Une dambudzikowo here rekuenda kuchimbuzi? Ngatidzidzei nezve proctitis?

Dzimwe nguva unonzwa kurwadziwa mudumbu here paunoenda kuchimbuzi, kana kuti unoona ropa shoma kana kuti madzihwa mutsvina yako? Kana kuti unonzwa sekunge unofanira kugara uchienda kuchimbuzi? Usaregeredza zvinhu izvi. Nekuti izvi zvinogona kuva zviratidzo zvechirwere chinonzi `(Proctitis)`. Nhasi, ngatitaurei nezve `(Proctitis)` chii, nei ichiitika, uye zvatinofanira kuita.

Chii chinonzi `(Proctitis)`? Zvichitaurwa zviri nyore...

Proctitis kuzvimba kwemukati me rectum, chikamu chekupedzisira cheura hukuru, nguva pfupi isati yasvika pahuro. Kutaura chokwadi, Procto zvinoreva rectum uye itis zvinoreva kuzvimba. Dambudziko iri rinoitika kana mukati me rectum mukatanga kutsamwiswa (kuzvimba, kutsvuka) nekuda kwezvikonzero zvakasiyana-siyana, zvakaita sebhakitiriya, makemikari, kana zvirwere zvakaita sechirwere chemudumbu chinozvimba. Izvi zvinogona kukonzera zviratidzo zvisingafadzi, zvakaita sekurwadziwa, kubuda ropa mudumbu, uye kuchinja kwemaitiro emudumbu.

Kune mhando dzakasiyana dze `(Proctitis)` here?

Ehe, zvichienderana nechikonzero che `(Proctitis)`, inogona kuva yenguva pfupi (yakanyanya) kana kuti yakareba (yakanyanya) . `(Yakanyanya)` zvinoreva kuti inoitika kamwe kamwe uye inonyangarika mushure menguva pfupi. `(Yakanyanya)` zvinoreva kuti inogara kwenguva refu. Mhando dze `(Proctitis)` dzinoitika nekuda kwezvikonzero zvakasiyana dzimwe nguva dzinodanwa nemazita akasiyana. Semuenzaniso, iyo inokonzerwa nezvirwere zvepabonde `(Zvirwere Zvinotapuriranwa Pabonde - STIs)` inonzi `(infectious proctitis)`. Iyo inokonzerwa nemwaranzi yekurapa kenza inonzi `(radiation proctitis)`. Saizvozvowo, iyo inokonzerwa nemamiriro ezvinhu anonzi `(Ulcerative colitis)` inonziwo `(ulcerative proctitis)`.

Ndezvipi zviratidzo zve `(Proctitis)`?

Aya ndiwo zviratidzo zvinowanzoonekwa:

• Kurwadziwa kwenhengo yemudumbu. Zvingatove zvakaoma kugara pasi.
• Kurwadziwa muchikamu chekuruboshwe chedumbu.
• Kuisa mvura yakaita seropa kana madzihwa patsvina. Ichi ndicho chinhu chekutanga chinoonekwa nevanhu vazhinji.
• Kunzwa sekunge rectum yakazvimba uye yakazara.
• Kunzwa kuda kuita tsvina nguva dzose (tenesmus), asi dzimwe nguva diki chete inobuda paunoenda kuchimbuzi.
• Kuoma kana kurwadziwa panguva yekufamba kwedumbu (dyschezia).
• Kuzvimba.
• Manyoka.

Ndezvipi zviratidzo zvekutanga zve `(Proctitis)`?

Kazhinji zviratidzo zvekutanga zvinoonekwa paunoenda kuchimbuzi. Kuoma, kutsva, kana kunzwa kumanikidzwa paunenge uchiita tsvina.Zvinogona kunzwa sekunge. Ungangonzwa sekunge unofanira kuenda kuchimbuzi kamwe kamwe, asi ungangove usina kufenda zvachose. Manyoka, ropa kana kuti mamina mutsvina zviratidzo zvepakutanga.

Sei `(Proctitis)` iyi ichiitika? Ndezvipi zvikonzero?

Kune zvikonzero zvakawanda zve proctitis, zvimwe zvakajairika kupfuura zvimwe.

Zvikonzero zvinowanzoonekwa zve `(Proctitis)`:

• Chirwere cheInflammatory Bowel Disease (IBD): Zvirwere zvakaita seCrohn's disease neUlcerative colitis zvinokonzera kuzvimba kwenguva refu muzvikamu zvakasiyana-siyana zvemudumbu. Muvanhu vanosvika 30% vane zvirwere izvi, kuzvimba uku kunonyanya kukanganisa rectum. Ichi ndicho chikonzero chikuru cheproctitis kazhinji.
• Zvirwere Zvinotapuriranwa Pabonde (STIs): Zvirwere zvinotapuriranwa pabonde uye hutachiona hwemabhakitiriya zvinogona kupinda muhuro nepamusana. Mienzaniso inosanganisira:
• `(Chirwere chegonorrhea)` (Chirwere chegonorrhea)
• `(Chlamydia)` (Chlamydia)
• (Herpes simplex 2)` (Herpes simplex 2)
• `(Sifiro)` (Sifiro)
• `(Human Papillomavirus - HPV)` (Human Papillomavirus)` (Human Papillomavirus)

Utachiona uhwu hunogona kukanganisa vakadzi nevarume vanobata pabonde vachigamuchira pabonde nekumashure.

• Utachiona hwemudumbu: Utachiona hwemabhakitiriya muura hunokonzerwa nehuturu hwechikafu dzimwe nguva hunogona kukanganisa rectum. Mienzaniso:
• `(Salmonella)` (Salmonella)
• `(Shigella)` (Shigella)
• `(Campylobacter)` (Campylobacter)

Kana uchangobva kupedza mushonga wemishonga inorwisa mabhakitiriya, unogona kunge uri panjodzi yekubatwa nehutachiona muura hwako nemudumbu hunokonzerwa nebhakitiriya rinonzi Clostridium difficile (C. diff). C. diff ibhakitiriya inotova muura hwako. Asi kana mabhakitiriya akanaka muura hwako akaurayiwa nemishonga inorwisa mabhakitiriya, mabhakitiriya anochengetedza C. diff anonyangarika, uye C. diff inogona kukura zvakanyanya.

• Kurwara nemapuroteni echikafu chevacheche: Vacheche vane allergies kumarudzi akasiyana emukaka, kunyanya mukaka wemukaka kana soy, vanogona kuzvimba chero kupi zvako muura hwavo, kusanganisira rectum. Vacheche vanogona kuwana mapuroteni aya kubva mumukaka wemufudze kana kuburikidza nemukaka wezamu kana amai vavo vakadya chikafu chine mapuroteni aya.
• Kurapa kenza nemwaranzi:Kana kurapwa nemwaranzi kuchiitwa pakurapa kenza, chirwere chinonzi `(radiation mucositis)` chinogona kuitika chero kupi zvako mudumbu redu. Uku kuzvimba kwe`(mucous lining)` mukati medumbu redu. `(radiation enteritis)` (kuzvimba kweura hudiki) uye `(radiation colitis)` (kuzvimba kweura hukuru) zvinonyanya kuitika kana kurapwa nemwaranzi kuchiitwa padumbu repamusoro kana rezasi. Kana kurapwa nemwaranzi kuchiitwa pa`(pelvic area)`, unogona kutanga `(radiation proctitis)` (radiation proctitis)` (radiation inflammation of the rectum).

Zvikonzero zvisingawanzoitiki zve `(Proctitis)`:

• Diversion proctitis: Iyi imhedzisiro inogona kuitika kune vanhu vakamboitwa colostomy (nzira iyo chikamu cheura hukuru chinobviswa mumuviri kuti pave nepanopinda tsvina) kana ileostomy (nzira iyo chikamu cheura hudiki chinobviswa mumuviri kuti pave nepanopinda tsvina) uye inopfuura netsvina nenzira yakasiyana neinobuda nemu anus. Zvinofungidzirwa kuti nekuda kwekuti tsvina haipfuure nemu anus, anus inoshaikwa zvinovaka muviri uye ma short-chain fatty acids anowanzo pinda mu anus (anobatsira kuchengetedza anus yakanyorova uye ine hutano), zvichikonzera kuzvimba kwe anus kusingashandiswe. Zvisinei, vanhu vashoma chete ndivo vanowana zviratidzo.
• Matumbu eIschemic Syndromes: Kufanana neIschemic Colitis, ischemic proctitis inogona kuitika kana ropa richiyerera kuenda murectum, zvichiita kuti tishu risawane okisijeni. Ischemia inowanzo kukonzerwa nekuvharika kwetsinga dzeropa, zvakaita seropa rakagwamba, aneurysm, kana plaque.
• Kukuvara kwemusana: Kana chinhu chekunze kana kemikari zvikapinzwa nemusana, zvinogona kukonzera kuzvimba kwemusana nerectum. Makemikari ari mune mamwe marudzi e enemas anogonawo kuva nemigumisiro iyi.
• Matambudziko emudumbu asingapindiki (EGID): Eosinophilia imhando yakakura kwazvo yemasero machena eropa anonzi eosinophils. Masero machena eropa anobatsira masoja edu emuviri kuti aite kuzvimba. MuEGID, masoja edu emuviri anotumira huwandu hwakawanda hwema eosinophils kuchikamu chemudumbu, zvichikonzera kuzvimba kwenguva refu. Vaongorori vanofunga kuti izvi zvinogona kunge zvichikonzerwa nekusawirirana nechikafu. Eosinophilic proctitis inowanzobata vana vari pasi pemakore maviri.
• Proctitis isina chikonzero chakawanikwa ("Idiopathic proctitis"):Vanhu vashoma vane proctitis havazivi chikonzero chinozivikanwa. Zvisinei, vanopindura zvakanaka kana paine shanduko mukudya. Idiopathic proctitis chirwere chinogara kwenguva refu uye chinogara chichiitika. Anenge 10% ezviitiko izvi anozopedzisira ava maronda.

Proctitis chirwere chakakomba here?

Mumamiriro ezvinhu akajairwa, proctitis haisi njodzi kuhupenyu uye inopindura zvakanaka pakurapwa. Zvisinei , kana yakanyanya, ikagara kwenguva yakareba, ikasiyiwa isina kurapwa, kana ikasapindura pakurapwa, inogona kukonzera matambudziko akakomba.

Semuenzaniso, ronda risingapore rinogona kukonzera kubuda ropa rakawanda, kana kuti madziro erectum anogona kuparadzwa. Kashoma, proctitis inogona kukanganisa tsinga dzakatenderedza, zvichikonzera neuropathy.

Matambudziko anogona kuitika nekuda kwekuzvimba kwenguva refu:

• Kubuda ropa rakawanda, zvichikonzera anemia.
• Fistula (migero inopinda nepamadziro erectal).
• Kuoma kana kuti stenosis (kutetepa kwerectum nekuda kwemavanga enyama).

Matambudziko ane chekuita netsinga haawanzoitiki, asi anogona kusanganisira:

• Kusashanda zvakanaka kwetsinga dzemudumbu.
• Kunzwa kusanzwa uye kunzwa kukwenya mutsoka (paresthesia).
• Kusashanda zvakanaka kwenhengo dzesikarudzi.

Proctitis inoonekwa sei?

Chiremba achatanga akubvunza nezvezviratidzo zvako uye ozoongorora rectum yako kuti aone kana uine zviratidzo zve proctitis. Izvi zvinogona kusanganisira kuongororwa kwe digital rectal uye anoscopy . Kana zvichiita sekunge une proctitis, chiremba wako achakubvunza mimwe mibvunzo kuti azive chiri kukonzera chirwere ichi uye kuti ndecherudzii. Semuenzaniso:

• Ndeipi mishonga yawatora nguva pfupi yadarika?
• Pane mumwe munhu mumhuri ane zvirwere zve autoimmune here?
• Unoita bonde risina dziviriro here kana kuti unosangana nevanhu vasina kuongororwa?
• Wakamboenda kune dzimwe nyika nguva pfupi yadarika here?

Zvichibva pamhinduro idzi uye zvinoratidzwa nemiedzo, chiremba wako ndiye achasarudza kuti ndedzipi dzimwe bvunzo dzaunoda.

Mimwe miedzo inogona kusanganisira:

• Kuongororwa kweropa: Kuongororwa kweropa kunogona kuona hutachiona nezvimwe zvirwere zvinogona kukonzera proctitis. Kunogonawo kuratidza kudzikira kweropa kana kuwedzera kwehuwandu hwemasero machena eropa.
• Kuongororwa kwetsvina: Chiremba achatora sampuli yetsvina yako otarisa kana paine hutachiona, kubuda ropa, kana kuwedzera kwemasero machena eropa.
• Kuchera masero emudumbu: Pakuongorora uku, chiremba anokwesha masero mukati medumbu nekushandisa swab uye obva akwesha masero kuti aone mabhakitiriya kana mavhairasi aripo.
• Proctoscopy: Uku kuongorora mukati me rectum uchishandisa chinhu chipfupi, chakasimba chakaita sechubhu. Proctoscope ichubhu isina chinhu ine kamera nechiedza kumagumo. Kana zvichidikanwa, chiremba anogona kupfuudza chishandiso nechubhu kuti atore sampuro yenyama (biopsy).
• Kuongororwa kwe sigmoidoscopy inochinjika: Kana chiremba achida kutarisa zvakanyanya mudumbu re sigmoid, chikamu chekupedzisira cheura guru chinobatanidza ne anus, chubhu refu uye inochinjika inonzi flexible sigmoidoscopy inogona kushandiswa. Kana paine dambudziko neura guru, rinogona kuratidza zviratidzo zvechirwere chemudumbu chinozvimba kana hutachiona mudumbu. Kugadzirira ura kunogona kuitwa bvunzo iyi isati yaitwa.

Ko Proctitis inopora yoga here?

Zvingave zvakadaro, asi hapana chikonzero chekutambura. Kana uine hutachiona, mishonga inorwisa mabhakitiriya kana mishonga inorwisa mabhakitiriya inogona kukubatsira kuti unzwe zviri nani nekukurumidza. Kana isina kukonzerwa nehutachiona, chiremba wako anogona kukupa mishonga yakaita semasteroid ekuderedza kuzvimba. Kana uine radiation proctitis, inowanzopera mukati memavhiki mashoma mushure mekurapwa nemwaranzi. Asi panguva ino, mishonga yekurwadziwa kweganda inogona kubatsira. Kana uine IBD kwenguva refu, proctitis inogona kuuya yoenda. Asi unogona kushandisa mishonga chaiyo kana yatanga.

Proctitis inogara kwenguva yakareba sei?

Izvi zvinosiyana zvichienderana nechikonzero uye munhu wacho. Nekurapwa, zvinowanzopera nekukurumidza. Kazhinji, zvinotora mavhiki mana kusvika matanhatu kuti zvipore mushure mekunge chikonzero chekuzvimba chagadziriswa. Kunyange zvazvo proctitis ichipora, unogona kutora mishonga yekurapa marwadzo kana manyoka usingatengeswi nechiremba.

Ndeipi mishonga yekurapa `(Proctitis)`?

Kurapwa kunoenderana nechikonzero uye kuti chirwere chacho chakakomba zvakadii. Zvingasanganisira:

• Kumisa chikonzero chekuzvimba.
• Mishonga inorwisa utachiona kana mishonga inorwisa utachiona.
• Mishonga inodzvinyirira immune system ye proctitis inokonzerwa nezvirwere zve autoimmune.
• Mishonga yakaita seSulfasalazine kana Mesalamine yeUlcerative colitis/proctitis.
• Mishonga yakaita seInfliximab yeProctitis inokonzerwa nechirwere chaCrohn.
• Mishonga yecorticosteroids inoshandiswa semafuta ekuzora kuderedza marwadzo nekuzvimba.
• Sucralfate enemas inoshandiswa kurapa maronda emudumbu.
• Maitiro e endoscopic ekumisa kubuda ropa mudumbu.

Ramangwana rangu richange rakaita sei kana ndiine `(Proctitis)`?

Zviitiko zvakawanda zve proctitis zvinopindura zvakanaka kana zvarapwa. Kana chiri chirwere chenguva pfupi (chakakomba), chinofanira kupera mukati memavhiki mana kusvika masere muvanhu vakuru kana mwedzi mishoma muvacheche. Kana uine proctitis yenguva refu inobatanidzwa neIBD, unogona kuona kuti kuzvimba kunouya uye kunopera. Unogona kurapa kuputika kweganda nemishonga yekudzivirira kuzvimba kana zvichidikanwa. Vanhu vashoma vanowana chronic radiation proctitis. Zviitiko zvenguva refu zvinogona kukonzera matambudziko uye zvinogona kuoma kurapa.

Proctitis inogona kudzivirirwa here?

Kuedza vadikani vasati vaita bonde kunogona kuderedza njodzi yekubatwa nezvirwere zvepabonde. Matanho ekudzivirira akadai semakondomu anogona kubatsira mune dzimwe nguva, asi zvimwe zvirwere zvinogonawo kupararira kuburikidza nekuita zvepabonde nemuromo. Kushandisa madhamu emazino kunogona kuderedza kupararira kana kutapurirana kwezvirwere zvepabonde kuburikidza nekuita zvepabonde nemuromo. Kuita tsika dzekugadzirira chikafu zvakachengeteka uye kungwarira zvaunodya uye zvaunonwa, kunyanya paunenge uchifamba kunze kwenyika, kunogona kuderedza njodzi yekubatwa nezvirwere zvemudumbu zvinokonzerwa nehupfu hwechikafu. Zvinosuwisa kuti hapana nzira yekudzivirira IBD kana radiation proctitis.

Unofanira kuona chiremba rini nezve `(Proctitis)`?

Gara uchiona chiremba kana uine zviratidzo zve proctitis. Zvakakosha kuziva chikonzero chacho uye kuchirapa kudzivirira kuti chirwere chacho chisanyanya kuipa. Kana uri kurapwa, asi zvichiri kuita sekuti hazvisi kushanda, ramba uchibvunza chiremba wako. Mamwe marudzi e proctitis anoda kushanda nesimba kuti agadziriswe zvinobudirira. Kashoma, mamwe mamiriro ezvinhu angasapindure chero kurapwa kwakajairika. Muzviitiko zvakadaro, kuvhiyiwa kunogona kudiwa.

Zviratidzo zve proctitis, zvingave zvenguva pfupi kana kuti zvinopfuurira, zvinogona kusafadza. Kurapa proctitis kunotarisa pane chinokonzera kuzvimba uye zviratidzo. Mune zvimwe zviitiko, zvakaita se radiation proctitis, zviratidzo chete ndizvo zvinogona kurapwa. Mune zvimwe zviitiko, zvakaita sehutachiona, zvakakosha kuongororwa kuti uone bhakitiriya kana hutachiona huri kukonzera zviratidzo zvako.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka ikozvino wava kunzwisisa zviri nani zvatave tichitaura nezvazvo, `(Proctitis)`. Chinhu chakakosha ndechekuti, kana uine kusagadzikana kusingawanzoitiki, kurwadziwa, ropa kana madzihwa paunoenda kuchimbuzi, usazviregeredza. Enda kuna chiremba nekukasika kuti uwane chikonzero. Kazhinji, zvirwere izvi zvinogona kurapwa zvakanaka.

Usatya, asi usanonokawo! Hutano hwako huri mumaoko ako.

Uyewo, kuita zvepabonde zvakachengeteka uye kudya chikafu chakachena zvichabatsira kudzivirira mamiriro ezvinhu akadaro.

'Proctitis, kuzvimba kwemudumbu, kubuda ropa netsvina, kurwadziwa kwemuno, zvirwere zvepabonde, IBD, kugaya chikafu