Ndi Choponda Chamtundu Wanji Chimawonetsa Thupi Lathanzi Kwambiri?

Bambo Yang, yemwe ali ndi zaka 45, anakalandira chithandizo chamankhwala chifukwa cha matenda otsekula m’mimba osatha, kupweteka kwa m’mimba, ndi chimbudzi chosakanikirana ndi mamina komanso mikwingwirima ya magazi. Dokotala wake adalimbikitsa kuyesa kwa fecal calprotectin, komwe kunawonetsa milingo yokwera kwambiri (> 200 μg / g), kuwonetsa kutupa kwamatumbo. Colonoscopy yotsatira idatsimikizira kupezeka kwa matenda a ulcerative colitis.

Zimbudzi zosazolowereka zimakhala ngati "barometer" yowoneka bwino ya thanzi la m'mimba, zomwe zimapereka chidziwitso chofunikira kuti azindikire matenda oyambirira. Kuzindikiritsa panthawi yake ndi kuchitapo kanthu kungathe kuwongolera bwino kukula kwa kutupa ndikuchepetsa chiopsezo cha khansa.

Mulingo Wowunika Wachimbudzi Chathanzi

Bristol Stool Scale

Bristol Stool Classification System imayika morphology ya chimbudzi m'magulu asanu ndi awiri, ndikuwonetsa bwino nthawi yoyenda m'matumbo ndi kugaya chakudya:

• Mtundu 1-2:Zimbudzi zolimba, zotupa (zimasonyeza kudzimbidwa).
• Mtundu 3-4:Zosalala, zokhala ngati soseji (zabwino, mawonekedwe athanzi).
• Mtundu 5-7:Chimbudzi chotayirira kapena chamadzi (kutanthauza kutsekula m'mimba kapena kuyenda mwachangu).

Mtundu wa chimbudzi ndi Zaumoyo

Zimbudzi zodziwika bwino zimawoneka zagolide zachikasu kapena zofiirira chifukwa cha metabolism ya bilirubin. Mitundu yachilendo imatha kuwonetsa zovuta:

• Zovala zakuda kapena za Tarry:
  • Zomwe sizimayambitsa matenda: Zowonjezera zitsulo, mankhwala a bismuth, kapena kumwa licorice wakuda.
  • Zomwe zimayambitsa matenda: Kutuluka magazi m'mimba (monga zilonda zam'mimba, khansa ya m'mimba). Zimbudzi zakuda zosalekeza limodzi ndi chizungulire kapena kuchepa kwa magazi m'thupi zimafuna chithandizo chamankhwala mwamsanga.
• Zovala Zofiira kapena za Maroon:
  • Zomwe zimayambitsa zakudya: Beets kapena red dragon zipatso.
  • Zomwe zimayambitsa matenda: Kutuluka magazi m'munsi mwa m'mimba (monga zotupa, zotupa kumatako, khansa yapakhungu).
• Zodyera Zobiriwira:
  • Zomwe zimayambitsa thupi: Kudya kwambiri ma chlorophyll (mwachitsanzo, masamba obiriwira).
  • Zomwe zimayambitsa matenda: Gut dysbiosis (kugwiritsa ntchito mankhwala opha tizilombo), kutsekula m'mimba, kapena kuchepa kwa bile.
• Chimbudzi Chotuwa Kapena Cha Dongo:
  • Sonyezani kutsekeka kwa ndulu, mwina chifukwa cha ndulu, hepatitis, kapena khansa ya kapamba.

Zizindikiro Zina za Morphological ndi Zowopsa Zaumoyo

• Zoyandama motsutsana ndi Zimbudzi Zomira:
  • Zoyandama: Zakudya zokhala ndi ulusi wambiri zomwe zimapangitsa kuti mpweya utuluke pa nthawi yowira.
  • Kumira: Kudya zakudya zomanga thupi zambiri, zomwe mwina zimalumikizidwa ndi chiopsezo cha khansa ya colorectal.
• Zofanana ndi miyala kapena "Ndowe za Nkhosa" (Zimbudzi Zowuma mu TCM):
  • Onetsani kuchepa kwa Qi kapena kusalinganika kwamatumbo a microbiota.
• Mphuno kapena Mitsempha ya Magazi:
  • Zitha kusonyeza matenda opweteka a m'mimba (IBD), matumbo a m'mimba, kapena matenda opatsirana.

Chida Chachidziwitso Chofunikira: Kufunika Kwachipatala kwa FecalKuyeza kwa Calprotectin

Calprotectinndi mapuloteni omwe amawonetsa ntchito za neutrophil m'matumbo. Kuyesa kwake kumapereka zabwino zambiri:

1. Kuwunika Kopanda Vuto:
   • Amawunika kutupa kwamatumbo kudzera m'miyendo, kuthandizira kuzindikira IBD, adenomas, kapena khansa yapakhungu popanda njira zoyambira zowononga ngati colonoscopy.
2. Kuzindikira Kosiyana:
   • Imathandiza kusiyanitsa pakati pa inflammatory bowel disease (IBD) ndi irritable bowel syndrome (IBS).
3. Kuyang'anira Chithandizo:
   • KutsatacalprotectinMiyezo imayang'anira mphamvu yamankhwala komanso chiopsezo choyambiranso.