I-collagenous colitis ne-lymphocytic colitis ayifani ne-IBD
I-microscopic colitis empeleni kunezimo ezimbili ezifanayo kodwa ezihlukene: i-colgenous colitis ne-lymphocytic colitis. Nakuba babe "ne-colitis" egameni labo, lezi zimo azihlobene ne-ulcerative colitis noma isifo se-Crohn (okubizwa ngokuthi yi- inflammatory disease, noma IBD ).
Abantu abakuma-50 abo yiqembu elivame ukuxilongwa nge-colgenous colitis.
Lesi simo sithinta abesifazane abaningi kunamadoda. Isilinganiso seminyaka yokuqala kwe-lymphocytic colitis ineminyaka engama-60, kanti abesifazane babonakala bethinteka kancane kaningi kunamadoda.
I-microscopic colitis ayizange iphindwe kabanzi, ngakho-ke ayisaziwa ukuthi ingaba yinto evamile kangakanani. Nakuba izimpawu zingase zicindezeleke, lesi simo sinakekelwa kakhulu, futhi ngezinye izikhathi siyaziqhenya.
Izimbangela Ze-Microscopic Colitis
Isimbangela sokudlwengula okuncane kakhulu okwamanje asikwazi (kuyisifo se- idiopathic ). Enye imfundiso yukuthi ukusetshenziswa kwezidakamizwa ezingekho-steroidal-anti-inflammatory (ama-NSAID, njenge-ibuprofen) angasiza ekuthuthukisweni kwe-colitis encane. Enye inkolelo ukuthi ukubola kwesibindi kubangelwa impendulo yokuzimela , lapho isimiso somzimba sokuzivikela somzimba sihlasela ezinye izicubu emzimbeni.
Kucatshangwa ukuthi amabhaktheriya noma ama-virus angadlala indima ekuthuthukiseni ukwanda kwe-colitis.
Kusukela manje, ubudlelwane obuqondile kanye nenqubo yalesi sizathu aziwa.
Izimpawu Nezibonakaliso Ze-Microscopic Colitis
Izimpawu eziphawulekayo ze-colitis ezincane kakhulu, zihudo, futhi ngezinye izikhathi zihambisana nama-cramps nobuhlungu besisu. Uhudo lungase lube luvela ekuqhubekeni futhi lukhuthele emvelweni.
Igazi elisesitokisini , okuyinto ejwayelekile yesifo sokulonda i-ulcerative colitis, akusona uphawu lwe-colitis encane.
Ezinye izimpawu zingabandakanya umkhuhlane, ubuhlungu obuhlangene, nokukhathala. Lezi zimpawu zingase zibangelwe inqubo yokuvuvukala eyingxenye ye-autoimmune noma isifo esiphathelene nomzimba omzimba.
Ukuxilongwa Kwe-Microscopic Colitis
Nge-colitis encane, ikoloni ngokuvamile ibonakala evamile emehlweni. Ngakho-ke, i- colonoscopy noma i- sigmoidoscopy kungenzeka ingabonakali ubufakazi besifo. Kwezinye iziguli kungenzeka kube nezindawo zokuvuvukala noma ukubomvu kolononi, kodwa lokhu kungase kube nzima ukubona.
Ukuze kwenziwe ukuxilongwa, ama- biopsies amaningana kufanele athathwe emgqeni ngesikhathi se-colonoscopy. Lezi zinhlobo ze-biopsies zizovela ngokuvela ezindaweni ezihlukene kolononi. Izimpawu eziphawulekayo zalesi sifo zingabonakala ezincane ezicukwaneni ze-biopsy, ngakho-ke igama elithi "microscopic" kolitis.
I-Collagen iyisisetshenziswa esivame ukukhona ngaphansi kwezingubo zekoloni. Ku-colgenous colitis, izicubu ze-biopsy zizobonisa ukuthi zikhudlwana kunezinhlobo ezivamile ze-collagen ngaphansi kwendwangu yamakoloni. I-biopsy ingabonisa futhi inani elikhulayo lama- lymphocyte - uhlobo lwe-white cell cell.
E-lymphocytic colitis, ukuhlolwa kwe-biopsy kuzobonisa izinyuka ezengeziwe ze-lymphocytes emathisini e-colon.
Ukungabi khona kwe-collagen emathisini e-biopsy kungenye indlela okutholakala ngayo ukuthi i-lymphocytic colitis ayiyona i-colgenous colitis.
Ukwelashwa Kwe-Microscopic Colitis
Ezinye izimo ze-colitis ezincane zingase zixazulule zodwa, ngaphandle kokwelashwa okuqondile. Kulezo zimo ezidinga ukungenelela kwezokwelapha, ukwelashwa kungase kuqale ekuqaleni ngokufaka ama-fibre supplement kuya ekudleni. Ama-fibre supplements afaka i-psyllium, i-methylcellulose, noma i-polycarbophil, engathengwa ngaphezu kwe-counter in izidakamizwa zezidakamizwa. Ngenxa yokuthi uphawu oluyinhloko lwe-colitis ezincane luhudo olungapheli, ukwelashwa kungase kuhlanganise nemithi yokulwa nesifo sohudo njenge loperamide noma i- diphenoxylate .
Ezimweni ezinzima kakhulu ze-colitis ezincane, ama-antibiotic noma izidakamizwa eziphikisayo nazo zingahle zenziwe. Eziningi ze-anti-inflammatories ezisetshenziselwa ukonakala kwe-microscopic zifana nalawo asetshenziselwa ukuphatha i-IBD: mesalamine , sulfasalazine, ne- budesonide . Ama-corticosteroids afana ne- prednisone angase asetshenziswe futhi, aphathe ukonakala kwe-microscopic, ngenhloso yokuyeka ukusetshenziswa kwazo ngokushesha nje lapho izimpawu zilawulwa.
Imithombo:
Crohn's and Colitis Foundation of America. "Microscopic and ischemic colitis." Crohn's and Colitis Foundation of America. 22 Septemba 2005.
I-National Digestive Diseases Information Clearinghouse. "I-Collagenous Colitis ne-Lymphocytic Colitis." I-National Digestive Diseases Information Clearinghouse. UJanuwari 2006.