Mafunso Ofunika Kwambiri Kuti Mufunse Gastroenterologist Wanu Zokhudza Ulcerative Colitis

Zamkati

• 1. Nchiyani chimayambitsa UC?
• 2. Kodi njira zanga zochiritsira ndi ziti?
• 3. Kodi ndiyenera kusintha kadyedwe kanga?
• 4. Ndingatani kuti ndikhale ndi moyo wabwino?
• 5. Chimachitika ndi chiyani ndikayamba kudwala?
• 6. Kodi zovuta za UC ndi ziti ndipo mumaziwona bwanji?
• 7. Kodi pali chilichonse chokhudzana ndi moyo wanga wa UC chomwe chikuwopseza moyo wanga?
• 8. Kodi pali njira zochiritsira za UC?
• 9. Kodi ndingakhale ndi pakati ndi UC?
• Kutenga

Chifukwa ulcerative colitis (UC) ndi matenda osatha omwe amafunikira chithandizo chamankhwala nthawi zonse, mwina mutha kukhazikitsa ubale wa nthawi yayitali ndi gastroenterologist wanu.

Ziribe kanthu komwe muli muulendo wanu wa UC, nthawi ndi nthawi mumakumana ndi dokotala wanu kuti mukambirane zamankhwala anu komanso thanzi lanu lonse. Pa nthawi iliyonse yomwe mwasankhidwa, ndikofunikira kufunsa dokotala mafunso ndikumvetsetsa za matenda anu.

Matendawa atha kukhudza moyo wanu, koma kupumula ndikotheka. Mukamadziwa zambiri za UC, sizivuta kuthana nazo. Nawa mafunso asanu ndi anayi apamwamba oti mukambirane ndi gastroenterologist wanu wonena za UC.

1. Nchiyani chimayambitsa UC?

Kufunsa funso ili kwa dokotala kumawoneka ngati kosafunikira - makamaka ngati mwachita kafukufuku wanu kapena mwakhala mukukhala ndi matendawa kwakanthawi. Koma zimathandizabe kuwona ngati pali china chilichonse chomwe chakuthandizani kuti mupeze matenda anu. Ngakhale chomwe chimayambitsa UC sichikudziwika, akatswiri ena amakhulupirira kuti chimayambitsidwa ndi vuto la chitetezo cha mthupi. Chitetezo cha mthupi chimalakwitsa mabakiteriya abwino m'matumbo anu ngati olowerera ndikuukira matumbo anu. Kuyankha uku kumayambitsa kutupa kosatha ndi zizindikilo. Zina mwazomwe zimayambitsa UC zimaphatikizapo ma genetics ndi chilengedwe.

2. Kodi njira zanga zochiritsira ndi ziti?

Kukhululukidwa kumatheka ndi chithandizo. Dokotala wanu amalangiza chithandizo kutengera kuopsa kwa zizindikilo zanu.

Anthu omwe ali ndi UC wofatsa amatha kukhululukidwa ndi mankhwala oletsa kutupa omwe amadziwika kuti aminosalicylates.

UC wapakatikati mpaka wolimba angafunike corticosteroid ndi / kapena mankhwala a immunosuppressant. Mankhwalawa amachepetsa kutupa poletsa chitetezo chamthupi.

Thandizo la biologics limalimbikitsidwa kwa anthu omwe samvera mankhwala amwambo. Mankhwalawa amalimbana ndi mapuloteni omwe amachititsa kutupa, kuti achepetse.

Njira yatsopano ndi tofacitinib (Xeljanz). Zimagwira ntchito m'njira yapadera yochepetsera kutupa kwa anthu omwe ali ndi zilonda zam'mimba zolimbitsa thupi.

Anthu omwe amakhala ndi zovuta zowopsa zochokera ku UC angafunike kuchitidwa opaleshoni kuti achotse colon ndi rectum. Kuchita opareshoni iyi kumaphatikizanso kumanganso kumalola kuchotsa zinyalala mthupi.

3. Kodi ndiyenera kusintha kadyedwe kanga?

UC imakhudza m'mimba ndipo imayambitsa kupweteka m'mimba, koma chakudya sichimayambitsa matendawa.

Zakudya zina zitha kukulirakulira, motero adotolo angakulimbikitseni kusunga zolemba za chakudya ndikuchotsa zakudya ndi zakumwa zilizonse zomwe zimasokoneza zizindikiro zanu. Izi zingaphatikizepo ndiwo zamasamba zomwe zimayambitsa gasi monga broccoli ndi kolifulawa, ndi zakudya zina zamtundu wapamwamba.

Dokotala wanu angathenso kukuuzani kuti muzidya zakudya zazing'ono komanso zakudya zotsalira kwambiri. Izi zimaphatikizapo buledi woyera, mpunga woyera, pasitala woyengedwa bwino, masamba ophika, ndi nyama zowonda.

Caffeine ndi mowa zitha kukulitsa zizindikilo.

4. Ndingatani kuti ndikhale ndi moyo wabwino?

Kuphatikiza pa kuchotsa zakudya zina ndi zakudya zanu komanso kumwa mankhwala monga mwa malangizo, kusintha kwa moyo wanu kumatha kusintha zizindikilo.

Kusuta kumatha kukulitsa kutupa mthupi lanu lonse, motero dokotala angafune kuti musiye.

Chifukwa kupsinjika kumatha kukulitsa zizindikilo za UC, adotolo angakuuzeni njira zochepetsera kupsinjika kwanu. Izi zikuphatikiza njira zopumulira, kutikita minofu, komanso kuchita masewera olimbitsa thupi.

5. Chimachitika ndi chiyani ndikayamba kudwala?

Zitha kutenga milungu ingapo kuti zizindikiridwe zitatha mutayamba kulandira mankhwala. Ngakhale zitatha zizindikiro zanu, dokotala wanu angakulimbikitseni chithandizo chamankhwala kuti muchepetse matenda anu. Ngati zizindikiro zanu zibwerera mukamalandira chithandizo, funsani dokotala wanu. Kukula kwa UC kumatha kusintha pazaka zambiri. Izi zikachitika, dokotala wanu angafunike kusintha mankhwala anu kapena kulangiza mtundu wina wa mankhwala.

6. Kodi zovuta za UC ndi ziti ndipo mumaziwona bwanji?

UC ndichikhalidwe cha moyo wonse, chifukwa chake mumakhala ndi maudindo omwe mumatsata pafupipafupi ndi gastroenterologist wanu. UC imatha kuonjezera chiopsezo cha khansa ya m'matumbo, kuti dokotala wanu azitha kupanga ma colonoscopy nthawi ndi nthawi kuti aone ngati ali ndi khansa komanso matumbo osakhazikika m'matumbo anu. Ngati dokotala wanu atulukira misa kapena chotupa, chidziwitso chimatha kudziwa ngati misa ndiyolakwika kapena yoyipa.

Mankhwala a Immunosuppressant omwe amatumizidwa ku UC atha kufooketsa chitetezo chamthupi anu ndikupangitsani kuti muzitha kutenga matenda. Ngati muli ndi zizindikiro za matenda, dokotala wanu atha kuyitanitsa chopondapo, magazi kapena mkodzo kuti adziwe matendawa, ndikupatseni maantibayotiki ngati kuli kofunikira. Ambiri mumafunikiranso X-ray kapena CT scan. Palinso chiopsezo chotaya magazi m'matumbo, kotero dokotala akhoza kukuyang'anirani kuchepa kwa magazi m'thupi komanso zina zoperewera m'thupi. Multivitamin itha kuthandizira zolakwika.

7. Kodi pali chilichonse chokhudzana ndi moyo wanga wa UC chomwe chikuwopseza moyo wanga?

UC palokha sichiwopseza moyo, koma zovuta zina zitha kukhala. Ichi ndichifukwa chake ndikofunikira kumwa mankhwala anu monga momwe adanenera, ndi cholinga chofuna kukhululukidwa. Kudya chakudya chopatsa thanzi, kuchita masewera olimbitsa thupi nthawi zonse, komanso kuchepetsa thupi kumachepetsa chiopsezo cha khansa ya m'matumbo.

Megacolon woopsa ndi vuto lina lalikulu la UC. Izi zimachitika pamene kutupa kumayambitsa gassiness kwambiri. Gasi wotsekedwa amatha kuyambitsa kukulitsa kwamatumbo kuti asagwire ntchito. Colon yophulika imatha kubweretsa matenda amwazi. Zizindikiro za megacolon wa poizoni zimaphatikizapo kupweteka m'mimba, malungo, komanso kugunda kwamtima mwachangu.

8. Kodi pali njira zochiritsira za UC?

Kuchita opaleshoni ndikulimbikitsidwa kwa UC wovuta yemwe samayankha mankhwala kapena omwe ali ndi zovuta zowopsa. Ngati mukuchitidwa opaleshoni kuti mukonze UC, pali njira ziwiri zomwe mungalole kuchotsa zinyalala mthupi lanu. Ndi ileostomy, dokotalayo amapanga mpata m'mimba mwanu ndikusunthira matumbo ang'onoang'ono kudzera pa bowo. Chikwama chakunja cholumikizidwa kunja kwa mimba yanu chimasonkhanitsa zinyalala. Chikwama cha ileo-anal chingapangidwe opaleshoni kumapeto kwa matumbo anu ang'onoang'ono ndikumangirizidwa ku anus yanu, kulola kuti zinyalala zachilengedwe zichotsedwe.

9. Kodi ndingakhale ndi pakati ndi UC?

UC sichimakhudza kubereka, ndipo azimayi ambiri omwe amatenga pakati amakhala ndi pakati. Koma kukumana ndi zotupa mukakhala ndi pakati kumatha kuonjezera chiopsezo chobadwa msanga. Pofuna kuchepetsa vutoli, dokotala wanu angakulimbikitseni kuti mukwaniritse chikhululukiro musanakhale ndi pakati. Muyeneranso kupewa mankhwala ena musanatenge mimba. Ma immunosuppressants ena amachulukitsa chiopsezo cha kupunduka. Muyeneranso kusintha mankhwala anu mukakhala ndi pakati.

Kutenga

Kukhala ndi UC kumakhudza kuthekera kwanu kugwira ntchito, kuyenda, kapena kuchita masewera olimbitsa thupi, koma kukhazikitsa ubale wabwino ndi dokotala kungakuthandizeni kukhala ndi moyo wathunthu. Chinsinsi ndikutenga mankhwala anu monga momwe mwalangizira ndikukakumana ndi dokotala ngati muli ndi mafunso kapena nkhawa zokhudzana ndi thanzi lanu. Maphunziro ndi kudziwa zomwe muyenera kuyembekezera kuchokera ku izi zingakuthandizeni kupirira.