Ingaba amathumbu akho omabini avuvukele? Le yi-Enterocolitis!

Ngaba ngamanye amaxesha ukhe ube nokuphazamiseka kwesisu, ukudumba, kunye norhudo kunye nezinye iimpawu? Ngamanye amaxesha oku kunokuba yinto enzulu ngakumbi kunentlungu yesisu nje. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi-enterocolitis , enokuchaphazela amathumbu amancinci kunye namathumbu amakhulu ngaxeshanye . Inokwenzeka ngakumbi ukuba ichaphazele abantwana abancinci kunye nabo baneenkqubo zomzimba ezibuthathaka.

Ngoko ke yintoni i-Enterocolitis?

Ngamafutshane, i-Enterocolitis kukudumba kwenkqubo yethu yamathumbu. Yenziwe ngamacandelo amabini. Enye yi-"enteritis", oku kukudumba kwamathumbu amancinci. Enye yi-"colitis", oku kukudumba kwamathumbu amakhulu. Xa ezi zimbini zidityanisiwe, sibiza ngokuba yi-Enterocolitis.

Kuqhelekile ukuba ukudumba kwenzeke nokuba kumathumbu amancinci okanye kumathumbu amakhulu. Nangona kunjalo , ukuba zombini zidumbile ngaxeshanye, kunokuba nzima ngakumbi . Kwakhona, le meko idla ngokuchaphazela abantu abaneenkqubo zomzimba ezibuthathaka, ingakumbi iintsana ezisandul’ ukuzalwa kunye nabantwana abancinci .

I-Enterocolitis ichaphazela njani umzimba?

Xa amathumbu ethu evuvukala, oko kuchaphazela kakhulu ulwelo oluthambileyo lwamathumbu, esilubiza ngokuba yi-mucosa . Oku kuvutha kubangela ukuba indawo idumbe, ibe buhlungu, kwaye kutshintsha indlela amathumbu akhupha ngayo ulwelo kwaye afunxe izondlo. Oku kunokuba nefuthe elikhulu ekugayweni kwesisu sakho kunye nokuhamba kwamathumbu .

Cinga ngako oku, xa umzimba wethu ufumana intsholongwane, usulelo, okanye ukwenzakala, inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela , iyasebenza. Yiyo loo nto ukudumba kuyiyo. Ke ngoko, kunye nokudumba kwamathumbu, iimpawu eziqhelekileyo ezifana nokungonwabi kunye nomkhuhlane nazo zinokuvela.

Ziziphi iimpawu ze-Enterocolitis?

Ezi zilandelayo ziimpawu eziqhele ukubonwa kule meko:

• Isisu esibuhlungu kunye nokuqhwalela.
• Urhudo, ngamanye amaxesha oluhamba negazi .
• Ukutya akunancasa.
• Isicaphucaphu nokuhlanza.
• Ifiva.
• Ndiziva ndidiniwe kakhulu.
• Ukuziva ngathi isisu sakho sidumbile kwaye sidumbile.

Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi ukuba aziphucuki kwiintsuku ezimbalwa, kungcono ukufuna ingcebiso kagqirha.

I-enterocolitis inokuhlala ixesha elingakanani?

Kuxhomekeke kakhulu kwinto ebangela le meko. Eyona nto ixhaphakileyo zizifo . Ezi zihlala zizezexeshana. Amajoni ethu omzimba anokuzilawula ngokwawo. Kodwa ngamanye amaxesha kufuneka uthathe amayeza.

Nangona kunjalo, kukho ezinye izizathu ezingaqhelekanga, umzekelo:I-Enterocolitis, ebangelwa zizifo ezifana nezifo ezihlasela umzimba, inokuhlala ixesha elide. Nangona ezi meko zingapheliyo zingenakunyangwa ngokupheleleyo, oogqirha banokunika amayeza okulawula ukudumba.

Zithini izizathu ze-Enterocolitis?

Enyanisweni, ukudumba kwamathumbu amancinci (i-enteritis) kunye namathumbu amakhulu (i-colitis) kunokwenzeka nangasiphi na isizathu, kwaye omabini amathumbu anokudumba, oko kukuthi, i-enterocolitis. Kodwa ukuba oko kuyenzeka, kuthetha ukuba yimpendulo enzima kakhulu kunesiqhelo , kwaye kunokuthetha ukuba inkqubo yomzimba yokuzikhusela ibuthathaka.

Oku kubangelwa kakhulu zezi:

• Usulelo lwentsholongwane: Umzekelo, umkhuhlane wesisu.
• Usulelo olubangelwa ziincukuthu: olufana ne-giardiasis.
• Usulelo lweebhaktheriya: njengokutyhefa ukutya.

Ukongeza, ukusetyenziswa kakhulu kwezinto ezithile nako kungaba ngunobangela. Umzekelo, ukuqhubeka kokusetyenziswa kotywala, iziyobisi ezifana ne-cocaine, kunye nezinye iziyobisi ezithengiswa ngaphandle kwemvume kagqirha. Kwakhona, izifo ezingapheliyo zamathumbu ezifana nesifo seCeliac kunye nesifo sikaCrohn nazo zinokubangela oku.

Ukuba inkqubo yakho yomzimba yokuzikhusela ibuthathaka, usenokuba sengozini enkulu yokuba ne-enterocolitis. Le meko idla ngokuchaphazela iintsana ezisandul’ ukuzalwa kunye nabantwana abancinci , kunye nabantu abanezifo ezingapheliyo, ezifana ne -HIV .

Ngaba kukho iintlobo ezithile ze-enterocolitis?

Ewe, oogqirha baye bachonga iintlobo ezithile ze-enterocolitis. Ezi zahlulwe ngokwezizathu ezibangela oko. Ezi zizifo ezintsonkothileyo nezinokuthi zichaphazele amathumbu omabini.

I-Necrotizing Enterocolitis (NEC)

Oku kuxhaphake kakhulu kwiintsana ezigulayo nezizelwe ngaphambi kwexesha . Ezi ntsana sele zingenawo amasosha omzimba afanelekileyo. Nangona zondliwa iintsholongwane eziqhelekileyo ngobisi lwebele, amathumbu azo ayasabela kakubi. Ukudumba nokudumba kukhulu kangangokuba ukuhanjiswa kwegazi kulwelo lwamathumbu kuyanqanyulwa, kwaye izicubu ziyafa . Yiloo nto igama elithi "necrotizing" lithetha yona.

Oogqirha abazi kakuhle ukuba yintoni ebangela i-NEC. Kusenokuba kungenxa yokuba amathumbu omntwana awanalo igazi elaneleyo, okanye ngenxa yokuba igazi liwenza abe sesichengeni sosulelo lweentsholongwane. Zombini ezi zinto zibonakala zinegalelo.

I-Pseudomembrane Enterocolitis

Oku kukwabizwa ngokuba yi-antibiotic -associated enterocolitis . Kubangelwa lusulelo lwebhaktiriya. Okumangalisayo kukuba, inyangwa ngamayeza okubulala iintsholongwane .Ukusetyenziswa kwee-antibiotics nako kuyimbangela. Ibhaktiriya ekhethekileyo ebizwa ngokuba yiClostridium difficile (C. diff) ibangela oku. Olu sulelo lwe-'C. diff' ludla ngokukhula kubantu abathathe ii-antibiotics ukunyanga olunye usulelo. Uninzi lwee -antibiotics alubulali 'C. diff', kodwa luyazibulala iibhaktiriya ezilungileyo emathunjini ethu ezibulala 'C. diff'. Emva koko i-'C. diff' inokukhula ngokulula ingalawuleki.

Njengoko le bhaktiriya ikhula, ikhupha ityhefu kulwelo lwamathumbu. Abanye abantu banokuba nefuthe elibi kwezi tyhefu, nto leyo ekhokelela kwimeko ebizwa ngokuba yi-enterocolitis. Olu sulelo luxhaphakile ezibhedlele nakwiindawo zokugcina abantu abadala ngenxa yokungabikho komzimba okwaneleyo kwabahlali, ukusetyenziswa kakhulu kwee -antibiotics , kunye nokukwazi kwebhaktiriya ye-C. diff ukuhlala ixesha elide kwiindawo ezahlukeneyo.

I-Hemorrhagic Enterocolitis

Le meko inokubangelwa lusulelo lwe -E. coli . I-E. coli yintsholongwane ehlala ingenabungozi emathunjini ethu. Nangona kunjalo, uhlobo oluthile olubizwa ngokuba yi -Enterohemorrhagic E. coli (EHEC) , okanye i-Shiga toxin-producing E. coli (STEC), luyingozi. Olu hlobo lunamathela kwingqiniba yamathumbu ethu kwaye luvelisa iityhefu ezibizwa ngokuba zii-Shiga toxins ezibangela ukudumba kunye nokopha kwegazi.

Igama elithi "Enterohemorrhagic" lithetha ukopha emathunjini amancinci. Abantu abasabela kakhulu kwi-Shiga toxin banokufumana i-enterocolitis kunye nokopha emathunjini omabini. Oku kubangela urhudo olunegazi (i-dysentery) . Le meko idla ngokuchaphazela abantwana abancinci kakhulu kunye nabantu abadala .

Isifo se-Enterocolitis esibangelwa yiProteni yokutya (ii-FPIES)

Le yi-allergy yokutya. Ichaphazela kakhulu abantwana abangaphantsi kweminyaka emibini ubudala. Ibangela ukudumba kolwelo lwamathumbu abo. I-'FPIES' yi -allergy ebangelwa yi-non-IgE . Ngoko ke yahlukile kwezinye ii-allergy osenokuba ukhe weva ngazo.

Kwinkoliso yee-allergies, inkqubo yethu yomzimba yokuzikhusela ivelisa ii-antibodies ezithile ezibizwa ngokuba yi-IgE antibodies ezichasene ne-allergen. Ezi antibodies zibangela impendulo ekhawulezileyo, zibangele iimpawu empumlweni, emqaleni, emiphungeni, naselusu. Nangona kunjalo, kwi-allergies ezingezizo eze-IgE, ii-antibodies ze-'IgE' aziveli. Endaweni yoko, impendulo ebambezelekileyo yenzeka kuphela emathunjini, nto leyo ebangela iimpawu ze-enterocolitis.

I-Enterocolitis enxulumene neHirschsprung

Esi sisifo seHirschsprung.Isifo sikaHirschsprung sisifo esiqhelekileyo nesiyingozi esibangelwa sisiphene sokuzalwa esichaphazela amathumbu amakhulu. Iintsana ezinesifo sikaHirschsprung zinokungabikho kweentlobo ezithile zeeseli kulwelo lwamathumbu amakhulu, ngokuqhelekileyo kwindawo enye. Ezi seli zibandakanyeka ekucuthekeni kwemisipha okunceda ukuhambisa indle emathunjini amakhulu, ebizwa ngokuba yi -peristalsis .

Kule ndawo ingenazo iiseli, indle inamathela kwindawo enye kwaye ayikwazi ukuya phambili, nto leyo ebangela ukuvaleka . Oku kuvaleka kudala indawo elungileyo yokuba iintsholongwane zikhule. Oku kukhula kweentsholongwane kusasazeka kuwo onke amathumbu, ekugqibeleni kutshabalalise ulwelo lwamathumbu, nto leyo evumela iintsholongwane ukuba zingene kuloo maleko. Zonke ezi zinto zinokuba negalelo ekuphuhlisweni kwe-enterocolitis.

I-Neutropenic Enterocolitis

Oku kuchaphazela abantu abanesimo esibizwa ngokuba yi -neutropenia . Oku kuthetha ukuba banamanqanaba aphantsi kunesiqhelo ohlobo lweseli emhlophe yegazi ebizwa ngokuba yi -neutrophils . La ma-neutrophils zezona zinto zihlala zisinceda ekukhuseleni kwiintsholongwane. Abantu abane-neutropenia banamathuba amaninzi okufumana izifo ezinzulu, kwaye banokuba ne-enterocolitis.

Abantu abaninzi abane-neutropenic enterocolitis baye bafumana i-chemotherapy yomhlaza wegazi ofana ne -leukemia kunye ne -lymphoma . Ezi meko zibangela i-neutropenia, kwaye i-chemotherapy inokubangela ukuba buthathaka ulwelo lwamathumbu. Nangona kunjalo, inokwenzeka nakubantu abane-neutropenia ebangelwa zezinye iimeko, ezifana ne -HIV/AIDS kunye nezifo zokuzikhusela komzimba .

Ifunyanwa njani i-Enterocolitis?

Enyanisweni, iimpawu ze-enteritis, i-colitis, kunye ne-enterocolitis ziyafana kakhulu. Ugqirha usenokungakwazi ukuxelela kwangoko ukuba yeyiphi inxalenye yamathumbu akho echaphazelekileyo. Nangona kunjalo, ngokusekelwe kwiimpawu zakho zomzimba, uya kukrokrela ukudumba. Emva koko, umsebenzi wakhe kukufumanisa ukuba yintoni ebangela oku. Kulapho kuphela apho uhlobo oluthile lwe-enterocolitis lunokufunyanwa khona.

Oogqirha basebenzisa uvavanyo lwegazi, uvavanyo lwesitulo, kunye novavanyo lwemifanekiso ukuze bafumane unobangela. Uvavanyo lwemifanekiso, olufana ne- ultrasound yesisu okanye i-CT scan, lunokukhangela ubungqina bokudumba kwamathumbu kunye neengxaki ezinokubakho. Uvavanyo lwegazi kunye novavanyo lwesitulo lunokunceda ekuchongeni usulelo oluthile okanye izifo ezinokubakho.

Oogqirha banyanga njani i-enterocolitis?

Unyango luxhomekeke kwisizathu. Unyango olukhawulezileyo lungabandakanya:

• Ukunika amayeza okubulala iintsholongwane , amayeza okubulala iintsholongwane, okanye amayeza okubulala iintsholongwane ukunyanga izifo.
• Ukunika ulwelo olufakwa emthanjeni (ii-IV fluids) kunye nee-electrolytes ukunyanga ukuphelelwa ngamanzi emzimbeni okubangelwa kurhudo kunye nokuhlanza.
• Ukunika ii-corticosteroids ukunciphisa ukudumba.
• Ukunika amayeza okudambisa iintlungu.

Kwezinye iimeko ezinzima, izigulane zinokufuna:

• Ukususwa kolwelo, igesi, okanye izinto eziqinileyo emathunjini okanye kwi-peritoneal cavity (i-drainage) .
• Utyando lokulungisa umngxuma emathunjini, ukususa ukuvaleka, okanye ukususa izicubu ezifileyo.
• Utyando lwe-colostomy okanye i-ileostomy okwethutyana ukuze kuqondiswe indlela yokutya de amathumbu aphole.
• Ukubonelela ngesondlo esifakwa kwimithambo yegazi (isondlo se-IV) .

Ngaba umntwana wam uza kuphila ukuba unesifo se-enterocolitis?

Iimeko ezichaphazela iintsana, ingakumbi i-necrotizing enterocolitis (NEC) kunye ne-Hirschsprung-associated enterocolitis, zinokuba yingozi ebomini . Nangona kunjalo, xa uxilongwa kwaye unyango lufike ngexesha, uninzi lweentsana luya kuphila . Ezinye zinokuba nezifo ezingapheliyo okanye ezinye iingxaki ezihlala ixesha elide.

Ngoko ke, ukuba umntwana wakho omncinci ubonakalisa naziphi na kwezi mpawu, bonana nogqirha ngokukhawuleza. Okukhona uyibona kwangoko, kokukhona kulula ukuyinyanga.

Ziziphi iingxaki ezinokubakho ze-enterocolitis enzima?

Iingxaki zingabandakanya:

• Ukuqiniswa kunye nokuvaleka: Ukudumba ixesha elide kunye nokwenzakala kwengaphakathi lamathumbu kunokubangela amanxeba. Le tissue yenxeba inokucutha amathumbu kwaye yenze kube nzima ukuba ukutya okuqinileyo kudlule.
• I-Ischemia kunye ne-necrosis: Ukuba igazi eliya kulwelo lwamathumbu linqanyuliwe, izicubu zinokufa. Ezi zicubu zifileyo kufuneka zisuswe ukuze kugcinwe iindawo eziseleyo.
• Isifo samathumbu amafutshane: Abantwana abakhutshwe inxalenye yamathumbu abo ngenxa yeengxaki banokuba nobunzima bokufunxa izondlo ekutyeni (i-malabsorption). Oku kunokukhokelela ekungondlekini kakuhle, ukungaphumeleli ukukhula, kunye nokulibaziseka ekukhuleni nasekuphuhliseni.
• I-Cholestasis: Ngexesha le-enterocolitis, i-bile inokuzalela kwimibhobho ye-bile yabantwana abangakwaziyo ukugaya ukutya ngendlela eqhelekileyo. Xa i-bile ingangeni ngokuqhelekileyo emathunjini ukunceda ekugayeni ukutya, inokuzalela ize ikhawuleze, yenze amatye enyongo.Inokubangela ukuba inyongo igcwale kwinyongo nakwisibindi, nto leyo ebangela ukudumba.
• Ukugqobhoka kwamathumbu: Ukufa kwezicubu, ukwenzakala okukhulu, okanye ukuhlaselwa yintsholongwane kunokubangela ukuba ulwelo lwamathumbu luqhekeke okanye luqhekeke, nto leyo evumela ukuba iintsholongwane ziphume.
• I-Septicemia, i-Sepsis, kunye ne-Shock: Ukuba usulelo oluphuma emathunjini lusasazeka luye kwisisu (i-peritonitis), lunokusasazeka luye egazini (i-septicemia). Oku kunokubangela ukudumba kunye nokuqhekeka kwegazi emzimbeni wonke (i-sepsis). I-Sepsis yimeko engxamisekileyo . Kwiimeko ezinzima kakhulu, inokukhokelela kwi- septic shock . Oku kunokubangela ukungasebenzi kakuhle kwamalungu amaninzi kunye nokufa.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ukudumba kwamathumbu kuqhelekile, ingakumbi xa kusenzeka usulelo. Nangona kunjalo, ukuba kuchaphazela amathumbu amancinci kunye ne-colon ngaxeshanye, okubizwa ngokuba yi-enterocolitis, kunokuba yingozi ngakumbi . Le meko idla ngokuchaphazela abantu abaneenkqubo zomzimba ezibuthathaka. Ke ngoko, inokuba yoyikisa ngaphezu kwentlungu yesisu elula kwabo bahlangabezana nayo kunye nabantu ababathandayo.

Nangona kunjalo, ngononophelo nangokukhawuleza , oogqirha banokuyinyanga le meko ngaphambi kokuba kubekho iingxaki. Ukuba wena okanye umntu omthandayo unenkqubo yomzimba yokuzikhusela ebuthathaka, kubaluleke kakhulu ukuqaphela umngcipheko we-enterocolitis. Ukuba ubona naziphi na iimpawu, musa ukulibazisa kwaye ufune iingcebiso zonyango. Emva koko singayilawula le meko ngaphambi kokuba ibe mandundu.

I- Enterocolitis, usulelo lwamathumbu, ukudumba kwesisu, urhudo, izifo zabantwana, ukungakhuseleki komzimba, ukugaya ukutya