Qhov Tseem Ceeb - Colitis vs Diverticulitis
Colitis thiab diverticulitis yog ob yam kab mob ntawm txoj hnyuv uas nyuaj rau kev kuaj mob nkaus xwb raws li kev kho mob. Qhov mob ntawm txoj hnyuv yog hu ua colitis. Diverticulitis yog qhov mob ntawm diverticula hauv txoj hnyuv. Raws li pom los ntawm cov ntsiab lus, colitis yog ib yam mob uas tshwm sim nyob rau hauv txoj hnyuv loj whereas diverticulitis yog ib yam mob uas tshwm sim nyob rau hauv lub diverticula. Qhov no yog qhov sib txawv tseem ceeb ntawm colitis thiab diverticulitis.
Colitis yog dab tsi?
Qhov mob ntawm txoj hnyuv yog hu ua colitis. Cov tsos mob ntawm tus mob no txawv raws li cov hauv paus pathology.
Qhov Tseem Ceeb
- Ulcerative colitis
- YCrohn's disease
- Antibiotic-associated colitis
- kab mob colitis
- Ischemic colitis
Crohn's Disease
Crohn tus kab mob yog kab mob plab hnyuv uas tshwm sim los ntawm kev hloov pauv ntawm cov kab mob colonic mucosa. Feem ntau, tsuas yog qee thaj tsam ntawm txoj hnyuv tau mob, ua rau muaj kev kis mob es tsis muaj kev koom tes tas mus li.
Daim duab kho mob
Zoo plab
Mob plab hauv Crohn tus kab mob yog vim muaj cov kua dej ntau dhau thiab kev nqus dej tsis zoo los ntawm qhov mob plab hnyuv mucosa. Tsis tas li ntawd, qhov malabsorption ntawm cov kua tsib ntsev los ntawm cov kab mob ntawm cov hlab ntsha ileum kuj tseem ua rau ua rau mob plab zom mov.
YFibrostenotic Disease
Kev cuam tshuam ntawm plab hnyuv vim yog plab hnyuv me lossis plab hnyuv loj tuaj yeem ua rau muaj cov tsos mob xws li mob plab, cem quav, xeev siab, thiab ntuav.
Fistulizing Disease
Cov kab mob transmural ntawm GIT tuaj yeem ua rau cov kab mob sinus, serosal penetration, thiab fistulae xws li enteroenteric fistulae. Kev nkag mus ntawm lub plab zom mov los ntawm cov kab mob inflammatory ua rau cov kab mob colonic nkag mus rau hauv cov kab noj hniav, ua rau peritonitis thiab lwm yam teeb meem.
Cov teeb meem hauv zos ntawm Crohn tus kab mob
- Dej raws plab vim muaj kev cuam tshuam ntawm cov dej hauv plab thiab nqus electrolyte
- Qhov txo qis ntawm cov kua tsib acid cuam tshuam qhov nqus ntawm cov rog yog li ua rau steatorrhea
- Ntev mus ntev steatorrhea tuaj yeem ua rau pob txha pob txha, kev noj zaub mov tsis txaus thiab ua kom ntshav tsis zoo
- Nephrolithiasis (kev tsim cov pob zeb raum)
- Vitamin B12 malabsorption
Crohn tus kab mob ua rau muaj kev pheej hmoo ntawm cov qog nqaij hlav hauv plab, lymphomas thiab squamous cell carcinomas ntawm qhov quav.
Morphology
Macroscopy
Feem ntau sab xis ntawm txoj hnyuv raug cuam tshuam los ntawm Crohn tus kab mob. Muaj segmental faib ntawm qhov txhab. Feem ntau, lub qhov quav yog tseg.
Microscopy
Muaj kev cuam tshuam kev cuam tshuam nrog qhov tshwm sim ntawm fissures thiab noncaseating granulomas.
Diagnosis
Cov keeb kwm kho mob thiab kev kuaj mob ua lub luag haujlwm tseem ceeb hauv kev kuaj mob CD.
Endoscopy qhia pom qhov pom ntawm aphthous ulcers uas ua rau lub pob zeb zoo li pob zeb. Kev kuaj plab plab thiab pelvic tuaj yeem siv los txheeb xyuas txhua qhov abscesses.
Kev tswj hwm
Tsis muaj kev kho mob Crohn tus kab mob. Lub hom phiaj ntawm kev kho mob yog kev tawm tsam ntawm cov txheej txheem inflammatory uas ua rau cov tsos mob tshwm sim thiab cov tsos mob tshwm sim.
- tshuaj tiv thaiv kab mob - Corticosteroids xws li prednisolone thiab Aminosalicylates
- Lub cev tiv thaiv kab mob xws li azathioprine thiab cov tshuaj lom neeg xws li infliximab
- Tshuaj tua kab mob
- Antidiarrheals
- YIron thiab vitamin B12 ntxiv
Qee zaum, yuav tsum tau phais tshem tawm qhov puas ntawm txoj hnyuv.
YUlcerative Colitis
Ulcerative colitis yog ib yam kab mob ntawm lub qhov quav uas txuas mus rau qhov sib txawv. Cov poj niam muaj feem cuam tshuam los ntawm tus mob no ntau dua li txiv neej.
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 01: Histopathological duab ntawm lub active theem ntawm ulcerative colitis
Kev nyuaj siab
Local nyuaj
- 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.
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.
- 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, thiab mob hauv zos.
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
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
Daim duab 02: Kev ua haujlwm pom ntawm sigma diverticulum
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 heev, thiab qhov ua tau ntawm cov kab mob qog noj ntshav tsis tuaj yeem raug cais tawm, laparotomy thiab resection ntawm cov hnyuv sigmoid tau ua tiav.
Dab tsi zoo sib xws ntawm Colitis thiab Diverticulitis?
- Ob leeg yog cov txheej txheem inflammatory.
- mob plab yog pom raws li kev kuaj mob hauv ob qho xwm txheej.
Qhov txawv ntawm Colitis thiab Diverticulitis yog dab tsi?
YColitis vs Diverticulitis |
|
| Cov kab mob ntawm txoj hnyuv yog hu ua colitis. | Kev mob ntawm diverticula hauv txoj hnyuv yog hu ua diverticulitis. |
| Qhov no tshwm sim hauv txoj hnyuv. | Qhov no tshwm sim hauv diverticula. |
Summary – Colitis vs Diverticulitis
YDiverticulitis yog qhov mob ntawm diverticula hauv txoj hnyuv. Qhov mob ntawm txoj hnyuv yog hu ua colitis. Qhov sib txawv tseem ceeb ntawm colitis thiab diverticulitis yog tias lawv tshwm sim hauv ob qhov chaw sib cais.
Download PDF Version of Colitis vs Diverticulitis
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 Colitis thiab Diverticulitis
