Zomwe Zimagwirizanitsa Kwa IBD, Matenda a Arthritis Amakhudza Owerengera 25% Odwala
Matenda a ubongo (IBD) amagwirizanitsidwa ndi zikhalidwe zina zambiri, kuphatikizapo matenda a chiwindi chachikulu sclerosing cholangitis , fissures , fistula , ndi nyamakazi. Matenda a nyamakazi ndi omwe amachititsa kuti anthu ambiri asamagwiritsidwe ntchito. Matenda awiri omwe amagwidwa ndi odwala IBD ndi odwala nyamakazi komanso axial arthritis.
Chifukwa chakuti nyamakazi imakhala yochuluka, ndikofunika kuti anthu omwe ali ndi IBD amvetsere zowawa ndi zopweteka. Ngakhale kuti kupweteka kwina kumakhala kofanana, ziyenera kubweretsedwanso pamasankhidwe ndi madokotala anu. Kuyika mankhusu monga momwe mungathere ndi kupewa zinthu zomwe zimawononga, komanso kukhalabe pamwamba pa mavuto aliwonse ngati akulima, ndi kofunikira. Ngati kupweteka kumakhala kovutitsa, ziyenera kuyankhulidwa ndi gastroenterologist kapena rheumatologist musanayambe mankhwala aliwonse opweteka, chifukwa anthu omwe ali ndi IBD angafunike kupewa mitundu ina ya mankhwala (makamaka NSAIDs, onani zokambirana pansipa).
Mthempha ya Matenda
Matenda a m'mimba amapezeka mwa anthu omwe ali ndi zilonda zam'mimba kapena matenda a Crohn. Pa mitundu yambiri ya nyamakazi yomwe imakhudza anthu omwe ali ndi IBD, akuti 60% mpaka 70% ali ndi vuto la nyamakazi. Kawirikawiri, njira yodwala nyamakazi imatsatira zotsatira za IBD, ndi zowonongeka ndi kukhululukira .
Palibe chiyeso chimodzi chomwe chingathe kupeza matenda a nyamakazi. M'malo mwake, mayesero angapo, monga kuyesera magazi, kugwiritsira ntchito magazi , ndi ma-x-ray , amagwiritsidwa ntchito popatula zina zomwe zingayambitse zizindikiro.
Zizindikiro za nyamakazi zapachiphuphu zimaphatikizapo:
- Chisoni chophatikizana
- Kutupa kwa ziwalo
- Kuuma mu ziwalo chimodzi kapena zingapo
- Zizindikiro zomwe zimasuntha pakati pa ziwalo
Matenda a m'mimba amatha kukhudza chigoba, dzanja, bondo, ndi ngano. Pamene kupweteka kwa nyamakazi sikungathetsedwe, kumatha masiku angapo mpaka masabata; Komabe, kuwonongeka kosatha kwa ziwalo sikunapezeke.
Kuchiza matenda a nyamakazi nthawi zambiri kumaphatikizapo kupumula ziwalo zopweteka pamodzi ndi maonekedwe ndi kutentha kwa nthawi zina. Zochita zovomerezedwa ndi wodwala zakuthupi zimagwiritsidwa ntchito pokonza kayendetsedwe kake. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) nthawi zina amagwiritsidwa ntchito kuchepetsa kufiira, kutupa, ndi kupweteka kwa ziwalo zowopsya - koma NSAID zingapangitse zizindikiro za IBD .
Njira inanso yothandizira matenda a nyamakazi ndiyo kupewera kutukusira m'matumbo chifukwa cha IBD. Matenda a nyamakazi amayamba kuchepa pamene IBD imatsitsimutsa, ndipo mankhwala ambiri ogwiritsira ntchito mankhwala a IBD angathandizenso nyamakazi yowopsa. Odwala a IBD amene amachiritsidwa ndi prednisone nthawi zambiri amapeza mpumulo wothandizira kupweteka. Odwala omwe amalandira mankhwala ochepetsa anti- tumor necrosis- anti (TN-anti-TNF), monga Remicade (infliximab) kapena Humira (adalimumab) , kuti athetse matenda awo a amthempha.
Azulfidine (sulfasalazine) , mankhwala a 5-Aminosalicylate amene akhala akugwiritsidwa ntchito pochiza IBD, angaperekenso chithandizo cha chizindikiro ngakhale kuti palibe umboni wambiri wosonyeza kuti umagwiritsa ntchito mankhwalawa. Mankhwala ena omwe amalamulidwa kuti azichiza IBD, methotrexate , angakhalenso chithandizo chothandiza matenda a nyamakazi.
Axial Arthritis (Spondyloarthropathy)
Panthawi ya nyamakazi ya axial, zizindikiro zikhoza kuoneka miyezi kapena zaka isanayambe IBD. Zisonyezo zimapweteka ndi kuuma mu ziwalo za msana wam'mimba zomwe zimakhala zovuta kwambiri m'mawa, koma zimakhala bwino ndi zochitika zolimbitsa thupi. Matenda a nyamakazi amagwira achinyamata ndipo nthawi zambiri sapitirira kwa odwala omwe ali ndi zaka zopitirira 40.
Matenda a nyamakazi angayambitse kusakanikirana kwa mafupa a m'mbali mwachindunji. Kusagwirizana kotereku kungachititse kuchepa kwa kayendetsedwe ka msana ndi kuchepetsa kuyendetsa nthiti zomwe zimapangitsa kuti munthu asapume mpweya wabwino.
Cholinga cha chithandizo cha nyamakazi ya axial ndi kupititsa patsogolo kayendetsedwe ka msana. Mankhwala othandizira thupi, pogwiritsira ntchito machitidwe otha msinkhu ndi otambasula ndi kugwiritsa ntchito kutentha kwamtundu kumbuyo, ndi mitundu iwiri yochiritsira. Odwala ena amapindula ndi mankhwala ndi NSAIDs.
Kuchiza IBD kawirikawiri sikungakhudze nyamakazi iyi; Komabe, mankhwala oletsa anti-TNF ndi Azulfidine angakhale othandizira kuchepetsa zizindikiro.
Ankylosing Spondylitis
Ankylosing spondylitis (AS) ndi mawonekedwe a nyamakazi pamene ziwalo za msana ndi pakhosi zimatentha. Zomwe zimachitika ndi anthu omwe ali ndi matenda a Crohn nthawi zambiri kuposa omwe ali ndi zilonda zam'mimba, komanso amuna nthawi zambiri kuposa amayi. AS ikuwoneka kuti ndi yochepa chifukwa imangokhudza 1% mpaka 6% mwa anthu omwe ali ndi IBD. Pakhoza kukhalanso ndi chiwalo cha AS, koma chomwe chimachititsa kuti nyamakazi iyi isadziwikabe.
Kuyambira kwa AS nthawi zambiri kumaphatikizapo kutayika kwa msana. Kuchiza kumaphatikizapo kuyendetsa kupweteka ndi kukonzanso kuti musamangokhalira kusinthasintha. Remicade ndi Humira akuvomerezedwa kuti azitha kuchiza onse a IBD ndi AS, ndipo akhoza kuthandizira kuthetsa zochitika zonsezo panthawi yomweyo. Azulfidine ingakhale yothandiza kuchepetsa zizindikiro, makamaka kuuma kwa m'mawa. Kafukufuku wina wasonyeza methotrexate kukhala yothandiza kwa AS, pamene ena sasonyeza ubwino uliwonse; Methotrexate imagwiritsidwa ntchito pochiza AS kuphatikiza ndi mankhwala ena. Komabe, ngakhale ndi mankhwala, anthu ena omwe ali ndi AS akadakali ndi chizindikiro, ndipo mafupa a msanawo amatha kugwirana pamodzi.
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