Colitis

ʻO Colitis ka pehu (mumū) o ka ʻōpū nui (kolona).

ʻO ka hapa nui o nā manawa, ʻike ʻole ʻia ke kumu o ka colitis.

ʻO nā kumu o ka colitis:

• Nā maʻi i hoʻokumu ʻia e ka maʻi maʻi a i ʻole kahi mea ʻino
• Ka make ʻino ma muli o ka bacteria
• Maʻi Crohn
• Ulcerative colitis
• Ka nele o ke kahe o ke koko (ischemic colitis)
• ʻO radiation i hala i ka ʻōpū nui (radiation colitis a me nā koʻikoʻi)
• Necrotizing enterocolitis i nā keiki hānau hou
• ʻO Pseudomembranous colitis i hoʻokumu ʻia e Difficile Clostridium maʻi maʻi

Hiki i nā ʻōuli ke hoʻohui pū:

• ʻO ka ʻeha o ka ʻōpū a me ka ʻōpū e mau a hele mai paha
• Nā noho koko
• Koi mau e loaʻa i kahi ʻōpū (tenesmus)
• Make wai
• Pohā
• Fiva

E hana ka mea mālama ola i kahi hoʻokolohua kino. E nīnau ʻia ʻoe i nā nīnau e pili ana i kāu ʻōuli, e like me:

• Pehea ka lōʻihi o kou loaʻa ʻana i nā ʻōuli?
• Pehea kou ʻeha?
• Ehia mau manawa e loaʻa ai iā ʻoe ka ʻeha a pehea kona lōʻihi?
• ʻEhia mau manawa o kou pākī?
• Hele huakaʻi paha ʻoe?
• Ke lawe nei ʻoe i nā lāʻau ʻaloʻamia i kēia manawa?

Koi paha kāu mea hāʻawi i kahi sigmoidoscopy a i ʻole kolonekia. I loko o kēia hoʻāʻo, hoʻokomo ʻia kahi ʻōmole maʻalahi ma o ka pololei e nānā i ke kolona. Loaʻa paha iā ʻoe nā biopsies i lawe ʻia i kēia wā o kēia hoʻokolohua. Hōʻike paha nā biopsies i nā loli e pili ana i ka mumū. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu o ka colitis.

ʻO nā noiʻi ʻē aʻe i hiki ke hoʻomaopopo i ka colitis e komo pū me:

• CT scan o ka ʻōpū
• MRI o ka ʻōpū
• Enema Barium
• Moʻomeheu Stool
• Ninaninau Stool no ka ova a me nā parasites

Pili kāu mālama ʻana i ke kumu o ka maʻi.

Aia ka nānā i ke kumu o ka pilikia.

• ʻO ka maʻi Crohn kahi maʻi maʻi ʻaʻohe ona ola akā hiki ke kaohi ʻia.
• Hiki ke kāohi pinepine ʻia ʻo Ulcerative colitis me nā lāʻau. Inā ʻaʻole kaohi ʻia, hiki ke hoʻōla ʻia e ka wehe ʻana i ke kolona.
• Hiki ke hoola ʻia ka maʻi Viral, bacterial a me parasite me nā lāʻau kūpono.
• Hiki ke hoola ʻia ka colitis pseudomembranous me nā antibiotic kūpono.

Komo pū nā pilikia:

• ʻO ke kahe ʻana me ka neʻe o ka ʻōpū
• Perforation o ke kolona
• Mekacolon ʻona
• Sore (ulceration)

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli e like me:

• ʻEha o ka ʻōpū ʻaʻole maikaʻi
• ʻO ke koko i loko o ka pahu a i ʻole nā ​​papa e ʻeleʻele ke nānā aku
• ʻO ka pehu a i ʻole ka luaʻi e hele ʻole aku
• ʻŌpū pehu

• Ulcerative colitis
• ʻŌpū nui (kolona)
• Maʻi Crohn - X-ray
• Maʻi maʻi ʻōpū

Lichtenstein GR. Maʻi maʻi ʻōpū. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 132.

Osterman MT, Lichtenstein GR. Ulcerative colitis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 116.

Wald A. Nā maʻi ʻē aʻe o ke kolona a me ke ākea. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 128.