Matenda opweteka kwambiri ndi matenda aakulu, ndipo anthu omwe ali ndi IBD amafunikira chithandizo pa moyo wawo wonse. Koma kodi pali chilichonse chomwe chingapereke chithandizo?
Ayi, pakalipano palibe mankhwala a Crohn's disease kapena matenda a zilonda zam'mimba, mitundu iwiri ya IBD . IBD ndi matenda aakulu, ndipo anthu omwe ali ndi IBD amafunikira chithandizo m'miyoyo yawo yonse.
N'zotheka kuti wina achite bwino ndi IBD yawo, koma izi zikutanthauzidwa mozama kutchedwa kukhululukidwa kwakukulu, osati mankhwala.
Chikhululukiro Ndicho Cholinga
Anthu ena omwe ali ndi IBD akhoza kupeza chikhululukiro, kapena kukhalapo kwa nthawi yaitali. IBD ikuwoneka kuti yapita ku chikhululuko pamene matumbo amagwira ntchito, ndipo zizindikiro za IBD sizikuvutitsa. Pali mitundu yosiyana ya kukhululukidwa, ndipo pamene kulibe zizindikiro kumathandiza odwala, mawonekedwe ozama a kukhululukira, endoscopic remission, ndi pamene palibe kutupa komwe kumapezeka panthawi yopuma.
Kukhululukidwa ndi cholinga cha chithandizo, ndipo kwa anthu ena omwe ali ndi IBD, nthawi ya kukhululukidwa ikhoza kukhala nthawi yaitali. Komabe, anthu ambiri adzalandira matenda enaake (zovuta) ndikukhululukidwa m'miyoyo yawo yonse.
N'chifukwa Chiyani Opaleshoni Si "Chithandizo"
Chithandizo cha matenda a Crohn ndi ulcerative colitis chimaphatikizapo mankhwala ndi opaleshoni.
Nthawi zonse colectomy imatchedwa "machiritso" a zilonda zam'mimba chifukwa chakuti, kuchotsedwa kwa coloni, mbali yodwala ya matendayo yatha. Komabe, pali kachigawo kakang'ono ka odwala omwe ali ndi zilonda zam'mimba zomwe zimakhala ndi matenda m'thupi lomaliza la intestine (terminal ileum), yomwe siingathe kuchiritsidwa ndi colectomy.
Komanso, mavuto okhudzana ndi maopaleshoni, mapiritsi, ndi ululu wamagulu angakhalepobe.
Opaleshoni ya matenda a Crohn akhoza kuphatikizapo colectomy kapena resection , komanso si mankhwala chifukwa matendawa akhoza kubwerera m'madera ena a m'mimba.
Kodi mankhwala atsopano angachiritse IBD?
Mankhwala a IBD amaphatikizapo corticosteroids (prednisone), mankhwala osokoneza bongo a ASA 5, majeremusi, ndi biologics monga Remicade (infliximab) , Humira (adalimumab) , Cimzia (certolizumab pegol) , Enbrel (etanercept) , Entyvio (vedolizumab) ndi Simponi (golimumab). Mankhwalawa sangathe kuchiza IBD, koma kwa anthu ambiri, akhoza kuthana ndi zizindikiro kapena kuthandizira nthawi yakukhululukira.
Kupeza mankhwala a IBD kungayambe pozindikira chifukwa cha matenda a Crohn ndi matenda a zilonda zam'mimba. IBD ndi matenda amodzi, kapena matenda osadziwika. Pali zifukwa zokhudzana ndi zomwe zingayambitse IBD zomwe zimaphatikizapo kuyankhidwa kwagE-mediated reaction, matenda a bakiteriya, chilengedwe, ndi chiwalo cha chibadwa.
Mawu Ochokera
Intaneti ikudzaza ndi anthu omwe amanena kuti apeza "mankhwala" a IBD. Mankhwala a IBD akhoza kukhala ovuta ndipo kotero n'zosadabwitsa kuti anthu omwe ali ndi IBD amafuna thandizo losangalatsa limene likuwoneka losavuta kugwiritsa ntchito.
Komabe, palibe njira zina zothandizira kapena zothandizira zomwe zapezeka kuti zichiritse IBD. Palinso mankhwala ochiritsira omwe amapezeka kuti athe kuchiritsa IBD.
Zomwe tili nazo ndizo mankhwala omwe angathandize kuthetsa zizindikiro komanso kusamalira kutupa ndi mavuto. Njira zina zothandizira ndi zowonjezera zili ndi malo awo, ndipo zina zapezeka kuti zimapindulitsa kwa IBD, koma sangathe kutenga malo oyang'anira ndi gastroenterologist.
Ndi bwino kusunga malingaliro awa: "Ngati chinachake chikuwoneka ngati chosatheka kwambiri, mwina ndi." Pali anthu ambiri omwe amadzinenera okha kuti adzichiritsa okha.
Ngati iwo akuchita bwino (ndi kuchiza kutupa, osati zizindikiro chabe), izo ndi zodabwitsa kwa iwo. Komabe, sizingatheke kuti wina aliyense atha kuchita zomwezo (chakudya, zowonjezeretsa, ndi zina zotero) ndikukhala ndi zotsatira zomwezo. Popanda kudziŵa zambiri zokhudza matenda awo ndi mankhwala awo, n'zosatheka kutenga zofuna za wina ndikuyembekezera kuti zizigwira ntchito mofanana ndi odwala ena.
Zotsatira:
Abdelrazeq AS, Wilson TR, Leitch DL, Lund JN, Leveson SH. "Ileitis mu Ulcerative Colitis: Kodi Ndizolowera?" Matenda a Colon & Rectum 48 (2005): 1542-1549.
Bell AJ, Price AB, Forbes A, et al. "Pre-pouch leitis: matenda a leamu mu ulcerative colitis pambuyo pobwezeretsa proctocolectomy." Colorectal Disease 8 (2006): 402-410.
National Institute of Diabetes ndi Matenda a Chifuwa ndi Impso (NIDDK). "Matenda a Crohn." Nyuzipepala Yowonongeka Zokhudza Zolakolako za National Digestive 10 Jul 2013.