Funsani Katswiri: Khalani Pansi ndi Gastro

Zamkati

• Kodi ndizotheka kudziwa molakwika ndi ulcerative colitis (UC)? Ndingadziwe bwanji ngati ndikumvetsetsa molakwika kapena ndikufunika chithandizo china?
• Kodi ndizovuta ziti za UC zosasamalidwa kapena zosagwiritsidwa bwino ntchito?
• Kodi njira zamankhwala zomwe zilipo za UC ndi ziti? Kodi pali ena omwe amagwira ntchito bwino kuposa ena?
• Anti-zotupa
• Maantibayotiki
• Omwe akutsutsa
• Mankhwala ochiritsira
• Kodi pali zovuta zina zamankhwala zomwe ndiyenera kudziwa?
• Mankhwala osokoneza bongo
• Maantibayotiki
• Odzidzimutsa
• Mankhwala ochiritsira
• Ndingadziwe bwanji ngati mankhwala anga sakugwira ntchito moyenera?
• Kodi ndi zotani zomwe zimayambitsa UC?
• Kodi UC ndi yotani? Ma IBD? Kodi ndi cholowa?
• Kodi pali mankhwala achilengedwe a UC? Njira zochiritsira zina? Kodi amagwira ntchito?
• Mankhwala azakudya
• Mankhwala azitsamba
• Kusamalira nkhawa
• Chitani masewera olimbitsa thupi
• Ndiyenera kulingalira za opaleshoni?
• Kodi mungapeze kuti zambiri pa UC kapena mungapeze thandizo kuchokera kwa anthu omwe akukhalanso ndi vutoli?

Kodi ndizotheka kudziwa molakwika ndi ulcerative colitis (UC)? Ndingadziwe bwanji ngati ndikumvetsetsa molakwika kapena ndikufunika chithandizo china?

Nthawi zambiri anthu amasokoneza UC ndi matenda a Crohn. Crohn's imakhalanso matenda opatsirana otupa (IBD). Zizindikiro zingapo ndizofanana, monga kuchotsera ndi kuwotcha.

Kuti mudziwe ngati muli ndi UC kapena Crohn's, pitani kuchipatala kuti mukayesedwe. Muyenera kubwereza colonoscopy, kapena adokotala atha kuyitanitsa X-ray yamatumbo ang'ono kuti awone ngati zakhudzidwa. Ngati zatero, mutha kukhala ndi matenda a Crohn. UC imakhudza m'matumbo. Mosiyana ndi izi, a Crohn's atha kukhudza gawo lililonse la thirakiti lanu la m'mimba (GI).

Kodi ndizovuta ziti za UC zosasamalidwa kapena zosagwiritsidwa bwino ntchito?

Kuchiza mosagwirizana kapena kusachiritsidwa kwa UC kumatha kupweteketsa m'mimba, kutsegula m'mimba, komanso kutuluka kwamphongo. Kutaya magazi kwambiri kumatha kutopa kwambiri, kuchepa kwa magazi m'thupi, komanso kupuma movutikira. Ngati UC yanu ndi yolimba kwambiri kotero kuti siyiyankha chithandizo chamankhwala, adotolo angakulimbikitseni kuchotsedwa koloni yanu (yomwe imadziwikanso kuti matumbo akulu).

Kodi njira zamankhwala zomwe zilipo za UC ndi ziti? Kodi pali ena omwe amagwira ntchito bwino kuposa ena?

Muli ndi njira zotsatirazi zochiritsira UC:

Anti-zotupa

Mankhwalawa nthawi zambiri amakhala njira yoyamba yochizira UC. Amaphatikizapo corticosteroids ndi 5-aminosalicylates (5-ASAs). Kutengera ndi gawo liti lamatenda lomwe lakhudzidwa, mutha kumwa mankhwalawa pakamwa, ngati chowonjezera, kapena ngati enema.

Maantibayotiki

Madokotala amapereka maantibayotiki ngati akuganiza kuti pali kachilombo m'matumbo mwanu. Komabe, anthu omwe ali ndi UC amalangizidwa kuti asamwe maantibayotiki chifukwa amatha kuyambitsa kutsekula m'mimba.

Omwe akutsutsa

Mankhwalawa amatha kuwongolera kutupa. Mulinso mercaptopurine, azathioprine, ndi cyclosporine. Lumikizanani ndi dokotala wanu ngati mutenga izi. Zotsatira zoyipa zimakhudza chiwindi komanso kapamba.

Mankhwala ochiritsira

Njira zochiritsira zachilengedwe ndi Humira (adalimumab), Remicade (infliximab), ndi Simponi (golimumab). Amadziwikanso kuti tumor necrosis factor (TNF) inhibitors. Amawongolera mayankho anu achilendo amthupi. Entyvio (vedolizumab) imagwiritsidwa ntchito pochiza UC mwa anthu omwe samayankha kapena sangathe kulekerera mankhwala ena osiyanasiyana.

Kodi pali zovuta zina zamankhwala zomwe ndiyenera kudziwa?

Otsatirawa ndi mndandanda wa mankhwala wamba a UC omwe amakhala ndi zotsatirapo zake:

Mankhwala osokoneza bongo

Zotsatira zoyipa za 5-ASA zimaphatikizapo kusanza, kunyowa, komanso kusowa kwa njala.

M'kupita kwanthawi, corticosteroids imatha kubweretsa zovuta zina monga kuthamanga kwa magazi, chiopsezo chowonjezeka cha matenda opatsirana, shuga wambiri wamagazi, ziphuphu, kunenepa, kusinthasintha kwamaganizidwe, mathithi, kusowa tulo, ndi mafupa olumala.

Maantibayotiki

Cipro ndi Flagyl nthawi zambiri amapatsidwa kwa anthu omwe ali ndi UC. Zotsatira zoyipa zawo zimaphatikizapo kukhumudwa m'mimba, kutsegula m'mimba, kusowa kwa njala, ndi kusanza.

Cipro ndi mankhwala a fluoroquinolone antibiotic. Fluoroquinolones imatha kuwonjezera chiopsezo cha misozi yayikulu kapena kuphulika kwa aorta, komwe kumatha kuyambitsa magazi owopsa.

Okalamba ndi anthu omwe ali ndi mbiri yokhudzana ndi mitsempha kapena matenda ena amtima atha kukhala pachiwopsezo chachikulu. Chochitika chovuta ichi chitha kuchitika ndi fluoroquinolone iliyonse yotengedwa pakamwa kapena ngati jakisoni.

Odzidzimutsa

6-mercaptopurine (6-MP) ndi azathioprine (AZA) zimatha kuyambitsa zovuta zina monga kuchepetsa kukana matenda, khansa yapakhungu, kutupa kwa chiwindi, ndi lymphoma.

Mankhwala ochiritsira

Njira zochizira zachilengedwe ndi Humira (adalimumab), Remicade (infliximab), Entyvio (vedolizumab), Certolizumab (Cimzia), ndi Simponi (golimumab).

Zotsatira zoyipa zimaphatikizapo kuyabwa, kufiira, kupweteka kapena kutupa pang'ono pafupi ndi malo obayira, malungo, mutu, kuzizira, ndi zotupa.

Ndingadziwe bwanji ngati mankhwala anga sakugwira ntchito moyenera?

Ngati mankhwala anu sakugwira ntchito, mudzakumana ndi kutsekula m'mimba kosalekeza, kutuluka kwamphongo, komanso kupweteka m'mimba - ngakhale mutakhala milungu itatu kapena inayi mukugwiritsa ntchito mankhwalawa.

Kodi ndi zotani zomwe zimayambitsa UC?

Zomwe zimayambitsa UC zimaphatikizapo mkaka, nyemba, khofi, mbewu, broccoli, chimanga, ndi mowa.

Kodi UC ndi yotani? Ma IBD? Kodi ndi cholowa?

Malinga ndi kuyerekezera kwaposachedwa, pafupifupi akukhala ndi IBD. Ngati muli ndi wachibale yemwe ali ndi IBD, zitha kuwonjezera chiopsezo chanu chokhala nacho.

• Kukula kwa UC ndi 238 kwa akulu 100,000 onse.
• Kukula kwa Crohn's ndi pafupifupi 201 kwa akulu 100,000 aliwonse.

Kodi pali mankhwala achilengedwe a UC? Njira zochiritsira zina? Kodi amagwira ntchito?

Kwa anthu omwe sangalolere mankhwala, pali njira zina zingapo.

Mankhwala azakudya

Zakudya zopanda mafuta ndi mafuta zimawoneka ngati zothandiza kwambiri pakuchepetsa pafupipafupi zomwe UC imachita. Kuchotsa zakudya zina pachakudya chanu kumatha kukhala ndi zotsatirapo zomwezo. Mwachitsanzo, mkaka, mowa, nyama, ndi zakudya zamafuta ambiri.

Mankhwala azitsamba

Mankhwala azitsamba osiyanasiyana atha kukhala oyenera kuchiza UC. Mulinso Boswellia, psyllium mbewu / mankhusu, ndi turmeric.

Kusamalira nkhawa

Mutha kupewa kubwereranso kwa UC ndi njira zothandizira kupsinjika, monga yoga kapena kusinkhasinkha.

Chitani masewera olimbitsa thupi

Kuwonjezera kuchita masewera olimbitsa thupi pafupipafupi kumatha kuthandizira kuyendetsa UC yanu.

Ndiyenera kulingalira za opaleshoni?

Pafupifupi 25 mpaka 40 peresenti ya anthu omwe ali ndi UC amafunika kuchitidwa opaleshoni kuti achotse colon.

Kuchita opaleshoni kumafunika chifukwa cha izi:

• kulephera kwa mankhwala
• Kutaya magazi kwambiri
• zovuta zoyipa zamankhwala ena

Kodi mungapeze kuti zambiri pa UC kapena mungapeze thandizo kuchokera kwa anthu omwe akukhalanso ndi vutoli?

Chida chodabwitsa komanso chotsimikizira ndi Crohn's and Colitis Foundation of America. Ndi bungwe lopanda phindu lokhala ndi matani azidziwitso zothandiza pa kasamalidwe ka UC.

Muthanso kudziwa zambiri mwa kulowa nawo magulu osiyanasiyana azama TV ku UC. Mudzapindula mukakumana ndikulumikizana ndi anthu ena omwe akukumana ndi mavuto omwewo.

Muthanso kuthandiza kulimbikitsa mwakukonzekera misonkhano, zochitika, ndi zochitika. Izi zimapereka mwayi kwa anthu omwe akhudzidwa ndi matendawa kuti azisinthana maupangiri, nkhani, ndi zothandizira.

Dr. Saurabh Sethi ndi dokotala wodziwika bwino wodziwika bwino pa gastroenterology, hepatology, komanso endoscopy yotsogola yotsogola. Mu 2014, Dr. Sethi adamaliza maphunziro ake a gastroenterology and hepatology ku Beth Israel Deaconess Medical Center ku Harvard Medical School. Posakhalitsa, adamaliza maphunziro ake apamwamba a endoscopy ku Stanford University ku 2015. Dr. Sethi watenga nawo mbali m'mabuku angapo komanso zofufuza, kuphatikiza zolemba zowunikiridwa ndi anzawo zoposa 30. Zokonda za Dr. Sethi zimaphatikizapo kuwerenga, kulemba mabulogu, kuyenda, komanso kulimbikitsa zaumoyo wa anthu.