Chii Chinonzi Ischemic Colitis? Zviratidzo, Zvinokonzera, & Kurapa

Ischemic colitis inoitika kana ropa rinofamba kuenda kune chikamu cheura guru (colon) richideredzwa kana kudzivirirwa. Kushayikwa kwekuyerera kweropa kunogona kukuvadza tishu recolon, richitungamira mukuzvimba uye dzimwe nguva zvinetso zvakakomba.

Fungidzira sezvimwe zvikamu zvemuviri wako zvinoda kuyerera kweropa kwakaringana kuti zvive nehutano. Kana colon yako isina ropa rakakwana rine oksijeni, inogona kuzvimba uye kurwadza. Mashoko akanaka ndeakuti kazhinji kesi dzakapfava uye dzinonatsiridzwa nekutarisirwa kwakakodzera.

Ndeapi zviratidzo zveischemic colitis?

Chiratidzo chinonyanya kuzivikanwa ndechekurwadziwa kwemudumbu kamwe kamwe, kazhinji kurutivi rweruboshwe, richiteverwa nemanyoka ane ropa mukati memaawa makumi maviri nemana. Aya maratidzo anogona kunzwa aitya, asi kuaziva pakutanga kunokubatsira kuti uwane kurapwa kwakakodzera.

Heano maratidzo makuru aunogona kusangana nawo:

• Kurwadziwa kwemudumbu kamwe kamwe kana kurwadziwa, kazhinji kurutivi rweruboshwe
• Manyoka ane ropa kana manyoka ane ruvara rwemahogany
• Kuda kuenda kuchimbuzi nekukurumidza
• Kusvotwa uye dzimwe nguva kurutsa
• Fivha shoma (kazhinji pasi pe100°F)
• Kunzwa kusagadzikana kana kushaya simba

Vanhu vazhinji vanoona aya maratidzo achikura nekukurumidza, kazhinji mukati memaawa. Kurwadziwa kunogona kunzwa sekurwadziwa kwakanyanya kunouya nekuenda, kufanana nedzimwe nyaya dzekugaya asi kazhinji zvakanyanya.

Muka kesi dzisina kujairika, ungasangana nezviratidzo zvakakomba zvakadai sefivha yakanyanya, kurwadziwa kwemudumbu kwakanyanya, kana zviratidzo zvekushaya mvura mumuviri. Izvi zvinogona kuratidza zvinetso zvinoda kutarisirwa kwemishonga nekukurumidza.

Ndeapi marudzi eischemic colitis?

Vanachiremba kazhinji vanoronga ischemic colitis kuva marudzi maviri makuru zvichienderana nekuti mamiriro acho akakomba sei. Kunzwisisa aya marudzi kunobatsira kutsanangura zvaunofanira kutarisira panguva yekurapa nekudzorera.

Ischemic colitis isina gangrenous ndiyo yakanyanya kuzivikanwa, inokanganisa anenge 80-85% yezviitiko. Muchimiro ichi, tishu recolon rakakuvadzwa asi richiri mupenyu uye rinogona kupora nekurapwa kwakakodzera. Vanhu vazhinji vane iyi mhando vanodzoka zvakazara mukati memazuva mashoma kusvika mavhiki.

Gangrenous ischemic colitis yakakomba zvikuru asi inoshaya. Pano, kushayikwa kweropa kunouraya tishu recolon. Iyi mhando kazhinji inoda kuvhiya uye inogona kutungamira mune zvinetso zvakakomba kana isina kurapwa nekukurumidza.

Chiremba wenyu anogona kutaura rudzi rwaunaro kuburikidza nemiedzo uye maitiro aunopindura pakurapa kwekutanga. Vakawanda vanhu vane fomu yakapfava, isina gangrenous inopora zvakanaka nekutarisirwa kwakapfava.

Chii chinokonzera ischemic colitis?

Ischemic colitis inoitika kana chimwe chinhu chichideredza kuyerera kweropa kuenda kucolon yako. Muzviitiko zvakawanda, vanachiremba havawanikwe chikonzero chimwe chete, kunyanya muvakuru vakuru kwaingave yakabva pakusanganiswa kwezvinhu.

Zvinokonzera zvakanyanya kusanganisira:

• Kuderera kweropa kubva pakushaya mvura mumuviri, kurasikirwa neropa, kana kukuvara kwakanyanya
• Zvidimbu zveropa zvinodzivirira midziyo inotungamira kucolon
• Kutambanudza kwakanyanya kwematumbo
• Mishonga yakati wandei senge mimwe mishonga yemoyo kana kurapa kurwadziwa kwemusoro
• Kuvhiya kunokanganisa kuyerera kweropa kumudumbu
• Kuita zvemitambo zvakanyanya, kunyanya kumhanya kwenguva refu
• Zvinodhaka zvisiri pamutemo senge cocaine kana methamphetamines

Dzimwe nguva mamiriro acho anoitika kana muviri wako uchitsaurira kuyerera kweropa kubva kucolon panguva yekumanikidzwa, chirwere, kana nzira dzekurapa. Iyi ndiyo nzira yemuviri wako yekudzivirira nhengo dzakakosha, asi inogona kuderedza ropa kuenda kucolon kwenguva pfupi.

Muka kesi dzisina kujairika, mamiriro ezvinhu akadai sezvirwere zvemidziyo yeropa, zvirwere zvinopisa, kana matambudziko ekugwamba anogona kuwedzera njodzi yako. Nekudaro, kazhinji kesi dzinowanikwa pasina chirwere chakajeka chakavanzika.

Rini unofanira kuona chiremba nekuda kweischemic colitis?

Unofanira kutsvaga rubatsiro rwemishonga nekukurumidza kana ukawana kurwadziwa kwemudumbu kamwe kamwe nemanyoka ane ropa. Kunyangwe aya maratidzo angave ane zvimwe zvinokonzera, anoda kuongororwa nekukurumidza kuti abvise mamiriro ezvinhu akakomba.

Fonera chiremba wako nekukurumidza kana ukawana kurwadziwa kwemudumbu kwakanyanya kamwe kamwe, kunyanya kana kuchiperekedzwa nemanyoka ane ropa kana ane ruvara rwemahogany. Kunyangwe kurwadziwa kusina kukomba, kusanganiswa kwekusagadzikana kwemudumbu neropa mumanyoka ako kunoda kuongororwa kwemishonga.

Enda kuimba rekukurumidza kana uine zviratidzo zvematambudziko akakomba senge fivha yakanyanya kupfuura 101°F, kushaya mvura mumuviri kwakanyanya, kana kurwadziwa kwemudumbu kuri kuwedzera nekukurumidza. Izvi zvinogona kuratidza kuti mamiriro acho akakomba zvikuru uye anoda kurapwa nekukurumidza.

Usamirire kuona kana maratidzo achizovandudza oga. Kuongororwa nekukurumidza nekurapwa kunogona kudzivirira zvinetso uye kukubatsira kunzwa nani nekukurumidza.

Ndeapi njodzi dzeischemic colitis?

Zera ndiro njodzi huru, nemazhinji ezviitiko zvichiitika muvanhu vanopfuura makore 60. Sezvatinokura, midziyo yeropa yedu inonyanya kusava nehunyoro, uye tine mukana wakawanda wekuva nezvirwere zvinokanganisa kuyerera kweropa.

Zvirwere zvakati wandei zvehutsanana zvinogona kuwedzera njodzi yako:

• Chirwere chemwoyo kana kusagadzikana kwemoyo
• Chirwere cheshuga chinokanganisa midziyo yeropa
• Kuderera kweropa kana cholesterol yakakwira
• Zvidimbu zveropa zvakapfuura kana matambudziko ekugwamba
• Chirwere cheitsvo chinoda dialysis
• Zvirwere zve autoimmune senge lupus
• Nhoroondo yekuvhiya kwemudumbu

Zvinhu zvemararamiro zvinobatawo basa. Kusvuta kunokuvadza midziyo yeropa mumuviri wako wese, kusanganisira iyo inopa colon yako. Kusava nehutsanana, kunyanya kana kusanganiswa nedzimwe njodzi, kunogona kuwedzera mikana yako.

Mishonga yakati wandei inogona kuwedzera njodzi yako, kunyanya mimwe mishonga yekuderera kweropa, mishonga yekurwadziwa kwemusoro, uye kurapwa kwehomoni. Kana ukatora chero ichi, usamira pasina kutaura nachiremba wako kutanga.

Kuva nenjodzi imwe kana kupfuura hazvirevi kuti iwe uchava neischemic colitis. Vanhu vazhinji vane njodzi dzakawanda havazomboi, nepo vamwe vane njodzi shoma vachiita.

Ndeapi matambudziko anogona kuitika eischemic colitis?

Vanhu vazhinji vane ischemic colitis vanodzoka zvakazara pasina matambudziko asingaperi. Nekudaro, zvakakosha kunzwisisa matambudziko anogona kuitika kuitira kuti uzive zviratidzo zvekucherechedza panguva yekudzorera kwako.

Matambudziko anonyanya kuitika anosanganisira:

• Kuomarara (stricture) kwecolon kunogona kukonzera matambudziko ekugaya asingaperi
• Kuzvimba kwenguva refu kunorasikirwa zvakazara
• Perforation (gomba) mudenga recolon, iri yakakomba asi isingawanzoitika
• Kuramba uchibuda ropa kunoda kurapwa kuwedzerwa
• Kuda kuvhiya kubvisa zvikamu zvakakuvadzwa zvecolon

Matambudziko akakomba haawanzoitika, achiitika mune zvishoma pane 20% yezviitiko. Kana zvikaitika, zvinonyanya kuitika kune vanhu vaive nerudzi rwegangrenous kana avo vane matambudziko akawanda ehutano.

Zviratidzo zvekuti matambudziko anogona kuve ari kukura anosanganisira kurwadziwa kuri kuwedzera mushure mekuvandudzwa kwekutanga, kuramba uchibuda ropa, fivha, kana zviratidzo zvitsva senge kusagadzikana kwematumbo kwakanyanya. Chiremba wenyu achakuchengetedza kuti akwanise kubata chero matambudziko pakutanga.

Nekurapwa kwakakodzera nekutarisirwa kwekuenderera mberi, vanhu vazhinji vanodzivisa matambudziko akakomba zvachose. Kunyangwe matambudziko akaitika, anogona kazhinji kutarisirwa zvakanaka nekurapwa kwemishonga kwakakodzera.

Ischemic colitis inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira zvese zviitiko zveischemic colitis, unogona kutora matanho ekuderedza njodzi yako nekugara uchigara uchiona hutano hwako hwese uye kutarisira mamiriro ezvinhu anokanganisa kuyerera kweropa kwako.

Kugara uine mvura yakakwana ndechimwe chezvinhu zvakakosha zvaunogona kuita. Kushaya mvura mumuviri kunogona kuderedza ropa rako uye kuderedza kuyerera kweropa kuenda kucolon yako, kunyanya panguva yechirwere, kurovedza muviri, kana kunaya kwemvura.

Kutarisira mamiriro ezvinhu ehutano kunobatsira kudzivirira midziyo yeropa yako. Izvi zvinoreva kuchengetedza ropa rako, chirwere cheshuga, uye cholesterol pasi pekutonga kwakanaka nekubatsirwa nachiremba wako. Kutora mishonga yakanyorwa sezvakarayirwa uye kuenda kune ongororo dzenguva dzose kunoita musiyano chaiwo.

Kana uchiita zvemitambo zvakanyanya, kunyanya kumhanya kwenguva refu, ita shuwa kuti uine mvura yakakwana uye teerera kumuviri wako. Kunyangwe kurovedza muviri kazhinji kunodzivirira, kuita zvemitambo kwakanyanya kunogona dzimwe nguva kutanga ischemic colitis kune vanhu vanogona kukanganiswa.

Taura nachiremba wako nezve mishonga ipi zvayo yaunotora inogona kukanganisa kuyerera kweropa. Dzimwe nguva mishonga inogona kushandiswa kana uri panjodzi yakakwira, asi usamira mishonga yakanyorwa pasina mazano emishonga.

Ischemic colitis inoongororwa sei?

Vanachiremba vanoongorora ischemic colitis nekubatanidza zviratidzo zvako, nhoroondo yemishonga, uye miedzo chaiyo. Maitiro acho kazhinji anotanga muimba rekukurumidza kana muhofisi yechiremba wako kana ukataura nezvekurwadziwa kwemudumbu nemanyoka ane ropa.

Chiremba wako achatanga kubvunza nezvezviratidzo zvako, pavakatanga, uye mishonga ipi zvayo yaunotora. Vachaongorora mudumbu rako kuti vaone kana pane kurwadziwa uye vateerere kurira kwematumbo.

Miedzo yeropa inobatsira kubvisa zvimwe zvirwere uye kuongorora zviratidzo zvehutachiona kana anemia kubva pakubuda ropa. Kunyangwe pasina bvunzo yeropa inongorora ischemic colitis, aya marezinesi anopa mazano akakosha nezviri kuitika mumuviri wako.

CT scan yemudumbu rako kazhinji ndiyo bvunzo yekutanga yekufananidzira. Inogona kuratidza kuwanda kwetsamba recolon uye kubvisa zvimwe zvirwere zvakakomba senge kuvhara kwematumbo kana perforation. Iyo scan inokurumidza uye isina kurwadza, kunyangwe ungada kunwa zvinhu zvinopesvedzera.

Colonoscopy kazhinji ndiyo bvunzo yakanyanya kujeka. Panguva iyi nzira, chiremba wako anoshandisa chubhu yakapfava ine kamera kuti aone zvakananga mukati mecolon yako. Vanogona kuona nzvimbo dzekuzvimba, kubuda ropa, kana kukuvara kwetsamba kunosimbisa kuongororwa.

Muka kesi dzimwe, chiremba wako angarayira miedzo yakawedzerwa senge scans dzakasarudzika kuti aone kuyerera kweropa kana kubvisa zvimwe zvirwere. Miedzo chaiyo yaunoda inotsamira pazviratidzo zvako uye kuti kuongororwa kwakachengeteka sei kubva pakuyedzwa kwekutanga.

Kurapa kweischemic colitis ndekupi?

Kurapa kweischemic colitis kunotarisa pakutsigira kupora kwemuviri wako kwemhando yepanyika uchivhara matambudziko. Vanhu vazhinji vanovandudzwa nekurapwa kwakapfava kunoda kuvhiya.

Nhanho yekutanga kazhinji ndeyekuzorora kwematumbo, zvinoreva kuti iwe uchagamuchira mvura kuburikidza neIV uchizvidzivisa kudya kwezuva rimwe kana maviri. Izvi zvinopa colon yako nguva yekupora pasina kumanikidzwa kwekucheka chikafu.

Timu yako yemishonga ichakuchengetedza zvakanyanya muchipatara, ichiongorora zviratidzo zvako zvakakosha, nhamba yeropa, nezviratidzo. Mishonga yekurwadziwa inokubatsira kugara wakasununguka, nepo mvura yeIV ichidzivirira kushaya mvura mumuviri uye ichitsigira kuyerera kweropa kwako.

Antibiotics inogona kunyorwa kana paine hanya nezvehutachiona, kunyangwe zvisingadiwe mune zvese zviitiko. Chiremba wako achaita sarudzo iyi zvichienderana nemamiriro ako chaiwo nemarezinesi.

Kana uine rudzi rwakanyanya kukomba rwegangrenous, kana matambudziko akaitika, kuvhiya kunogona kudiwa. Izvi zvinogona kusanganisira kubvisa chikamu chakakuvadzwa checolon, asi izvi zvinodiwa mune zvishoma pane 20% yezviitiko.

Vanhu vazhinji vanotanga kunzwa nani mukati memazuva 2-3 uye vanogona kudzoka zvishoma nezvishoma kudya. Kudzorera kazhinji kunotora mavhiki 1-2 kune kesi dzakapfava, kunyangwe vamwe vanhu vachida nguva yakareba zvichienderana nehuwandu hwekukuvara.

Maitiro ekutarisira kurapwa kwekumba panguva yekudzorera ischemic colitis?

Kana wagadzirira kudzokera kumba, kutevera mirairo yechiremba wako zvakanyatsonaka kunobatsira kuve nechokwadi chekupora kwakakodzera uye kudzivirira matambudziko. Vanhu vazhinji vanogona kutarisira kudzorera kwavo kumba nekuchenjerera kwakakosha.

Tanga nemvura yakajeka uye uwedzere zvishoma nezvishoma kune zvinhu zvakapfava, zviri nyore kugaya sezvakakurudzirwa nachiremba wako. Dzivisa zvekudya zvine fiber yakawanda, ndiro dzakapinza, uye chero chinhu chinogona kukuvadza colon yako inopora kwemavhiki mashomanana ekutanga.

Gara uine mvura yakakwana nekunova nemvura yakawanda zuva rese. Colon yako inoda mvura yakakwana kuti ipore zvakakodzera, uye kushaya mvura mumuviri kunogona kuipa mamiriro ako kana kunonoka kupora.

Tora mishonga ipi zvayo yakanyorwa sezvakarayirwa, kusanganisira zvinorwadza kana antibiotics. Usamisa antibiotics pakutanga kunyangwe uchinzwa nani, sezvo izvi zvingatungamira pakurapwa kusina kukwana.

Tarisa zviratidzo zvekutyisidzira zvinoda kutarisirwa kwemishonga nekukurumidza: kurwadziwa kwemudumbu kuri kuwedzera, fivha pamusoro pe100.4°F, kubuda ropa kwakawanda, kana kusakwanisa kuchengetedza mvura. Izvi zvinogona kuratidza matambudziko anoda kurapwa nekukurumidza.

Dzivisa mabasa anorema kwemavhiki akati wandei nepo colon yako ichipora. Kuenda kunofamba zvishoma kazhinji kunokodzera uye kunogona kutobatsira nekudzorera, asi bvunza nachiremba wako nezvekuti rini zvakachengeteka kudzokera kune zviitiko zvakajairwa.

Unofanira kugadzirira sei kuenda kuchiremba wako?

Kugadzirira kuenda kuchiremba wako kunobatsira chiremba wako kuita kuongororwa kwakanyatsojeka uye kugadzira chirongwa chekurapa chakanaka. Unganidza ruzivo rwakakosha usati waenda kuti uite zvakanyanya kubva pakushanya kwako.

Nyora zviratidzo zvako zvese, kusanganisira pavakatanga, kuti zvakakomba sei, uye zvinonatsiridza sei kana kuzviita zvakanyanya. Cherechedza chero shanduko mumaitiro ako ematumbo, kusanganisira ruvara, kuenderana, uye huwandu.

Uya neruzivo rwakazara remishonga yese yaunotora, kusanganisira mishonga yakanyorwa, mishonga yekutengesa, zvinowedzerwa, uye mavhitamini. Sanganisira zvikamu uye kuti wakatora nguva yakareba sei imwe neimwe.

Gadzira pfupiso yenhoroondo yako yemishonga, kusanganisira chero matambudziko emudumbu akapfuura, kuvhiya, mamiriro emwoyo, kana matambudziko ekugwamba. Iyi ruzivo rwekumashure kunobatsira chiremba wako kunzwisisa njodzi dzako.

Nyora mibvunzo yaunoda kubvunza, senge miedzo ipi yaunoda, kuti kupora kunotora nguva yakareba sei, kana zviitiko zvaunofanira kudzivisa. Kuva nazvo zvakanyorwa kunovimbisa kuti hausi kukanganwa zvinhu zvakakosha panguva yekuonana.

Kana zvichibvira, uya nemhuri kana shamwari inogona kukubatsira kuyeuka ruzivo uye kupa rutsigiro. Kuonana nachiremba kunogona kuva kunotyisa, uye kuva nemunhu ari newe kunogona kubatsira.

Chii chinonyanya kukosha nezve ischemic colitis?

Ischemic colitis mamiriro ayo kuyerera kweropa kwakaderera kunokuvadza colon yako, asi tarisiro kazhinji yakanaka nekurapwa kwakakodzera. Vanhu vazhinji vanodzoka zvakazara mukati memavhiki mashoma pasina matambudziko asingaperi.

Chinhu chakakosha chokurangarira ndechekuti kurwadziwa kwemudumbu kamwe kamwe nemanyoka ane ropa kunoda kutarisirwa kwemishonga nekukurumidza. Kuongororwa nekukurumidza nekurapwa kunodzivirira matambudziko uye kukubatsira kunzwa nani nekukurumidza.

Kunyangwe mamiriro acho achinzwa akakomba, kazhinji kesi dzakapfava uye dzinopora zvakanaka nekutarisirwa kwakapfava. Kuvhiya kunowanzodiwa, uye vanhu vazhinji vanodzokera kune zviitiko zvavo zvakajairwa mukati memavhiki mashoma.

Tarisa pakuchengetedza hutano hwako hwese kuti uderedze njodzi yako, gara uine mvura yakakwana, uye utarise chero mamiriro asingaperi aunayo. Kana ukawana ischemic colitis, kutevera chirongwa chekurapa chechiremba wako zvakanyatsonaka kunokupa mukana wakanaka wekupora zvakazara.

Mibvunzo inobvunzwa kazhinji nezve ischemic colitis

Q1: Ischemic colitis ichadzoka here mushure mekunge ndapora?

Vanhu vazhinji vanopora kubva kuischemic colitis havazomboi zvakare. Kudzokazve hakuna kujairika, kuitika mune zvishoma pane 10% yezviitiko. Nekudaro, kana uine njodzi dzakapfuurira senge chirwere chemwoyo kana kutora mishonga yakati wandei, chiremba wako angakurukura nzira dzekuderedza mikana yacho kuitika zvakare.

Q2: Kunotora nguva yakareba sei kuti upore zvakazara kubva kuischemic colitis?

Nguva yekudzorera inosiyana zvichienderana nekuti kesi yako yakakomba sei. Vanhu vazhinji vane ischemic colitis yakapfava vanonzwa zvakanaka mukati memazuva 2-3 uye vanopora zvakazara mukati memavhiki 1-2. Kesi dzakanyanya kukomba dzinogona kutora mavhiki mazhinji kusvika mwedzi, kunyanya kana matambudziko akaitika kana kuvhiya kudiwa.

Q3: Ndingaita zvemitambo zvakajairwa here mushure mekunge ndapora kubva kuischemic colitis?

Unogona kazhinji kudzokera kune zvemitambo zvakajairwa kana chiremba wako akakuendesa, kazhinji mukati memavhiki mashoma ekudzorera. Tanga zvishoma nezvishoma uye gara uine mvura yakakwana, kunyanya panguva yezviitiko zvakanyanya. Kana uri mumhanyi ane nzendo refu kana uchiita zvemitambo zvakanyanya, kurukura nekuchenjerera nachiremba wako sezvo aya mabasa dzimwe nguva anotanga ischemic colitis kune vanhu vanogona kukanganiswa.

Q4: Kune zvekudya zvandofanira kudzivisa mushure mekuva neischemic colitis?

Panguva yekudzorera, iwe uchafanirwa kudzivisa zvekudya zvine fiber yakawanda, zvinopinza, kana zvakaoma kugaya kwenguva pfupi. Kana wapora zvakazara, unogona kazhinji kudzokera kune zvekudya zvakajairwa. Vamwe vanhu vanoona kuti zvekudya zvine fiber yakawanda kana izvo zvakambokonzera kusagadzikana kwematumbo zvinofanira kudyiwa zvishoma nezvishoma, asi kazhinji zvimwe zvekudya zvinorambidzwa zvinongenge zviri kwenguva pfupi.

Q5: Ndinofanira kunetseka nezvekenza yecolon mushure meischemic colitis here?

Ischemic colitis haiurayi njodzi yako yekuwana kenza yecolon. Nekudaro, chiremba wako angakurudzira kuenderera mberi necolonoscopies kuve nechokwadi chekuti colon yako yapora zvakakodzera uye kuongorora zvimwe zvirwere zvichienderana nemirairo yakajairwa yeboka rako rezera. Izvi ndizvo zvekutarisira zvekudzivirira, kwete nekuda kwenjodzi yakawedzera yekenza.