I-Mucus esitokisini ivamile kodwa ngokuvamile ayibonakali. Uma kukhona i-mucus eyanele esitokisini ukuze ibonwe ngamehlo, kungase kube isibonakaliso sokuthi into ethile kwisistimu yokugaya ishintsha. I-Mucus esitokisini ingabhekwa njengesifo esivamile sezinye izimo zokugaya, ezifana nesifo sofuba esiswini (IBS) nesifo sofuba (uhlobo olulodwa lwesifo sofuba , noma i-IBD).
Ezinye izimo ezingabangela inani elikhudlwana le-mucus ebonakalayo esitokisini kubandakanya ukutheleleka kwe-bacterial, fissures anal , imithi yokuvimbela imfuyo , noma isifo se-Crohn (indlela yesibili ye-IBD). Uma isitembu sinamanzi futhi kukhona ubuhlungu, yisizathu sokuthi uthintane nodokotela ngokushesha.
Ngokujwayelekile, i-mucus iyinsimbi eqinile, ecacile, emhlophe noma ephuzi. Nakuba kungase kubonakale kubangele futhi kubangele ukukhathazeka, kubalulekile ukuqonda izizathu zanoma yiziphi izinguquko kwisitoreji se-stool ukuze zilungiswe kangcono.
Sibutsetelo
I-Mucus ikhiqizwa ngendwangu ye-mucus yamathumbu amakhulu . I-Mucus nayo ikhiqizwa ezinye izitho emzimbeni, njengamaphaphu, lapho kusiza khona ukubopha noma yiziphi izinhlayiya zangaphandle ezifakwe ngaphakathi.
Emathunjini, i-mucus ivikela isikhumba sangaphakathi futhi ngenxa yokuthi siyashesha, kusiza ukululaza lapho kuhamba khona isiteji. Ukudlula i-mucus esitokisini akuyona into eyingozi nakuyo ngokwayo ngoba kuyinto evamile yesibalo, kodwa okuningi kungase kube uphawu lwesifo noma isimo esingadinga ukwelashwa.
Uma ungqimba lwe-mucus ludla kakhulu, lungenza ikholoni ibe yinto engaphezu kwamagciwane.
Izimbangela
Ulcerative Colitis. E-ulcerative colitis, i-membrane ye-mucus yamathumbu amakhulu (i-colon) iyavutha futhi iveza izilonda ezincane ezibizwa ngokuthi izilonda . Lezi zilonda ziphuma futhi zingase zikhiqize u-pus kanye ne-mucus.
I-mucus ingaba yanele ngokwanele kangangokuthi ingabonakala njengoba idluliselwa kanye nesitulo.
I-Irritable Bowel Syndrome. Izizathu zokuthi kungani i-IBS ingabangela ukuqhuma okuningi okwakhiqizwa ngendwangu yamathumbu amakhulu futhi igxiliwe esitokisini ayizange ifundwe kakhulu, ngakho ayiqondakali kahle. Amadoda ane-IBS avame ukuba ne-mucus esitokisini ngokuvamile kunabesifazane abane-IBS. I-Mucus ivame ukuhlotshaniswa ne- diarrhea-i-IBS ebaluleke kunaleyo yokuqokwa-i-IBS enkulu noma uhlobo oluhlukile lwe-IBS (IBS-A) . Umcabango wamanje wukuthi i-mucus esitokisini ehlotshaniswa ne-IBS ayiyona inkomba yenkinga enkulu noma ukuqhubeka kwesifo esibi kakhulu.
Izifo zika Crohn. Ukudlula i-mucus esitokisini kuyinto engavamile kakhulu kubantu abane-Crohn's disease. Uma isikhafu sibonakala esitokisini somuntu onesifo sikaCrohn, singase sihlotshaniswe nokuthuthukisa i- fissure .
Amantombazane noma i-Fistula. I-abscess iyisifo esithathela indawo egcwala umzimba ngaphakathi komzimba. Yinkinga evame ukuvela kaningi kubantu abane-Crohn's disease, ikakhulukazi endaweni ye-perianal. Ngezinye izikhathi, cishe ngamaphesenti angaba ngu-50, i-abscess izothola ezinkulu ngokwanele ukwakha umhubhe ophakathi kwamalungu amabili, noma phakathi kwesikhumba nesitho, okuyinto i- fistula .
I-abscess noma i-fistula ingayidonsa isikhafu ngaphakathi kwesitokisi. Ama-Abscess kanye ne-fistula bayodinga ukwelashwa, okungenzeka badonswe futhi ngokuvamile nge-antibiotics noma eminye imithi, ikakhulukazi uma kukhona ukuxilongwa kwe-IBD.
Ostomy. Abanye abantu abaye bahlinzwa ngokuhlinzeka nge-ostomy (noma i-ileostomy noma i-colostomy) bangathola ukuthi badlula i-mucus kusuka e-rectum yabo . Ngisho noma isitokisi sisuka emzimbeni nge-stoma, hhayi nge-rectum ne-anus, i-rectum isakhipha izikhukhula. Kungaba khona i-mucus, okuzodinga ukuthi idluliselwe ngokuhlala endlini yangasese. Ukwakhiwa kwe-mucus kungabangela ukunganaki nokucindezeleka.
Ukutheleleka kwamaBhaktheriya. Ukutheleleka kwamagciwane, okufana nalawo avela kubhaktheriya afana neCampylobacter, i-Salmonella, iShigella, ne- Yersinia , kungabangela ukuba umswakama udluliselwe esitokisini. Ukutheleleka kwamagciwane nakho kungabangela izimpawu zokuhuda, umkhuhlane kanye nezikhonda zesisu. Ezinye izifo ezithathelwana ngebhaktheriya zingazixazulula zodwa ngaphandle kokwelashwa, kodwa ezinye izimo zingase zibe sína futhi zidinga ukwelashwa ngama-antibiotic. Uma ucabanga ukuthi kungenzeka ukuthi unesifo sokutheleleka kwebhaktheriya, ikakhulukazi ngemva kokuhamba phesheya, xhumana nodokotela wakho.
Ukwakhiwa kwemizimba. Ukuvinjelwa kwamathumba kuhlotshaniswa nezimpawu zokuqothulwa , izikhukhula ezinzima, ukuboshwa kwesisu, nokuhlanza, kanye nokuhamba kwe-mucus. Isivimbelo sezinyosi singabangelwa yisinye sezimo eziningi ezifana nesitokisi esithintekayo, ukunamathela (izicubu ezibomvu), i-hernia, i-gallstones, i-tumor, noma ukugwinya okungewona ukudla. Izivimbelo zivame ukuphathwa esibhedlela, ngokuhlinzwa ukuze kususwe ukuvinjelwa okudingekayo kwezinye izimo.
I-Cystic Fibrosis. I-cystic fibrosis yisifo esingokwemvelo esingabangela ukwanda kwe-mucus emzimbeni. Lesi simo esisongela impilo kaningi sithinta amaphaphu, kodwa indlela yokugaya ingasithinteka. Ngokuvamile kutholakala ukuthi usebuntwaneni futhi kuhlotshaniswa nezinye izimpawu zokugaya ezifana nokuqothulwa nobuhlungu besisu.
I-Mucus e-Infant Stool. Ukubona i-mucus esitokisini usana kungasho ukuthi ingane isifo. Kuzobaluleka ukuthola ukuthi ngabe i-mucus ngempela ngoba ingane evamile yomsindo ifika kuyo yonke imibala. I-Mucus esitokisini sezingane ingase ibe yochungechunge noma ilula futhi ibonakale iluhlaza. Izinguquko ezinsana zezinsana kufanele zikhulunywe nodokotela wezingane ngoba uma kukhona isifo, kuzodingeka baphathwe ngokushesha.
Ezinye Izimbangela. Kwabanye abantu, i-mucus esitokisini ingaba yinto eyenzeka kanye, futhi ngaleyo ndlela ngeke kube nokukhathazeka. Kunalokho kufanele kukhulunywe ngesikhathi sokuqokwa kukadokotela ovamile. I-Mucus ingahlotshaniswa nokuqothulwa, okuyinto inkinga evamile, futhi kuleso simo ingase ixazululwe yodwa uma ukuqotshwa kubanjwa. Ukwehla kwamanzi emzimbeni kungenye isimo esivamile esingabangela ukwedlula ngokweqile esitokisini, kanti futhi lokhu kungase kuphele ngokwakho ngaphandle kokuba ukuphelelwa amandla kwamanzi kuyinkinga engapheli. Kulezi zimo, ukuphatha inkinga ebalulekile kungasiza ekunqandeni ukudlula kwe-mucus.
Nini Ukukhuluma Nodokotela
Noma ubani ongakaze atholakale enesimo lapho ukudluliswa kwe-mucus kungacatshangwa khona njengesibonakaliso, ukubona i-mucus noma esitokisini sakho yisizathu sokubona udokotela. Lokhu kuyiqiniso ikakhulukazi uma imbumbulu ihambisana nezinye izimpawu zokugaya ezifana negazi esitokisini, isifo sohudo, ubuhlungu besisu, ukuqotshwa noma ukuhlanza.
Uma i-mucus esitokisini isenzeke ngokujwayelekile ngenxa yesimo esivele sitholiwe njenge-IBS noma i-ulcerative colitis, kusadingeka ukuyiqapha. Ukumisa ukuthi yikuphi isikhathi sosuku okwenzekayo futhi kulinganiseka ukuthi kukhona amakhoksi akhona (kufaka phakathi uma kuncane kakhulu kunangaphambili) kubalulekile. Ukuletha lolu lwazi kudokotela kuzosiza ekutholeni ukuthi yini engabangela ukwanda kwe-mucus.
Ukuxilongwa
Ukwenza ukuxilongwa uma imbumbulu esitokisini isisindo esisha sizoqala ngomlando wezokwelapha ngokucophelela. Udokotela uzobuza ukuthi ukunyakaza kwesibindi sekufana nani esikhathini esidlule futhi uma bashintshe kamuva. Kuncike kulokho okusolakala ukuthi kubangele ukukhwabanisa, izinhlobo ezahlukene zokuhlolwa zingase zenziwe.
Ukuhlola okusetshenziselwayo kungaba yisimo sezinyawo kanye nokuhlolwa kwegazi, noma izifundo ezingase zenzeke njenge-CT scan, i-MRI, noma i-x-ray ecacile. Kwezinye izimo, udokotela angadinga ukwenza ezinye izivivinyo, njenge- endoscopy inqubo, ukuthola ukuthi kwenzekani. Kodwa, ezimweni eziningi, akudingekile ukwenza ukuhlolwa okungenasidingo ukucacisa imbangela ye-mucus.
Ukwelapha
Ukwelashwa kwe-mucus esitokisini kuzoxhomeka kulokho okubangela inkinga. I-mucus ingase ibangele ukuvuvukala, futhi uma kunjalo, kuyoba nesidingo sokuyiphatha ngaphambi kokuba kubangele izinkinga eziqhubekayo. Uma isibhamu sibangelwa, isibonelo, i-IBS noma i-IBD, ukuthola lezo zimo ezilawulwayo kuzosiza ukuvimba umkhiqizo we-mucus emathunjini amakhulu. Ukwenyuka komkhiqizo we-mucus kungase kusho ukuthi ushintsho kokwelashwa lungadingeka noma ukuthi ukwelashwa kwamanje akusekho okuphumelelayo njengoba kwakunjalo.
Izwi elivela
Ukudlula i-mucus esitokisini lapho umuntu ene-IBS noma i-ulcerative colitis akuyona imbangela ye-alamu ngoba kungaba uphawu lwalezo zimo. Kodwa-ke, ukudlulisa isikhumba esitokisini, ikakhulukazi uma kuyisimpawu esisha, kufanele kushiwo kumdokotela ekuvakashelweni kwehhovisi elilandelayo.
I-Mucus ngaphandle kwesizathu esiyimbangela, njengenye yemibandela ekhona ngaphambili ekhonjiwe ngenhla, inguquko emikhondweni yemilenze futhi kufanele ikhulunywe nodokotela ngokushesha ngangokunokwenzeka.
> Imithombo:
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> Sun J, Shen X, Li Y, et al. "Ukuhlinzeka Ngokwempilo Ukushintsha I-Mucus Barrier Ngezifo Ezikhukhumeza Izifo." Amakhemikhali . 2016 Jan 14; 8. i-pii: E44. i-doi: 10.3390 / nu8010044
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