Une dambudziko rekuita matumbu kakawanda here? Unofanira kuenda kuchimbuzi kashanu kana katanhatu pazuva, dzimwe nguva zvichitopfuura? Dambudziko iri, rinouya nekurwadziwa mudumbu uye kusagadzikana, rinogona kunge rakaita kuti zvikuomere kuita mabasa ako ezuva nezuva nemazvo. Ungave wakaona chiremba nekuda kweizvi, uye ungave wakaongororwa uye wakaongororwa. Asi zvese zvakadzoka "sezvakajairika." Saka ungave uchifunga kuti, "Saka chii chiri kundinetsa?" Kana wakambosanganawo nedambudziko rakafanana, zvichave zvakakosha kuti uzive nezvechirwere chatiri kutaura nezvacho nhasi, chinonzi Microscopic Colitis (MC) .
Zvichitaurwa zviri nyore, chii chinonzi Microscopic Colitis?
Zita iri ringanzwika serakaoma zvishoma, asi ngatiritsanangure zvishoma torinzwisisa zviri nyore.
- Colitis: Izvi zvinoreva kuzvimba kana kuzvimba kwemukati meura wako mukuru (colon). Kungofanana neganda redu parinotsvuka uye kuzvimba kana tine ronda, tinoridaidza kuti 'colitis' nekuti chimwe chinhu chakafanana chinoitika mukati meura.
- Microscopic: Izwi iri rinoreva 'microscopic'. Izvi zvinoreva kuti kuzvimba kwacho kudiki zvekuti hakugone kuonekwa neziso rega rega, kamera inoshandiswa panguva ye endoscopy, kana scan. Kunogona kuonekwa chete kana kanyama kadiki kakatorwa kubva muura hwako hukuru kakatariswa nemaikorosikopu.
Zvichitaurwa zviri nyore, Microscopic Colitis chirwere chekuzvimba kweura hukuru chisingaonekwe nekuongororwa kwakajairika uye chinogona kuonekwa chete nemaikorosikopu. Izvi zvinokonzerwa nekuti masero ari muura hwako anogara "akatsamwa." Nekuda kweizvozvo, unowanzoita mafambiro emvura.
Dambudziko iri rinogona kunetsa zvishoma. Rinogona kungoerekana raitika, ropera roga mushure mechinguva, rozodzoka zvakare. Asi mashoko akanaka ndeekuti kunyange zvazvo riri dambudziko rehupenyu hwese, rinogona kurapwa zvakanaka . Rinongoda mishonga chaiyo uye shanduko dzekudya.
Kune mhando mbiri huru dzeMicroscopic Colitis:
Kana chiremba achitarisa tissue kubva muura hwako achishandisa maikorosikopu, vanopatsanura chirwere ichi kuita mhando mbiri huru zvichienderana nekuchinja kwavanoona. Asi haufanirwe kunetseka zvakanyanya nezveizvi, nekuti zviratidzo nekurapwa kwemhando dzese mbiri zvakafanana. Musiyano uri padanho remicroscope chete.
| Rudzi rwechirwere | Zvinoreva zviri nyore |
|---|---|
| Collagenous Colitis | Collagen rudzi rwe'chingamu' chinobatanidza nyama dzemuviri wedu pamwe chete. Murudzi urwu, jira iri recollagen riri pasi pemukati meura hukuru rinova gobvu kupfuura zvakajairika. |
| Lymphocytic Colitis | Lymphocytes rudzi rwemasero machena eropa akafanana ne'masoja' ari mudziviriro yemuviri wedu. Murudzi urwu, huwandu hwemalymphocytes aya muura hukuru hunowedzera zvakanyanya kupfuura zvakajairika. Zvakafanana neuto riri kuuya kunzvimbo ine dambudziko roungana. |
Ndezvipi zviratidzo zvinowanzoonekwa zvechirwere ichi?
Chiratidzo chikuru uye chinonyanya kunetsa cheMicroscopic Colitis kusununguka kwemvura (manyoka) kakawanda . Izvi zvinogona kuitika kashanu kusvika kagumi pazuva, dzimwe nguva kutopfuura. Fungidzira kuti unotya sei kubuda mumba, kuenda kubasa, kana kufamba.
Izvi hazvina kufanana nekufamba kwetsvina kwakajairika. Zvinogona kugara kwemazuva, mavhiki, uye dzimwe nguva mwedzi.
Pamusoro pezvo, mamwe mabasa akawanda anogona kuonekwa:
- Kurwadziwa mudumbu nekukamhina: Unganzwa kurwadziwa mudumbu.
- Kuzvimba uye kuzvimba: Kunzwa sekunge mudumbu makazara negasi.
- Kunzwa kuda kuenda kuchimbuzi nekukurumidza uye kunetseka nekudzora: Kumhanya kana wangonzwa kuda kuenda kuchimbuzi.
- Ruzha rwekunguruma kubva mudumbu: Ruzha rusina kujairika runonzwika panguva yekugaya.
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Masayendisiti haasati awana chikonzero chimwe chete chaicho cheizvi, asi pane zvinhu zvakawanda zvinofungidzirwa kuti zvinogona kunge zvichikonzera izvi.
- Utachiona, mavhairasi, kana mabhakitiriya: Dambudziko iri rinogona kuitika nekuti unogona kunge wakambova nechirwere chemudumbu kare, izvo zvakachinja mashandiro emuviri wako.
- Zvirwere zve autoimmune: Apa ndipo apo masoja emuviri wedu anozvibata zvisina kunaka uye anorwisa masero edu ane hutano. Vamwe vanhu vane microscopic colitis vanogonawo kuva nezvimwe zvirwere zve autoimmune (semuenzaniso, rheumatoid arthritis, chirwere chethyroid).
- Majini:Kana mumwe munhu mumhuri yako aine chirwere ichi kana zvimwe zvirwere zvemudumbu, unogona kunge uri panjodzi yekuchibatawo.
- Mimwe mishonga: Imwe tsvakurudzo yakawana kuti mimwe mishonga yatinotora kwenguva refu inogona kukonzera kana kuita kuti chirwere ichi chiwedzere kuipa.
Mishonga inoda kutarisirwa kwakakosha
Kana uri kutora mimwe yemishonga inotevera kwenguva refu, zvakakosha kutaura nachiremba wako nezvazvo. Usamborega kutora mishonga iyi usina kubvunza chiremba wako.
| Rudzi rwemishonga | Inonyanya kushandiswa pai? |
|---|---|
| Mishonga inodzivirira kuzvimba isiri yesteroidal (NSAIDs) | Kuderedza marwadzo nekuzvimba (semuenzaniso Ibuprofen, Diclofenac) |
| Inhibitors dzepombi yeproton (PPIs) | Kune gastritis nekurwadziwa kwemoyo (semuenzaniso Omeprazole, Esomeprazole) |
| Mishonga inoderedza kutorwa kweserotonin (SSRIs) | Kune Kuora Mwoyo uye Kunetseka |
| Mishonga yeStatin | Kuderedza huwandu hwecholesterol muropa |
| Beta-blockers | Kune chirwere cheBP nechirwere chemwoyo |
Kushushikana kunokanganisa here izvi?
Ehe, zvechokwadi. Pane hukama hukuru pakati pehuropi hwedu neura hwedu kupfuura zvaungafunga. Dzimwe nguva tinoti, "Ura ndihwo uropi hwechipiri." Ichokwadi. Patinenge tiri pasi pekushushikana kwakanyanya uye kuzvidya mwoyo, huwandu hwemahormone emuviri wedu hunochinja. Izvi zvinogona kukanganisa zvakananga sisitimu yedu yekugaya. Saka, zvakakosha kutora nguva yekufunga nezvemamiriro ako epfungwa pamazuva aune zviratidzo izvi.
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
Kunyange zvazvo chirwere ichi chichigona kuitika kune chero munhu, vamwe vanhu vari panjodzi huru.
- Vakadzi vane makore anopfuura makumi matanhatu ekuberekwa: Kunyangwe chikonzero chaicho chisingazivikanwi, chirwere ichi chinonyanya kuwanikwa pakati pevakadzi vari muboka iri rezera.
- Vanhu vane zvimwe zvirwere (zve autoimmune): Njodzi iyi yakanyanya kukwira kuvanhu vane chirwere cheCeliac (allergies yeprotein gluten inowanikwa muupfu hwegorosi).
- Vanosvuta: Kusvuta ndicho chinokonzera chirwere ichi uye kunogona kuwedzera zviratidzo.
Nzira yekuziva sei chirwere nemazvo?
Sezvandambotaura, izvi zvakaoma kuona nekuongororwa kwakaitwa nguva dzose, saka kana uine zviratidzo izvi, ungangoda kutumirwa kuna chiremba wezvekudya .
Miedzo mikuru yekusimbisa chirwere ndeye colonoscopy uye biopsy .
- Colonoscopy: Izvi zvinosanganisira kuisa chubhu inochinjika ine kamera diki kuburikidza nerectum yako kuti uongorore ura hwako hwese hukuru. Uchapihwa mushonga wekurwadziwa usati waitwa, saka hauzowanzo nzwa kurwadziwa.
- Kuongororwa kwemuviri: Panguva yekuongororwa kwecolonoscopy, chiremba wako achatora sampuli diki yenyama kubva muura hwako hukuru. Izvi zvinonzi biopsy. Nyama yacho inozoongororwa nemaikorosikopu kuti ione kana uine microscopic colitis uye, kana zvakadaro, rudzii.
Pamusoro pezvo, bvunzo dzeropa netsvina dzinogona kuitwa kuti pasave nezvimwe zvirwere.
Nzira yekurapa uye kubata nayo sei?
Nzira dzekurapa dzinosiyana zvichienderana nerudzi uye kuoma kwezviratidzo zvako. Dzimwe nguva, shanduko diki mukudya dzinogona kuita mutsauko mukuru. Vamwe vanhu vangangodawo mishonga.
1. Kuchinja kwezvekudya uye mararamiro
Iri ndiro danho rekutanga uye rakakosha. Chaunofanira kuita pano ndechekutsvaga kuti ndezvipi zvekudya zvinokonzeresa zviratidzo zvako. Izvi zvakasiyana pamunhu wega wega.
- Kudzivirira zvinhu zvinowanzokonzera allergies:Kune zvekudya zvakawanda zvinogona kuwedzera zviratidzo zvechirwere ichi kuvanhu vazhinji. Doro, caffeine (kofi, tii), mukaka nezvigadzirwa zvemukaka, gluten (gorosi, bhari), uye chikafu chine shuga yakawanda ndezvimwe zvezvinonyanya kuzivikanwa.
- Kudya kudya kusina mafuta akawanda uye faibha: Kana zviratidzo zvanyanya kuipa, kudya chikafu chinogayiwa nyore nyore chine mafuta mashoma uye faibha kunogona kuderedza mutoro pamatumbu. (semuenzaniso mupunga muchena, mbatatisi dzakabikwa, soups, mabhanana).
- Kubvisa Kudya: Izvi zvinosanganisira kubvisa zvachose chikafu chaunofungidzira kuti chiri kukonzera kusagadzikana kwenguva yakati, wozochiisa chimwe nechimwe kuti uone kuti ndechipi chikafu chinokonzera zviratidzo zvako. Izvi zvinoitwa zvakanaka uchitungamirirwa nachiremba kana nyanzvi yezvekudya.
- Kudya kunoderedza kuzvimba: Zvimwe zvekudya zvine simba rekuderedza kuzvimba mumuviri. Zvikafu zvakaita semiriwo mitsva, michero, hove (kunyanya hove dzine mafuta dzakadai sesalmon ne mackerel), uye mafuta emuorivhi zvinobatsira pane izvi.
2. Kurapwa nemishonga
Kana zvichikuomera kudzora kudya kwako wega, chiremba wako achakupa mishonga.
- Mishonga yekudzivirira manyoka: Mishonga yakaita seLoperamide inogona kuderedza kufamba kwedumbu kakawanda.
- Bismuth subsalicylate: Uyu mushonga unowanzo shandiswa pakurapa manyoka.
- Budesonide: Uyu mushonga we corticosteroid wakakosha. Unoshanda zvakananga muura kuderedza kuzvimba, saka hauna migumisiro yakawanda pane mamwe ma steroid. Uyu mushonga unoshanda zvikuru weMicroscopic Colitis.
Pamusoro pezvose izvi, zvakakosha zvikuru kutaura nachiremba wako nezvemimwe mishonga yauri kutora (semuenzaniso mishonga inoderedza marwadzo) uye kutora matanho ekuchinja kana zvichidikanwa, uye kurega kusvuta kana uchisvuta.
Chirwere ichi chicharapwa zvachose here?
Hazvizoperi zvachose. Zvisinei, zvinogona kudzorwa zvakanaka uye unogona kurarama hupenyu hwakajairika usina zviratidzo. Nguva iyi isina zviratidzo inonzi relievement . Nguva iyi inogona kugara kwemwedzi, kunyange makore. Zvisinei, kana ukadya chikafu chisina kunaka, uri pasi pekushushikana kwakanyanya, kana nekuda kwezvimwe zvikonzero, zviratidzo zvako zvinogona kudzoka zvakare (flare-up).
Chinhu chinonyanya kukosha kana uchirarama nechirwere ichi kuteerera muviri wako. Mushonga wakanakisa ndewekuona chinokonzera zviratidzo zvako.
Kunyange zvazvo Microscopic Colitis isinganyanyi kuzivikanwa semamwe marwere emudumbu, hazvirevi kuti haigone kurapwa. Kana chiremba akakuudza kuti une chirwere ichi, kune rumwe rutivi unganzwa kusuruvara, "Oh, chii chakaitika kwandiri?" Asi kune rumwe rutivi, unganzwawo kusununguka, "Ndava kuziva chikonzero chedambudziko randave naro kwemakore."
Nekushanda nesimba, kudya zvine hutano, uye pamwe nemishonga, unogona kugadzirisa dambudziko iri woramba uine hutano hwakanaka. Taura pachena uye wakatendeseka kuna chiremba wako nezvezviratidzo zvako uye kuti zviri kukanganisa sei hupenyu hwako. Iye achakwanisa kukubatsira kuwana mhinduro yakanakira iwe.
Mharidzo Yekuenda Nayo Kumba
- Microscopic Colitis chirwere chekuzvimba kweura hukuru chisingaonekwe nekuongororwa kwakajairika uye chinogona kuonekwa chete nemaikorosikopu.
- Chiratidzo chikuru manyoka anotora nguva refu uye anobuda mvura.
- Kunyangwe pasina chikonzero chaicho cheizvi, mimwe mishonga, hutachiona, uye matambudziko ekudzivirira muviri zvinogona kukonzera izvi.
- Kuongororwa kwecolonoscopy ne biopsy zvakakosha kuti chirwere chiongororwe nemazvo.
- Nekuchinja kwekudya uye mishonga, chirwere ichi chinogona kudzorwa zvinobudirira uye hupenyu hwemazuva ese hunogona kuraramwa.
- Kana uine zviratidzo izvi, usafunge, asi edza kuona chiremba wako kuti akupe mazano.

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