ʻO ka ʻokoʻa ma waena o Crohn's, UC, a me IBD

Anter

• Maʻi maʻi ʻōpū
• Maʻi ʻo Crohn
• Ulcerative colitis
• ʻImi ʻana iā IBD

Hōʻike Overview

Huikau nā poʻe he nui i ka wā e pili ana i nā ʻokoʻa ma waena o ka maʻi ʻōpū (IBD), ka maʻi o Crohn, a me ka ulcerative colitis (UC). ʻO ka wehewehe pōkole ʻo IBD ka manawa umbrella no ke kūlana ma lalo o ka hāʻule ʻana o ka maʻi Crohn a me UC. Akā aia kekahi, ʻoi aku, ʻoi aku i ka moʻolelo.

Kahi ʻia nā Crohn a me ka UC e kahi pane kūpono ʻole e ka ʻōnaehana pale ʻino o ke kino, a ua māhele like paha lākou i kekahi mau ʻōuli.

Eia nō naʻe, he mau ʻokoʻa nui kekahi. ʻO kēia mau ʻokoʻa i loko o ka wahi o nā maʻi i loko o ka gastrointestinal (GI) tract a me ke ala e pane ai kēlā me kēia maʻi i ka lāʻau. ʻO ka hoʻomaopopo ʻana i kēia mau hiʻohiʻona ke kī i ka loaʻa ʻana o kahi hōʻailona kūpono mai kahi gastroenterologist.

Maʻi maʻi ʻōpū

ʻAʻole ʻike ʻia ʻo IBD ma mua o ka piʻi ʻana o ka hoʻomaikaʻi a hoʻomaikaʻi i ka nohona ma ka hoʻomaka ʻana o ke kenekulia 20.

I kēia lā, ʻike mau ʻia ia ma nā ʻāina kūkulu e like me ʻAmelika Hui Pū ʻIa. E like me nā maʻi autoimmune a me nā maʻi ʻino ʻē aʻe, manaʻo ʻia ʻo ka nele o ka hoʻomohala kūʻē ʻana i ka germ ua kōkua ʻē aʻe i nā maʻi e like me IBD.

I ka poʻe me IBD, kuhi hewa ka ʻōnaehana pale i ka meaʻai, bacteria, a i ʻole nā ​​mea ʻē aʻe i ka palapala GI no nā mea haole a pane i ka hoʻouna ʻana i nā hunaola keokeo i ka uhi o ka ʻōpū. ʻO ka hopena o ka hoʻouka kaua ʻana o ka ʻōnaehana pale ʻaʻa mau. ʻO ka huaʻōlelo "mumū" iho mai ka huaʻōlelo Helene no "lapalapa." ʻO ia hoʻi, "e hoʻā i ke ahi."

ʻO Crohn's a me UC nā ʻano maʻamau o ka IBD. ʻO nā IBD liʻiliʻi e hoʻopili ʻia:

• colitis microscopic
• colitis pili i ka diverticulosis
• collitisous colitis
• lymphocytic colitis
• Maʻi ʻo Behçet

Hiki paha i ka IBD ke hahau i kēlā me kēia makahiki. ʻO nā mea he nui me IBD ʻike ʻia ma mua o ka makahiki 30, akā hiki ke ʻike ʻia ma hope o ke ola. ʻOi aku ka maʻamau i:

• nā kānaka i nā paʻa o ka ʻoihana waiwai
• poʻe keʻokeʻo
• ka poʻe e ʻai i nā papaʻai momona nui

ʻOi aku ka maʻamau i nā kaiaulu aʻe:

• nā ʻāina hana
• aniau akau
• nā wahi kaona

Ma waho o nā kumu kaiapuni, manaʻo ʻia nā kumu kūpuna e hana nui i ka ulu ʻana o IBD. No laila, ua manaʻo ʻia he "maʻi paʻakikī" ia.

No nā ʻano IBD he nui, ʻaʻohe lāʻau. Hoʻokumu ʻia ka mālama ʻana ma kahi o ka mālama ʻana i nā ʻōuli me ke kala ʻana ma ke ʻano he pahuhopu. No ka hapanui, he maʻi ola ia, me nā wā hoʻololi o ke kala a me ka lapalapa. Eia nō naʻe, nā mālama ʻana i kēia wā e ʻae i nā kānaka e ola i kahi ola maʻamau a me nā huahana.

ʻAʻole pono e huikau ʻo IBD me nā maʻi huhū huhū (IBS). ʻOiai like paha kekahi mau ʻōuli i kekahi manawa, ʻokoʻa ke kumu a me ke ʻano o nā kūlana.

Maʻi ʻo Crohn

Hiki paha i ka maʻi o Crohn ke hoʻopili i kekahi ʻāpana o ka GI tract mai ka waha a i ka anus, ʻoiai ʻike pinepine ʻia ma ka hopena o ka ʻōpū liʻiliʻi (ʻōpū liʻiliʻi) a me ka hoʻomaka o ke kolona (ʻōpū nui).

Hiki i nā ʻōuli o ka maʻi o Crohn ke komo pū me:

• pākī pinepine
• kōpaʻa konu
• abdominal eha
• fiva
• ke koko i ka pahu holo
• luhi
• kūlana ʻili
• ʻeha pū
• hana maikaʻi ʻole
• Kaumaha emi
• fistulas

ʻAʻole like me UC, ʻaʻole palena ʻo Crohn i ka palapala GI. Hoʻopili paha ia i ka ʻili, nā maka, nā hono, a me ke ake. ʻOiai ʻoi aku ka maikaʻi o nā ʻōuli ma hope o ka pāʻina ʻana, ʻike pinepine ka poʻe me Crohn i ka pohō kaumaha ma muli o ka hōʻalo ʻana i ka meaʻai.

Hiki i ka maʻi o Crohn ke hana i nā blockages o ka ʻōpū mai ka scarring a me ka pehu. Hiki ke ulu nā ulcer (ʻeha) i loko o ka ʻōpū i mau ʻāpana o kā lākou iho, i ʻike ʻia ʻo fistulas. Hiki i ka maʻi o Crohn ke hoʻonui i ka makaʻu o ka maʻi ʻaʻai kolona, ​​ʻo ia ke kumu e pono ai i nā poʻe e noho nei me ke ʻano ke loaʻa nā kolonoscopies maʻamau.

ʻO ka lāʻau lapaʻau ka ala maʻamau e mālama ai i ka maʻi o Crohn. ʻO nā ʻano lāʻau ʻelima:

• steroid
• antibiotics (inā nā maʻi a i ʻole fistulas ke kumu o nā abscesses)
• nā modifier immune, e like me azathioprine a me 6-MP
• aminosalicylates, e like me 5-ASA
• lāʻau hoʻomalu biologic

Pono paha kekahi mau hihia i ke kaha ʻana, ʻoiai ʻaʻole e hōʻola ke kahakaha i ka maʻi o Crohn.

Ulcerative colitis

ʻAʻole like me Crohn, hoʻopaʻa ʻia ka colitis ulcerative i ke kolona (ʻōpū nui) a hoʻopili wale i nā papa luna i kahi mahele like. ʻO nā ʻōuli o UC me:

• abdominal eha
• noho hakahaka
• noho koko
• wikiwiki o ka ʻōpū
• luhi
• nalo ʻai ʻole
• Kaumaha emi
• hana maikaʻi ʻole

Hiki i nā ʻōuli o UC ke hoʻololi i kēlā me kēia ʻano. Wahi a ka Mayo Clinic, aia ʻelima mau ʻano UC e pili ana i kahi.

• UC koʻikoʻi koʻikoʻi. ʻO kēia kahi ʻano laha ʻole o ka UC e hoʻopili i ke kolona holoʻokoʻa a kumu i nā pilikia ʻai.
• Colitis ʻaoʻao hema. Hoʻopili kēia ʻano i ke kolona e iho ana a me ka pololei.
• Pancolitis. Hoʻopili ʻo Pancolitis i ke kolona holoʻokoʻa a kumu i ka maʻi diarrhea hoʻomau mau.
• Proctosigmoiditis. Hoʻopili kēia i ka kolona lalo a me ka pololei.
• Proceritis ulcerative. ʻO ke ʻano akahai loa o UC, pili wale ia i ka ʻohe.

Hoʻohana pinepine ʻia nā lāʻau a pau i hoʻohana ʻia no Crohn no UC. Akā, hoʻohana pinepine ʻia ke ʻoki kino ma UC a ua manaʻo ʻia he lāʻau ia no kēia maʻi. ʻO kēia no ka mea kaupalena ʻia ʻo UC i ke kolona, ​​a inā hemo ka kolona, ​​pēlā nō ka maʻi.

He mea nui ka kolone, no laila ke manaʻo ʻia nei ke kahakaha he ala hope loa. Manaʻo wale ʻia ia ke paʻakikī ke kiʻi i ke kala ʻana a ua kūleʻa ʻole nā ​​ʻano lāʻau ʻē aʻe.

Ke hiki mai nā pilikia, hiki iā lākou ke koʻikoʻi. Inā haʻalele ʻole ʻia, alakaʻi paha ʻo UC i:

• perforation (puka ma ke kolona)
• maʻi ʻaʻai kolone
• maʻi maʻi ate
• ʻosteoporosis
• anemia

ʻImi ʻana iā IBD

ʻAʻohe kanalua e hiki i ka IBD ke hōʻemi nui i ke ola, ma waena o nā ʻōuli hōʻoluʻolu ʻole a me nā kipa pinepine ʻana i ka lua. Hiki i ka IBD ke alakaʻi i kaʻiʻo makaʻu a hoʻonui i ka makaʻu o ka maʻi ʻaʻai kolona.

Inā ʻoe e ʻike i nā ʻōuli maʻamau, pono e kāhea i ke kauka. E ʻae ʻia ʻoe i kahi gastroenterologist no ka hoʻāʻo ʻana o IBD, e like me ke kolonekia a i ʻole kahi scan CT. Ke kuhi nei i ke ʻano kūpono o ka IBD e alakaʻi i nā hoʻoponopono maikaʻi aʻe.

ʻO ke kūpaʻa i ka mālama ʻana i kēlā me kēia lā a me nā loli nohona hiki ke kōkua i ka hōʻemi ʻana i nā ʻōuli, loaʻa ke kala ʻana, a pale i nā pilikia.

Me ka nānā ʻole i kāu kuhi, pili ka polokalamu manuahi a Healthline, IBD Healthline, iā ʻoe me ka poʻe e hoʻomaopopo. E hui me nā poʻe ʻē aʻe e noho nei me Crohn's a me ulcerative colitis ma o ka leka hoʻokahi a me nā kūkā kamaʻilio ola ʻana. Hoʻohui, loaʻa iā ʻoe ka ʻike i ʻae ʻia e ka poʻe loea ma ka mālama ʻana iā IBD ma kou manamana lima. Hoʻoiho i ka polokalamu no iPhone a i ʻole Android.