Ni ubuhe bwoko bw'intebe bwerekana umubiri ufite ubuzima bwiza?

Bwana Yang, umusaza w'imyaka 45, yagiye kwa muganga kubera impiswi idakira, ububabare bwo mu nda, hamwe n'intebe zivanze n'umusemburo n'amaraso. Muganga we yatanze inama yo kwipimisha fecal calprotectin, yerekanaga urwego rwo hejuru cyane (> 200 μg / g), byerekana uburibwe bwo munda. Indwara ya colonoskopi yakurikiranye yemeje ko indwara ya kolite idakira.

Intebe zidasanzwe zikora nka "barometero" igaragara yubuzima bwigifu, itanga ibimenyetso byingenzi byo kumenya indwara hakiri kare. Kumenyekanisha mugihe no gutabara birashobora kugenzura neza iterambere ryumuriro no kugabanya ibyago bya kanseri.

Ibipimo by'isuzuma ku ntebe nziza

Igipimo cya Bristol

Sisitemu ya Bristol Stool Itondekanya ibyiciro bya morfologiya muburyo burindwi, itanga kwerekana neza igihe cyo gutembera munda hamwe nigikorwa cyigifu:

• Andika 1-2:Intebe zikomeye, zibyimbye (byerekana impatwe).
• Andika 3-4:Byoroheje, isosi isa nintebe (uburyo bwiza, bwiza).
• Andika 5-7:Intebe zirekuye cyangwa zifite amazi (tekereza impiswi cyangwa kunyuramo byihuse).

Ibara ryintebe hamwe nubuzima bwiza

Ibisanzwe bisanzwe bigaragara umuhondo cyangwa umuhondo kubera metabolism ya bilirubin. Amabara adasanzwe arashobora kwerekana ibibazo byihishe:

• Intebe z'umukara cyangwa Tarry:
  • Impamvu zidatera indwara: inyongera zicyuma, imiti ya bismuth, cyangwa kunywa umukara.
  • Impamvu zitera indwara: Amaraso yo mu nda yo hejuru (urugero, ibisebe byo mu gifu, kanseri yo mu gifu). Guhorana intebe yumukara iherekejwe no kuzunguruka cyangwa kubura amaraso bisaba ubuvuzi bwihuse.
• Intebe zitukura cyangwa Maroon:
  • Impamvu zimirire: Beterave cyangwa imbuto zitukura.
  • Impamvu zitera indwara: Amaraso yo mu gifu yo hepfo (urugero, hemorroide, ibice bya anal, kanseri yibara).
• Icyatsi kibisi:
  • Impamvu zitera umubiri: gufata chlorophyll ikabije (urugero, icyatsi kibabi).
  • Impamvu z'indwara: Gutwara dysbiose (gukoresha nyuma ya antibiotique), impiswi yanduye, cyangwa kumeneka udahagije.
• Intebe zijimye cyangwa Ibumba:
  • Erekana inzitizi zifata umwanda, zishobora guterwa na gallstone, hepatite, cyangwa kanseri yandura.

Ibindi bimenyetso bya Morphologiya nibibazo byubuzima

• Kureremba hamwe no kurohama:
  • Kureremba: Indyo ya fibre nyinshi itera gaze mugihe cya fermentation.
  • Kurohama: Intungamubiri za poroteyine nyinshi, birashoboka ko ziterwa na kanseri yibara.
• Amabuye ameze nk'amabuye cyangwa “Intama z'intama” (Intebe zumye muri TCM):
  • Tanga Qi ibura cyangwa microbiota itaringaniza.
• Inzira ya Mucus cyangwa Amaraso:
  • Irashobora kwerekana indwara zifata amara (IBD), polyps zo munda, cyangwa enterite yanduye.

Igikoresho cyingenzi cyo gusuzuma: Agaciro ka Clinical Agaciro ka FecalIkizamini cya Calprotectin

Calprotectinni poroteyine yerekana ibikorwa bya neutrophil mu mara. Ikizamini cyacyo gitanga ibyiza byingenzi:

1. Kugenzura Kutitabira:
   • Isuzuma uburibwe bwo munda ukoresheje ingero zintebe, ifasha mugupima IBD, adenoma, cyangwa kanseri yibara idafite uburyo bwambere bwo gutera nka colonoskopi.
2. Gusuzuma Itandukaniro:
   • Ifasha gutandukanya indwara zifata umura (IBD) na syndrome de munda (IBS).
3. Gukurikirana Ubuvuzi:
   • Gukurikiranacalprotectinurwego rusuzuma byimazeyo imiti ikora neza hamwe ningaruka zo gusubiramo.