He aha ka ulcerative colitis hema?

Anter

• Nā ʻōuli o ka colitis ulcerative ʻaoʻao hema
• Nā kumu a me nā kumu pilikia
• Ke hōʻike nei i ka colitis ulcerative hema-ʻaoʻao
• Ma ka hema hema ʻaoʻao ulcerative colitis
• 5-ASA lāʻau
• Korticosteroids ʻoki
• ʻO Biologics a me nā immunomodulator
• Halemai
• Nā mālama kūlohelohe e kōkua i ka mālama ʻana i nā ʻōuli o UC

ʻO Ulcerative colitis kahi kūlana e hoʻonāukiuki i kāu kolone a i ʻole nā ​​ʻāpana o ia mea. I ka colitis ulcerative ʻaoʻao ʻaoʻao hema, kū wale ka mumū ma ka ʻaoʻao hema o kāu kolona. ʻIke ʻia ʻo colal ulcerative colitis.

I kēia ʻano o ka ulcerative colitis, hoʻomālamalama mai kou pololei i kāu flexen splure. ʻO ka flexure splenic ka inoa o kahi piʻo i loko o ke kolona, ​​kokoke i kāu ʻāpala. Aia ia ma ka ʻaoʻao hema o ka ʻōpū.

Nā ʻano ʻē aʻe o ka ulcerative colitis e:

• ʻO ka proctitis, kahi e kaupalena ʻia ai ka mumū i ka pololei
• pancolitis, ka mea e hoʻonā ai i ka kolona holoʻokoʻa

ʻO ka maʻamau, ʻo ka nui o kāu kolona e hoʻopili ʻia, ʻo ka nui o nā hōʻailona āu e ʻike ai.

Nā ʻōuli o ka colitis ulcerative ʻaoʻao hema

ʻO ka palahī ka hōʻailona maʻamau o ka ulcerative colitis. I kekahi manawa, loaʻa i kāu ʻauamo nā kahakaha o ke koko.

Hiki i ka hōʻino a me ka huhū i kou polima ke manaʻo iā ʻoe e like me kou makemake mau i ka neʻe ʻana o ka ʻōpū. Eia nō naʻe, ke hele ʻoe i ka lua, ka liʻiliʻi o ka nui o ka pahu.

ʻO nā ʻōuli ʻē aʻe o ka ulcerative colitis e:

• ʻeha o ka ʻōpū a i ʻole ʻeha rectal
• fiva
• Kaumaha emi
• kōpaʻa
• spasms hoʻopālahalaha

Hiki i nā noho koko ke hōʻailona o ka hōʻino nui i ke kolona. ʻO ke koko i loko o kāu pahu e ʻālohilohi a ʻulaʻula paha.

Inā ʻike ʻoe i ke koko i kāu pahu, e kāhea i kāu kauka. Inā ʻoi aku ka nui o ke koko, e ʻimi i ka lāʻau olakino pōpilikia.

Nā kumu a me nā kumu pilikia

ʻAʻole maopopo nā kauka i ke kumu o ke kumu o ka ulcerative colitis. Hoʻokahi kumumanaʻo no muli o kahi maʻi autoimmune e kumu ai i ka mumū i kāu kolone.

Aia kekahi mau pilikia e pili ana i ka ulcerative colitis. Pākuʻi ʻia kēia mau mea:

• moʻolelo o ka ʻohana o ka ulcerative colitis
• ka mōʻaukala o ka maʻi me salmonella a i ʻole campylobacter
• ke noho nei i kahi latitu kiʻekiʻe (ma kahi mamao aku o ka equator)
• e noho nei i kahi lāhui Komohana a i hoʻomohala ʻia paha

Ke loaʻa nei i kēia mau kumuhana pilikia ʻaʻole ia he kumu e loaʻa ai ʻoe i ka maʻi ulcerative colitis. Akā ke manaʻo nei ia ua hoʻonui ʻoe i ka makaʻu o ka hoʻomohala ʻana i ka maʻi.

Ke hōʻike nei i ka colitis ulcerative hema-ʻaoʻao

Hiki i kāu kauka ke hoʻomaopopo i ke ʻano o ka colitis i loaʻa iā ʻoe me kahi kaʻina i kapa ʻia he endoscopy. I kahi endoscopy, hoʻohana lākou i nā kāmela uila e nānā i ka uhi o loko o kou kolone.

Hiki i kāu kauka ke hoʻomaopopo i ke kēkelē o ka mumū ma ka nānā ʻana:

• ʻulaʻula
• edema
• nā kīnā ʻē aʻe i ka uhi o ke kolona

Inā loaʻa iā ʻoe ka colitis ʻaoʻao ʻaoʻao, e hoʻomaka hou ke aniani o kāu kolona e nānā maʻamau ke holo a kāu kauka ma mua o ka splenic flexure.

Ma ka hema hema ʻaoʻao ulcerative colitis

Hiki ke loli i nā ʻōlelo aʻoaʻo no ka colitis ulcerative ma muli o ka hopena o kāu kolona. Eia nō naʻe, hiki i kāu kauka ke kuhikuhi i kēia mau ʻano lapaʻau:

5-ASA lāʻau

ʻO kahi lāʻau i kapa ʻia ʻo 5-aminosalicylic acid, a i ʻole 5-ASA, kahi lāʻau maʻamau no ka ulcerative colitis. 5-ASA hiki ke lawe ʻia i ka waha a i ʻole hoʻohana ʻia topically. Hiki iā lākou ke hoʻemi i ka hanana o ka mumū i loko o kou ʻōpū.

ʻO ka Topalam mesalamine, kahi hoʻomākaukau o 5-ASA, i loaʻa e hoʻoulu i ke kala no kahi o 72 pākēneka o ka poʻe me ka colitis ʻaoʻao hema i loko o 4 mau pule.

Loaʻa iā 5-ASA ma ke ʻano he suppository a enema paha. Inā loaʻa iā ʻoe ka ʻaoʻao ulcerative colitis hema, e kuhikuhi paha kāu kauka i kahi enema. ʻAʻole hiki i kahi mea kākoʻo ke lawa i ka wahi i hoʻopilikia ʻia.

Korticosteroids ʻoki

Inā ʻaʻole pane kāu mau ʻōuli i ka 5-ASA, hiki i kāu kauka ke kuhikuhi i nā lāʻau corticosteroids waha. Hiki i nā corticosteroids oral ke hoʻemi i ka puhū. Kūleʻa pinepine lākou ke lawe ʻia me nā lāʻau lapaʻau 5-ASA.

ʻO Biologics a me nā immunomodulator

Inā kūlike kou mau ʻōuli a koʻikoʻi, hiki i kāu kauka ke kuhikuhi i kahi lāʻau biologic. ʻO kēia nā mea ʻūpili e kuhikuhi i ka inactivate proteins immune pūnaewele i ʻike ʻia e hoʻokumu i ka mumū kolitis ulcerative.

He lāʻau lapaʻau lōʻihi lākou e hiki ke pale i nā flareups.

Hōʻike nā kulekele o kēia manawa i nā koho aʻe e ʻoi aku ka maikaʻi.

• infliximab (Remicade)
• vedolizumab (Entyvio)
• ustekinumab (Stelara)

ʻO kekahi ʻano lāʻau, i ʻike ʻia ʻo nā immunomodulator, kōkua pū kekahi. Kauoha paha ke kauka i kēia mau mea me nā koho ʻē aʻe. Pākuʻi ʻia lākou:

• methotrexate
• 5-ASA
• thiopurine

Hiki i ka mālama wā lōʻihi ke hōʻemi i ka maka o ka lapalapa a hoʻemi i ka pono no nā lāʻau steroid, ka mea e loaʻa nā hopena maikaʻi ʻole.

Halemai

I nā manawa koʻikoʻi, kākaʻikahi paha, koi paha ʻoe i ka haukapila e mālama ai i kāu mau ʻōuli. Inā hoʻokipa ʻia ʻoe i ka haukapila, loaʻa paha iā ʻoe nā intravenous (IV) steroid a i ʻole nā ​​lāʻau IV ʻē aʻe e hiki ke kōkua i ka hoʻopaʻa ʻana i kou ʻano.

I kekahi manawa, hiki i kāu kauka ke koi aku e hemo i ka ʻāpana i hoʻopili ʻia o kāu kolona. Paipai pinepine ʻia kēia inā loaʻa ʻoe i ke kahe nui a i ʻole ka mumū i kumu i kahi puka liʻiliʻi i kāu kolona.

Nā mālama kūlohelohe e kōkua i ka mālama ʻana i nā ʻōuli o UC

Pono e hana hou i kahi noiʻi e pili ana i nā pono o nā kūlohelohe a me nā lāʻau no ka ulcerative colitis. Akā aia kekahi mau koho e kōkua iā ʻoe e hoʻokele i ke ʻano.

Pākuʻi ʻia kēia mau mea:

• probiotics
• ʻākehu
• kuhukukū
• palaoa palaoa

E kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi o kēia mau ʻano hana e hōʻoia inā palekana a kūpono iā ʻoe.