Ulcerative Colitis Kurapa Sarudzo

Zvemukati

• Ulcerative colitis
• Kudya uye chikafu
• Kushungurudzika manejimendi
• Mishonga
• Aminosalicylates
• Corticosteroids
• Immunomodulators
• Biologics
• Kuvhiya
• Tora woenda nazvo

Ulcerative colitis

Kutsungirira ulcerative colitis kunogona kupa matambudziko.

Chirwere chisingaperi, icho chinokanganisa vanhu vanosvika miriyoni imwe muUnited States, chinokonzera kuzvimba uye maronda mumutsara wekoloni yako nerezi.

Sezvo kuzvimba kuri kuwedzera, maseru anoteedzera idzi nzvimbo anofa, zvichikonzera kubuda ropa, hutachiona, uye manyoka.

Mamiriro acho anogona kukonzera:

• kupindwa nechando
• kupererwa neropa
• kuneta
• kurwadza kwemajoini
• kuda kudya
• kuonda
• maronda eganda
• kushomeka kwehutano
• kudzikira kukura muvana

Icho chaicho chinokonzera ulcerative colitis hachina kujeka. Nyanzvi zhinji dzinofunga kuti zvinokonzerwa nekusajairika kwema immune system uye kutadza kubata mabhakitiriya ari mudumbu.

Chiremba wako anogona kukumbira kuongororwa kweropa, zvituru sampuro, barium enema, uye colonoscopy. Iyi bvunzo dzekurapa dzinovatendera kuti vaone kana ulcerative colitis iri kukonzera zviratidzo zvako kana zviratidzo zvako zvichikonzerwa neimwe mamiriro akaita seCrohn's disease, diverticular chirwere, kana cancer.

Ulcerative colitis inofanirwa kusimbiswa nehutachiona biopsy panguva yekolonoscopy.

Kana iwe ukabatwa uine ulcerative colitis, zvakakosha kuti ushande pamwe nemupi wako wezvehutano mupe chirongwa chekurapa chinotarisira uye chinodzivirira kurwiswa kuitira kuti colon yako ipore.

Nekuti zviratidzo uye mhedzisiro yechirwere zvinosiyana, hapana kurapwa kumwe chete kunoshanda kune wese munhu. Mishonga inowanzo tarisa pane:

• kudya uye chikafu
• kunetseka
• mishonga

Kudya uye chikafu

Zvakanakisa kushandisa zvidiki zvidiki zvechikafu zuva rese. Dzivisa zvakasviba uye zvakakwirira fiber zvekudya kana izvi zviri dambudziko chikafu kwauri. Mienzaniso yezvikafu zvekudzivirira neUC inosanganisira:

• nzungu
• mhodzi
• bhinzi
• tsanga dzose

Zvikafu zvine mafuta uye zvine mafuta zvinobatsirawo mukuzvimba nekurwadziwa. Kazhinji, chikafu chakachengeteka chinosanganisira:

• yakaderera fiber zviyo
• yakabikwa huku, nyama yenguruve, uye hove
• yakabikwa / yakabikwa kana yakabikwa michero nemiriwo

Kutumira mvura zuva rese kunogona kubatsira mukugaya uye kubatsira kudzikisa kuzvimba. Dzidza zvakawanda nezve kudya kunogona kubatsira vanhu vane UC.

Kushungurudzika manejimendi

Kuzvidya mwoyo uye kutya kunogona kukuvadza zviratidzo. Maekisesaizi uye kutandara matekinoroji ayo anokubatsira iwe kudzora uye kudzikisira ako madanho ehurema anogona kubatsira. Izvi zvinosanganisira:

• biofeedback
• kukwiza muviri
• kufungisisa
• kurapa

Ndeupi hukama pakati pekushushikana neUC flareups?

Mishonga

Chiremba wako anogona kupa mishonga yekukurudzira kana kuchengetedza kuregererwa. Kunyangwe paine mhando dzinoverengeka dzemishonga, mushonga wega wega unowira muzvikamu zvina zvekutanga.

Aminosalicylates

Iyi mishonga ine 5-aminosalicyclic acid (5-ASA), iyo inobatsira kubata kuzvimba mumatumbu.

Aminosalicylates inogona kupihwa:

• nemuromo
• kuburikidza neemaema
• mune yekuwedzera

Ivo vanowanzo tora mavhiki mana kusvika matanhatu kuti vashande. Nekudaro, izvo zvinogona kukonzera mhedzisiro, kusanganisira:

• kusvotwa
• kurutsa
• chirungurira
• manyoka
• musoro

Corticosteroids

Iri boka remishonga steroid - inosanganisira prednisone, budesonide, methylprednisolone, uye hydrocortisone - inobatsira kudzikisa kuzvimba.

Ivo anowanzo shandiswa kana iwe uri kurarama zvine mwero kune zvakanyanya ulcerative colitis, kusanganisira kana iwe usina kupindura zvakanaka kune 5-ASA zvinodhaka.

Corticosteroids inogona kupihwa nemuromo, mukati, kuburikidza neemaema, kana mune suppository. Zvimwe zvinokanganisa zvinosanganisira:

• acne
• ndebvu
• neBP
• chirwere cheshuga
• kurema kuwedzera
• mafungiro
• kurasikirwa kwemapfupa
• kuwedzera njodzi yehutachiona

Steroid inoshandiswa nenzira pfupi-pfupi kudzikisira mhedzisiro ye ulcerative colitis flare-up, kwete semushonga wezuva nezuva wekugadzirisa zviratidzo.

Kana ulcerative colitis yakanyanyisa, chiremba wako anogona kukupa dosi yezuva nezuva yesteroids kuti ikubatsire kuchengetedza mararamiro akajairika.

Immunomodulators

Iyi mishonga, kusanganisira azathioprine uye 6-mercapto-purine (6-MP), inobatsira kudzikisa kuzvimba kwema immune - kunyangwe ivo vachigona kutora chero mwedzi mitanhatu kuti inyatsoshanda.

Immunomodulators inoitwa nemuromo uye inowanzo shandiswa kana iwe ukasapindura zvakanaka kune mubatanidzwa we5-ASAs uye corticosteroids. Zvimwe zvinokanganisa zvinosanganisira:

• chirwatata
• hepatitis
• yakaderedzwa chena masero eropa kuwanda
• kuwedzera njodzi yehutachiona

Biologics

Aya ndiwo matsva kirasi yemishonga inoshandiswa seimwe nzira kune maunomomodulators ekurapa ulcerative colitis muvanhu vasina kupindura zvakanaka kune kumwe kurapwa.

Biologics yakaoma uye inotarisa mapuroteni. Vanogona kupihwa kuburikidza nekupinzwa mukati mekubaya kana majekiseni. Parizvino, pane akati wandei FDA-inogamuchirwa biologic mishonga yekurapa ulcerative colitis:

• tofacitinib (Xeljanz)
• adalimumab (Humira)
• golimumab (Simponi)
• infliximab (Remicade)
• vedolizumab (Entyvio)

Tsvaga zvimwe nezve kushandisa biologics kurapa zvine mwero kusvika kune yakaoma UC.

Kuvhiya

Kana mamwe marudzi ekurapa asina kushanda, unogona kunge uri mukwikwidzi wekuvhiyiwa.

Vamwe vanhu vane UC vanozopedzisira vasarudza kubviswa makoni nekuda kwekubuda ropa kwakanyanya uye kurwara - kana kuve nenjodzi yakawedzera yekenza.

Mhando ina dzekuvhiya dziripo:

• kudzoreredza proctocolectomy ne ileal pouch-anal anastomosis
• yakazara dumbu colectomy ne ileorectal anastomosis
• yakazara yemimba colectomy ine kupera ileostomy
• yakazara proctocolectomy ine kupera ileostomy

Kana iwe uine ulcerative colitis, dzivisa nonsteroidal anti-inflammatory drug (NSAIDs), izvo zvinogona kuita kuti zviratidzo zviwedzere.

Taura nachiremba wako kuti ugadzire nzira yekurapa iyo inonyatso kugadzirisa zvaunoda zvehutano.

Zvakare, nekuda kwenjodzi yakawedzera yekenza inosanganisirwa ne ulcerative colitis, ronga bvunzo gore rega kana makore ese maviri, zvinoenderana nachiremba wako.

Nenzira chaiyo, zvinokwanisika kubata yako ulcerative colitis uye kurarama mararamiro akajairika.

Chii chinoitika kana iwe ukasatsvaga kurapwa kweUC?

Tora woenda nazvo

Ulcerative colitis inogona kuva yakaoma kurapa. Zvisinei, kune nzira dzakasiyana-siyana dzokurapa dziripo.

Taura nachiremba wako nezvezviratidzo zvako. Pamwe chete munogona kugadzira chirongwa chekurapa chinonyanya kukushandirai.