Kodi Pancolitis ndi Chiyani?

Zamkati

• Zizindikiro za kapamba
• Zimayambitsa pancolitis
• Kuzindikira matenda am'mimba
• Mankhwala
• Mankhwala
• Opaleshoni
• Zosintha m'moyo
• Chiwonetsero

Chidule

Pancolitis ndikutupa kwa colon yonse. Chifukwa chofala kwambiri ndi ulcerative colitis (UC). Pancolitis amathanso kuyambitsidwa ndi matenda monga C. kusiyana, kapena amatha kulumikizidwa ndi zovuta zotupa monga nyamakazi (RA).

UC ndi matenda omwe amakhudza matumbo anu akulu, kapena colon yanu. UC umayambitsidwa ndi kutupa komwe kumadzetsa zilonda, kapena zilonda, m'matumbo mwanu. Pankolitis, kutupa ndi zilonda zafalikira kuti ziphimbe khola lanu lonse.

Mitundu ina ya ulcerative colitis ndi iyi:

• proctosigmoiditis, momwe rectum ndi gawo la coloni yanu lotchedwa sigmoid colon limakhala ndi zotupa ndi zilonda zam'mimba.
• proctitis, yomwe imakhudza rectum yanu yokha
• kumanzere, kapena distal, ulcerative colitis, momwe kutupa kumayambira pakatikati panu mpaka khola la khola lanu lomwe limapezeka pafupi ndi ndulu yanu, kumanzere kwa thupi lanu

UC imayambitsa zizindikiro zomwe zingakhale zosasangalatsa kapena zopweteka. Kuchuluka kwa koloni yanu yomwe yakhudzidwa, ndizomwe zizindikiro zanu zimakhala zoyipa kwambiri. Chifukwa pancolitis imakhudza colon yanu yonse, zizindikilo zake zimatha kukhala zoyipa kuposa zodandaula zamtundu wina wa UC.

Zizindikiro za kapamba

Zizindikiro zofala komanso zolimbitsa thupi za chifuwa chachikulu ndi monga:

• kumva kutopa
• kuchepa thupi (osachita masewera olimbitsa thupi kapena kudya pang'ono)
• kupweteka ndi kukokana m'dera lanu la m'mimba ndi m'mimba
• kumva kukhumba kwamphamvu, kofulumira kwamatumbo, koma osakhala wokhoza kuwongolera matumbo nthawi zonse

Pamene matenda anu am'mimba amayamba kukulira, mungakhale ndi zizindikilo zowopsa. Izi zingaphatikizepo:

• kupweteka ndi kutuluka magazi m'dera lanu lamkati ndi kumatako
• malungo osadziwika
• kutsegula m'mimba kwamagazi
• kutsegula m'mimba kodzaza mafinya

Ana omwe ali ndi pancolitis sangakule bwino. Pitani mwana wanu kuti akaonane ndi dokotala mwamsanga ngati ali ndi zizindikiro zina pamwambapa.

Zina mwazizindikirozi mwina sizikhala chifukwa cha kapamba. Kupweteka, kupanikizika, komanso chidwi chofuna kutaya zinyalala zimatha kuyambitsidwa ndi mpweya, kuphulika, kapena poyizoni wazakudya. Zikatero, zizindikirazo zimatha patapita nthawi yayitali.

Koma ngati muli ndi zizindikiro zotsatirazi, muyenera kukaonana ndi dokotala nthawi yomweyo:

• magazi kapena mafinya m'mimba mwanu
• malungo
• kutsegula m'mimba komwe kumatenga masiku opitilira awiri osayankha mankhwala
• chimbudzi zisanu ndi chimodzi kapena kupitilira apo m'maola 24
• kupweteka kwambiri pamimba kapena m'matumbo

Zimayambitsa pancolitis

Sizikudziwika chomwe chimayambitsa matenda am'mimba kapena mitundu ina ya UC. Mofanana ndi matenda ena otupa a m'mimba (IBDs), pancolitis imatha chifukwa cha majini anu. Lingaliro lina ndiloti majini omwe amaganiza kuti amayambitsa matenda a Crohn, mtundu wina wa IBD, amathanso kuyambitsa UC.

Crohn's & Colitis Foundation of America ikunena kuti pali kafukufuku wokhudza momwe majini angayambitsire UC ndi ma IBD ena. Kafukufukuyu akuphatikizanso momwe majini anu amalumikizirana ndi mabakiteriya am'magawo anu a GI.

Amakhulupirira kuti chitetezo cha mthupi chitha kulakwitsa koloni yanu molakwika pomwe chikuukira mabakiteriya kapena ma virus omwe amayambitsa matenda m'koloni mwanu. Izi zitha kuyambitsa kutupa ndi kuwonongeka kwa koloni yanu, zomwe zingayambitse zilonda. Zimathandizanso kuti thupi lanu likhale lovuta kuyamwa zakudya zina.

Zachilengedwe zitha kugwira ntchito. Kutenga mitundu ina ya mankhwala, monga nonsteroidal anti-kutupa kapena maantibayotiki, kumatha kuwonjezera ngozi. Zakudya zamafuta ambiri zitha kukhalanso chifukwa.

Nthawi zina, ngati simulandira chithandizo cha mitundu ya UC yofatsa kapena yochepa, matenda anu amatha kukulirakulira ndikukhala vuto la kapamba.

Anthu ena amakhulupirira kuti kupsinjika ndi nkhawa zimatha kubweretsa ku UC ndi pancolitis. Kupsinjika ndi nkhawa zimatha kuyambitsa zilonda ndikupweteketsa komanso kusapeza bwino, koma izi sizimayambitsa pancolitis kapena ma IBD ena.

Kuzindikira matenda am'mimba

Dokotala wanu angafune kuyesa thupi lanu kuti mumve zaumoyo wanu wonse. Kenako, atha kukufunsani zoyeserera kapena kuyesa magazi kuti athetse zina zomwe zimayambitsa matenda anu, monga bakiteriya kapena ma virus.

Dokotala wanu angakufunseni kuti mukhale ndi colonoscopy. Pochita izi, dokotala wanu amalowetsa chubu lalitali, lopyapyala lokhala ndi kuwala ndi kamera kumapeto kwa anus, rectum ndi colon. Dokotala wanu amatha kuyang'anitsitsa mkati mwa matumbo anu akulu kuti ayang'ane zilonda komanso minofu ina iliyonse yachilendo.

Pakati pa colonoscopy, dokotala wanu amatha kutenga zitsanzo kuchokera ku colon yanu kuti ayese matenda ena aliwonse. Izi zimadziwika kuti biopsy.

Colonoscopy imatha kulolezanso dokotala wanu kuti apeze ndikuchotsa tizilombo tomwe tingakhale m'matumbo anu. Zitsanzo zamatenda ndi kuchotsa polyp kungakhale kofunikira ngati dokotala akukhulupirira kuti minofu yomwe ili m'matumbo mwanu ikhoza kukhala khansa.

Mankhwala

Mankhwala a kapamba ndi mitundu ina ya UC amadalira zilonda zam'mimba zanu. Chithandizochi chimatha kusiyanasiyana ngati muli ndi zovuta zina zomwe zimayambitsa pancolitis kapena ngati sanalandire pancolitis wayambitsa mavuto owopsa.

Mankhwala

Mankhwala odziwika bwino a chifuwa chachikulu ndi mitundu ina ya UC ndi mankhwala odana ndi zotupa. Izi zimathandizira kuthana ndi kutupa kwanu. Izi zimaphatikizapo mankhwala monga 5-aminosalicylates (5-ASAs) ndi corticosteroids.

Mutha kulandira corticosteroids, monga prednisone, ngati jakisoni kapena ma suppositories ofiira. Mankhwalawa atha kukhala ndi zotsatirapo, kuphatikiza:

• nseru
• kutentha pa chifuwa
• chiopsezo chowonjezeka cha matenda ashuga
• chiopsezo chowonjezeka cha kuthamanga kwa magazi
• kufooka kwa mafupa
• kunenepa

Ma suppressors a chitetezo chamthupi ndimankhwala ochiritsira a pancolitis ndi UC. Izi zimathandiza kuteteza chitetezo cha mthupi lanu kuti lisawononge matumbo anu kuti muchepetse kutupa. Ma suppressors a chitetezo chamagulu ndi awa:

• azathioprine (Imuran)
• adalimumab (Humira)
• vedolizumab (Entyvio)
• alirezatalischi (Xeljanz)

Izi zitha kukhala ndi zovuta zoyipa, monga matenda opatsirana komanso chiopsezo chowonjezeka cha khansa. Muyeneranso kutsatira dokotala wanu pafupipafupi kuti muwonetsetse kuti mankhwalawa akugwira ntchito.

Opaleshoni

Pa milandu yoopsa kwambiri, dokotalayo amatha kuchotsa colon yanu mu opaleshoni yotchedwa colectomy. Pochita izi, dotolo wanu amapanga njira yatsopano yoti zinyalala zanu zizituluka mthupi lanu.

Kuchita opaleshoniyi ndiko kuchiritsa kokha kwa UC, ndipo nthawi zambiri kumakhala njira yomaliza. Anthu ambiri amayang'anira ma UC kudzera pakusintha kwa moyo wawo komanso mankhwala.

Zosintha m'moyo

Kusintha kwotsatira kwa moyo kumatha kuthandizira kuthetsa zizindikilo, kupewa zoyambitsa, ndikuwonetsetsa kuti mukupeza michere yokwanira:

• Sungani zolemba za chakudya kuti zithandizire kuzindikira zakudya zomwe muyenera kupewa.
• Idyani mkaka wochepa.
• Pewani zakumwa za kaboni.
• Kuchepetsa kudya kwanu kosasungunuka.
• Pewani zakumwa za khofi monga khofi ndi mowa.
• Imwani madzi ambiri patsiku (mozungulira ma ola 64, kapena magalasi asanu ndi atatu a madzi).
• Tengani ma multivitamini.

Chiwonetsero

Palibe mankhwala amtundu uliwonse wa UC kupatula kuchitidwa opaleshoni kuti muchotse colon yanu. Pancolitis ndi mitundu ina ya UC ndizosakhalitsa, ngakhale anthu ambiri amakhala ndi zizindikilo zakwezeka.

Mutha kukhala ndi zotulukapo zazizindikiro komanso nthawi yopanda zizindikilo yotchedwa kuchotsera. Kuphulika kwa pancolitis kumatha kukhala koopsa kwambiri kuposa mitundu ina ya UC, chifukwa coloni yambiri imakhudzidwa ndi pancolitis.

Ngati UC isasalandire chithandizo, zovuta zomwe zingakhalepo ndi izi:

• khansa yoyipa
• kutsekemera kwa m'mimba, kapena dzenje m'matumbo anu
• megacolon wa poizoni

Mutha kusintha malingaliro anu ndikuthandizira kuchepetsa zovuta potsatira dongosolo lanu lamankhwala, kupewa zomwe zingayambitse, ndikuwunika pafupipafupi.