Kumvetsetsa Ulcerative Colitis Pain: Momwe Mungapezere Mpumulo Pakukwiya

Zamkati

• Mankhwala owonjezera ogulitsa
• Kusintha kwa zakudya
• Njira zochepetsera kupsinjika
• Mankhwala oletsa kutupa
• Mankhwala a Immunosuppressant
• Zamoyo
• Opaleshoni
• Njira zothandizira komanso zina

Ulcerative colitis kupweteka

Ulcerative colitis (UC) ndi mtundu wa matenda opatsirana omwe amatha kupweteketsa mtima.

UC umayambitsidwa ndi kutupa kwanthawi yayitali, komwe kumayambitsa zilonda zotseguka zotchedwa zilonda mkatikati mwa matumbo anu, kapena matumbo akulu, ndi rectum. Kukhala ndi ululu wambiri kumatha kukhala chisonyezo chakuti matendawa akukula kapena kukulirakulira.

Kutupa komwe mumakhala nako m'matumbo mwanu komanso komwe kutupa uku kumakhazikitsa komwe kumamveketsa ululu. Kupunduka m'mimba komanso kupweteka pang'ono m'mimba komanso m'matumbo ndizofala. Ululu ukhoza kukhala wokhalitsa, kapena ukhoza kuzimiririka pamene kutupa kumatha.

Kukhululukidwa kwakanthawi pakati pamawonekedwe ofala ndikofala. Mukakhululukidwa, zizindikilo zanu zimatha kuchepa kapena kutha kwathunthu.

Anthu omwe ali ndi UC wofatsa amatha kupsinjika ndikukakamizidwa kokha. Matendawa akamakula ndikutupa ndi zilonda zambiri m'matumbo, kupweteka kumatha kuwoneka ngati kukomoka kapena kukakamizidwa kwambiri komwe kumamangika ndikumatulutsa mobwerezabwereza.

Kupweteka kwa gasi ndi kuphulika kumathanso kuchitika, ndikupangitsa kuti chisangalalo chikhale choipa kwambiri.

Ngati muli ndi mtundu wa UC womwe umadziwika kuti ulcerative colitis kumanzere, mbali yanu yakumanzere imathanso kumva kukhudzidwa.

Ngati sanalandire chithandizo, zowawa zomwe zimakhudzana ndi UC zitha kupangitsa kuti zikhale zovuta kugwira ntchito, kuchita masewera olimbitsa thupi, kapena kusangalala ndi zochitika za tsiku ndi tsiku. Kuchepetsa matendawa kudzera m'mankhwala, kuchepetsa kupsinjika, komanso zakudya zingathandize kuthana ndi ululu.

Kupweteka komwe kumakhudzana ndi UC kumatha kuchepetsa moyo wanu wonse. Ngati mukumva kupweteka kosalekeza, pamlingo uliwonse, pali njira zambiri zamankhwala zomwe mungakambirane ndi dokotala zomwe zingakuthandizeni kuti mukhale bwino.

Mankhwalawa amathanso kukuthandizani kuti muzitha kuchita zinthu za tsiku ndi tsiku. Dokotala wanu angakulimbikitseni mankhwala osiyanasiyana, kusintha kwa zakudya, ndi zina zothandizira kuti muthe kupweteka kwa UC.

Mankhwala owonjezera ogulitsa

Ngati mukumva kuwawa pang'ono, mankhwala monga acetaminophen (Tylenol) akhoza kukhala okwanira kunyenga.

Koma musatembenukire ku mankhwala ena opweteka a kuntchito (OTC) m'malo mwake. Mankhwala otsatirawa a OTC sayenera kutengedwa chifukwa cha ululu wa UC, chifukwa amatha kuyambitsa ziwopsezo ndikupangitsa zizindikilo zina, monga kutsegula m'mimba, kukhala zoyipa:

• ibuprofen (Motrin IB, Advil)
• aspirin (Bufferin)
• naproxen (Aleve, Naprosyn)

Kusintha kwa zakudya

Zomwe mumadya sizingayambitse UC, koma zakudya zina zitha kukulitsa zizindikiritso zanu ndipo zimatha kupangitsa kupweteka ndikupwetekedwa. Kusunga zolemba za chakudya kumatha kukuthandizani kuzindikira zomwe zingayambitse chakudya chomwe mungakhale nacho.

Zakudya wamba zomwe muyenera kupewa ndi izi:

• zopangira mkaka mu lactose, monga mkaka
• zakudya zamafuta ambiri, monga zinthu zonona kapena zokazinga, nyama ya ng'ombe, ndi shuga, ndiwo zochuluka mchere
• Zakudya zosinthidwa, monga chakudya chachisanu ndi mpunga wamphesa
• zakudya zamtundu wapamwamba, monga mbewu zonse
• masamba opangira gasi, monga ziphuphu za Brussels ndi kolifulawa
• zakudya zokometsera
• zakumwa zoledzeretsa
• Zakumwa zopangidwa ndi khofi, monga khofi, tiyi, ndi kola

Zingathandize kudya kangapo patsiku m'malo modyera zazikulu zitatu. Muyeneranso kumwa madzi ambiri - osachepera magalasi eyiti eyiti patsiku. Izi sizingachepetse kuchepa kwa chakudya chanu, kutulutsa mpweya wocheperako, komanso kuthandizira matumbo kuyenda bwino m'dongosolo lanu.

Njira zochepetsera kupsinjika

Kamodzi kalingaliridwa kuti kadzetsa UC, kupsinjika tsopano kumawoneka ngati komwe kumayambitsa kukwiya kwa UC mwa anthu ena. Kusamalira ndi kuchepetsa kupsinjika kungathandize kuchepetsa zizindikiro za UC, monga kutupa, ndi kupweteka.

Njira zosiyanasiyana zopezera kupanikizika zimagwirira ntchito anthu osiyanasiyana, ndipo mutha kuwona kuti kuyenda pang'ono m'nkhalango ndikupumira kwambiri ndi komwe kumakupindulitsani kwambiri. Yoga, kusinkhasinkha mwamaganizidwe, komanso kuchita masewera olimbitsa thupi kungathandizenso kuchepetsa nkhawa kwa anthu omwe ali ndi UC.

Mankhwala oletsa kutupa

Kutupa ndi komwe kumayambitsa zowawa zambiri zokhudzana ndi UC. Mankhwala angapo amatha kuthandiza kuchepetsa kutupa m'matumbo anu. Dokotala wanu akhoza kukuthandizani kusankha mtundu womwe uli woyenera kwa inu kutengera gawo lanu lamatumbo lomwe lakhudzidwa komanso gawo lanu lowawa.

Mankhwala odana ndi zotupa omwe angathandize kuphatikiza corticosteroids, monga prednisone ndi hydrocortisone.

Amino salicylates ndi gulu lina la mankhwala odana ndi zotupa. Izi nthawi zina zimapatsidwa ululu wa UC. Pali mitundu yambiri, kuphatikiza:

• mesalamine (Asacol, Lialda, Canasa)
• sulfasalazine (Azulfidine)
• balsalazide (Colazal, Giazo)
• olsalazine (Dipentum)

Mankhwala odana ndi zotupa amatha kumwa pakamwa ngati mapiritsi kapena makapisozi kapena kuperekedwa kudzera mu ma suppositories kapena enemas. Zitha kuperekedwanso kudzera m'mitsempha. Mankhwala ambiri odana ndi zotupa amatha kuyambitsa zovuta zamitundu yosiyanasiyana.

Mungafunike kuyesa mitundu yoposa imodzi musanapeze imodzi yabwino yazizindikiro zanu. Mankhwala aliwonse amagulitsidwa ndi mayina angapo.

Mankhwala a Immunosuppressant

Mankhwala osokoneza bongo amatha kuperekedwa okha kapena kuwonjezera pa mankhwala oletsa kutupa. Amachepetsa kupweteka pogwira ntchito yoletsa chitetezo cha mthupi lanu kuti chisayambitse kutupa. Pali mitundu yosiyanasiyana, kuphatikiza:

• azathioprine (Azasan, Imuran)
• mercaptopurine (Purixan)
• cyclosporine (Sandimmune)

Mankhwala a immunosuppressant amagwiritsidwa ntchito mwa anthu omwe samayankha bwino mitundu ina ya mankhwala ndipo amapangidwira kugwiritsa ntchito kwakanthawi. Zitha kukhala zowononga chiwindi ndi kapamba.

Zitha kubweretsa zovuta zoyipa, kuphatikiza kutsika kwakanthawi kothana ndi matenda opatsirana, komanso khansa zina, monga khansa yapakhungu. Cyclosporine yakhala ikugwirizanitsidwa ndi matenda opha, kugwidwa, ndi kuwonongeka kwa impso.

Zamoyo

Biologics ndi mtundu wina wa mankhwala opatsirana pogonana. Mtundu umodzi wa biologic ndi chotupa necrosis factor alpha inhibitors (TNF-alpha).

Mankhwala a TNF-alpha amapangidwa kuti agwiritsidwe ntchito kwa anthu omwe ali ndi UC yovuta kwambiri omwe sanayankhe bwino ku mitundu ina yamankhwala. Amathandizira kuletsa kupweteka pochotsa mapuloteni opangidwa ndi chitetezo chamthupi. Mtundu umodzi wa mankhwala a TNF-alpha ndi infliximab (Remicade).

Otsutsa a Integrin receptor ndi mtundu wina wa biologics. Izi zikuphatikizapo vedolizumab (Entyvio), yomwe idavomerezedwa kuti ichiritse UC mwa akulu.

Biologics yakhala ikugwirizanitsidwa ndi mitundu yoopsa ya matenda ndi chifuwa chachikulu.

Opaleshoni

Nthawi zovuta kwambiri, opaleshoni ikhoza kukhala njira yabwino kwambiri yochotsera UC ndi zowawa zake. Opaleshoni yomwe imagwiritsidwa ntchito kwambiri amatchedwa proctocolectomy. Zimafunikira kuchotsedwa kwa colon yanu yonse ndi rectum.

Pochita opareshoni, thumba lomwe lamangidwa kuchokera kumapeto kwa matumbo anu aang'ono limalumikizidwa ndi anus yanu. Izi zimalola kuti zinyalala zizichitika bwinobwino, kutanthauza kuti simuyenera kuvala chikwama chakunja.

Njira zothandizira komanso zina

Njira zina monga kutema mphini zitha kuthandiza kuchepetsa ndikuwongolera kutupa kwa m'mimba, kuchepetsa kupweteka kwa UC.

Njira ina yothandizira ina yotchedwa moxibustion itha kukhala ndi zotsatirapo zabwino pazizindikiro za UC. Moxibustion ndi mtundu wa mankhwala othandizira kutentha. Amagwiritsa ntchito zouma zouma mu chubu kuti ziwotche khungu, nthawi zambiri m'malo omwe amakonzedwa ndi kutema mphini.

Chikuwonetsa kuti kutema mphini ndi moxibustion zitha kukhala zothandiza mukamagwiritsa ntchito panokha, limodzi, kapena ngati mankhwala othandizira. Koma owunikirako adawonetsa kuti kafukufuku wina amafunika njira izi zisanachitike ngati njira zovomerezeka za matenda a UC ndi zowawa.