Ura hwako hwese hwakazvimba here? Iyi iEnterocolitis!

Dzimwe nguva unonzwa kurwadziwa mudumbu, kuzvimba, uye manyoka pamwe chete nezvimwe zviratidzo here? Dzimwe nguva izvi zvinogona kuva chimwe chinhu chakakomba kupfuura kurwadziwa kwemudumbu. Nhasi tichataura nezvechirwere chinonzi enterocolitis , chinogona kukanganisa ura hudiki neura hukuru panguva imwe chete . Chinonyanya kukanganisa vana vadiki nevaya vane masoja emuviri asina simba.

Saka chii chinonzi enterocolitis?

Zvichitaurwa zviri nyore, Enterocolitis kuzvimba kwemudumbu medu. Yakaumbwa nezvikamu zviviri. Chimwe chinonzi "enteritis", chinova kuzvimba kwemudumbu mudiki. Chimwe chinonzi "colitis", chinova kuzvimba kwemudumbu mukuru. Kana izvi zviviri zvabatanidzwa, tinozvidaidza kuti Enterocolitis.

Zvinowanzoitika kuti kuzvimba kunoitika muura hudiki kana muura hukuru. Zvisinei , kana zvose zvikazvimba panguva imwe chete, zvinogona kutowedzera kuipa . Uyewo, chirwere ichi chinowanzobata vanhu vane masoja ekudzivirira muviri asina simba, kunyanya vacheche nevana vadiki .

Enterocolitis inokanganisa sei muviri?

Kana ura hwedu hukazvimba, zvinonyanya kukanganisa jira rakatetepa reura, ratinoti mucosa . Kuzvimba uku kunoita kuti nzvimbo iyi izvimbe, irwadze, uye kunochinja nzira iyo ura hunoburitsa mvura uye hunotora zvinovaka muviri. Izvi zvinogona kukanganisa zvikuru kugaya kwako uye mafambiro edumbu .

Funga nezvazvo, kana muviri wedu ukawana utachiona, hutachiona, kana kukuvara, dziviriro yemuviri wedu, iyo immune system , inotanga kushanda. Ndizvo zvinoreva kuzvimba. Saka, pamwe chete nekuzvimba kwemudumbu, zviratidzo zvakajairika zvakaita sekusagadzikana nefivha zvinogonawo kuoneka.

Ndezvipi zviratidzo zve enterocolitis?

Zviratidzo zvinowanzoonekwa muchirwere ichi ndeizvi:

• Kurwadziwa kwedumbu nekukamhina.
• Manyoka, dzimwe nguva anoperekedzwa neropa .
• Chikafu hachina kunaka.
• Kusvotwa nekurutsa.
• Kupindwa nechando.
• Kunzwa kuneta zvakanyanya.
• Kunzwa sekuti dumbu rako rakazvimba uye rakazvimba.

Kana uine chimwe chezviratidzo izvi kana kupfuura, kunyanya kana zvikasavandudzika mukati memazuva mashoma, zvakanaka kutsvaga rubatsiro rwechiremba.

Enterocolitis inogona kugara kwenguva yakareba sei?

Zvinoenderana nekuti chii chiri kukonzera chirwere ichi. Chinonyanya kukonzera hutachiona . Izvi zvinowanzova zvenguva pfupi. Masoja edu ekudzivirira muviri anogona kuzvidzora ega. Asi dzimwe nguva unofanira kutora mishonga.

Zvisinei, pane zvimwe zvikonzero zvisingawanzoitiki, semuenzaniso:Dambudziko reEnterocolitis, rinokonzerwa nezvinhu zvakaita sezvirwere zve autoimmune, rinogona kugara kwenguva yakati. Kunyange hazvo zvirwere izvi zvisingaperi zvisingarapike zvachose, vanachiremba vanogona kunyora mishonga yekudzivirira kuzvimba.

Ndezvipi zvikonzero zve enterocolitis?

Kutaura zvazviri, kuzvimba kweura hudiki (enteritis) neura hukuru (colitis) kunogona kuitika chero chikonzero chipi zvacho, uye ura hwese hunogona kuzvimba, kureva, enterocolitis. Asi kana izvozvo zvikaitika, zvinoreva kuti idambudziko guru kupfuura zvakajairika , uye zvinogonawo kureva kuti masoja emuviri haana simba.

Izvi zvinonyanya kukonzerwa ne:

• Utachiona hwemavhairasi: Semuenzaniso, furuwenza yemudumbu.
• Zvirwere zveparasitic: zvakaita se giardiasis.
• Utachiona hwemabhakitiriya: hwakadai sekunge chepfu yechikafu.

Pamusoro pezvo, kushandisa zvakanyanya zvimwe zvinhu kunogonawo kuva chikonzero. Semuenzaniso, kuramba uchishandisa doro, zvinodhaka zvakaita secocaine, uye mimwe mishonga inotengeswa kunze kwemutemo. Zvakare, zvirwere zvemudumbu zvisingaperi zvakaita seCeliac disease neCrohn's disease zvinogonawo kukonzera izvi.

Kana masoja emuviri wako asina simba, une mukana wekuti utange chirwere che enterocolitis. Chirwere ichi chinowanzo bata vacheche nevana vadiki , pamwe nevanhu vane zvirwere zvisingaperi, zvakaita seHIV .

Pane mhando dzakasiyana dze enterocolitis here?

Ehe, vanachiremba vakaona mamwe marudzi e enterocolitis. Aya akarongwa zvichienderana nezvikonzero zvinoakonzera. Aya hutachiona hwakaoma uye zvirwere zvinogona kukanganisa ura hwese.

Kubvisa Kurwadziwa Kwemudumbu (NEC)

Izvi zvinonyanya kuitika muvana vanorwara, vasati vasvika nguva . Vana ava vanenge vatove vasina dziviriro yemuviri. Kunyangwe vachipiwa mabhakitiriya akajairika kuburikidza nemukaka wezamu, ura hwavo hunotadza kuita zvakanaka. Kuzvimba nekuzvimba kwakanyanya zvekuti ropa rinoenda kumadziro edumbu rinomiswa, uye nyama inotanga kufa . Ndizvo zvinoreva izwi rekuti "necrotizing".

Vanachiremba havazivi kuti chii chinokonzera NEC. Zvingangodaro nekuti ura hwemwana hauna ropa rakakwana, kana kuti ropa rinomuita kuti awane hutachiona hwemabhakitiriya. Zvinhu zvose izvi zvinoita sezviri kukonzera chirwere ichi.

Kukuvara kweganda rePseudomembrane

Izvi zvinonziwo antibiotic -associated enterocolitis . Zvinokonzerwa nehutachiona hwebhakitiriya. Zvinoshamisa kuti zvinorapwa nemishonga inorwisa mabhakitiriya .Kushandiswa kwemishonga inorwisa mabhakitiriya ndicho chikonzerowo. Bakiteria inonzi Clostridium difficile (C. diff) ndiyo inokonzera izvi. Utachiona hwe 'C. diff' uhwu hunowanzoonekwa nevanhu vakatora mishonga inorwisa mabhakitiriya kurapa humwe hutachiona. Mishonga yakawanda inorwisa mabhakitiriya haiuraye 'C. diff', asi inouraya mabhakitiriya akanaka ari mudumbu medu anouraya 'C. diff'. Ipapo 'C. diff' inogona kukura zviri nyore isingadzoreki.

Sezvo bhakitiriya iri richikura, rinoburitsa chepfu muura. Vamwe vanhu vanogona kuita zvakaipa nekuda kwechepfu idzi, zvichikonzera chirwere chinonzi enterocolitis. Utachiona uhwu hunowanikwa muzvipatara nemisha inochengeterwa vakwegura nekuda kwekusasimba kwekudzivirira muviri kwevanhu vanogaramo, kushandiswa kwakanyanya kwemishonga inorwisa mabhakitiriya , uye kugona kwebhakitiriya reC. diff kurarama kwenguva yakareba panzvimbo dzakasiyana-siyana.

Kubuda ropa mudumbu

Dambudziko iri rinogona kukonzerwa nehutachiona hweE. coli . E. coli ibhakitiriya inowanzogara muura hwedu isina njodzi. Zvisinei, rudzi rwakakosha runonzi Enterohemorrhagic E. coli (EHEC) , kana kuti Shiga toxin-producing E. coli (STEC), rune njodzi. Rudzi urwu runonamatira pamucheto weura hwedu uye runoburitsa chepfu dzinonzi Shiga toxin dzinokonzera kuzvimba nekubuda ropa.

"Enterohemorrhagic" zvinoreva kubuda ropa muura hudiki. Vanhu vanobatwa zvakanyanya neShiga toxin vanogona kukuvara ne enterocolitis uye kubuda ropa muura hwese. Izvi zvinokonzera manyoka ane ropa (dysentery) . Chirwere ichi chinowanzo bata vana vadiki nevakwegura .

Chirwere cheEnterocolitis Chinokonzerwa neMapuroteni Echikafu (FPIES)

Ichi chirwere chinokonzerwa nekudya. Chinonyanya kubata vana vari pasi pemakore maviri. Chinokonzera kuzvimba kwemukati medumbu ravo. `FPIES` chirwere chinokonzerwa nekusava neIgE . Saka chakasiyana nezvimwe zvirwere zvaungave wakanzwa nezvazvo.

Muzvirwere zvakawanda zvinokonzeresa kusawirirana, masoja edu ekudzivirira muviri anogadzira ma antibodies chaiwo anonzi ma IgE antibodies anorwisa allergen. Ma antibodies aya anokonzera reaction ipapo ipapo, zvichikonzera zviratidzo mumhino, pahuro, mumapapu, uye paganda. Zvisinei, muzvirwere zvisingabatanidzwi neIgE, ma antibodies e'IgE' haagadzirwe. Pane kudaro, reaction inononoka inoitika muura chete, zvichikonzera zviratidzo zve enterocolitis.

Hirschsprung-Associated Enterocolitis

Ichi chirwere cheHirschsprung.Chirwere cheHirschsprung idambudziko rinowanzoitika uye rine njodzi rinokonzerwa nechirwere chekuzvarwa nacho chinokanganisa ura hukuru. Vana vane chirwere cheHirschsprung vane kushomeka kwemamwe marudzi emasero muura hukuru, kazhinji munzvimbo imwe chete. Masero aya anobatanidzwa mukusunga kwetsandanyama kunobatsira kufambisa tsvina muura hukuru, kunonzi peristalsis .

Munzvimbo iyi isina masero, tsvina inonamira panzvimbo imwe chete uye haigone kufamba mberi, zvichiita kuti pave nekuvharika . Kuvharika uku kunoita kuti mabhakitiriya akure zvakanaka. Kukura uku kwebhakitiriya kunopararira muura hwese, zvichizopedzisira zvaparadza jira remudumbu, zvichiita kuti mabhakitiriya apinde mudumbu iroro. Zvese izvi zvinogona kubatsira mukukura kwe enterocolitis.

Neutropenic Enterocolitis

Izvi zvinokanganisa vanhu vane chirwere chinonzi neutropenia . Izvi zvinoreva kuti vane huwandu hwakaderera pane hwakajairika hwemasero machena eropa anonzi neutrophils . Aya ma neutrophils ndiwo anowanzo batsira kudzivirira kubva kuzvirwere. Vanhu vane neutropenia vane mukana wekuwana hutachiona hwakakomba, uye vanogonawo kuwana enterocolitis.

Vanhu vazhinji vane neutropenic enterocolitis vakagamuchira chemotherapy yekenza yeropa yakadai seleukemia ne lymphoma . Matambudziko aya anokonzera neutropenia, uye chemotherapy inogonawo kunetesa dumbu remukati. Zvisinei, zvinogonawo kuitika kune vanhu vane neutropenia inokonzerwa nezvimwe zvirwere, zvakaita seHIV/AIDS nezvirwere zve autoimmune .

Enterocolitis inoonekwa sei?

Kutaura zvazviri, zviratidzo zve enteritis, colitis, uye enterocolitis zvakafanana zvikuru. Chiremba angasakwanisa kuziva ipapo ipapo kuti ndechipi chikamu cheura hwako chakanganiswa. Zvisinei, zvichibva pazviratidzo zvako zvemuviri, achafungidzira kuzvimba. Zvadaro, basa rake nderekutsvaga chiri kukonzera. Ndipo chete panogona kuonekwa rudzi rwe enterocolitis.

Vanachiremba vanoshandisa bvunzo dzeropa, bvunzo dzetsvina, uye bvunzo dzemifananidzo kuti vawane chikonzero. Miedzo yemifananidzo, yakaita se ultrasound yemudumbu kana CT scan, inogona kutsvaga humbowo hwekuzvimba muura uye matambudziko angangoitika. Kuongororwa kweropa uye bvunzo dzetsvina zvinogona kubatsira kuona hutachiona kana zvirwere zvinogona kunge zviripo.

Vanachiremba vanorapa sei enterocolitis?

Kurapwa kunoenderana nechikonzero. Kurapwa nekukasika kunogona kusanganisira:

• Kupa mishonga inorwisa mabhakitiriya , mishonga inorwisa mavhairasi, kana mishonga inorwisa tupukanana kuti irape hutachiona.
• Kupa mishonga yemutsinga (IV fluids) uye maelectrolytes kurapa kupera mvura mumuviri kunokonzerwa nemanyoka nekurutsa.
• Kupa corticosteroids kuderedza kuzvimba.
• Kupa mishonga inoderedza marwadzo.

Mune zvimwe zviitiko zvakakomba, murwere angada:

• Kubviswa kwemvura, gasi, kana zvinhu zvakaoma kubva muura kana mudumbu (drainage) .
• Kuvhiyiwa kunogadzirisa buri riri muura, kubvisa pakavharika, kana kubvisa nyama yakafa.
• Kuvhiyiwa kwechinguvana kwecolostomy kana ileostomy kuti chikafu chiendeswe mberi kusvika ura hwapora.
• Kupa chikafu chinovaka muviri netsinga (IV nutrition) .

Mwana wangu achapora here kana akabatwa nechirwere che enterocolitis?

Matambudziko anokanganisa vacheche, kunyanya necrotizing enterocolitis (NEC) uye Hirschsprung-associated enterocolitis, anogona kuisa hupenyu panjodzi . Zvisinei, kana kuongororwa nekurapwa nenguva, vacheche vazhinji vanopora . Vamwe vanogona kuwana hutachiona hunogara kwenguva refu kana mamwe matambudziko kwenguva refu.

Saka, kana mwana wako aratidza chimwe chezviratidzo izvi, enda kuna chiremba nekukurumidza. Kana ukazviziva nekukurumidza, zvinova nyore kurapa.

Ndezvipi zvinetso zvinogona kuitika kana enterocolitis yakanyanya?

Matambudziko anogona kusanganisira:

• Kuomarara uye kuvharika: Kuzvimba kwenguva refu uye kukuvara kwemukati meura kunogona kukonzera mavanga. Mavanga aya anogona kutetepa ura uye kuita kuti chikafu chakaoma chisapfuure nepariri.
• Kushaya simba mumuviri (Ischemia) uye kupararira kweropa: Kana ropa richienda muura rikabviswa, nyama yacho inogona kufa. Nyama iyi yakafa inofanira kubviswa kuti zvimwe zvikamu zvirambe zviripo zvirambe zviripo.
• Chirwere chemudumbu mupfupi: Vana vakabviswa chikamu chemudumbu nekuda kwematambudziko vanogona kunetseka nekunwa zvinovaka muviri kubva muchikafu (malabsorption). Izvi zvinogona kukonzera kushaya chikafu chakakwana, kutadza kukura zvakanaka, uye kunonoka kukura.
• Cholestasis: Panguva ye enterocolitis, bile rinogona kuungana mumigero ye bile yevana vasingakwanise kugaya chikafu zvakanaka. Kana bile risingayerere zvakanaka muura kuti ribatsire kugaya chikafu, rinogona kuungana uye kuita matombo emunduru.Zvinogonawo kukonzera kuti bile rifashukire munduru nechiropa, zvichikonzera kuzvimba.
• Kuboorwa kweura: Kufa kwenyama, kukuvara kwakanyanya, kana kupinda kwebhakitiriya zvinogona kukonzera kuti jira reura rityoke kana kuboorwa, zvichiita kuti mabhakitiriya abude.
• Septicemia, Sepsis, uye Shock: Kana utachiona hukabuda muura hukapararira mudumbu (peritonitis), hunogona kupararira muropa (septicemia). Izvi zvinogona kukonzera kuzvimba uye kugomara kweropa mumuviri wese (sepsis). Sepsis idambudziko rekukurumidza . Muzviitiko zvakakomba, inogona kutungamira ku septic shock . Izvi zvinogona kukonzera kutadza kushanda kwenhengo dzakawanda uye rufu.

Chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Kuzvimba kwemudumbu kwakajairika, kunyanya kana paine hutachiona. Zvisinei, kana kukakanganisa ura hwako hudiki neura panguva imwe chete, hunonzi enterocolitis, kunogona kuva kwakakomba zvishoma . Chirwere ichi chinowanzobata vanhu vane masoja emuviri asina simba. Saka, chinogona kutyisa kupfuura kurwadziwa kwemudumbu kune avo vanotambura nacho nevadikanwi vavo.

Zvisinei, nekungwarira uye nekukasika , vanachiremba vanogona kurapa izvi zvisati zvaita matambudziko. Kana iwe kana mudiwa wako muine masoja ekudzivirira muviri asina simba, zvakakosha kuti muzive nezvenjodzi ye enterocolitis. Kana mukaona zviratidzo, musanonoka uye tsvagai mazano echiremba. Zvadaro tinogona kudzora dambudziko iri risati ranyanya kuipa.

` Enterocolitis, hutachiona hwemudumbu, kuzvimba kwemudumbu, manyoka, zvirwere zvevana, dziviriro yemuviri, kugaya chikafu