Zviratidzo, Zvinokonzera, uye Zvirwere zveHole muColon
Chii chinonzi chivako chemafuro kana gomba mumakoroni ako uye chii chinoratidza zviratidzo? Ndiani ari pangozi? Uye sei kupererwa kunobatwa?
Overview
Huru yako inoumbwa nematanda emisero yakanyorova uye mucous membrane. Iko mukati-kati, iyo inonzi mucosa, inononoka uye inonamatira-yakafanana nemashizha mumuromo mako. Dumbu rinoshanduka rinowanikwa apo gomba rinogadzirwa mumucheka uyu, kazhinji sechikonzero chekuvhiyiwa kwekoni kana chirwere chakakomba chirwere.
Iko mukati mekoni zvino inobvumira zviri mukati mekoloni kuti zvipinde mukati maro kazhinji isina mbeu mukati memimba yako yemimba.
Zviratidzo
Zviratidzo zvehutachiona hunosiyana uye zvinogona kuuya zvishoma nezvishoma kana zvichikurumidza zvichienderana nechinokonzera chinokonzera. Zviratidzo zvinogona kusanganisira:
- Zvinorwadza mumimba (kazhinji zvakanyanya uye zvakapararira)
- Kubata pamuviri kwakanyanya
- Bloating
- Nausea uye kurutsa
- Kushandura mumakumbo ako kana maitiro.
- Rectal bleeding
- Fever (kazhinji haisi pakarepo)
- Chills
- Kuneta
Risk Factors
Masayendisiti akawana kuti zvimwe zvinhu zvinogona kuwedzera mungozi yako yekuvandudza maronda. Izvi zvinosanganisira zvinhu zvose zvinosanganisira mukuvhiya kana nzira (iatrogenic zvinokonzera) uye zvirwere zvemuviri zvinoratidzwa nekuputika. Njodzi dzinogona kusanganisira:
- Munguva pfupi kana yapfuura pamimba.
- Munguva pfupi yapfuura kana kupererwa kweplavic.
- Zera rakapfuura 75.
- Nhoroondo yematambudziko akawanda ezvehutano.
- Kutambudza kumadziro kana mapepa (zvakadai semukana wekutokisa motokari.)
- Nhoroondo yezvirwere zvakasiyana .
- Nhoroondo yehuputi hwechirwere chirwere .
- Kanononi yeColon
- Kushandiswa kwe monoclonal antibody immunotherapy drug liplimumab.
- Kupindira kwepelvic (zvisikwa zvitsvuku, kazhinji zvakabatana nekuvhiya kwekare.)
- Chikadzi chevakadzi (vakadzi vanowanzove nehana yakawanda yakawanda, iyo inogona kutungamirira kukurumidza kuitika panguva yekurapa, kusanganisira colonoscopy.)
- Kuongororwa uye kuporesa kunosanganisira chikamu chekudya, mimba, kana mapepa. Zvimwe zvinokonzerwa nehutachiona panguva yekolonoscopy zvinosanganisira kuva vakadzi, vakwegura, nhoroondo yezvirwere zvekusiyana siyana, uye zvirwere zvekudzivirira.
Zvinokonzera
Nhengo dzemaviri dzinogona kungoerekana dzaitika (zvisatarisirwe) zvichienderana nechirwere chetano kana kuti pane chikonzero chekusiyana kwekuongororwa nekuvhiya izvo zvinokonzera kupisa muhombe. Kutambudza, kunyanya kushungurudzika kunokonzera kumimba, kunokonzerawo chikonzero chinokosha chemuviri wehutachiona.
Nzira dzinobatanidza zvinokonzera dzinosanganisira:
- Enema - Iyo isina kukanganisa kana yakasimba inonzi rectal tube ye enema inogona kubvarura kana kupfuurira kuburikidza nekamboni yakagadzirwa.
- Kugadziriswa kwegumbo kwekolonoscopy - Kazhinji, kugovera ganda kwekolonoscopy kunogona kuguma nekugadzirisa. Izvi zvinowanzozivikanwa kune vanhu vane nhoroondo yekuzvimba.
- Sigmoidoscopy - Kunyange zvazvo endoscope ye sigmoidoscopy inogadziriswa inogadziriswa, kupereta kunoramba kuri njodzi, asi inowanikwa.
- Colonoscopy - Chidimbu che endoscope chinogona kukwira mukati mekumusoro kwemukati wekoloni, kunyange ichi ndicho chirevo chisingawanzwisisiki chekuita uye hachionekwi mumakolonoscopy chaiyo . Kuoma kwemafupa akabatanidzwa nekolonoscopy yakajairika kune avo vane chirwere chakakomba chechirwere pamwe chete nevaya vari pamishonga ye steroid. Nhamba yekolonoscopy perforation inoratidzika kuva yepamusoro 1 pa1400 vanhu vane kuongorora colonoscopies uye 1 pavanhu 1000 vanove nekodonoscopy yerapi (somuenzaniso, kubvisa papepuru.)
- Kuvhima kwepamuviri kana mapirvic, kunyanya kuvhiyiwa kwekoni kune kenza yekolone.
Zvinokonzerwa nehutachiona hwekudzivirira hutachiona (izvo zvisingaenderani nekuvhiya kana maitiro) zvinosanganisira:
- Utachiona hwechirwere chetachiona / chirwere chakaita seCrohn's disease uye ulcerative colitis. Nengozi yehupenyu hwehutachiona hwechirwere nehutachiona hweCrohn huri pakati pe1 ne3%, zvichiita izvi zvikonzero zvinowanzoitika.
- Kuchengetedza kwakanyanya kwemuviri, kunyanya kana iyo koni "isina simba" neropa reticticular, imwe nzira, kana kenza.
- Trauma.
- Chirwere cheIschemic mafupa (apo ropa rinopihwa kune colon rinoshandiswa.)
- Kanononi yeColon.
- Mutumbi wekune imwe nyika unopisa - Kazhinji kazhinji nekuda kwekugoverwa kwemapfupa ehove, uye mapfupa emapfupa, pamwe chete nezvinhu zvisiri zvekudya.
- Kunyanya kubatwa kwemvere.
Kuziva
Kana chiremba wako achifungira chikwata chemafuro, anogona kukwanisa kuongorora miedzo kuti ave nechokwadi chekufungira kwake. Rimwe raini-ray rinogona kuratidza gasi kunze kwekoni asi haisiwanzo kuongororwa. A CT scan yemumbu yako kana kuti pasina kusiyana kana bhayoum enema kana kumedza ingada kudiwa. Ropa rakazara nhamba rinogona kuratidza kukwirira kweropa rako rekuyera ropa kana kuora kwemaawa kwave kuripo kwechinguva, kana uchapupu hwekushaya ropa kwehupenyu nekuda kwekubuda ropa. Zvishoma zvishoma zvingatora zvidzidzo zvenguva yakawanda uye nguva yekufungisisa zvakarurama.
Kurapa
Kushanda kwemuviri kunotorwa sechirwere chekukurumidzira uye kunoda kurapwa nokukurumidza. Kubva kusina kutorwa, zviri mukati memuviri zvinogona kubuda uye zvinokonzera kutuka, hutachiona uye kunyange zviputi mumimba yako. Zita rekugadzirwa kweizvi ndir peritonitis, iyo inotambudza inopfutira kune chepisi-kana kuti muviri wose.
Ruzhinji rwezvinyorwa zvinokonzerwa nekugadzirwa. Zvichienderana nenzvimbo uye ukuru hwekubvarura, chiremba angagona kugadzirisa kuburikidza ne endoscope, yakafanana neye inoshandiswa panguva yekolonoscopy-asi iyi haisi yega yega yega. Kuvhura kuvhara maronda kunogona kuita kana kuti hakugone kuitika mune stoma uye colostomy : kuzarura kwemukati kunze kwemuviri wako umo gumbo rinopinda muhomwe duku kusvikira chirwere ichi chaporeswa.
Matambudziko
Zvinetso zvekuregererwa kwekutadza kunogona kusanganisira:
- Bleeding
- Utachiona (peritonitis uye sepsis)
- Rufu
Matambudziko anoenderana nehutano hwehutano hwomunhu, pamwe nekuwanda kwenguva yakatora kuti aongorore uye aite chirwere chacho.
Kudzorera
Munguva yako yekudzikinura pakutanga, hauzokwanisi kunwa kana kudya chero chinhu nemuromo. Iko kunonzi kuzorora matumbu uye kunobvumira mukati memicheka yekupora nguva yekuporesa zvakanaka. Iwe uchange uine nasogastric tube munzvimbo kuti ubudise zviri mukati memimba yako kwechinguva. Iwe unogona kugamuchira mishonga inorwisa mabhakitiriya uye kudya kunovaka muviri kwemazuva mashomanana kana uri muchipatara. Kunyangwe iwe unogona kunge uchizvidya mwoyo kudzokera kune zvaunogara uchiita, zvakakosha kuti iwe upe nguva yako yekoloni kuporesa zvakanaka , uye tevera mirairo yachiremba wako.
The Bottom Line
Chirwere chinokambaira chinogona kuitika pakarepo, zvakadai sechirwere chechirwere, kana panguva yekuvhiyiwa kana kuongororwa. Zviratidzo zvinogona kuuya nokukurumidza, kana kuti zvishoma nezvishoma, uye zvinofanira kutaridzirwa kune ani zvake ane zvipingamupinyi zvinokonzerwa nekugadziriswa pamwe chete nezvinokonzerwa nezviitiko zvechiitiko chacho.
Kana yakabatwa mangwanani, kune maitiro akasiyana-siyana okurapa anowanika, asi kunyange nekuvhiyiwa (iyo inonyanya kudiwa) gumbo rinogona kuchengetedzwa nekugadzirwa pasina colostomy. Kudzorera kunogona kutora nguva, zvose pakuporesa, uye kugadzirisa uye kuisa pangozi zvinhu zvakakonzera kupera.
> Sources
- > Holmer, C., Mallmann, C., Musch, M., Kreis, M., uye J. Grone. Kugadziriswa Kutungamirirwa kweIatrogenic Perforation yeGastrointestinal Tract: Makore gumi Nemakore Anowanikwa mune imwechete. World Journal of Surgery . 2017 Mar 21. (Epub mberi kwekudhinda).
- > Kim, J., Lee, H, Ye, B. uye al. Kuwedzera kwezviitiko uye njodzi dzeKuvirira Kwemapfupa Akasununguka muvarwere vane Crohn's Disease. Digestive Diseases and Sciences . 2017. 62 (6): 1607-1614.
- > Kothari, K., Friedman, B., Grimaldi, G., uye J. Hines. Nontraumatic Large Bowel Perforation: Spectrum ye Etiologies uye CT Zvitsva. Abdominal Radiology . 2017 May 10. (Epub mberi kwekudhinda).
- > Yamauchi, A., Kudo, S., Mori, Y. et al. Kudzokorora Kuongororwa Kwekudzivirira Kwemakumbo Makuru kana Kukonzera Kunokonzerwa Nokugadzirira Mumuviri weColonoscopy. Endoscopy International Open . 2017. 5 (6): E471-E476.