Mankhwala a magazi amapezeka kwambiri kwa anthu omwe ali ndi IBD koma vuto lalikulu ndilochepa
Ndizodziwika bwino kuti matenda opatsirana m'mimba (IBD) amagwirizanitsidwa ndi zomwe zimatchedwa maonekedwe a m'mimba: zokhudzana ndi IBD koma sizipezeka m'magazi. Chimodzi mwa izi ndi chiopsezo chokhala ndi magazi.
Kuwonjezeka kwa chiopsezo cha magazi mwa anthu omwe ali ndi matenda a Crohn ndi ulcerative colitis amadziwika kwa akatswiri a IBD koma sangathe kumvetsetsa ndi madokotala ena ndi anthu omwe ali ndi IBD. Sindidziŵa bwino lomwe chifukwa chake anthu omwe ali ndi IBD ali pachiopsezo chothamanga magazi koma amaganiza kuti ndi okhudzana ndi matenda ndi kusintha kwa magazi omwe amalimbikitsa kutseka magazi.
Ngakhale kuti chiwonetsero chokhala ndi magazi chikuwonetsedwa kukhala chapamwamba kwa anthu omwe ali ndi IBD, pali zinthu zomwe zingachitidwe kuti zisawathandize. Chofunika kwambiri ndi chakuti anthu omwe ali ndi IBD amadziwa kuti ali ndi chiopsezo chotenga magazi ndipo madokotala amachitapo kanthu kuti asapewe vutoli ngati pakufunika, monga opaleshoni . Anthu omwe ali ndi IBD akhoza kudzizindikiranso okha ndi zizindikiro za magazi , monga kupweteka, kutupa, kuyimba, ndi khungu lotupa mwendo umodzi. Anthu ambiri omwe ali ndi IBD omwe sakhala ndi zifukwa zinanso amaonedwa kuti ndi otsika.
Kodi Magazi Amavala Chiyani?
Magazi amatha kutseka kuti asiye kutuluka m'magazi, monga kudula kapena bala. Komabe, pamene magazi amatha mosavuta kapena amapanga mazati aakulu, magazi amatha kupyolera mu mitsempha kapena mitsempha akhoza kutsekedwa. Akamayendayenda m'magulu a zamoyo, ubongo, impso, kapena mapapo , zimatha kuwononga ziwalo kapena zovuta monga matenda a mtima kapena stroke .
Ndani Ali Pangozi?
Chaka chilichonse, anthu pafupifupi 900,000 ku United States amakumana ndi magazi ndipo pakati pa 60,000 ndi 100,000 amafa chifukwa cha vutoli. Anthu akhoza kukhala pa chiopsezo chokhala ndi magazi pazifukwa zosiyanasiyana. Zina mwa zinthu zomwe zimagwirizanitsidwa ndi magazi zimaphatikizapo atherosclerosis , matenda opatsirana , matenda a shuga, matenda a shuga, matenda osokoneza bongo, matenda a mitsempha, ndi matenda a mitsempha . Palinso zinthu zingapo zomwe zimayambitsa chiopsezo cha magazi, zomwe zikuphatikizapo:
- Kugona pabedi
- Kansa matenda
- Zolinga zamakono zamakono
- Kutaya madzi m'thupi
- Mbiri ya banja ya magazi
- Kuvulala kwa mitsempha
- Kunenepa kwambiri komanso kunenepa kwambiri
- Mbiri yaumwini yamagazi a magazi
- Mbiri yaumwini ya zolakwika
- Opaleshoni yatsopano
- Ngozi yaposachedwa (monga ngozi ya galimoto)
- Atakhala nthawi yaitali
- Kusuta
- Kugwiritsa ntchito mankhwala omwe ali ndi estrogen (monga kulera kwa amayi kapena mankhwala a hormone)
Umboni wa Magazi Odzipha Mwazi mu IBD
Kafukufuku wina wokhudzana ndi magazi anachitidwa kwa anthu pafupifupi 50,000 akuluakulu ndi ana omwe ali ndi EDD ku Denmark pakati pa 1980 ndi 2007. Zimene akatswiri ofufuza adachita ndizoti poyerekeza ndi anthu opanda IBD, anthu omwe ali ndi IBD anali ndi chiopsezo chokwanira kawiri kawiri ka pulmona.
Ngakhale atatha kukonza chidziwitso cha zifukwa zina zomwe zingayambitse magazi, matenda a mtima, shuga, congestive mtima kulephera, komanso kugwiritsa ntchito mankhwala ena, chiopsezo chinali chikhalire 80 peresenti mu IBD gulu.
Kafukufuku wina wofalitsidwa mu 2004 anawonetsa anthu 618 omwe ali ndi IBD komanso anthu omwe ali ndi matenda a nyamakazi ndi matendawa ndipo amawayerekezera ndi gulu lolamulira. Monga momwe kawirikawiri zimapangidwira mu maphunziro amenewa, munthu aliyense yemwe ali ndi IBD amafanana ndi munthu yemwe ali ndi zaka zofanana ndi za amai. Pambuyo poyang'anitsitsa deta pamagazi a magazi, ofufuza anapeza kuti anthu omwe ali ndi IBD anapeza magazi pa 6.2 peresenti (omwe anali odwala 38), poyerekeza ndi 1.6 peresenti mu gulu lomwe linalibe IBD.
Phunziro la 2010 lomwe linapangidwa ku UK linayang'ana paziopsezo za magazi omwe ali ndi IBD omwe sanapite kuchipatala ndipo analibe matenda okhudzidwa komanso omwe anali ndi vutoli komanso omwe anali kuchipatala. Panali odwala 13,756 omwe anali ndi IBD ndipo zotsatira zake zasonyeza kuti ngakhale anthu osayanjana ndi IBD anali ndi chiopsezo chokhala ndi magazi omwe katatu kuposa wamkuluwo. Anthu omwe anali kuchipatala chifukwa cha matenda awo a IBD anali ndi chiopsezo cha magazi omwe katatu kuposa odwala ena kuchipatala. Kuwongolera kwa IBD kunayanjanitsidwa ndi chiopsezo chokhala ndi magazi omwe kanali kasanu ndi katatu mwa anthu omwe ali mu gulu lolamulira lomwe linalibe IBD.
Zomwe Deta Zonse Zimatanthauza
Nambala kuchokera kufukufuku ikhoza kuwoneka owopsa koma pali zifukwa zingapo zomwe muyenera kuziganizira. Mavuto omwe munthu amakhala nawo pamagazi amagazi adzakhazikitsidwa pazifukwa zingapo ndipo kukhala ndi IBD tsopano kumamveka kuti ndi imodzi mwa izi.
Gastroenterologists ayenera kudziwa kuti chiopsezo ichi chikuwonjezeka ndipo zingathandize kuika mowopsya payekha, kuganizira zoopsa monga zaka, mbiri ya banja, ntchito, mankhwala, ndi mimba. Malangizo ochokera ku Canadian Association of Gastroenterology omwe adafalitsidwa mu 2014 amalangiza kuti mankhwala a antiticoagulant (omwe angalepheretse kuwononga magazi) angagwiritsidwe ntchito kwa odwala ena omwe ali ndi IBD makamaka makamaka mu chipatala, atatha opaleshoni, ndipo ngati magazi atha kale. Sikovomerezeka kuti anthu omwe ali ndi IBD alandire mankhwala kuti ateteze magazi pokhazikika.
Kuchepetsa Ngozi
Kuchepetsa chiopsezo cha magazi kumaphatikizapo malangizo monga kuchita masewero olimbitsa thupi, kukhala ndi kulemera kwabwino, kumwa madzi okwanira, komanso kuthana ndi matenda odwala matenda a shuga ndi matenda a mtima.
Kwa anthu omwe ali ndi chipatala cha IBD omwe ali m'chipatala, mankhwala oletsa anti-clotting, omwe amachepetsa chiopsezo cha magazi, akhoza kulamulidwa. Pakhala pali zokambirana pakati pa akatswiri okhudza kupereka mankhwala osokoneza bongo kwa anthu omwe ali ndi IBD omwe sali m'chipatala koma pakalipano kuchita izi sikungoganizidwe kupereka zopindulitsa.
Munthu aliyense amene ali ndi IBD adzafunika kumvetsetsa kuti ali ndi chiopsezo chokhalira magazi ndipo agwire ntchito ndi dokotala kuti adziwe ngati zingakhale zofunikira kugwiritsa ntchito mankhwala kuti awathandize.
Mawu Ochokera
Gastroenterologists angadziwe kuti magazi amatha kuopsa koma madokotala ena sangathe. Izi zikuwunikira kufunikira kwa aliyense pa gulu la chisamaliro cha IBD kuti alankhule ndi kuika zinthu zoopsya kukhala zofunikira. Izi zikutanthawuza kuti pamene anthu omwe ali ndi IBD amakumana ndi chiopsezo cha magazi, monga opaleshoni kapena kuchipatala, ndizofunika kuti madokotala azitha kutenga chiopsezo chachikulu cha magazi.
Anthu omwe ali ndi IBD omwe ali ndi nkhaŵa zokhudzana ndi chiopsezo chawo chokhala ndi magazi chifukwa cha zoopsa kapena mbiri ya banja ayenera kuyankhula ndi gastroenterologist za kupewa kutaya magazi.
> Zotsatira:
> Gawo Lachigawo Chakumayambiriro kwa Magazi Padziko Lonse pa Zofooka za Kubadwa ndi Kulemala Kwakukula, Malo Othandizira Kuletsa Matenda ndi Kupewa Matenda "Venous Thromboembolism (Zovala Zopanga Magazi): Deta ndi Ziwerengero." CDC.gov 6 Apr 2017.
> Grainge MJ, West J, Khadi TR. "Kutenga thromboembolism pa matenda opatsirana ndi kukhululukidwa m'magazi opweteka kwambiri: kuwerengera gulu." Lancet 2010; 375: 657-63. Do: 10.1016 / S0140-6736 (09) 61963-2
> Kappelman MD, Horvath-Puho E, Sandler RS, ndi "Chiopsezo cha Thromboembolic pakati pa ana a Danish ndi achikulire omwe ali ndi matenda opweteka kwambiri: omwe amapezeka pophunzira padziko lonse." Gut . Published Published First: 21 February 2011. doi: 10.1136 / gut .2010.228585
> Miehsler W, Reinisch W, Valic E, et al. "Kodi matenda opatsirana ndi kutupa amakhala ndi chiopsezo chodziwika ndi matenda omwe amachititsa thromboembolism?" Kutha . 2004; 53: 542-548. lembani: 10.1136 / matumbo.2003.025411
> Nguyen GC, Bernstein CN, Bitton A, et al. "Kugwirizana pa Zowopsa, Kupewa, ndi Chithandizo cha Thromboembolism Yamtundu Wambiri M'thupi Lomwe Zimapweteka : Canadian Association of Gastroenterology." Gastroenterology 2014, 146: 835-848.