Ke hoʻohana nei iā Imuran e mālama iā Ulcerative Colitis (UC)

Anter

• Pehea e hana ai ʻo Imuran
• Nā hana
• Nā hopena ʻaoʻao o Imuran
• Hoʻonui i ka pilikia o kekahi ʻano maʻi ʻaʻai
• Hoʻonui i nā maʻi
• Ka hopena hoʻowali
• ʻO Pancreatitis
• Nā ʻōlelo aʻoaʻo a me nā launa pū
• E kamaʻilio me kāu kauka

Ka hoʻomaopopo ʻana i ka colitis ulcerative (UC)

ʻO Ulcerative colitis (UC) kahi maʻi autoimmune. Hoʻokumu ia i kāu ʻōnaehana pale pale i nā ʻāpana o kou kino. Inā he UC ʻoe, hoʻonā i kāu ʻōnaehana pale i ka mumū a me nā ulcer i ka uhi o kāu kolona.

Hiki i ka UC ke ʻoi aku ka hana i nā manawa a me ka liʻiliʻi o ka hana i kekahi. Keʻoi aku ka hana, ʻoi aku kāu mau hōʻailona. ʻIke ʻia kēia mau manawa ma ke ʻano he uila.

I mea e pale aku ai i nā ahi lapalapa, hiki iā ʻoe ke hoʻāʻo e hoʻēmi i ka nui o nā fiber i kāu papaʻai a hōʻalo paha i kekahi mau meaʻai ʻona loa. Eia nō naʻe, makemake ka hapanui o nā poʻe me UC i ke kōkua o nā lāʻau.

ʻO ka Imuran kahi lāʻau lapaʻau waha e hiki ke kōkua iā ʻoe e hoʻokele i nā ʻōuli o ke akahai a i ʻole ka UC nui, e like me ka ʻōpū o ka ʻōpū a me ka ʻeha, ka maʻi diarrhea, a me ka noho koko.

Pehea e hana ai ʻo Imuran

Wahi a nā alakaʻi olakino hou loa, ʻo nā mea i makemake ʻia no ka hoʻōla ʻana i ke kala ʻana i ka poʻe me ka liʻiliʻi a paʻakikī hoʻi i ka UC.

• Corticosteroids
• anti-tumor necrosis factor (anti-TNF) ʻo ka lāʻau me nā lāʻau biologic adalimumab, golimumab, a infliximab paha.
• vedolizumab, kekahi lāʻau olaola
• tofacitinib, kahi lāʻau lapaʻau waha

Kauoha pinepine nā kauka iā Imuran no ka poʻe i hoʻāʻo i nā lāʻau ʻē aʻe, e like me nā corticosteroids a me aminosalicylates, ʻaʻole i kōkua i ka hōʻoluʻolu i kā lākou mau ʻōuli.

ʻO Imuran kahi mana inoa inoa o ka azathioprine lāʻau lapaʻau generic. Pili ia i kahi papa o nā lāʻau i kapa ʻia ʻo immunosuppressants. Hana ia ma ka hoʻemi ʻana i kāu pane ʻōnaehana pale.

E hopena kēia:

• hoʻemi i ka pehu
• mālama i kāu mau hōʻailona hōʻailona
• e hoʻohaʻahaʻa i kou manawa kūpono i nā lapalapa ahi

Hiki ke hoʻohana ʻia ʻo Imuran ma kahi o infliximab (Remicade, Inflectra) e hoʻoulu ai i ke kala ʻana a i ʻole iā ia iho e mālama i ke kala ʻana. Eia nō naʻe, ʻo kēia nā hoʻohana inoa inoa ʻole o Imuran.

ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau i hōʻailona ʻia ʻo kahi lāʻau i ʻae ʻia e ka FDA no hoʻokahi kumu i hoʻohana ʻia no kahi kumu ʻē aʻe i ʻae ʻole ʻia. Eia nō naʻe, hiki i ke kauka ke hoʻohana i ka lāʻau no ia kumu. ʻO kēia no ka mea hoʻoponopono ka FDA i ka hoʻāʻo a me ka ʻae ʻana o nā lāʻau, akā ʻaʻole pehea e hoʻohana ai nā kauka i nā lāʻau e mālama ai i kā lākou mau maʻi. No laila, hiki i kāu kauka ke kuhikuhi i kahi lāʻau akā manaʻo lākou ʻoi aku ka maikaʻi no kāu mālama.

E ʻeono paha mahina e hoʻomaka ai ʻo Imuran e hoʻomaha i kāu mau ʻōuli. Hiki i ka Imuran ke hōʻemi i ka hōʻino mai ka mumū e hiki ai i nā kipa haukapila a me ka pono no ke ʻoki ʻana.

Hōʻike ʻia nō hoʻi e hoʻoliʻiliʻi i ka pono no nā corticosteroids e hoʻohana pinepine ʻia e mālama iā UC. Hiki ke pōmaikaʻi kēia, ʻoiai hiki i nā corticosteroids ke kumu i nā hopena ʻē aʻe ke hoʻohana ʻia no nā wā lōʻihi.

Nā hana

No ka poʻe me UC, ʻo ka mahele maʻamau o azathioprine he 1.5-2.5 milligrams i kēlā me kēia kilogram o ke kaupaona o ke kino (mg / kg). Loaʻa wale nō ʻo Imuran ma ke ʻano he papa 50-mg.

Nā hopena ʻaoʻao o Imuran

Hiki i ka Imuran ke hana i nā hopena ʻino ʻino paha. ʻOiai ke lawe nei, he mea maikaʻi e ʻike pinepine i kāu kauka e like me kā lākou e manaʻo ai. ʻO kēlā ala, hiki iā lākou ke nānā pono iā ʻoe no nā hopena ʻaoʻao.

Hiki i nā hopena ʻoluʻolu o Imuran ke hoʻopili i ka nausea a me ka luaʻi. ʻO nā hopena ʻē aʻe ʻoi loa o kēia lāʻau:

Hoʻonui i ka pilikia o kekahi ʻano maʻi ʻaʻai

ʻO ka hoʻohana ʻana iā Imuran no kahi manawa lōʻihi e hoʻonui i kou makaʻi i ka maʻi ʻaʻai a me ka lymphoma. ʻO Lymphoma kahi maʻi ʻaʻai e hoʻopili i kou mau ʻaoʻao pale.

Hoʻonui i nā maʻi

Hoʻohaʻahaʻa ʻo Imuran i ka hana o kāu ʻōnaehana pale. ʻO ke kumu o ka holo ʻole ʻana o kāu ʻōnaehana pale pale i nā maʻi. A ʻo kahi hopena, ʻo nā ʻano maʻi e pili ana he hopena ʻaoʻao maʻamau ia.

• ʻalalā
• maʻi koʻohune
• maʻi viral
• protozoal

ʻOiai maʻamau lākou, hiki i nā maʻi ke koʻikoʻi.

Ka hopena hoʻowali

Hana ʻia nā ʻōuli o kahi hopena maʻi i loko o nā mau pule mua o ka mālama ʻana. Pākuʻi ʻia lākou:

• nausea
• ka luaʻi
• pāhoehoe
• hūwī
• fiva
• luhi
• ʻeha ka ʻili
• ʻūpā

Inā loaʻa kēia mau hōʻailona iā ʻoe, e hoʻokaʻaʻike koke aku i kāu kauka.

ʻO Pancreatitis

ʻO Pancreatitis, aiʻole ka mumuna o ka pancreas, kahi hopena ʻē aʻe o Imuran. Inā loaʻa iā ʻoe nā ʻōuli e like me ka ʻeha o ka ʻōpū nui, ka luaʻi, a i ʻole nā ​​pahu aila, e kāhea koke aku i kāu kauka.

Nā ʻōlelo aʻoaʻo a me nā launa pū

Hiki paha i Imuran ke launa pū me nā lāʻau aʻe:

• aminosalicylates, e like me mesalamine (Canasa, Lialda, Pentasa), i kuhikuhi pinepine ʻia no nā poʻe me ka haʻahaʻa a me ka liʻiliʻi UC.
• ʻo ka warfarin lahilahi o ke koko (Coumadin, Jantoven)
• Angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi, i hoʻohana ʻia e mālama ai i ke koko kiʻekiʻe
• allpurinol (Zyloprim) a me febuxostat (Uloric), hiki ke hoʻohana ʻia no nā kūlana e like me ka gout
• ribavirin, he lāʻau hepatitis C
• co-trimoxazole (Bactrim), kahi antibiotic

Inā ʻoe e lawe nei i kekahi o kēia mau lāʻau, hiki i kāu kauka ke hoʻopau iā ʻoe i kāna hoʻohana ma mua o kou hoʻomaka ʻana iā Imuran.

E paipai paha lākou i kahi ana Imuran no ʻoe i ʻoi aku ka liʻiliʻi ma mua o ke ʻano maʻamau o ka Imuran. ʻO kahi mea liʻiliʻi e kōkua i ka hoʻohaʻahaʻa ʻana i nā launa lāʻau.

E kamaʻilio me kāu kauka

E kuhi paha kāu kauka iā Imuran inā ʻaʻole i hana nā lāʻau e like me aminosalicylates a me corticosteroids e kaohi i kāu mau hōʻailona UC. Hiki ke kōkua i ka hōʻemi ʻana i nā lapalapa a kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli.

Hele mai ʻo Imuran me ka makaʻu o nā hopena koʻikoʻi, e like me ka hoʻonui ʻana i ka maʻi ʻaʻai a me nā maʻi. Eia nō naʻe, hiki i ka lawe ʻana iā Imuran ke kōkua iā ʻoe e hōʻalo i nā hopena koʻikoʻi e pili ana me ka hoʻohana lōʻihi ʻana o ka corticosteroid.

E kamaʻilio me kāu kauka e hoʻoholo inā he koho maikaʻi ʻo Imuran nāu.