti ya kanseri ishobora no kugabanya imbaraga mu mara. Ariko, ishobora no kugaragara ku bantu bafite neutropenia iterwa n’izindi ndwara, nka VIH/SIDA n’indwara ziterwa n’umubiri .

Enterocolitis ipimwa ite?

Mu by’ukuri, ibimenyetso bya enteritis, colitis, na enterocolitis birasa cyane. Muganga ashobora kutamenya ako kanya igice cy’amara yawe cyafashwe. Ariko, akurikije ibimenyetso by’umubiri wawe, azakeka ko hari ububyimbirwe. Hanyuma, akazi ke ni ukumenya ikibitera. Icyo gihe ni bwo ubwoko bwihariye bwa enterocolitis bushobora kumenyekana.

Abaganga bakoresha ibizamini by'amaraso, ibizamini by'imyenge, n'ibizamini by'ishusho kugira ngo bamenye icyabiteye. Ibizamini by'ishusho, nka ultrasound yo mu nda cyangwa CT scan, bishobora gushakisha ibimenyetso by'ububyimbirwe mu mara n'ingorane zishobora kubaho. Ibizamini by'amaraso n'ibizamini by'imyenge bishobora gufasha kumenya indwara cyangwa indwara runaka zishobora kuba zirimo.

Ni gute abaganga bavura indwara ya enterocolitis?

Ubuvuzi buterwa n'impamvu. Ubuvuzi bwihuse bushobora kuba burimo:

• Gutanga imiti igabanya ubukana bw'indwara , imiti igabanya ubukana bw'indwara, cyangwa imiti igabanya ubukana bw'indwara.
• Gutanga amazi yo mu mitsi (IV fluids) n'ibinyabutabire bya elegitoroniki mu kuvura umwuma uterwa no gucibwamo no kuruka.
• Gutanga imiti ya corticosteroids kugira ngo igabanye ububyimbirwe.
• Gutanga imiti igabanya ububabare.

Mu bihe bimwe na bimwe bikomeye, abarwayi bashobora gukenera:

• Gukura amazi, umwuka, cyangwa ibintu bikomeye mu mara cyangwa mu mwobo wo mu nda (aho amazi anyura) .
• Kubagwa kugira ngo basane umwobo mu mara, bakureho aho byazibye, cyangwa bakureho ingingo zapfuye.
• Kubagwa by'agateganyo kwa colostomy cyangwa ileostomy kugira ngo ibiryo binyure mu buryo bworoshye kugeza igihe amara akize.
• Gutanga indyo yuzuye mu mitsi (imirire y'imitsi iva mu mibonano mpuzabitsina) .

Ese umwana wanjye azakira naramuka arwaye indwara ya enterotolite?

Indwara zigira ingaruka ku bana, cyane cyane indwara ya enterocolitis (NEC) na enterocolitis ifitanye isano na Hirschsprung, zishobora gushyira ubuzima mu kaga . Ariko, iyo abana benshi basuzumwe kandi bagahabwa imiti ku gihe, bakira . Bamwe bashobora kwandura indwara zidakira cyangwa izindi ngorane z'igihe kirekire.

Rero, niba umwana wawe agaragaje kimwe muri ibi bimenyetso, jya kwa muganga vuba bishoboka. Uko ubimenye kare, niko byoroha kuvura.

Ni izihe ngorane zishobora guterwa n'indwara ikomeye ya enterocolitis?

Ingorane zishobora kuba zirimo:

• Kuziba no kuziba: Kubyimba no gukomeretsa igituza cy’amara igihe kirekire bishobora gutera inkovu. Iyi nkovu ishobora kugabanya amara no gutuma ibiryo bikomeye bitanyuramo.
• Ischema na necrosis: Iyo amaraso agana ku gice cy'amara gicitse, ingingo zishobora gupfa. Iyi ngingo yapfuye igomba gukurwaho kugira ngo ibice bisigaye bigumane.
• Indwara y'amara magufi: Abana bakuwemo igice cy'amara yabo bitewe n'ingorane bashobora kugorwa no kwinjiza intungamubiri mu biribwa (malabsorption). Ibi bishobora gutera imirire mibi, kunanirwa gukura, no gutinda gukura no gukura.
• Kolestasis: Mu gihe cy'indwara ya enterocolitis, inyo ishobora kwirunda mu miyoboro y'inyongo y'abana badashobora gusya ibiryo mu buryo busanzwe. Iyo inyongo idakunze gutembera mu mara ngo ifashe mu gusya ibiryo, ishobora kwirunda no kwihuta, igakora utubuye tw'indurwe.Bishobora kandi gutuma inyo ikwirakwira mu gasabo no mu mwijima, bigatera kubyimba.
• Gutobora amara: Gupfa kw'ingingo, gukomereka bikomeye, cyangwa kwibasira bagiteri bishobora gutuma igice cy'amara gicika cyangwa kigatobora, bigatuma bagiteri zisohoka.
• Septicemia, Sepsis, na Shock: Iyo ubwandu buvuye mu mara bukwirakwira mu nda (peritonitis), bushobora gukwirakwira mu maraso (septicemia). Ibi bishobora gutera ububyimbirwe no kuvura amaraso mu mubiri wose (sepsis). Sepsis ni ikibazo cyihutirwa . Mu bihe bikomeye cyane, ishobora gutera septic shock . Ibi bishobora gutera ubumuga bwinshi bw'ingingo n'urupfu.

Ikintu cy'ingenzi cyo kwibuka (Ubutumwa bwo kujyana mu rugo)

Kubyimba amara ni ibisanzwe, cyane cyane iyo umuntu arwaye indwara yandujwe. Ariko, iyo bifashe amara mato n'amara icyarimwe, ari byo byitwa enterocolitis, bishobora kuba bibi cyane . Iyi ndwara ikunze kwibasira abantu bafite ubudahangarwa bw'umubiri budakomeye. Kubwibyo, ishobora gutera ubwoba kuruta ububabare bworoheje bw'igifu ku bayirwaye n'abakunzi babo.

Ariko, abaganga bashobora kuvura iyi ndwara mbere yuko itera ibibazo. Niba wowe cyangwa uwo ukunda afite ubudahangarwa bw'umubiri budakomeye, ni ngombwa cyane kumenya ibyago byo kurwara indwara ya enteritis. Niba ubonye ibimenyetso, ntugatinde gushaka inama kwa muganga. Hanyuma dushobora kuyirwanya mbere yuko irushaho gukomera.

Enterocolitis , indwara zo mu mara, kubyimba mu gifu, impiswi, indwara z'abana, ubudahangarwa bw'umubiri, igogora