Qhov Tseem Ceeb - Diverticulitis vs Ulcerative Colitis
Hauv kev kho mob jargon, cov lus "itis" yuav luag siv los piav txog qee yam ua rau mob. Raws li cov lus qhuab qhia, koj tuaj yeem nkag siab tias diverticulitis yog qhov mob ntawm diverticula uas tshwm sim los ntawm txoj hnyuv. Ulcerative colitis, ntawm qhov tod tes, yog qhov mob ntawm txoj hnyuv nrog kev tsim cov kab mob sib kis. Nyob rau hauv ulcerative colitis, lub overlying mucosa ntawm txoj hnyuv yog o, tab sis nyob rau hauv diverticulitis, nws yog diverticulum tshwm sim los ntawm txoj hnyuv loj uas tau o. Qhov no yog qhov sib txawv tseem ceeb ntawm diverticulitis thiab ulcerative colitis.
Diverticulitis yog dab tsi?
YDiverticulitis yog qhov mob ntawm diverticula hauv txoj hnyuv. Cov diverticula no tuaj yeem yog los ntawm lub hauv paus los yog tau txais.
Ib qho mob diverticulum tuaj yeem ua rau muaj teeb meem hauv qab no.
- Y Lub diverticulum tuaj yeem nkag mus rau hauv peritoneum, ua rau peritonitis. Pericolic abscesses tuaj yeem tsim yog tias nws nkag mus rau cov ntaub so ntswg pericolic. Nws perforation rau hauv lwm cov qauv uas nyob ib sab yog feem ntau yuav xaus nrog qhov tshwm sim ntawm fistula.
- Cov mob ntev uas cuam tshuam nrog diverticulitis ua rau cov nqaij mos ntawm cov nqaij o ua rau muaj kev cuam tshuam rau cov tsos mob xws li cem quav.
- Kev yaig mus rau hauv cov hlab ntsha ua rau cov hemorrhages sab hauv.
Tshuaj Kho Mob
Acute Diverticulitis
Tus mob no yog lub npe hu ua cov kab mob sab laug sab laug vim yog qhov mob ntawm qhov mob tshwm sim uas tshwm sim hauv thaj chaw qis hauv nruab nrab ntawm lub plab thiab maj mam hloov mus rau sab laug iliac fossa. Nws tuaj yeem muaj lwm yam tsos mob xws li xeev siab, ntuav, mob hauv zos thiab saib xyuas.
Kab mob sib kis
Qhov no ua raws li kev kho mob ntawm tus kab mob colonic.
- Hloov lub plab zom mov
- ntuav, plab plab, mob plab plab, thiab cem quav vim muaj kev cuam tshuam ntawm plab hnyuv loj.
- ntshav thiab hnoos qeev rau qhov quav
Daim duab 01: Diverticula ntawm Sigmoid Colon
Kev tshawb nrhiav
- CT yog qhov kev tshawb nrhiav tsim nyog tshaj plaws los txheeb xyuas cov kab mob diverticulitis hauv nws theem mob hnyav los ntawm kev tsis suav nrog lwm yam kev kuaj mob.
- Sigmoidoscopy
- Colonoscopy
- Barium enema
Kev kho mob
Acute Diverticulitis
Kev tswj hwm kev noj qab haus huv tau pom zoo rau kev kho tus neeg mob kuaj pom muaj mob diverticulitis. Tus neeg mob tau khaws cia rau hauv cov dej haus thiab tshuaj tua kab mob xws li metronidazole thiab ciprofloxacin.
- Pericolic abscesses yog kuaj los ntawm CT. Percutaneous kua ntawm cov abscesses yog qhov tseem ceeb kom tsis txhob muaj teeb meem yav tom ntej.
- Yog hais tias muaj qhov ruptured abscess ua rau peritonitis, cov kua paug yuav tsum tau muab tshem tawm ntawm lub peritoneal kab noj hniav los ntawm laparoscopic lavage thiab kua.
- Thaum muaj kab mob diverticulitis cuam tshuam rau hauv txoj hnyuv, laparotomy yuav tsum tau tsim qhov kev kuaj mob.
Kab mob sib kis
Tus mob no tau tswj xyuas kom zoo yog tias cov tsos mob me me thiab qhov kev kuaj mob tau lees paub los ntawm kev tshawb nrhiav. Feem ntau, cov roj nplua nyeem laxative thiab cov fiber ntau uas muaj cov khoom noj tau raug sau tseg. Thaum cov tsos mob hnyav, thiab qhov ua tau ntawm cov kab mob qog noj ntshav tsis tuaj yeem tsis suav nrog laparotomy thiab kev txiav tawm ntawm cov hnyuv sigmoid tau ua tiav.
Ulcerative Colitis yog dab tsi?
Ulcerative colitis yog kab mob ntawm qhov quav, txuas mus rau qhov sib txawv. Cov poj niam muaj feem cuam tshuam los ntawm tus mob no ntau dua li txiv neej.
Morphology
Cov kab mob tshwm sim tsis tu ncua, tsis muaj kev cuam tshuam
Macroscopy sib txawv raws li theem ntawm tus kab mob. Nyob rau hauv daim ntawv mob ntawm tus kab mob, lub plab loj yog txuam nrog ib tug diffuse nruam yam, thiab lub mucosa muaj ib tug du, velvety tsos. Lub mucosal txheej yog yooj yim scraped tawm. Nyob rau hauv lub sij hawm ntev, yuav muaj rwj ntawm ntau qhov ntau thiab tsawg. Vim hais tias ntawm ulceration ntawm tag nrho cov tuab ntawm cov mucosa, cov cheeb tsam uas nyob ib sab zoo li yuav elevated, ua rau ib tug yam ntxwv morphological feature hu ua pseudopolyps. Nyob rau theem siab tshaj plaws, tag nrho lub plab zom mov yog luv, fibrosed thiab nqaim.
Tus naj npawb ntawm cov kab mob inflammatory tuaj yeem pom tau los ntawm kev tshuaj xyuas microscopic ntawm cov qauv biopsy coj los ntawm qhov mob plab hnyuv mucosa. Kuj tseem muaj qhov hloov pauv tsis zoo thiab dysplastic.
Tshuaj Kho Mob
- ntshav thiab hnoos qeev
- mob plab zoo li mob plab
- Per qhov quav los ntshav
- Nyob rau qee kis, tuaj yeem muaj tshuaj lom, ua npaws thiab los ntshav hnyav.
Kev tshawb nrhiav
- Sigmoidoscopy
- Colonoscopy
- Barium enema
- Kev kuaj cov quav qhia pom muaj cov ntshav thiab cov paug
Daim duab 02: Endoscopic Duab ntawm Ulcerative Colitis
Kev nyuaj siab
Local Complications
- Toxic dilatation
- Hemorrhage
- Stricture
- kev hloov pauv tsis zoo
- kab mob Perianal xws li qhov quav fissures thiab qhov quav fistulae.
Kev Nyuaj Siab
- Toxemia
- Anemia
- poob qis
- mob caj dab thiab uveitis
- Cov kab mob dermatological xws li pyoderma gangrenosum
- YPrimary sclerosing cholangitis
Kev tswj hwm
Kev Tswj Xyuas Kev Kho Mob
Kev noj zaub mov muaj protein ntau nrog cov tshuaj vitamin thiab hlau tau sau tseg. Kev hloov ntshav yuav tsum tau yog tias tus neeg mob pom cov tsos mob ntawm qhov mob hnyav heev. Loperamide feem ntau yog muab los tswj raws plab. Kev tswj hwm ntawm corticosteroids raws li kev tso quav tso rau hauv qhov quav induces remission nyob rau hauv ib qho mob hnyav. Cov tshuaj tiv thaiv kab mob xws li infliximab yuav tsum tau tswj hwm kev tawm tsam hnyav dua ntawm cov kab mob ulcerative colitis.
Kev Tswj Xyuas Kev Kho Mob
Kev cuam tshuam kev phais yog qhia tsuas yog hauv cov xwm txheej hauv qab no:
- Tus kab mob ua kom tsis zoo rau kev kho mob
- Kab mob ntev tsis teb rau kev kho mob
- Kev tiv thaiv tiv thaiv kev hloov pauv tsis zoo
- Nyob rau lub sijhawm uas tus neeg mob tuaj nrog cov teebmeem uas tau hais los saum toj no.
Dab tsi zoo sib xws ntawm Diverticulitis thiab Ulcerative Colitis?
Ob qho xwm txheej cuam tshuam nrog qhov mob ntawm qhov chaw cuam tshuam
Qhov txawv ntawm Diverticulitis thiab Ulcerative Colitis yog dab tsi?
YDiverticulitis vs Ulcerative Colitis |
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| Diverticulitis yog qhov mob ntawm diverticula hauv txoj hnyuv. | Ulcerative colitis yog ib yam kab mob ntawm lub qhov quav txuas mus rau qhov sib txawv. |
| Qhov no tshwm sim hauv diverticula. | Qhov no tshwm sim hauv txoj hnyuv. |
| Pathogenesis | |
| Tsis muaj pov thawj txaus los qhia txog kev muaj caj ces. Txhua qhov tsis muaj zog ntawm txoj hnyuv, tshwj xeeb tshaj yog nyob rau hauv thaj chaw distal, tuaj yeem pab tsim cov diverticula. | Txoj kab mob caj ces thiab qhov sib txawv ib puag ncig xws li tshuaj noj thiab raug rau ntau yam kuab paug ntseeg tau tias yog qhov ua rau mob plab ulcerative. |
| Tshuaj Kho Mob | |
| Hloov lub plab zom mov, ntuav, plab hnyuv plab, mob plab plab (feem ntau nyob rau hauv qis qis ntawm lub plab), thiab cem quav vim qhov cuam tshuam ntawm plab hnyuv loj yog cov yam ntxwv tseem ceeb hauv kev kho mob. Muaj tsawg zaus, muaj peev xwm los ntshav ntawm lub qhov quav thaum tus mob diverticulum ruptured. | Cov yam ntxwv kho mob muaj xws li ntshav thiab hnoos qeev raws plab, qhov quav los ntshav thiab mob plab zoo li mob plab. Ntxiv rau qhov ntawd, tuaj yeem muaj cov tsos mob tsis tshwj xeeb xws li kub taub hau, poob phaus thiab aphthous ulcers hauv qhov ncauj. Kev poob ntshav tas mus li thiab txo qhov nqus ntawm cov hlau tuaj yeem ua rau muaj ntshav tsis txaus. |
| Hemorrhages thiab anemia yog cov teeb meem loj. Txoj hauv kev ntawm kev hloov pauv tsis zoo yog tsawg heev. | Cov tshuaj lom megacolon thiab kev hloov pauv tsis zoo yog qhov teeb meem loj tshaj plaws. Tsis tas li ntawd, tuaj yeem ua rau hemorrhages, anemia thiab mob caj dab. |
| Kev tshawb nrhiav | |
| CT yog qhov kev tshawb nrhiav uas tsim nyog tshaj plaws los txheeb xyuas cov kab mob diverticulitis hauv nws theem mob hnyav los ntawm kev tsis suav nrog lwm yam kev kuaj mob. Sigmoidoscopy, colonoscopy thiab barium enema kuj tseem yuav pab tau. | Sigmoidoscopy, colonoscopy, barium enema thiab kuaj cov quav kom pom tias muaj cov ntshav thiab cov kua qaub yog cov kev tshawb fawb tseem ceeb uas tau ua los kuaj mob ulcerative colitis. |
| Kev tswj hwm | |
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Kev noj cov kua dej thiab tshuaj tua kab mob xws li metronidazole thiab ciprofloxacin tau muab tshuaj rau hauv kev tswj cov kab mob diverticulitis. Yog tus neeg mob tau mob peritonitis vim qhov tawg ntawm cov abscesses laparoscopic lavage thiab cov kua paug yuav tsum tau. |
Kev noj zaub mov muaj protein ntau nrog ntau cov fiber ntau tau pom zoo hauv kev tswj cov kab mob ulcerative colitis. Kev hloov ntshav tsuas yog ua tau thaum tus neeg mob mob hnyav heev. Loperamide feem ntau yog muab los tswj raws plab. Corticosteroids muab raws li qhov quav infusions tawm tsam cov tshuaj tiv thaiv kab mob uas ua rau muaj kev kho mob. Cov tshuaj tiv thaiv kab mob xws li infliximab yuav tsum tau tswj hwm kev tawm tsam hnyav dua ntawm cov kab mob ulcerative colitis. |
Summary – Diverticulitis vs Ulcerative Colitis
Diverticulitis yog qhov mob ntawm diverticula tshwm sim los ntawm txoj hnyuv loj whereas ulcerative colitis yog qhov mob ntawm txoj hnyuv nrog tsim cov kab mob sib kis. Nyob rau hauv lub ulcerative colitis lub colonic mucosa tau o, tab sis nyob rau hauv diverticulitis, lub diverticula uas yog los ntawm txoj hnyuv loj yog cov qauv uas tau o. Qhov no yog qhov txawv ntawm diverticulitis thiab ulcerative colitis.
Download PDF Version of Diverticulitis vs Ulcerative Colitis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Diverticulitis thiab Ulcerative Colitis
