Ulcerative colitis - hoʻokuʻu

Ma ka haukapila ʻoe e mālama ai i ka maʻi ulcerative colitis. ʻO kēia ka pehu (mumū) o ka pale o loko o kou kolona a me kou kiko (i kapa ʻia hoʻi kou ʻōpū nui). ʻ tellslelo kēia ʻatikala iā ʻoe pehea e mālama ai iā ʻoe iho i kou hoʻi ʻana i ka home.

Ma ka haukapila ʻoe no ka mea he maʻi maʻi ulcerative kou. ʻO kēia ka pehu ʻana o ka uhi o loko o kou kolona a me kou kiko (i kapa ʻia hoʻi kou ʻōpū nui). Hoʻopilikia ia i ka uhi ʻana, e hoʻokahe i ke kahe a i ʻole ka huehue a i ʻole ka pā.

Ua loaʻa paha ʻoe i nā wai ma o kahi paipu (IV) i loko o kou aa. Ua loaʻa paha iā ʻoe ke kōpili ʻana o ke koko, ka meaʻai ma o ka paipu hānai a i ʻole IV, a me nā lāʻau e hōʻoki ai i ka palahō. Ua hāʻawi ʻia paha iā ʻoe nā lāʻau e hōʻemi ai i ka pehu ʻana, pale a pale ʻana i ka maʻi, a kōkua i kāu ʻōnaehana pale maʻi.

Ua kiʻi paha ʻoe i kahi kolone. Ua loaʻa paha iā ʻoe kahi ʻoki. Inā pēlā, ua loaʻa paha iā ʻoe kahi ileostomy a i ʻole kolone resection (colectomy).

ʻO ka hapanui o ka poʻe e lōʻihi ka lōʻihi ma waena o nā flare o ko lākou ulcerative colitis inā lawe lākou i kā lākou lāʻau i kuhikuhi ʻia.

Ke hele mua ʻoe i ka home, pono ʻoe e inu i nā wai wale nō a ʻai paha i nā meaʻai like ʻole mai ka mea āu e ʻai ai. E noi i kāu mea mālama ola ke hiki iā ʻoe ke hoʻomaka i kāu papaʻai maʻamau. Pono ʻoe e ʻai i ka papaʻai kaulike, olakino olakino. He mea nui e loaʻa iā ʻoe ka nui o nā calories, protein, a me nā meaola mai nā ʻano ʻano meaʻai like ʻole.

Hiki i kekahi mau meaʻai a me nā mea inu ke hōʻeha i kāu mau ʻōuli. Hiki i kēia mau meaʻai ke hoʻopilikia iā ʻoe i nā manawa āpau a i ʻole i ka wā o kahi uila. Hōʻalo i nā meaʻai e hōʻino ai i kāu mau ʻōuli.

• ʻO ka nui o ka fiber e hōʻino ai i kāu mau ʻōuli. E hoʻāʻo i ka hoʻomoʻa ʻana a i ʻole ka palaʻai ʻana i nā huaʻai a me nā mea kanu inā ʻai ka mea maka iā lākou.
• Hōʻalo i nā meaʻai e ʻike ʻia e hana i ke kinoea, e like me nā pīni, nā mea ʻono, kāpī, broccoli, cauliflower, nā wai huaʻai maka, a me nā hua (ʻo ia hoʻi nā hua citrus). Hōʻalo a kau palena paha i ka waiʻona a me ka caffeine. Hiki iā lākou ke hoʻonui i kou ʻōpū.

ʻAi i nā meaʻai liʻiliʻi, a ʻai pinepine pinepine. E inu nui i nā wai.

E noi i kāu mea hāʻawi e pili ana i nā huaora a me nā minelala keu e pono ai, e like me:

• ʻO nā mea hoʻohui hao (inā he anemia ʻoe)
• Nā mea hoʻopihaʻai pono
• Kalipona a me nā huaora D e kōkua i ka ikaika o kou iwi

E kamaʻilio me kahi kauka, ʻoiaʻiʻo inā e lilo ke kaupaona a i ʻole e kaupalena ʻia kāu papaʻai.

E hopohopo paha ʻoe e pili ana i ka loaʻa ʻana o kahi ʻōpū o ka ʻōpū, hilahila, a i ʻole kaumaha a kaumaha paha. ʻO nā hanana koʻikoʻi ʻē aʻe i kou ola, e like me ka neʻe ʻana, ka nalowale ʻana o ka hana, a i ʻole ka nalo ʻana o kahi mea aloha, hiki ke hoʻopilikia i kāu digestion.

Hiki i kēia mau ʻōlelo aʻoaʻo ke kōkua iā ʻoe e hoʻokele i kāu colitis ulcerative:

• Hui i kahi hui kākoʻo. E noi i kāu mea hoʻolako e pili ana i nā hui i kou wahi.
• Hoʻoikaika kino. E kamaʻilio me kāu mea hāʻawi e pili ana i kahi hoʻolālā hoʻoikaika kūpono iā ʻoe.
• E hoʻāʻo i ka biofeedback e hoʻemi ai i ke kūpikipikiʻi o ka puʻupuʻu a hoʻolohi i ka helu o kou puʻuwai, nā hana hanu hohonu, hypnosis, a i ʻole nā ​​ala ʻē aʻe e hoʻomaha ai. ʻO nā laʻana e pili ana i ka hana yoga, hoʻolohe ʻana i ke mele, heluhelu, a i ʻole ke pulu ʻana i kahi ʻauʻau mehana.
• E ʻike i ka mea mālama ola noʻonoʻo no ke kōkua.

Hāʻawi paha kāu mea hāʻawi iā ʻoe i kekahi mau lāʻau e kōkua ai e hōʻoluʻolu i kāu mau ʻōuli. Ma muli o ke koʻikoʻi o kāu colitis ulcerative a pehea ʻoe e pane ai i ka lāʻau, pono ʻoe e lawe i hoʻokahi a ʻoi paha o kēia mau lāʻau.

• Hiki ke kōkua i nā lāʻau hōʻalo anti-diarrhea ke loaʻa ʻoe i ka maʻi nui loa. Hiki iā ʻoe ke kūʻai i ka loperamide (Imodium) me ka ʻole o ke kuhikuhi. E kamaʻilio mau i kāu mea hoʻolako ma mua o ka hoʻohana ʻana i kēia mau lāʻau.
• Hiki i nā pulupulu pulupulu ke kōkua i kāu mau ʻōuli. Hiki iā ʻoe ke kūʻai i ka pauka psyllium (Metamucil) a i ʻole methylcellulose (Citrucel) me ka ʻole o ka lāʻau.
• E kamaʻilio mau i kāu mea hāʻawi ma mua o ka hoʻohana ʻana i nā lāʻau laxative.
• Hiki paha iā ʻoe ke hoʻohana i ka acetaminophen (Tylenol) no ka ʻeha mehana. ʻO nā lāʻau e like me aspirin, ibuprofen (Advil, Motrin), a i ʻole naproxen (Aleve, Naprosyn) e hōʻeha paha i kāu mau ʻōuli. E kamaʻilio me kāu mea hāʻawi ma mua o ka lawe ʻana i kēia mau lāʻau. Pono paha ʻoe i kauka no ka lāʻau ʻoi aku ka ikaika o ka ʻeha.

Nui a hewahewa nā ʻano lāʻau ʻona a kāu mea hāʻawi e hoʻohana ai e pale a mālama i nā hōʻeha o kāu kolitis ulcerative.

E hoʻokumu ʻia kāu mālama mau ʻana ma kāu mau pono. E haʻi aku kāu mea hāʻawi iā ʻoe i ka manawa e hoʻi ai no kahi hoʻokolohua o loko o kāu kiko a me ke kolona ma o kahi paipu hikiwawe (sigmoidoscopy a i ʻole colonoscopy).

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Pākuʻi a ʻeha paha ma kāu wahi ʻōpū o lalo
• ʻO ka diarrhea koko, pinepine me ka mucus a i ʻole ka pā
• ʻAʻole hiki ke kaohi ʻia me ka palahī me nā loliʻai
• Kahe koko, kahena, a i ʻole nā ​​ʻeha
• ʻO ke kuni e ʻoi aku ana ma mua o 2 a i ʻole 3 mau lā, a i ʻole ke kuni i ʻoi aku ma mua o 100.4 ° F (38 ° C) me ka ʻole o ka wehewehe
• ʻO Nusea a me ka luaʻi e ʻoi aku ana ma mua o hoʻokahi lā
• ʻO nā ʻeha a me nā ʻili hoʻi e hōʻola ʻole ai
• ʻEha hui e mālama iā ʻoe mai ka hana ʻana i kāu hana o kēlā me kēia lā
• ʻO ka manaʻo o ke kau iki ʻana ma mua o ka pono e pono i kahi ʻōpū
• Pono e ala mai ka hiamoe ʻana e loaʻa i kahi ʻōpū
• ʻO ka loaʻa ʻole o ke kaumaha, kahi hopohopo no kahi keiki pēpē a keiki paha e ulu ana
• Nā hopena ʻaoʻao mai nā lāʻau i kuhikuhi ʻia no kāu kūlana

Maʻi maʻi ʻōpū - hoʻokuʻu; Ulcerative proctitis - hoʻokuʻu; Colitis - hoʻokuʻu

• Maʻi maʻi ʻōpū

Atallah CI, Efron JE, Fang SH. ʻO ka mālama ʻana i ka colitis ulcerative mau. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 154-161.

Dassopoulos T, Sultan S, Falck-Ytter YT, Inadomi JM, Hanauer SB. ʻO ka loiloi loea ʻAmelika Gastroenterological Association Institute e pili ana i ka hoʻohana ʻana o thiopurines, methotrexate, a me anti-tnf-a biologic lāʻau no ka hoʻokomo a me ka mālama ʻana i ke kala ʻia i ka maʻi Crohn. Gastroenterology. 2013; 145 (6): 1464-1478. PMID: 24267475 www.ncbi.nlm.nih.gov/pubmed/24267475.

Kornbluth A, Sachar DB; Ke Kōmike Parameter Hoʻomaʻamaʻa o ke Kulanui ʻAmelika o Gastroenterology. ʻO nā alakaʻi alakaʻi ulcerative colitis i nā mākua: Ke Kulanui ʻAmelika o Gastroenterology, Kōmike Parameterea Hoʻomaʻamaʻa. ʻO Am J Gastroenterol. 2010; 105 (3): 501-523. PMID: 20068560 www.ncbi.nlm.nih.gov/pubmed/20068560.

Osterman MT, Lichtenstein GR. Ulcerative colitis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 116.

Swaroop PP. ʻO ka maʻi maʻi ʻōpū: Crohn disease and ulcerative colitis. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 224-230.

• ʻO nā noho ʻeleʻele a i ʻole hoʻomaha
• Ke nānā ʻana i ka maʻi ʻaʻai kolone
• Ileostomy
• Hoʻokiʻi ʻōpū liʻiliʻi
• Huina nui o ka ʻōpū colectomy
• Ka nui o ka proctocolectomy a me ka ʻeke ileal-anal
• Ulcerative colitis

• Diarrhea - he aha e nīnau aku ai i kāu kauka - keiki
• Diarrhea - he aha e nīnau aku ai i kāu kahu mālama ola - makua
• Kaʻai hānai komo - keiki - mālama ʻana i nā pilikia
• Tube hānai Gastrostomy - bolus
• ʻO Ileostomy a me kāu keiki
• Ileostomy a me kāu papaʻai
• Ileostomy - mālama i kāu stoma
• Ileostomy - hoʻokuʻu
• Paipu hānai Jejunostomy
• Noho me kāu ileostomy
• ʻAiʻai haʻahaʻa

• Ulcerative Colitis