Ischemic Colitis

Zoo Siab

• Dab tsi ua rau ischemic colitis?
• Cov kev pheej hmoo txaus rau ischemic mob plab yog dab tsi?
• Cov tsos mob ntawm ischemic colitis zoo li cas?
• Yuav kuaj li cas thiaj paub hais tias ischemic colitis?
• Yuav kho tus mob ischemic colitis li cas?
• Dab tsi yog cov teeb meem phom sij ntawm ischemic colitis?
• Qhov kev xam pom rau cov neeg nrog IC yog dab tsi?
• Kuv yuav tiv thaiv tus mob vwm ischemic li cas?

Mob plab ischemic yog dab tsi?

Ischemic colitis (IC) yog ib qho mob tshwm sim ntawm lub plab hnyuv loj, lossis mob hnyuv tws. Nws huam yuaj thaum tsis muaj ntshav txaus txaus rau txoj hnyuv. IC tuaj yeem tshwm sim thaum muaj hnub nyoog li cas, tab sis nws feem ntau yog cov muaj hnub nyoog 60 xyoo.

Kev tsim cov quav hniav hauv cov hlab ntsha (atherosclerosis) tuaj yeem ua rau mob ntev, lossis ntev ntev, IC. Qhov xwm txheej no kuj tseem yuav ploj mus nrog kev kho mob me, xws li kev noj haus ncua sij hawm luv luv thiab tshuaj tua kab mob.

Dab tsi ua rau ischemic colitis?

IC tshwm sim thaum muaj ntshav ntws tsis txaus rau koj txoj hnyuv. Kev ua kom tawv tawv ntawm ib lossis ntau ntawm cov leeg ntshav ntawm lub cev tej zaum yuav ua rau txo ntshav ntws tsawg, uas tseem hu ua kev tsis sib haum xeeb. Cov no yog cov hlab ntsha uas xa ntshav rau koj cov hnyuv. Cov hlab ntsha tuaj yeem tuaj yeem tawv thaum muaj ib qho tsim ntawm cov roj ntsha hu ua cov quav hniav hauv koj cov phab ntsa leeg. Tus mob no yog hu ua atherosclerosis. Nws yog cov nyiam ua kom muaj IC ntawm cov neeg uas muaj keeb kwm mob hlab ntsha hlab ntsha lossis mob hlab ntsha ntsig.

Ib qho ntshav txhaws kuj tuaj yeem thaiv cov leeg ntshav ntawm lub cev thiab nres lossis txo cov ntshav txaus. Cov ntshav txhaws feem ntau nyob hauv cov neeg muaj lub plawv dhia tsis xwm yeem, lossis lub plawv dhia tsis xwm yeem.

Cov kev pheej hmoo txaus rau ischemic mob plab yog dab tsi?

IC ntau zaus tshwm sim hauv cov neeg laus dua 60 xyoo. Qhov no tuaj yeem yog vim cov hlab ntsha txhaws zoo li koj laus dua. Raws li koj hnub nyoog, koj lub siab thiab cov hlab ntsha yuav tsum sib zog ua haujlwm kom txhawm rau kom tso ntshav thiab txais cov ntshav. Qhov no ua rau koj cov hlab ntsha tsis muaj zog, ua rau lawv nquag plaque los ua ke.

Koj tseem yuav muaj feem ntau dua ntawm kev tsim tus mob IC yog tias koj:

• muaj lub plawv tsis ua hauj lwm lawm
• muaj ntshav qab zib
• muaj ntshav siab
• muaj keeb kwm ntawm kev phais mob rau cov aorta
• noj tshuaj uas tuaj yeem ua rau cem quav

Cov tsos mob ntawm ischemic colitis zoo li cas?

Feem ntau ntawm cov neeg mob IC hnov ​​mob me me mus rau mob plab. Qhov mob no feem ntau tshwm sim dheev thiab mloog zoo li mob plab. Qee cov ntshav kuj tseem tuaj yeem tso quav, tab sis qhov ntshav tsis los ntshav. Kev noj cov ntshav ntau hauv cov quav yuav yog qhov tshwm sim ntawm qhov teeb meem sib txawv, xws li mob cancer nyuv, lossis mob nyhuv hnyuv zoo li Crohn's.

Lwm cov tsos mob muaj xws li:

• mob hauv koj lub plab tom qab noj mov
• qhov mob yuav tsum tau muaj plab hnyuv
• zawv plab
• ntuav
• rhiab hauv plab

Yuav kuaj li cas thiaj paub hais tias ischemic colitis?

IC tuaj yeem tshawb xyuas qhov nyuaj. Nws tuaj yeem yuam kev yooj yim rau tus mob nyhuv quav, ib pawg kab mob uas suav nrog Crohn's mob thiab mob plab kiav txhab.

Koj tus kws kho mob yuav nug koj txog koj li keeb kwm kev kho mob thiab xaj kuaj ntau yam kev kuaj mob. Cov kev ntsuas no tuaj yeem suav nrog hauv qab no:

• Txoj kev kuaj mob ultrasound lossis CT scan tuaj yeem tsim cov duab ntawm koj cov hlab ntsha thiab txoj hnyuv.
• Mesenteric angiogram yog kev sim ntsuas uas siv xoo hluav taws xob pom hauv sab hauv koj cov hlab ntsha thiab txiav txim siab qhov chaw ntawm qhov txhaws.
• Kev kuaj ntshav tuaj yeem kuaj xyuas seb puas muaj cov qe ntshav dawb. Yog tias koj cov qe ntshav dawb yog siab, nws yuav qhia qhov tseeb IC.

Yuav kho tus mob ischemic colitis li cas?

Cov teeb meem me ntawm IC yog feem ntau kho nrog:

• tshuaj tua kab mob (los tiv thaiv kev kis kab mob)
• kua ua kua
• kua dej (IV) kua (rau dej)
• tshuaj kho mob

Mob IC yog mob ti tes ti taw. Nws yuav tsum muaj:

• tshuaj thrombolytics, uas yog cov tshuaj uas daws cov ntshav txhaws
• vasodilators, uas yog cov tshuaj uas tuaj yeem ua rau koj txoj hlab ntsha mesenteric
• phais kom tshem tawm qhov txhaws hauv koj cov hlab ntsha

Cov neeg uas muaj tus mob IC ntev feem ntau tsuas xav tau kev phais mob yog tias lwm yam kev kho mob ua tsis tiav.

Dab tsi yog cov teeb meem phom sij ntawm ischemic colitis?

Qhov phom sij txaus ntshai tshaj ntawm IC yog mob caj dab, lossis nqaij tuag. Thaum cov ntshav ntws mus rau koj txoj hnyuv yog qhov txwv, cov nqaij zoo li nws tuaj yeem tuag. Yog tias qhov no tshwm sim, koj yuav xav tau kev phais kom tshem tawm cov nqaij tuag lawm.

Lwm qhov kev cuam tshuam nrog IC suav nrog:

• perforation, los yog qhov, hauv koj txoj hnyuv
• mob rau daim pooj (peritonitis), uas yog mob o ntawm daim ntaub nqaij hauv koj lub plab
• sepsis, nws yog ib qho muaj mob hnyav thiab kev kis tus kabmob ntau

Qhov kev xam pom rau cov neeg nrog IC yog dab tsi?

Cov neeg feem ntau uas muaj tus mob IC ntev tuaj yeem kho tau zoo nrog kev kho mob thiab phais mob. Txawm li cas los xij, cov teebmeem yuav rov qab los yog tias koj tsis tswj lub neej zoo. Koj cov hlab ntsha yuav txuas ntxiv yog tias tsis hloov qee yam hauv lub neej. Cov kev pauv no tej zaum yuav yog ua kev tawm dag zog ntau dhau lossis txiav luam yeeb.

Qhov kev xam pom rau cov neeg muaj mob IC yog feem ntau txom nyem vim tias cov nqaij mos hauv txoj hnyuv nquag tshwm sim ua ntej kev phais mob. Qhov tshwm sim zoo dua yog tias koj tau txais kev kuaj mob thiab pib kho tam sim ntawd.

Kuv yuav tiv thaiv tus mob vwm ischemic li cas?

Kev ua neej noj qab nyob zoo tuaj yeem txo koj txoj kev pheej hmoo los ntawm cov leeg ntshav khov. Tsim cov kev ua neej zoo:

• qoj ib ce tsis tu ncua
• noj zaub mov zoo
• kho cov mob plawv uas tuaj yeem ua rau ntshav txhaws, xws li lub plawv dhia tsis xwm yeem
• tshuaj xyuas koj cov ntshav siab thiab ntshav siab
• tsis haus luam yeeb