8 Kumu i kou Ulcerative Colitis lapaʻau i hiki ke loli ma luna o ka manawa

Anter
- Pehea e mālama ai nā kauka i ka ulcerative colitis
- 1. ʻAʻole kōkua ke kōkua mua āu i hoʻāʻo ai
- 2. Ua māhuahua kou maʻi
- 3. Aia ʻoe i kahi lapalapa hana
- 4. He mau hōʻailona ʻē aʻe kāu
- 5. Loaʻa iā ʻoe nā hopena ʻaoʻao
- 6. Ua lōʻihi ʻoe ma nā steroid oral
- 7. ʻAʻole mālama ka lāʻau i kāu maʻi
- 8. Aia ʻoe i ke kala ʻana
- Lawe aku
Ke loaʻa iā ʻoe kahi ulcerative colitis (UC), kahi immune system misfire e hoʻouka i nā pale o kou kino i ka pale o kou ʻōpū nui (kolona). Lilo ka ʻōpū o ka ʻōpū i wela a hana ʻia i nā ʻeha i kapa ʻia he ulcer, hiki ke alakaʻi i nā ʻōuli e like me ka maʻi diarrhea a me ka makemake nui e hele.
ʻAʻole hōʻike ʻo UC i ke ala like i kēlā me kēia kanaka. ʻAʻole nō hoʻi e noho mau ma ka manawa. Hōʻike ʻia kāu mau ʻōuli no kekahi manawa, maikaʻi, a hoʻi hou.
Pehea e mālama ai nā kauka i ka ulcerative colitis
ʻO ka pahuhopu o kāu kauka i ka mālama ʻana iā ʻoe e mālama i kāu mau ʻōuli. Kāhea ʻia kēia mau manawa hōʻailona-ʻole nā kala.
ʻO ka lāʻau hea mua āu e lawe ai e pili ana i ka nui o kāu mau ʻōuli.
- ʻOluʻolu: Loaʻa iā ʻoe i ʻehā mau noho leʻaleʻa i ka lā a me ka ʻeha o ka ʻōpū māmā. Kūleʻa ke koko i nā ʻōpū.
- Lōpū: ʻEhā a ʻeono paha mau noho humuhumu ou i ka lā, a he koko paha kēlā. Loaʻa iā ʻoe kekahi anemia, kahi hemahema o nā keena ʻulaʻula ke olakino.
- Koʻikoʻi: Loaʻa iā ʻoe ma mua o ʻeono mau noho koko a hoʻokuʻu i kēlā me kēia lā, me nā ʻōuli e like me ka anemia a me ka wikiwiki o ka puʻuwai.
ʻO ka hapa nui o nā poʻe me UC i kahi maʻi ahinahina me ka wā kaulike me nā manawa hou o nā ʻōuli, i kapa ʻia ʻo flares, a me nā kala. ʻO ke kiʻi ʻana iā ʻoe i ke kala ʻana ka pahuhopu o ka lāʻau. Ke hele a maikaʻi ʻole paha kāu maʻi, pono i kāu kauka e hoʻoponopono i kāu mau lāʻau.
Eia nā kumu ʻewalu i hiki ai i kāu luhi UC ke loli i ka manawa.
1. ʻAʻole kōkua ke kōkua mua āu i hoʻāʻo ai
ʻO ka mālama mua ʻana i nā poʻe he nui me ka hoʻāʻo ʻoi aku ka liʻiliʻi i ka UC i kapa ʻia he aminosalicylate. Aia kēia papa lāʻau lapaʻau:
- sulfasalazine (Azulfidine)
- mesalamine (Asacol HD, Delzicol)
- balsalazide (Colazal)
- olsalazine (Dipentum)
Inā lawe ʻoe i kekahi o kēia mau lāʻau no kekahi manawa a ʻaʻole ia i hoʻomaikaʻi i kāu mau ʻōuli, hiki i kāu kauka ke hoʻololi iā ʻoe i kahi lāʻau ʻē aʻe i ka papa like. ʻO kahi koho ʻē aʻe no nā ʻōuli paʻakikī ʻo ka hoʻohui ʻana i kahi lāʻau ʻē aʻe, e like me ka corticosteroid.
2. Ua māhuahua kou maʻi
Hiki i ka UC ke hōʻino ma mua o ka manawa. Inā ʻoe i hoʻomaka me kahi ʻano akahai, akā ʻānō ua koʻikoʻi kou mau ʻōuli, e hoʻoponopono kāu kauka i kāu lāʻau.
Hoʻopaʻa paha kēia iā ʻoe i kekahi lāʻau ʻē aʻe, e like me ka lāʻau. A i ʻole, hiki iā ʻoe ke hoʻomaka ma kahi lāʻau anti-TNF. Hoʻopili kēia i adalimumab (Humira), golimumab (Simponi), a me infliximab (Remicade). Pākuʻi nā lāʻau anti-TNF i kahi protein immune system e paipai i ka palaho i loko o kāu gastrointestinal (GI) tract.
3. Aia ʻoe i kahi lapalapa hana
Hele mai nā ʻōuli o UC a hala kekahi manawa. Ke loaʻa ʻoe i nā ʻōuli e like me ka diarrhea, ʻeha o ka ʻōpū, a me ka wikiwiki, ʻo ia hoʻi ke ʻike nei ʻoe i kahi lapalapa. I ka wā o ka lapalapa ahi, pono paha ʻoe e hoʻoponopono i kāu lāʻau a hoʻololi paha i ke ʻano o nā lāʻau āu e lawe ai e mālama i kāu mau ʻōuli.
4. He mau hōʻailona ʻē aʻe kāu
ʻO ka lawe ʻana i kahi lāʻau UC e kōkua i ka mālama ʻana i kāu maʻi a pale i ka lapalapa ʻana. Pono ʻoe e hoʻohui iā ia me nā lāʻau ʻē aʻe e mālama i nā hōʻailona kikoʻī e like me:
- fiva: antibiotic
- ʻeha hui a kuni paha: nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me aspirin, ibuprofen (Advil, Motrin), a naproxen (Aleve)
- anemia: pākuʻi hao
Hoʻonāukiuki paha kekahi o kēia mau lāʻau i kāu ala GI a hoʻonui i kou UC. ʻO ia ke kumu he mea nui e nānā me kāu kauka ma mua o ka lawe ʻana i kahi lāʻau hou - ʻoiai ʻoe e kūʻai ai ma kāu hale kūʻai lāʻau kūloko me ka ʻole o ka lāʻau.
5. Loaʻa iā ʻoe nā hopena ʻaoʻao
Hiki i kekahi lāʻau ke kumu i nā hopena, a ʻaʻohe ʻokoʻa ka mālama ʻana i ka UC. ʻO kekahi poʻe e lawe i kēia mau lāʻau e ʻike paha:
- nausea
- ʻeha poʻo
- fiva
- hūwī
- nā pilikia ʻōpū
I kekahi manawa hiki i nā hopena hopena ke lilo i mea lawa pono i pono ʻoe e hōʻoki i ka lawe ʻana i ka lāʻau. Inā kū kēia, e hoʻololi kāu kauka iā ʻoe i kahi lāʻau ʻē aʻe.
6. Ua lōʻihi ʻoe ma nā steroid oral
Maikaʻi nā lāʻau Corticosteroid no ka mālama ʻana i nā lapalapa a i ʻole ka kaohi ʻana i ka UC waena-nui loa, akā ʻaʻole ia no ka hoʻohana lōʻihi. Pono kāu kauka e kau iā ʻoe ma nā corticosteroids wale nō e kaohi i kāu mau ʻōuli, a laila lawe iā ʻoe i hope iā lākou.
Hiki i ka hoʻohana steroid wā lōʻihi ke hana i nā hopena ʻē aʻe e like me:
- nā iwi nāwaliwali (osteoporosis)
- loaʻa kaupaona
- kahi hoʻonui i ka makaʻu o ka cataract
- nā maʻi maʻi
E mālama iā ʻoe i ke kala ʻana me ka ʻole o ka hopena o nā hopena steroid, hiki i kāu kauka ke hoʻololi iā ʻoe i kahi lāʻau anti-TNF a i ʻole nā ʻano lāʻau like ʻole.
7. ʻAʻole mālama ka lāʻau i kāu maʻi
Mālama paha ka lāʻau i kāu mau hōʻailona UC no kahi manawa, akā hiki i kekahi manawa ke oki i ka hana ma hope. A i ʻole, hoʻāʻo paha ʻoe i kekahi mau lāʻau ʻokoʻa me ka laki ʻole. I kēlā manawa, hiki paha i ka manawa e noʻonoʻo ai i ke kahakaha.
ʻO ke ʻano o ke ʻoki i hoʻohana ʻia e mālama iā UC i kapa ʻia ʻo proctocolectomy. I kēia kaʻina hana, lawe ʻia kāu kolona a me kou kiko. Hoʻokumu ke kaukōpō i kahi ʻeke - ma loko a ma waho paha o kou kino - e mālama a hemo i nā ʻōpala. He ʻanuʻu nui ke ʻoki kino, akā hiki iā ia ke hoʻokuʻu i nā ʻōuli ʻoi loa ʻo UC ma mua o ka lāʻau.
8. Aia ʻoe i ke kala ʻana
Inā ʻoe i ke kala, mahalo! Ua hoʻokō ʻoe i kāu pahuhopu lapaʻau.
ʻO ke kala ʻana ʻaʻole ia he kumu no ka hōʻoki ʻana i ka lawe ʻana i kāu lāʻau. Eia nō naʻe, ʻae paha iā ʻoe e hoʻohaʻahaʻa i kāu lāʻau, a i ʻole hele mai i waho o nā steroid. Malama paha kāu kauka iā ʻoe i kekahi ʻano o ka mālama ʻana i ka wā lōʻihi e pale ai i nā lapalapa hou a e ʻike ʻoe e noho nei i ke kala.
Lawe aku
Hiki iā UC ke loli i ka hala ʻana o ka manawa. Me nā kukuna hoʻololi ʻē aʻe a me nā kala ʻana, hiki i kou maʻi ke hele a mānoanoa. Ke ʻike nei i kāu kauka no nā loiloi maʻamau hiki ke hōʻoia iā ʻoe e hopu a mālama i nā ʻōuli a i ʻole nā wā ʻōpio i ka wanaʻao.
Inā ʻoe ma ka lāʻau a ʻaʻole maikaʻi ʻoe, e hoʻomaopopo i kāu kauka. ʻAʻole pono ʻoe e noho me ka maʻi pīhoihoi ʻole, cramp, a me nā ʻōuli ʻē aʻe.
Ma ka hoʻohui ʻana i kahi lāʻau hou i kāu mālama ʻana i kēia manawa a i ʻole ka hoʻololi ʻana i kāu lāʻau, pono i kāu kauka ke loaʻa kahi mea e ʻoi aku ka maikaʻi iā ʻoe. Inā ua hoʻāʻo ʻoe i kekahi mau hōʻailona me ka kūleʻa ʻole, hāʻawi paha ke ʻoki iā ʻoe i kahi hopena mau loa i kāu mau hōʻailona.