Ulcerative colitis

ʻO Ulcerative colitis kahi kūlana kahi i līlū ʻia ai ka pale o ka ʻōpū nui (kolona) a me ka pololei. He ʻano ia o ka maʻi ʻōpū (IBD). ʻO ka maʻi Crohn kahi ʻano pili.

ʻAʻole maopopo ke kumu o ka ulcerative colitis. Loaʻa nā pilikia i ka poʻe me kēia ʻano me ka ʻōnaehana pale. Eia naʻe, ʻaʻole maopopo inā pilikia ka pale maʻi ke kumu i kēia maʻi. Hiki i ke koʻikoʻi a me kekahi mau meaʻai ke hoʻonāuki i nā hōʻailona, ​​akā ʻaʻole lākou e kumu i ka ulcerative colitis.

Hiki i ka ulcerative colitis ke hoʻololi i nā hui makahiki. Aia nā piko ma nā makahiki 15 a 30 a laila hou i nā makahiki 50 a 70.

Hoʻomaka ka maʻi i ka wahi o ka rectal. Noho paha ia i ke koloka a pāhola paha i nā wahi kiʻekiʻe o ka ʻōpū nui. Eia naʻe, ʻaʻole hōʻalo ka maʻi i nā wahi. Pili paha ia i ka ʻōpū nui āpau ma ka manawa.

ʻO nā kumuhana kūpilikiʻi me kahi moʻolelo ʻohana o ulcerative colitis a i ʻole nā ​​maʻi autoimmune ʻē aʻe, a i ʻole nā ​​kūpuna Iudaio.

Hiki i nā ʻōuli ke ʻoi aku a i ʻole ke kaumaha. Hiki paha iā lākou ke hoʻomaka lohi a i ʻole ʻole Loaʻa i ka hapalua o nā kānaka nā ʻōuli māmā. ʻO nā mea ʻē aʻe i loaʻa i nā hōʻeha kūpikipiki pinepine pinepine aʻe. Hiki i nā kumu he nui ke alakaʻi i nā hoʻouka.

Pākuʻi ʻia paha nā ʻōuli:

• ʻEha ma ka ʻōpū (ʻōpū wahi) a me ka cramping.
• Ke kani a kani aheahe paha i lohe ʻia ma luna o ka ʻōpū.
• ʻO ke koko a me ka pā i loko o nā noho.
• Diarrhea, mai kahi mau lā wale nō a i nā manawa pinepine.
• Fiva.
• Ke manaʻo nei ʻoe e pono e hele i nā noho, ʻoiai ua hakahaka kou ʻōpū. Pili paha ia i ke kanikau, ʻeha, a me ka cramping (tenesmus).
• Kaumaha emi.

Lohi paha ka ulu ʻana o nā keiki.

ʻO nā ʻōuli ʻē aʻe e hiki ke kū ʻia me ka colitis ulcerative me kēia mau mea:

• ʻEha hui a pehu
• Wela ka waha (ulcer)
• ʻO Nusea a me ka luaʻi
• ʻ lumppuʻu ʻili a ulcer paha

Hoʻohana pinepine ʻia ʻo Colonoscopy me ka biopsy e ʻike pono i ka ulcerative colitis. Hoʻohana ʻia ʻo Colonoscopy e nānā i ka poʻe me ka ulcerative colitis no ka maʻi ʻaʻai kolona.

Nā hoʻokolohua ʻē aʻe i hiki ke hana ʻia e kōkua i ke kuhi ʻana i kēia ʻano me:

• Enema Barium
• Helu piha koko (CBC)
• C-reactive protein (CRP)
• Ka helu sedimentation ʻErythrocyte (ESR)
• ʻO Stoc calprotectin a i ʻole lactoferrin
• Nā hōʻoia Antibody e ke koko

I kekahi manawa, pono nā hoʻāʻo o ka ʻōpū liʻiliʻi e hoʻokaʻawale i waena o ka ulcerative colitis a me ka maʻi Crohn, me:

• CT scan
• MRI
• ʻO ka endoscopy luna a i ʻole ka noiʻi capsule
• ʻO MR enterography

ʻO nā pahuhopu o ka mālama ʻana i:

• Kaohi i nā hoʻouka kaua koʻikoʻi
• Kāohi i nā hoʻouka hou
• Kōkua i ke kolona e hoʻōla

I ka wā o kahi hanana koʻikoʻi, pono ʻoe e mālama ʻia i ka haukapila no nā hoʻouka koʻikoʻi. Kau kauka paha i kau kauka. Hāʻawi ʻia ʻoe i nā meaola ma o ke aa (laina IV).

HAIPAU A ME NUTRITION

Hiki i kekahi ʻano meaʻai ke hoʻopōʻino i ka maʻi pākī a me nā ʻōuli ʻōpala. ʻOi aku paha ka nui o kēia pilikia i nā manawa o ka maʻi hana. ʻO nā manaʻo ʻai pū me ka papaʻai:

• E ʻai i nā meaʻai liʻiliʻi i loko o ka lā.
• Inu i ka wai he nui (inu i nā mea liʻiliʻi a puni ka lā).
• Hōʻalo i nā meaʻai kiʻekiʻe-fiber (bran, beans, nati, nā ʻanoʻano, a me nā popcorn).
• Hōʻalo i nā mea momona, momona a palai paha a me nā mea ʻai (ka waiūpata, ka margarine, a me nā kalima momona).
• Palena i nā huahana waiū inā ʻaʻohe ʻoe e hoʻomanawanui i ka lactose. ʻO nā huahana waiū kahi waiwai maikaʻi o ka protein a me ka calcium.

KAUOHE

Hiki paha iā ʻoe ke hopohopo, hilahila, a i ʻole kaumaha a luʻuluʻu paha e pili ana i ka hopena o ka ʻōpū. ʻO nā hanana koʻikoʻi ʻē aʻe i kou ola, e like me ka neʻe ʻana, a i ʻole ka nalowale ʻana i kahi hana a i ʻole kahi mea aloha e hiki ai ke hoʻonui i nā pilikia digestive.

E noi i kāu mea mālama ola no nā ʻōlelo aʻoaʻo e pili ana i ka mālama ʻana i kou koʻikoʻi.

NA LAAU LAPAAU

ʻO nā lāʻau i hiki ke hoʻohana ʻia e hōʻemi i ka helu o nā hoʻouka pū me:

• 5-aminosalicylates e like me mesalamine a i ʻole sulfasalazine, i hiki ke kōkua i ke kaohi i nā ʻōuli maʻamau. Lawe ʻia kekahi ʻano o ka lāʻau e ka waha. Pono e hoʻokomo i nā poʻe ʻē aʻe i loko o ka pā.
• ʻO nā lāʻau e hoʻomalie i ka ʻōnaehana pale.
• ʻO Corticosteroids e like me prednisone. Lawe ʻia paha lākou e ka waha i ka wā o kahi flare a i ʻole hoʻokomo ʻia i loko o ka poloka.
• Immunomodulators, nā lāʻau i lawe ʻia e ka waha e hoʻopili i ka ʻōnaehana pale, e like me azathioprine a me 6-MP.
• ʻO Biologic therapy, inā ʻaʻole ʻoe e pane i nā lāʻau ʻē aʻe.
• Hiki i ka Acetaminophen (Tylenol) ke kōkua i ke kōkua i ka ʻehaʻeha. Hōʻalo i nā lāʻau e like me aspirin, ibuprofen (Advil, Motrin), a i ʻole naproxen (Aleve, Naprosyn). Hiki i kēia ke hōʻeha i kāu mau ʻōuli.

NA MEA HANA

ʻO ke kaha e wehe i ke kolona e hoʻōla i ka colitis ulcerative a hemo i ka hoʻoweliweli o ka maʻi ʻaʻai kolona. Pono ʻoe i ke ʻoki inā loaʻa iā ʻoe:

• ʻO Colitis e pane ʻole i ka hoʻoponopono olakino holoʻokoʻa
• Nā loli i ka uhi ʻana o ke kolona e hōʻike ana i ka hoʻonui ʻia o ka makaʻu no ka maʻi ʻaʻai
• Nā pilikia koʻikoʻi, e like me ka haki ʻana o ke kolona, ​​kahe nui o ke kahe, a i ʻole megacolon ʻona

ʻO ka hapa nui o ka manawa, wehe ʻia ke kolona holoʻokoʻa, me ke kolamu. Ma hope o ke kahakaha ʻana, loaʻa paha iā ʻoe:

• ʻO kahi wehe i loko o kou ʻōpū i kapa ʻia ka stoma (ileostomy). E hoʻokahe ka Stool ma o kēia wehe.
• ʻO ke kaʻina hana e hoʻopili ai i ka ʻōpū liʻiliʻi i ka anus e loaʻa ai ka mana o ka ʻōpū maʻamau.

Hiki i ke kākoʻo kaiaulu ke kōkua pinepine me ke koʻikoʻi o ka hana ʻana me nā maʻi, a he mau ʻōlelo aʻoaʻo maikaʻi paha kā nā lālā o ke kākoʻo no ka ʻimi ʻana i ka lāʻau maikaʻi loa a me ke kū ʻana i ke ʻano.

Aia ka Crohn's a me Colitis Foundation o ʻAmelika (CCFA) i ka ʻike a me nā loulou i nā hui kākoʻo.

Māmā nā hōʻailona ma kahi o hoʻokahi hapalua o ka poʻe me ka maʻi ulcerative colitis. ʻAʻole hiki ke pane maikaʻi i nā ʻōuli ʻoi loa i nā lāʻau.

Hiki wale ke hoʻōla ma o ka hoʻopau loa ʻana o ka ʻōpū nui.

Hoʻonui ka makaʻu no ka maʻi ʻaʻai kolona i kēlā me kēia mau makahiki ma hope o ka ʻike ʻia o ka ulcerative colitis.

Loaʻa iā ʻoe kahi kiʻekiʻe kiʻekiʻe no ka ʻōpū liʻiliʻi a me ka maʻi ʻaʻai kolona inā loaʻa ʻoe i ka colcer ulcerative. I kekahi manawa, e paipai kāu mea hāʻawi i nā hoʻokolohua e nānā ai no ka maʻi ʻaʻai kolona.

ʻO nā ʻāpana ʻoi aku ka paʻakikī e hoʻi hou paha e hoʻonui i nā paia o nā ʻōpū, a hiki i:

• ʻO ka hoʻopili ʻana o kolone a blockage paha (ʻo ka mea maʻamau i ka maʻi Crohn)
• Episodes o ke kahe nui
• Nā maʻi ʻinoʻino
• Loaʻa ākea (dilation) o ka ʻōpū nui i loko o hoʻokahi a i kekahi mau lā (megacolon ʻawahia)
• Waimaka a puka paha (perforation) i ke kolona
• Anemia, helu haʻahaʻa haʻahaʻa

Hiki i nā pilikia ke omo i nā meaʻai ke alakaʻi i:

• Ka lahilahi o nā iwi (osteoporosis)
• Nā pilikia e mālama nei i ka paona olakino
• Hoʻonui lohi a ulu i nā keiki
• Anemia a i ʻole helu helu haʻahaʻa

ʻO nā pilikia maʻamau i hiki ke loaʻa pū me:

• Ke ʻano o ka arthritis e pili ana i nā iwi a me nā hono ma ke kumu o ka iwi kuamoʻo, kahi e pili ai me ka pelvis (ankylosing spondylitis)
• Maʻi maʻi ate
• Mālie, puʻupuʻu ʻulaʻula (nodule) ma lalo o ka ʻili, i lilo i ʻeha ʻili
• ʻO nā ʻeha a ʻū paha i ka maka

Kāhea i kāu mea hāʻawi inā:

• Hoʻomohala ʻoe i ka ʻeha mau o ka ʻōpū, kahe hou a hoʻonui ʻia paha, ke kuni e hele ʻole a i ʻole nā ​​hōʻailona ʻē aʻe o ka ulcerative colitis
• Loaʻa iā ʻoe ka ulcerative colitis a ʻoi aku ka maikaʻi ʻole o kāu mau hōʻailona a hoʻomaikaʻi ʻole paha me ka lāʻau
• Hoʻokumu ʻoe i nā ʻōuli hou

ʻAʻohe pale e ʻike ʻia no kēia ʻano.

Maʻi maʻi ʻōpū - ulcerative colitis; IBD - ulcerative colitis; Colitis; Proctitis; Proceritis ulcerative

• Papaʻai Bland
• Ke hoʻololi nei i kāu ʻeke ostomy
• Diarrhea - he aha e nīnau aku ai i kāu kahu mālama ola - makua
• ʻO Ileostomy a me kāu keiki
• Ileostomy a me kāu papaʻai
• Ileostomy - mālama i kāu stoma
• Ileostomy - ke hoʻololi nei i kāu ʻeke
• Ileostomy - hoʻokuʻu
• Ileostomy - he aha e nīnau aku ai i kāu kauka
• ʻO ka ʻōpū nui o ka ʻōpū - hoʻokuʻu
• Noho me kāu ileostomy
• ʻAiʻai haʻahaʻa
• Huina colectomy a i ʻole proctocolectomy - hoʻokuʻu
• Nā ʻano o ka ileostomy
• Ulcerative colitis - hoʻokuʻu

• Kolonekia
• ʻŌnaehana Digestive
• Ulcerative colitis

ʻO Goldblum JR, ʻōpū nui. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 17.

Mowat C, Cole A, Windsor A, et al. Nā alakaʻi no ka mālama ʻana i ka maʻi ʻōpū i nā mākua. ʻO Gut 2011; 60 (5): 571-607. PMID: 21464096 pubmed.ncbi.nlm.nih.gov/21464096/.

Rubin DT, Ananthakrishnan AN, Siegel CA, Sauer BG, Long MD. Nā papa kuhikuhi hoʻokele ACG: colitis ulcerative i nā mākua. ʻO Am J Gastroenterol. 2019: 114 (3): 384-413. PMID: 30840605 pubmed.ncbi.nlm.nih.gov/30840605/.

Ungaro R, Mehandru S, Allen PB, Peyrin-Biroulet L, Colombel JF. Ulcerative colitis. Lancet. 2017; 389 (10080): 1756-1770. PMID: 27914657 pubmed.ncbi.nlm.nih.gov/27914657/.