Wepamusoro Mibvunzo Yekubvunza Wako Gastroenterologist Nezve Ulcerative Colitis

Zvemukati

• 1. Chii chinokonzera UC?
• 2. Ndedzipi nzira dzandinorapwa?
• 3. Ndinofanira kuchinja kadhi rangu here?
• 4. Ndingaite sei kuti ndivandudze mamiriro angu?
• 5. Chii chinoitika kana zviratidzo zvangu zvikadzoka?
• 6. Ndezvipi zvinonetsa zveUC uye unozviongorora sei?
• 7. Pane chero chinhu chine hukama neangu UC hupenyu hunotyisidzira?
• 8. Pane nzira dzekurapa dzeUC here?
• 9. Ndingaite nhumbu neUC here?
• Kutora

Nekuti ulcerative colitis (UC) ndeyechimiro chisingaperi chinoda kurapwa kunoenderera, iwe ungango simudzira hukama hwakareba neyegastroenterologist yako.

Hazvina mhosva kuti uripi murwendo rwako rweUC, iwe nguva nenguva unosangana nachiremba wako kuti ukurukure nezvekurapa kwako uye hutano hwakazara. Pakusarudzwa kwega kwega, zvakakosha kubvunza chiremba wako mibvunzo uye uwane nzwisiso iri nani yemamiriro ako.

Ichi chirwere chinogona kukanganisa kunaka kwehupenyu hwako, asi zororo rinogoneka. Paunonyanya kuziva nezve UC, zvichave nyore kutsungirira. Heano epamusoro epfumbamwe mibvunzo yekukurukura neyako gastroenterologist nezve UC.

1. Chii chinokonzera UC?

Kubvunza uyu mubvunzo kuna chiremba wako kungaratidzika kunge kusiri madikanwa - kunyanya kana iwe watoita rako pachako tsvakiridzo kana wave kugara nechirwere kwenguva yakati. Asi zvichiri kubatsira kuti uone kana paine chakanangana chakatungamira kuti uongororwe. Kunyange hazvo chaicho chikonzero cheUC chisingazivikanwe, dzimwe nyanzvi dzinofunga kuti inokonzerwa nedambudziko re immune system. Iyo immune system inokanganisa mabhakitiriya akanaka mumatumbu ako seanopinda uye anorwisa ako matumbo. Iyi mhinduro inokonzeresa kuzvimba kusingaperi uye zviratidzo. Zvimwe zvinogona kukonzera UC zvinosanganisira genetics uye nharaunda.

2. Ndedzipi nzira dzandinorapwa?

Kuregererwa kunogoneka nekurapwa. Chiremba wako anokurudzira kurapwa kunoenderana nekuoma kwezviratidzo zvako.

Vanhu vane UC munyoro vanogona kuwana kuregererwa nemushonga unorwisa-kupisa unozivikanwa seaminosalicylates.

Moderate kusvika kune yakaoma UC ingangoda corticosteroid uye / kana immunosuppressant drug. Iyi mishonga inoderedza kuzvimba nekudzvinyirira immune system.

Biologics therapy inokurudzirwa kune vanhu vasingapindure kune echinyakare kurapa. Iyi kurapa inonanga mapuroteni anokonzera kuzvimba, kuitira kuti aderedze.

Sarudzo nyowani ndeye tofacitinib (Xeljanz). Inoshanda nenzira yakasarudzika yekudzora kuzvimba muvanhu vane zvine mwero-kune-zvakanyanya ulcerative colitis.

Vanhu vanogadzira zvinotyisidzira hupenyu kubva kuUC vangangoda kuvhiyiwa kubvisa yavo colon uye rectum. Kuvhiya uku zvakare kunosanganisira kuvakazve kubvumira kubviswa kwemarara kubva mumuviri.

3. Ndinofanira kuchinja kadhi rangu here?

UC inokanganisa nzira yemudumbu uye inokonzera kusagadzikana kwemudumbu, asi chikafu hachikonzere chirwere.

Zvimwe zvekudya zvinogona kuwedzera kupisa-kumusoro, saka chiremba wako anogona kukurudzira kukurudzira dhayari rekudya uye kubvisa chero chikafu uye zvinwiwa zvinomomesa zviratidzo zvako. Izvi zvinogona kusanganisira miriwo inokonzeresa gasi senge broccoli neholiflower, uye zvimwe zvekudya zvine fiber yakawanda.

Chiremba wako anogona zvakare kukurudzira kudya zvidiki zvidiki uye zvakaderera-zvakasara chikafu. Izvi zvinosanganisira chingwa chena, mupunga muchena, pasta yakanatswa, miriwo yakabikwa, uye nyama dzakaonda.

Caffeine uye doro zvinogona kuwedzera zviratidzo zvakare.

4. Ndingaite sei kuti ndivandudze mamiriro angu?

Pamwe nekubvisa zvimwe zvekudya kubva pane zvaunodya uye kutora mishonga yako sezvakarairwa, mamwe maitiro ehupenyu anogona kugadzirisa zviratidzo.

Kusvuta kunogona kuwedzera kuzvimba mumuviri wako wese, saka chiremba wako anogona kukurudzira kurega.

Nekuti kushushikana kunogona kuwedzera zviratidzo zveUC, chiremba wako anogona kukurudzira matanho ekuderedza kunetseka kwako. Izvi zvinosanganisira maitiro ekuzorora, kurapa kweseji, uye kurovedza muviri.

5. Chii chinoitika kana zviratidzo zvangu zvikadzoka?

Zvinogona kutora mavhiki akati kuti zviratidzo zvanyangarika mushure mekutanga kurapwa. Kunyangwe mushure mekunge zviratidzo zvako zvanyangarika, chiremba wako anogona kukurudzira kurapwa kwekuchengetedza kuchengetedza chirwere chako mukuregererwa. Kana zviratidzo zvako zvikadzoka panguva yekurapa kwekuchengetedza, bata chiremba wako. Kuomarara kweUC kunogona kuchinja pamusoro pemakore. Kana izvi zvikaitika, chiremba wako angangoda kugadzirisa mishonga yako kana kukurudzira rudzi rwekurapa.

6. Ndezvipi zvinonetsa zveUC uye unozviongorora sei?

UC ndeyehupenyu-hurefu mamiriro, saka iwe unowanzo kuve neanoteedzana-ekuteedzera kugadzwa neako gastroenterologist. UC inogona kuwedzera njodzi yekenza yekoloni, saka chiremba wako anogona kuronga nguva nenguva colonoscopies kuti aongorore masero ane cancer uye anonamira mukoloni yako. Kana chiremba wako akawana mashoma kana bundu, bhiopsy inogona kuona kana uwandu hwakaipa kana hune huturu.

Immunosuppressant mishonga inotorwa yeUC inogona kushomeka immune system yako uye kukuita kuti ubatwe nyore nezvirwere. Kana iwe uine zviratidzo zvehutachiona, chiremba wako anogona kuraira chigaro, ropa kana weti sampuro kuti aone hutachiona, uye nekupa mushonga unorwisa mabhakitiriya kana zvichidikanwa. Imi vazhinji munodawo X-ray kana CT scan. Iko kune zvakare njodzi yekudonha kwemukati, saka chiremba wako anogona kukutarisa kushomeka kwesimbi kushomeka uye kumwe kushomeka kwehutano. Multivitamin inogona kubatsira kutsiva kushomeka.

7. Pane chero chinhu chine hukama neangu UC hupenyu hunotyisidzira?

UC pachayo haina kutyisidzira hupenyu, asi mamwe matambudziko anogona kunge ari. Ichi ndicho chikonzero nei zvakakosha kutora mishonga yako sekurairwa, nechinangwa chekuwana kuregererwa. Kudya chikafu chine hutano, kugara uchirovedza muviri, uye kuchengetedza huremu hune hutano kunogona kudzikisa njodzi yekenza yemukondoni.

Inotyisa megacolon ndechimwe chinetso chakakomba cheUC. Izvi zvinoitika kana kuzvimba kuchikonzera kunyanyisa gassiness. Gasi rakateyiwa rinogona kukonzera kuwedzera kwekoloni kuti isakwanise kushanda. Iko rakaputika colon rinogona kutungamira kuhutachiona hweropa. Zviratidzo zvechepfu megacolon zvinosanganisira kurwadziwa mudumbu, kupisa muviri, uye nekukurumidza kurova kwemoyo.

8. Pane nzira dzekurapa dzeUC here?

Kuvhiya kunokurudzirwa kuUK yakaoma isingapindure kurapwa kana avo vane matambudziko ekutyisidzira hupenyu. Kana iwe ukavhiyiwa kugadzirisa UC, pane nzira mbiri dzekutendera kubviswa kwemarara kubva mumuviri wako. Iine ileostomy, chiremba anovhiya anogadzira kuvhura mudumbu rako remadziro uye anotsausa ura hudiki kuburikidza negomba iri. Bhegi rekunze rakabatanidzwa nekunze kwedumbu rako rinotora tsvina. Chikwama cheleo-anal chinogona kuvhiyiwa panopera matumbu ako madiki uye chakanamatira kune anus yako, zvichibvumira kubviswa kwetsvina.

9. Ndingaite nhumbu neUC here?

UC haiwanzo kukanganisa kubereka, uye vakadzi vazhinji vanoita nhumbu vane nhumbu ine hutano. Asi kusangana nemoto panguva yekuzvitakura kunogona kuwedzera njodzi yekuzvarwa nguva isati yakwana. Kuti udzikise njodzi iyi, chiremba wako anogona kukurudzira kuwana kuregererwa usati wava nepamuviri. Iwe unofanirwa zvakare kudzivirira mimwe mishonga usati wabata pamuviri. Mimwe immunosuppressants inowedzera njodzi yekuremara kwekuberekwa. Iwe unogona zvakare kuda kugadzirisa mishonga yako panguva yepamuviri.

Kutora

Kugara neUC kunogona kukanganisa kugona kwako kushanda, kufamba, kana kurovedza muviri, asi kutanga hukama hwakanaka nachiremba wako kunogona kukubatsira kurarama hupenyu hwakazara. Chinokosha kutora mishonga yako sezvakarairwa uye kusangana nachiremba wako kana iwe uine chero mibvunzo kana zvinonetsa nezve hutano hwako. Dzidzo uye kuziva zvaunotarisira kubva pane ino mamiriro zvinogona kukubatsira iwe kurarama.