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炎症性肠病(IBD)
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持续腹泻、便血,小心溃疡性结肠炎
Xin Lang Cai Jing· 2025-12-21 18:36
王女士回忆,2017年自己在某夜市上大快朵颐后出现了腹泻,起初只是每天2~3次稀便,她以为是急性 胃肠炎,没太在意。可短短一个月内症状越演越烈:频繁腹部绞痛、发热不退、持续便血,痛苦不堪的 王女士无奈离开工作岗位。 今年,王女士来到南京市第一医院消化内科门诊,医学博士张馨梅接诊了她,经过肠镜等一系列检查王 女士被确诊为——重症溃疡性结肠炎,这是炎症性肠病(IBD)的一种。经过糖皮质激素治疗诱导缓 解,又闯过感染关,王女士的肠道实现黏膜愈合,重新回到了工作岗位。 张馨梅介绍,溃疡性结肠炎是一种病因尚未阐明的,慢性复发性、非特异性肠道炎症性疾病。通常表现 为从直肠向近端连续性延伸的黏膜炎症,严重时可累及整个结肠,并出现糜烂和溃疡。 溃疡性结肠炎常发生于青壮年期,我国发病高峰年龄为20~49岁。目前病因还不明确,但最一般认为是 环境因素、遗传因素、肠道微生态及免疫失衡等因素共同作用的结果。 (来源:南京晨报) 转自:南京晨报 王女士怎么也没想到,8年前出现的腹泻,结果竟是持续数年的"肠道危机"。 酒精和烟草:酒精会直接刺激肠道黏膜,烟草会增加病情复发风险,需严格戒除。通讯员 曹慧慧 南京晨报/爱南京记者 戚在兵 刺 ...
从肠计议 这可不是普通的闹肚子
Bei Jing Qing Nian Bao· 2025-05-26 01:12
Core Insights - Inflammatory Bowel Disease (IBD) is on the rise in China, with an incidence rate of approximately 1.96-3.14 per 100,000 people, primarily affecting young adults [1][2] Group 1: Disease Overview - IBD includes Ulcerative Colitis (UC) and Crohn's Disease (CD), characterized by chronic inflammation of the gastrointestinal tract due to an uncontrolled immune response [2] - The peak age for UC in China is between 20-49 years, while for CD it is 18-35 years, with symptoms including persistent diarrhea, abdominal pain, and weight loss [2][3] Group 2: Misconceptions about IBD - Misconception 1: Diarrhea does not require concern; IBD symptoms can be severe and are often misdiagnosed [2][3] - Misconception 2: IBD is not solely caused by diet; it is linked to genetic susceptibility and immune dysregulation, although diet can exacerbate symptoms [3][4] - Misconception 3: IBD patients can marry and have children, but they may face additional challenges during pregnancy [4][5] - Misconception 4: Patients should not stop medication even if symptoms improve, as this can lead to rebound inflammation [4][5] - Misconception 5: Not all IBD patients will develop cancer; regular monitoring and treatment can mitigate risks [6][7] - Misconception 6: Surgery does not cure IBD; it is only for complications and requires ongoing medication [7][8] - Misconception 7: Patients can engage in moderate exercise, which can improve quality of life [8][9] - Misconception 8: IBD treatment is not limited to Western medicine; personalized treatment plans can include various therapies [9][10] - Misconception 9: IBD is not an incurable disease; with proper management, patients can lead normal lives [10] Group 3: Research and Development - There is rapid advancement in IBD research, with multiple innovative drugs entering clinical trials in China, indicating potential breakthroughs in treatment over the next decade [10]