Zvichida sechirwere chechirwere chinokonzera chirwere (IBD), ulcerative colitis inomira-mediated condition iyo inonyanya kukanganisa chirwere chekudya, asi kazhinji inewo hunoita kune dzimwe nhengo dzomuviri. Izvozvo zvinogona kukonzera zviratidzo zvekuda ropa, maronda emimba, uye kudiwa kunokurumidza kubvisa ura. Zviratidzo zvinogona kufamba panguva dzekuregererwa uye zvirwere zvinoshanda.
Zviratidzo zvinogona kusiyana kubva kune munhu kumunhu, izvo zvinogona kuongororwa uye kurapwa zvinonetsa, asi kune vashomanana vanofunga kuti vane chirwere.
Zviratidzo Zvakare
Zviratidzo nezviratidzo zve ulcerative colitis zvinogona kusiyana zvishoma zvichienderana nesiteji uye nzvimbo yechirwere, asi inowanzosanganisira inogona kusanganisira:
- Zvironda (masango) mumucheka wemukumbo mukuru
- Ropa ropa
- Maviri emimba uye makumbo
- Diarrhea
- Kudiwa kwekukurumidzira kuti uve nechikwata chemuviri (tenesmus)
- Fever
- Kufirwa kwechido
- Mucus in the stool
Ulcerative colitis chirwere chinofambira mberi. Kuonda kunotanga muchikamu chekupedzisira chemukati mamukumbo, iyo inonzi chiratidzo che sigmoid, uye inogona kupararira kuburikidza nezvose zvekoloni. Zviratidzo nezviratidzo zvingave zvakasiyana zvichienderana nehuwandu hwemukati hunove hunovhiringidzwa nekuputika.
Mhando dzakasiyana dzealcerative colitis uye zviratidzo zvavo zvinowanzosanganisira:
- Ulcerative proctitis: Kurwisana kunowanikwa mumharayi , zvichikonzera chirwere, chirwere chinopa ropa, kurwadziwa kwemawere, uye kudiwa nokukurumidza kutamisa matumbo (tenesmus).
- Proctosigmoiditis: Kukuvadzwa kunowanikwa mumakona uye sigmoid colon, zvichikonzera chirwere, chirwere chinopisa ropa, kurwadziwa kunorwadza, kukurumidza, uye kurwadziwa kurutivi rworuboshwe rwemuviri.
- Kuruboshwe-rutivi rwehutachiite (uyewo zvishoma kana kuti zvinokonzera chirwere): Kuputika kune rumwe rutivi rworuboshwe rwekoloni (rectum, sigmoid colon, kuburuka kwekoni) zvichiita kubuda, zvirwere zvinopa ropa, kuora muviri, kurasikirwa kwechido, uye dzimwe nguva kurwadziwa kwakanyanya kuruboshwe .
- Pancolitis: Kuvhiringidza mukati mekoloni yose, zvichikonzera marwere, makumbo, kurasikirwa kukuru, uye kurwadziwa kwepamuviri.
Matambudziko
Ulcerative colitis inobatanidza nezvinetso zvose mukati mekudya kwekudya uye kunze kwegadziriro yezvokudya (izvo zvinonzi kudarika-mumimba zviratidzo).
Zvinetso zvepamuviri zvinogona kusanganisira:
- Bowel perforation. Iko hovha mumakoroni iyo inenge iine chirwere chinokurumidzira chinogona kukonzera kubuda ropa kwakanyanya uye kurwadziwa mumimba. Izvi zvinowanzoshamisa kune vanhu vane chironda chekurara.
- Fissure. Chinhu chinokanganisa ishungu inowanikwa muchigadziko chemvura inoyerera inogona kukonzera kubuda uye kurwadziwa asi kazhinji inorapwa kumba.
- Mexicacon inotyisa. Chinhu chisingawanzoiti chinokonzera kukanganiswa kwakanyanya kwekoloni, megacolon inotyisa isinganzwisisiki chinoda kurapwa nekukurumidza.
Zvimwe zvinetso zvepamuviri zvinogona kusanganisira:
- Kukurira kuderera kwevana. Imwe mishonga yakwegura yakashandiswa kurapa chironda chekuonda uye chirwere chisina kuwanika chinokonzerwa nechirwere chinogona kuita kuti pave nematambudziko ekukura .
- Zvirwere zveziso. Mamwe maziso eziso, kusanganisira uveitis , glaucoma , keratopathy, episcleritis , uye maziso akaoma, anosangana nealcerative colitis kana kuti kurapwa kwechirwere.
- Arthritis. Izvo zvakanyanya pane zvakabuda mumatumbo, maitiro akasiyana-siyana eArthritis anogona kuitika kune vanhu vane ulcerative colitis, kusanganisira piriprital arthritis, axial arthritis, rheumatoid arthritis, uye ankylosing spondylitis .
- Ganda mamiriro. Erythema nodosum uye pyoderma gangrenosum zvinhu zvinowanzoitika zvinowanzoitika kune vanhu vane IBD. Psoriasis , imwe mamiriro ekudzivirira zvirwere, inowanzoonekwawo kune vanhu vane IBD.
- Mouth ulcers. Uyewo inonzi aphthous stomatitis , izvi zviputi mumucheka wemuromo zvinogona kuitika pamwe nealcerative colitis flare-up.
- Zviratidzo panguva yekuenda kumwedzi. Vamwe vakadzi vane IBD vanoona kuti pre-menstrual syndrome (PMS) inoitika mumazuva anotungamirira kusvika panguva yavo inounza zvirwere zvakawanda uye marwadzo.
Nguva Yokuona Chiremba
Kune vanhu vane ulcerative colitis, zvinogona kuva zvakaoma kuziva kuti zviratidzo zvipi zvinoitika, izvo zvinofanira kuita kuti kudanirwa kune gastroenterologist , uye izvo zvinogona kumirira.
Mushure mokuita zvakanaka uye mune zvishomanana kana zvisina zviratidzo, apo zviratidzo ( matambudziko ekurara , zvirwere, zvirwere zvinouraya, fever, kuora kurasika) kutanga zvakare, chikonzero chokudana chiremba uye kuongororwa nokuda kwekukanganisa. Zvinogona kudii kuchinja marapirwo kana kugadzirisa chirongwa chazvino chekuchengeta kuitira kuti chero upfumi huve pasi pekutonga nokukurumidza.
Kazhinji, zviratidzo zvakadai sekurwadziwa kwepamuviri, kubuda ropa zvakanyanya, uye zviratidzo zvekudzikisa mvura (mitsipa yemakumbo, kuderera kwemuti, kuchena-musoro) chikonzero chokutsvaga kurapwa pakarepo. Kana zvichibvira, kudana gastroenterologist vasati vauya kuchipatara kunogona kubatsira pakusarudza kuti kutarisirwa kwakadini kunodiwa.
Zvisinei, kana kurapwa kuchidikanwa pakarepo, kuenda kune dhipatimendi rinokurumidza kunogona kuva sarudzo yakanakisisa. Kana chirwere chakakomba chakadai sechirwere chekudzivirira kana megacolon chinonyangadza, zvinogona kudikanwa kudana 911, nokuti izvi ndezvekukurumidzira kwehutano.
> Sources:
> Crohn's & Colitis Foundation. "Arthritis." CrohnsColitisFoundation.org 2 May 2005.
> Crohn's & Colitis Foundation. "Matambudziko Eziso muBD." CrohnsColitisFoundation.org. 1 Mbudzi 2012.
> Health Information Center. "Ulcerative Colitis." National Institute of Diabetes uye Digestive uye Kidney Diseases Sept. 2014.