Colitis

Anter

• Nā ʻano o ka colitis a me nā kumu o lākou
• Ulcerative colitis
• Pseudomembranous colitis
• ʻO colitis ischemic
• ʻO ka colitis microscopic
• Allergic colitis i nā pēpē
• Nā kumu hou aʻe
• ʻO wai ka makaʻu no ka colitis
• Nā ʻōuli o colitis
• Ka wā e ʻike ai i ke kauka
• Kānāwai colitis
• Ka mālama ʻana i ka colitis
• Hoʻomaha hoʻomaha ʻōpū
• Laau Lapaʻau
• ʻOki kino
• Outlook

Hōʻike Overview

ʻO Colitis ka mumū o kāu kolona, ​​i ʻike ʻia ʻo kou ʻōpū nui. Inā loaʻa iā ʻoe ka colitis, ʻike ʻoe i ka ʻoluʻolu ʻole a me ka ʻeha o kou ʻōpū e akahai paha a hoʻi hou i kahi manawa lōʻihi, a i ʻole ʻeha a kū koke.

Aia kekahi ʻano o ka colitis, a ʻokoʻa ka mālama ʻana i ka ʻano o kāu ʻano.

Nā ʻano o ka colitis a me nā kumu o lākou

Hoʻokaʻawale ʻia nā ʻano o ka colitis e nā kumu o lākou.

Ulcerative colitis

ʻO Ulcerative colitis (UC) kekahi o nā kūlana ʻelua i hoʻokaʻawale ʻia e like me ka maʻi ʻōpū. ʻO ka maʻi ʻē aʻe ʻo Crohn.

He maʻi ʻo UC i nā ola āpau e hoʻohua i ka mumū a me nā ulcer kahe i loko o ka pale o loko o kou ʻōpū nui. Hoʻomaka ka hoʻomaka ʻana i ka pololei a pālahalaha aʻe i ke kolona.

ʻO UC ka ʻano maʻamau o ka colitis i ʻike pinepine ʻia. Kū i ka wā e hoʻonāukiuki ai ka ʻōnaehana pale i nā bacteria a me nā mea ʻē aʻe i loko o ka digestive tract, akā ʻaʻole ʻike ka poʻe loea i ke kumu o kēia hana. ʻO nā ʻano maʻamau o UC ka:

• proctosigmoiditis, e pili ana i ka rectum a me ka hapa haʻahaʻa o ke kolona
• colitis ʻaoʻao hema, kahi e hoʻopili ai i ka ʻaoʻao hema o ke kolona e hoʻomaka ana ma ka polima
• pancolitis, kahi e hoʻopili ai i ka ʻōpū nui āpau

Pseudomembranous colitis

Pseudomembranous colitis (PC) kū mai ka ulu nui o ka maʻi koʻohune Difficile Clostridium. Noho maʻamau kēia ʻano bacteria i loko o ka ʻōpū, akā ʻaʻole ia e hoʻopilikia i nā pilikia no ka mea kaulike ʻia e ke kū ʻana o nā bacteria "maikaʻi".

Hiki i kekahi mau lāʻau lapaʻau, keu hoʻi nā antibiotic, ke hoʻopau i nā bacteria maikaʻi. ʻAe kēia Difficile Clostridium e lawe i luna, e hoʻokuʻu ana i nā toxins i kumu i ka wela.

ʻO colitis ischemic

Hana ʻia ka ischemic colitis (IC) ke oki ʻia a kaohi ʻia ke kahe o ke koko i ke kolona. Hiki i ke kuʻi koko ke kumu o ka paʻa koke ʻana. ʻO Atherosclerosis, a i ʻole ke kūkulu ʻia ʻana o nā waihona momona, i loko o nā kīʻaha koko e hāʻawi i ke kolone ke kumu o ka hoʻi hou ʻana o IC.

ʻO kēia ʻano colitis ka hopena o nā kūlana paʻa. Pākuʻi ʻia kēia mau mea:

• vasculitis, kahi maʻi hōʻeha o nā kīʻaha koko
• diabetes
• maʻi ʻaʻai kolone
• hoʻomake wai
• lilo ke koko
• puʻuwai puʻuwai
• ālai
• ʻehaʻeha

ʻOiai he mea liʻiliʻi ia, hiki i ka IC ke hopena ma ke ʻano he hopena o ka lawe ʻana i kekahi mau lāʻau.

ʻO ka colitis microscopic

ʻO ka mikroscopic colitis kahi maʻi olakino hiki i ke kauka ke hoʻomaopopo wale ma ka nānā ʻana i kahi kiko kiko o ke kolone ma lalo o kahi microscope. E ʻike ke kauka i nā hōʻailona o ka mumū, e like me nā lymphocytes, kahi ʻano keokeo keʻokeʻo.

Hoʻokaʻawale nā ​​kauka i kekahi manawa i ka microscopic colitis i ʻelua mau ʻāpana: lymphocytic a me collagenous colitis. ʻO ka lymphocytic colitis ke kuhikuhi ke kauka i kahi nui o nā lymphocytes. Eia nō naʻe, ʻaʻole i mānoanoa nā kūpuna kolona a me ka uhi ʻana.

Kū ka colitis collagenous ke lilo ka pale o ka kolona i mānoanoa ma mua o ka maʻamau ma muli o ke kūkulu ʻana o collagen ma lalo o ka papa waho loa o nā mea kiko. Aia nā manaʻo ʻokoʻa e pili ana i kēlā me kēia ʻano microscopic colitis, akā manaʻo kekahi mau kauka he ʻano ʻokoʻa nā ʻano colitis ʻelua o ke ʻano like.

ʻAʻole maopopo maopopo i nā kauka ke kumu o ka microscopic colitis. Eia nō naʻe, ʻike lākou i ka makaʻu o kekahi poʻe no ka maʻi. Pākuʻi ʻia kēia mau mea:

• nā puhipaka i kēia manawa
• wahine kāne
• ka mōʻaukala o kahi maʻi autoimmune
• ʻoi aku ma mua o 50 mau makahiki

ʻO nā ʻōuli maʻamau o ka microscopic colitis ka maʻi diarrhea mau, ka ʻōpū o ka ʻōpū, a me ka ʻeha o ka ʻōpū.

Allergic colitis i nā pēpē

ʻO kahi colitis Allergic kahi kūlana i hiki i nā pēpē, i loko o nā mahina ʻelua mua ma hope o ka hānau ʻana. Hiki i ke ʻano ke hana i nā hōʻailona i loko o nā pēpē e hoʻopili i ka reflux, ke kuha nui ʻana, ka fussiness, a me nā flecks o ke koko i hiki i ka pahu o ka pēpē.

ʻAʻole maopopo maopopo i nā kauka ke kumu o ka colitis āpau. Wahi a kahi noiʻi 2013 i paʻi ʻia i loko o ka, kekahi o nā kumumanaʻo i makemake nui ʻia e loaʻa i nā pēpē kahi maʻi āpau a hypersensitive paha i kekahi mau mea i ka waiū umauma.

Paipai pinepine nā kauka i kahi papaʻai hoʻopau no ka makuahine kahi e hoʻomaha mālie ai i ka ʻai ʻana i kekahi mau meaʻai i ʻike ʻia e kōkua i ka colitis maʻi maʻi. ʻO nā laʻana me ka waiū o ka bipi, nā hua manu, a me ka palaoa. Inā kū ka pēpē i ka loaʻa ʻana o nā ʻōuli, ʻo kēia mau meaʻai paha ka mea ʻāpiki.

Nā kumu hou aʻe

ʻO nā kumu ʻē aʻe o ka colitis e komo pū ana me ka maʻi mai nā parasite, nā mea ʻino, a me nā lāʻau make mai nā bacteria. Hiki paha iā ʻoe ke hoʻomohala i ke ʻano inā mālama ʻia kou ʻōpū nui me ka radiation.

ʻO wai ka makaʻu no ka colitis

Pili nā kumu pilikia ʻokoʻa i kēlā me kēia ʻano colitis.

ʻOi aku ka makaʻu iā UC inā ʻoe:

• Aia ma waena o nā makahiki he 15 a 30 (ka hapanui o ka manawa) a i ʻole 60 a me 80
• he mamo Iudaio a Caucasian paha
• he lālā ʻohana me UC

ʻOi aku ka makaʻu no PC inā ʻoe:

• ke lawe nei i nā lāʻau ʻaloʻalo lōʻihi
• ua haukapila
• ke loaʻa nei iā chemotherapy
• ke lawe nei i nā lāʻau hoʻomalu
• ʻelemakule
• i loaʻa iā PC ma mua

ʻOi aku ka makaʻu iā IC inā ʻoe:

• ma luna o 50 mau makahiki
• i a i ʻole ma ka makaʻu no ka maʻi puʻuwai
• loaʻa ka puʻuwai puʻuwai
• loaʻa ke koko haʻahaʻa
• ua loaʻa kahi hana ʻōpū

Nā ʻōuli o colitis

Kaukaʻi ʻia i kou ʻano, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi paha o nā hōʻailona aʻe:

• ʻeha o ka ʻōpū a cramping paha
• ʻōhū i loko o kou ʻōpū
• Kaumaha emi
• diarrhea me a i ʻole me ke koko
• ke koko i loko o kāu pahu
• pono e neʻe i kou ʻōpū
• ʻOhana a kuni paha
• ka luaʻi

Ka wā e ʻike ai i ke kauka

ʻOiai paha e ʻike kēlā me kēia kanaka i ka maʻi pākī i kēlā me kēia manawa, e ʻike i ke kauka inā loaʻa ʻoe i ka maʻi pākī e pili ʻole ana i kahi maʻi, ke kuni, a i ʻole nā ​​mea ʻai i ʻike ʻia i hoʻohaumia ʻia. Nā ʻōuli ʻē aʻe e hōʻike ana ua hiki i ka manawa e ʻike ai i ke kauka me:

• ʻeha pū
• rashes ʻaʻohe kumu i ʻike ʻia
• ka liʻiliʻi o ke koko i loko o ka pahu, e like me ka noho ʻulaʻula
• ʻeha o ka ʻōpū e hoʻi mau nei
• lilo kaumaha maopopo ʻole

E ʻimi koke i ka lāʻau lapaʻau inā ʻike ʻoe i kahi nui o ke koko i kāu pahu.

Inā manaʻo ʻoe ʻaʻole kūpono kekahi mea me kou ʻōpū, ʻoi aku ka maikaʻi e kamaʻilio pū me kāu kauka. He mea nui ka hoʻolohe ʻana i kou kino i ka noho maikaʻi ʻana.

Kānāwai colitis

E nīnau paha kāu kauka e pili ana i ke alapine o kāu mau hōʻailona a i ka manawa hea i puka ai. E hana lākou i kahi hoʻokolohua kino kikoʻī a hoʻohana i nā hoʻokolohua diagnostics e like me:

• kolonekia, ʻo ia hoʻi ka hoʻopili ʻana i kahi pahu paʻi kiʻi ma ka paipu maʻalahi ma o ka anus e ʻike ai i ke kolamu a me ke kolona
• sigmoidoscopy, ka mea like me ke kolonekia akā hōʻike wale i ka kolamu kūpono a me ke kolona lalo
• hāpana ʻaʻano
• nā kiʻi ʻōpū e like me MRI a i ʻole CT scans
• ultrasound, i mea pono ke kaukaʻi ʻia i ka wahi i nānā ʻia
• barium enema, kahi X-ray o ke kolona ma hope o ka hoʻopili ʻia ʻana me barium, kahi mea e kōkua ai i ka ʻike ʻana i nā kiʻi

Ka mālama ʻana i ka colitis

Hoʻololi nā mālama ʻana i kekahi mau kumu:

• ʻano o ka colitis
• makahiki
• kulana kino holoʻokoʻa

Hoʻomaha hoʻomaha ʻōpū

ʻO ka palena ʻana i ka mea a ka waha e hiki ai ke lilo i mea pono, keu hoʻi inā he IC kāu. Lawe paha i nā wai a me nā meaʻai pono āpau e pono ai i kēia manawa.

Laau Lapaʻau

Kau kauka paha i ke kauka anti-inflammatory e mālama i ka pehu a me ka ʻeha, a me nā lāʻau antibiotic e mālama i ka maʻi. Hiki i kāu kauka ke mālama iā ʻoe me nā lāʻau ʻeha a i ʻole nā ​​lāʻau antispasmodic.

ʻOki kino

ʻO ke keʻena hana e wehe i kahi ʻāpana a i ʻole o kāu kolona a i ʻole ka pololei paha ke kūpono inā ʻaʻole holo nā hana ʻē aʻe.

Outlook

Aia kāu nānā i ke ʻano o ka colitis i loaʻa iā ʻoe. Pono paha ʻo UC i ka lāʻau lapaʻau no ke ola āpau ke ʻole ʻoe i kahi ʻoki. ʻO nā ʻano ʻē aʻe, e like me IC, hiki ke hoʻomaikaʻi me ka ʻole o ke kahakaha. Pane maikaʻi ʻo PC i nā antibiotic, akā reoccur paha ia.

I nā hihia āpau, ʻike nui ka ʻike kakahiaka nui i ka hoʻihoʻi ʻana. Hiki i ka ʻike mua ke pale aku i nā pilikia koʻikoʻi ʻē aʻe. E hoʻomaopopo i kāu kauka e pili ana i nā ʻōuli āu e ʻike nei.