Kahi Alakaʻi i ka Ulcerative Colitis a me ka hāpai keiki

Anter

• Hōʻike Overview
• Pehea ka hopena o ka hāpai ʻana i ka colitis ulcerative?
• ʻO ka papaʻai i ka wā hāpai me UC
• Nā mālama palekana no UC i ka wā hāpai
• He weliweli anei ka ulcerative colitis no kāu pēpē?
• Laina lalo

Hōʻike Overview

Hiki iā ʻoe ke hāpai i ke olakino ke loaʻa ʻoe i nā maʻi ʻōpū e like me ulcerative colitis (UC).

Eia nō naʻe, pono ʻoe e noʻonoʻo i kekahi mau mea nui i loko o ka noʻonoʻo i mea e mālama pono ʻia ai ʻoe a me kāu pēpē i kou wā hāpai.

He mea nui e hana pū me kāu kauka a me kahi kaukaʻai i kou wā hāpai. Hiki iā lākou ke kōkua iā ʻoe e ʻike i ke ala ʻoi aku ka maikaʻi a palekana hoʻi e hoʻokele ai i kāu mau ʻōuli a me nā lapalapa ʻana.

Eia ka ʻike hou aʻe e pili ana i ka UC a me ka hāpai keiki.

Pehea ka hopena o ka hāpai ʻana i ka colitis ulcerative?

I loko o kahi honua kūpono, e hāpai ʻoe i ka wā o ka hana ʻole a me ke kala ʻana o ka maʻi. E noho pale ʻole kou kino no ka lōʻihi o kou hāpai ʻana.

Minamina, ʻaʻole mau kēlā i ka hana.

ʻO ka hapa nui o nā wahine me UC e halihali i kā lākou pēpē i ka manawa me ka pilikia ʻole.

Eia nō naʻe, ʻoi aku ka nui o nā wahine me ka maʻi ma mua o nā wahine o ka makahiki like me ka ʻole o ka maʻi e ʻike i ka hāʻule ʻole ʻana o ka hānau, lawe manawa ʻole, a me nā pilikia hana a me ka lawe ʻana.

E hana ʻia paha nā lapalapa UC i ka manawa o ka trimester mua a i ʻole ma hope koke o ka lawe ʻana. No kēlā kumu, hiki i kāu kauka lāʻau ke hoʻohālikelike iā ʻoe ma ke ʻano he hāpai kiʻekiʻe kiʻekiʻe.

ʻO ka papaʻai i ka wā hāpai me UC

ʻAʻole hiki i ka ʻōpū nui o ke kanaka me UC ke omo maʻalahi e like me ka maʻalahi inā ʻaʻole ʻo UC. ʻO ia ke kumu o ka mea nui kūpono he mea nui inā hāpai ʻoe a loaʻa iā UC.

E loaʻa iā ʻoe nā wikamina prenatal e hoʻopili i nā meaola e like me ka folic acid. He mea nui loa kēia no nā wahine me UC, no ka mea, hoʻoliʻiliʻi kekahi o nā mālama ʻana iā UC i nā pae waikawa folic.

E noi i kāu gastroenterologist a i ʻole ka mea hānau e pili ana i ka hoʻopaʻa ʻana i kahi manawa me kahi kauka. I loko o kēia manawa koʻikoʻi i kou ola, makemake paha ʻoe i ke kōkua loea me ka hoʻokumu ʻana i kahi papaʻai e hana no kāu kūlana.

Hiki i kāu kauka ke kōkua e hōʻoia e loaʻa iā ʻoe kahi hoʻolālā papaʻai kūpono, kaulike, a hiki iā ʻoe ke hoʻomaha maʻalahi me ka ʻike ʻana ke hāʻawi nei ʻoe i kou kino - a me kāu pēpē - nā meaʻai āpau āpau e pono ai.

Nā mālama palekana no UC i ka wā hāpai

ʻAʻole pono ia e hōʻoki i kāu mau hōʻailona āpau inā ʻike ʻoe ua hāpai ʻoe. I nā manawa he nui, palekana palekana nā lāʻau lapaʻau no ʻolua a me kāu pēpē. ʻO ka kū ʻana i ka lāʻau ʻana e ʻoi aku paha ka maikaʻi o kou kūlana.

He mea nui e hoʻomaopopo he pono ʻoe e nīnau i kāu kauka ma mua o ka hōʻoki ʻana i nā ʻano lāʻau, e like me ka lāʻau.

Inā ʻike ʻoe i kahi lapalapa ke hāpai ʻoe, a i ʻole ke ʻike ʻana i kahi lapalapa ke ʻike ʻoe he hāpai ʻoe, pono paha i kāu kauka e loiloi hou i kāu hoʻolālā lapaʻau.

Nui nā lāʻau i hoʻohana ʻia no ka mālama ʻana i nā hōʻailona a me nā hōʻailona o ka UC palekana no nā wahine hāpai.

Pākuʻi ʻia kēia mau mea penei:

Aminosalicylates a me 5-ASA hui pū: ʻIke ʻia ka palekana o nā mea ʻelua no ka hoʻomohala ʻana i nā pēpē, a i ka lawe ʻana i kahi hui 5-ASA, hiki iā ʻoe ke hānai. Eia naʻe, ua ʻōlelo ʻia e hoʻohui ʻoe me 2 mg o ka waikawa folic i kēlā me kēia lā no ka mea hoʻoliʻiliʻi kēia mau lāʻau i nā pae o ka folic acid o kou kino.

Corticosteroids: Manaʻo nui ʻia kēia mau lāʻau i nā lapaʻau haʻahaʻa i ka wā hāpai a i ka wā hānai. Eia naʻe, ʻaʻole pono e lawe ʻia nā corticosteroids ma mua o ka pono, a inā hiki, ʻaʻole ia e lawe ʻia i ka hoʻomaka o ka hāpai ʻana.

Immunomodulators a me nā immunosuppressants: ʻO ka hapa nui o nā lāʻau i nā papa ʻelua i manaʻo ʻia he haʻahaʻa haʻahaʻa i ka wā hāpai.

Inā lawe ʻoe i ka methotrexate e mālama i kāu ʻōpū, he mea nui e kamaʻilio me kāu kauka e pili ana i kāu hoʻolālā e hāpai. Methotrexate he mea ʻona paha i ka hoʻomohala ʻana i nā pēpē a me nā keiki hānau hou i hānai ʻia.

ʻO Biologics: hōʻike i kahi kūpono o kekahi mau lāʻau biologic no ka hoʻohana ʻana i ka hāpai mua ʻana a ʻoiai e hānai waiū ana, akā ʻaʻole kekahi. E nānā hou kāu kauka i kāu papa hana lapaʻau a koi i kahi koho kūpono. E haʻi koke i kāu kauka inā hāpai ʻoe a i ʻole ke hoʻolālā ʻana e hāpai.

He weliweli anei ka ulcerative colitis no kāu pēpē?

ʻAʻole maopopo ka poʻe loea i ke kumu o ka UC, a ʻaʻole lākou i hoʻokūpaʻa aia aia kekahi kumu kumu. Eia nō naʻe, manaʻo paha ka poʻe e hoʻomohala iā ia inā he hoahānau ko lākou me ke ʻano.

I nā huaʻōlelo ʻē aʻe, hiki i ke keiki a kahi kanaka me UC ke hoʻomōhala i nā ʻōuli ma hope, ʻoiai ʻaʻole ʻike ʻia kēia mau mea a hiki i waena o nā makahiki 15 a 20.

Laina lalo

ʻAʻohe mea ʻelua i ʻike i ka UC ma ke ʻano like.

ʻO kekahi mau wahine me ke ʻano loaʻa maʻamau nā hāpai hāpai olakino. Loaʻa i kekahi poʻe i kahi manawa paʻakikī.

Inā hāpai ʻoe a noʻonoʻo paha e pili ana i ka hāpai ʻana, he mea nui e kamaʻilio a hana pū me kāu gastroenterologist a me ka obstetrician.

Hiki iā lākou ke hōʻoia he manawa kūpono kou e hāpai a lawe i ka wā me ka ʻole o nā pilikia a i ʻole keakea.