Mea Kākau: Lewis Jackson
Lā O Ka Hana: 8 Mei 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
Anonim
الصوم الطبي - الحلقة الرابعة ج1 | مع الأستاذ الدكتور محمود البرشة أخصائي أمراض القلب  والصوم الطبي
Wikiō: الصوم الطبي - الحلقة الرابعة ج1 | مع الأستاذ الدكتور محمود البرشة أخصائي أمراض القلب والصوم الطبي

Anter

Hiki paha ke kuhi hewa me ka ulcerative colitis (UC)? Pehea wau e ʻike ai inā he kuhi hewa a i ʻole pono wau i kahi lāʻau ʻokoʻa?

Huikau pinepine ka poʻe iā UC me ka maʻi o Crohn. ʻO Crohn kekahi maʻi maʻi ʻōpala maʻamau (IBD). Kūlike kekahi o nā ʻōuli, e like me ke kala ʻana a me ka lapalapa ʻana.

E hoʻoholo inā he UC a Crohn paha kāu, e kipa i kāu kauka a hoʻāʻo. Pono paha ʻoe e kiʻi hou i kolonoscopy, a i ʻole e kauoha paha ke kauka i kahi kukuna X o ka ʻōpū e nānā inā ua loli ʻia. Inā loaʻa, loaʻa paha ʻoe i ka maʻi o Crohn. Hoʻopili wale ʻo UC i ke kolone. I ka hoʻohālikelike ʻana, hiki i ka Crohn ke hoʻopili i kekahi ʻāpana o kāu gastrointestinal (GI) tract.

He aha nā pilikia o ka mālama ʻole ʻia a mālama ʻole ʻia paha o UC?

Hana maikaʻi ʻole ʻia a mālama ʻole ʻia ʻo UC paha ke kumu o ka ʻeha o ka ʻōpū, ka maʻi diarrhea, a me ke kahe o ke kahe. Hiki i ke kahe nui ke hoʻonāukiuki i ka luhi nui, anemia i kaha ʻia, a me ka hanu liʻiliʻi. Inā koʻikoʻi loa kāu UC ʻaʻole ia e pane i ka lāʻau olakino, hiki i ke kauka ke koi aku e hemo i kāu kolone (ʻo ia hoʻi ʻo ka ʻōpū nui).


He aha nā koho lapaʻau e loaʻa ana no UC? Aia kekahi mau hana i ʻoi aku ka maikaʻi ma mua o kekahi?

Loaʻa iā ʻoe nā koho lapaʻau aʻe no UC:

Nā anti-inflammatories

ʻO kēia mau lāʻau lapaʻau ka papa mua o ka hana no ka mālama ʻana iā UC. Hoʻopili lākou i nā corticosteroids a me 5-aminosalicylates (5-ASAs). Kaukaʻi ʻia i ka ʻāpana o ke kolona e hoʻopili ai, hiki iā ʻoe ke lawe i kēia mau lāʻau i ka waha, ma ke ʻano he supository, a i ʻole he enema.

Nā Antibiotics

Kauoha nā kauka iā antibiotics inā manaʻo lākou aia he maʻi i loko o kāu kolone. Eia naʻe, ʻōlelo pinepine ʻia ka poʻe me UC ʻaʻole e lawe i nā lāʻau ʻaloʻolika no ka mea hiki iā lākou ke kumu i ka palahī.

Nā Immunosuppressors

Hiki i kēia mau lāʻau ke kāohi i ka pehu. Hoʻopili pū lākou me merc laptopurine, azathioprine, a me cyclosporine. E launa pū me kāu kauka inā lawe ʻoe i kēia. Hiki i nā hopena ke hopena i kou ake a me kou pancreas.

Nā hoʻoponopono biologic

ʻO Biologic therapies ʻo Humira (adalimumab), Remicade (infliximab), a me Simponi (golimumab). ʻIke ʻia lākou e like me nā mea hōʻoki tumor tumzrosis factor (TNF). Kaohi lākou i kāu pane pale ʻole. Hoʻohana ʻia ʻo Entyvio (vedolizumab) no ka mālama ʻana iā UC i kēlā me kēia kanaka i pane ʻole a i ʻole hiki ʻole ke hoʻomanawanui i nā ʻano lāʻau ʻē aʻe.


Aia kekahi hopena o ka lāʻau e pono iaʻu e makaʻala?

ʻO ka papa inoa aʻe o kekahi o nā lāʻau UC maʻamau me kā lākou hopena ʻaoʻao maʻamau.

Nā lāʻau anti-inflammatory

ʻO nā hopena ʻē aʻe o 5-ASA e komo pū me ka luaʻi, kahoʻi, a me ka nalo o ka makemake.

I ka wā lōʻihi, hiki i nā corticosteroids ke alakaʻi i nā hopena ʻē aʻe e like me ke kiʻekiʻe o ke koko, hoʻonui i ka maʻi o ka maʻi, ke kiʻekiʻe o ke kō i ke kō, ka huehue, ka loaʻa ʻana o ke kaumaha, ka loli ʻana o ka naʻau, nā cataract, ka hiamoe ʻole, a me nā iwi hōʻeha.

Nā Antibiotics

Hoʻonohonoho pinepine ʻia ʻo Cipro a me Flagyl i ka poʻe me UC. ʻO kā lākou hopena hopena e pili pū me ka ʻōpū huhū, diarrhea, nalo o ka makemake, a me ka luaʻi.

ʻO Cipro kahi lāʻau antibiotic fluoroquinolone. Hiki i nā Fluoroquinolones ke hoʻonui i ka makaʻu o nā waimaka koʻikoʻi a haki paha i ka aorta, kahi e hiki ai ke hōʻeha i ke kahe koko weliweli.

ʻO ka poʻe ʻelemākule a me nā kānaka me ka mōʻaukala o nā aneurysms a i ʻole kekahi mau maʻi maʻi maʻi maʻi maʻi paha e ʻoi aku ka makaʻu. Hiki i kēia hanana kūpilikiʻi ke hana me kekahi fluoroquinolone i lawe ʻia e ka waha a i ʻole me ke kuikui.


Nā Immunosuppressors

Hiki i ka 6-merc laptopurine (6-MP) a me ka azathioprine (AZA) ke hoʻoulu i nā hopena ʻē aʻe e like me ka hōʻemi ʻana i ke kūpikipiki ʻana, ka maʻi ʻaʻai o ka ʻili, ka palahū a me ka lymphoma.

Nā hoʻoponopono biologic

ʻO Biologic therapies me Humira (adalimumab), Remicade (infliximab), Entyvio (vedolizumab), Certolizumab (Cimzia), a me Simponi (golimumab).

ʻO nā hopena ʻē aʻe e pili pū ana me ka ʻumeʻula, ʻulaʻula, ʻeha a me ka pehu haʻahaʻa ma kahi o ka pūnaewele injection, ke kuni, ka maʻi ʻeha, nā haʻalulu, a me nā huehue.

Pehea wau e ʻike ai inā ʻaʻole holo pono kaʻu lāʻau?

Inā ʻaʻole holo kāu lāʻau lapaʻau, e ʻike ʻoe i ka maʻi mau o ka maʻi kō, ke kahe o ke kahe, a me ka ʻeha o ka ʻōpū - ʻoiai ma hope o ʻekolu a ʻehā mau pule o ka lilo ʻana i ka lāʻau.

He aha nā mea hoʻonāukiuki maʻamau o UC?

ʻO nā mea hoʻonāukiuki maʻamau o UC e laʻa me ka waiū, nā pī, kope, nā ʻanoʻano, broccoli, kulina, a me ka waiʻona.

Pehea ka maʻamau o UC? IBDs? He hoʻoilina anei?

Wahi a nā loiloi o kēia manawa, e noho nei me kahi IBD. Inā he lālā ʻohana kou me kahi IBD, hiki iā ia ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i hoʻokahi.

  • ʻO ka laha o UC ka 238 no kēlā me kēia 100,000 mākua.
  • ʻO ka laha o Crohn e pili ana i 201 no kēlā me kēia 100,000 makua.

Aia kekahi mau lāʻau kūlohelohe no UC? Nā hoʻoponopono ʻē aʻe? Hana paha lākou?

No nā poʻe hiki ʻole ke hoʻomanawanui i ka lāʻau, aia kekahi mau koho ʻē aʻe.

Nā hoʻoponoponoʻai

ʻO nā papaʻai haʻahaʻa i ka fiber a me ka momona e waiwai nui i ka hoʻohaʻahaʻa ʻana i ke alapine o ka lele ʻana o ka UC maʻamau. Ke hoʻopau nei i kekahi mau meaʻai mai kāu papaʻai hiki ke loaʻa ka hopena like. ʻO kahi laʻana, ka waiū, ka waiʻona, ka ʻiʻo, a me nā meaʻai kiʻekiʻe-kalapona.

Nā lāʻau lapaʻau

Hiki ke kūpono i nā lāʻau lapaʻau ʻokoʻa no ka mālama ʻana iā UC. Hoʻopili lākou iā Boswellia, ka psyllium seed / husk, a me ka turmeric.

Hoʻoponopono koʻikoʻi

Hiki iā ʻoe ke pale i nā hoʻi hou ʻana o UC me nā hoʻoponopono hōʻoluʻolu koʻikoʻi, e like me yoga a me ka noʻonoʻo ʻana.

Hoʻoikaika kino

Hiki ke kōkua i ka hoʻohui ʻana i nā hana hoʻoikaika kino maʻamau i ka mālama ʻana i kāu UC.

Pono wau e noʻonoʻo i ke ʻoki?

Ma kahi o 25 a 40 pākēneka o ka poʻe me UC pono ke ʻoki kino e wehe i ke kolona.

Lilo i ke ʻoki kino no ka mea o kēia:

  • holo pono ʻole o ka lāʻau lapaʻau
  • kahe nui ʻana o ke kahe
  • nā hopena ʻino o kekahi mau lāʻau

Ma hea e ʻike ai i ka ʻike hou aʻe ma UC a loaʻa i ke kākoʻo mai ka poʻe e noho pū nei me ka maʻi?

ʻO kahi kumuwaiwai kupaianaha a me nā hōʻike e pili ana i ka Crohn's a me Colitis Foundation o ʻAmelika. He hui nonprofit me nā tona o ka ʻike kūpono ma ka hoʻokele UC.

Hiki iā ʻoe ke ʻike i ka ʻike hou aʻe ma ke komo ʻana i nā kaiāulu pāpili kaiaulu UC. E pōmaikaʻi ʻoe mai ka hui ʻana a me ka hoʻopili ʻana me nā poʻe ʻē aʻe e pili ana i nā pilikia like.

Hiki iā ʻoe ke kōkua i ke kākoʻo ma o ka hoʻonohonoho ʻana i nā hālāwai, nā hanana, a me nā hana. Hāʻawi kēia i kahi manawa kūpono no ka poʻe i hoʻopili ʻia e ka maʻi e hoʻololi i nā ʻōlelo aʻoaʻo, nā moʻolelo, a me nā kumuwaiwai.

ʻO Kauka Saurabh Sethi kahi kauka i hōʻoia ʻia e ka papa i loea i ka gastroenterology, hepatology, a me ka endoscopy intervenal advanced. I ka 2014, ua hoʻopau ʻo Kauka Sethi i kāna gastroenterology a me ka pilina hepatology ma Beth Israel Deaconess Medical Center ma ke Kula Lapaʻau ʻo Harvard. Ma hope koke iho, ua hoʻopau ʻo ia i kāna pilina endoscopy holomua ma ke Kulanui ʻo Stanford ma 2015. Ua pili ʻo Kauka Sethi me nā puke he nui a me nā puke noiʻi, e like me 30 paʻi paʻi ʻia e nā hoa. ʻO nā makemake o Kauka Sethi ka heluhelu ʻana, ka blog ʻana, ka huakaʻi ʻana, a me ka hoʻolaha olakino lehulehu.

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