Nā koho koho Ulcerative Colitis

Anter

• Ulcerative colitis
• ʻO kaʻai a me ka meaʻai
• Hoʻoponopono koʻikoʻi
• Nā Lapaʻau
• ʻO Aminosalicylates
• Corticosteroids
• Immunomodulators
• ʻO Biologics
• ʻOki kino
• Lawe aku

Ulcerative colitis

Hiki i ke kū ʻana me ke kolitis ulcerative ke hōʻike i nā pilikia.

ʻO ka maʻi maʻi mau, e pili ana ma kahi o 1 miliona mau kānaka i ʻAmelika Hui Pū ʻIa, ke kumu o ka mumū a me nā ʻeha i ka pale o kou kolona a me kou kiko.

Ke piʻi a māhuahua ka mumū, make nā hunaola e pili ana i kēia mau wahi, a laila hopena i ke kahe ʻana, ka maʻi, a me ka diarrhea.

Hiki i ke ʻano ke kumu:

• fiva
• anemia
• luhi
• ʻeha pū
• poho ʻai
• Kaumaha emi
• lesion ʻili
• hemahema o ka meaʻai
• ulu ulu o nā keiki

ʻAʻole maopopo ke kumu kūpono o ka ulcerative colitis. Manaʻo ka nui o nā loea he hopena ia mai kahi kino ʻole o ka ʻōnaehana pale a me ka hiki ʻole ke lawelawe i nā koʻohune i ka meaʻai digestive.

Hiki i kāu kauka ke noi i kahi hoʻokolohua koko, nā laulau o ka noho, barium enema, a me ka colonoscopy. E ʻae kēia mau hoʻokolohua olakino iā lākou e hoʻoholo inā ke hana nei ka ulcerative colitis i kāu mau hōʻailona a i ʻole kāu mau hōʻailona e kekahi ʻano e like me ka maʻi o Crohn, maʻi diverticular, a i ʻole ka maʻi ʻaʻai.

Pono e hoʻokūpaʻa ʻia ka ulcerative colitis e kahi biopsy i ka wā o ke kolone.

Inā ʻike ʻia ʻoe me ka maʻi ulcerative colitis, he mea nui ia e hana pū me kāu kauka mālama ola e hana i kahi hoʻolālā mālama e hoʻokele a pale i nā hoʻouka kaua i hiki i kāu kolone ke hoʻōla.

Ma muli o ka ʻokoʻa o nā ʻōuli a me nā hopena o ka maʻi, ʻaʻohe mālama hoʻokahi e hana no kēlā me kēia. Hoʻomaopopo pinepine nā mālama ʻana iā:

• ʻai a me ka meaʻai
• pae kaumaha
• lāʻau lapaʻau

ʻO kaʻai a me ka meaʻai

ʻOi aku ka maikaʻi e hoʻopau i nā meaʻai liʻiliʻi ma ka lā holoʻokoʻa. Hōʻalo i nā meaʻai maka maka a kiʻekiʻe inā he meaʻai pilikia kēia nāu. ʻO nā laʻana o nā meaʻai e hōʻalo ai me UC:

• hua kukui
• na anoano
• pīni
• palaoa holoʻokoʻa

Hāpai pū nā mea momona a momona hoʻi i ka mumū a me ka ʻeha. Ma ka laulā, nā meaʻai palekana e:

• hua palaoa haʻahaʻa
• moa kālua, puaʻa, a me nā iʻa
• hoʻomoʻa / hoʻomoʻa ʻia a hoʻomoʻa ʻia i nā huaʻai a me nā mea kanu

Hiki ke kōkua i ka hū ʻana i ka wai a puni ka lā i ka digestion a kōkua i ka hoʻēmi ʻana i ka pehu. E aʻo hou aʻe e pili ana i nā papaʻai hiki ke kōkua i ka poʻe me UC.

Hoʻoponopono koʻikoʻi

Hiki i ka pīhoihoi a me ka makaʻu ke hōʻeha i nā ʻōuli. Hiki ke kōkua i nā hana hoʻoikaika kino a hoʻomaha hoʻi e kōkua iā ʻoe e hoʻokele a hoʻēmi i kāu pae pae. Pākuʻi ʻia kēia mau mea:

• biofeedback
• nā lomilomi
• noʻonoʻo
• hoʻōla

He aha ka loulou ma waena o ka stress a me ka UC flareups?

Nā Lapaʻau

Kauoha paha kāu kauka i ka lāʻau e hoʻohuli a mālama ai i ke kala. ʻOiai aia kekahi mau ʻano o nā lāʻau, hāʻule kēlā me kēia lāʻau i ʻehā mau papa nui.

ʻO Aminosalicylates

Loaʻa i kēia mau lāʻau 5-aminosalicyclic acid (5-ASA), kahi e kōkua ai i ka mālama ʻana i ka mumū i loko o ka ʻōpū.

Hiki ke lawelawe ʻia nā Aminosalicylates:

• waha
• ma o ka enema
• i kahi waihona

Lawe pinepine lākou i 4 a 6 mau pule e hana. Eia nō naʻe, hana lākou i nā hopena ʻaoʻao, me:

• nausea
• ka luaʻi
• puʻuwai puʻuwai
• pāhoehoe
• ʻeha poʻo

Corticosteroids

ʻO kēia hui o nā lāʻau steroid - me prednisone, budesonide, methylprednisolone, a me hydrocortisone - kōkua i ka hoʻēmi ʻana i ka lī.

Hoʻohana pinepine ʻia lākou inā ʻoe e noho ana me ka kolitis ulcerative ulcerative koʻikoʻi, e pili ana inā ʻaʻole ʻoe i pane maikaʻi i nā lāʻau 5-ASA.

Hiki ke lawelawe waha ʻia ʻo Corticosteroids me ka waha, intravenous, ma o kahi enema, a i ʻole i kahi waihona. Nā hopena pili me:

• huehue
• lauoho lauoho
• hypertension
• diabetes
• loaʻa kaupaona
• huli ke ʻano
• pohō nui iwi
• hoʻonui i ka makaʻu o ka maʻi

Hoʻohana kūpono ʻia nā Steroids ma kahi manawa pōkole e hoʻoliʻiliʻi i nā hopena o kahi ulcerative colitis flare-up, ma mua o kahi lāʻau i kēlā me kēia lā e hoʻokele i nā ʻōuli.

Ke koʻikoʻi loa ka ulcerative colitis, hiki i kāu kauka ke kuhikuhi i kahi lāʻau o nā steroid i kēlā me kēia lā e kōkua iā ʻoe e mālama i kahi nohona maʻamau.

Immunomodulators

ʻO kēia mau lāʻau, e like me azathioprine a me 6-mercapto-purine (6-MP), kōkua i ka hōʻemi ʻana i ka mumū o ka ʻōnaehana pale - ʻoiai hiki iā lākou ke lilo i 6 mau mahina e hana pono ai.

Mālama waha ʻia nā Immunomodulator a hoʻohana pinepine ʻia inā ʻaʻole ʻoe e pane maikaʻi i ka hui ʻana o 5-ASA a me nā corticosteroids. Loaʻa nā hopena ʻē aʻe i:

• pancreatitis
• maʻi hepa
• hōʻemi i ka helu keʻokeʻo koko keʻokeʻo
• hoʻonui i ka makaʻu o ka maʻi

ʻO Biologics

ʻO kēia kahi papa hou o nā lāʻau i hoʻohana ʻia ma kahi ʻano ʻē aʻe i nā immunomodulator e mālama ai i ka ulcerative colitis i ka poʻe i pane maikaʻi ʻole i nā ʻano lāʻau ʻē aʻe.

ʻOi aku ka paʻakikī o nā biologics a me nā protein i kikoʻī ʻia. Hiki ke hāʻawi ʻia iā lākou ma o ka hoʻokomo infravenous a i ʻole nā ​​injection. I kēia manawa, aia kekahi mau lāʻau lapaʻau biologic i ʻae ʻia e FDA e mālama i nā kolitis ulcerative:

• tofacitinib (Xeljanz)
• adalimumab (Humira)
• golimumab (Simponi)
• infliximab (Remicade)
• vedolizumab (Entyvio)

E ʻike i ka ʻike hou aʻe e pili ana i ka hoʻohana ʻana i nā biologics e mālama ai i ka lōpū a i ka UC koʻikoʻi.

ʻOki kino

Inā ʻaʻole i hana kekahi ʻano o ka mālama ʻana, he moho paha ʻoe no ke ʻoki kino.

Hoʻoholo kekahi poʻe me UC e kāpae i kā lākou kolona ma muli o ke kahe nui a me nā maʻi - a i ʻole me ka nui o ka makaʻu no ka maʻi ʻaʻai.

ʻEhā ʻano o nā ʻoki ʻana:

• ʻo ka proctocolectomy restorative me ka ileal pouch-anal anastomosis
• huina colectomy āpau me ka anoromosis ileorectal
• huina colectomy āpau me ka hope ileostomy
• huina proctocolectomy me ka end ileostomy

Inā loaʻa ʻoe i ka colitis ulcerative, e hōʻalo i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), i mea e ʻoi aku ai ka maikaʻi o nā ʻōuli.

E kamaʻilio me kāu kauka e hana i kahi papa hana e haʻi pono i kāu pono olakino.

Eia kekahi, ma muli o ka hoʻonui ʻia o ka maʻi ʻaʻai e pili ana i ka ulcerative colitis, e hoʻolālā i kahi hoʻokolohua i kēlā me kēia makahiki a i kēlā me kēia 2 makahiki, e like me ka ʻōlelo a kāu kauka.

Me ke ala kūpono, hiki ke mālama i kāu colitis ulcerative a ola i kahi nohona maʻamau.

He aha ka hana inā ʻaʻole ʻoe e ʻimi i ka lāʻau no UC?

Lawe aku

Hiki i ka ulcerative colitis ke paʻakikī e mālama. Eia nō naʻe, loaʻa nā koho lapaʻau like ʻole.

E kamaʻilio me kāu kauka e pili ana i kāu mau ʻōuli. Hiki iā ʻoe ke hoʻomohala i kahi papa hana e kūpono loa iā ʻoe.