Mitundu Yowonongeka mu Ulcerative Colitis ndi Matenda a Crohn
Matenda opatsirana (IBD) ndi matenda aakulu, omwe amatanthauza kuti anthu omwe amakhala nawo amadwala nthawi ndi nthawi. Cholinga cha chithandizo kwa anthu omwe ali ndi matenda a Crohn ndi ulcerative colitis (mitundu yayikulu ya IBD) ndi kukhululukira. Chithandizo chingatenge mitundu yambiri, kuphatikizapo mankhwala, opaleshoni, mankhwala othandiza komanso othandizira, komanso kusintha kwa moyo.
Anthu ambiri omwe ali ndi IBD amaganiza za kukhululukidwa ngati nthawi yakumverera bwino, ndi zochepa kapena zosaoneka za IBD monga ululu m'mimba, kutsegula m'mimba, kapena magazi mu mpando. Mtundu umenewu wa kukhululukidwa nthawi zina umatchedwa kukhululukidwa kwachipatala. Komabe, pali ndondomeko yowonjezera yakukhululukidwa yomwe ikufunika kwambiri kwa odwala ndi madokotala omwe amatchedwa endoscopic chikhululuko.
Mitundu Yina ya Kukhululukidwa
Ganizirani za kukhululukidwa monga nthawi yaikulu ya ambulera, ndi mitundu yosiyanasiyana ya chikhululukiro pansi pake. Madokotala amagwiritsa ntchito mawu osiyana pofotokoza kukhululukidwa kuchokera pa zomwe zikuchitika ndi IBD. Osati gastroenterologist aliyense adzachita izi muzochita zawo za tsiku ndi tsiku, koma pa IBD zapadera malo kapena mayesero amachilombo, mitundu yosiyana ya kukhululukidwa ikhoza kuyankhulidwa ndi kuwonedwa ngati cholinga cha chithandizo. Anthu omwe ali ndi IBD omwe ali ndi mafunso okhudza chithandizo angathe kudziwa zambiri za IBD mwa kufunsa za mitundu yosiyanasiyana ya kukhululukidwa, ndipo ngati IBD yawo ikugwera muzinthu izi:
- Kukhululukidwa kwachipatala: "Kumverera bwino" ndi zizindikiro za IBD kuchepa kapena ngakhale kutha.
- Endoscopic kukhululukidwa: Pakati pa kukula, monga colonoscopy kapena sigmoidoscopy , palibe kutupa m'matumbo.
- Chikhululukiro cha mankhwala: Ziyesero zomwe zimagwiritsidwa ntchito kuyeza momwe IBD zimakhudzira magazi kapena chithunzithunzi zingasonyeze kuti palibe zizindikiro za kutupa.
- Kukhululukidwa kwa opaleshoni: Pamene opaleshoni imagwiritsidwa ntchito monga chithandizo ndipo zimakhala ndi nthawi zochepa kapena zosaoneka. Izi nthawi zina zingagwiritsidwe ntchito kufotokoza anthu omwe achitidwa opaleshoni ndipo sadakumanepo ndi zizindikiro ndi / kapena kutupa.
- Chikhululukiro chake: Ena ambulera yomaliza yomwe imaphatikizapo mapeto osakanikirana ndi kuchipatala. Kuonjezera apo, pamene zizindikiro zimachotsedwa m'matumbo ndi kufufuza, siziwonetsa zizindikiro za kutupa kwa IBD.
Kutulutsidwa kwa Endoscopic
Anthu omwe ali ndi IBD ayenera kuyesedwa nthawi zonse kuti awone momwe matupi awo akuyankhira mankhwala. Zina mwa mayesero osiyanasiyana omwe angagwiritsidwe ntchito ndizomwe zimapangidwanso monga colonoscopy kapena toposcopy. Pakati pa mayeserowa dokotala amatha kuona mkati mwa coloni kapena m'mimba mwazing'ono ndikuyang'ana zizindikiro za IBD monga kutupa, chizindikiro cha chiboliboli, chowombera, kapena chikhomo.
Ngati mankhwala akugwira ntchito ndipo gastroenterologist sichiwona kalikonse m'matumbo omwe ali a IBD, wodwalayo angaganizidwe kuti ali mu endoscopic remission. Ngati panthawiyi m'mbuyomu munali ziwalo za m'matumbo ndi zikuluzikulu zomwe zimatuluka ndipo tsopano akuchiritsidwa, wodwala angakhale akuchiritsidwa mucosal, pomwe ndi pamene kutupa mu mucosal wosanjikiza kwa matumbo kumayamba kuchiza ndikubwerera ku thanzi labwino.
Mtundu uwu wa machiritso ndi wofunikira kwambiri, chifukwa zikhoza kutanthauza kuti palibe vuto lalikulu lokhala ndi mavuto omwe angapangitse kuchipatala kapena kuchepetsa khalidwe la moyo.
Kodi Chikhululukiro Chosayembekezereka Sichisonyeza Zizindikiro?
Kukhala mu chikhululuko chakumapeto kungathe kapena kusatanthawuza kuti zizindikiro za IBD zatha. Zapezeka kuti anthu ena omwe ali ndi IBD akhoza kukhala ndi matumbo omwe akuchiritsa, koma adakali ndi zizindikiro. Ngati zizindikiro zikupitirirabe, gastroenterologist angayang'ane chifukwa china, monga matenda opweteka a m'mimba (IBS) , matenda a celiac , kapena kusagwirizana kwa lactose . Chotsutsana ndichimodzimodzinso: Anthu ena akhoza kukhala otupa kwambiri ndipo sangakhale ndi zizindikiro.
N'chifukwa Chiyani Kukhululukidwa Kwambiri Kumakhala Kofunika Kwambiri?
Zingamveke ngati zikutsutsana ndi odwala: Kodi kumapangitsa kuti munthu athetse vutoli ngati atanthauza kuti pali zizindikiro za IBD? Kukhumudwa kwaposcopic n'kofunikira chifukwa kutupa m'magazi amatha kuyambitsa mavuto aakulu pamzere. Ngati kutupa kwachepetsedwa kapena kutapita, zikutanthauza kuti zovuta za mavuto zimachepetsedwa. Kutupa komwe sikungatheke kungayambitse moyo wapansi kapena matumbo akuluakulu komanso matumbo owonjezera m'mimba. Ichi ndichifukwa chake kuvomereza koyambirira ndi gawo limodzi lofunika kwambiri popindula ku IBD. Kambiranani ndi dokotala ngati muli ndi mafunso okhudza dongosolo lanu la mankhwala komanso momwe mukupitira patsogolo kuti mukwaniritse zolinga zanu.
Zotsatira:
Cellier C, Sahmoud T, Froguel E, et al. Groupe d'Etudes Therapeutiques des Affections Matenda Opaleshoni. Kusagwirizana pakati pa zochitika zachipatala, endoscopy, kuuma, ndi chilengedwe cha matenda a colonic ndi aleocolonic Crohn's disease. Phunziro lachidziwitso la milandu 121. Kutha . 1994; 35: 231-235.
Neurath MF, Travis SP. Kuchulukitsa machiritso mu matenda opweteka a m'magazi: ndondomeko yowonongeka. Kutha . 2012; 61: 1619-1635.