Popanda kuchiritsidwa, ndi moyo wonse
Ulcerative colitis ndi mtundu wa matenda opatsirana (IBD) omwe pakalipano palibe mankhwala omwe amadziwika . Chizindikiro chachikulu cha ulcerative colitis ndi kutupa mu colon ndi rectum. Komabe, matendawa akukhudzana ndi mavuto omwe amakhudza mbali zina za thupi, kuphatikizapo ziwalo, khungu, ndi maso. Kwa zaka khumi zoyambirira mutatha kupeza matenda, chiwerengero cha anthu ambiri omwe ali ndi zilonda za m'mimba ndi zabwino - kuchuluka kwa colectomy ndi kochepa, ndipo odwala ambiri amapindula.
Nkhani yabwino ndi yakuti pali mankhwala ambiri omwe alipo tsopano kuposa kale, ndipo ambiri ali panjira. Kwa zaka makumi angapo zapitazi odwala amadwala kwambiri ndipo amafunikira ileostomy yosatha chifukwa matendawa anali aakulu kwambiri, kapena chiopsezo cha khansa yamtunda chinali chachikulu kwambiri. Izi zikuchitikabe nthawi zina, koma opaleshoni yatsopano, monga leal-anal anastomosis (IPAA ), kapena j-poch , tsopano ikuchitidwa.
Kutsuka ndi Kukhululukidwa
Ulcerative colitis ndi matenda aakulu, zomwe zikutanthauza kuti sizingatheke. Maphunziro a ulcerative colitis amayamba kufika pakati pa nthawi ya matenda opatsirana (nthawi zina ) ndi nthawi ya kukhululukidwa (komwe kuli zochepa kapena zosaoneka, kapena pali kutupa pang'ono mu colon). Anthu ena omwe ali ndi zilonda zam'mimba sizitha kupeza chikhululukiro koma amakhala ndi matenda opitirira, omwe amawopsa. Pafupifupi 10 peresenti ya anthu ali ndi mavuto aakulu, monga perforation (dzenje mu khola) kapena kutuluka magazi, atangoyamba kukwera.
Pafupifupi 10% a anthu sakhala ndi vuto linalake pambuyo poyambirira, zomwe zingatheke chifukwa chakuti matenda a ulcerative colitis sanali olakwika.
Ulcerative colitis imafika poyambira mu rectum kapena gawo lotsiriza la colon ( sigmoid colon ) ndipo imafalikira kupyola mulimoni yonseyo.
Kwa omwe amapezeka kuti ali ndi ulcerative proctitis , kumene matendawa ali pokhapokha pokhapokha, matenda omwe amafalikira pamtunda ndi 10% mpaka 30%.
Kodi Colectomy Ndi Chiyani Pamafunika?
Pakati pa 10% mpaka 40% a odwala omwe ali ndi ulcerative colitis adzafuna opaleshoni kuti athe kuchiza matenda awo. Kuchita opaleshoni nthawi zonse kumaphatikizapo kuchotsedwa kwathunthu kwa koloni; Kuchotsedwa kwazing'ono sikunayambe chifukwa ulcerative colitis idzabwereranso mu gawo la colon yomwe idakalipo. Chomwe chimasankhidwa popanga opaleshoni pambuyo pa colectomy ndi opaleshoni ya j-poch , komwe gawo lomaliza la matumbo aang'ono (leamu) amagwiritsidwa ntchito kupanga thumba kuti agwire chovala. The j-poch imakhala ngati rectum ndipo yasungidwa kumbuyo kwa anus kuti munthu akhoza kusuntha matumbo awo pansi.
Nthaŵi zina, leodiomy ingafunikire kuchitidwa. Analoostomy ndi pamene chiwalo cha m'mimba chimabweretsamo mimba (a stoma ), thumba lakunja limagwiritsidwa ntchito kusonkhanitsa zinyalala. Izi zimachitika makamaka m'mavuto ovuta kapena pamene opaleshoni ya j-poch imatha. Mu mkhalidwe uno, ileostomy ikhoza kukhala yosatha
Khansara ya Ngozi ya Ngozi
Khansara ya Colon imakula pafupifupi 5% mwa anthu omwe ali ndi zilonda zam'mimba. Ngozi ya khansa ya coloni imakula patatha zaka 8 mpaka 10 za matenda okhwima komanso kukhala ndi matenda ambiri (omwe amatchedwa pan colitis).
Zifukwa za chiopsezo cha chiopsezo cha khansa yamtunduwu zimaganiziridwa chifukwa chokhala ndi kutukuka komwe kumakhudza chigawo cha coloni. Ichi ndi chifukwa chake n'kofunikira kuti anthu omwe ali ndi zilonda zam'mimba azikhala osamalidwa ndi gastroenterologist , kuti apeze matendawa, ndikukhala ndi colonoscopy nthawi zonse kuti awone vuto lililonse.
Mfundo Yofunika Kwambiri
Anthu omwe ali ndi ulcerative colitis amakumana ndi mavuto chifukwa cha matenda awo. Kuwona gastroenterologist nthawi zonse ndi kulandira chithandizo chamankhwala, ngakhale pamene mukumverera bwino, zidzakhala zofunikira kwambiri poteteza zozizwitsa.
Zomwe zimakhala zovuta komanso zowonongeka zingakhale zopanikizika, chifukwa chake kusunga kutupa kumayendetsa ndi kuthana ndi mavuto ena azaumoyo pamene akulima kudzakhala chinsinsi chokhala ndi moyo wabwino.
Zotsatira:
Langholz E, Munkholm P, Davidsen M, Binder V. "Njira ya Ulcerative Colitis: Kufufuza kwa Kusintha kwa Matenda Ntchito Kwa Zaka Zambiri." Gastroenterology 1994 Jul; 107: 3-11.
National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. "Ulcerative Colitis." Nyuzipepala ya National Digestive Diseases Clearinghouse Sept 2014.
Sachar DB, Walfish AE. "Ulcerative Colitis." Buku la Merck Aug 2006.
Solberg IC, Lygren I, Jahnsen J, Aadland E, ndi al. "Maphunziro Ochipatala M'zaka 10 zoyambirira za Ulcerative Colitis: Zotsatira Zotsatira Kuchuluka kwa Anthu Ochokera Pachiyambi Chakuphunzira (IBSEN Study)." Scand J Gastroenterol 2009; 44: 431-440.