Ulcerative Colitis Zochitika Mwadzidzidzi ndi Zomwe Muyenera Kuchita

Zamkati

• 1. Pamatumbo
• 2. Fulminant matenda a m'matumbo
• 3. Megakoloni woopsa
• 4. Kutaya madzi m'thupi kwambiri
• 5. Matenda a chiwindi
• 6. Khansa ya m'matumbo
• Tengera kwina

Chidule

Monga munthu wokhala ndi ulcerative colitis (UC), simukudziwa zowawa zomwe zingayambitse matenda monga kutsegula m'mimba, kupunduka m'mimba, kutopa, ndi chopondapo magazi. Popita nthawi, mutha kuphunzira momwe mungachitire ndi moto wanu ndikumva bwino. Koma sizikutanthauza kuti muyenera kutenga chizindikiro chilichonse pang'onopang'ono.

Ngakhale mutha kungokhala ndi zizindikiro zochepa kapena zochepa, zovuta zowopsa zitha kuchitika. Ndikofunika kuti muzindikire zochitika zadzidzidzi ndikupeza thandizo mwachangu. Nazi zovuta zingapo za UC zomwe zimafuna kuti mupite mwachangu kuchipatala kapena kuchipatala.

1. Pamatumbo

Mankhwala odana ndi zotupa komanso ma immunosuppressant nthawi zambiri ndiwo mankhwala oyamba omwe dokotala angakupatseni. Izi zimagwira ntchito yoteteza kutupa ndikuchiritsa zilonda zogwirizana ndi UC. Koma nthawi zina, mankhwalawa sagwira ntchito.

Izi zitha kubweretsa kutupa kosalamulirika komwe kumawononga kapena kufooketsa matumbo a colon. Izi zimayika pachiwopsezo chodzola matumbo, ndipamene dzenje limayamba kukhoma kukhoma.

Kuwonongeka kwa matumbo ndi vuto ladzidzidzi. Phando kukhoma lamkati limalola mabakiteriya kulowa mumimba mwanu. Izi zitha kubweretsa matenda owopsa monga sepsis kapena peritonitis.

Kupweteka m'mimba ndi kutuluka kwamphongo ndizizindikiro za UC. Koma zizindikiro zakuthira matumbo zimaphatikizapo kupweteka kwambiri m'mimba, kutentha thupi kwambiri, komanso kutuluka magazi kwambiri. Zizindikiro zina zimaphatikizira kuzizira kwamthupi, kusanza, ndi nseru.

Ngati mukuganiza kuti zalakwika, itanani 911 kapena pitani kuchipinda chadzidzidzi. Izi ndizadzidzidzi zachipatala zomwe zimafuna kuchitidwa opaleshoni kuti zikonzeke dzenje lanu.

2. Fulminant matenda a m'matumbo

Vutoli limakhudza colon yonse komanso limachitika chifukwa cha kutupa kosalamulirika. Kutupa kumapangitsa kuti kholalo litupire mpaka kutayika, ndipo zizindikiritso zanu za UC zimawonjezereka pakapita nthawi.

Zizindikiro za matenda otupa m'mimba zimaphatikizapo kupweteka kwambiri m'mimba, kukhala ndi matumbo opitilira 10 patsiku, kutuluka magazi kwambiri, ndi malungo.

Anthu ena amakhala ndi kuchepa kwa magazi m'thupi komanso kuwonda msanga. Ngati sanalandire chithandizo, matenda opatsirana pogonana amatha kupita patsogolo ndikuwopseza moyo, chifukwa chake onani dokotala ngati matenda anu a UC akukulirakulira.

Kuchiza kumaphatikizapo kuchipatala komanso corticosteroids yapamwamba. Kutengera ndi kulira kwa matenda anu, mungafunikire kulandira izi kudzera mu mankhwala a intravenous (IV).

3. Megakoloni woopsa

Matenda osakwaniritsidwa omwe amatha kulandira matendawa amatha kupita ku megacolon, vuto lina lalikulu la UC. Pachifukwachi, colon imapitilizabe kutupa kapena kukhathamira, zomwe zimapangitsa m'mimba kupweteka kwambiri.

Gasi ndi ndowe zimatha kudziunjikira m'matumbo. Ngati sanalandire chithandizo, kholalo limatha kuphulika. Izi ndizowopsa mwangozi.

Megacolon woopsa amafunika chithandizo kuchipatala. Madokotala amatha kuyesa kuchotsa mpweya wochuluka kapena zonyansa m'matumbo. Ngati izi sizigwira ntchito, opareshoni imatha kuteteza kholoni lomwe lang'ambika.

Zizindikiro za megacolon wa poizoni zimaphatikizapo kupweteka kwambiri m'mimba ndi kuphulika, kupweteka m'mimba, kuchepa kwamatumbo, ndi malungo akulu.

4. Kutaya madzi m'thupi kwambiri

Kutaya madzi m'thupi kwambiri ndi vuto ladzidzidzi lomwe lingachitike chifukwa cha kutsegula m'mimba kosalekeza, makamaka ngati simumamwa madzi okwanira.

Kutaya madzi m'thupi ndi vuto lalikulu kwa anthu omwe ali ndi UC chifukwa thupi lanu limatha kutaya madzi ambiri ndimayendedwe amtundu uliwonse. Mutha kuchiza vuto losowa madzi m'thupi kunyumba ndikumwa madzi kapena njira yothetsera madzi m'thupi.

Kutaya madzi m'thupi kwambiri ndi vuto lazachipatala. Mungafunike kuchipatala kuti mulandire michere ndi madzi amtundu wa IV.

Zizindikiro zakuchepa kwa madzi m'thupi zimaphatikizapo kuchepa kwa magazi, chizungulire, kugunda mofulumira, kukomoka, kukokana kwambiri kwa minofu, ndi maso otupa.

5. Matenda a chiwindi

Matenda a chiwindi amathanso kuchitika ndi UC. Primary sclerosing cholangitis (PSC) ndimatenda a chiwindi omwe nthawi zina amagwirizanitsidwa ndi UC.

Izi zikapanda kuchitidwa, izi zimatha kubweretsa chiwindi (cirrhosis) kapena kuwonongeka kwanthawi yayitali ya chiwindi.

Komanso, mankhwala a steroid omwe amagwiritsidwa ntchito pochizira kutupa amatha kuyambitsa mafuta m'chiwindi. Izi zimadziwika kuti matenda a chiwindi chamafuta. Chiwindi chamafuta chimasowa chithandizo kapena kuyambitsa zizindikiro zilizonse, koma kuonda kungasinthe.

Ngati muli ndi UC, dokotala wanu amatha kumaliza kuyesa kuyesa chiwindi kuti muwone momwe chiwindi chanu chilili. Zizindikiro za zovuta za chiwindi zimatha kuphatikizira khungu loyabwa ndi jaundice, lomwe limakhala lachikasu pakhungu kapena azungu amaso. Muthanso kukhala ndi ululu kapena kumverera kodzaza mbali yakumanja yakumimba kwanu.

Konzani nthawi yokumana ndi dokotala ngati mukukayikira zovuta za chiwindi.

6. Khansa ya m'matumbo

Kuopsa kwa khansa ya m'matumbo kumawonjezeka kutengera kukula kwa UC wanu. Malinga ndi American Cancer Society (ACS), khansa yamitundumimba ndi khansa yachitatu yomwe imapezeka kwambiri mwa abambo ndi amai ku United States.

Colonoscopy imatha kuzindikira kupezeka kwa zotupa m'matumbo anu. Njirayi imaphatikizapo kuyika kwa chubu chosinthasintha mu rectum yanu kuti muwone m'matumbo.

Zizindikiro za khansa ya m'matumbo ndizofanana ndi za UC. Chifukwa cha izi, zimakhala zovuta kusiyanitsa chikhalidwe china ndi chinzake.

Onani dokotala ngati muwona zakuda, malo ochezera, kapena kusintha kwa ntchito yamatumbo. Onaninso dokotala ngati mukumva kupweteka kwambiri m'mimba, kuchepa thupi kosadziwika, kapena kutopa kwambiri. Khansara ya m'matumbo imatha kuyambitsa chopondapo chocheperako ndipo imakhala ndi magazi ambiri kuposa masiku onse.

Tengera kwina

UC ndizovuta komanso nthawi zina zimafooketsa. Mankhwala ndi kusintha kwa moyo kumatha kukuthandizani kuthana ndi matendawa.

Lankhulani ndi dokotala ngati mukuwona kuti chithandizo chanu cha UC pano sichikugwira ntchito. Kusintha mlingo wanu kapena mankhwala kungabweretse zotsatira zabwino ndikuthandizani kuti mukhululukidwe.

Zinthu zowopsa pamoyo zitha kuchitika mukalephera kuletsa kutupa ndi zilonda zam'mimba. Funsani chithandizo chamankhwala mwachangu ngati mukukula. Zina mwazizindikirozi ndi monga kupweteka m'mimba, kutentha thupi kwambiri, kutsegula m'mimba, kapena kutuluka magazi kwambiri.