Kodi kutanthawuza chiyani kukhululukidwa kwa matenda a Crohn kapena matenda a zilonda zam'mimba? Kwa odwala ambiri omwe ali ndi matenda opatsirana a m'magazi (IBD) , ndi madokotala awo, kukwaniritsa kukhululukidwa ndi cholinga chachikulu cha chithandizo. Chikhululukiro chingabwere pambuyo pa chithandizo ndi mankhwala kapena atachita opaleshoni. Nthawi zina, zingakhale zofulumira kwambiri, koma kwa ena, zingatenge nthawi yochuluka ndikuyesera mankhwala ndi mankhwala amodzi kapena ambiri komanso / kapena opaleshoni.
Malingana ndi Crohn's ndi Colitis Foundation ya America, chaka chomwechi, pafupifupi anthu 50 pa 100 alionse omwe ali ndi matenda a Crohn angakhale akukhululukidwa kapena ali ndi matenda ochepa ndipo pafupifupi 48% a anthu omwe ali ndi zilonda za zilonda zam'mimba adzakhala okhululukidwa.
Kumvetsa Kukhululukidwa
Mawu oti kuchotsedwa amatanthauza zinthu zosiyana kwa anthu osiyanasiyana, kuphatikizapo odwala ndi madokotala. Izi zingawonongeke pokhapokha mutayankhula za njira zowotulukira ndi momwe zingapezere. Kwa zaka zambiri, odwala ankaganiziridwa kuti ali ndi chikhululukiro ngati panali zizindikiro zochepa kapena zosaoneka za IBD . Izi zikutanthauza kuti zizindikiro monga kupweteka kwa m'mimba , kutsegula m'mimba, kapena m'magazi zinkachepa kwambiri kapena zatha.
Ngakhale zambiri zimaphunzira za IBD, komabe kumamveka bwino kuti kukhululukidwa ndikulingalira kwambiri kusiyana ndi kuchepetsa zizindikiro. Kwa odwala, kupeza mphamvu za zizindikiro kudzakhala chinthu chofunikira kwambiri kuti mukhale ndi moyo wabwino pa nthawi yochepa.
Komabe, pangakhale njira zina zomwe zikuchitikabe ndi IBD ngakhale zizindikiro zina, kapena zizindikiro zonse, zatha. Odwala ena akhoza kukhala ndi kutupa kwa IBD ngakhale kuti akumva bwino. Kutupa ndi chizindikiro cha IBD chomwe chikhoza kuchititsa mavuto aakulu.
Mtundu Wachikhululukiro Chosiyanasiyana
Odwala angaphunzire zambiri za IBD mwa kukambirana za kuchotsedwa ndi gastroenterologist . Palibe mgwirizano pa ndondomeko yeniyeni ya kukhululukidwa mu IBD. Komabe, palinso zida zingapo zomwe madokotala angagwiritse ntchito kuti adziwe ngati wodwalayo wapindula. Osiyana gastroenterologists ndi IBD malo amagwiritsa ntchito njira zomwe awona kuti ziri zoyenera, zomwe zikutanthauza kuti zingakhale zovuta kufananitsa.
Zina mwa mitundu yosiyana ya kukhululukidwa ndi monga:
- Kuchokera kwa mankhwala: Kuyezetsa kwapadera komwe kumachitika pamagazi kapena m'thumba sikusonyezera zizindikiro zozizwitsa za IBD.
- Kukhululukidwa kwachipatala: Pamene zizindikiro za IBD zakhala zochepa mpaka kufika poti salipo kapena sapita.
- Endoscopic kukhululukidwa : Palibe kutupa kumawonedwa panthawi ya mayesero pamene dokotala amatha kuona chigawo cha m'mimba, monga colonoscopy kapena sigmoidoscopy .
- Kukhululukidwa kwachinsinsi: Mtundu uwu wa kukhululukidwa umaphatikizapo mapeto osakanikirana ndi kuchipatala. Pamene zimayengedwa ndi kuyesedwa, mwachitsanzo pa colonoscopy, palibe kutupa kumawoneka.
- Kukhululukidwa kwa opaleshoni: Opaleshoni ikhozanso kubweretsa nthawi ya kukhululukidwa kwa anthu ena omwe ali ndi IBD, pamene zimatulutsa kutentha kapena zozizwitsa pang'ono.
Chifukwa chikhululukiro chachipatala sichingakhale chokwanira
Kukhululukidwa kwachipatala ndikofunikira kwa odwala chifukwa kumatanthauza kumverera bwino. Zizindikiro za IBD zomwe zingakhale zovuta kwambiri ndipo zimapangitsa odwala omwe sagwirizane nawo kapena kupita kuntchito kapena kusukulu makamaka kapena palibe. Ngakhale kwa madokotala ena, izi zikhoza kukhala mapeto a chithandizo, koma zimamveka bwino kuti chikhululukiro chiyenera kuphatikizapo kuposa zizindikiro zowononga. Kufikira ku zomwe zimatchedwa "zakuya" kukhululukidwa tsopano ndi cholinga.
Chifukwa cha ichi ndikuti ngakhale pamene mukutulutsidwa kachipatala ndikuyenda moyo wamba, IBD ikhoza kuyambitsa kutupa m'magazi.
Kafukufuku wasonyeza kuti paliponse pakati pa 30% ndi 45% a odwala omwe ali ndi zilonda zam'mimba omwe ali mu machiritso a kuchipatala omwe ali ndi kutupa komwe angapezeke panthawi yopuma. Vuto ndi izi ndikuti kutupa kumapangitsa wodwala kukhala ndi chiopsezo chowonjezereka chifukwa cha zotsatira zina zoipa. Kuchepa kotereku kumagwirizananso ndi kubwezereka kwa ulcerative colitis, chiopsezo chachikulu chochita opaleshoni, ndi mavuto ambiri a nthawi yaitali monga chiopsezo chowonjezereka cha khansa yamtunda .
Bwanji Ngati Pali Kutentha Kwambiri?
Kukhala ndi zizindikiro zochepa kapena zosavuta kwa odwala, koma kufika ku chikhululukiro chakuya chomwe chimaphatikizapo kulamulira kutupa ndikofunika kwa nthawi yaitali. Pamene pali kutupa komwe kulipo m'thupi, njira zina zochiritsira zingafunike. Kugwira ntchito ndi gastroenterologist kuti mudziwe mankhwala omwe angafunike pokhapokha kuti mupitirizebe kuchipatala komanso kuti mubweretse kukhululukidwa kwapopopophoni n'kofunikira. Odwala ena angaganize kuti ndizokwanira kuti asakhale ndi zizindikiro za IBD, koma cholinga cha chithandizo chiyenera kukhala kuti kutupa kwatha. Pali mwayi wochuluka wa zotsatira zabwino za nthawi yaitali kuchokera ku IBD pamene pulogalamu yamakono ndi yosonyeza kuti palibe zotsekemera zotsalira m'magetsi .
Mawu Ochokera
Monga madokotala ndi asayansi akuzindikira za zomwe zimachitika m'thupi la anthu okhala ndi IBD, matanthauzo a mawu ena akusintha. Chikhululukiro ndi mawu amodzi omwe, chifukwa amatanthawuza kuti alibe zizindikiro, koma tsopano akutanthauza zambiri. Ndipotu, chikhululukiro chakhala chikugawidwa m'magulu angapo. Ngakhale akatswiri a IBD samagwirizana onse pa lingaliro limodzi lokha la chikhululukiro, ndiko kuvomereza kuti chikhululukiro chachipatala sichikwanira odwala. Anthu omwe ali ndi IBD amafunikira zizindikiro zawo, komanso kutupa komwe IBD imayambitsa, kuti athetse mavuto osiyanasiyana. Odwala ndi aluso pa za IBD ndipo amatha kuyamikira maonekedwe a mitundu yosiyanasiyana ya kukhululukidwa komanso momwe angakwaniritsire chikhululukiro cha endoscopic chomwe chidzabweretsere zotsatira zabwino.
> Zotsatira:
> Crohn's ndi Colitis Foundation ya America. "Zoonadi Zokhudza Matenda Okhudza Kutupa Kwambiri." CCFA.org. 1 May 2011.
> Moss AC. "Kutentha Kwambiri ndi Ulitisative Colitis mu Kukhululukidwa." Gastroenterol Hepatol (NY) . 2014 Mar; 10: 181-183.
> Pineton de Chambrun G, Blanc P, Peyrin-Biroulet L. "Umboni wamakono wothandizira kuchiritsidwa kwa machiritso ndi kukhululukidwa kwakukulu ngati zolinga zofunikira zothandizira matenda opatsirana." Katswiri Rev Gastroenterol Hepatol . 2016 Aug; 10: 915-927.
> Reinink AR, Lee TC, Higgins PD. "Kupulumuka kwa Mucosal Endoscopic Kumatchula Zotsatira Zabwino Zomwe Akudwala Zokhudza Matenda Opatsirana: Kufufuza Meta." Inflamm Bowel Dis . 2016 Aug 22: 1859-1869.
> Zallot C, Peyrin-Biroulet L. "Kukhululukidwa kwakukulu mu matenda opweteka a m'magazi: Osangodalira zizindikiro." Curr Gastroenterol Rep . 2013 Mar 15: 315.