He aha ka Pancolitis?

Anter

• Nā ʻōuli o ka pancolitis
• Nā kumu o ka pancolitis
• Nānā i ka pancolitis
• Nā hoʻoponopono
• Nā Lapaʻau
• ʻOki kino
• Hoʻololi ka nohona
• Outlook

Hōʻike Overview

ʻO Pancolitis kahi mumū o ke kolone holoʻokoʻa. ʻO ke kumu maʻamau ka ulcerative colitis (UC). Hiki ke hoʻokumu ʻia ʻo Pancolitis e nā maʻi e like me C. difficile, a i ʻole hiki ke hoʻopili ʻia me nā maʻi hōʻeha e like me ka rheumatoid arthritis (RA).

ʻO UC kahi ʻano mau e hoʻopili i ka uhi o kou ʻōpū nui, a i ʻole kou kolona. Hoʻokumu ʻia ʻo UC e ka mumū e hiki ai i ka ulcer, a i ʻole nā ​​ʻeha, i kou kolone. I ka pancolitis, ua palahalaha ka maʻi nui a me nā ulcer e uhi i kāu kolona holoʻokoʻa.

Nā ʻano ʻē aʻe o ka ulcerative colitis e:

• ʻO ka proctosigmoiditis, kahi o ka rectum a me kahi ʻāpana o kāu kolona i kapa ʻia ʻo ke kolamu sigmoid i loaʻa ka mumū a me nā maʻi maʻi.
• ʻO ka proctitis, kahi e hoʻopili ai i kou pololei
• ʻaoʻao ʻaoʻao hema, a i ʻole distal, colitis ulcerative, kahi e hoʻonui ai i ka mumuna mai kou poli a i kahi piko o kāu kolona i loaʻa ma kahi o kou palapū, ma ka ʻaoʻao hema o kou kino.

Hoʻokumu ʻo UC i nā ʻōuli i hiki ke hōʻoluʻolu a ʻeha paha. ʻO ka nui o kāu kolona e hoʻopili ʻia, ʻoi aku ka maikaʻi o kāu mau ʻōuli. Ma muli o ka hopena o ka pancolitis i kāu kolona holoʻokoʻa, hiki i kāna mau ʻōuli ke ʻoi aku ka maikaʻi ma mua o nā ʻōuli no nā ʻano ʻē aʻe o UC.

Nā ʻōuli o ka pancolitis

ʻO nā hōʻailona maʻamau a akahai hoʻi o ka pancolitis me:

• luuluu ka manaʻo
• ka pohō kaumaha ʻole (me ka ʻole o ka hoʻoikaika kino a me ka make ʻana paha)
• ʻeha a me nā kūpikipiki ma kahi o kou ʻōpū a me kou ʻōpū
• ke manaʻo nei i ka ikaika, koi pinepine no ka neʻe ʻana o ka ʻōpū, akā ʻaʻole hiki ke kaohi mau i nā ʻōpū

Ke hele a māhuahua kou pancolitis, e loaʻa paha iā ʻoe nā hōʻailona ʻoi loa. Pākuʻi ʻia kēia mau mea:

• ʻeha a me ke kahe ʻana mai kou wahi o ka ʻūhā a me ka anal
• wela kuni ʻole
• ʻōpū koko
• hoʻopiha piha i ka pā

ʻAʻole ulu pono paha nā keiki me ka pancolitis. Lawe i kāu keiki e ʻike koke i ke kauka inā loaʻa iā lākou kekahi o nā hōʻailona ma luna.

ʻO kekahi o kēia mau hōʻailona ʻaʻole paha he hopena o ka pancolitis. ʻO ka ʻeha, ʻūlū ʻana, a me ka ʻiʻini nui e hoʻolilo i nā ʻōpala ke kumu ʻia e ka ʻaukā, bloating, a i ʻole ka lāʻau make. I kēia mau hihia, e hele aku nā ʻōuli ma hope o ka manawa pōkole o ka hōʻoluʻolu.

Akā inā loaʻa iā ʻoe kēia mau ʻōuli, pono ʻoe e ʻike koke i kāu kauka.

• ke koko a i ʻole pus i loko o kāu hāʻai
• fiva
• diarrhea e mau ana ma mua o ʻelua mau lā me ka pane ʻole ʻana i ka lāʻau
• ʻeono a ʻoi paha mau noho kuewa i 24 mau hola
• ʻeha nui i ka ʻōpū a i ʻole ka pololei

Nā kumu o ka pancolitis

ʻAʻole maopopo i ke kumu o ke kumu o ka pancolitis a i ʻole nā ​​ʻano ʻano ʻē aʻe o UC. E like me nā maʻi ʻōpala ʻē aʻe (IBD), hiki i ka pancolitis ke kumu ʻia e kāu mau ʻāpana. ʻO kekahi kumumanaʻo ʻo nā ʻāpana i manaʻo ʻia e kumu i ka maʻi o Crohn, kekahi ʻano IBD, e kumu pū paha iā UC.

Hoʻomaopopo ka Crohn's & Colitis Foundation o ʻAmelika i kahi noiʻi e pili ana i nā genetics i kumu iā UC a me nā IBD ʻē aʻe. Aia i loko o kēia noiʻi pehea ka launa ʻana o kāu genes me nā bacteria i kāu aʻa GI.

Manaʻo ʻia hiki i ka pale pale ke kuhi hewa hewahewa i kāu kolona ʻoiai ke hoʻouka nei i nā bacteria a i ʻole nā ​​mea ʻino e hoʻokumu i nā maʻi i kāu kolone. Hiki i kēia ke kumu i ka hoʻowahāwahā a me ka hōʻino ʻana i kāu kolona, ​​i hiki ke alakaʻi i ka maʻi ulcer. Hiki iā ia ke hana paʻakikī i kou kino e komo i kekahi mau mea momona.

He mea nui paha ke kaiapuni. ʻO ka lawe ʻana i kekahi ʻano o nā lāʻau, e like me nā lāʻau anti-inflammatory nonsteroidal a i ʻole nā ​​antibiotic, e hoʻonui ai i ka makaʻi. ʻO kahi papaʻai momona momona kekahi kumu.

I kekahi mau hihia, inā ʻaʻole ʻoe e mālama i ka lāʻau no nā ʻano akahai a kaulike paha o UC, hiki i kou ʻano ke lilo i mea ʻino a lilo i hihia o ka pancolitis.

Manaʻo kekahi poʻe he hiki i ke koʻikoʻi a me ka hopohopo ke alakaʻi iā UC a me pancolitis. Hiki i ke koʻikoʻi a me ka hopohopo ke hoʻonāukiuki i nā ulcer a hōʻeha i ka ʻeha a me ka hōʻoluʻolu ʻole, akā ʻaʻole kumu maoli kēia mau mea i ka pancolitis a i ʻole nā ​​IBD ʻē aʻe.

Nānā i ka pancolitis

E makemake paha kāu kauka e hana i kahi hoʻokolohua kino e loaʻa ai kahi manaʻo o kou olakino holoʻokoʻa. A laila, noi paha lākou iā ʻoe no kahi laulau a hana paha i nā hoʻokolohua koko i mea e pale aku ai i nā kumu ʻē aʻe o kāu mau hōʻailona, ​​e like me nā maʻi bacteria a viral paha.

E noi paha kāu kauka iā ʻoe e loaʻa kahi kolone. I kēia kaʻina hana, hoʻokomo kāu kauka i kahi paipu lahilahi a lahilahi me ke kukui a me ka pahu paʻi kiʻi ma ka hopena i kou anus, ka pololei a me ke kolona. Hiki i kāu kauka ke nānā i ka uhi o kou ʻōpū nui e nānā i nā maʻi puʻupuʻu a me nā mea kikoʻī ʻē aʻe.

I ka manawa o kahi kolonoscopy, hiki i kāu kauka ke lawe i kahi laʻana kikoʻī mai kāu kolone e hoʻāʻo iā ia no nā maʻi a i ʻole nā ​​maʻi ʻē aʻe. ʻIke ʻia kēia ma ke ʻano he biopsy.

Hiki i kahi kolonoscopy ke ʻae i kāu kauka e ʻike a hemo i kekahi polyps i loko o kāu kolone. Pono paha nā laʻana a me ka lawe ʻana i ka polyp inā pono ʻoe i kau kauka he maʻi ʻaʻai ka mea i loko o kāu kolone.

Nā hoʻoponopono

ʻO nā mālama ʻana no ka pancolitis a me nā ʻano ʻē aʻe o ka UC e pili ana i ka nui o nā maʻi maʻi maʻi i kāu kolone. Hiki ke loli paha ka hoʻomaʻamaʻa inā loaʻa iā ʻoe nā ʻano kumu i kū i ka pancolitis a i ʻole ʻo ka pancolitis i mālama ʻole ʻia ka mea i kū i nā kūlana ʻoi loa.

Nā Lapaʻau

ʻO nā lapaʻau maʻamau no ka pancolitis a me nā ʻano ʻē aʻe o UC he lāʻau anti-inflammatory. Kōkua kēia mau mea i ka mālama ʻana i ka mumū ma kāu kolona. Hoʻopili kēia i nā lāʻau e like me 5-aminosalicylates waha (5-ASA) a me nā corticosteroids.

Hiki paha iā ʻoe ke loaʻa nā corticosteroids, e like me prednisone, e like me nā injection a i ʻole nā ​​suppositories o ka rectal. Hiki paha i nā ʻano lapaʻau ke loaʻa nā hopena ʻaoʻao, e like me:

• nausea
• puʻuwai puʻuwai
• hoʻonui i ka makaʻu o ka maʻi kō
• hoʻonui i ka makaʻu o ke kahe kiʻekiʻe
• ʻosteoporosis
• loaʻa kaupaona

ʻO nā mea suppression ʻōnaehana pale pilikino kekahi mau lāʻau maʻamau no ka pancolitis a me ka UC. Kōkua kēia mau mea i kou ʻōnaehana pale pale mai ka hoʻouka ʻana i kāu kolona i mea e hōʻemi ai i ka mumū. ʻO nā suppressors ʻōnaehana pale pilikino no ka pancolitis e komo pū ana:

• azathioprine (Imuran)
• adalimumab (Humira)
• vedolizumab (Entyvio)
• tofacitnib (Xeljanz)

Hiki i kēia mau mea ke loaʻa i nā hopena koʻikoʻi, e like me nā maʻi a me ka hoʻonui ʻana i ka makaʻu no ka maʻi ʻaʻai. Pono paha ʻoe e nānā pinepine me kāu kauka e ʻike pono ke holo nei ka lāʻau.

ʻOki kino

I nā hihia koʻikoʻi loa, hiki i kahi kauka ke wehe i kāu kolona i kahi ʻoki i ʻike ʻia ma ke ʻano he colectomy. I kēia kaʻina hana, e hana kāu kauka lāʻau i kahi ala hou no kāu ʻōpala kino e haʻalele i kou kino.

ʻO kēia ʻoki wale nō ka lāʻau lapaʻau no UC, a ma ke ʻano maʻamau he koho hope loa ia. Mālama ka hapanui o ka poʻe i kā lākou UC ma o ka hui ʻana o nā loli nohona a me nā lāʻau.

Hoʻololi ka nohona

Hiki i nā loli nohona aʻe ke kōkua i ka hōʻoluʻolu i kāu mau ʻōuli, pale i nā pākī, a me ka hōʻoia ʻana e lawa ana kāu mau momona:

• E mālama i kahi puke pai meaʻai e kōkua ai e ʻike i nā meaʻai e hōʻalo ai.
• ʻAi liʻiliʻi ka waiū.
• Hōʻalo i nā mea inu kalapona.
• E hoʻēmi i kāu lawe fiber i hiki ʻole ke hoʻohana ʻia.
• Hōʻalo i nā mea inu e like me ke kope a me ka waiʻona.
• Inu nui i ka wai i kēlā me kēia lā (ma kahi o 64 auneke, a i ʻole ʻewalu mau aniani 8-ʻonika o ka wai).
• Lawe i nā multivitamins.

Outlook

ʻAʻohe mea ola no kekahi ʻano o ka UC ma waho o ke kaha ʻana e wehe i kāu kolone. ʻO Pancolitis a me nā ʻano ʻē aʻe o UC nā kūlana mau, ʻoiai ʻike ka hapanui o nā kānaka i nā ʻōuli ma nā kiʻekiʻe a me nā haʻahaʻa.

Hiki paha iā ʻoe ke ʻike i nā lapalapa o nā ʻōuli a me nā manawa kau ʻole o nā ʻōuli i ʻike ʻia e like me nā kala. ʻOi aku paha ka ʻoi loa o ka lapalapa ʻana i ka pancolitis ma mua o nā ʻano ʻē aʻe o UC, no ka mea ʻoi aku ka nui o ke kolona i ka pancolitis.

Inā haʻalele ʻole ʻia ʻo UC, hiki i nā pilikia kūpono ke hoʻopili ʻia:

• maʻi ʻaʻai kala
• ʻōpū o ka gastrointestinal, a i ʻole he puka i kāu kolona
• megacolon ʻawahia

Hiki iā ʻoe ke hoʻomaikaʻi i kou kuanaʻike a kōkua i ka hōʻemi ʻana i nā pilikia ma o ka ukali ʻana i kāu hoʻolālā hoʻomalu, e hōʻalo nei i nā mea e hiki ke loaʻa, a me ka nānā pinepine ʻana.