Chopondapo chimathandizira kuchotsa zinyalala zolimba kuchokera ku chimbudzi ndi njira zina za metabolic. Chimbudzi chimakhala ndi madzi pafupifupi 75-85% ndi 20% youma.

Mafupipafupi, maonekedwe ndi mtundu wa chopondapo zimasiyana kwambiri ndi munthu. Pa avareji, kutuluka kwa matumbo kumachitika kamodzi kapena kawiri patsiku, ngakhale kuti anthu ena amatuluka m'matumbo pafupipafupi pomwe ena amakhala ochepa, popanda izi kukhala zachilendo. M'malo mwake, ndizochitika za kusintha kokhudzana ndi kayendetsedwe ka matumbo komweko komwe kumapangitsa kuti athe kunena kuti zinthu ndi "zachilendo". Zitha kukhala, makamaka:

• nthawi zambiri komanso chimbudzi chamadzi kwambiri (kutsekula m'mimba)
• chimbudzi cholimba kwambiri (kudzimbidwa)
• kusinthana m'mimba / kudzimbidwa
• chopondapo ndi magazi kapena ntchofu
• chimbudzi chamafuta (steatorrhea)
• chimbudzi chakuda (chomwe nthawi zina chimakhala chizindikiro cha magazi omwe amapezeka m'matumbo apamwamba, mwachitsanzo m'mimba: izi zimatchedwa melena)
• zopepuka kwambiri kapena zoyera
• chimbudzi chamtundu wachilendo kapena chonunkha kwambiri
• chopondapo chokhala ndi tizilombo toyambitsa matenda (nthawi zina timawoneka ndi maso)

Zizindikiro zina zikhoza kuwonjezeredwa, monga kupweteka kwa m'mimba (spasms), mpweya, mavuto a m'mimba, kutentha thupi, ndi zina zotero.

Muyenera kudziwa kuti mtundu wa bulauni wa chopondapo ndi chifukwa cha kukhalapo kwa bile inki, stercobilin ndi urobilin, inki zofiirira.

Maonekedwe a chopondapo amapereka chidziwitso cha kukhalapo kwa ma pathologies omwe angatheke: choncho ndikofunikira kukaonana popanda kuchedwa ngati chopondapo chanu chili ndi makhalidwe achilendo, monga omwe tawatchula pamwambapa.

Kuchuluka kwa matenda kungayambitse kusintha kwa maonekedwe kapena mafupipafupi a matumbo. Popanda kupanga mndandanda wokwanira, apa pali zovuta zomwe zimachitika nthawi zambiri, zomwe nthawi zambiri zimayambitsa kutsekula m'mimba:

• matenda am'mimba (gastroenteritis, poyizoni wazakudya, "turista", etc.) omwe angayambitse kutsekula m'mimba.
• matumbo parasitosis (giardia, amoeba, pinworms, tapeworm mphete, salmonella, etc.);
• matenda opweteka a m'mimba (IBD) monga Crohn's disease kapena ulcerative colitis, omwe angayambitse ntchofu ndi zimbudzi zamagazi.
• irritable bowel syndrome (kusinthana m'mimba / kudzimbidwa)
• malabsorption syndromes (monga kusalolera kwa gluteni, matenda a celiac), omwe angayambitse chimbudzi chamafuta

Kutsekula m'mimba kungagwirizane ndi zifukwa zambiri:

• pregnancy
• mawu
• matenda a endocrine (shuga, hypothyroidism, hyperparathyroidism),
• matenda amadzimadzi
• matenda a ubongo (matenda a Parkinson, etc.);
• kumwa mankhwala ena (antidepressants, psychotropics, opiates)
• matenda a m'mimba monga matenda a Hirschsprung

Pomaliza, khansa imatha kusintha mawonekedwe a chopondapo:

• khansa ya m'mimba, kuphatikizapo khansa ya m'mimba, yomwe nthawi zambiri imayambitsa kudzimbidwa kapena kusinthana ndi kutsekula m'mimba ndi kudzimbidwa, kapena kukhalapo kwa magazi mu chopondapo.
• khansa ya kapamba: chimbudzi chimakhala chachikasu-choyera chifukwa chosowa mchere wa bile. Zimbudzi zoterezi zimathanso chifukwa cha kapamba, cystic fibrosis (cystic fibrosis), matenda a celiac, ndi zina zambiri.

Kupatulapo kusapeza bwino komwe kumabwera chifukwa cha kudzimbidwa kapena kutsekula m'mimba, chimbudzi chachilendo chiyenera kukhala tcheru chifukwa nthawi zambiri chimakhala chizindikiro cha vuto la thanzi, makamaka ngati vutolo likupitirirabe kapena kubwereranso kawirikawiri.

Kukhalapo kwa magazi mu chopondapo, makamaka, kuyenera kukhala nkhani ya kukaonana ndi dokotala nthawi zonse, chifukwa zikhoza kusonyeza matenda aakulu.

Momwemonso, chimbudzi chakuda, chomwe chingakhale chakuda chifukwa cha kukhalapo kwa magazi osungunuka, chingasonyeze kukhalapo kwa magazi m'mimba.

Pakukayikako pang'ono, ndikofunikira kukaonana ndi dokotala. Mayeso owonjezera (kufufuza kwa coprological, chikhalidwe cha stool, endoscopy, etc.) adzatha kukhazikitsa matenda.

Njira zothetsera vutoli mwachiwonekere zimadalira chomwe chimayambitsa, chifukwa chake kufunika kozindikira mwamsanga chiyambi cha matendawa.

Ngati chopondapo chimakhala chachilendo pambuyo pobwerera kuchokera kuulendo, kapena chikutsatiridwa ndi spasms, kutentha thupi, mavuto a m'mimba, ndiye kuti ndi matenda. Izi zitha kuchira zokha pakangopita masiku ochepa, koma ngati zizindikiro zikupitilira, funsani dokotala: itha kukhala matumbo a parasitosis omwe amafunikira chithandizo chapadera.

Pankhani ya kudzimbidwa, ndikofunikira kuthira madzi bwino, kuphatikizira ulusi wambiri muzakudya zanu, kuyesa mankhwala ena achilengedwe monga prunes. Samalani kuti musagwiritse ntchito mankhwala osokoneza bongo: amatha kukwiyitsa ndikuwonjezera vutoli. Ndikofunika nthawi zonse kufunafuna malangizo kwa dokotala kapena wamankhwala musanamwe mankhwala aliwonse.

Pomaliza, ngati chimbudzi chachilendo chikuwonetsa kupezeka kwa chotupa, chithandizo mu dipatimenti ya oncology chidzakhala chofunikira. Pankhani ya IBD, kutsatiridwa kwa gastroenterology kungathandize kuchepetsa zizindikiro ndikuwonetsetsa kuti zakudyazo zachitika molondola.