Matenda Opatsirana Opatsirana (IBD)

Zachidule Zokhudza Matenda Opatsirana Opatsirana (IBD)

Matenda a zilonda zam'mimba ndi matenda a Crohn ndi osachiritsika matenda aakulu a m'mimba. Matenda awiriwa nthawi zambiri amakhala pamodzi ngati matenda opatsirana (IBD) chifukwa cha zizindikiro zawo zofanana.

Anthu pafupifupi 5 miliyoni (kuphatikizapo 1.6 miliyoni a ku America, a 23,000 a ku Australia, ndi anthu 250,000 a ku Canada) padziko lonse amakhala ndi mawonekedwe a IBD. Mtengo wa kuwonongeka kotayika kwa mabungwe a US chifukwa cha IBD akuyesa kukhala ndi $ .8 biliyoni pachaka.

Matenda a Crohn ndi zilonda zam'mimba zimakhala zamoyo nthawi zonse, koma pali mankhwala othandiza omwe alipo. Kupita patsogolo kwachipatala ndi opaleshoni kumachitika chaka chilichonse ndipo anthu ambiri omwe ali ndi IBD amapindula ndikusunga moyo wawo.

> Yang'anirani momwe ulcerative utitiri umakhudzidwira mtunduwu.

Anthu omwe amapezeka ndi IBD amafunika kusamalidwa nthawi zonse kuchokera kwa katswiri wa kadyedwe-gastroenterologist-ndi chithandizo kuchokera kwa ena othandizira zaumoyo monga katswiri wa zakufa / odyetsa, wothandizira wamkulu, kapena akatswiri ena monga momwe akufunikira.

• Kodi Kutanthauza Colhn's Colitis Kumatanthauzanji?

• Chifukwa chiyani IBD Ikhoza Kukhudza Amayi Mosiyanasiyana Kusiyana ndi Iwo Amuna Amuna

Zinthu Zofunika Kwambiri Kuzidziwa

• Palibe chifukwa kapena chithandizo chodziwika kwa IBD.
• Anthu omwe ali ndi IBD sanadzidwalitse chifukwa cha zakudya zopanda pake kapena nkhawa .
• Palibe zakudya zomwe zimagwira ntchito kwa anthu onse omwe ali ndi IBD.
• Matenda a Crohn ndi ulcerative colitis angagwirizane ndi mavuto omwe alibe kunja kwa thupi (zovuta za m'mimba).
• IBD sichimodzimodzi ndi matenda opweteka a m'mimba (IBS) ndipo amachiritsidwa mosiyana kwambiri.
• Anthu omwe ali ndi IBD ali pangozi yowonjezereka kuti akhale ndi zikhalidwe zina.
• Nthawi zambiri IBD siyikudziwika kuti ndi imfa .

Zizindikiro

Matenda a Crohn ndi zilonda zam'mimba zimakhala ndi zizindikiro zofanana koma zimasiyana ndi momwe zimakhudza kapangidwe kakang'ono ka m'mimba.

Matendawa ali ndi mitundu yosiyanasiyana ya opaleshoni ndipo amatha kuchiritsidwa ndi mankhwala osiyanasiyana. Zizindikiro zowonjezereka zimaphatikizapo, koma sizingatheke ku:

• Kupweteka m'mimba
• Kutaya thupi
• Fever
• Kutuluka magazi
• Khungu ndi diso limakwiyitsa
• Kutsekula m'mimba

Kudziwa

Kafukufuku wochuluka kawirikawiri amatsirizidwa ndi kuphunzira ndi katswiri wamagetsi asanadziwe kuti IBD yapangidwa. "Miyezo ya golidi" ya matendawa imatchedwa colonoscopy . Pakati pa mayeserowa, fiber optic chubu imayikidwa mu rectum pamene wodwalayo amakhala pansi kuti adziwe dokotala kuti ayang'ane chipinda cha m'matumbo akulu ndi kutenga biopsies .

Mayesero ena omwe angagwiritsidwe ntchito pa matendawa ndi awa:

• Barium enema
• Mayeso a magazi
• Tsamba losungunuka
• Dongosolo la Computed tomography (CT)
• Mitsempha yowongoka m'mwamba (kumtunda wa GI)
• Sigmoidoscopy
• Kutsekemera kochepa kwambiri

Chithandizo

Kusiyana kwa matenda opatsirana, kapena " zolaula ," ndi nthawi zosagwira ntchito ( machiritso ) zimakhala zofanana ndi IBD. Mankhwalawa amagwiritsidwa ntchito mobwerezabwereza pofuna kuteteza kutupa (kumadziwika ngati mankhwala osamalira) kapena kuteteza zowonongeka.

Nthawi zina opaleshoni imagwiritsidwa ntchito pochiza IBD , ndipo opaleshoni yomwe amagwiritsidwa ntchito idzakhala yosiyanasiyana malinga ndi mtundu wa IBD komanso komwe kutupa kulipo. Mankhwala ochiritsira omwe amagwiritsidwa ntchito popanga IBD ndi awa:

• Mankhwala a Sulfa ( sulfasalazine )
• Corticosteroids ( budesonide , prednisone )
• 5-Aminosalicylates ( Asacol , Apriso , Pentasa, Rowasa, kapena ASA 5)
• Immunosuppressives ( Imuran , 6 MP , ndi Methotrexate )
• Zamoyo ( Remicade , Entyvio , Humira )

Zofunikira za Matenda a Crohn

Matenda a Crohn angakhudze matumbo aang'ono ndi akulu komanso ziwalo zina m'magazi. Mosiyana ndi ulcerative colitis , yomwe imakhudza ubongo wambiri, Matenda a Crohn amakhala ndi zigawo zonse za m'mimba.

Mitundu yambiri ya opaleshoni ingagwiritsidwe ntchito pochiza zizindikiro ndi mavuto a Crohn's disease, komabe palibe mankhwala . Chofala kwambiri ndi resection , pamene opaleshoni amachotsa chiwalo cha matumbo ndikugwirizanitsa mapeto awiriwo. Kuchita opaleshoni ya ostomy, kuphatikizapo colostomy ndi ileostomy , ndi njira zina zopaleshoni zomwe nthawi zina zimagwiritsidwa ntchito.

Mfundo Zenizeni za Ulcerative Colitis

Mu ulcerative colitis, mkati mwake muli matumbo akuluakulu (colon) ndi rectum. Matendawa samakhudza matumbo aang'ono. Kuchita opaleshoni ya ulcerative nthawi zonse kumaphatikizapo kuchotsedwa kwa koloni yonse.

Njira zopangira opaleshoni zimaphatikizirapo leostomy kapena leal-anal anastomosis (IPAA), yomwe imatchedwa j-pouch . Anthu ambiri omwe ali ndi ulcerative colitis samafuna opaleshoni, koma amatha kusamalira matenda awo ndi mankhwala.

Kusiyanasiyana pakati pa Matenda a Crohn ndi Ulcerative Colitis

Chithandizo cha IBD tsopano chikudziwika kuti ndi Crohn's disease kapena ulcerative colitis, choncho ndikofunikira kufotokoza kusiyana pakati pawo.

Nazi kusiyana kwakukulu :

• Mu ulcerative kolitis, kutupa kuli mumatumbo akulu, pamene ali ndi matenda a Crohn, kutupa kumawoneka kulikonse m'magazi.
• Kutupa kwa Crohn's disease kumakhudza zonse zigawo za m'mimba, pamene ali ndi ulcerative colitis yekha mkati mwake umakhudzidwa.

• Kodi Asayansi Akuganiza Chiyani Zimayambitsa Matenda a Crohn ndi Ulcerative Colitis?

• Kodi Mukudziwa Zomwe Zikutanthawuza Kukhala ndi Chiwawa cha IBD?

• Kusuta ndudu kungadwale matenda a Crohn, koma anthu ena omwe ali ndi zilonda zam'mimba amangotenga matendawa atasiya kusuta.
• Matenda a m'mimba mwa munthu amene ali ndi matenda a Crohn angasonyeze granulomas , omwe sapezeka mwa anthu omwe ali ndi zilonda zam'mimba.
• Mu ulcerative kolitis, kutupa kumayambira pa rectum ndipo kumapitiriza kuyenda mosalekeza kudzera m'matumbo akulu, pamene ali ndi matenda a Crohn, kutupa kungayambe kulikonse ndipo kumawonekera pamagazi osiyana ndi minofu yathanzi.
• Zovuta zambiri zamkati m'mimba ndi m'mimba zimakhala zofanana pakati pa mitundu ya IBD, koma abambo , matumbo obstructions , fistula , fistula ndizofala kwambiri kwa anthu omwe ali ndi matenda a Crohn ndi matumbo omwe amatha kupwetekedwa (makamaka pa nthawi yoyamba), khansara yofiira , ndi poizoni megacolon ndi wamba kwambiri kwa anthu omwe ali ndi zilonda zam'mimba.

Mawu Ochokera

Mwatsoka, chifukwa cha vuto lililonse la m'mimba sichimvetsetseka ndipo palibe chomwe chimachiritsidwa. Zizindikirozo zimakhala zovuta, zochititsa manyazi, komanso zowononga. Kafufuzidwe ndi kuzindikira ndizofunika pakulimbana ndi IBD.

Nkhani yabwino ndi yakuti mankhwala akuchiritsika chaka chilichonse. Pali mankhwala atsopano omwe amayesedwa ndi kuvomerezedwa kuti ali ndi chiwongoladzanja chabwino cha chikhululukiro ndi zochepa zovulaza kuposa kale. Thandizo kwa anthu omwe ali ndi IBD ndiwowonjezereka kwambiri, pa intaneti ndi kunja, monga momwe manyazi a chikhalidwe akugwera.

Kupezeka ndi IBD ndi kovuta komanso kusintha moyo. Komabe, anthu ambiri okhala nawo amakhala moyo wokhutiritsa, akwatirana, amakhala ndi ana, ndipo amasangalala ndi ntchito zabwino. Kusamalira IBD kupyolera mu ubale wapamtima ndi gastroenterologist kudzakhala chigawo chofunikira pakukwaniritsa kukhululukidwa ndikupewa zovuta zokhudzana nazo.

> Zotsatira:

> Bhandari BM, Kroser JA, Bloomfeld RS, Lynch SP. "Matenda Opatsirana Opunduka." American College of Gastroenterology 2013.

> Crohn's ndi Colitis Foundation ya America. "Za Ulcerative Colitis & Proctitis." CCFA.org 2013.

> Crohns ndi Colitis Foundation ya America. "Kodi matenda a Crohn ndi chiyani?" CCFA.org 2013.

> Schraag J. "IBD: Zamakono ndi Zam'tsogolo Zotsatira." EndoNurse 01 Dec 2005.