Ropa uye chigaro chechigaro, x-rays, uye endoscopic nzira dzinowanzoshandiswa
Kana chirwere chinoputika chirwere (IBD) chinenge chichifungidzirwa zvichibva pane zviratidzo uye nhoroondo, ruongedzo rwezvidzidzo zvinogona kushandiswa kusimbisa kuongororwa. Mune mamwe mamiriro ezvinhu, IBD inogona kunge ichifungidzirwa, asi zvimwe zvinokonzera zviratidzo zvinofanira kutorwa kunze kwekutanga kuburikidza nekuongororwa maedzo. Mune zvimwe zviitiko apo IBD ndiyo kushanda kuongorora, zvingava zvakaoma kusiyanisa maitiro eBD (kana Crohn's disease kana ulcerative colitis) iripo.
Mimwe miedzo, kana kurinda kumirira, inogona kushandiswa kubatsira kusiyanisa maitiro eBDD.
IBD Symptoms
Nzira yekutanga yekuita kuti uongororwe neBD inowanzoratidza zviratidzo:
- Kuramba kusingagumi
- Ropa uye / kana mukoko muchitsiko (chinowanzosangana nechirwere chepachirwere chinonzi Crohn's disease)
- Fever
- Zvinorwadza mumimba
Zvisinei, zvimwe zvezviratidzo izvi zvinogona kunge zviripo nehutachiona hwehutachiona, diverticulitis , chirwere chechiliac , kenza yekoloni , kana zvimwe zvisiri zvishoma. Nezvo izvi mupfungwa, IBD ingasave iyo inonyanya kuora mwoyo iyo gastroenterologist ine muzvinyorwa zvake zvekusiyanisa zvirwere (urongwa hwezvirwere zvinogona kukodzera zviratidzo).
Dambudziko reRopa
Matambudziko okutanga anogona kuitwa ndeye kuongorora ropa uye chigadziko chechigaro, kusanganisira:
- Nhamba yeCBC inogona kuisa cheki ye white white cell (WBC) uye nhamba yeropa tsvuku (RBC) yakaverengwa . A high WBC count ingava chiratidzo chokuti kune kuvimba pane imwe nzvimbo mumuviri. A low RBC count inogona kuva chiratidzo chokuti kunobuda ropa pane imwe nzvimbo mumuviri (kana zvisingaoneki kubva kune ropa rinowanikwa muzvigaro) kana kuratidza kuti ropa rakawanda rakarasikirwa sei kana richienzaniswa nekutanga RBC count count.
- Rimwe jira re electrolyte rinoyera yezinga sodium, potassium, chloride, uye carbon dioxide mumuviri. Kurora kwekupera kunogona kuita kuti idzi electrolytes dzisvike pamatauriro akawandisa.
- Liver function tests (LFTs) chienzanisa alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), albumin, mapuroteni ose, uye zvizere uye zvakananga bilirubin mazinga. Maitiro asina kunaka anogona kukonzerwa nekushaya zvokudya zvinovaka muviri nokuti gumbo remuviri haritori mishonga sezvinofanira.
- Kuongorora kweropa rezvekuita zvemhepo (iro rinonziwo stool guaiac kana hemoccult test) rinoshandiswa kuongorora kumira kwemaitiro eropa risingagoni kuonekwa neziso risina kusimba. Chifukidzo chinogona kuongororwa nekuvapo kwehutachiona hunogona kukonzera zviratidzo.
Endoscopy uye Mimwe Miedzo
A gastroenterologist angamirira mhinduro dzezviedzo izvi vasati vaenderera kune dzimwe mimwe miedzo yakadai sedhiology (X-rays) kana endoscopic nzira (colonoscopy kana sigmoidoscopy). Kana zviratidzo izvi zvakanyanya, uye murwere ari mukutambudzika kana kurwara zvakakomba, gastroenterologist haigone kumirira asati atanga mimwe miedzo, kusanganisira:
- X-ray inokurumidzira, inodhura, isina-invasive, uye X-ray yemuviri inogona kuratidza kana chifukidzo chakaomeswa, chichidzivirirwa, kana kuti chinoputika.
- Barium enema (iyo inonziwo yakaderera masheji) yakasiyana-siyana yeX-ray iyo inoshandisa barium sulphate nemhepo kuti inoratidze bhandi re rectum nekoloni. Zvigumisiro zvinogona kuratidza mapepa, matumire, kana kuti diverticulosis.
- An upper gastrointestinal (upper GI) yakatsetseka rudzi rwema X-rays anoshandiswa kuongorora sophagus, dumbu, uye duodenum (chikamu chekutanga chemukati mudumbu). Dzimwe nguva inoshandiswa kuongorora musikana muduku.
- A sigmoidoscopy inzira yekupedzisira inoshandiswa kuongorora chetatu chekupedzisira chemutsipa mukuru, iyo inosanganisira rectum uye sigmoid colon. Uyu muedzo unogona kushandiswa kuongororwa nekenza, kuwedzera kusina kunaka (polyps), kuputika, uye ulonda .
- A colonoscopy ndeyekupedzisira yekugadzirisa nzira inoshandiswa kuongorora mukati memakoloni inogona kupfuura nharaunda iyo sigmoidoscopy inogona kusvika. A colonoscopy inobatsira pakucherechedza kenza yekoloni, ulcers, kuvhunika, uye mamwe matambudziko mumakoloni. Nyuchi dzinogonawo kutorwa panguva yekolonoscopy uye dzinoongororwa kuti dzive nehanya pakuita kuti uongororwe.
- Imwe endoscopy yepamusoro inoshandiswa kuona mukati memo, dumbu, uye duodenum (chikamu chokutanga chemukati mudumbu). Inogona kushandiswa kuwana nzvimbo yekugadzirisa matambudziko, kushungurudza, kusuruvara, kurwisa, kubuda ropa, indigestion, kurwadziwa mumimba, kana kurwadziwa kwepfupa.
Zvichienderana nezviratidzo uye nechokufungidzirwa chinokonzera dambudziko, kusanganiswa kwezviedzo izvi zvingave zvarairwa.
Chiyero chega chega chinobatsira uye hachina kukanganisa, uye chiremba achashandisa ruzivo rwakakonzerwa kubva munhoroondo yemurwere (zvakadai sekuoma uye nguva yezviratidzo uye nhoroondo yemhuri ) kurongedza zviedzo zvichazobudirira pakugadzira chikonzero chezviratidzo. Mhinduro dzekuedza ivo pachavo dzichaongororwa kuti dzione kana dzichienderana nekutsvaga kwechimiro cheBD, kana kana pane imwe chikonzero chezviratidzo.
Tsananguro Inobva
Mune zvimwe zviitiko, zvinogona kutora nguva kuti uwane chirwere cheBD. Kuongororwa kunowedzera nokukurumidza sezvo zvishandiso zvinoshandiswa kuongororwa neBD zviri kuwedzera uye varwere uye vanachiremba vava kunyanya kuziva nezvekupararira kwezvirwere izvi. Kune vanhu vanonzwa zvakasimba sokunge kuti IBD inogona, kuona bhizinesi yeBD ingave ndiyo nzira yakanakisisa yekugadzirisa kuongororwa kwakakodzera. Izvi zvinogona kureva kuenda kundoona chiremba pane imwe nzvimbo yeBD uye zvichida, kubhadhara kunze kwehomwe. Hapana chimwe chezvinhu izvi chinodikanwa, asi kuwana chirongwa chakakodzera munguva yakakodzera kuitira kuti mushonga unogona kutanga unokosha mukushanda kwakanaka kweBDD.
Sources :
Velayos F, Mahadevan, U. "Maitiro eBD Anozivikanwa sei." Crohn's uye Colitis Foundation yeAmerica 2008. 09 Apr 2008.
Cleveland Clinic. "Chirwere chechiremera chechirwere." ClevelandClinic.org 2008. 09 Apr 2008.
Kurambana kweGastroenterology. "Nezve IBD" University of California, San Diego 2006. 09 Apr 2008.