Ulcerative colitis

Ulcerative colitis mamiriro mune iyo lining yemakuru matumbo (colon) uye rectum inopiswa. Icho chimiro chechirwere chinoputira chirwere (IBD). Chirwere cheCrohn chiitiko chakabatana.

Chikonzero che ulcerative colitis hachizivikanwe. Vanhu vane chirwere ichi vane matambudziko nema immune system. Zvisinei, hazvisi pachena kana matambudziko ekudzivirira chirwere achikonzera chirwere ichi. Kushungurudzika uye zvimwe zvekudya zvinogona kukonzera zviratidzo, asi hazvikonzere ulcerative colitis.

Ulcerative colitis inogona kukanganisa chero zera reboka. Kune akakwirira pamakore gumi kusvika gumi nemashanu uyezve pamakore makumi mashanu kusvika makumi manomwe.

Chirwere chinotanga munzvimbo yakatenderera. Inogona kugara murectum kana kupararira kunzvimbo dzakakwirira dzemukati utumbo. Nekudaro, chirwere hachipfuure nzvimbo. Inogona kusanganisira ura hwese hukuru nekufamba kwenguva.

Njodzi zvinhu zvinosanganisira nhoroondo yemhuri ye ulcerative colitis kana zvimwe zvirwere zvemuviri, kana madzitateguru echiJuda.

Zviratidzo zvinogona kuve zvakanyanya kana zvishoma zvakanyanya. Vanogona kutanga zvishoma nezvishoma kana kamwe kamwe. Hafu yevanhu inongova nezviratidzo zvishoma. Vamwe vane kurwiswa kwakanyanya kunoitika kazhinji. Zvinhu zvakawanda zvinogona kukonzera kurwiswa.

Zviratidzo zvinogona kusanganisira:

• Marwadzo mudumbu (dumbu nzvimbo) uye kupwanya.
• Ruzha kana ruzha runonzwika pamusoro pematumbo.
• Ropa uye pamwe mafuru muzvigaro.
• Dhairrhea, kubva pane mashoma episheni kusvika kazhinji.
• Kupindwa nechando.
• Kunzwa kuti iwe unoda kupfuura zvituru, kunyangwe ura hwako hwatova husina chinhu. Zvinogona kusanganisira kumanikidza, kurwadziwa, uye kupwanya (tenesmus).
• Kuonda.

Kukura kwevana kunogona kunonoka.

Zvimwe zviratidzo zvinogona kuitika ne ulcerative colitis zvinosanganisira zvinotevera:

• Joint kurwadziwa uye kuzvimba
• Muromo maronda (maronda)
• Kusvotwa uye kurutsa
• Mapundu eganda kana maronda

Colonoscopy ne biopsy inowanzo shandiswa kuongorora ulcerative colitis. Colonoscopy inoshandiswa zvakare kuongorora vanhu vane ulcerative colitis yekenza yekoloni.

Mimwe bvunzo inogona kuitwa kubatsira kuongorora mamiriro aya anosanganisira:

• Barium enema
• Yakazara kuverenga ropa (CBC)
• C-inoshanda mapuroteni (CRP)
• Erythrocyte sedimentation chiyero (ESR)
• Chitsiko calprotectin kana lactoferrin
• Antibody kuongororwa neropa

Dzimwe nguva, kuyedzwa kwemukati mudumbu kunodiwa kusiyanisa pakati pe ulcerative colitis neCrohn chirwere, kusanganisira:

• CT scan
• MRI
• Kumusoro endoscopy kana capsule kudzidza
• MR maitiro

Zvinangwa zvekurapa ndezvekuti:

• Chengetedza kurwiswa kwakanyanya
• Dzivirira kurwiswa kwakadzokororwa
• Batsira colon kupora

Munguva yechiitiko chakakomba, ungangoda kurapwa muchipatara nekuda kwekurwiswa kwakanyanya. Chiremba wako anogona kunyorera corticosteroids. Unogona kupihwa zvinovaka muviri kuburikidza netsinga (IV mutsara).

KUDYA NOKUDYA

Dzimwe mhando dzezvikafu dzinogona kuwedzera manyoka uye gasi zviratidzo. Dambudziko iri rinogona kunyanyisa panguva dzechirwere. Kudya mazano anosanganisira:

• Idya zvishoma zvekudya mukati mezuva.
• Inwa mvura yakawanda (inwa zvishoma zuva rese).
• Dzivisa high-fiber chikafu (bran, bhinzi, nzungu, mhodzi, uye popcorn).
• Dzivisa chikafu chine mafuta, chakakora kana chakakangwa uye sauces (batare, majarini, uye nzara cream).
• Deredza zvigadzirwa zvemukaka kana iwe uri lactose isingashiviriri. Zvigadzirwa zvemukaka ndizvo zvakanaka sosi yeprotein uye calcium.

KUShushikana mupfungwa

Iwe unogona kunzwa kunetseka, kunyara, kana kutosuruvara kana kushushikana nezvekuita tsaona yemudumbu. Zvimwe zviitiko zvinoshungurudza muhupenyu hwako, sekufamba, kana kurasikirwa nebasa kana munhu waunoda zvinogona kukonzera kuwedzera kwematambudziko ekugaya.

Kumbira mubatsiri wako wezvehutano nezvematipi ekugadzirisa kushungurudzika kwako.

MISHONGA

Mishonga inogona kushandiswa kudzikisa huwandu hwekurwiswa inosanganisira:

• 5-aminosalicylates senge mesalamine kana sulfasalazine, iyo inogona kubatsira kudzora zvine mwero zviratidzo. Mamwe mafomu emushonga anotorwa nemuromo. Zvimwe zvinofanirwa kuiswa mukati meye rectum.
• Mishonga yekunyaradza immune system.
• Corticosteroids senge prednisone. Vanogona kutorwa nemuromo panguva yemoto-up kana kuiswa mukati meguru.
• Immunomodulators, mishonga inotorwa nemuromo inokanganisa immune system, senge azathioprine uye 6-MP.
• Biologic therapy, kana iwe ukasapindura kune mamwe madhiragi.
• Acetaminophen (Tylenol) inogona kubatsira kubvisa marwadzo mashoma. Dzivisa zvinodhaka zvakadai saaspirin, ibuprofen (Advil, Motrin), kana naproxen (Aleve, Naprosyn). Izvi zvinogona kuita kuti zviratidzo zvako zviwedzere.

Kuvhiya

Kuvhiya kubvisa colon kunorapa ulcerative colitis uye kubvisa tyisidziro yekenza yekoloni. Unogona kuda kuvhiyiwa kana uine:

• Colitis iyo isingapindure kune yakakwana yekurapa kurapwa
• Shanduko mumutsara wekoloni unoratidza kuwedzera kwengozi yekenza
• Zvinetso zvakakomba, zvakadai sekuputika kwekoloni, kubuda ropa kwakanyanya, kana megacolon ine chepfu

Kazhinji yenguva, iyo colon yese, kusanganisira iyo rectum, inobviswa. Mushure mekuvhiyiwa, unogona kunge uine:

• Kuvhura mudumbu mako kunonzi stoma (ileostomy). Stool inodonha kunze kuburikidza neiyi yekuvhura.
• Maitiro anobatanidza ura hudiki kune anus kuti awane zvakajairika ura mashandiro.

Rutsigiro rwemagariro runogona kubatsira nekushushikana kwekubata nechirwere, uye nhengo dzeboka rekutsigira dzinogona zvakare kuve nemazano anobatsira ekutsvaga kurapwa kwakanyanya uye kurarama nemamiriro acho.

ICrohn's neColitis Foundation yeAmerica (CCFA) ine ruzivo uye zvinongedzo zvekutsigira mapoka.

Zviratidzo zvinyoro mune imwe hafu yevanhu vane ulcerative colitis. Zvimwe zviratidzo zvakakomba hazvigone kupindura zvakanaka kumishonga.

Mushonga unongogoneka kuburikidza nekubviswa kwakazara kweiyo hombe ura.

Ngozi yekenza yekoloni inowedzera mune gumi gumi mushure mekurwara kwechirwere.

Iwe une njodzi yakakwira yekenza yemudumbu uye yekoloni kana uine ulcerative colitis. Pane imwe nguva, mupi wako anokurudzira bvunzo kuti utarise cancer yekoloni.

Zvimwe zvikamu zvakakomba zvinodzokorodza zvinogona kukonzera madziro ematumbu kuti awedzere, zvichitungamira ku:

• Colon kudzikira kana kuvhara (zvinowanzoitika muCrohn chirwere)
• Zvikamu zvekubuda ropa zvakanyanya
• Zvirwere zvakakomba
• Kamwe kamwe kuwedzera (kuwedzera) kwematumbo makuru mukati mezuva kusvika kumazuva mashoma (megacolon ine chepfu)
• Misodzi kana maburi (kupera) mukoloni
• Anemia, yakaderera ropa kuverenga

Zvinetso zvekutora mishonga zvinogona kutungamira ku:

• Kuonda kwemapfupa (osteoporosis)
• Matambudziko ekuchengetedza huremu hune hutano
• Inononoka kukura uye kukura muvana
• Anemia kana yakaderera ropa kuverenga

Zvishoma matambudziko akajairika anogona kuitika anosanganisira:

• Rudzi rweArthritis iyo inokanganisa mapfupa nemajoini pazasi pemuzongoza, kwainobatana nepelvis (ankylosing spondylitis)
• Chiropa chirwere
• Tender, matsvuku mapundu (maqhumu) pasi peganda, ayo anogona kushanduka kuita maronda eganda
• Maronda kana kuzvimba muziso

Fonera mupiki wako kana:

• Unokudziridza kurwadziwa kwepamuviri kunoramba kuripo, kubuda kutsva kana kuwanda, fivhiri isingaendi, kana zvimwe zviratidzo zve ulcerative colitis
• Une ulcerative colitis uye zviratidzo zvako zvinowedzera kana kusavandudza nemushonga
• Unovandudza zviratidzo zvitsva

Iko hakuna kunozivikanwa kudzivirira kweichi chiitiko.

Chirwere chinoputira ura - ulcerative colitis; IBD - ulcerative colitis; Colitis; Proctitis; Ulcerative proctitis

• Bland kudya
• Kuchinja homwe yako yeostomy
• Dhairrhea - chii chekubvunza chako chekuchengetedza hutano - mukuru
• Ileostomy nemwana wako
• Ileostomy uye kudya kwako
• Ileostomy - kutarisira stoma yako
• Ileostomy - kuchinja homwe yako
• Ileostomy - kubuda
• Ileostomy - chii chekubvunza chiremba wako
• Yakakura ura resection - kubuda
• Kugara neileostomy yako
• Chikafu chakaderera-fiber
• Yese colectomy kana proctocolectomy - kubuda
• Mhando dze ileostomy
• Ulcerative colitis - kubuda

• Colonoscopy
• Kugaya chirongwa
• Ulcerative colitis

Goldblum JR, Huru ura. Mune: Goldblum JR, Mwenje LW, McKenney JK, Myers JL, eds. Rosai naAckerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: chits. 17.

Mowat C, Cole A, Windsor A, et al. Mirayiridzo yekutungamira kweanoputira ura chirwere muvakuru. Gut. 2011; 60 (5): 571-607. PMID: 21464096 pubmed.ncbi.nlm.nih.gov/21464096/.

Rubin DT, Ananthakrishnan AN, Siegel CA, Sauer BG, Yakareba MD. ACG kiriniki mirayiridzo: ulcerative colitis muvakuru. Ndiri J Gastroenterol. 2019: 114 (3): 384-413. PMID: 30840605 pubmed.ncbi.nlm.nih.gov/30840605/.

Ungaro R, Mehandru S, Allen PB, Peyrin-Biroulet L, Colombel JF. Ulcerative colitis. Lancet. 2017; 389 (10080): 1756-1770. PMID: 27914657 pubmed.ncbi.nlm.nih.gov/27914657/.