Zilonda za Ulcerative Colitis Treatment

Zamkati

• Zilonda zam'mimba
• Zakudya ndi zakudya zopatsa thanzi
• Kusamalira nkhawa
• Mankhwala
• Aminosalicylates
• Corticosteroids
• Ma Immunomodulators
• Zamoyo
• Opaleshoni
• Tengera kwina

Zilonda zam'mimba

Kulimbana ndi ulcerative colitis kumatha kubweretsa zovuta.

Matendawa, omwe amakhudza anthu pafupifupi 1 miliyoni ku United States, amayambitsa kutupa ndi zilonda m'mbali mwa kholingo ndi m'matumbo.

Pamene kutupa kumakulirakulira, maselo omwe amayenda m'malo amenewa amafa, zomwe zimayambitsa magazi, matenda, ndi kutsegula m'mimba.

Vutoli lingayambitse:

• malungo
• kuchepa kwa magazi m'thupi
• kutopa
• kupweteka pamodzi
• njala
• kuonda
• zotupa pakhungu
• kuperewera kwa zakudya
• kukula kwa ana

Zomwe zimayambitsa ulcerative colitis sizikudziwika bwinobwino. Akatswiri ambiri amakhulupirira kuti izi zimachitika chifukwa cha chitetezo chamthupi komanso kulephera kuthana ndi mabakiteriya am'mimba.

Dokotala wanu atha kufunsa kuti akayezetsedwe magazi, zopondapo, barium enema, ndi colonoscopy. Kuyesedwa kwamankhwala uku kuwathandiza kudziwa ngati ulcerative colitis ikuyambitsa zizindikilo zanu kapena zizindikilo zanu zimayambitsidwa ndi vuto lina monga matenda a Crohn, matenda a diverticular, kapena khansa.

Zilonda zam'mimba ziyenera kutsimikiziridwa ndi biopsy ya minofu panthawi ya colonoscopy.

Ngati mwapezeka kuti muli ndi ulcerative colitis, ndikofunikira kuti mugwire ntchito ndi omwe amakuthandizani kuti mupange dongosolo lamankhwala lomwe limayang'anira ndikuletsa ziwopsezo kuti colon yanu ichiritse.

Chifukwa zizindikiro ndi zotsatira za matendawa zimasiyana, palibe chithandizo chimodzi chokha chomwe chimagwira aliyense. Mankhwala nthawi zambiri amayang'ana pa:

• zakudya ndi zakudya
• msinkhu wopanikizika
• mankhwala

Zakudya ndi zakudya zopatsa thanzi

Ndibwino kudya chakudya chochepa tsiku lonse. Pewani zakudya zopangira mafuta ambiri ngati izi ndizovuta kwa inu. Zitsanzo za zakudya zomwe muyenera kupewa ndi UC ndi izi:

• mtedza
• mbewu
• nyemba
• mbewu zonse

Zakudya zamafuta ndi zonenepa zimathandizanso kutukusira ndi kupweteka. Kawirikawiri, zakudya zabwino ndizo:

• mbewu zotsika kwambiri
• nkhuku zophika, nkhumba, ndi nsomba
• Zipatso ndi ndiwo zamasamba zotentha / zophika kapena zophika

Kutumiza madzi tsiku lonse kumatha kuthandiza kugaya chakudya ndikuthandizira kuchepetsa kutupa. Dziwani zambiri pazakudya zomwe zitha kuthandiza anthu omwe ali ndi UC.

Kusamalira nkhawa

Kuda nkhawa ndi mantha kumatha kukulitsa zizindikilo. Njira zolimbitsa thupi komanso kupumula zomwe zimakuthandizani kuti muchepetse nkhawa zanu zitha kukhala zothandiza. Izi zikuphatikiza:

• wachidwi
• zofikisa
• kusinkhasinkha
• mankhwala

Kodi pali ubale wotani pakati pa kupsinjika ndi ma UC flareups?

Mankhwala

Dokotala wanu akhoza kukupatsani mankhwala kuti akhululukire kapena asunge chikhululukiro. Ngakhale mitundu ingapo ya mankhwala ilipo, mankhwala aliwonse amagwera m'magulu anayi oyambira.

Aminosalicylates

Mankhwalawa ali ndi 5-aminosalicyclic acid (5-ASA), yomwe imathandiza kuthana ndi kutupa m'matumbo.

Aminosalicylates amatha kuperekedwa:

• pakamwa
• kudzera mu enema
• mu chowonjezera

Nthawi zambiri amatenga milungu 4 mpaka 6 kuti agwire ntchito. Komabe, zimatha kuyambitsa zovuta zina, kuphatikiza:

• nseru
• kusanza
• kutentha pa chifuwa
• kutsegula m'mimba
• mutu

Corticosteroids

Gulu la mankhwala a steroid - kuphatikiza prednisone, budesonide, methylprednisolone, ndi hydrocortisone - zimathandiza kuchepetsa kutupa.

Amagwiritsidwa ntchito nthawi zambiri ngati mukukhala ndi zilonda zam'mimba zolimbitsa thupi, kuphatikizaponso ngati simunayankhe mankhwala 5-ASA.

Corticosteroids imatha kutumizidwa pakamwa, kudzera m'mitsempha, kudzera mu enema, kapena m'malo operekera zakudya. Zotsatira zoyipa zimaphatikizapo:

• ziphuphu
• tsitsi lakumaso
• matenda oopsa
• matenda ashuga
• kunenepa
• kusinthasintha
• kutayika kwa mafupa
• chiopsezo chowonjezeka cha matenda

Steroids amagwiritsidwa ntchito kwakanthawi kochepa kuti achepetse zovuta za ulcerative colitis flare-up, osati ngati mankhwala azatsiku ndi tsiku kuti athetse zizindikilo.

Ulcerative colitis ikakhala yovuta kwambiri, dokotala wanu amatha kukupatsani mankhwala tsiku lililonse kuti akuthandizeni kukhala ndi moyo wabwino.

Ma Immunomodulators

Mankhwalawa, kuphatikizapo azathioprine ndi 6-mercapto-purine (6-MP), amathandiza kuchepetsa kutupa kwa chitetezo chamthupi - ngakhale atha kutenga miyezi 6 kuti agwire bwino ntchito.

Ma immunomodulators amaperekedwa pakamwa ndipo amagwiritsidwa ntchito ngati simukuyankha bwino kuphatikiza kwa 5-ASAs ndi corticosteroids. Zotsatira zoyipa ndizo:

• kapamba
• matenda a chiwindi
• amachepetsa kuchuluka kwa maselo oyera a magazi
• chiopsezo chowonjezeka cha matenda

Zamoyo

Awa ndi gulu latsopanoli la mankhwala omwe amagwiritsidwa ntchito ngati njira ina yodzitetezera kumatenda am'mimba kuti athetse matenda am'mimba mwa anthu omwe sanayankhe bwino kuchipatala.

Biologics ndi yovuta kwambiri ndipo imalunjika mapuloteni enieni. Amatha kuperekedwa kudzera mu kulowetsedwa kwa jakisoni kapena jakisoni. Pakadali pano pali mankhwala angapo ovomerezeka a FDA ochiza ulcerative colitis:

• alirazamalik (Alirazamalik)
• adalimumab (Humira)
• golimumab (Simponi)
• infliximab (Kutulutsa)
• vedolizumab (Entyvio)

Pezani zambiri zakugwiritsa ntchito biologics kuti muchiritse UC modetsa nkhawa.

Opaleshoni

Ngati njira zina zamankhwala sizinagwire ntchito, mutha kukhala ofuna kuchitidwa opaleshoni.

Anthu ena omwe ali ndi UC pamapeto pake amasankha kuchotsa ma coloni awo chifukwa chodwala kwambiri magazi ndi matenda - kapena kukhala ndi chiopsezo chowonjezeka cha khansa.

Pali mitundu inayi ya maopaleshoni omwe alipo:

• zobwezeretsa proctocolectomy ndi ileal thumba-anal anastomosis
• colectomy yathunthu yam'mimba ndi ileorectal anastomosis
• colectomy yonse yam'mimba yokhala ndi ileostomy yotsiriza
• proctocolectomy yathunthu ndi ileostomy yotsiriza

Ngati muli ndi ulcerative colitis, pewani mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs), omwe angapangitse kuti zizindikiro ziwonjezeke.

Lankhulani ndi dokotala wanu kuti apange njira yothandizira yomwe ingathetsere zosowa zanu zaumoyo.

Komanso, chifukwa cha chiwopsezo chowonjezeka cha khansa yomwe imalumikizidwa ndi ulcerative colitis, lembani mayeso chaka chilichonse kapena zaka ziwiri zilizonse, malinga ndi malingaliro a dokotala wanu.

Ndi njira yoyenera, ndizotheka kuthana ndi zilonda zam'mimba ndikukhala moyo wabwinobwino.

Kodi chimachitika ndi chiyani ngati simukufuna chithandizo cha UC?

Tengera kwina

Ulcerative colitis ikhoza kukhala yovuta kuchiza. Komabe, pali njira zingapo zamankhwala zomwe zingapezeke.

Lankhulani ndi dokotala wanu za matenda anu. Pamodzi mutha kupanga dongosolo lamankhwala lomwe lingakuthandizeni kwambiri.