Une kuzvimba kwemuura here? Ngatitaurei nezve colitis!

Unowanzova nekurwadziwa mudumbu, kuzvimba, kana manyoka akanyanya here? Ungave wakaona kuti dzimwe nguva une zvinhu zvakaita semanyoka kana kutobuda ropa shoma mutsvina yako. Kunyange zvazvo ungafunga kuti izvi zvinongova zviratidzo zvechirwere chinonzi colitis . Saka ngatitaurei nezvazvo zvakadzama nhasi, handiti?

Chii chinonzi colitis? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, colitis kuzvimba kwemudumbu wako, chikamu chikuru cheura hwako hukuru. Funga nezvazvo, mudumbu ndiwo chikamu chekupedzisira chechikafu chatinodya chinofamba nemuviri wedu. Saka, kana uine kuzvimba kwemudumbu, zvinoreva kuzvimba, kutsvuka, kana kurwadziwa, chikamu chekupedzisira cherwendo irworwo rwekudya chinokanganiswa zvishoma. Ndipo paunonzwa kurwadziwa mudumbu, manyoka, uye dzimwe nguva ropa mutsvina yako. Kuzvimba chaizvoizvo imhinduro yemuviri wedu kana kukuvara kana hutachiona huri mumuviri wedu.

Ko colitis chirwere chakakomba here?

Kune mhando dzakasiyana dzechirwere checolitis, uye zvikonzero zvacho zvakasiyanawo. Zvimwe zvacho, semuenzaniso, chirwere checolitis chinoitika kana uine hutachiona hwebhakitiriya senge chepfu yechikafu, chinopora mumazuva mashoma, uye chiri nyore kurapa. Zvisinei, kunewo chirwere checolitis chisingaperi , zvinoreva kuti chinoramba chiripo uye chakaoma kurapa. Tinochidana kuti (Inflammatory Bowel Diseases - IBD) . Chirwere checolitis chinova chakakomba zvishoma kana chikasarapwa uye chikaramba chiripo. Kana izvozvo zvikaitika, chinogona kukonzera kukuvara kukuru muura hwako nekufamba kwenguva. Chinogonawo kukanganisa hupenyu hwako hwezuva nezuva.

Ndezvipi zviratidzo zve colitis?

Aya ndiwo zviratidzo zvinowanzoonekwa muvanhu vazhinji:

• Kurwadziwa kwemudumbu
• Dumbu rakazvimba
• Manyoka anokurumidzira (manyoka anongoerekana aitika, asingarapiki)
• Manyoka kana ropa mutsvina yako
• Kurasikirwa nechido chekudya
• Kuderedza huremu

Muzviitiko zvisingaperi, zviratidzo zvinotevera zvinogona kuonekwa zvakare:

• Kusvotwa nekurutsa
• Kupindwa nechando

Muzviitiko zvisingaperi, zviratidzo zvinotevera zvinogonawo kuitika:

• Kuneta/kuneta zvakanyanya
• Kushaya ropa (anemia)
• Kushaya mvura mumuviri (kuchengetwa kwemvura)
• Kusanyoroveswa kwezvinwiwa mumuviri uye kushaya chikafu chakakwana

Munhu anowana sei chirwere checolitis?

Kune mhando dzakasiyana dzechirwere checolitis, chimwe nechimwe chine chikonzero chakasiyana. Ngationei kuti chii.

1. Chirwere cheColitis Chinotapukira

Izvi zvinokonzerwa nehutachiona, tupukanana, kana hutachiona. Semuenzaniso , mabhakitiriya anonzi Salmonella neE . coli ndiwo anonyanya kukonzera. Anowanzo kukonzerwa nekudya chikafu chakasviba, chakasvibiswa kana mvura. Kazhinji, zvinotora nguva pfupi uye zvinopera mumazuva mashoma. Zvisinei, mamwe mabhakitiriya anoda mishonga inorwisa mabhakitiriya . Fungidzira kuti wave parwendo uye une kurwadziwa nemudumbu.

2. Pseudomembrane Colitis

Rudzi urwu rwechirwere checolitis runonyanya kukonzerwa nebhakitiriya rinonzi (C. diff) kana kuti (Clostridioides difficile) . Zvinoshamisa kuti rinowanzo buda mushure mekushandisa mishonga inorwisa mabhakitiriya. Mabhakitiriya e (C. diff) anowanzo kuwanikwa mudumbu medu, asi mamwe mishonga inorwisa mabhakitiriya anouraya mamwe mabhakitiriya akanaka anobatsira kudzivirira chirwere ichi. Mabhakitiriya e (C. diff) anobva awanda nekukurumidza uye anokonzera chirwere ichi.

3. Kurwara neAllergy Colitis

Izvi zvinonyanya kuitika kuvana vanoyamwiswa . Izvi zvinokonzerwa nekusawirirana nechikafu. Kazhinji, kusawirirana uku kunokonzerwa nemukaka wemombe (unonzi kusawirirana nelactose ) kana mukaka wesoya (unonzi soy allergy). Mamwe mapuroteni ari muchikafu chinodyiwa naamai vanoyamwisa anopfuudzwa kumwana kuburikidza nemukaka wemuzamu, zvichikonzera chirwere ichi.

4. Ischemic Colitis

Izvi zvinokonzerwa nechirwere chinonzi intestinal ischemic syndrome . Izvi zvinoitika kana ura hwako husina ropa rakakwana. Ischemia iyi, kana kuti ropa shoma, inokonzerwa nekuvharika kwetsinga dzeropa. Semuenzaniso, zvinogona kukonzerwa nekugwamba kweropa , aneurysm (tsinga yeropa yakazvimba), kana atherosclerosis (kuunganidzwa kwemafuta pamadziro etsinga dzako, zvichiita kuti dziome/dziome).

5. Zvirwere zveMatumbu (IBD)

Iri iboka rezvirwere zvinokonzera kuzvimba kwenguva refu muura hwako. Rinosanganisira zvirwere zvakaita seulcerative colitis , microscopic colitis, uye chirwere cheCrohn . Zvakaoma kuziva chikonzero chimwe chete. Vanachiremba vanotenda kuti izvi zvirwere zve autoimmune . Izvi zvinoreva kuti masoja emuviri wako anorwisa zvisizvo nhengo dzemuviri wako. Zvirwere izvi zvinofungidzirwa kuti zvine majini uye zvakatipoteredza .

6. Radiation Colitis

Kurapa nemwaranzi kune mamwe marudzi ekenzaIzvi zvinogona kuitika semhedzisiro yechirwere. Kazhinji izvi ndezvenguva pfupi, asi vamwe vanhu vanogona kunge vaine zviratidzo zvinoramba zvichiitika.

7. Kukanganiswa kweColitis

Izvi zvinogona kuitika kune vanhu vakambovhiyiwa colostomy (nzira yekuvhiya iyo chikamu cheura hukuru chinobviswa uye pouch inogadzirwa kuti ichengete tsvina). Inoitika muchikamu cheura hukuru chisisashandiswe. Vanachiremba vanofunga kuti nekuda kwekuti tsvina haisi kupfuura nepakati pechikamu ichocho, haisi kuwana zvimwe zvinovaka muviri zvinodiwa kuti nyama irambe iine hutano. Zvisinei, izvi zvinongokonzera zviratidzo kuvanhu vashoma.

Ndezvipi zvinetso zvinogona kukonzera colitis?

Matambudziko anowanzo konzerwa nechirwere checolitis chakasimba, chinogara kwenguva refu. Mamwe acho ndeaya:

• Kuboorwa: Madziro emudumbu wako anodzikira nekuda kwekuzvimba kunoramba kuchiitika, zvichiita kuti akwanise kuputika. Chironda mudumbu rako chinogona kutoputika zvachose. Kana izvi zvikaitika, mabhakitiriya anobva mudumbu rako anogona kupinda mudumbu rako okonzera hutachiona ( peritonitis ). Kwete izvozvo chete, asi mabhakitiriya anogonawo kupinda muropa rako okonzera chepfu muropa ( septicemia ). Izvi zvine njodzi huru, sezvo septicemia inogona kutungamira kuchirwere chinotyisidzira hupenyu chinonzi sepsis .
• Megacolon ine Chepfu: Kuzvimba kwakanyanya kunogona kukonzera kuti madziro eura hukuru awedzere kukura, zvichikanganisa kusimba kwetsandanyama kwakajairika (peristalsis, kufamba-famba nguva dzose kunosunda chikafu kuburikidza neura). Izvi zvinogona kukonzera kuti chikafu nemhepo zvibatire muura hukuru, zvichikonzera kuvharika kweura hukuru . Izvi zvinogona kukonzera kuzvimba kwakanyanya kwedumbu nekurwadziwa, uye zvinogona kuwedzera njodzi yekuboorwa kweura.
• Kuwanda kwenjodzi yekenza yemuura: Kuzvimba kwenguva refu kunokonzera shanduko dzemasero mumadziro emuura, izvo dzimwe nguva zvinogona kushanduka kuita masero ekenza. Njodzi iyi inowedzera nekukurumidza mushure memakore gumi ekutanga echirwere checolitis chisingaperi.
• Kuwedzera kwenjodzi yezvirwere zvinotapukira: Vanhu vane chirwere chemudumbu (IBD) vane mukana mukuru wekuwana zvirwere zvinotapukira mune dzimwe nhengo dzemuviri. Semuenzaniso, osteoarthritis (kuzvimba kwemajoini) uye primary sclerosing cholangitis (kuzvimba kwechiropa ne biliary ducts). Zvinoita sekunge kuzvimba kusingadzoreki munzvimbo imwe chete kunogona kukonzera matambudziko akafanana mune dzimwe nzvimbo.

Ko chirwere checolitis chinoonekwa sei?

Chiremba wako achatanga nekukubvunza nezvezviratidzo zvako, kuti zvakatanga riini, zvawakadya nekunwa panguva iyoyo, uye chero mishonga yauri kutora parizvino uye chero matambudziko ehutano awakamborapwa. Vachabva vaita bvunzo yemuviri uye voraira bvunzo. Izvi zvinogona kusanganisira kuongororwa kweropa, bvunzo dzetsvina , uye bvunzo dzekufungidzira (dzakadai sekuskena) kuti vaone ura hwako.

Zvikuru sei, bvunzo dze endoscopic (semuenzaniso, colonoscopy , flexible sigmoidoscopy ) dzinoshandisa kamera kutarisa mukati meura zvinogona kubatsira zvikuru pakuona kuti une rudzii rwe colitis. Munguva yekuongororwa uku, vanachiremba vanogona kutora sampuli diki yenyama kubva mukati meura. Izvi zvinonzi biopsy . Samples dzenyama idzi dzinogona kuongororwa murabhoritari kuti dzidzidze ruzivo rwakakosha.

Ko chirwere checolitis chinorapwa sei?

Kurapwa kwechirwere checolitis kunoenderana nerudzi uye chikonzero chacho. Izvi zvinogona kusanganisira:

• Mishonga: Chiremba wako anogona kukupa mishonga yakadai semishonga inorwisa mabhakitiriya yekurapa hutachiona, corticosteroids yekuderedza kuzvimba, immune modifiers yekudzivisa autoimmune response yako, uye aminosalicylates yekurapa IBD.
• Kudya: Kana uine chirwere checolitis chenguva pfupi, chinongoerekana chaitika, kudya kusina fiber yakawanda uye kunogayiwa nyore nyore kungave kwakakodzera. Kana uine chirwere checolitis chisingaperi, uchada chirongwa chekudya chakagadzirirwa iwe. Ungangoda kurega kudya zvinokurisa chirwere checolitis wowedzera zvimwe zvekudya kana zvinovaka muviri kuti uve nechokwadi chekuti uri kuwana zvinovaka muviri zvaunoda.
• Kuvhiyiwa: Vanhu vane mamwe marudzi echirwere checolitis, akadai se necrotizing enterocolitis , ischemic colitis, uye inflammatory bowel disease (IBD), vangada kuvhiyiwa kuti varape matambudziko. Kuvhiyiwa hakuwanzo rapa zvirwere izvi zvachose, asi zvingangodiwa kumisa kubuda ropa, kugadzirisa buri, kana kubvisa vhara.

Ko colitis inopora here?

Chirwere checolitis chinokonzerwa nehutachiona hwenguva pfupi, kusawirirana nechikafu, kana kuratidzwa nemwaranzi kazhinji chinopera chega. Zvimwe zvirwere, kunyanya zvirwere zveparasite, zvingada kurapwa. Zvizhinji zvezvirwere zvinopera mukati mevhiki, asi chirwere checolitis chinogona kutora mwedzi yakati wandei kuti chipere. Chirwere checolitis chinopera kana mwana wako asina zvachose allergen.

Colitis inoitika semhinduro yekukurumidzira kune chirwere chisingaperi inoda kurapwa. Ischemic colitis inokonzerwa ne intestinal ischemic syndrome inogona kurapwa chete nekudzoreredza ropa muura. Diversion colitis muvanhu vakambovhiyiwa colostomy inogona kurapwa chete nekubvisa colostomy uye kudzoreredza kushandiswa kweura zvizere (izvi zvinonzi anastomosis surgery - kureva, kubatanidza zvikamu zveura). Vamwe vanhu vangasakwanisa kuita mhinduro idzi.

Chirwere checolitis chisingaperi chinokonzerwa nechirwere chemudumbu chinozvimba (IBD) chirwere chinogara kwenguva refu. Hachiperi zvachose, asi unogona kunge usina zviratidzo kwenguva yakati. Izvi zvinonzi relievement . Chinangwa chekurapa IBD ndechekuderedza zviratidzo zvako uye kuwedzera relievement iyi zvakanyanya sezvinobvira. Izvi ndizvo zvinoitika kana chirwere chako checolitis chikakonzerwa nechimwe chirwere chisingarapiki. Mune zvimwe zviitiko, kuvhiyiwa kunogona kushandiswa kuchirapa.

Kudya kwerudzii kunobatsira kana munhu aine chirwere checolitis?

Chiremba wako anogona kukukurudzira kudya chimwe kana kupfuura, zvichienderana nerudzi rwechirwere checolitis chaunacho:

• Kudya kusina kusara kwemafuta: Kudya kwerudzi urwu kuri nyore kugaya, kunyanya kana zviratidzo zvako zvikawedzera kana kuti zvakanyanya. Kunoderedza faibha nemafuta uye kunonyanya kutarisisa chikafu chisina kubikwa zvakanaka. Kana uine hutachiona hwenguva pfupi kana kuti chirwere che radiation colitis, chiremba wako anogona kukukurudzira kudya kusina kusara kwemafuta .
• Kudya Kunodzivirira Kuzvimba: Kuti kuzvimba kugare kuri padanho rakaderera, chiremba wako anogona kukukurudzira kuti usadye zvekudya zvinowedzera kuzvimba, kunyanya zvekudya zvinokurumidza uye zvakagadzirwa zvine shuga yakawanda nemafuta. Pane kudaro, unogona kukurudzirwa kudya mafuta akawanda ane hutano, asina kuguta (semuenzaniso, mafuta emuorivhi , maavocado , nzungu , hove dzine mafuta ) zvinoderedza kuzvimba. Kudya kweMediterranean kudya kunoderedza kuzvimba.
• Kudya Kwekubvisa Zvirwere: Kana uine chirwere cheInflammatory Bowel Disease (IBD), chiremba wako anowanzo kurudzira kudya kwekubvisa zvimwe zvekudya kuti aone chikafu chiri kukonzera zviratidzo zvako. Nenzira iyi, unorega kudya zvimwe zvekudya zvachose kwenguva yakati, wozozvidzorera zvishoma nezvishoma kuti uone kuti ura hwako hunopindura sei. Mushure mekudya kwekubvisa kwenguva pfupi uku, unogona kushandisa zvawakadzidza kugadzira kudya kwenguva refu kunoshanda kwauri.

Zvakakosha:Kunyangwe chikonzero chaicho chechirwere checolitis chisingaperi chisingazivikanwi, chirwere ichi chiri kuramba chichiwanda munyika dzekuMadokero. Kunyange tisingazive kuti sei chaizvo, vanachiremba vanofungidzira kuti kudya kwemazuva ano kwekuMadokero kungave kuripo. Kudya uku, uko kune chikafu chakawanda chakagadziriswa uye mafuta akazara, izvo zvinowedzera kuzvimba, zvinogona kukonzera kuzvimba kwenguva refu, kushoma muura. Kuwedzera chikafu chose nemafuta asina kuzara mukudya kwako, izvo zvinoderedza kuzvimba, kunogona kubatsira kudzivirira matumbo ako.

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Colitis haisi chinhu chekutya, asi zvakakosha kuti uzive nezvayo. Kana uine zviratidzo zvakaita sekurwadziwa mudumbu nguva dzose, manyoka, kana ropa mutsvina yako, unofanira kutsvaga mazano echiremba . Kuongororwa nekukurumidza uye kurapwa kwakakodzera kunogona kubatsira kudzivirira matambudziko mazhinji ecolitis. Zvakare, kuchengetedza kudya kwakaringana, kunovaka muviri uye mararamiro ane hutano zvinogona kubatsira zvakanyanya mukuzvidzivirira kubva kuzvirwere izvi. Hausi wega, uye kune vanhu vazhinji vekutaura navo uye kuwana rubatsiro kubva kwavari.

Colitis , kuzvimba kweura, manyoka, kurwadziwa kwemudumbu, IBD, kugaya chikafu, hutano