Loluphi uhlobo lwesitulo olubonisa owona mzimba usempilweni?

UMnu. Yang, indoda eneminyaka engama-45 ubudala, uye wafuna unyango ngenxa yorhudo olungapheliyo, iintlungu zesisu, ilindle elixutywe nencindi nemivimbo yegazi. Ugqirha wakhe uncome uvavanyo lwe-fecal calprotectin, olubonakalisa amanqanaba aphezulu kakhulu (> 200 μg / g), ebonisa ukuvutha kwamathumbu emathunjini. I-colonoscopy eyalandelayo yaqinisekisa ukuxilongwa kwe-ulcerative colitis engapheliyo.

Izitulo ezingaqhelekanga zisebenza njenge "barometer" ebonakalayo yempilo yokwetyisa, inika imikhondo ebalulekileyo yokufunyanwa kwesifo kwangoko. Ukuchongwa ngexesha kunye nokungenelela kunokulawula ngokufanelekileyo ukuqhubela phambili kokuvuvukala kunye nokunciphisa umngcipheko womhlaza.

Iikhrayitheriya zoVavanyo lweLindle eliphilileyo

Isikali seBristol Stool

Inkqubo yoHlelo lwe-Bristol Stool ihlela i-morphology yesitulo kwiintlobo ezisixhenxe, inika imbonakalo ecacileyo yexesha lokuhamba kwamathumbu kunye nomsebenzi wokwetyisa:

• Uhlobo 1-2:Ilindle eliqinileyo, elineqhuma (libonisa ukuqhina).
• Uhlobo 3-4:I-Smooth, i-sausage-like-stools (efanelekileyo, ifom enempilo).
• Uhlobo 5-7:Ilindle elixengaxengayo okanye elinamanzi (cebisa urhudo okanye ukuhamba ngokukhawuleza).

Umbala weSitulo kunye neempembelelo zempilo

Izitulo eziqhelekileyo zibonakala zibomvu zegolide okanye zimdaka ngenxa ye-bilirubin metabolism. Imibala engaqhelekanga ingabonakalisa imiba esisiseko:

• Izitulo eziMnyama okanye eziTarry:
  • Izizathu ezingezizo ze-pathological: Izongezelelo zentsimbi, amayeza e-bismuth, okanye ukusetyenziswa kwe-licorice emnyama.
  • Iimbangela ze-Pathological: Ukopha kwe-gastrointestinal ephezulu (umz., izilonda zesisu, umhlaza wesisu). Izitulo ezimnyama eziqhubekayo zihamba kunye nesiyezi okanye i-anemia zifuna unyango olukhawulezileyo.
• Izitulo eziBomvu okanye eziMaroon:
  • Unobangela wokutya: Iibhiti okanye iziqhamo ezibomvu zedragoni.
  • Iimbangela ze-Pathological: Ukopha ngaphantsi kwesisu (umzekelo, i-hemorrhoids, i-Fissures ezimpundu, umhlaza wesisu).
• Izitulo eziluhlaza:
  • Iimbangela zePhysiological: Ukutya okugqithisileyo kweklorofili (umzekelo, amagqabi aluhlaza).
  • Izizathu ze-Pathological: I-dysbiosis ye-Gut (ukusetyenziswa emva kwe-antibiotic), isifo sohudo esosulelayo, okanye ukuchithwa kwe-bile okwaneleyo.
• ILindle eliGutshisiweyo okanye eliMbala yodongwe:
  • Bonisa ukuvaleka kombhobho wenyongo, okunokwenzeka ngenxa yamatye enyongo, ihepatitis, okanye umhlaza wepancreatic.

Ezinye iimpawu ze-Morphological kunye neengozi zempilo

• Ukudada xa kuthelekiswa neZitulo eziZikayo:
  • Ukudada: Izidlo ezinefayibha eziphezulu ezibangela ukuveliswa kwerhasi ngexesha lokubilisa.
  • Ukutshona: Ukutya okuphezulu kweprotheyini yezilwanyana, enokuthi idityaniswe nobungozi bomhlaza we-colorectal.
• ILindle elifana nehlalutye okanye “eliLindle legusha” (ILindle elomileyo kwi-TCM):
  • Cebisa ukunqongophala kwe-Qi okanye ukungalingani kwe-gut microbiota.
• Amafinyila okanye imivimbo yegazi:
  • Inokuthi ibonise isifo sofuba (IBD), i-polyps yamathumbu, okanye i-enteritis esosulelayo.

Isixhobo esiPhambili sokuHlola: Ixabiso leKlinikhi ye-FecalUvavanyo lweCalprotectin

Calprotectinyiprotheni ebonisa umsebenzi we-neutrophil emathunjini. Uvavanyo lwayo lubonelela ngeenzuzo ezibalulekileyo:

1. Uvavanyo olungaHlaseliyo:
   • Ivavanya ukudumba kwamathumbu ngeesampulu zesitulo, inceda ekuxilongweni kwe-IBD, i-adenomas, okanye umhlaza we-colorectal ngaphandle kweenkqubo zokuqala ezihlaselayo njenge-colonoscopy.
2. Uxilongo olwahlukileyo:
   • Inceda ukwahlula phakathi kwesifo sokukrala kwamathumbu (IBD) kunye nesifo samathumbu esicaphukisayo (IBS).
3. UkuJonga unyango:
   • Ukulandela umkhondocalprotectinamanqanaba avavanya ngamandla ukusebenza kwamayeza kunye nomngcipheko wokubuyela umva.