Collagenous Colitis Uye Lymphocytic Colitis Haisati Yakabatana neBDD
Microscopic colitis ndeyechokwadi mamiriro maviri akafanana asi akaparadzana: collagenous colitis uye lymphocytic colitis. Kunyange zvazvo vane "colitis" muzita ravo, izvi zvinenge zvisingaenderani nechirwere chinonzi ulcerative colitis kana chirwere cheCrohn (pamwe chete inozivikanwa sechiremara chechirwere chirwere, kana IBD ).
Vanhu vari mumakore avo makumi mashanu ndeyeboka rinowanzoonekwa kuti rine collagenous colitis.
Mamiriro acho anotora kuchinja vamwe vakadzi kupfuura varume. Ivhareji yemakore ekutanga kwe lymphocytic colitis iri mumakore ekuma60, uye vakadzi vanoita sevanowanikwa zvishoma nezvishoma kupfuura varume.
Microscopic colitis haisati yakanyatsotsvakurudzwa, naizvozvo haisati yazivikanwa pamusoro pekuti yakawanda sei. Kunyange zvazvo zviratidzo zvingave zvinotambudza, ichi chiitiko chinoporesa zvikuru, uye dzimwe nguva chinogadzirisa pachako pachako.
Zvinokonzera Microscopic Colitis
Chinokonzera microscopic colitis ikozvino hachizivikanwe (iyo chirwere chinonzi idiopathic ). Imwe nyanzvi ndeyokuti kushandiswa kwevasina-steroidal-anti-inflammatory drugs (NSAIDs, yakadai se ibuprofen) inogona kuita kuti kuve nekukura kwechirwere chetachiona. Imwe nyanzvi ndeyekuti microscopic colitis inokonzerwa nemhinduro yekuzvidzivirira , apo muviri wechirwere chemuviri unorwisa mamwe maviri mumutumbi.
Inofungidzirwawo kuti mabhakitiriya kana mavairasi anogona kuita basa mukuvandudzika kwechirwere chetachiona.
Kubva ikozvino, hukama chaihwo uye nzira yezvikonzero izvi hazvizivikanwi.
Zviratidzo uye Zviratidzo zveSikrasi Chikoro
Zviratidzo zvinoratidza kukura kwechirwere chinokonzera mahara zvinogara zvisingaverengeki, mvura yeropa, dzimwe nguva inoperekedzwa nemakumbo nemarwadzo emimba. Iyo chirwere chinogona kubva kubva pakuenderera mberi uye chakaoma kusvika mukati memazuva ese.
Ropa muhombodo , iro chiratidzo chinowanzoonekwa chealcerative colitis, hachisi chiratidzo chekukura kwechirwere.
Dzimwe zviratidzo zvinogona kusanganisira fivha, kurwadziwa pamwe chete, uye kuneta. Zviratidzo izvi zvinogona kuva mugumisiro wekuvhiringidza kwechirongwa icho chikamu chema autoimmune kana chirwere chemuviri chemuviri.
Kuongororwa kwe Microscopic Colitis
Mune microscopic colitis, iyo koni inowanzoonekwa yakajairika paonekwa. Saka, colonoscopy kana sigmoidoscopy inogona kusaratidza humwe humwe hutano hwehutano. Mune vamwe varwere kunogona kunge kune nzvimbo dzekudzivirira kana kubwinya mumutombo, asi izvi zvingave zvakaoma kuona.
Nekuita kuti aongororwe, huwandu hwebiopsies hunofanirwa kutorwa kubva pakoloni munguva yekolonoscopy. Izvi zvinyorwa zvingave zvakanaka zvichibva munzvimbo dzakasiyana dziri mumakoloni. Zviratidzo zvinoratidzika zvechirwere zvinogona kuonekwa zvinyorwa zvinyorwa zvechiviyasi, naizvozvo zita re "microscopic" colitis.
Collagen isiri iyo inowanzo iri pasi pechigadziko chekoloni. Mu collagenous colitis, biopsy tissue inoratidza kukura kudarika zviyero zvakazara zvegorogen pasi peganda rekoroni. Bhiopsy inogona kuratidzawo kuwanda kwenhamba ye lymphocyte - rudzi rwe white white cell.
Mu lymphocytic colitis, kuongororwa kwebiopsy kucharatidza kuwedzerwa kwenhamba ye lymphocytes mumutumbi wekoloni.
Kusavapo kwekorgeni muzvinyorwa zvebiopsy ndeimwe chiratidzo chinoratidza kuti chirwere chacho chinonzi lymphocytic colitis uye kwete chegogenite colitis.
Mushonga We Microscopic Colitis
Zvimwe zviitiko zve microscopic colitis zvinogona kugadzirisa pachavo pachazvo, pasina humwe mushonga chaiwo. Kune zviitiko zvinoda kurapwa mune zvekurapa, mushonga unogona kutanga uchitanga nekuwedzerwa kwefibibatsiri kuwedzera kune kudya. Zvirwere zvinowedzera zvinosanganisira psyllium, methylcellulose, kana polycarbophil, iyo inogona kutengwa pane-the-counter muzvigadzirwa zvezvinodhaka. Nemhaka yekuti chiratidzo chakakura chechidiki chepachirwere chirwere chisingaperi, chirwere chinogonawo kusanganisira mishonga inorwisa-diarrheal yakafanana neloperamide kana diphenoxylate .
Kune mamwe maitiro akaoma e-microscopic colitis, antibiotics kana mishonga inorwisa-kupisa inogonawo kugadzirirwa. Zvizhinji zve-anti-inflammatories zvinoshandiswa kuti zvinyoronyoro zvirwere zvakangofanana neaya anoshandiswa kuronga IBD: mesalamine , sulfasalazine, uye budesonide . Corticosteroids yakadai sa prednisone inogonawo kushandiswa, kurapa microscopic colitis, nechinangwa chokurega kushandiswa kwayo pakarepo apo zviratidzo zviri pasi pesimba.
Sources:
Crohn's uye Colitis Foundation yeAmerica. "Microscopic uye ischemic colitis." Crohn's uye Colitis Foundation yeAmerica. 22 Svondo 2005.
The National Digestive Diseases Information Clearinghouse. "Collagenous Colitis uye Lymphocytic Colitis." The National Digestive Diseases Information Clearinghouse. January 2006.