Izvi zvinokonzerwa nokushayikwa kweropa kunopinda mumuviri mukuru
Ischemic colitis ndiyo apo ropa rinoyerera kusvika mumukati mukuru rinoparadzaniswa. Nguva dzose ropa rinoyerera kusvika mumatumbo rinodiwa kuchengetedza nhengo idzodzo huve noutano, uye apo chirwere kana kukuvadza kunokonzera midzi yeropa kudzivirirwa kana kuderedzwa, inogona kukonzera ischemic colitis. Ischemic colitis inogona kuitika chero ipi zvayo asi inonyanya kuonekwa kune vanhu vanopfuura makore makumi matanhatu.
Ischemic colitis inowanzobatwa muchipatara nemigero inotsigira, asi pane dzimwe nguva chirwere chinogona kudiwa. Nguva zhinji, ischemic colitis inowira zvishoma nezvishoma munguva, asi pane dzimwe nguva inogona kutanga pakarepo (ive yakaoma). Yakanaka ischemic colitis ndeyekukurumidzira kwechiremba, ichi chikonzero nei zvakakosha kuona chiremba pakarepo apo kune kurwadziwa kwepamuviri.
Ischemic colitis haina kufanana nechirwere chepachirwere, chimiro chechirwere chinokonzera chirwere (IBD) . "Colitis" ishoko rinoreva kuvhiringidza mukoni, iyo inogona kukonzerwa nekusiyana kwezvirwere nemamiriro. Ischemic colitis, zvisinei, inobatanidza nechirwere chemwoyo, uye kuchengetedza mararamiro ane hutano kuburikidza nezvokudya uye kurovedza muviri kunokosha kuderedza dambudziko. Muzviitiko zvakawanda, ischemic colitis inobatwa zvakanaka uye inogadzirisa mumazuva mashomanana pasina zvinetso. Ischemic colitis haigoni kuitika zvakare uye vanhu vanodzoka zvakanaka.
Zvinokonzera Ischemic Colitis
Kune mishonga mitatu yakakonzera ropa kumatumbo, anonzi mesenteric arteries. Oxygen-rich blood inoda nhengo dzose mumuviri kuitira kuti zviite zvakanaka, uye metenteric mirete ndiyo nzira inopa iyo ropa kumatumbo. Kana aya mabheti ari zvishoma kana kuti akavharidzirwa zvachose kana kuderedzwa, ropa rinopera (iro rinonzi infarction), uye sero rufu rinogona kutanga kuitika mukati mekuru (uye dzimwe nguva duku) mudumbu.
Pane zvikonzero zvishomanana zvakasiyana siyana nei mesenteric arteri inogona kuvharwa:
- Cholesterol yakakwirira : Mishonga yeMesenteric inogona kuvharwa kana pane chivakwa chemukati mukati mavo. Plaque inoumbwa necholesterol, mafuta, mashizha emagetsi, calcium uye fibrin. Apo chidimbu chiri kudzivirira arteriyumu chirwere chinonzi atherosclerosis. Muvanhu vane chirwere chetachiona kana chirwere chemapapiro vascular, atherosclerosis ndiyo inowanzokonzera ischemic colitis.
- Ropa Ropa : Chimwe chinokonzera ischemic colitis ishivha ropa. Apo maplatelet uye mapuroteni e plasma muropa anonamatirana pamwe chete, anogona kugadzira jira iyo yakakura zvakakwana kudzivirira zvose kana chikamu chetari. Ropa rinogona kuitika mushure mekukuvadzwa asi iyo inobatanidzawo dzimwe zvirwere nezvimwe zviitiko uye sechiitiko chakaipa chemamwe mishonga.
- Kuvhiya: Kuvhiya pane ariti kunogona kukonzera kupiswa kwemavara. Mune zvimwe zviitiko, ruvara rwehuni runogona kuitika zvokuti rwakadzivirira mukati memidziyo yeropa.
- Kushandisa zvinodhaka: Zvose cocaine uye methamphetamine zvinosanganiswa ne ischemic colitis. Izvozvo ndezvokuti mishonga iyi inogona kukonzera midzi yeropa kuderedza.
Risk Factors
Zvimwe zvezvipingamupinyi zvinokonzera ischemic colitis zvinosanganisira:
- Anopfuura makore makumi matanhatu
- Congestive heart failure
- Chirwere cheshuga
- Low blood pressure
- Mishonga (kunyange isingawanzoitiki), kusanganisira mishonga inorwisa mabhakitiriya, chemotherapy, mahomoni (estrogen), zvinonzi IBS-related constipation meds, uye pseudoephedrine
- Ongororo yapfuura pane aorta
Zviratidzo zveIschemic Colitis
Kazhinji, chiratidzo icho vanhu vazhinji vane ischemic colitis vane chirwere chisinganzwisisiki, chakaputika semimba. Izvi zvinorwadza zvinogona kuonekwa zvakajeka mushure mekudya uye kunogonawo kunge kune unyoro mudumbu. Muzviitiko zvizhinji marwadzo anononoka, asi kana mabheti akavharizwa ari kurutivi rworudyi rwemuviri, marwadzo angave akaoma. Aya mabheti ane mavara akanaka anoshanda mumatumbo makuru uye mumukati muduku .
Kana pane hutumbu hudiki huchibatana ne-ischemic colitis, mamiriro acho angave anorwadza uye anewo mungozi mukuru wezvinetso zvakakomba.
Ischemic colitis inogonawo kukonzera mabheti eropa, neropa richiri pamwero wekutsvuka kwakajeka kusvika maroon. Nausea, chirwere, kurutsa, fivha, uye zvinokurumidzira, kazhinji zvinoda kushandisa chimbuzi pane zvimwe zviratidzo zvingaitwa ischemic colitis.
Kuongorora Ischemic Colitis
Chiremba anokwanisa kufungidzira ischemic colitis inowanikwa pane zvimwe zvinhu, kusanganisira nhoroondo yekunyatsocherechedza nemigumisiro yemimwe miedzo. Nokuti ischemic colitis inowanzokonzera zvimwe zviratidzo zvakafanana zveBD (iyo miviri mikuru ndiyo Crohn's disease uye ulcerative colitis), kutarisirwa kunofanira kutorwa kusiyanisa pakati pemamiriro aya. Mune zvimwe zviitiko, kuongororwa kwe ischemic colitis kunogona kuva kwakaoma nekuti zviratidzo zvakafanana nezvimwe zvezviitiko.
Mimwe miedzo inogona kushandiswa panzira yekuita chirwere ichi inosanganisira:
- Colonoscopy : A colonoscopy isu test apo tubhuti ine chiedza kumagumo inowanikwa mu anus kuti ione mukati memukati makuru.
- Computed tomography (CT) scan : A CT scan ndorudzi rwe x-ray runoshandiswa kuona maviri uye nhengo mumimba.
- Mesenteric angiogram: Pakati pomuedzo uyu, dhayi yakasiyana inowanikwa mune rimwe remamerica yemesenteric, kuburikidza nenzvimbo yekumera. X-ray dzinotorwa kuitira kuti dzione mukati meyeri.
- Nhengo yeropa rega rega (WBC) inotarisa : Mucherecheche weropa rega rega rakapfuura rinowanzoreva kuti kune kuputika mumuviri kunogona kusanganiswa ne ischemic colitis.
Kurapa Ischemic Colitis
Therapy ye ischemic colitis ichaenderana nekuoma kwechiitiko chacho, nehosha yakaoma inoda zvirwere zvakanyanya. Mumamiriro ezvinhu apo mamiriro acho anonzi ari munyoro, kurapwa kunogona kuve nedzimwe remishonga inorwisa mabhakitiriya, kudya kwemanzi, mvura inopisa, uye kurwadziwa kwekutambudzika. Kana iyo ischemic colitis inowanikwa ichibva kune imwe mamiriro ezvinhu, iyo mamiriro ezvinhu aripo achadawo kurapwa. Mamwe makirasi emishonga anoshandiswa kurapa migraines kana chirwere chemwoyo anogona kukonzera midzi yeropa uye inogona kuregererwa kwechinguva. Mune mamiriro akaoma aya, iyo ischemic colitis inogona kugadzirisa mumazuva mashoma.
Mune zvimwe, zviitiko zvakanyanya, mishonga yakadai seyo inoparadza ropa (thrombolytics) uye kuwedzera arteri (vasodilators) inogona kushandiswa. Kana chirwere chisina kuchenesa, kuvhiyiwa kubvisa kuvhara ndeimwe nzira inogona kurapa, asi izvi zvinowanzoitwa mushure mokunge dzimwe mishonga isingashandisi. Kana pane chirwere (gomba) mumakoloni, kana chikamu chiduku (kugadziriswa) , chirwere chinogona kudiwa kuti chigadzirise matambudziko aya. Kana pane mhuka mukoni yakafa, chirwere chichaitwa kubvisa chikamu chemuviri ( resection ).
Shoko Rinobva
Ischemic colitis inonzwika kunetseka asi yakawanda mamiriro ekugadzirisa mumazuva mashomanana pasina kushungurudzwa. Mamwe maitiro akaoma angada kuvhiyiwa asi vanhu vazhinji vanodzoka zvakanaka pasina zvinetso. Chero nguva apo pane kuchinja mumararamiro, kufanana nekuenda kunzvimbo yekugezera kazhinji kana kudarika nguva, inofanira kukurukurwa nachiremba. Ropa muhombodo kana kurwadziwa mumimba, iyo ndiyo inonzi ischemic colitis inowanzotanga, inofanira kugara ichikurudzira kushanyira kuchiremba kuti ione chiri kukonzera zviratidzo izvi.
> Sources:
> Beck DE, de Aguilar-Nascimento JE. "Surgical Surgical and Outcome in Acute Ischemic Colitis." Ochsner J. 2011; 11: 282-285.
> Rania H, Mériam S, Rym E, Hyafa R, Amine A, Najet BH, Lassad G, Mohamed TK. "Ischemic colitis muzvikamu zvishanu: an update 2013." Tunis Med 2014; 92: 299-303.