He aha ka Proctosigmoiditis?

Anter

• Nā ʻōuli o ka proctosigmoiditis
• Nā Proctosigmoiditis a me nā kumu pilikia
• Hoʻomaʻo no ka proctosigmoiditis
• Nā Lapaʻau
• ʻOki kino
• ʻIke i ka proctosigmoiditis
• Nā pilikia o ka proctosigmoiditis
• Outlook no ka proctosigmoiditis

Hōʻike Overview

ʻO Proctosigmoiditis kahi ʻano o ka ulcerative colitis e hoʻopili i ka kolona rectum a me sigmoid. Hoʻopili ke kolona sigmoid i ke koena o kāu kolona, ​​a i ʻole ka ʻōpū nui, i ka polū. ʻO ka pololei ma kahi e kipaku ʻia ai ka pahu mai ke kino.

ʻOiai ʻo kēia ʻano o ka ulcerative colitis e pili ana i kahi o kāu kolona, ​​hiki ke kumu i nā hōʻailona koʻikoʻi.

Nā ʻano ʻē aʻe o ka ulcerative colitis e:

• colitis ʻaoʻao hema (distal colitis): pili i ke kolona mai ka paukū e iho ana i ka pololei
• pancolitis: pili i ka mumū ma loko o ka hapa nui o ke kolona

Ke ʻike nei i ke ʻano o ka ulcerative colitis i hiki iā ʻoe ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka lāʻau e maikaʻi loa ai.

Ma kahi o 50 pākēneka o nā poʻe āpau i ʻike ʻia me ka colitis ulcerative i loaʻa i ka proctosigmoiditis.

Nā ʻōuli o ka proctosigmoiditis

ʻO ka diarrhea ka hōʻailona nui loa no nā ʻano āpau o ka ulcerative colitis. I kekahi manawa kū ka diarrhea ma mua o ʻehā mau manawa o ka lā.

ʻO ka maʻi pākī hoʻi ka hōʻailona maʻamau. Loaʻa i kāu stool i nā kaha o ke koko ma muli o ka mumū i ke kolona.

Hiki i ka hōʻino a me ka hoʻonāukiuki i ke ākea ke manaʻo iā ʻoe e like me ka pono o 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 e pili pū ana me ka ulcerative colitis:

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

ʻAʻole pono ʻoe e nānā ʻole i ke kahe o ke kahe e mau a ʻulaʻula paha i ka helehelena. I kekahi manawa nānā lohi paha ke koko i kāu pahu. Pono ʻoe e ʻimi i ka lāʻau olakino pilikia inā ʻike ʻoe i kēia mau ʻōuli.

Nā Proctosigmoiditis a me nā kumu pilikia

ʻO Proctosigmoiditis kahi hopena o ka mumū mau i ke kolona, ​​e like me nā ʻano kolitis ulcerative colitis. ʻO kēia mumū ka hopena o kahi pane pale. ʻAʻole maopopo nā kauka i ka mea e hoʻonāukiuki i kēia pane pale.

ʻOi aku paha ka manaʻo o kekahi poʻe ma mua o nā poʻe ʻē aʻe e hoʻomohala i ka ulcerative colitis. ʻO nā kumu pilikia no nā ʻano like me nā kolitis ulcerative like like. Pākuʻi ʻia lākou:

• he moʻolelo ʻohana o ka ulcerative colitis
• me ka moʻaukala o ka maʻi maʻi me Salmonella a i ʻole Campylobacter koʻohune
• e noho ana ma kahi latitu kiʻekiʻe
• e noho ana i ka lāhui ulu

Hoʻonui wale kēia mau mea i nā pilikia no ka ulcerative colitis. Ke loaʻa nei i hoʻokahi a ʻoi paha o kēia mau kumu pilikia ʻaʻole ia he kumu e loaʻa ai iā ʻoe ke ʻano.

Hoʻomaʻo no ka proctosigmoiditis

Nā Lapaʻau

ʻAʻole pili ka Proctosigmoiditis i kahi ʻāpana nui o ke kolona. No laila, ʻo ke koho lapaʻau mua he 5-aminosalicylic acid (5-ASA). Kauoha paha nā kauka iā ia i ke ʻano o ka mesalamine, kahi lāʻau anti-inflammatory.

Loaʻa ʻo Mesalamine i nā ʻano like ʻole, e like me ka waha, ka waihona, ka huʻa, a me ka enema. Kūʻai ʻia ia ma lalo o nā inoa inoa e like me:

• Lialda
• Asakola
• Pentasa
• ʻApiso
• ʻO Delzicol

Hōʻike nā alakaʻi olakino hou i nā mesalamine enemas a me nā supositories ma luna o ka mesalamine waha no nā poʻe me ka proctosigmoiditis.

Ma muli o ka hoʻopili ʻana o ka proctosigmoiditis i ka ʻaoʻao haʻahaʻa o ke kolona, ​​hiki iā ʻoe ke hoʻohana pinepine i nā supositories ma kahi o ka enemas. Hiki iā ʻoe ke lawe i ka mesalamine waha inā ʻaʻole hiki iā ʻoe ke hoʻomanawanui a lawelawe i nā enemas.

Inā ʻaʻole ʻoe e pane i ka mesalamine, aia kekahi mau lapaʻau ʻē aʻe. Pākuʻi ʻia kēia mau mea:

• hua hua korticosteroid pololei
• corticosteroids waha
• infliximab (Remicade), kahi e hoʻēmi ai i ka pane o ka ʻōnaehana pale e hoʻonā ai i ka momona

ʻOki kino

Inā loaʻa ʻoe i ka diarrhea nui a i ʻole ke kahe ʻana o ke koko, pono paha ʻoe e hōʻeha ʻia i ka haukapila. I ka haukapila, hiki ke mālama ʻia ʻoe me nā steroid kūwaho. Pono paha nā hihia koʻikoʻi loa i kahi ʻoki e wehe i ka ʻāpana i hoʻopili ʻia o ke kolona.

ʻIke i ka proctosigmoiditis

No ke kuhi ʻana i ka colitis ulcerative, hiki i kāu kauka ke hana i kahi hōʻike i ʻike ʻia ma ke ʻano he colonoscopy. Hoʻopili kēia i ka hoʻohana ʻana i ka endoscope, kahi mea hana kūikawā me ke kāmela kukui i ka hopena. E hoʻokomo kāu kauka i kēia i ka pololei a e hele i luna ke ākea, e ʻike nei i ka uhi ʻana o ke kolona.

E kōkua kēia hōʻoia i kāu kauka e ʻike i nā wahi o ka pehu, ʻulaʻula, a me nā kīʻaha koko i hoʻowahāwahā ʻia i kou ʻōpū. Inā loaʻa iā ʻoe ka proctosigmoiditis, ʻaʻole e hoʻonui kēia mau hōʻailona o ka maʻi ma ʻō aku o ka kolamu sigmoid.

Nā pilikia o ka proctosigmoiditis

E like me nā ʻano ʻē aʻe o ka colitis ulcerative, kekahi o nā pilikia o ka proctosigmoiditis me:

• anemia
• hoʻonui i ka makaʻu o ka maʻi ʻaʻai kolona
• hoʻomake wai
• kahe ana ke kōkō
• he lua i loko o ke kolona (perforation)
• megacolon ʻona (he pilikia olakino kēia)

Outlook no ka proctosigmoiditis

ʻOiai ʻo ka poʻe me ka maʻi ulcerative colitis ka mea maʻamau no ka maʻi ʻaʻai kala, ʻo ka poʻe me ka proctosigmoiditis ʻaʻole paha. Eia nō naʻe, no ka poʻe he nui me ka maʻi ulcerative colitis, ulu ka lī a hoʻonui i ka nui o kā lākou kolona i loko o ʻelima mau makahiki o kā lākou ʻike ʻia.

ʻAʻole hiki ke hoʻōla ʻia ka Proctosigmoiditis, akā hiki ke mālama mau ʻia nā ʻōuli ma o ka mālama ʻana a me nā loli nohona.