Chii chinonzi Microscopic Colitis? Zviratidzo, Zvinokonzera, & Kurapa

Microscopic colitis chirwere chekuzvimba kwematumbu chinoita kuti pave nemanyoka akawanda nguva dzose. Kusiyana nemamwe marudzi e colitis, matumbo ako anotaridzika zvakanaka panguva yekutarisa ne colonoscopy, asi kana uchitarisa pasi pemikroskopu, kuzvimba kunoratidzika pamusoro pematumbu.

Chirwere ichi chinotapura vanhu vanenge 20 kubva pa100,000, vakadzi vachitapukirwa zvakanyanya kupfuura varume. Kunyange zita racho richinzwa richitya, microscopic colitis inogona kurapwa zvakanaka uye kazhinji haina matambudziko makuru.

Ndeapi zviratidzo zve microscopic colitis?

Chiratidzo chikuru che microscopic colitis inyoka yakawanda nguva dzose inogara kwemavhiki kana mwedzi. Izvi hazvisi zvekudya zvisina kunaka zvinogona kupfuura mumazuva mashoma.

Ngatitaure nezvezviratidzo zvaunogona kuona, tichibva pazvinowanzoitika:

• Manyoka akawanda anouya ka3-20 pazuva
• Kurwadziwa kwemudumbu, kazhinji kushoma kusvika pakati
• Kuda kuenda kuimba yekugezera nekukurumidza
• Kuzvimba kwemudumbu negesi
• Kuneta nekuda kwekufamba-famba kuenda kuimba yekugezera uye kushaya hope
• Kurasikirwa nehuremu nekuda kwekusakwanisa kunwa zvinovaka muviri
• Kushaya mvura kana kurasikirwa nemvura kwakakura

Vamwe vanhu vanogona kuona zviratidzo zvisingawanzoitika sekurwadziwa kwemapfupa, ganda rakasviba, kana kuzvimba kwemaziso. Zviratidzo izvi zvinogona kuuya nekufamba kwenguva, nekuvandudzwa kwenguva pfupi kuchiteverwa nekuwedzera kwenguva refu.

Ndeapi marudzi e microscopic colitis?

Kune marudzi maviri makuru e microscopic colitis, uye mazita avo anobva pane zvinotaridzwa nevanachiremba pasi pemikroskopu. Marudzi ese ari maviri anokonzera zviratidzo zvakafanana asi ane chitarisiko chakasiyana pasi pemikroskopu.

Collagenous colitis inoitika kana bhendi guru re collagen rikawanda pasi pemusoro wematumbu. Bhendi iri re collagen guru kupfuura rakajairika, richigadzira chisingaperi chinokanganisa nzira yekunwa mvura kwematumbu ako.

Lymphocytic colitis inoitika kana masero mazhinji e lymphocytes (rudzi rwe masero machena eropa) akawanda pamusoro pematumbu. Masero aya eropa anoratidza kuzvimba kuripo, kunyange matumbo ako achitaridzika zvakanaka kunze.

Marudzi ese ari maviri anogona kurapwa zvakafanana, uye chiremba wako achaona kuti ndeupi rudzi rwaunaro kuburikidza ne biopsy panguva yekutarisa ne colonoscopy.

Chii chinokonzera microscopic colitis?

Chikonzero chaicho che microscopic colitis hachizivikanwi zvizere, asi vatsvakurudzi vanofunga kuti chinoitika nekuda kwezvinhu zvakawanda. Sisitimu yako yekudzivirira muviri inogona kunge iri basa guru mukutanga kuzvimba.

Aya ndiwo maitiro makuru anogona kukonzera chirwere ichi:

• Kuita kwesisitimu yekudzivirira muviri kunokanganisa tishu dzematumbu
• Mishonga yakati, kunyanya NSAIDs senge ibuprofen, proton pump inhibitors, uye mamwe mishonga yekudzikamisa manzwiro
• Utachiona hwebhakitiriya kana hutachiona hunokonzera kuzvimba kuripo
• Zvinhu zvemagwenga zvinoita kuti uve nemukana mukuru wekutapukirwa
• Kusakwanisa kunwa bile acid, izvo zvinogona kukonzera kuzvimba kwematumbu
• Kusvuta, izvo zvinoita kuti uve nemukana mukuru wekutapukirwa

Mukadiki, microscopic colitis inogona kubatana ne chirwere che celiac, matambudziko etroidi, kana kuiswa kune zvinhu zvine chepfu. Zvisinei, vanhu vazhinji vanotapukirwa nechirwere ichi pasina chikonzero chakajeka, izvo zvinogona kunzwa zvisingafadzi asi zvakajairika zvachose.

Rini unofanira kuona chiremba nekuda kwe microscopic colitis?

Unofanira kubata chiremba wako kana ukaona manyoka akawanda anogara kwenguva yakareba kupfuura mazuva mashoma, kunyanya kana ari kukanganisa hupenyu hwako hwezuva nezuva. Kuongororwa nekukurumidza kunogona kubatsira kudzivirira matambudziko uye kukubatsira kunzwa nani nekukurumidza.

Tsvaka rubatsiro rwechiremba nekukurumidza kana ukaona zviratidzo zvekushushikana kwemvura senge kuzvidza, muromo wakaoma, kana kushoma kwekubuda kwemvura. Zviratidzo izvi zvinoratidza kuti muviri wako uri kurasikirwa nemvura yakawanda uye unoda rubatsiro nekukurumidza.

Fonera chiremba wako nekukurumidza kana ukaona kurwadziwa kwakanyanya kwemudumbu, ropa mumanyoka ako, kana kupisa kwakanyanya. Kunyange zviratidzo izvi zvisingawanzoitika ne microscopic colitis, zvinogona kuratidza mamwe matambudziko akakomba anoda rubatsiro nekukurumidza.

Ndeapi njodzi dze microscopic colitis?

Zvinhu zvakati zvinogona kuwedzera mukana wako wekutapukirwa ne microscopic colitis, kunyange kuva ne njodzi hazvirevi kuti uchave nechirwere ichi. Kunzwisisa zvinhu izvi kunogona kukubatsira iwe nechikomba chako kuchengetedza zviratidzo.

Njodzi huru dzinosanganisira:

• Kuva musikana, sezvo vakadzi vane mukana wakakura wekutapukirwa nechirwere ichi
• Kuva nemakore anopfuura 50, nekuwanda kwakanyanya mumakore e60 ne70
• Kusvuta kana nhoroondo yekusvuta
• Kushandisa mishonga yakati nguva dzose, kunyanya NSAIDs kana PPIs
• Kuva ne autoimmune conditions senge celiac disease, matambudziko etroidi, kana rheumatoid arthritis
• Nhoroondo yemhuri ye inflammatory bowel disease

Njodzi dzisingawanzoitika dzinosanganisira kuva wakatambudzwa ne gallbladder surgery kana kushandisa mishonga yakati yekurapa chirwere chepfungwa. Kana uine njodzi dzakawanda, hazvirevi kuti uchave ne microscopic colitis, asi zvinokosha kutaura nachiremba wako kana ukaona zviratidzo zvinogara kwenguva refu.

Ndeapi matambudziko anogona kuitika ne microscopic colitis?

Vanhu vazhinji vane microscopic colitis havaoni matambudziko makuru, asi manyoka akawanda nguva dzose anogona kukonzera matambudziko ehutano kana asingarapwi. Mashoko akanaka ndeawo kuti matambudziko aya anowanzo dzivirirwa nekuongororwa zvakanaka.

Matambudziko anowanzoitika aunogona kusangana nawo anosanganisira:

• Kushaya mvura nekuda kwekurasikirwa nemvura yakawanda kuburikidza nemanyoka
• Kusawirirana kwe electrolyte, kunyanya potassium yakaderera ne sodium
• Kushaya zvinovaka muviri nekuda kwekusakwanisa kunwa zvinovaka muviri
• Kurasikirwa nehuremu kunogona kuva kukuru nekufamba kwenguva
• Kuneta nekushaya simba nekuda kwekushaya zvinovaka muviri
• Kuparadzana nevamwe nekuda kwekufamba-famba kuenda kuimba yekugezera

Zvisingawanzoitika, matambudziko akakomba anogona kukonzera matambudziko etsinga nekuda kwekushushikana kwemvura kana kushaya zvinovaka muviri zvakanyanya zvinoda kurapwa muchipatara. Zvisinei, ne kurapwa kwakanaka, vanhu vazhinji vanodzivisa matambudziko aya akakomba zvachose.

Microscopic colitis inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira microscopic colitis zvachose, kuchinja mararamiro kunogona kuderedza njodzi yako kana kubatsira kudzora zviratidzo kana uine chirwere ichi. Kudzivirira kunotarisa pakudzivirira zvinhu zvinozivikanwa uye kuchengetedza hutano hwematumbu.

Nzira dzakanakisa dzekudzivirira dzinosanganisira kurega kusvuta, sezvo izvi zvinoderedza mukana wako wekutapukirwa nechirwere ichi. Kana ukasvuta, taura nachiremba wako nezve zvirongwa zvekurega izvo zvinogona kukubatsira kurega zvakachengeteka.

Shanda nachiremba wako kuti uongorore mishonga yako, kunyanya kana uchishandisa NSAIDs kana proton pump inhibitors nguva dzose. Dzimwe nguva kuchinja kune mishonga inoshanda zvakasiyana kunogona kuderedza njodzi yako pasina kukanganisa mamwe mamiriro ako ehutano.

Kuchengetedza kudya kwakanaka kwakapfuma mu fiber uye kuchengetedza mvura yakawanda kunotsigira hutano hwematumbu. Vamwe vanhu vanoona kuti kudzivisa caffeine yakawanda nedoro kunobatsira kudzivirira kuzvimba kwematumbu.

Microscopic colitis inoziiwa sei?

Kuziva microscopic colitis kunoda colonoscopy ne tissue biopsy nekuti chirwere ichi hachioneke nemaziso. Chiremba wako achada kuongorora tishu dzematumbu pasi pemikroskopu kuti aone chirwere ichi.

Maitiro ekuongorora anowanzo tanga nachiremba wako achiongorora zviratidzo zvako nenhoroondo yehutsanana hwako. Vachabvunza nezvemanyoka ako, mishonga yaunotora, uye kana uine mamwe autoimmune conditions.

Kuongororwa kweropa kunogona kuitwa kuti uone zviratidzo zvekuzvimba, anemia, kana kusawirirana kwe electrolyte. Chiremba wako anogonawo kuyedza manyoka ako kuti adzivise hutachiona kana zvimwe zvinokonzera manyoka akawanda nguva dzose.

Panguva yekutarisa ne colonoscopy, chiremba wako acatora zvidimbu zvidiki zvetishu kubva kunzvimbo dzakasiyana dzematumbu ako. Biopsies idzi dzinoongororwa pasi pemikroskopu kuti uone kuchinja kunoratidza microscopic colitis.

Kurapa kwe microscopic colitis chii?

Kurapa kwe microscopic colitis kunotarisa pakuderedza kuzvimba uye kudzora manyoka kuti ukubatsire kunzwa nani uye kudzivirira matambudziko. Mashoko akanaka ndeawo kuti vanhu vazhinji vanogona kurapwa zvakanaka.

Chiremba wako anogona kutanga nezvinhu zviri nyore kutanga:

1. Kurega mishonga inogona kunge iri kukonzera dambudziko, kana zvichibvira
2. Mishonga yekudzivirira manyoka senge loperamide kuderedza manyoka
3. Budesonide, corticosteroid inoshanda munzvimbo yematumbu ine zvishoma zvinokanganisa
4. Bile acid sequestrants kana bile acid malabsorption iri kukonzera
5. Probiotics kubatsira kudzoreredza mabhakitiriya akanaka emudumbu

Kune matambudziko akakomba, chiremba wako anogona kunyora mishonga ine simba senge systemic steroids, immunosuppressants, kana biologics. Kurapa uku kunowanzochengeterwa vanhu vasina kugona kurapwa ne mishonga yekutanga.

Mukadiki apo mishonga isingashandi, vamwe vanhu vanobatsirwa ne fecal microbiota transplantation, kunyange izvi zvichiri kufungwa sekuedza kwe microscopic colitis.

Ungadzorera sei microscopic colitis pamba?

Kudzorera pamba kunoita basa rinokosha mukudzora zviratidzo zvako uye kuvandudza hupenyu hwako. Kuchinja kuri nyore mune zvekudya nemararamiro kunogona kuita shanduko huru mukunzwa kwako zuva nezuva.

Tanga nekuchengeta bhuku rekudya kuti uone zvinhu zvinokonzera zviratidzo zvako. Zvinhu zvinowanzoitika zvinosanganisira caffeine, zvokudya zvinopisa, zvokudya zvine mafuta akawanda, uye zvinonaka zvakagadzirwa, kunyange zvinhu zvinokonzera zvinowanzosiyana kubva kune munhu.

Chengetera mvura yakawanda nekudya mvura yakawanda zuva rese, kunyanya panguva yekuwanda kwezviratidzo. Zvinwiwa zve electrolyte zvinogona kubatsira kutsiva zvaunorasikirwa nemanyoka, asi sarudza zvinhu zvisina zvinonaka zvakagadzirwa.

Dya zvidimbu zviduku, zvakawanda pane zvikuru, uye funga kutevera low-FODMAP diet kana zvokudya zvakati zvichitaridzika sekukonzera zviratidzo. Vamwe vanhu vanoona kuti kudzivisa gluten kunobatsira, kunyange vasiri ne celiac disease.

Rongedza mabasa ako ezuva nezuva uchifunga nezveimba yekugezera kana zviratidzo zviripo. Izvi zvinogona kunzwa zvisingafadzi, asi zvinogona kuderedza kunetseka uye kukubatsira kuchengetedza tsika yako yakajairika sezvinobvira.

Unofanira kugadzirira sei kuenda kuchiremba?

Kugadzirira kuenda kuchiremba kunobatsira kuve nechokwadi chekuti unowana kuongororwa kwakanyanya uye chirongwa chekurapa chinokosha. Chiremba wako anoda ruzivo rwakakwana nezvezviratidzo zvako kuti akubatsire zvakanaka.

Chengeta bhuku rezviratidzo kweavhiki rimwe chete usati waenda kuchiremba, uchinyora huwandu nehunhu hwemanyoka, kurwadziwa kwakabatana, nezvinhu zvinokonzera. Ruzivo urwu runokosha kwazvo kuchiremba wako.

Gadzira rondedzero yakakwana yemishonga yese, zvinowedzerwa, nemavhitamini aunotora, kusanganisira zvinhu zvinowanikwa pasina kuraira. Mishonga yakati inogona kukonzera microscopic colitis, saka ruzivo urwu runokosha.

Gadzira rondedzero yemibvunzo yaunoda kubvunza, senge bvunzo dzaunoda, kurapa kunowanikwa, uye nzira yekudzora zviratidzo uchitarisira mhinduro. Nyora mibvunzo yako usati waenda kuti usakanganwe panguva yekushanya.

Chii chinonyanya kukosha nezve microscopic colitis?

Microscopic colitis chirwere chinogona kurapwa, icho, kunyange chisingafadzi, kazhinji hachina matambudziko makuru kana kurapwa zvakanaka. Manyoka akawanda nguva dzose nezvimwe zviratidzo zvinogona kukanganisa hupenyu hwako zvakanyanya, asi kurapa kwakakosha kuripo.

Vanhu vazhinji vane microscopic colitis vanogona kurapwa zvakanaka uye vanogona kudzoka kuhupenyu hwavo hwemazuva ose. Kunyange chirwere ichi chichigona kuda kurapwa kwenguva refu, vanhu vazhinji vanowana nguva refu yekuvandudzika nezviratidzo zvishoma.

Chinonyanya kukosha mukubudirira kwekurapa kushanda pamwe chete nechikomba chako, kuva nemoyo murefu nekuita kwemishonga, uye kuita kuchinja mararamiro kunotsigira hutano hwako hwese. Yeuka kuti chirwere ichi hachisi mhosva yako, uye nekutarisirwa kwakanaka, unogona kurarama hupenyu hwese, hwakanangana.

Mibvunzo inowanzo bvunzwa nezve microscopic colitis

Microscopic colitis yakafanana here ne Crohn's disease kana ulcerative colitis?

Kwete, microscopic colitis yakasiyana ne inflammatory bowel diseases senge Crohn's disease ne ulcerative colitis. Kunyange zvese zvitatu zvinokonzera kuzvimba mumatumbu, microscopic colitis kazhinji ine zviratidzo zvakanaka uye nzira dzakasiyana dzekurapa. Kusiyana ne IBD, microscopic colitis haiurayi mukana wako wekenza yematumbu uye kazhinji haidi kuvhiyiwa.

Ndichada kutevera kudya kwakakosha nekusingaperi here?

Zvichida kwete. Kunyange vamwe vanhu vanoona kuti kuchinja kuri nyore mune zvekudya kunobatsira kudzora zviratidzo zvavo kwenguva refu, vamwe vanogona kudzoka pakudya kwavo kwakajairika kana chirwere chavo chadzorwa. Shanda nachiremba wako uye zvichida dietitian kuti ugadzire chirongwa chekudya chinokosha kwauri uye zviratidzo zvako.

Microscopic colitis inogona kupora pachayo here?

Vamwe vanhu vanoona kuvandudzwa kwakazvimiririra, apo zviratidzo zvinopera pasina kurapwa. Zvisinei, izvi hazvifanotaurwi, uye chirwere ichi chinowanzo dzoka. Vanachiremba vazhinji vanokurudzira kurapwa kudzora zviratidzo uye kudzivirira matambudziko pane kumirira kuti chiporese pachacho.

Microscopic colitis inotapuriranwa here?

Kwete, microscopic colitis haitapuriranwi. Haugoni kuitapukirwa nemunhu kana kuipasa kune vamwe. I chirwere chekuzvimba chinoitika nekuda kwezvinhu zvakawanda zvinosanganisira magwenga, kusashanda zvakanaka kwesisitimu yekudzivirira muviri, uye zvinhu zvakati zvakatikomberedza.

Kurapa kunotora nguva yakareba sei kuti kushanda?

Vanhu vazhinji vanotanga kuona kuvandudzwa mukati memavhiki 2-8 ekutanga kurapwa, kunyange zvingatora mwedzi yakati kuti ubudirire kudzora zviratidzo zvachose. Mishonga yakati senge mishonga yekudzivirira manyoka inogona kupa zororo mukati memazuva mashoma, nepo vamwe senge budesonide vachigona kutora mavhiki mashoma kuti varatidze mhedzisiro yavo yakazara. Iva nemoyo murefu nekuita kwemishonga uye taura nguva dzose nachiremba wako nezvekuvandudzwa kwako.