Colitis

Zoo Siab

• Cov hom mob plab thiab lawv cov ua rau
• Kev mob caj dab
• Pseudomembranous mob plab
• Ischemic mob plab
• Kab mob kasmoos
• Mob ua xua rau cov menyuam mos
• Lwm yam ua rau
• Tus uas muaj feem yuav ua mob ncauj plab
• Cov tsos mob ntawm colitis
• Thaum mus ntsib kws kho mob
• Kev kuaj mob colitis
• Kho cov mob plab
• Plab nyoos so
• Cov tshuaj noj
• Kev phais mob
• Outlook

Txheej txheem cej luam

Mob caj dab yog o ntawm koj txoj hnyuv, tseem hu ua koj txoj hnyuv loj. Yog tias koj mob plab, koj yuav hnov ​​mob plab thiab mob hauv koj lub plab uas tej zaum yuav mob sib khuav xwb thiab mus ntev loo, lossis mob heev thiab tshwm sim sai.

Muaj ntau hom kab mob sib txawv, thiab kev kho mob mas sib txawv raws li koj muaj hom dab tsi.

Cov hom mob plab thiab lawv cov ua rau

Cov hom mob plab yog cais raws li dab tsi ua rau lawv mob.

Kev mob caj dab

Ulcerative colitis (UC) yog ib qho ntawm ob qho kev mob uas cais raws li cov mob raws plab hnyuv. Lwm qhov yog Crohn's mob.

UC yog lub neej ntev ntev uas ua rau muaj qhov txhab thiab ua paug rau sab hauv sab hauv koj txoj hnyuv. Feem ntau nws pib rau ntawm lub qhov quav thiab kis mus rau sab hauv txoj hnyuv.

UC yog cov feem ntau qhia hais tias yog tus mob colitis. Nws tshwm sim thaum lub cev tiv thaiv kab mob dhau mus ua rau cov kab mob thiab lwm yam khoom hauv lub plab zom mov, tab sis cov kws paub tsis paub vim li cas qhov no tshwm sim. Hom UC muaj xws li:

• proctosigmoiditis, uas cuam tshuam rau lub qhov quav thiab feem qis ntawm txoj hnyuv
• sab laug-xias-xim daj, uas cuam tshuam rau sab laug ntawm txoj hnyuv pib ntawm qhov quav
• mob pancolitis, uas cuam tshuam rau tag nrho cov hnyuv

Pseudomembranous mob plab

Pseudomembranous colitis (PC) tshwm sim los ntawm overgrowth ntawm tus kab mob Clostridium difficileCov. Hom kab no ib txwm nyob hauv txoj hnyuv, tab sis nws tsis ua teeb meem vim nws tau sib luag los ntawm qhov muaj cov kab mob "zoo".

Qee yam tshuaj, tshwj xeeb yog tshuaj tua kab mob, tuaj yeem rhuav tshem cov kab mob noj qab nyob zoo. Qhov no pub Clostridium difficile coj mus dhau, tso tawm cov co toxins uas ua rau o.

Ischemic mob plab

Ischemic colitis (IC) tshwm sim thaum cov ntshav ntws mus rau txoj hnyuv loj mam li txiav tawm ib qho zuj zus lossis txwv. Cov ntshav txhaws tuaj yeem yog qhov laj thawj rau kev txhaws sai. Atherosclerosis, lossis ua rau cov kev mob rog, nyob rau hauv cov hlab ntshav uas muab cov hnyuv feem ntau yog vim li cas rau kev rov ua dua IC.

Hom kab mob colitis no feem ntau yog tshwm sim los ntawm kev pib mob. Cov no suav nrog:

• vasculitis, yog ib qho mob o ntawm cov hlab ntshav
• mob ntshav qab zib
• mob hnyuv
• lub cev qhuav dej
• ntshav poob
• lub plawv tsis ua hauj lwm
• yam tav kev
• kev poob plig

Txawm hais tias nws muaj tsawg, IC tuaj yeem tshwm sim los ntawm kev cuam tshuam ntawm kev noj qee yam tshuaj.

Kab mob kasmoos

Mob me me yog ib qho mob uas kws kho mob tuaj yeem txheeb xyuas tau los ntawm kev saib cov nqaij mos ntawm cov nyuv hauv qab lub tshuab tsom. Tus kws kho mob yuav saib cov cim ntawm kev o, xws li lymphocytes, uas yog hom ntshav dawb.

Cov kws kho mob qee zaum cais cov mob me me ua ob hom: lymphocytic thiab collagenous colitis. Lymphocytic colitis yog thaum kws kho mob txheeb xyuas ntau qhov tseem ceeb ntawm cov lymphocytes. Txawm li cas los xij, cov ntaub so ntswg txoj hnyuv thiab hauv ob sab phlu tsis yog ua kom txawv.

Collagenous colitis tshwm sim thaum txoj hnyuv hauv plab yuav ua hnyav dua li ib txwm muaj vim tias muaj txheej txheem ntawm collagen nyob rau txheej sab nraud ntawm daim ntaub. Cov kev sib txawv muaj nyob ntawm txhua hom kab mob colitis, tab sis qee tus kws kho mob theorize tias ob hom kab mob colitis muaj cov qauv sib txawv ntawm tib qho mob.

Cov kws kho mob tsis paub meej tias dab tsi ua rau mob me me. Txawm li cas los xij, lawv paub qee tus neeg muaj kev pheej hmoo rau tus mob no ntau dua. Cov no suav nrog:

• cov neeg haus luam yeeb tam sim no
• poj niam xeeb tub
• keeb kwm ntawm qhov mob autoimmune
• hnub nyoog tshaj 50 xyoo

Cov tsos mob tshwm sim ntawm tus kab mob hu ua microscopic colitis feem ntau yog mob raws plab mus ntev, ua kom plab, thiab mob plab.

Mob ua xua rau cov menyuam mos

Mob ua xua yog ib qho mob uas tuaj yeem tshwm sim hauv cov menyuam mos, feem ntau li ntawm thawj ob lub hlis tom qab yug los. Qhov xwm txheej tuaj yeem ua rau cov tsos mob hauv cov menyuam mos liab uas muaj xws li reflux, nti ntau dhau, khaus pias, thiab tej zaum muaj cov ntshav nyob hauv tus menyuam cov quav.

Cov kws kho mob tsis paub meej tias dab tsi ua kom mob caj dab. Raws li kev tshawb nrhiav xyoo 2013 tau luam tawm nyob rau hauv phau ntawv qhia, ib qho kev xav tshaj plaws yog tias menyuam mos liab muaj qhov tsis haum lossis hypersensitive rau qee yam hauv mis niam.

Feem ntau kws kho mob yuav pom zoo rau kev tshem tawm cov pluas noj rau leej niam uas nws maj mam tsum noj tej zaub mov uas paub tias ua kom muaj mob plab. Piv txwv li cov nyuj cov mis, qe, thiab nplej. Yog hais tias tus me nyuam tsis muaj tsos mob, cov zaub mov no yuav ua txhaum.

Lwm yam ua rau

Lwm qhov ua rau mob plab yog kis los ntawm cab, vais lav, thiab khoom noj los ntawm cov kab mob. Koj kuj tseem tuaj yeem tsim tus mob yog tias koj txoj hnyuv loj tau raug kho nrog hluav taws xob.

Tus uas muaj feem yuav ua mob ncauj plab

Qhov sib txawv pheej hmoo muaj feem cuam tshuam nrog txhua hom mob plab.

Koj yuav muaj feem ntau txaus ntshai rau UC yog tias koj:

• yog cov muaj hnub nyoog 15 thiab 30 (feem ntau) lossis 60 thiab 80
• yog ntawm neeg Yudais lossis Caucasian qhovntsej
• muaj ib tug neeg hauv tsev neeg nrog UC

Koj yuav muaj feem ntau pheej hmoo rau PC yog tias koj:

• tab tom noj tshuaj tua kab mob mus sij hawm ntev
• tau pw tsev kho mob
• tab tom tau txais cov kws kho mob
• tab tom noj tshuaj tiv thaiv kab mob
• laus lawm
• tau muaj PC ua ntej

Koj yuav muaj feem ntau dua qhov pheej hmoo rau IC yog tias koj:

• muaj hnub nyoog tshaj 50 xyoo
• muaj lossis pheej hmoo ua mob plawv
• muaj lub siab tsis ua haujlwm
• muaj ntshav siab
• tau phais plab

Cov tsos mob ntawm colitis

Nyob ntawm koj tus mob, koj yuav muaj ib lossis ntau cov tsos mob hauv qab no:

• mob plab los sis mob plab
• tsam plab hauv koj lub plab
• poob phaus
• zawv plab nrog lossis tsis muaj ntshav
• cov ntshav hauv koj cov quav
• kev kho mob ceev heev kom txav koj lub plab ntim
• ua daus no los sis kub ib ce
• ntuav

Thaum mus ntsib kws kho mob

Thaum txhua tus neeg tuaj yeem mob raws plab ib ntus dhau ib ntus, mus ntsib kws kho mob yog tias koj muaj mob raws plab uas tsis zoo li cuam tshuam nrog kev kis mob, ua npaws, lossis cov khoom noj tsis huv uas paub. Lwm cov tsos mob uas qhia tias nws yog lub sij hawm mus ntsib kws kho mob suav nrog:

• mob tej pob txha
• Cov pob khaus es tsis paub meej
• cov ntshav me me hauv cov quav, xws li tso quav me me tso quav
• mob plab uas pheej rov qab tuaj
• piav tsis hnyav poob

Nrhiav kev kho mob sai sai yog tias koj pom muaj ntshav txaus hauv koj cov quav.

Yog koj xav tias muaj qee yam tsis raug nrog koj lub plab, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob. Mloog koj lub cev nws tseem ceeb rau kev nyob zoo.

Kev kuaj mob colitis

Koj tus kws kho mob yuav nug txog qhov tsawg zaus ntawm koj cov tsos mob thiab thaum lawv xub tshwm sim los. Lawv yuav tau soj ntsuam kom thoob ib ce thiab siv tshuaj ntsuam xyuas xws li:

• txoj hnyuv laus, uas yuav suav nrog lub koob yees duab ntawm lub raj yoog raws lub qhov quav los saib lub qhov quav thiab txoj hnyuv
• sigmoidoscopy, uas zoo ib yam li txoj kev kuaj txoj hnyuv tab sis pom tias tsuas yog lub qhov quav thiab txoj hnyuv qis
• kuaj cov quav
• thaij plab xws li MRI lossis CT scan
• ultrasound, uas muaj txiaj ntsig zoo nyob ntawm thaj chaw luam
• barium enema, xoo hluav taws xob ntawm txoj hnyuv tom qab nws tau txhaj nrog barium, uas yuav pab ua kom pom duab pom ntau dua

Kho cov mob plab

Cov kev kho mob sib txawv los ntawm ob peb yam:

• hom mob kiav txhab
• muaj hnub nyoog
• zuag qhia tag nrho lub cev mob

Plab nyoos so

Txwv txiav yam koj noj ntawm qhov ncauj yuav pab tau, tshwj xeeb yog koj muaj IC. Nqa dej thiab lwm yam khoom noj kom haum rau lub sijhawm no yuav tsum muaj.

Cov tshuaj noj

Koj tus kws kho mob tuaj yeem sau tshuaj tawm tsam los kho mob o thiab mob, thiab tshuaj tua kab mob los kho kab mob. Koj tus kws kho mob kuj tseem tuaj yeem kho koj nrog kev siv tshuaj mob lossis tshuaj antispasmodic.

Kev phais mob

Kev phais mob kom tshem tawm qee qhov lossis tag nrho koj txoj hnyuv lossis qhov quav yuav tsum yog muaj lwm txoj kev kho tsis ua haujlwm.

Outlook

Qhov koj pom yog nyob ntawm seb koj muaj mob caj dab. UC xav kom siv tshuaj kho mus ib sim tshwj tsis yog koj muaj kev phais mob. Lwm hom, xws li IC, tuaj yeem hloov kho yam tsis muaj kev phais mob. PC feem ntau teb tau zoo rau tshuaj tua kab mob, tab sis nws tuaj yeem rov ua dua.

Hauv txhua qhov xwm txheej, kev paub ntxov yog qhov tseem ceeb rau kev rov zoo. Kev paub ntxov yuav pab tiv thaiv lwm cov kev mob hnyav ntxiv. Qhia rau koj tus kws kho mob paub txog cov tsos mob uas koj tab tom muaj.