10 Huikau ʻili i pili i ka ulcerative colitis
Anter
- Hōʻike Overview
- Nā kiʻi o ka ʻehu o UC
- 10 mau pilikia o ka ʻili i pili me UC
- 1. Erythema nodosum
- 2. Pyoderma gangrenosum
- 3. Sweet's syndrome
- 4. ʻO ka maʻi dermatosis-arthritis e pili ana i ka ʻōpū
- 5. Kaukaʻi
- 6. Vitiligo
- He aha e hana ai i ka wā o ka lapalapa ʻana
Hōʻike Overview
ʻO Ulcerative colitis (UC) kahi maʻi kīnā mau loa (IBD) e pili ana i ka ʻōpū nui, akā hiki ke kumu i nā pilikia o ka ʻili. Hiki i kēia mau mea ke hoʻopili i nā huehue ʻeha.
Hoʻopili nā pilikia o ka ʻili e pili ana i nā poʻe āpau me nā ʻano IBD.
Hiki mai kekahi o nā ʻāʻī o ka ʻili ma muli o ka hoʻā o loko o kou kino. ʻO nā pilikia ʻili ʻē aʻe e pili ana iā UC paha nā kumu lāʻau e lawe ai e mālama iā UC.
Hiki i kekahi o nā ʻano ʻili ke hoʻopili ʻia e UC, keu hoʻi i ka wā o ke ʻano o ka maʻi.
Nā kiʻi o ka ʻehu o UC
10 mau pilikia o ka ʻili i pili me UC
1. Erythema nodosum
ʻO ka erythema nodosum ka pilikia ʻili maʻamau no nā poʻe me IBD. ʻErythema nodosum he nodule ʻulaʻula palupalu e ʻike mau ʻia ma ka ʻili o kou mau wāwae a lima paha. Hiki ke nānā aku nā nodule e like me ka palapū ma kou ʻili.
Hoʻopili ʻo Erythema nodosum i nā wahi āpau mai nā poʻe me UC. ʻIke ʻia nā mea hou aku i nā wahine ma mua o nā kāne.
Kūlike kēia ʻano me nā flare-up, i kekahi manawa ma mua pono o ka hoʻomaka ʻana o kahi uila. Ke kāohi hou ʻia kāu UC, e hemo paha ke nodosum erythema.
2. Pyoderma gangrenosum
ʻO Pyoderma gangrenosum ka pilikia o ka ʻili i ka poʻe me IBD. ʻO kahi nui o 950 mau mākua me IBD i ʻike he pyoderma gangrenosum ka mea i loli i ka 2 pākēneka o ka poʻe me UC.
Hoʻomaka ʻo Pyoderma gangrenosum ma ke ʻano he puʻupuʻu o nā puʻupuʻu liʻiliʻi i hiki ke pāhola a hui pū e hana i nā ulcer hohonu. ʻIke mau ʻia ia ma kou mau kukuna a me nā kuʻekuʻe wāwae, akā e ʻike ʻia paha ma kou mau lima. Hiki ke hōʻeha a hōʻeha loa i ka scarring. Hiki ke hele a maʻi ka maʻi maʻi inā ʻaʻole lākou e hoʻomaʻemaʻe.
Manaʻo ʻia ʻo Pyoderma gangrenosum e nā maʻi ʻōnaehana pale, a he mea ia e kōkua pū ai iā UC. Hoʻopili ka hana me nā lāʻau kiʻekiʻe o nā corticosteroids a me nā lāʻau e kāohi i kāu ʻōnaehana pale. Inā koʻikoʻi nā ʻeha, hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha no ʻoe e lawe.
3. Sweet's syndrome
ʻO Sweet's syndrome kahi ʻano ʻili laha ʻole i ʻike ʻia e nā ʻili ʻeha ʻeha. Hoʻomaka kēia mau liona ma ke ʻano he puʻupuʻu liʻiliʻi, ʻulaʻula a poni paha i hohola i loko o nā huhui ʻeha. ʻIke mau ʻia lākou ma kou alo, ʻāʻī, a i ʻole nā lālā luna. Pili ʻo Sweet's syndrome i nā lapalapa uila o UC.
Mālama pinepine ʻia ʻo Sweet's Syndrome me nā corticosteroids ma nā ʻano pill a i ʻole nā ʻano ʻoki. E hele aku paha nā leona ma o lākou iho, akā maʻamau ka hoʻi hou ʻana, a hiki i ka hopena ke loaʻa i nā scars.
4. ʻO ka maʻi dermatosis-arthritis e pili ana i ka ʻōpū
ʻO ka dermatosis-arthritis syndrome (BADAS) pili pū i ka bowel e ʻike ʻia ʻo bowel bypass syndrome a i ʻole blind loop syndrome. Pilikia ka poʻe me kēia mau mea:
- ʻoki kino ʻōpū o kēia manawa
- diverticulitis
- pākuʻi
- IBD
Manaʻo nā kauka he kumu ia na ka bacteria nui loa, e alakaʻi ana i ka pehu.
Hoʻokumu ʻo BADAS i nā puʻupuʻu ʻeha a ʻeha hoʻi e lilo i pustules i loko o hoʻokahi a ʻelua mau lā. ʻIke pinepine ʻia kēia mau leona ma kou umauma luna a me nā lima. Hiki iā ia ke kumu i nā leona e like me nā ʻūlū ma kou mau wāwae, e like me ka erythema nodosum.
Hele pinepine nā leona iā lākou iho akā hoʻi mai inā lele hou kāu UC. Hiki i ka mālama ʻana ke hoʻopili i nā corticosteroids a me nā antibiotic.
5. Kaukaʻi
ʻO Ps Psirus, kahi maʻi pale, pili pū kekahi me IBD. I kahi mai 1982, 5.7 pakeneka o ka poʻe me UC i loaʻa pū kekahi me ka psoriasis.
Nā hualoaʻa o Ps Psp i kahi buildup o nā hunaola ʻili e hana i nā unahi keʻokeʻo a i ʻole ke kālā e nānā ana i nā ʻāpana ʻulaʻula o ka ʻili i hāpai ʻia. Hiki i ka mālama ʻana ke hoʻopili i nā corticosteroids topical a i ʻole retinoids.
6. Vitiligo
Kū ʻo Vitiligo i ka poʻe me UC a me Crohn ma mua o ka heluna lehulehu. I ka vitiligo, hoʻopau ʻia nā hunaola i kuleana no ka hana ʻana i ka pigment o kou ʻili, a hiki i nā pā keʻokeʻo o ka ʻili. Hiki i kēia mau pale keʻokeʻo o ka ʻili ke hoʻomohala i nā wahi āpau o kou kino.
Manaʻo nā kānaka noiʻi ʻo vitiligo kekahi maʻi maʻi pale. Kuhi ʻia kahi poʻe me vitiligo i kahi maʻi pale ʻē aʻe pū kekahi, e like me UC.
Hiki i ka mālama ʻana ke hoʻopili i nā corticosteroids topical a i ʻole ka pill hoʻopili a me ka hoʻomaʻamaʻa māmā i ʻike ʻia ʻo psoralen a me ultraviolet A (PUVA) therapy.
He aha e hana ai i ka wā o ka lapalapa ʻana
ʻO ka hapa nui o nā pilikia o ka ʻili e pili pū ana me UC e mālama maikaʻi ʻia e ka mālama ʻana i ka UC ma kahi hiki, no ka mea he nui o kēia mau ʻino hiki ke kūlike me ka UC flare-up ʻO nā mea ʻē aʻe paha ka hōʻailona mua o UC i kekahi ʻaʻole i ʻike ʻia i kēia manawa.
Hiki i nā Corticosteroids ke kōkua me ka mumū e kumu pinepine ai i nā pilikia o ka ʻili i pili me UC. ʻO ka ʻai ʻana i kahi papaʻai kaulike hiki ke kōkua i ke olakino holoʻokoʻa a kōkua paha i ka pale ʻana i nā pilikia o ka ʻili.
Ke ʻike ʻoe i kahi lapalapa o ka ʻili o UC, nui nā mea hiki iā ʻoe ke hoʻāʻo.
- E hoʻomaʻemaʻe i ka leona e pale aku i nā maʻi.
- E ʻike i kāu kauka no ka lāʻau hamo antibiotic a i ʻole ka lāʻau ʻeha inā pono.
- E mālama i nā leona me ka bandage momona e hāpai i ka hoʻōla.