Kunzwisisa Ulcerative Colitis Pain: Maitiro Ekuwana Ruregerero Panguva Yekupuka-Kumusoro

Zvemukati

• Over-the-counter mishonga
• Kuchinja kwekudya
• Stress-kudzikisira nzira
• Anti-anogumbura mishonga
• Immunosuppressant mishonga
• Biologics
• Kuvhiya
• Mhinduro dzinowirirana uye dzimwe nzira

Ulcerative colitis kurwadziwa

Ulcerative colitis (UC) rudzi rwehutachiona hwehutachiona hunogona kukonzeresa marwadzo akasiyana.

UC inokonzerwa nekusingaperi, kwenguva refu kuzvimba kunotungamira kune akazaruka maronda anozivikanwa semaronda mukati memukati memukati wekoloni yako, kana hombe ura, uye rectum. Kuva nehupamhi hwehurombo kunogona kuve chiratidzo chekuti chirwere chiri kuputika kana kutowedzera.

Kunyanya kuzvimba kwauinako mukoloni uye uko iko kuzvimba uku kunowanzo sarudza kwaunonyanya kunzwa kurwadziwa. Kuzvimba mudumbu uye hunyoro kusvika pakurwadziwa kwakanyanya mukati medumbu uye rectum zvakajairika. Marwadzo anogona kunge akareba, kana anogona kupera kana kuzvimba kwapera.

Nguva refu yekuregererwa pakati pekuputika-yakajairika. Panguva yekuregererwa, zviratidzo zvako zvinogona kudzikira kana kunyangarika zvachose.

Vanhu vane UC munyoro vanogona kusangana nedzvinyiriro uye kupwanya chete. Sezvo chirwere ichi chichienderera mberi nekuwedzera kuzvimba uye maronda mukoloni yako, kurwadziwa kunogona kuratidzika semanzwiro ekubata kana kumanikidza kwakanyanya kunosimbisa uye kuburitsa kasingaperi.

Kurwadziwa kweGesi uye kuputika kunogona kuitika, zvichiita kuti manzwiro acho awedzere.

Kana iwe uine mhando yeUC inozivikanwa sekuruboshwe-mativi ulcerative colitis, rako reruboshwe rinogona kunzwa zvakare nyoro kune iro bata.

Kana ikasiiwa isina kurapwa, kurwadziwa kunosangana neUC kunogona kuita kuti zviome kushanda, kurovedza muviri, kana kunakidzwa zviitiko zvezuva nezuva. Kuchengeta chirwere chiri pasi pesimba kuburikidza nemishonga, kudzikisira kushushikana, uye kudya kunogona kubatsira kubata uye kudzikisa kurwadziwa.

Marwadzo anoenderana neUC anogona kudzikisira hupenyu hwako hwese. Kana iwe uine kurwadziwa kusingaperi, kusingadzoreki pane chero nhanho, pane nzira dzakawanda dzekurapa dzaungakurukure nachiremba wako dzinogona kukubatsira kuti unzwe zvirinani.

Aya marapirwo anogona zvakare kukudzosera mukusvetuka kwezuva nezuva zviito zviitiko. Chiremba wako anogona kukurudzira musanganiswa wemishonga, shanduko yekudya, uye mamwe ekurapa ekuwedzera kubatsira kubata marwadzo ako eUK.

Over-the-counter mishonga

Kana iwe uine marwadzo mashoma, mishonga yakadai seacetaminophen (Tylenol) inogona kunge yakakwana kuita hunyengeri.

Asi usatendeukira kune mamwe mukurumbira e-the-counter (OTC) mishonga yemarwadzo pane. Iyi inotevera OTC zvinodhaka hazvifanire kutorwa nekuda kwekurwadziwa kweUC, sezvo zvichikonzera kuputika uye kuita zvimwe zviratidzo, senge manyoka, zvakanyanya.

• ibuprofen (Motrin IB, Advil)
• asipurini (Bufferin)
• naproxen (Aleve, Naprosyn)

Kuchinja kwekudya

Izvo zvaunodya hazvingakonzere UC, asi zvimwe zvekudya zvinogona kuwedzera zviratidzo zvako uye zvinogona kukonzeresa kupwanya uye kurwadziwa. Kuchengeta dhayari rekudya kunogona kukubatsira kuti uone chero chikafu chinokanganisa chaungave uine.

Zvokudya zvakajairika zvekudzivisa zvinosanganisira:

• zvigadzirwa zvemukaka zvine lactose, senge mukaka
• chikafu chine mafuta akawanda, senge zvinhu zvine mafuta kana zvakakangwa, nyama yemombe, uye shuga, madhiri anodyiwa ane mafuta akawanda
• chikafu chakagadziriswa, senge kudya kwemafriji uye mupunga wemabhokisi
• high-fiber chikafu, senge zviyo zvakakwana
• gasi-rinogadzira miriwo, senge Brussels inomera uye kolifulawa
• chikafu chinonaka
• zvinwiwa zvinodhaka
• zvinwiwa zvine caffeine, senge kofi, tii, uye cola

Zvinogona kubatsira kudya zvidiki zvidiki pazuva kwete pane matatu makuru. Iwe unofanirwa zvakare kunwa mvura yakawanda - ingangoita sere 8-ounce magirazi pazuva. Izvi zvinogona kuisa kushomeka kushoma pane yako yekugaya system, kuburitsa shoma gasi, uye kubatsira ura kufamba kufamba kuburikidza neako system mushe.

Stress-kudzikisira nzira

Kamwe pakambofungidzirwa kukonzera UC, kushushikana ikozvino kwaonekwa sekukonzeresa kweUC kuputika mune vamwe vanhu. Kugadzirisa uye kudzikisa kushushikana kunogona kubatsira kudzikisira zviratidzo zveUC, senge kuzvimba, uye kurwadziwa.

Maitiro akasiyana-siyana ekumanikidza anoshandira vanhu vakasiyana, uye iwe unogona kuona kuti kufamba kwakareruka musango uye kufema kwakadzika ndiko kunokubatsira zvakanyanya. Yoga, kufunga kwepfungwa, uye kurovedza muviri zvinogona kubatsirawo kudzikisira kushushikana muvanhu vane UC.

Anti-anogumbura mishonga

Kuzvimba ndicho chikonzero chekurwadziwa kwakabatana neUK. Mimwe mishonga inogona kubatsira kudzikisa kuzvimba mukoloni yako. Chiremba wako anogona kukubatsira kuti usarudze kuti ndeupi mhando wakanakira iwe zvichibva pane chikamu chekoloni yako chinokanganiswa pamwe nedanho rako rekurwadziwa.

Mishonga inorwisa-kupisa iyo inogona kubatsira inosanganisira corticosteroids, senge prednisone uye hydrocortisone.

Amino salicylates ndeimwe kirasi yemishonga inorwisa-kupisa. Izvi dzimwe nguva zvinorayirwa kurwadziwa kweUK. Kune marudzi mazhinji, kusanganisira:

• mesalamine (Asacol, Lialda, Canasa)
• sulfasalazine (Azulfidine)
• balsalazide (Colazal, Giazo)
• olsalazine (Dipentum)

Mishonga inorwisa-kupisa inogona kutorwa nemuromo semapiritsi kana macapsule kana kupihwa kuburikidza nemadomasi kana enemas. Vanogona zvakare kupihwa intravenously. Mazhinji mishonga inorwisa-kupisa inogona kukonzera mhedzisiro yemhando dzakasiyana.

Ungangoda kuedza kanopfuura kamwe chete mhando usati wawana yakanakisa yezviratidzo zvako. Mushonga wega wega unotengeswa pasi pehuwandu hwemazita ezita.

Immunosuppressant mishonga

Immunosuppressant mishonga inogona kupihwa yega kana kuwedzera kune anti-kupisa mishonga. Ivo vanoderedza marwadzo nekushanda kumisa immune system yako kubva mukukonzera kuzvimba. Kune akatiwandei emhando dzakasiyana, kusanganisira:

• azathioprine (Azasan, Imuran)
• mercaptopurine (Purixan)
• cyclosporine (Sandimmune)

Immunosuppressant mishonga inowanzo shandiswa muvanhu vasingapindure zvakanaka kune mamwe marudzi emishonga uye anoitirwa kushandiswa kwenguva pfupi. Zvinogona kukuvadza kune chiropa nepancreas.

Zvinogona kukonzera zvakakomba mhedzisiro, kusanganisira kudzikisira kugona kurwisa zvakakomba hutachiona, uye mimwe kanzira, senge kenza yeganda. Cyclosporine yakabatanidzwa nehutachiona hunouraya, pfari, uye kukuvara kweitsvo.

Biologics

Biologics ndeimwe mhando yemusunusuppressant mishonga. Imwe mhando yeiyo biologic iri tumor necrosis factor alpha inhibitors (TNF-alpha).

TNF-alpha mishonga inoitirwa kushandiswa muvanhu vane mwero kusvika kune yakaoma UC vasina kupindura zvakanaka kune mamwe marudzi ekurapa. Ivo vanobatsira kumisa kurwadziwa nekukanganisa puroteni inogadzirwa ne immune immune. Imwe mhando yeTNF-alpha mishonga ndeye infliximab (Remicade).

Vanopindirana vanogamuchira vanopokana ndeimwe fomu ye biologics. Izvi zvinosanganisira vedolizumab (Entyvio), iyo yakatenderwa kurapa UC muvakuru.

Biologics yakabatanidzwa nenzira dzakakomba dzehutachiona uye tibhii.

Kuvhiya

Muzviitiko zvakanyanyisa, kuvhiya inogona kunge iri nzira yakanakisa yekubvisa UC uye kurwadziwa kwayo. Kuvhiya kunonyanya kushandiswa kunonzi proctocolectomy. Inoda kubviswa kwekoloni yako yese uye rectum.

Munguva yekuvhiyiwa, homwe yakavakwa kubva kumagumo kwetumbu rako diki inosungirirwa kune yako anus. Izvi zvinobvumidza kubvisa zvakajairika marara kuti zviitike, zvichireva kuti haufanire kupfeka bhegi rekunze.

Mhinduro dzinowirirana uye dzimwe nzira

Dzimwe nzira dzekurapa dzakadai sekubaya muviri dzinogona kubatsira kudzora uye kugadzirisa ura kuzvimba, kudzikamisa kurwadziwa kweUK.

Imwe nzira yekumwe kurapwa inonzi moxibustion inogona zvakare kuve nemhedzisiro pane zviratidzo zveUC. Moxibustion rudzi rwekupisa kupisa. Iyo inoshandisa zvakaomeswa zvidyarwa zvemiti zvinopiswa mutubhu kudziyisa ganda, kazhinji munzvimbo dzakafanana dzakanangwa nekugadziriswa.

Iyo yakaratidza kuti kugadziriswa uye kugadziriswa kunogona kushanda kana kuchishandiswa wega, pamwe chete, kana sekuzadzisa kumushonga. Asi vaongorori vakaratidza kuti kumwe kutsvagurudza kunodiwa nzira idzi dzisati dzaonekwa senzira yekurapa yezviratidzo zveUC nemarwadzo.