Bvunza Nyanzvi: A Gara pasi naGastro

Zvemukati

• Zvinokwanisika here kuti usatarisirwe zvisirizvo ne ulcerative colitis (UC)? Ndichaziva sei kana kuri kusaziva zvakanaka kana kuti ini ndichida kurapwa kwakasiyana?
• Ndeapi matambudziko ekurapwa kana kurapwa zvisina kukodzera UC?
• Ndedzipi nzira dziripo dzekurapa kweUC? Kune vamwe vanoshanda zvirinani pane vamwe?
• Anti-kuzvimba
• Mishonga inorwisa mabhakitiriya
• Immunosuppressors
• Biologic kurapwa
• Pane here mhedzisiro yemishonga yandinofanira kuziva?
• Anti-anogumbura zvinodhaka
• Mishonga inorwisa mabhakitiriya
• Immunosuppressors
• Biologic kurapwa
• Ndichaziva sei kana kurapwa kwangu kusiri kushanda nemazvo?
• Ndezvipi zvinowanzoitika zvinokonzeresa zveUC?
• Zvakajairika sei UC? IBDs? Inhaka here?
• Pane mishonga yepanyama yeUC? Dzimwe nzira dzokurapa? Vanoshanda here?
• Mishonga yekudya
• Mishonga yemakwenzi
• Kushungurudzika manejimendi
• Rovedza muviri
• Ndinofanira kufunga nezvekuvhiyiwa here?
• Ndekupi kwaunogona kuwana rumwe ruzivo nezve UC kana kuwana rutsigiro kubva kuvanhu vanogarawo nemamiriro?

Zvinokwanisika here kuti usatarisirwe zvisirizvo ne ulcerative colitis (UC)? Ndichaziva sei kana kuri kusaziva zvakanaka kana kuti ini ndichida kurapwa kwakasiyana?

Vanhu vanowanzovhiringidza UC nechirwere cheCrohn. Crohn's zvakare yakajairika chirwere chinoputira ura (IBD). Mamwe mashoma ezviratidzo akafanana, senge kuregererwa uye kuputika-kumusoro.

Kuti uone kana uine UC kana Crohn's, shanyira chiremba wako uye uongororwe. Iwe ungatofanira kudzokororazve colonoscopy, kana chiremba anogona kuraira X-ray yeiyo diki ura kuti aone kana yakakuvara. Kana yakadaro, unogona kuva nechirwere cheCrohn. UC inokanganisa chete colon. Mukupesana, maCrohn anogona kukanganisa chero chikamu chedumbu rako (GI) turakiti.

Ndeapi matambudziko ekurapwa kana kurapwa zvisina kukodzera UC?

Kusarapwa zvisina kukodzera kana UC isingarapwe kunogona kukonzera kurwadziwa kwemudumbu, manyoka, uye kubuda kweropa. Kubuda ropa kwakanyanya kunogona kukonzera kuneta kwakanyanya, kwakaratidza kupererwa neropa, uye kufema kwekufema. Kana UC yako yakanyanyisa zvekuti isingapindure pakurapwa, chiremba anogona kukurudzira kubviswa kwekoloni yako (inozivikanwawo seura hukuru).

Ndedzipi nzira dziripo dzekurapa kweUC? Kune vamwe vanoshanda zvirinani pane vamwe?

Iwe une zvinotevera nzira yekurapa yeUC:

Anti-kuzvimba

Iyi mishonga inowanzo kuve yekutanga kosi yekuita yekurapa UC. Zvinosanganisira corticosteroids uye 5-aminosalicylates (5-ASAs). Zvichienderana nechikamu chipi chekoloni chakakanganiswa, unogona kutora mishonga iyi nemuromo, seyakawedzera, kana seemaema.

Mishonga inorwisa mabhakitiriya

Vanachiremba vanopa mishonga inorwisa mabhakitiriya kana vachifungidzira kuti kune hutachiona mukoloni yako. Nekudaro, vanhu vane UC vanowanzo kurairwa kuti vasatore maantibayoti nekuti anogona kukonzera manyoka.

Immunosuppressors

Iyi mishonga inogona kudzora kuzvimba. Zvinosanganisira mercaptopurine, azathioprine, uye cyclosporine. Ramba uchitaurirana nachiremba wako kana iwe ukatora izvi. Zvimwe zvinokanganisa zvinogona kukanganisa chiropa chako pamwe nepancreas yako.

Biologic kurapwa

Biologic Therapies inosanganisira Humira (adalimumab), Remicade (infliximab), uye Simponi (golimumab). Ivo vanozivikanwa zvakare sekuti tumor necrosis factor (TNF) inhibitors. Ivo vanodzora yako isina kujairika immune mhinduro. Entyvio (vedolizumab) inoshandiswa pakurapa kweUC mune vanhu vasingapindure kana vasingashivirire mamwe marapirwo.

Pane here mhedzisiro yemishonga yandinofanira kuziva?

Iri rinotevera rondedzero yemamwe akajairika eUS madhiragi ane avo chaiwo maitiro.

Anti-anogumbura zvinodhaka

Zvinowanzoitika mhedzisiro ye5-ASAs inosanganisira kurutsa, kuda kurutsa, uye kurasikirwa nechido.

Munguva yakareba, corticosteroids inogona kutungamira kumhedzisiro senge yakakwira BP, kuwanda kwengozi yehutachiona, huwandu hweshuga yeropa, acne, kuwedzera huremu, kushanduka kwemweya, cataract, kushaya hope, uye mapfupa asina simba.

Mishonga inorwisa mabhakitiriya

Cipro naFlagyl vanowanzo kupihwa kune vanhu vane UC. Izvo zvinowanzoitika mhedzisiro zvinosanganisira kushungurudzika mudumbu, manyoka, kurasikirwa kwechido, uye kurutsa.

Cipro inorwisa mabhakitiriya inonzi fluoroquinolone. Fluoroquinolones inogona kuwedzera njodzi yemisodzi yakakomba kana kupaza muaorta, iyo inogona kukonzera kubuda kweropa kwakakomba.

Vakwegura uye vanhu vane nhoroondo yeaneurysms kana zvimwe zvirwere zvemoyo zvinogona kuve panjodzi huru. Ichi chiitiko chakashata chinogona kuitika nechero fluoroquinolone inotorwa nemuromo kana sejekiseni.

Immunosuppressors

6-mercaptopurine (6-MP) uye azathioprine (AZA) inogona kukonzeresa mhedzisiro senge yakadzora kuramba hutachiona, gomarara reganda, kuzvimba kwechiropa, uye lymphoma.

Biologic kurapwa

Biologic Therapies inosanganisira Humira (adalimumab), Remicade (infliximab), Entyvio (vedolizumab), Certolizumab (Cimzia), uye Simponi (golimumab).

Zvakajairika mhedzisiro zvinosanganisira kuchenesa, kutsvuka, kurwadziwa kana kuzvimba kupfava padyo nenzvimbo yejekiseni, fivhiri, kutemwa nemusoro, kutonhora uye kuputika.

Ndichaziva sei kana kurapwa kwangu kusiri kushanda nemazvo?

Kana mushonga wako usiri kushanda, iwe uchasangana nemanyoka anoramba aripo, kubuda ropa rectal, uye kurwadziwa mudumbu - kunyangwe mushure memasvondo matatu kusvika mana ekuve uri pamushonga.

Ndezvipi zvinowanzoitika zvinokonzeresa zveUC?

Zvinowanzoitika zvinokonzeresa zveUC zvinosanganisira dairy, bhinzi, kofi, mbeu, broccoli, chibage, uye doro.

Zvakajairika sei UC? IBDs? Inhaka here?

Zvinoenderana nekufungidzira kwazvino, nezve vari kugara neBD. Kana iwe uine nhengo yemhuri ine IBD, inogona kuwedzera njodzi yako yekukudziridza imwe.

• Kuwanda kweUC kune makumi maviri nesere kune vanhu zviuru zana.
• Kuwanda kweCrohn's kunenge mazana maviri nemakumi mashanu ezviuru zvevakuru.

Pane mishonga yepanyama yeUC? Dzimwe nzira dzokurapa? Vanoshanda here?

Kune vanhu vasingakwanise kutsungirira mishonga, pane akati wandei dzimwe sarudzo.

Mishonga yekudya

Kudya kwakaderera mu fiber uye mafuta zvinoita kunge kunobatsira mukuderedza kuwanda kweyakajairika UC flare-ups. Kubvisa zvimwe zvekudya kubva pane zvaunodya kunogona kuita zvakafanana. Semuenzaniso, dairy, doro, nyama, uye zvine high-carb chikafu.

Mishonga yemakwenzi

Mimwe mishonga yemakwenzi inogona kukodzera kurapwa kweUC. Zvinosanganisira Boswellia, psyllium mbeu / husk, uye turmeric.

Kushungurudzika manejimendi

Iwe unogona kudzivirira kudzokazve kweUC nekushushikana-kurerutsa marapirwo, akadai seyoga kana kufungisisa.

Rovedza muviri

Kuwedzera chiitiko chemuviri nguva dzose kune chako chiitiko kunogona kubatsira kubata yako UC.

Ndinofanira kufunga nezvekuvhiyiwa here?

Vanenge makumi maviri neshanu kusvika makumi mana muzana yevanhu vane UC vanoda kuvhiyiwa kuti vabvise colon.

Kuvhiya kunova kunodiwa nekuda kweinotevera:

• kutadza kurapwa
• kubuda ropa kwakanyanya
• zvakakomba mhedzisiro yemimwe mishonga

Ndekupi kwaunogona kuwana rumwe ruzivo nezve UC kana kuwana rutsigiro kubva kuvanhu vanogarawo nemamiriro?

Anoshamisa uye humbowo-hwakavakirwa sosi ndiyo yeCrohn's neColitis Foundation yeAmerica. Isangano risingabatsiri rine matani eruzivo runobatsira pane UC manejimendi.

Iwe unogona zvakare kuwana rumwe ruzivo nekujoinha dzakasiyana siyana dzehukama enhau nharaunda. Iwe unozobatsirwa nekusangana nekubatana nevamwe vanhu vari kubata nenyaya chaidzo dzakafanana.

Iwe unogona zvakare kubatsira kutsigira nekuronga misangano, zviitiko, uye zviitiko. Izvi zvinopa mukana kune vanhu vanobatwa nechirwere kuti vapanane matipi, nyaya, uye zviwanikwa.

Dr. Saurabh Sethi chiremba-bhodhi anozivikanwa chiremba anoongorora gastroenterology, hepatology, uye epamberi yekupindira endoscopy. Muna 2014, Dr. Sethi akapedza gastroenterology yake uye hepatology kuyanana kuBeth Israel Deaconess Medical Center kuHarvard Medical School. Nguva pfupi yapfuura, akapedza yake yepamusoro endoscopy kuyanana kuStanford University mu2015. Dr. Sethi ave achibatanidzwa nemabhuku akawanda uye zvinyorwa zvekutsvaga, kusanganisira anopfuura makumi matatu-akaongororwa mabhuku. Zvinodiwa naDr Sethi zvinosanganisira kuverenga, kubloga, kufamba, uye kukurudzira veruzhinji nezvehutano.