Kodi Ulcerative Colitis Ndi Chiyani Kumanzere?

Zamkati

• Zizindikiro za ulcerative colitis kumanzere
• Zomwe zimayambitsa komanso zoopsa
• Kuzindikira ulcerative colitis kumanzere
• Chithandizo cham'mimba cham'mimba chakumanzere
• Mankhwala a 5-ASA
• Oral corticosteroids
• Biologics ndi ma immunomodulators
• Chipatala
• Mankhwala achilengedwe othandizira kusamalira zizindikilo za UC

Ulcerative colitis ndi vuto lomwe limapangitsa kuti m'matumbo mwanu kapena mbali zake zikhale zotupa. Kumanzere kwa ulcerative colitis, kutupa kumachitika kokha kumanzere kwa koloni yanu. Amadziwikanso kuti distal ulcerative colitis.

Mwa mtundu uwu wa ulcerative colitis, kutupa kumachokera ku rectum yanu mpaka kusintha kwanu kwa splenic. Kusinthasintha kwa splenic ndi dzina lopindika m'matumbo, pafupi ndi ndulu yanu. Ili mbali yakumanzere yamimba.

Mitundu ina ya ulcerative colitis ndi iyi:

• proctitis, momwe kutupa kumangokhala ndi rectum
• pancolitis, yomwe imayambitsa kutupa m'thupi lonse

Nthawi zambiri, kutulutsa koloni kwanu komwe kumakhudzidwa, ndizowonjezera zomwe mumakumana nazo.

Zizindikiro za ulcerative colitis kumanzere

Kutsekula m'mimba ndichizindikiro chofala kwambiri cha ulcerative colitis. Nthawi zina, chopondapo chanu chimatha kukhala ndi mitsinje yamagazi.

Kuwonongeka ndi kukwiya kwa rectum yanu kumatha kukupangitsani kumva kuti mukufunikira kukhala ndi matumbo nthawi zonse. Komabe, mukamapita kubafa, chopondapo nthawi zambiri chimakhala chaching'ono.

Zizindikiro zina za ulcerative colitis ndi monga:

• kupweteka m'mimba kapena kupweteka kwammbali
• malungo
• kuonda
• kudzimbidwa
• ziphuphu zam'mbali

Malo okhala ndi magazi atha kukhala chizindikiro chowonongeka kwambiri pamatumbo. Magazi mu mpando wanu akhoza kukhala ofiira kapena ofiira amdima.

Mukawona magazi pansi panu, itanani dokotala wanu. Ngati pali magazi ochepa, pitani kuchipatala mwadzidzidzi.

Zomwe zimayambitsa komanso zoopsa

Madokotala sakudziwa chomwe chimayambitsa ulcerative colitis. Lingaliro lina ndiloti limachitika chifukwa cha kusokonezeka kwa thupi komwe kumayambitsa kutupa m'matumbo anu.

Pali zifukwa zina zoopsa zomwe zimakhudzana ndi ulcerative colitis. Izi zikuphatikiza:

• mbiri ya banja la ulcerative colitis
• Mbiri ya matenda a salmonella kapena campylobacter
• kukhala kumtunda wapamwamba (kutali ndi equator)
• wokhala kudziko lakumadzulo kapena lotukuka

Kukhala ndi zoopsa izi sikukutanthauza kuti mudzapeza ulcerative colitis. Koma zikutanthauza kuti muli ndi chiopsezo chowonjezeka chokhala ndi matendawa.

Kuzindikira ulcerative colitis kumanzere

Dokotala wanu angazindikire mtundu wa colitis womwe muli nawo ndi njira yotchedwa endoscopy. Mu endoscopy, amagwiritsa ntchito makamera owala kuti awone mkatikati mwa coloni yanu.

Dokotala wanu amatha kudziwa kukula kwa kutupa mwa kufunafuna:

• kufiira
• edema
• zosayenerera zina m'mbali mwa njuchi

Ngati muli ndi colitis kumanzere, mzere wamatumbo anu uyambanso kuwoneka wabwinobwino adotolo anu akadutsa kupindika kwa splenic.

Chithandizo cham'mimba cham'mimba chakumanzere

Malangizo amachiritso a ulcerative colitis amatha kusintha kutengera kuchuluka kwa colon yanu. Komabe, dokotala wanu akhoza kukupatsani mankhwala awa:

Mankhwala a 5-ASA

Mankhwala otchedwa 5-aminosalicylic acid, kapena 5-ASA, ndi njira yodziwika bwino yothandizira ulcerative colitis. Mankhwala a 5-ASA amatha kumwa pakamwa kapena kugwiritsa ntchito mutu. Amatha kuchepetsa kuchuluka kwa kutupa m'matumbo.

Mankhwala apakhungu a mesalamine, kukonzekera kwa 5-ASA, apezeka kuti apangitsa kukhululukidwa kwa pafupifupi 72% ya anthu omwe ali ndi colitis kumanzere mkati mwa milungu inayi.

5-ASA imapezekanso ngati suppository kapena enema. Ngati muli ndi ulcerative colitis kumanzere, dokotala wanu angakupatseni mankhwala. Chowonjezera sichingakwaniritse dera lomwe lakhudzidwa.

Oral corticosteroids

Ngati zizindikiro zanu sizikugwirizana ndi 5-ASA, dokotala wanu akhoza kukupatsani corticosteroids yamlomo. Oral corticosteroids imatha kuchepetsa kutupa. Nthawi zambiri amapambana akamamwa mankhwala a 5-ASA.

Biologics ndi ma immunomodulators

Ngati zizindikiro zanu ndizochepa kwambiri, dokotala wanu akhoza kukupatsani mankhwala osokoneza bongo. Awa ndi ma antibodies omwe amayesetsa kuti asateteze mapuloteni amthupi omwe amadziwika kuti amayambitsa ulcerative colitis kutupa.

Ndiwo chithandizo chanthawi yayitali chomwe chingathandize kupewa kuphulika.

Zotsatira zamakono zikusonyeza kuti njira zotsatirazi zingakhale zothandiza kwambiri:

• infliximab (Kutulutsa)
• vedolizumab (Entyvio)
• ustekinumab (Stelara)

Mtundu wina wa mankhwala, omwe amadziwika kuti immunomodulators, amathanso kuthandizira. Dokotala amatha kupereka mankhwalawa limodzi ndi njira zina. Zikuphatikizapo:

• methotrexate
• 5-ASA
• alirezatalischi

Chithandizo cha nthawi yayitali chimachepetsa chiopsezo cha kuyaka ndikuchepetsa kufunika kwa mankhwala a steroid, omwe atha kukhala ndi zovuta.

Chipatala

Nthawi zovuta kwambiri, mungafune kupita kuchipatala kuti muzitha kuchiza matenda anu. Ngati mwagonekedwa mchipatala, mutha kulandira mankhwala amitsempha (IV) steroids kapena mankhwala ena a IV omwe angakuthandizeni kukhazikika.

Nthawi zina, dokotala wanu amalangiza kuti muchotse gawo lomwe lakhudzidwa ndi colon yanu. Izi nthawi zambiri zimalimbikitsidwa pokhapokha ngati muli ndi magazi ambiri kapena kutupa kwadzetsa kabowo kakang'ono m'matumbo anu.

Mankhwala achilengedwe othandizira kusamalira zizindikilo za UC

Kafukufuku wowonjezereka akuyenera kuchitidwa pazabwino za mankhwala achilengedwe ndi njira zothandizira ulcerative colitis. Koma pali njira zina zomwe zingakuthandizeni kuthana ndi vutoli.

Izi zikuphatikiza:

• maantibiotiki
• kutema mphini
• mfuti
• tirigu wowonjezera

Lankhulani ndi dokotala musanayambe mankhwala aliwonsewa kuti mutsimikizire kuti ali otetezeka komanso oyenera kwa inu.