Zifukwa 8 Chithandizo Chanu Cha Ulcerative Colitis Chitha Kusintha Pakapita Nthawi

Zamkati

• Momwe madokotala amathandizira ulcerative colitis
• 1. Chithandizo choyamba chomwe mudayesa sichinathandize
• 2. Matenda anu afika poipa
• 3. Muli pachiwopsezo
• 4. Muli ndi zizindikiro zina
• 5. Mukukhala ndi zotsatirapo zoyipa
• 6. Mwakhala muli pa steroids pakamwa kwa nthawi yayitali
• 7. Mankhwala sakuyang'anira matenda anu
• 8. Mukukhululukidwa
• Tengera kwina

Mukakhala ndi ulcerative colitis (UC), chitetezo chamthupi choyipa chimapangitsa chitetezo chamthupi lanu kumenyera m'mbali mwa matumbo anu akulu (colon). Zoyala zam'mimba zimatupa ndipo zimapanga zilonda zotchedwa zilonda, zomwe zimatha kubweretsa zizindikilo monga kutsekula kwamagazi ndikufunika kofulumira.

UC sichisonyeza chimodzimodzi mwa munthu aliyense. Komanso sizikhala chimodzimodzi pakapita nthawi. Zizindikiro zanu zitha kuwonekera kwakanthawi, kukhala bwino, ndikubweranso.

Momwe madokotala amathandizira ulcerative colitis

Cholinga cha dokotala wanu pokuthandizani ndikuti muchepetse zizindikiro zanu. Nthawi zopanda zizindikirozi zimatchedwa kuchotsera.

Ndi mankhwala ati omwe mumamwa koyamba zimadalira momwe zizindikiro zanu zilili zovuta.

• Wofatsa: Mumakhala ndi zotchinga zinayi tsiku lililonse komanso kupweteka pang'ono m'mimba. Manyowa atha kukhala amwazi.
• Wamkati: Mumakhala ndi zidole zinayi kapena zisanu ndi chimodzi patsiku, zomwe zingakhale zamagazi. Muthanso kukhala ndi kuchepa kwa magazi m'thupi, kuchepa kwa maselo ofiira athanzi.
• Kwambiri: Muli ndi malo ogulitsira magazi opitilira sikisi patsiku, kuphatikiza zizindikiro monga kuchepa magazi komanso kuthamanga kwa mtima.

Anthu ambiri omwe ali ndi UC ali ndi matenda ochepera pang'ono omwe amakhala ndi zizindikilo zina, zotchedwa flares, ndi kuchotsera. Kukupangitsani kuti mukhululukidwe ndiye cholinga cha chithandizo. Matenda anu akamakulirakulirabe, dokotala angafunikire kusintha mankhwala anu.

Nazi zifukwa zisanu ndi zitatu zomwe chithandizo chanu cha UC chingasinthe pakapita nthawi.

1. Chithandizo choyamba chomwe mudayesa sichinathandize

Chithandizo choyamba chomwe anthu ambiri omwe ali ndi kuyesa pang'ono UC kuyesa ndi mankhwala odana ndi zotupa otchedwa aminosalicylate. Gulu la mankhwalawa limaphatikizapo:

• sulfasalazine (Azulfidine)
• mesalamine (Asacol HD, Delzicol)
• balsalazide (Colazal)
• olsalazine (Dipentum)

Ngati mutatenga imodzi mwa mankhwalawa kwakanthawi ndipo sizinakuletsereni zizindikilo zanu, dokotala wanu akhoza kukusinthani kupita ku mankhwala ena m'kalasi lomwelo. Njira ina yosonyeza kuuma mtima ndiyo kuwonjezera mankhwala ena, monga corticosteroid.

2. Matenda anu afika poipa

UC imatha kukulirakulira pakapita nthawi. Ngati munayamba ndi mawonekedwe ofatsa, koma tsopano zizindikilo zanu ndizovuta, dokotala wanu adzasintha mankhwala anu.

Izi zitha kutanthauza kuti ndikupatseni mankhwala ena, monga corticosteroid. Kapena, mutha kuyamba ndi mankhwala a anti-TNF. Izi zikuphatikiza adalimumab (Humira), golimumab (Simponi), ndi infliximab (Remicade). Mankhwala a anti-TNF amaletsa chitetezo cha mthupi chomwe chimalimbikitsa kutupa m'matumbo anu am'mimba (GI).

3. Muli pachiwopsezo

Zizindikiro za UC zimabwera ndikudutsa nthawi. Mukakhala ndi zizindikilo monga kutsekula m'mimba, kupweteka m'mimba, komanso kufulumira, zikutanthauza kuti mukukula. Mukamayaka, mungafunikire kusintha mlingo wanu kapena kusintha mtundu wa mankhwala omwe mumamwa kuti muchepetse matenda anu.

4. Muli ndi zizindikiro zina

Kutenga mankhwala a UC kudzakuthandizani kuthana ndi matenda anu ndikupewa kuyatsa. Mungafunike kuwonjezerapo ndi mankhwala ena kuti muzitha kuchiza matenda monga:

• malungo: maantibayotiki
• kupweteka pamodzi kapena malungo: mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga aspirin, ibuprofen (Advil, Motrin), kapena naproxen (Aleve)
• kuchepa kwa magazi m'thupi: zowonjezera zitsulo

Zina mwa mankhwalawa zimatha kukhumudwitsa thirakiti lanu la GI ndikupangitsa UC wanu kukulirakulira. Ichi ndichifukwa chake ndikofunikira kufunsa dokotala musanamwe mankhwala atsopano - ngakhale omwe mumagula kumalo ogulitsira mankhwala opanda mankhwala.

5. Mukukhala ndi zotsatirapo zoyipa

Mankhwala aliwonse amatha kuyambitsa zovuta, ndipo chithandizo cha UC sichimasiyana. Anthu ena omwe amamwa mankhwalawa amatha:

• nseru
• mutu
• malungo
• zidzolo
• mavuto a impso

Nthawi zina zotsatira zoyipa zimatha kukhala zovuta mokwanira kuti musiye kumwa mankhwalawo. Izi zikachitika, dokotala wanu adzakusinthanitsani ndi mankhwala ena.

6. Mwakhala muli pa steroids pakamwa kwa nthawi yayitali

Mapiritsi a Corticosteroid ndi abwino kuthana ndi ma flares kapena kuwongolera UC owonjezera, koma siogwiritsira ntchito nthawi yayitali. Dokotala wanu akuyenera kukupatsani ma corticosteroids kuti muchepetse zizindikilo zanu, kenako ndikuchotsani.

Kugwiritsa ntchito steroid kwa nthawi yayitali kumatha kuyambitsa zovuta monga:

• mafupa ofooka (kufooka kwa mafupa)
• kunenepa
• chiopsezo chowonjezeka cha ng'ala
• matenda

Pofuna kuti mukhale omasuka popanda kuopsa kwa zotsatira zoyipa za steroid, dokotala wanu amatha kukusinthani ndi mankhwala a anti-TNF kapena mtundu wina wa mankhwala.

7. Mankhwala sakuyang'anira matenda anu

Mankhwala amatha kuteteza zizindikilo za UC kwakanthawi, koma nthawi zina zimatha kusiya kugwira ntchito mtsogolo. Kapena, mutha kuyesa mankhwala angapo osagwiritsa ntchito mwayi. Pamenepo, itha kukhala nthawi yolingalira za opaleshoni.

Mtundu wa opaleshoni yomwe imagwiritsidwa ntchito pochizira UC umatchedwa proctocolectomy. Munthawi imeneyi, m'matumbo mwanu ndi m'matumbo mumachotsedwa. Dokotalayo amapanga thumba - kaya mkati kapena kunja kwa thupi lanu - kusunga ndi kuchotsa zinyalala. Opaleshoni ndi sitepe yayikulu, koma imatha kuthetsa zizindikilo za UC kwamuyaya kuposa mankhwala.

8. Mukukhululukidwa

Ngati muli mu chikhululukiro, zikomo! Mwakwaniritsa cholinga chanu chamankhwala.

Kukhala wokhululukidwa sikutanthauza kuti muyenera kusiya kumwa mankhwala anu. Komabe, zitha kukulolani kuti muchepetse mlingo wanu, kapena kuti mubweretse ma steroids. Dokotala wanu akhoza kukupatsani chithandizo chamtundu wina kwa nthawi yayitali kuti muteteze moto watsopano ndikuonetsetsa kuti mukukhalabe okhululukidwa.

Tengera kwina

UC imatha kusintha pakapita nthawi. Pamodzi ndi kusintha kwa zina ndi moto, matenda anu amatha kukulirakulira. Kuwona dokotala wanu kuti akakuyeseni pafupipafupi kumatha kuonetsetsa kuti mwapeza ndikuchiza zizindikilo zatsopano kapena zoyipa msanga.

Ngati mukumwa mankhwala koma simukumva bwino, auzeni dokotala wanu. Simuyenera kukhala ndi vuto lotsekula m'mimba, kukokana, ndi zizindikilo zina.

Powonjezera mankhwala atsopano kuchipatala kapena kusintha mankhwala, dokotala ayenera kupeza chinthu chomwe chingakuthandizeni. Ngati mwayesapo mankhwala angapo osapambana, opareshoni imatha kukupatsani yankho lokhalitsa pazizindikiro zanu.