Ndeupi Rudzi rweChituru Chinoratidza Hutano Hwakanyanya Muviri?

VaYang, avo vane makore makumi mana nemashanu ekuberekwa, vakatsvaga kurapwa nekuda kwechirwere chemanyoka chisingaperi, mudumbu munorwadza, uye zvitsvina zvakasangana nemachuru uye mitsetse yeropa. Chiremba wake akakurudzira fecal calprotectin bvunzo, iyo yakaratidza zvakanyanya kukwirira mazinga (> 200 μg / g), zvichiratidza kuzvimba kwemukati. Imwe colonoscopy yakatevera yakasimbisa kuongororwa kwechisingaperi ulcerative colitis.

Zvituru zvisina kujairika zvinoshanda se "barometer" inooneka yehutano hwekugaya, ichipa ruzivo rwakakosha rwekutanga kuona chirwere. Kuzivikanwa nenguva uye kupindira kunogona kunyatso kudzora kufambira mberi kwekuzvimba uye kuderedza njodzi yegomarara.

Mamiriro Ekuongorora eZvigwere Zvine Utano

Bristol Stool Scale

Iyo Bristol Stool Classification System inoisa stool morphology mumhando nomwe, ichipa ratidziro yakajeka yenguva yekufamba kwematumbo uye basa rekugaya:

• Rudzi 1-2:Zvigwere zvakaoma, zvine bundu (zvinoratidza kuvimbiswa).
• Rudzi 3-4:Smooth, sausage-like stools (yakanaka, ine hutano fomu).
• Rudzi 5-7:Zvigwere zvakasununguka kana zvine mvura (taura manyoka kana kukurumidza kufamba).

Rudzi rweChituru uye Hutano Zvinoreva

Zvituru zvakajairika zvinoita segoridhe yero kana shava nekuda kwebilirubin metabolism. Mavara asina kujairika anogona kuratidza zvikonzero zvinokonzeresa:

• Dema kana Tarry Stools:
  • Zvisiri-pathological zvinokonzera: Iron supplements, bismuth mishonga, kana dema licorice kushandiswa.
  • Pathological zvinokonzera: Upper gastrointestinal kubuda ropa (semuenzaniso, gastric ulcers, gomarara remudumbu). Zvituru zvitema zvinoramba zvichiperekedzwa nedzungu kana kupererwa neropa zvinoda kurapwa nekukurumidza.
• Tsvuku kana Maroon Stools:
  • Zvokudya zvinokonzera: Beet kana red dragon fruit.
  • Pathological zvinokonzera: Kubuda ropa kwepazasi mudumbu (semuenzaniso, hemorrhoids, fissures, gomarara remukati).
• Green Stools:
  • Zvikonzero zvemuviri: Kunyanya kunwa chlorophyll (semuenzaniso, mashizha ane mashizha).
  • Pathological zvinokonzera: Gut dysbiosis (post-antibiotic kushandiswa), manyoka anotapukira, kana kusakwana kwekuparara kwebile.
• Pale kana Clay-Colour Stools:
  • Ratidza bile duct kuvharika, pamwe nekuda kwegallstones, hepatitis, kana pancreatic cancer.

Zvimwe zveMorphological Clues uye Njodzi dzehutano

• Inoyangarara vs. Zvituru Zvinonyura:
  • Inoyangarara: Zvikafu zvakakwirira-fiber zvichikonzera kugadzirwa kwegasi panguva yekuvirisa.
  • Kunyura: Kudya kwakawanda kweprotein yemhuka, pamwe yakabatana nenjodzi yegomarara remukati.
• Zvituru-sehurungudo kana kuti “Ndove yeGwai” (Dry Stools muTCM):
  • Ratidza kushomeka kweQi kana gut microbiota kusaenzana.
• Mucus kana Ropa Streaks:
  • Inogona kuratidza chirwere chinoputika (IBD), intestinal polyps, kana infectious enteritis.

Key Diagnostic Tool: The Clinical Value yeFecalCalprotectin Testing

Calprotectinipuroteni inoratidza kuita kweneutrophil mumatumbo. Kuedzwa kwayo kunopa zvakakosha zvakakosha:

1. Non-Invasive Screening:
   • Inotarisa kuzvimba kwemukati kuburikidza nemasampuli ezvituru, zvichibatsira mukuongororwa kweBD, adenomas, kana colorectal cancer pasina maitiro ekutanga ekupinda senge colonoscopy.
2. Differential Diagnosis:
   • Inobatsira kusiyanisa pakati pekuzvimba bowel chirwere (IBD) uye irritable bowel syndrome (IBS).
3. Treatment Monitoring:
   • Trackingcalprotectinmazinga anoongorora zvine simba kushanda kwemishonga uye njodzi yekudzokazve.