Ka Hoʻomaopopo ʻana i ka ʻUla Ulcerative Colitis: Pehea e ʻike ai i ke kōkua i ka wā o ke ahi

Anter

• Nā lāʻau lapaʻau over-the-counter
• Hoʻololi nā meaʻai
• Nā hoʻolālā hoʻēmi koʻikoʻi
• Laau lāʻau kūpale
• Lāʻau hoʻomalu Immunosuppressant
• ʻO Biologics
• ʻOki kino
• Nā hoʻoponopono āpau a me nā koho ʻē aʻe

Ulcerative colitis ʻeha

ʻO Ulcerative colitis (UC) kahi ʻano maʻi maʻi ʻōpala e hiki ai ke hōʻeha i nā pae o ka ʻeha.

Hoʻokumu ʻia ʻo UC e ka mumū mau, wā lōʻihi e hiki ai i nā ʻeha hāmama i ʻike ʻia he ulcer i ka pale o loko o kou kolona, ​​a i ʻole ka ʻōpū nui, a me ka poloka. ʻO ka loaʻa ʻana o kahi ʻeha kiʻekiʻe ʻoi aku ka hōʻailona ma ke ʻā ʻana o ka maʻi a i ʻole ke ʻino.

ʻEhia ka nui o kāu mumū i kāu kolona a ma kahi e loaʻa ai kēia mumū e hoʻoholo pinepine ai i kahi e ʻeha ai ʻoe. ʻO ka ʻōpū o ka ʻōpū a me ka ʻoluʻolu a ʻeha nui i ka ʻōpū a me ka pololei he mea maʻamau. ʻOi aku ka lōʻihi o ka ʻeha, a i ʻole e mae paha i ka wā e emi ai ka mumū.

ʻO nā wā lōʻihi o ke kala ʻia ma waena o nā lapalapa ahi ka mea maʻamau. I ka wā o ke kala ʻana, e emi a nalowale paha kāu mau ʻōuli.

Hiki i ka poʻe me UC akahai ke ʻike i ke kaomi a me ka cramping wale nō. Ke holo nei ka maʻi me ka nui o ka mumū a me nā ulcer i loko o kou kolona, ​​e ʻike ʻia ka ʻeha ma ke ʻano he mau manaʻo o ka hopu ʻana a i ʻole ke kaomi koʻikoʻi e paʻa a hoʻokuʻu hou.

Hiki paha ke ʻeha kinoea a me ka ʻōhū ʻana, e hōʻeha ana i ka naʻau.

Inā loaʻa iā ʻoe kahi ʻano UC e ʻike ʻia ma ke ʻano he ulitisative colitis hema, ʻoluʻolu paha kou ʻaoʻao hema i ka hoʻopā.

Inā haʻalele ʻole ʻia, hiki i ka ʻeha e pili pū me UC ke paʻakikī i ka hana, hoʻoikaika kino, a leʻaleʻa paha i nā hana o kēlā me kēia lā. Ke mālama nei i ka maʻi ma o ka kaohi ma o ka lāʻau, hōʻemi koʻikoʻi, a me ka papaʻai hiki ke kōkua i ka mālama ʻana a me ka hōʻemi ʻana i ka ʻeha.

Hiki i ka ʻeha e pili ana me UC ke hōʻemi i kou ola holoʻokoʻa. Inā loaʻa iā ʻoe ka ʻeha mau, unmanageable i kēlā me kēia pae, nui nā koho lapaʻau hiki iā ʻoe ke kūkākūkā me kāu kauka e hiki ke kōkua iā ʻoe e hōʻoluʻolu.

Hiki i kēia mau mālama ʻana ke hoʻihoʻi iā ʻoe i loko o ke kowali o kāu hana o kēlā me kēia lā. Hiki i kāu kauka ke koi aku i kahi hui o nā lāʻau, nā loliʻai, a me nā mea kōkua kōkua ʻē aʻe e kōkua i ka mālama ʻana i kāu ʻeha UC.

Nā lāʻau lapaʻau over-the-counter

Inā loaʻa iā ʻoe ka ʻeha ʻoluʻolu, lawa paha nā lāʻau e like me acetaminophen (Tylenol) e hana ai i ka maʻalea.

Akā, mai huli i nā lāʻau ʻeha ʻino over-the-counter (OTC) ʻē aʻe ma kahi o. ʻAʻole pono e lawe ʻia nā lāʻau OTC e hiki mai ana no ka ʻeha o UC, no ka mea hiki iā lākou ke hoʻoulu i nā ahi a hana i nā hōʻailona ʻē aʻe, e like me ka maʻi pākī, ʻoi aku ka maikaʻi:

• ibuprofen (Motrin IB, Advil)
• aspirin (Bufferin)
• naproxen (Aleve, Naprosyn)

Hoʻololi nā meaʻai

ʻAʻole ka mea āu e ʻai ai i ka UC, akā hiki i kekahi mau meaʻai ke hoʻonui i kāu mau ʻōuli a hiki ke hana i ka cramping hou a me ka ʻeha. ʻO ka mālama ʻana i kahi diary meaʻai hiki ke kōkua iā ʻoe e ʻike i nā mea hoʻouluulu ʻai āu i loaʻa.

ʻO nā meaʻai maʻamau e hōʻalo i nā:

• nā huahana waiū i kiʻekiʻe i ka lactose, e like me ka waiū
• nā meaʻai momona momona, e like me nā mea momona a palai paha, pipi, a me nā kō, nā mea momona momona momona
• nā meaʻai i hana ʻia, e like me ka ʻaina ahiahi a me ka laiki pahu
• nā meaʻai nui-puluniʻu, e like me nā kīʻaha holoʻokoʻa
• nā mea kanu hana kinoea, e like me ka ulu ʻana o Brussels a me ka pua pua pua
• mea ʻai nīoi
• mea inu ʻona
• nā mea inu caffeine, e like me ke kope, tī, a me cola

Hiki ke kōkua i ka ʻai ʻana i kekahi mau meaʻai liʻiliʻi i ka lā ma mua o ʻekolu nui. E inu pū ʻoe i ka wai he nui - ma ka liʻiliʻi he ʻewalu mau aniani 8-ʻonika i ka lā. Hiki paha i kēia ke hōʻemi i ke kānana i kāu ʻōnaehana digestive, hana i ka liʻiliʻi o ke kinoea, a kōkua i ka neʻe ʻana o ka ʻōpū ma waena o kāu ʻōnaehana.

Nā hoʻolālā hoʻēmi koʻikoʻi

I ka manawa i manaʻo ʻia he kumu no UC, ua manaʻo ʻia ke koʻikoʻi he mea hoʻomaka i ka lele ʻana o UC i kekahi poʻe. Hiki i ka mālama ʻana a me ka hōʻemi ʻana i ke koʻikoʻi ke kōkua i ka hōʻemi ʻana i nā hōʻailona UC, e like me ka mumū, a me ka ʻeha.

Hana nā ʻenehana ʻokoʻa kaumaha no nā poʻe like ʻole, a ʻike paha ʻoe he hele maʻalahi i ka ulu lāʻau a me ka hanu hohonu ka mea e pōmaikaʻi ai iā ʻoe. Hiki i ka yoga, ka noʻonoʻo noʻonoʻo, a me ka hoʻoikaika kino ke kōkua i ka hōʻemi i ke koʻikoʻi i ka poʻe me UC.

Laau lāʻau kūpale

ʻO ka mumū ke kumu o ka ʻeha e pili ana i ka UC. Hiki i nā lāʻau lapaʻau ke kōkua i ka hoʻohaʻahaʻa ʻana i ka mumuna i kāu kolona. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo i ke ʻano kūpono no ʻoe ma muli o ka ʻāpana o kāu kolona e hoʻopili ʻia a me kāu pae ʻeha.

ʻO nā lāʻau anti-inflammatory hiki ke kōkua i ka hoʻopili ʻana i nā corticosteroids, e like me prednisone a me hydrocortisone.

ʻO ka amic salicylates kekahi papa hou aʻe o ka lāʻau anti-inflammatory. Kuhi ʻia kēia mau mea no ka ʻeha UC. Nui a hewahewa nā ʻano, e like me:

• mesalamine (Asacol, Lialda, Canasa)
• sulfasalazine (Azulfidine)
• balsalazide (Colazal, Giazo)
• olsalazine (Dipentum)

Hiki ke lawe waha ʻia nā lāʻau anti-inflammatory e like me nā papa a i ʻole nā ​​capsule a lawelawe ʻia paha ma o nā suppositories a i ʻole enemas. Hiki iā lākou ke hāʻawi intravenously. ʻO ka hapa nui o nā lāʻau anti-inflammatory hiki ke hana i nā hopena o nā ʻano like ʻole.

Pono ʻoe e hoʻāʻo hou ma mua o hoʻokahi ʻano ma mua o ka loaʻa ʻana o kahi ʻoi loa no kāu mau hōʻailona. Kūʻai ʻia kēlā me kēia lāʻau i lalo o ka helu o nā inoa inoa.

Lāʻau hoʻomalu Immunosuppressant

Hiki ke kuhikuhi ʻia nā lāʻau Immunosuppressant hoʻokahi a i ʻole ma ka hoʻohui o nā lāʻau anti-inflammatory. Hoʻoemi lākou i ka ʻeha ma ka hana ʻana e hōʻoki i kāu ʻōnaehana pale maʻi mai ka hoʻoulu ʻana i ka lī. Aia kekahi mau ʻano ʻano like ʻole, e like me:

• azathioprine (Azasan, Imuran)
• merc laptopurine (Purixan)
• cyclosporine (Sandimmune)

Hoʻohana maʻamau nā lāʻau Immunosuppressant i ka poʻe i pane maikaʻi ʻole i nā ʻano lāʻau ʻē aʻe a no ka hoʻohana manawa pōkole. Hiki iā lākou ke hōʻino i ke ake a me ka pancreas.

Hoʻokumu paha lākou i nā hopena koʻikoʻi, e like me ka hiki ke hoʻohaʻahaʻa ʻia e kaua aku i nā maʻi kūpilikiʻi, a me kekahi mau maʻi ʻaʻai, e like me ka maʻi ʻaʻai ʻili. Ua hoʻopili ʻia ʻo Cyclosporine i nā maʻi make, ka hopu ʻana a me ka hōʻino ʻana o ka puʻupaʻa.

ʻO Biologics

ʻO Biologics kekahi ʻano o nā lāʻau immunosuppressant. ʻO kekahi ʻano biologic ka tumzros factor alfa inhibitors (TNF-alpha).

ʻO nā lāʻau TNF-alpha ka mea e hoʻohana ai i ka poʻe me ka lōkō a i ʻole UC nui i pane maikaʻi ʻole i nā ʻano lapaʻau ʻē aʻe. Kōkua lākou i ka hōʻoki ʻana i ka ʻeha ma ka hōʻole ʻana i kahi protein i hana ʻia e ka ʻōnaehana pale. ʻO kekahi ʻano o ka lāʻau TNF-alpha ka infliximab (Remicade).

ʻO nā antagonist receptor integrin kekahi ʻano o nā biologics. Hoʻopili kēia me vedolizumab (Entyvio), i ʻae ʻia e mālama iā UC i nā mākua.

Ua hoʻopili ʻia nā meaolaola i nā ʻano koʻikoʻi o ka maʻi a me ka maʻi pehu.

ʻOki kino

I nā hihia koʻikoʻi, ʻo ke ʻoki paha ke ala ʻoi loa e hoʻopau ai iā UC a me kona ʻeha. ʻO ke ʻoki i hoʻohana nui ʻia i kapa ʻia he proctocolectomy. Pono ia i ka hemo ʻana o kāu kolone holoʻokoʻa a me kou kiko.

I ka wā o ke kaha ʻana, hoʻopili ʻia kahi ʻeke mai ka hopena o kāu ʻōpū liʻiliʻi i kou anus. ʻAe kēia i kahi hoʻopau neoneo maʻamau maʻamau, ʻo ia hoʻi ʻaʻole ʻoe e komo i kahi ʻeke kūwaho.

Nā hoʻoponopono āpau a me nā koho ʻē aʻe

Hiki i nā hoʻoponopono ʻē aʻe e like me ka acupuncture ke kōkua i ka hōʻemi a me ka hoʻoponopono ʻana i ka ʻōpū o ka ʻōpū, e hoʻemi ana i ka ʻeha UC.

ʻO kekahi ʻano o ka hoʻoponopono ʻē aʻe i kapa ʻia ʻo moxibustion he hopena maikaʻi paha ma nā ʻōuli o UC. ʻO Moxibustion kahi ʻano hoʻomehana wela. Hoʻohana ia i nā mea kanu maloʻo i puhi ʻia i loko o ka paipu e hoʻomehana i ka ʻili, pinepine i nā wahi like i hoʻokumu ʻia e ka acupuncture.

Hōʻike ʻia he maikaʻi paha ka acupuncture a me ka moxibustion ke hoʻohana wale ʻia, hui pū ʻia, a i ʻole he mea kōkua paha i ka lāʻau. Akā ua hōʻike ka poʻe loiloi e pono hou ana kahi noiʻi hou ma mua o ka hiki ke noʻonoʻo ʻia kēia mau ʻenehana i nā lāʻau i hōʻoia ʻia no nā hōʻailona UC a me ka ʻeha.