Chisingaperi Diarrhea muImbwa neKatsi: Unofanira Kunetseka Here?

Manyoka asingaperi mumhuka dzinovaraidza kazhinji haaonekwe. Kunyanya kana yakatanga achiri mudiki uye munhu wese "akajaira" izvi.

Kazhinji, defecation mune imbwa yakakura kana kati inoitika 1-2 kanomwe pazuva, uye chigaro chinoumbwa. Kana kuwanda kwekuita defecation kuchiwedzerwa, uye chigaro chiri mushy kwenguva yakareba kana kudzoka zvakare kunoonekwa, izvi zvinogona kuratidza pathology.

Chirwere chemanyoka chinowanzobatanidzwa neboka rezvirwere zvinonzi IBD, chirwere chinoputika. Tichataura nezvazvo munyaya ino.

Zviratidzo zveBD (chirwere chinoputika) zvinosanganisira:

1. kurutsa

2. chirwere

3. Kuonda

4. Kuderedzwa kwemuviri

5. Ropa muchituru nemarutsi

6. Kuderedza kudya.

Chikonzero chaicho cheIBD (chirwere chinoputika) hachizivikanwi, asi pane zvinhu zvakawanda zvinogona kukanganisa kukura kwayo:

1. Genetic kufungidzira

2. Immune system kusagadzikana mumatumbo

3. Zvakatipoteredza

4. microbial factors.

• Genetic kufungidzira

Muvanhu, shanduko dzinoenderana mujenome dzakawanikwa dzine chekuita nechirwere ichi. Zvimwe zvidzidzo zvakaitwawo mumhuka, asi parizvino pane akati wandei.

• Immune system kusagadzikana mumatumbo

Itestinal immune system yakaoma. Inosanganisira mucous membranes, mucus, immunoglobulins, marudzi akasiyana-siyana emasero ekudzivirira zvirwere, nezvimwewo. Mukati megadziriro iyi, kune kuzvidzora, semuenzaniso, mamwe masero ekudzivirira anokurudzira kana kuti anodzivisa kuita kwemamwe masero, zvichienderana nemamiriro ezvinhu. Kuvhiringidza kwechiyero ichi kunogona kukonzera mhinduro isina kufanira yemuviri wemuviri kune zvinhu zvakasiyana-siyana, zvichiita, semuenzaniso, kuzvimba zvakanyanya kune zvishoma zvinogumbura.

• Zvakatipoteredza

Migumisiro yekushungurudzika, kudya, uye zvinodhaka pakuvandudzwa kweBD muvanhu zvakatsanangurwa. Asi mumhuka dzinovaraidza, kubatana pakati pekunetseka uye kukura kwechirwere chechirwere chisingaperi hachina kuratidzwa. Nekudaro, katsi nembwa dzinozivikanwa kukudziridza mamwe maitiro ekuzvimba mukupindura kushushikana, senge cystitis.

Nekudya, zvese zvakafanana nevanhu. Masoja ezvirwere zvemuviri anowanzo kurodzwa kuti azive puroteni yekune imwe nyika pamusoro pemamwe mabhakitiriya kana hutachiona. Zvimwe zvakasiyana-siyana zveprotein yezvokudya zvinogona kuonekwa nemhuka semuvengi, izvo zvinogona kukonzera kuzvimba mumatumbo.

• Microbial factors

Shanduko mukuumbwa kweiyo gut microbiome inogona kukonzeresa kuwanda kwemhando dzehasha dzebhakitiriya dzinokuvadza madziro emukati, zvichitungamira mukuzvimba.

IBD yakakamurwa kuva 4 marudzi egastrointestinal pathologies:

1. Sensitivity kune chikafu. Nekushandisa chikafu chekubvisa kana hydrolyzed protein mukudya, chirwere chinorapwa. Mhando iyi yeBD ndiyo inonyanya kuzivikanwa.

2. Sensitivity kune antibiotics. Muchiitiko ichi, IBD inogadzirisa maererano nekushandiswa kwemishonga inorwisa mabhakitiriya. Chirwere chinotangazve mushure mekubviswa kwavo.

3. Sensitivity kune steroids (immune kudzvinyirirwa). Inogadzirisa nekushandiswa kwemishonga inodzvinyirira immune system. Izvi zvinodikanwa kana immune system iri mumatumbo isiri kushanda nemazvo.

4. Refractoriness (hapana kunzwa kune zvese). Iyi IBD haipinduri kune chero chinhu. Chikonzero chacho hachizivikanwi zvakare.

Kuongororwa kweBD kunotanga nekusabatanidzwa kwepathologies ine zviratidzo zvakafanana.

Idzi dzinosanganisira:

• Zvirwere zvehutachiona zvekatsi (leukemia uye immunodeficiency)

• Zvirwere zvehutachiona

• Neoplasms

• Chiropa pathologies

• Kidney pathology

• Kukanganiswa kweiyo endocrine system

• Mitumbi yokumwe

• Kusagadzikana kwekudya

• Kusangana kune zvine chepfu.

• Kuongorora ropa. Haagone kushandiswa kuongorora IBD, asi inogona kufungidzirwa uye zvimwe zvirwere zvine zviratidzo zvakafanana zvinobviswa.

• X-ray kuongorora. Inokutendera kuti usabatanidze mamwe ma pathologies anogona kukonzera zviratidzo zveIBD.

• Ultrasound nzira. Inokubvumira kuona shanduko mumadziro emudumbu ayo anofananidzira IBD, asi anogonawo kuva mune zvimwe zvirwere, zvakadai se lymphoma. Uyezve, ultrasound inogona kusabvisa mamwe pathologies, akadai neoplasms.

• Endoscopy yemudumbu nematumbu. Nekubatsira kwekamera duku, mucous membrane yemudumbu uye matumbo inoongororwa. Nekumwe shanduko, unogona kufungidzira IBD uye kusabvisa mamwe matambudziko, ayo anosanganisira kunze kwenyika, neoplasms, zvichingodaro.

• Histology. Kuti bvunzo iyi, unofanira kutora zvidimbu intestinal tishu. Iyo nzira inoitwa kungave panguva yekuongororwa endoscopic kana panguva yekuvhiya mudumbu. Mienzaniso yakawanikwa inoongororwa pasi pe microscope. Chete pahwaro hweiyi nzira ndipo panogona kunyatsoongororwa kuongororwa kweBD.

Kuongorora kwehistological kunokanganisa, saka muedzo wekurapa unogona kutangwa kana IBD yakapfava kana ine mwero yakabviswa uye mamwe matambudziko akabviswa. Zvisinei, pakuongororwa, kuongorora histological kunonyanya kudiwa.

Kana chipfuyo chikasapindura kurapwa kana paine matambudziko anoenderana neIBD, endoscopic uye histological kuongororwa kunofanirwa kuitwa.

• Diet. Mhuka yacho inoendeswa zvishoma nezvishoma kune chikafu chine mutsva weprotein kana ne hydrolyzed protein. Kana paine maitiro kune chikafu chitsva, saka chipfuyo chine chikafu-chinoenderana IBD.
• Mishonga inorwisa mabhakitiriya. Inoshandiswa kana pasina mhinduro kune kudya. Usati watanga nzira yemishonga inorwisa mabhakitiriya, kudya kwakasiyana-siyana kunogona kuiswa mumutsara, izvo dzimwe nguva zvinotora mwedzi yakawanda.

Mishonga inorwisa mabhakitiriya ine mhinduro yakabudirira inotorwa kweinenge mwedzi 1, yobva yabviswa. Kana zviratidzo zvikadzoka, kurapwa kwenguva refu kunorayirwa.

• Immunosuppression. Kana chipfuwo chisingaiti kurapwa nekudya uye mishonga inorwisa mabhakitiriya, kusanganiswa kwakasiyana-siyana kwemishonga inosuppressive inorayirwa. Mushonga uye musanganiswa unosarudzwa mumwe nemumwe zvichienderana nemhinduro yekurapwa uye / kana mhedzisiro.
• Complementary probiotic therapy. Chiremba anorayira kana kuti haatauri probiotics, zvichienderana nemamiriro ezvinhu, pakufunga kwake.
• Kurapa kwakanyanya. Kana chipfuwo chako chine IBD yakaoma, vangada kutarisirwa kwakanyanya muchipatara kuti vatarise matambudziko.

Kufanotaura kunoenderana nemhuka yega yega. Imbwa yega yega yechipiri nguva nenguva inoratidza zviratidzo zveBD. Chimwe nechimwe chechina chinopinda mukuregererwa kwakagadzikana. Imwe paimbwa makumi maviri neshanu haidzoreki.

Kana chipfuyo chako chiine manyoka asingaperi kana kurutsa kweanopfuura mavhiki matatu, iva nechokwadi chekubata chiremba wako wemhuka. Achakwanisa kuongorora chikonzero chemamiriro ezvinhu emhuka uye kunyora kurapa panguva yakakodzera.

Munyori wechinyorwa: Mac Boris Vladimirovich, chiremba wemhuka uye murapi pakiriniki yeSputnik.