Colitis Emicroscopic

Ukoloni, obizwa nangokuthi isibindini esikhulu, luyithumbu elide elinjengomphunga esiswini. Ukoloni uthwala unyoka oluzoqothulwa emzimbeni. I-rektamu yenza ama-intshi ambalwa okugcina esibindini esikhulu.

I-colitis encane yisivuvukelo nokuvuvukala, okubizwa ngokuthi ukuvuvukala, kwesibindini esikhulu. Lesi sibindini esikhulu sibizwa nangokuthi ikholoni. I-colitis encane ibangela izimpawu zokuphehlelela okumanzi.

Leli simo lithatha igama laso ngokudinga ukubuka inyama yekholoni ngaphansi komkhiqizo ukuze lihlonze. Inyama ibonakala iyisivamile ekuhlolweni nge-colonoscopy noma i-sigmoidoscopy eguquguqukayo.

Kunezinhlobo ezimbili ze-colitis encane:

• I-colitis ye-collagenous, lapho ilayisha elikhulu leprotheni ebizwa nge-collagen likhula khona enyameni yekholoni.
• I-colitis ye-lymphocytic, lapho amaseli amhlophe egazi abizwa ngama-lymphocytes ekhuphuka khona enyameni yekholoni.

Abacwaningi bakholelwa ukuthi i-colitis ye-collagenous (kuh-LAYJ-uh-nus) ne-colitis ye-lymphocytic zingaba izinhlobo zalesi simo esifanayo. Izimpawu, ukuhlolwa nokuphathwa kufana kokubili izinhlobo.

Izimpawu ze-colitis encane zihlanganisa: Ukuhlanza okunamanzi. Ubuhlungu esiswini, ukubamba noma ukukhukhula. Ukwehla kwesisindo. Ukupukeka. Ukungakwazi ukulawula ukuthutha kwamathumbu, okuthiwa yi-fecal incontinence. Ukungabi namanzi emzimbeni, okuthiwa yi-dehydration. Izimpawu ze-colitis encane zingafika ziye. Ngezinye izikhathi, izimpawu ziyaphila zodwa. Uma une-diarrhea emanzini ihlala izinsuku ezimbalwa, xhumana nochwepheshe wakho wezokunakekelwa kwezempilo ukuze ahlole futhi aphathe isimo sakho.

Uma unethefwe elimanzi eliphela izinsuku ezingaphezu kwambalwa, xhumana nochwepheshe wakho wezokunakekelwa kwezempilo ukuze aqonde futhi aphathe isimo sakho.

Akuqondakali ukuthi yini ebangela ukukhula nokuvuvukala, okubizwa ngokuthi ukutheleleka, kwesisu esikhulu okutholakala ekolisitis encane. Abacwaningi bakholelwa ukuthi izimbangela zingafaka:

• Imithi engavuvukala ukugqoka kwesisu esikhulu.
• I-bile acid engagayeki njengoba kufanele kube ukuze ivuvukale ukugqoka kwesisu esikhulu.
• Iintsholongwane ezenza izinto eziyingozi noma ama-virus ahlangana nokugqoka kwesisu esikhulu.
• Isifo sokuzimela komzimba esixhunyaniswe ne-colitis encane, njenge-rheumatoid arthritis, isifo se-celiac noma i-psoriasis. Isifo sokuzimela komzimba siyenzeka lapho i-immune system yomzimba ihlasela izicubu eziphilileyo.

Izimbangela ezingobungozi ze-colitis encane zihlanganisa:

• Ubudala. I-colitis encane ivame kakhulu kubantu abadala kunama-50 ubudala.
• Ubulili. Abesifazane banethuba elikhulu lokuba ne-colitis encane kunabesilisa. Amanye ama-study abonisa ubudlelwano phakathi kokwelashwa kwamahomoni ngemuva kokuphela kwesikhathi sokubeletha ne-colitis encane.
• Isifo sokuzikhukhumeza komzimba. Abantu abane-colitis encane ngezinye izikhathi baba nesifo sokuzikhukhumeza komzimba, njenge-celiac disease, isifo se-thyroid, isifo se-rheumatoid arthritis, i-type 1 diabetes noma i-psoriasis.
• Ubudlelwano lwezakhiwo. Ucwaningo lubonisa ukuthi kungenzeka kube khona ubudlelwano phakathi kwe-colitis encane nomlando womndeni we-irritable bowel syndrome.
• Ukubhema. Amanye ama-study acwaningo abonise ubudlelwano phakathi kokubhema utshaba ne-colitis encane, ikakhulu kubantu abaneminyaka engama-16 kuya kwengu-44.

Amanye ama-study acwaningo abonisa ubudlelwano phakathi kokusebenzisa imithi ethile engase ikhulise ingozi ye-colitis encane. Kodwa-ke akuzona zonke izifundo ezivumelana.

Imithi engase ibe nobudlelwano nesimo ihlanganisa:

• Abaphuli bobuhlungu, njenge-aspirin, i-ibuprofen (Advil, Motrin IB, nabanye) ne-naproxen sodium (Aleve).
• Abaphuli be-proton pump kuhlanganise i-lansoprazole (Prevacid), i-esomeprazole (Nexium), i-pantoprazole (Protonix), i-rabeprazole (Aciphex), i-omeprazole (Prilosec) ne-dexlansoprazole (Dexilant).
• Abaphuli be-serotonin reuptake (SSRIs) njenge-sertraline (Zoloft).
• I-Acarbose.
• I-Flutamide.
• I-Ranitidine.
• I-Carbamazepine (Carbatrol, Tegretol, nabanye).
• I-Clozapine (Clozaril, Versacloz).
• I-Entacapone (Comtan).
• I-Paroxetine (Paxil).
• I-Simvastatin (Flolipid, Zocor).
• I-Topiramate (Topamax, Qsymia, nabanye).

Izinhlungu ezincane kakhulu kubantu abaningi uma isifo se-colitis esincane siswelwe ngempumelelo. Lesi simo asiwuthandi ubungozi bomdlavuza wesisu.

Umlando ophelele wezokwelapha, ukuhlolwa komzimba kanye nokuhlolwa kungasiza ekuqondeni ukuthi ezinye izimo, njengoba yi-celiac disease, zingaba yimbangela yokophamba. Ochwepheshe bakho bezempilo bazophinde babuze ngemithi oyithathayo.

Phakathi nokuhlolwa kwe-colonoscopy, ochwepheshe bezempilo ubeka i-colonoscope esibindini ukuhlola i-colon yonke.

Phakathi nokuhlolwa kwe-flexible sigmoidoscopy, ochwepheshe bezempilo ubeka i-sigmoidoscope esibindini ukuhlola i-colon ephansi.

Ukuze kuqinisekiswe ukuxilongwa kwe-microscopic colitis, ungase ube nokuhlolwa okukodwa noma ngaphezulu kwalokhu kanye nezinqubo:

• Colonoscopy kanye ne-biopsies. Lolu hlolo luvumela ochwepheshe bakho bezempilo ukubona i-colon yakho yonke usebenzisa i-tube encane, eguquguqukayo, enezibani enenkhamera ehlanganisiwe, ebizwa nge-colonoscope. Ikhamera ithumela izithombe zesibindini sakho ne-colon yonke ku-monitor. Lokhu kuvumela ochwepheshe bakho bezempilo ukubona ukugqoka kwamathumbu.

Ochwepheshe bezempilo bangaphinda babeke izinto ngaphakathi kwe-tube ukuze bathathe isampula yethishu, ebizwa nge-biopsy, ukuze bayifunde ngaphansi komkhiqizo.

• Flexible sigmoidoscopy. Le nqubo ifana ne-colonoscopy. Kodwa kunokubonisa i-colon yonke, i-flexible sigmoidoscopy ivumela ochwepheshe bakho bezempilo ukubona ngaphakathi kwesibindini kanye nengxenye enkulu ye-sigmoid colon. Lokhu cishe yi-mitha engu-1 kuya ku-2 (amasentimitha angu-30 kuya kwangu-60) yamathumbu amakhulu.

Ochwepheshe bezempilo basebenzisa i-tube encane, enezibani, ebizwa nge-sigmoidoscope, ukubuka ukugqoka kwamathumbu. Isampula yethishu ithathiwe ngaphakathi kwe-scope phakathi kokuhlolwa ukuze kufunwe i-microscopic colitis.

Colonoscopy kanye ne-biopsies. Lolu hlolo luvumela ochwepheshe bakho bezempilo ukubona i-colon yakho yonke usebenzisa i-tube encane, eguquguqukayo, enezibani enenkhamera ehlanganisiwe, ebizwa nge-colonoscope. Ikhamera ithumela izithombe zesibindini sakho ne-colon yonke ku-monitor. Lokhu kuvumela ochwepheshe bakho bezempilo ukubona ukugqoka kwamathumbu.

Ochwepheshe bezempilo bangaphinda babeke izinto ngaphakathi kwe-tube ukuze bathathe isampula yethishu, ebizwa nge-biopsy, ukuze bayifunde ngaphansi komkhiqizo.

Flexible sigmoidoscopy. Le nqubo ifana ne-colonoscopy. Kodwa kunokubonisa i-colon yonke, i-flexible sigmoidoscopy ivumela ochwepheshe bakho bezempilo ukubona ngaphakathi kwesibindini kanye nengxenye enkulu ye-sigmoid colon. Lokhu cishe yi-mitha engu-1 kuya ku-2 (amasentimitha angu-30 kuya kwangu-60) yamathumbu amakhulu.

Ochwepheshe bezempilo basebenzisa i-tube encane, enezibani, ebizwa nge-sigmoidoscope, ukubuka ukugqoka kwamathumbu. Isampula yethishu ithathiwe ngaphakathi kwe-scope phakathi kokuhlolwa ukuze kufunwe i-microscopic colitis.

Amathumbu ethishu ngokuvamile abonakala evamile ku-microscopic colitis. Ngakho-ke isampula yethishu ye-colon, ebizwa nge-biopsy, ethathwe phakathi kwe-colonoscopy noma i-flexible sigmoidoscopy idingeka ukuze kuqinisekiswe ukuxilongwa.

Kuwo womabili uhlobo lwe-microscopic colitis, amaseli ethishu ye-colon angabonwa ngaphansi komkhiqizo ukuze kwenziwe ukuxilongwa.

Ngaphandle kwe-colonoscopy noma i-flexible sigmoidoscopy, ungase ube nokuhlolwa okukodwa noma ngaphezulu kwalokhu ukuze kuqothulwe ezinye izimbangela zezimpawu zakho.

• Ukuhlolwa kwesampula yamathambo ukuze kuqothulwe ukutheleleka njengimbangela yokophamba.
• Ukuhlolwa kwegazi ukufuna izimpawu ze-anemia noma i-celiac disease.
• Upper endoscopy nge-biopsy ukuze kuqothulwe i-celiac disease. Ochwepheshe bezempilo basebenzisa i-tube ende, encane enenkhamera ekugcineni ukubuka i-upper digestive tract. Bangase basuse isampula yethishu, ebizwa nge-biopsy, ukuze ifundwe elabhoratri.

I-colitis encane lencane ingase iphulukane yodwa. Kodwa uma izimpawu zinzima noma zingapheli, ungadinga ukwelashwa ukuze uzikhulule. Abachwepheshe bezempilo bavame ukuqala ngokwelashwa okulula kunazo zonke okungenakwenzeka ukuthi kubangele imiphumela emibi. Ukudla nokumisa imithi ethile Ukwelashwa kuvame ukuqala ngokushintsha ukudla kwakho nemithi engasiza ekuqedeni isifo sohudo. Uchwepheshe wakho wezempilo angase aphakamise ukuthi: Udle ukudla okunemafutha amancane, okunefayibha encane. Ukudla okunemafutha amancane futhi okunefayibha encane kungasiza ekuqedeni isifo sohudo isikhathi esifushane. Kodwa leli dli lokudla lingase lingakusizi nge-colitis encane isikhathi eside. Khawufinyeze imikhiqizo yobisi, i-gluten, i-caffeine noshukela. Lezi zinto zokudla zingenza izimpawu zakho zibe zimbi. Yeka ukuthatha noma iyiphi imithi engase ibe yimbangela yezimpawu zakho. Kungase kudingeke ushintshe kwenye imithi ukuze welaphe isimo. Imithi Uma uqhubeka nezimpawu, uchwepheshe wakho wezempilo angase aphakamise: Imithi yokulwa nohudo efana ne-loperamide (Imodium) noma i-bismuth subsalicylate (Pepto-Bismol). Ama-steroids afana ne-budesonide (Entocort EC, Ortikos, abanye). Imithi evikela ama-bile acids, efana ne-cholestyramine / aspartame noma i-cholestyramine (Locholest, Prevalite), noma i-colestipol (Colestid). Imithi ecindezela isimiso sokuvikela umzimba ukuze usize ukunciphisa ukukhuluphala nokucasuka ekholoni, efana ne-mercaptopurine (Purinethol) ne-azathioprine (Azasan, Imuran). Imithi ye-Biologic, efana ne-infliximab (Remicade), i-adalimumab (Humira) noma i-vedolizumab (Entyvio). Lezi zinganciphisa ukukhuluphala nokucasuka ekholoni. Ukuhlinzwa Ngokungaqondakali, uma izimpawu ze-colitis encane zinzima futhi imithi ayisebenzi, uchwepheshe wakho wezempilo angase aphakamise ukuhlinzwa ukususa yonke noma ingxenye yekholoni lakho. Cela i-aphoyintimenti Kukhona inkinga ngolwazi oluvezwe ngezansi bese uthumela kabusha ifomu. Thola ulwazi lwakamuva lwezempilo kusuka eMayo Clinic oluthunyelwe ebhokisini lakho le-imeyili. Bhalisa mahhala bese uthola umhlahlandlela wakho ojulile ngesikhathi. Chofoza lapha ukuze uthole i-imeyili yokubuka kuqala. Ikheli le-imeyili Iphutha Ibhokisi le-imeyili liyadingeka Iphutha Faka ikheli le-imeyili elisebenzayo Ikheli 1 Bhalisa Funda kabanzi ngokusetshenziswa kwe-Mayo Clinic idatha. Ukuze sikunikeze ngolwazi olufanele kakhulu nolusizo, nokuqonda ukuthi yiluphi ulwazi olusizo, singase sihlanganise i-imeyili yakho nolwazi lokusetshenziswa kwewebhusayithi ngolunye ulwazi esinalo ngawe. Uma ungumguli we-Mayo Clinic, lokhu kungafaka ulwazi oluvikelwe lwezempilo. Uma sihlanganisa lolu lwazi ngolwazi lwakho oluvikelwe lwezempilo, sizophatha lonke lolu lwazi njengolwazi oluvikelwe lwezempilo futhi sizosebenzisa noma sizokwembula lolu lwazi njengoba kuchazwe esazisweni sethu semikhuba yobumfihlo. Ungakhetha ukungatholi ukuxhumana nge-imeyili nganoma yisiphi isikhathi ngokuqhafaza isixhumanisi sokuyeka ukubhalisa kwi-imeyili. Siyabonga ngokubhalisa Umhlahlandlela wakho ojulile wezempilo yokugaya ukudla uzoba ebhokisini lakho le-imeyili maduze. Uzophinde uthole ama-imeyili kusuka eMayo Clinic ngezindaba zakamuva zezempilo, ucwaningo, nokunakekelwa. Uma ungawutholi umlayezo wethu we-imeyili ngaphakathi kwemizuzu emi-5, hlola ifolda yakho ye-SPAM, bese uxhumana nathi [email protected]. Uxolo, kukhona okuphuthumayo ngokubhalisa kwakho Sicela uzame futhi ngemizuzu embalwa Yizame futhi