Anam`peza matenda am`matumbo - kumaliseche

Munali mchipatala kuchiritsa zilonda zam'mimba. Uku ndikutupa (kutupa) kwa mkatikati mwa matumbo anu ndi rectum (amatchedwanso matumbo anu akulu). Nkhaniyi ikufotokoza momwe mungadzisamalire mukamabwerera kwanu.

Munali mchipatala chifukwa muli ndi zilonda zam'mimba. Uku ndikutupa kwamkati kwamkati kwanu kwamatumbo (komwe kumatchedwanso matumbo anu akulu). Imawononga akalowa, kuwapangitsa kuti atuluke magazi kapena kutuluka ntchofu kapena mafinya.

Muyenera kuti mudalandira madzi kudzera mumachubu yamitsempha (IV) mumitsempha yanu. Mwinanso mudalandira magazi, chakudya kudzera mu chubu kapena IV, komanso mankhwala othandizira kutsekula m'mimba. Mwina mwapatsidwa mankhwala ochepetsa kutupa, kupewa kapena kulimbana ndi matenda, kapena kuthandizira chitetezo chamthupi.

Muyenera kuti mudachitapo colonoscopy. Mwinanso mutha kuchitidwa opaleshoni. Ngati ndi choncho, mwina munakhala ndi leostomy kapena colon resection (colectomy).

Anthu ambiri amakhala ndi nthawi yopuma pakati pa zilonda zam'mimba ngati atamwa mankhwala omwe apatsidwa.

Mukangobwerera kwanu, muyenera kumwa zakumwa zokha kapena kudya zakudya zosiyana ndi zomwe mumadya. Funsani wothandizira zaumoyo wanu pomwe mungayambe kudya. Muyenera kudya chakudya chopatsa thanzi, chopatsa thanzi. Ndikofunika kuti mupeze mafuta okwanira, mapuloteni, ndi michere kuchokera kumagulu osiyanasiyana azakudya.

Zakudya ndi zakumwa zina zimatha kukulitsa matenda anu. Zakudya izi zimatha kubweretsa mavuto kwa inu nthawi zonse kapena pakangoyaka. Pewani zakudya zomwe zimawonjezera matenda anu.

• Zida zambiri zimatha kukulitsa matenda anu. Yesani kuphika kapena kuphika zipatso ndi ndiwo zamasamba ngati kudya zosaphika kukuvutitsani.
• Pewani zakudya zomwe zimadziwika kuti zimayambitsa gasi, monga nyemba, zakudya zonunkhira, kabichi, broccoli, kolifulawa, timadziti ta zipatso zosaphika, ndi zipatso (makamaka zipatso za zipatso). Pewani kumwa mowa kapena khofi. Amatha kukulitsa kutsekula m'mimba.

Idyani chakudya chochepa, ndipo idyani pafupipafupi. Imwani zakumwa zambiri.

Funsani omwe akukuthandizani za mavitamini ndi michere yowonjezera yomwe mungafune, kuphatikiza:

• Zowonjezera zachitsulo (ngati muli ndi magazi ochepa)
• Zakudya zopatsa thanzi
• Calcium ndi vitamini D zowonjezerapo kuti mafupa anu akhale olimba

Lankhulani ndi katswiri wazakudya, makamaka ngati muchepetsa thupi kapena zakudya zanu zimakhala zochepa.

Mutha kukhala ndi nkhawa zakukumana ndi vuto la m'mimba, manyazi, kapena ngakhale kukhumudwa kapena kukhumudwa. Zochitika zina zovuta pamoyo wanu, monga kusuntha, kuchotsedwa ntchito, kapena kutayika kwa wokondedwa, zitha kuyambitsa mavuto ndi chimbudzi chanu.

Malangizo awa atha kukuthandizani kuthana ndi ulcerative colitis:

• Lowani nawo gulu lothandizira. Funsani omwe akukuthandizani zamagulu mdera lanu.
• Chitani masewera olimbitsa thupi. Lankhulani ndi omwe amakupatsani mwayi wazomwe mungakwaniritse zolimbitsa thupi.
• Yesani biofeedback kuti muchepetse kusokonezeka kwa minofu ndikuchepetsa kugunda kwa mtima wanu, kupumira mwamphamvu, kutsirikitsa, kapena njira zina zopumira. Zitsanzo zake ndi monga yoga, kumvera nyimbo, kuwerenga, kapena kusambira.
• Onani wothandizira zaumoyo kuti akuthandizeni.

Wopereka wanu atha kukupatsani mankhwala kuti akuthandizeni kuthetsa zizindikilo zanu. Kutengera kukula kwa ulcerative colitis ndi momwe mumayankhira kuchipatala, mungafunike kumwa mankhwala amodzi kapena angapo:

• Mankhwala oletsa kutsegula m'mimba angakuthandizeni mukakhala ndi matenda otsekula m'mimba kwambiri. Mutha kugula loperamide (Imodium) popanda mankhwala. Nthawi zonse lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa.
• Zowonjezera zamagetsi zimatha kuthandizira zizindikilo zanu. Mutha kugula psyllium powder (Metamucil) kapena methylcellulose (Citrucel) popanda mankhwala.
• Nthawi zonse lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwala aliwonse otsitsimula.
• Mutha kugwiritsa ntchito acetaminophen (Tylenol) kupweteka pang'ono. Mankhwala monga aspirin, ibuprofen (Advil, Motrin), kapena naproxen (Aleve, Naprosyn) atha kukulitsa zizindikilo zanu. Lankhulani ndi omwe amakupatsani musanamwe mankhwalawa. Mwinanso mungafunike mankhwala a mankhwala opweteka kwambiri.

Pali mitundu yambiri ya mankhwala omwe omwe amakupatsani omwe angagwiritse ntchito popewa kapena kuchiza zilonda zanu zam'mimba.

Kusamalira kwanu kupitilira kutengera zosowa zanu. Wopereka wanu angakuuzeni nthawi yobwerera kukayezetsa mkati mwa rectum ndi colon yanu kudzera mu chubu chosinthika (sigmoidoscopy kapena colonoscopy).

Itanani omwe akukuthandizani ngati muli ndi:

• Kupweteka kapena kupweteka m'mimba mwanu
• Kutsekula m'mimba, nthawi zambiri kumakhala ntchofu kapena mafinya
• Kutsekula m'mimba komwe sikutha kulamulidwa ndikusintha kwa zakudya ndi mankhwala
• Kutuluka magazi, zotupa, kapena zilonda
• Malungo omwe amatha masiku opitilira 2 kapena atatu, kapena malungo opitilira 100.4 ° F (38 ° C) popanda kufotokozera
• Nsautso ndi kusanza zomwe zimatha kuposa tsiku
• Zilonda zapakhungu kapena zotupa zomwe sizichira
• Ululu wophatikizika womwe umakulepheretsani kuchita zochitika zanu za tsiku ndi tsiku
• Kumverera kokhala ndi chenjezo pang'ono musanayende
• Kufunika kodzuka kutulo ndikuyenda matumbo
• Kulephera kunenepa, nkhawa za mwana wakhanda kapena mwana yemwe akukula
• Zotsatira zoyipa za mankhwala aliwonse omwe akupatsidwa chifukwa cha matenda anu

Matenda otupa - kutulutsa; Ulcerative proctitis - kumaliseche; Colitis - kumaliseche

• Matenda otupa

Atallah CI, Efron JE, Fang SH. Kuwongolera kwa zilonda zam'mimba zotupa. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 154-161.

(Adasankhidwa) Dassopoulos T, Sultan S, Falck-Ytter YT, Inadomi JM, Hanauer SB. American Gastroenterological Association Institute yowunikiranso za kugwiritsa ntchito mankhwala a thiopurines, methotrexate, ndi anti-tnf-a biologic mankhwala olowetsa ndikusunga chikhululukiro cha matenda a Crohn's inflammatory. Gastroenterology. 2013; 145 (6): 1464-1478. PMID: 24267475 www.ncbi.nlm.nih.gov/pubmed/24267475. (Adasankhidwa)

Kornbluth A, Sachar DB; Yesetsani magawo a Komiti ya American College of Gastroenterology. Ulcerative colitis amachita malangizo kwa akulu: American College Of Gastroenterology, Practice Parameters Committee. Ndine J Gastroenterol. 2010; 105 (3): 501-523. PMID: 20068560 www.ncbi.nlm.nih.gov/pubmed/20068560.

Osterman MT, Lichtenstein GR. Zilonda zam'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 116.

Swaroop PP. Matenda otupa: Matenda a Crohn ndi ulcerative colitis. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 224-230.

• Mdima wakuda kapena wochedwa
• Kuwonetsetsa kwa khansa ya m'matumbo
• Ileostomy
• Kutulutsa pang'ono matumbo
• Colectomy yonse yam'mimba
• Chiwerengero cha proctocolectomy ndi ileal-anal thumba
• Zilonda zam'mimba

• Kutsekula m'mimba - zomwe mungafunse dokotala - mwana
• Kutsekula m'mimba - zomwe mungafunse wothandizira zaumoyo wanu - wamkulu
• Zakudya zolimbitsa thupi - kusamalira ana
• Gastrostomy yodyetsa chubu - bolus
• Ileostomy ndi mwana wanu
• Ileostomy ndi zakudya zanu
• Ileostomy - kusamalira stoma yanu
• Ileostomy - kumaliseche
• Thumba lodyetsera la Jejunostomy
• Kukhala ndi ileostomy yanu
• Zakudya zochepa

• Zilonda zam'mimba