UCDAI ndi chiyeso chomwe chimagwiritsidwa ntchito nthawi zambiri m'mayesero a zachipatala kwa IBD
Kafukufuku ndi mbali yofunika kwambiri yopanga mankhwala atsopano pa matenda alionse, kuphatikizapo kutupa kwa m'magazi (IBD) . Kawirikawiri kafukufuku amatanthawuza kuyesa mankhwala atsopano mu kagulu kakang'ono ka odwala, kuti adziwe ngati ayenera kuyesedwa pagulu lalikulu, kapena ngati lingaliro liyenera kusinthidwa kapena kusiya. Pali malamulo ndi mapulogalamu ozungulira kuyesa kwa mankhwala atsopano kwa odwala-sizinthu zomwe zimachitidwa popanda kuyang'anira kwakukulu.
Kawirikawiri, mankhwalawa ayesedwa kale mu makompyuta, ndiyeno pa zinyama (kawirikawiri makoswe kapena mbewa), ndiyeno ndi anthu abwinobwino. M'mayesero ambiri a zachipatala, njira yodziimira yowonongeka ikugwiritsidwa ntchito poyendetsa patsogolo, ndipo njira imodzi yokha ya ulcerative colitis ndi Ulcerative Colitis Disease Activity Index (UCDAI).
Kodi Akatswiri Amadziŵa Bwanji Ngati Chithandizo Chikugwira Ntchito?
Kuti muwone ngati mankhwala a IBD ndi othandiza, asayansi nthawi zambiri amagwiritsa ntchito njira yapadera kuti ayese matenda okhudza odwala pawokha. Zochitika za matenda zingakhale monga zizindikiro monga ululu, kangati munthu wapita ku bafa tsiku limodzi, kapena kutupa mu colon yomwe imapezeka pamene dokotala amaliza colonoscopy . Nthaŵi zina, zizindikiro za m'mimba zamtundu, monga khungu, diso, kapena mavuto amodzi , zikhoza kuphatikizidwanso.
Kodi ndipadera bwanji zomwe amapanga ochita kafukufukuwa kuti adziwe momwe wodwala akuchitira pamene akulandira mankhwala akuyesedwa.
Zigawo zapaderazi zingagwiritsidwe ntchito kapena zosagwiritsidwa ntchito ndi gastroenterologists mu kuchipatala, kunja kwa mayesero a zachipatala. Nthawi zambiri, sizili choncho, chifukwa sizikuthandizani kupeza chilichonse: madokotala sangathe kuyerekezera chiwerengero cha wodwalayo motsatira ndondomeko ya wodwalayo, kotero zotsatira zake sizikhala zothandiza.
Kachilombo kawirikawiri kamakhala kothandiza kwambiri poyerekeza odwala omwe amalandira chithandizo chomwecho (monga mankhwala) kwa nthawi yovuta. Kuonjezerapo, zingakhale zovuta kwambiri komanso nthawi yochuluka yochitira odwala onse, makamaka ngati palibe phindu lovomerezeka. Komabe, nthawi zina, angagwiritsidwe ntchito poyang'anira zochitika za matenda kwa odwala omwe akuyamba mankhwala atsopano.
Matenda a Ulcerative Colitis Ntchito Index
Kwa ulcerative kolitisitis, pali miyeso yambiri yokopa yomwe imagwiritsidwa ntchito pa zofukufuku zamagetsi. Chimodzi chomwe chimagwiritsidwa ntchito mobwerezabwereza chimatchedwa UCDAI. Zimapita ndi mayina ena nthawi zina, ndipo zimatchedwanso Sutherland Index kapena Modified Ulcerative Colitis Disease Activity Index. UCDAI inakhazikitsidwa mu 1987 ndi Sutherland, et al. UCDAI idzaperekedwa kumayambiriro kwa mayesero a zachipatala kuti zitsimikizidwe mfundo zoyambira, komanso kachiwiri pazinthu zomwe zidzakambidwe nthawi yonseyi.
UCDAI ili ndi ziyeneretso zambiri za zizindikiro za ulcerative colitis kuphatikizapo mpweya wambiri, kutuluka kwa magazi, maonekedwe a chigoba, ndi chiwerengero cha madokotala cha zochitika za matenda. Zonsezi zimapatsidwa nambala kuyambira 0 mpaka 3, ndipo 3 ndizopambana kwambiri pazochitika za matenda.
Ena mwa mafunsowa amafuna dokotala kuti azipanga mapepala osungirako mankhwala ndi kuwona koloni, kotero sizomwe angagwiritsidwe ntchito ndi wodwala kuti amvetse momwe matenda awo akupitira.
Pachifukwa cha mayesero a kuchipatala, kukhululukidwa kumatchulidwa nthawi zambiri ngati UCDAI chiwerengero cha 1 kapena pang'ono, ndipo kusintha ndiko kuchepetsa mfundo zitatu kapena zambiri kuchokera pamalengo kumayambiriro kwa mayesero.
Mawu Ochokera
UCDAI, kapena matenda ena onse, sangathe kumuuza ngati ali ndi matenda a zilonda zam'mimba kapena ayi. Ndi chida chimene amagwiritsidwa ntchito ndi ochita kafukufuku, nthawi zambiri pamayesero a zachipatala kuti aphunzire zotsatira za mankhwala atsopano.
Ambiri a gastroenterologists samagwiritsa ntchito izi, choncho sizinthu zomwe muyenera kuyembekezera kukhala mbali ya kuunika kwa IBD.
Chitsime:
Sutherland LR, Martin F, Greer S, et al. "5-Aminosalicylic Acid Enema mu Treatment of Distal Ulcerative Colitis, Proctosigmoiditis, ndi Proctitis." Gastroenterology 1987; 92: 1894-1898. 5 Oct 2010.
Komanso: Sutherland Index, Matenda Osinthika Opatsirana Amtundu wa Chilombo Ntchito Index