Cololent Colitis iyo Coloneliyada Lymphocytic Ma La Xiriira IBD
Coloskobikada yar-yar ayaa dhab ahaantii laba xaaladood oo isku mid ah laakiin kala gooni ah: kolocon-kolitis iyo colon-lymphocytic. Inkastoo ay haystaan "colitis" magacooda, xaaladahan lama xiriiraan colitis ama Crohn's disease (oo wadajir loo yaqaano cudurada caabuqa bararka, ama IBD ).
Dadka 50-tii ka mid ah ayaa ah kooxda ugu badan ee lagu ogaado colitis koloco.
Xaaladdu waxay u egtahay in ay saameyneyso dumarka ka badan ragga. Celceliska da'da ee bilawga lymphocytic colitis waa 60s, dumarkuna waxay u egtahay in ay waxyeeleeyeen wax yar ka badan ragga.
Coloskobic-tiibaydu ma ahayn mid si ballaaran loo baaray, sidaas awgeed wali lama yaqaan sida ay u badan tahay. Inkastoo calaamadaha ay noqon karaan kuwo dhib badan, xaaladdan waa mid la daaweyn karo, marmarka qaarkoodna waxay iska nadiifineysaa nafteeda.
Sababaha Cudurka Microscopic Colitis
Sababta keentay bakteeriyada microscopic-ka hadda lama yaqaan (waa cudur cudurka idiopathic ah ). Hal aragti ayaa ah in isticmaalka dawooyinka non-steroid-anti-inflammatory (NSAIDs, sida ibuprofen) ay gacan ka geysan karto horumarka koontaroolka microscopic. Qormo kale ayaa ah in koloskoska yar-yar-yariska uu sababo jawaab-celin-otomaati ah , halkaas oo nidaamka difaaca jirku uu weeraro unugyada kale ee jirka.
Waxa kale oo loo maleynayaa in bakteeriyo ama fayrasku ay door ka qaadan karaan horumarinta xajiinta bakteeriyada.
Ilaa hadda, xiriirka dhabta ah iyo farsameynta arrintan lama garanayo.
Calaamadaha iyo Calaamadaha Cudurka Microscopic
Calaamadaha mujtamaca ee colitis-ka waxaa ku jira shuban biyood, mararka qaarkoodna la socdaan xanuunka iyo xanuunka caloosha. Shubanku wuxuu noqon karaa mid joogto ah oo aad u daran si dabiiciga ah loo dhexgalo.
Dhiigga saxarada , oo ah calaamad caadi ah oo ka mid ah colitis boogta, ma aha calaamad muujinaysa koontaroolka microscopic.
Astaamaha kale waxaa ka mid ah qandho, xanuun isku laabma, iyo daal. Calaamadahaasi waxay noqon karaan natiijo ka mid ah geedi-socodka bararka oo qayb ka ah cudur-sidaha ama cudur-ka-difaaca jirka.
Baadhitaanka Cudurka Microscopic Colitis
Xanuunkani wuxuu ka soo baxaa caadi ahaan aragga. Sidaa daraadeed, colonoscopy ama sigmoidoscopy waxaa laga yaabaa inaanu muujin caddaynta cudur. Bukaanjiifka qaarkood waxaa laga yaabaa inay jiraan meelo barar ama casaan ah ee xiidanka, laakiin waxaa laga yaabaa in ay adagtahay in la arko.
Si loo sameeyo baadhitaan, cad ka-qaadis badan ayaa laga soo qaadayaa xiidanka inta lagu jiro baarista walamadka. Kaadi-soo-celintani waxay sida caadiga ah ka imanaysaa meelaha kala duwan ee xiidmaha. Calaamadaha maskaxda ah ee cudurka ayaa markaa laga yaabaa in la arko microscopically on unugyada biopsy, markaa magaca magaca "mikroscopic" colitis.
Collagen waa shey caadi ah oo caadi ahaan soo raaca xuddunta mindhicirka. Xubin ka mid ah colitis, kolka biopsy ayaa muujinaysa ka badan inta caadiga ah ee kolajka ka hooseeya xuddunta mindhicirka. Biopsy ayaa sidoo kale laga yaabaa inay muujiso tirada sii kordheysa ee lymphocytes - nooc ah unugyada dhiigga cad.
Xanuunka lymphocytic kolitis, baaritaanka xinjirta maqaarku waxay muujinaysaa tirada badan ee lymphocytes ee unugyada xiidmaha.
Maqnaashaha maqaarka ee nudaha biopsiga waa calaamad kale oo muujinaysa in ciladku ay tahay qanjirada lymphocytic oo aan ahayn colitis collagenous.
Daaweynta Cudurka Microscopic
Kiisaska qaarkood ee colitis microscopic way isku kalsoonaan karaan iyaga oo aan lahayn daaweyn gaar ah. Xaaladahaas oo u baahan in wax laga qabto, daaweynta ayaa markii hore la bilaabi lahaa iyada oo lagu daro dheellitir dheellitirka cuntada. Xakamaynta fibreebka waxaa ka mid ah psyllium, methylcellulose, ama polycarbophil, taas oo laga iibsan karo miiska daawooyinka lagu iibiyo. Sababtoo ah calaamadda ugu weyn ee colitis microscopic waa shuban joogta ah, daaweyntu waxay sidoo kale ku jiri kartaa dawooyinka ka hortagga shubanka sida loperamide ama diphenoxylate .
Xaaladaha aad u daran ee colitis-ka, daawada antibiyootikada ama daawooyinka anti-inflammatory ayaa sidoo kale loo qori karaa. Qaar badan oo ka mid ah anti-bararka oo loo isticmaalo kaneecada yar-yar ayaa la mid ah kuwa loo isticmaalo daaweynta IBD: mesalamine , sulfasalazine, iyo budesonide . Corticosteroids sida prednisone ayaa sidoo kale loo isticmaali karaa, si loo daaweeyo bakteeriyada microscopic, iyadoo ujeedadu tahay joojinta isticmaalka sida ugu dhakhsaha badan ee calaamadaha loo xakameeyo.
Ilaha:
Crohn's iyo Colitis Foundation of America. "Microscopic iyo ischemic colitis." Crohn's iyo Colitis Foundation of America. 22 Sebtembar 2005.
Cudurrada Qaranka ee Dhiigga Macluumaadka Meelmarinta. "Colinsous Colitis iyo Lymphocytic Colitis." Cudurrada Qaranka ee Dhiigga Macluumaadka Meelmarinta. Janaayo 2006.