Yiziphi Izimbangela Zesitembu Segazi?

by I-Naveed Saleh, MD, i-MS; Ibukezwe ngu-Emmy Ludwig, MD

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10 Izimbangela zeSitokisi Segazi

Ezokwelapha, ngokubheka ubuso, isibonakaliso esisodwa njengesihlalo segazi esinokuvame ukubhekwa ngezimo eziningana. Igazi elisesigodini ngokuvamile liveza njengegazi elibomvu noma elimhlophe futhi limelela igazi endaweni ethile kwi-GI ipheshana kusuka emlonyeni kuya ku-anus. (Uma igazi livela kumgqa we-GI engenhla futhi ligajwa, lingase libheke nokubukeka okumnyama, okufana ne-tar, okubizwa ngokuthi i- melena . Ngeke ngifake i-melena kule show yesilayidi.)

Ukusebenzisa imininingwane emlandweni wakho, ukuhlola ngokomzimba, izivivinyo zokuxilonga nokunye, odokotela bayakwazi ukuthola i-etiology noma imbangela yezimpawu nokulawula izifo ezihlukahlukene zokuhlukana. Ngomoya wokuthola izifo ezihlukile, ngikunikeza izimbangela ezingu-10 ezikhona zesitembu samanzi. Uyacelwa ukuthi uqaphele ukuthi ngiye ngabonakala ngishiye izimbangela ezithathelwanayo ezifana ne-e.coli. (Ungakhathazeki, ngizofaka isifo sohudo esifundeni esihlukile.)

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Isisusa segazi segazi # 1: Ukukhishwa okuphezulu kwe-GI

Njengoba noma yimuphi umhlinzeki ohlinzayo angafakazela, imbangela evamile kakhulu ye-GI ephansi iphuma ngegazi eliphakeme le-GI . Uma uphepha ngokukhululekile kusuka kwesakhiwo esinesimiso esilandelayo ku-ligament ka-Treitz, i-ligament ephazamisa i-dualenum ye-distal, igazi lingabonakala lingeneki esitokisini sakho (ukuhamba ngokushesha).

Ukuze uthole ukuthi unayo i-GI yegazi ephakeme, i-gastroenterologist izokwenza i-endoscopy. Ukulandela izinyathelo zokuvuselela ezifana nokuqiniswa kwe-airway noma ukumpontshelwa igazi, iziguli ezinegazi eliphakeme kakhulu ze-GI zidinga ukuhlinzwa.

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Isisusa segazi segazi # 2: i-Anal Fissure

Nakuba ama-fissures afanayo ayenzeka nakwabantu abadala, lezi zikhuni ziyisizathu esivame kakhulu sezansi zamanzi ezinganeni. Izifucu ezinjalo zibangelwa ukuqotshwa noma ukudluliswa kwesitoreji esikhulu, esiqinile. Ama-fissures ama-anal cracks ekhanda aboniswa ngemuva kokusula isikhumba se-anus. (Mxusa isiFulentshi sami, kodwa ama-anal fissures angabonwa ngezansi kwethotho yakho.) Ngenhlanhla, ama-fissures e-anal agcina ephulukisa ngokwabo kodwa izinyathelo zokunciphisa izitshalo kanye nokusetshenziswa kwe-petroleum jelly noma ezinye ukhilimu zingasiza ngokubuhlungu nokungahambi kahle.

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Isisusa segazi segazi # 3: ama-Polyps

I-polyphonic term ye-non- proecific ibhekisela kunoma yikuphi ukulinganisa kusuka emgunyeni wamathumbu. Kunezinhlobo eziningana zama-polyps ezihlukahluka kuye ngokuthi i-histology yazo kanye nesethulo. Ama-polyps adenomatous ajwayelekile kakhulu - athinte cishe amaphesenti angu-25 abantu abadala abaneminyaka engama-50 nangaphezulu.

Amaningi amaningi omdlavuza we-colorectal avela kuma-polyps adenomatous, kanti umdlavuza we-colorectal iyimbangela yesibili eholela ekufeni okuhlobene nomdlavuza e-United States. Kodwa-ke, ngokuthuthuka kwezokwelapha, ama-polyps angenasifo esibucayi angasuswa noma asuswe ngokuhlinzwa, futhi i-chemotherpy inganikezwa ukukhawulela noma yikuphi ukusabalala okungenzeka. Umdlavuza we-Colorectal uyaphathwa uma uthathwa ekuseni ngakho-ke kungani bonke abantu abangaphezu kuka-50 kufanele bahlele ukuhlola njalo nge-colonoscopy, sigmoidoscopy nokunye.

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Isisusa segazi segazi # 4: amaHemorrhoids

Ama-hemorrhoids ayimivimbo yegazi evimbayo engakwazi ukunyuka kusuka ku-anus; zibukeka njengama-cushions. Ama-hemorrhoid ahlale engajabuli ... igazi elibomvu elimnandi, elibuhlungu, neliphuma egazini eliphuma emzimbeni omkhulu we-vascular and rectum. Izingozi ziningi futhi zifaka isifo sohudo, ukuqothulwa, ukuphakama okukhulu, ukuhlala isikhathi eside nokukhulelwa. Kubantu abaningi abanezinyosi, ukwelashwa akuyona ingozi futhi kuhlanganisa i-fiber ekhulayo ekudleni kwakho futhi usebenzisa i-salve efana nokulungiselela H. Kuye indawo (yangaphakathi nangaphandle), ubukhulu bezimpawu nokunye, izinketho zokuhlinza ziyatholakala futhi ukwelashwa kwama-hemorrhoids .

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Isisusa segazi segazi # #: i-Angiodysplasia

Uma imbangela yesigwegwe segazi ingabonakali, kungenzeka ukuthi ibangelwa i-angiodysplasia noma i-vascular malformation ye-gut. I-Angiodysplasia ivame ukuhlotshaniswa nesifo sokuqeda isiteji sokuphela, isifo se-von WIllebrand nokuhluleka kokuqeda isisu.

Kuye indawo, i-angiodysplasia ingaphathwa nge-endoscopic obliteration. Ezinye zokwelapha zihlanganisa ukwelashwa kwe-hormone, ukumpontshelwa ngegazi njalo kanye nezithako zensimbi. Ngenhlanhla, kubantu abaningi, i-angiodysplasia ihamba yodwa.

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Isizathu Segazi Esiyisifo Segazi # 6: Izifo Zengqondo Ezivuthayo (IBD)

Isifo sofuba esiswini (IBD) yisikhathi esivamile sokugula okuzenzakalelayo okubangela ukuvuvukala kwamathumbu. Izinhlobo ezimbili ezivame kakhulu ze-IBD ziyisifo sikaCrohn nesifo sofuba esiswini. Ekuqaleni, ukwelashwa kwe-IBD yimithi efaka ama-steroid kanye nama-immune-modifying agents. Kodwa-ke, iningi labantu abane-IBD badinga ukuhlinzwa.

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Isizathu Segazi Esiyisifo Segazi # 7: I-Cancer

Ngonyaka ka-2010, umdlavuza we-colorectal watholakala kubantu abangu-142,570, kanti abantu abangu-51 310 bafa ngesifo. Ngenxa yokutholwa kanye nokwelapha kwangaphambili, inani lokufa elibangelwa izifo ezinqamule kunqatshelwe ngamaphesenti angu-25. Noma kunjalo, umdlavuza we-colorectal usabhubhisa kakhulu.

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Isizathu Segazi Esimnyama # 8: Izifo Ezihlukahlukene

Kunezinhlobo ezimbili zezifo ezihlukahlukene: i-diverticulosis kanye ne-diverticulitis. Bobabili bangabonisa ngendlela ebuhlungu futhi ngegazi esitokisini.

I-Diverticulosis ivela lapho ama-pocket noma i- diverticula (i-singular diverticulum ) ifomu ekoloni. Lezi zingu-diverticula zikhula ngobuthakathaka odongeni lwama koloni futhi ngezinye izikhathi zikhula zibe ngamamitha amaningana ubude. Yize kuthiwa ngokweqile kubhekwa ukudla okuphansi kwe-fiber, imbangela eqondile ye-diverticula engaziwa. Ukweqa okuvela ku-diverticula kungenziwa ngesikhathi sokuhlinzwa kokubeletha noma kwesisu.

Lapho i-diverticula igciwane, isimo se-diverticulitis imiphumela. I-Diverticulitis iphathwa ngendlela yokugulisa iziguli ngokusebenzisa ama-antibiotics. Uma kudingeka ukuhlinzeka, odokotela bavame ukulinda kuze kube sekugcineni ukutheleleka kuphathwe.

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Isisusa Segazi Segazi # 9: Ischemic Colitis

Amaphesenti angamashumi ayisishiyagalolunye kuwo wonke amacala e-ischemic colitis athinta asebekhulile futhi angaba yinkimbinkimbi noma engapheli. Ukulimala kwe-Ischemic kubangelwa ukuthi igazi lokugaya emathunjini lingenele ekoloni alinelisekile (cabanga nge-clot yegazi noma i-atherosclerosis). Ngaphezu kwegazi esitokisini, i-ischemic colitis nayo ingabonakala njengesifo sohudo, isidingo esiphuthumayo sokusibekela, ubuhlungu besisu nokuhlanza.

Amacala amaningi e-ischemic colitis agcina isikhathi esifushane futhi azixazulula ngokwabo. Ngezimo ezimbi kakhulu, abantu bahlala esibhedlela, bagqoke ukuphumula kwamathumbu futhi banikezwa ngamanzi ahlanzekile kanye namagciwane. Cishe amaphesenti angu-20 abantu abakha ischemic colitis, Nokho, udinga ukuhlinzwa. Ukubikezela kulabo abathola ukwelashwa kunzima ngezinga lokufa kwabantu abangamaphesenti angu-60.

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Isisusa segazi segazi # 10: I-Alamu yamanga

Ngezinye izikhathi, i-pigments kanye nombala kusuka ekudleni esikudlayo njengeKool-Aid, i-Punch yaseHawaiian, i-gelatin ebomvu kanye ne-beet, ingavula isithunzi sakho sibomvu. Uma ngabe uke wafaka ingane yakho edolobheni kuma-popsicles obomvu, cishe uye wabona lezi zenzakalo eziphazamisayo kodwa eziphazamisayo.

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Isitopu segazi: Ukudlula Ukucabanga

Njengombana usungakwazi manje, isitophi esinamanzi singabangelwa izinto eziningi. Ezinye zalezi zimbangela ziyakhathaza kodwa zingenabungozi njengama-hemorrhoids noma ama-fissures an anal; ezinye izimbangela ziningi kakhulu ngokuphathelene nomdlavuza.

Uma wena noma othandekayo ekhononda ngegazi esitokisini, kumele ubone udokotela. Ngiyazi ukuthi kuyesabeka ukubheka phansi bese ubona igazi emathisini noma esitsheni, futhi kungase kube ukulinganisa ukungayinaki futhi ithemba ukuthi iyahamba. Kodwa-ke, ngomdlavuza wokubala ongumgogodla oholela ekufeni emhlabeni wonke, akufanele unganaki igazi esitokisini sakho.

Imithombo ekhethiwe

Stephan M, Carter C, Ashfaq S. Isahluko 50. Izimo Eziphuthumayo Zezingane. Ku: Stone C, Humphries RL. ama-eds. Ukuhlolwa Kwe-CURRENT & Ukwelapha Emergency Medicine, 7e . ENew York, NY: McGraw-Hill; 2011. Kufinyelelwe ngo-Ephreli 03, 2015.

I-Bullard Dunn KM, i-Rothenberger DA. I-Colon, i-Rectum, ne-Anus. Ku: Brunicardi F, Andersen DK, B Billiar, Dunn DL, Hunter JG, Matthews JB, Pollock RE. ama-eds. Izimiso Zokuhlinza Schwartz, 10e . ENew York, NY: McGraw-Hill; 2014. Kufinyelelwe ngo-Ephreli 03, 2015.

I-Gomella LG, Haist SA. Isahluko 3. Ukuhlonza okuhlukile: Izimpawu, Izimpawu, nezimo. Ku: Gomella LG, Haist SA. ama-eds. Pocket Reference Reference: The Scut Monkey, 11e . ENew York, NY: McGraw-Hill; 2007. Kufinyelelwe ngo-Ephreli 03, 2015.

Ummeli RJ. Isahluko 91. I-Cancer Cancer Cancer. Ku: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson J, Loscalzo J. eds. I-Harrison's Principals of Internal Medicine, 18e . ENew York, NY: McGraw-Hill; 2012. Kufinyelelwe ngo-Ephreli 03, 2015.

Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. Isahluko 66. AmaHemorrhoids. Ku: Usatine RP, Smith MA, Chumley HS, Mayeaux EJ, Jr .. eds. Umbala we-Atlas of Family Medicine, u-2e . ENew York, NY: McGraw-Hill; 2013. Kufinyelelwe ngo-Ephreli 03, 2015.

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