He aha ka Eucthematous Mucosa a pehea e mālama ʻia ai?

Anter

• He aha nā hōʻailona?
• ʻŌpū a antrum paha
• Kolone
• Rectum
• He aha ke kumu o kēia?
• ʻŌpū a antrum paha
• Kolone
• Rectum
• Pehea e hōʻoia ʻia ai
• ʻŌpū a antrum paha
• Kolone
• Rectum
• Pili i ka maʻi ʻaʻai
• Pehea e mālama ʻia ai
• ʻŌpū a antrum paha
• Kolone
• Rectum
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO ka mucosa kahi membrane e hoʻopili ana i ka loko o kāu wahi digestive. ʻO ke kumu o ka Erythematous ʻulaʻula. No laila, ʻo ka loaʻa ʻana o ka mucosa erythematous ʻo ia ka ʻulaʻula o ka pale o loko o kāu wahi digestive.

ʻAʻole maʻi ka mucosa Erythematous. He hōʻailona ia o ke ʻano o ke kumu a i ʻole ka ukiuki i hoʻokumu i ka mumū, kahi i hoʻonui ai i ke kahe o ke koko i ka mucosa a ʻulaʻula ia.

Hoʻohana nui ʻia ka huaʻōlelo erythematous mucosa e nā kauka e wehewehe i ka mea a lākou e loaʻa ai ma hope o ka nānā ʻana i kāu kahawai digestive me kahi ʻāpana kukui i hoʻokomo ʻia i loko o kou waha a pololei paha. Pili ke ʻano pili me ia i ka ʻāpana o kāu tract digestive e hoʻopili ʻia:

• I ka'ōpū, ua kapaʻiaʻo gastritis.
• I ke kolona, ​​ua kapa ʻia ʻo colitis.
• I ka pololei, ua kapa ʻia ʻo proctitis.

He aha nā hōʻailona?

Hoʻololi nā ʻōuli o ka mucosa erythematous ma muli o kahi i loaʻa ai ka mumū. Hoʻopili pinepine ʻia nā wahi aʻe:

ʻŌpū a antrum paha

Hoʻopili pinepine ka Gastritis i kou ʻōpū holoʻokoʻa, akā i kekahi manawa pili wale ia i ka antrum - ka ʻaoʻao haʻahaʻa o ka ʻōpū. Gastritis hiki i ka wā pōkole (huikau) a i ka wā lōʻihi (mau).

Nā hōʻailona o ka gastritis huehue e komo pū paha:

• ʻoluʻolu iki a i ʻole piha ka manaʻo ma ka ʻaoʻao hema o kou ʻōpū ma hope o ka ʻai ʻana
• nausea a me ka luaʻi
• nalo ʻai ʻole
• puʻuwai puʻuwai a i ʻole indigestion, kahi ʻāʻī, ʻeha puʻupuʻu

Inā maikaʻi ʻole ka hoʻonāukiuki he kumu ia o ka ulcer, hiki paha iā ʻoe ke luaʻi i ke koko. I kekahi manawa naʻe, ʻaʻohe ʻōuli o ka gastritis huehue.

ʻO ka hapa nui o ka poʻe me ka gastritis maʻi mau ʻole ʻaʻohe hōʻailona. Akā hiki iā ʻoe ke loaʻa he anemia mai ka hemahema B-12 no ka mea ʻaʻole hiki i kou ʻōpū ke hūnā i ka mole e pono ai e komo hou i ka B-12. Luhi paha ʻoe a luhi hoʻi a mae ke nānā inā anemia ʻoe.

Kolone

Kāhea ʻia kāu nui nui ʻia kou kolona. Hoʻohui ia i kou ʻōpū liʻiliʻi i kou kiko. Hiki ke loli iki i nā ʻōuli o colitis ma muli o ke kumu, akā ʻo nā ʻōuli laulā e:

• maʻi hū paha he koko a paʻakikī pinepine paha
• ʻeha o ka ʻōpū a me ka cramping
• ʻōpū ʻōpū
• Kaumaha emi

ʻO nā maʻi maʻi ʻōpū nui ʻelua (IBD), ka maʻi o Crohn a me ka maʻi ulcerative colitis, hiki ke hoʻoulu i nā wahi ʻē aʻe o kou kino ma waho o kāu kolone. Pākuʻi ʻia kēia mau mea:

• kou mau maka, ka mea e ʻono ai a wai hoʻi
• kou ʻili, ka mea e hana i nā ʻeha a i ʻole nā ​​ulcer a lilo i scaly
• kou mau ami, i mea e pehu ai a lilo i ʻeha
• kou waha, kahi e ulu ai ka ʻeha

I kekahi manawa hana ʻia nā fistula ke hele a puni ka mumū ma loko o kou paia ʻōpū. He mau pilina pili ʻole kēia ma waena o nā ʻāpana ʻelua o kou ʻōpū - ma waena o kou ʻōpū a me kou pūpū a me kou ʻōpū, a i ʻole ma waena o kou ʻōpū a me waho o kou kino. ʻAe kēia mau pilina i ka neʻe e neʻe mai kāu ʻōpū i kāu pūpū, ʻōpala, a i ʻole ma waho o kou kino. Hiki i kēia ke alakaʻi i nā maʻi a me ka pahu e puka mai ana i waho o kāu ʻōpala a i ʻole ʻili.

Kākaʻikahi, hiki i ka colitis ke maikaʻi loa e haki kāu kolone. Inā kū kēia, hiki i ka pahu a me nā bacteria ke komo i loko o kou ʻōpū a kumu i ka peritonitis, ʻo ia ka mumū o ka pale o kou ʻūpū ʻO kēia ke kumu o ka ʻeha o ka ʻōpū nui a paʻakikī i kou paia ʻōpū. He pilikia olakino ia a hiki ke hoʻoweliweli i ke ola. Hana pū me kāu kauka e hoʻokele i kāu mau ʻōuli e hōʻalo ai i kēia pilikia.

Rectum

ʻO kou kiko ka ʻāpana hope loa o kāu tract digestive. ʻO kahi paipu e hoʻohui ana i kāu kolona i waho o kou kino. Nā ʻōuli o ka proctitis me:

• ʻeha ke ʻeha i kou lima a i ʻole ka hema hema o kou ʻōpū, a i ʻole ke neʻe ʻana o kou ʻōpū
• ke hele nei ke koko a me ka mucus me ka ʻole o ka neʻe ʻana o ka ʻōpū
• ke manaʻo nei e like me kou piha pono a pono pinepine ʻoe i kahi ʻōpū
• me ka pehu

Hiki i nā pilikia ke kumu i nā ʻōuli, e like me:

• Ulcer. Hiki i nā puka ʻeha ma ka mucosa ke hana me ka lū mau.
• Anemia Ke kahe mau ʻoe i kou kahe mai kou poli, hiki ke iho i lalo ka helu o kou aʻa koko ʻulaʻula. Hiki iā kēia ke hōʻoluʻolu iā ʻoe, ʻaʻole hiki ke hopu i kou hanu, a me ka luʻuluʻu. Pale paha ka ʻili o kou ʻili.
• Fistula. Hiki ke hana i kēia mau mea mai ka pololei mai e like me kāu kolona.

He aha ke kumu o kēia?

ʻŌpū a antrum paha

Hiki ke hoʻokumu ʻia ka gastritis huehue e:

• nā lāʻau anti-inflammatory nonsteroidal (NSAID)
• aspirin
• bile refluxing mai ka ʻōpū
• Helicobacter pylori (H. pylori) a me nā maʻi bacteria
• ʻalekohola
• Maʻi ʻo Crohn

Hoʻokumu pinepine ʻia ka gastritis maʻi e ka H. pylori maʻi maʻi. Ma kahi o hoʻokahi o ʻelima mau Caucasians i loaʻa H. pylori, a ma luna o ka hapalua o ʻAmelika ʻApelika, Hispanics, a me nā poʻe kahiko i loaʻa iā ia.

Kolone

Hiki i kekahi mau mea ke kumu i ka colitis, me:

• Maʻi maʻi ʻōpū. ʻElua mau ʻano, ka maʻi ʻo Crohn a me ka colitis ulcerative. ʻO nā maʻi autoimmune ʻelua, ʻo ia hoʻi ke hōʻeha kūpono ʻole nei kou kino iā ia iho.
• ʻO Diverticulitis. Hana ʻia kēia maʻi ke ʻeke liʻiliʻi a ʻeke paha i hana ʻia e ka lāʻau mucosa ma o nā wahi nāwaliwali i ka paia kolona.
• Nā maʻi ʻino. Hiki i kēia mau mea ke hele mai mai nā bacteria i nā meaʻai haumia, e like me salmonella, nā virus, a me nā parasites.
• Nā Antibiotics. Hana pinepine ʻia ka colitis pili i ka antibiotic ma hope o kou lawe ʻana i nā lāʻau ʻalopika ikaika e luku i nā koʻohune maikaʻi a pau i kou ʻōpū. ʻAe kēia i kahi bacteri i kāhea ʻia Difficile Clostridium, kūpaʻa ia i ka lāʻau antibiotic, e lawe aʻe.
• Ka nele o ke kahe o ke koko. Hana ʻia ka colitis Ischemic ke hoʻemi ʻia a hoʻopau ʻia hoʻi ke koko i kahi ʻāpana o kāu kolona, ​​no laila hoʻomaka ka hapa o ke kolona e make no ka mea ʻaʻole lawa ka oxygen.

Rectum

ʻO kekahi o nā kumu maʻamau o ka proctitis:

• nā ʻano ʻelua like o ka maʻi ʻōpū e hiki ke hoʻopili i ke kolona
• nā hoʻomaʻamaʻa radiation i kāu kolo a prostate paha
• maʻi maʻi:
  • nā maʻi i lawe ʻia e ka moekolohe e like me chlamydia, herpes, a me gonorrhea
  • koʻohune i nā meaʻai haumia e like me salmonella
  • HIV

I nā pēpē, hiki ke hana ʻia ka proctitis i hoʻokomo ʻia e ka protein, ka mea e pili ana i ka inu ʻana i ka soya a i ʻole ka waiū o ka bipi, a me nā proctitis eosinophilic, i kumu ʻia e ka nui o nā hunaola keʻokeʻo i kapa ʻia ʻo eosinophil i ka uhi ʻana.

Pehea e hōʻoia ʻia ai

ʻO ka hōʻoia o ka mucosa erythematous o kēlā me kēia ʻāpana o kāu wahi digestive e hoʻokūpaʻa mau ʻia e ka nānā ʻana i nā biopsies o nā mea i loaʻa i ka manawa o ka endoscopy. I kēia mau kaʻina hana, hoʻohana kāu kauka i kahi endoscope - kahi wīwī lahilahi me ka pahu paʻi kiʻi - e nānā i loko e ʻike ai i loko o kāu ʻōnaehana digestive.

Hiki ke wehe ʻia kahi ʻāpana liʻiliʻi o ka mucosa erythematous ma o ka laulā a nānā ʻia ma lalo o kahi microscope. Ke hoʻohana kāu kauka i kēia, hāʻawi pinepine ʻia ʻoe i ka lāʻau e hoʻomoe ai iā ʻoe a hoʻomanaʻo ʻole i ke kaʻina hana.

ʻŌpū a antrum paha

Ke nānā kāu kauka i kou ʻōpū me kahi laulā, ua kapa ʻia ia he endoscopy luna. Hoʻokomo ʻia ka laulā ma o kou ihu a waha paha a neʻe mālie i mua i kou ʻōpū. E nānā pū kāu kauka i kāu esophagus a me ka ʻāpana mua o kou ʻōpū liʻiliʻi (ka duodenum) i ka wā o ke kaʻina hana.

Hiki ke ʻike pinepine ʻia ʻo Gastritis ma muli o kāu mau ʻōuli a me ka mōʻaukala, akā holo paha kāu kauka i kekahi mau hoʻokolohua ʻē aʻe e maopopo. Pākuʻi ʻia kēia mau mea:

• hiki i ka hanu, ka noho, a me nā hoʻokolohua koko ke hōʻoia inā loaʻa iā ʻoe H. pylori
• hiki i kahi endoscopy ke ʻae i kāu kauka e nānā no ka mumū a lawe i kahi biopsy inā ʻano kānalua kekahi wahi a hōʻoia paha iā ʻoe H. pylori

Kolone

Ke nānā aku kāu kauka i kou poli a me kou kolona, ​​ua kapa ʻia ia he kolonopope. No kēia, ua hoʻokomo ʻia ka laulā i kāu kiko. E nānā kāu kauka i kāu kolone holoʻokoʻa i kēia kaʻina hana.

Hiki ke hoʻohana ʻia kahi laulā kukui liʻiliʻi i kapa ʻia he sigmoidoscope e hoʻokolo wale ai i ka hopena o kāu kolona (ke koloka sigmoid), akā hana ʻia kahi kolonexopy e nānā i kāu kolone holoʻokoʻa i mea e lawe ai i nā biopsies o nā wahi ʻino a i ʻole nā ​​laʻana e hoʻohana ai e nānā. no ka maʻi maʻi.

Nā hoʻokolohua ʻē aʻe a kāu kauka i komo ai:

• nā ho'āʻo koko e nānā no ka anemia a i ʻole nā ​​māka o kahi maʻi autoimmune
• nā hoʻāʻo o ka ʻōpū e nānā i nā maʻi a i ʻole ke koko āu e ʻike ʻole ai
• kahi CT a scan MRI paha e nānā i ka ʻōpū āpau a i ʻole nānā i kahi fistula

Rectum

Hiki ke hoʻohana ʻia kahi sigmoidoscope e nānā i kāu kiko e nānā i ka proctitis a kiʻi i nā kikoola biopsy. Hiki ke hoʻohana ʻia i kahi kolona inā makemake kāu kauka e nānā i kāu kolone holoʻokoʻa a me kou kiko. Hiki i nā hoʻokolohua ʻē aʻe ke:

• nā ho'āʻo koko no nā maʻi a me ka anemia
• i kahi laulau e hoʻāʻo ai no ka maʻi a i ʻole nā ​​maʻi i lawe ʻia i ka moekolohe
• kahi CT scan a i ʻole MRI inā manaʻo kāu kauka he fistula kahi

Pili i ka maʻi ʻaʻai

H. pylori hiki ke hoʻoulu i ka gastritis mau, i hiki ai ke alakaʻi i nā maʻi maʻi a i kekahi manawa i ka maʻi ʻaʻai ʻōpū. Hōʻike nā noiʻi i kāu makaʻu i ka maʻi ʻaʻai ʻōpū ʻekolu a ʻeono mau manawa ke kiʻekiʻe inā loaʻa iā ʻoe H. pylori ma mua inā ʻaʻole ʻoe, akā ʻaʻole ʻae nā kauka āpau i kēia mau helu.

Ma muli o ka hoʻonui ʻia o ka makaʻu, he mea nui ia H. pylori mālama ʻia a hoʻopau ʻia mai kou ʻōpū.

ʻO ka ulcerative colitis a me ka maʻi o Crohn e hoʻonui i kou makaʻu o ka maʻi ʻaʻai kolona e hoʻomaka ana ma hope o kāu loaʻa ʻana iā lākou ma kahi o ʻewalu mau makahiki. I kēlā manawa, e koi aku kāu kauka iā ʻoe i kahi kolonexopy i kēlā me kēia makahiki no laila e hopu koke ʻia ke kanesa inā ulu ia. Inā pili wale kāu colitis ulcerative i kāu kiko, ʻaʻole hoʻonui ʻia kāu maʻi ʻaʻa.

Pehea e mālama ʻia ai

Hoʻololi ka hoʻomaʻamaʻa e pili ana i ke kumu, akā ʻo ka hana mua e kāpae mau i nā mea āpau e hoʻomāhuahua ai paha e like me ka wai ʻona, NSAID a i ʻole aspirin, kahi papaʻai fiber haʻahaʻa, a i ʻole ke koʻikoʻi. Hoʻomaikaʻi wikiwiki ka mumū ma hope o ka hemo ʻana o ka mea hoʻonāukiuki.

ʻŌpū a antrum paha

Loaʻa i kekahi mau lāʻau e hōʻemi i kou waikawa ʻōpū e ke kuhikuhi a ma luna o ka pā. Kōkua ka hōʻemi ʻana i ka waikawa ʻōpū i ka hoʻōla. Koi ʻia kēia mau lāʻau a kauoha ʻia e kāu kauka:

• ʻAnakini. Hoʻopau kēia mau mea i ka acid acid a kū koke i ka ʻeha o ka ʻōpū.
• Nā mea hoʻopukapuka Proton Kū kēia i ka hana ʻana i ka waikawa. Ke hoʻohana nei i ka nui o kēia lāʻau no ka manawa lōʻihi hiki ke hoʻonāwaliwali i kou mau iwi, no laila pono ʻoe e lawe pū me ka calcium iā lākou.
• ʻO nā antagonist receptor Histamine-2 (H2). Hoʻoemi kēia i ka nui o ka waikawa a kou ʻōpū e hana ai.

ʻO nā ʻano hana kūikawā pū kekahi:

• Inā ʻo NSAID a aspirin paha ke kumu: Pono e hoʻopau i kēia mau lāʻau a hoʻokahi a ʻoi paha o nā lāʻau i luna i lawe ʻia.
• No kahi H. pylori maʻi maʻi: E mālama ʻia ʻoe me ka hui pū ʻana o nā antibiotic no 7 a 14 mau lā.
• Ka hemahema B-12: Hiki ke mālama ʻia kēia hemahema me nā pana pana.
• Inā hōʻike kahi biopsy i nā loli precancerous: E kiʻi paha ʻoe i ka endoscopy hoʻokahi manawa i ka makahiki e nānā no ka maʻi ʻaʻai.

ʻO nā ʻano lāʻau ʻē aʻe kekahi:

• Ke hōʻemi a hōʻemi ʻana paha i ka ʻalekohola, kahi e hoʻēmi ai i ka huhū i hōʻike ʻia i ka uhi ʻana o kou ʻōpū.
• ʻO ka pale ʻana i nā meaʻai āu e ʻike ai e hoʻonāukiuki i kou ʻōpū a i ʻole ke kumu o ka huhū o ka puʻuwai, kahi e hōʻemi ai hoʻi i ka huhū o ka ʻōpū a kōkua paha i kāu hōʻailona.

Kolone

Hoʻokumu ʻia ka mālama ʻana i ka colitis ma ke kumu:

• Maʻi maʻi ʻōpū mālama ʻia me nā lāʻau e hoʻoliʻiliʻi i ka mumū a kāohi i kou ʻōnaehana pale. Ke hoʻololi nei i kāu papaʻai a me ka hōʻemi ʻana i kou pae pae i hiki ke kōkua i ka hōʻemi ʻana i nā ʻōuli a i ʻole mālama iā lākou. I kekahi manawa pono ka hemo ʻana i kahi ʻoki o nā ʻāpana ʻinoʻino loa o kāu kolona.
• ʻO Diverticulitis mālama ʻia me nā lāʻau antibiotic a me kahi papaʻai i loaʻa ka nui o ka fiber. I kekahi manawa ua lawa ke koʻikoʻi e koi iā ʻoe e hoʻokipa ʻia i ka haukapila a mālama ʻia me nā antibiotic IV a me kahi papa wai e hoʻomaha ai kou kolone.
• Nā maʻi bacteria mālama ʻia me nā antibiotic.
• Nā maʻi viral mālama ʻia me nā antivirals.
• Nā Parasite mālama ʻia me nā antiparasitics.
• ʻO colitis pili i ka Antibiotic mālama ʻia me nā lāʻau antibiotic i Difficile Clostridium ʻaʻole kūpaʻa i, akā i kekahi manawa paʻakikī loa e hoʻopau loa iā ia.
• ʻO colitis ischemic maʻamau e mālama ʻia e ka hoʻopaʻa ʻana i ke kumu o ke kahe o ke kahe o ke koko. ʻO ka pinepine, pono e hemo i ke kolona i hōʻino ʻia.

Rectum

• Maʻi maʻi ʻōpū i ka pololei e mālama ʻia e like me ka kolona, ​​me nā lāʻau a me nā loli nohona.
• Hoʻopilikia i hoʻokumu ʻia e radiation radiation ʻaʻole koi ka lapaʻau ʻana inā haʻahaʻa. Hiki ke hoʻohana ʻia nā lāʻau anti-inflammatory inā ʻoi aku ke koʻikoʻi.
• Nā maʻi ʻino mālama ʻia me nā antibiotic a i ʻole nā ​​antivirals, kaukaʻi ʻia i ke kumu.
• Nā kūlana pili i nā pēpē mālama ʻia e ka hoʻoholo ʻana i nā meaʻai a me nā mea inu e hoʻokumu i ka pilikia a pale aku iā lākou.

He aha ke kuanaʻike?

ʻO nā ʻōuli o ka mucosa erythematous ma muli o ka mumuna hiki ke akahai a ʻino hoʻi a ʻokoʻa ʻokoʻa e pili ana i ka ʻāpana o kāu digestive tract i pili. Nā ala kūpono o ke kuhi a me ka mālama ʻana i kēia mau ʻano.

He mea nui ia e ʻike ʻoe i kāu kauka inā loaʻa iā ʻoe nā ʻōuli o ka gastritis, colitis, a i ʻole proctitis. ʻO kēlā ala, hiki ke kuhi ʻia kāu maʻi a mālama ʻia ma mua o ka lilo ʻana i ke koʻikoʻi a i ʻole hoʻomohala ʻoe i nā pilikia.