Kudziwa mtundu uti wa ulcerative colitis Iwe uli ndiwotheka
Ulcerative colitis ndi mtundu umodzi wa matenda opatsirana (IBD) . Ulcerative colitis ndi matenda aakulu, osachiritsika omwe amakhudza matumbo akulu (colon). Mu gulu lalikulu la IBD pali mitundu yosiyanasiyana, malingana ndi kuchuluka kwa mbeuyi . Ulcerative colitis ingakhudze mbali iliyonse ya colon, koma siidumpha malo ngati njira ina yaikulu ya IBD, Crohn's disease, imatero.
Mu ulcerative kolitis, kutupa kumapitirira mbali zonse za coloni zomwe zimakhudzidwa.
Chifukwa Chake Mukufunikira Kudziwa Mtundu Wanu wa Ulitisative
Ndikofunika kwa aliyense amene ali ndi mtundu uwu wa IBD kuti amvetse ululu wakupweteka komanso momwe zimakhudzira thupi. Chithandizo chofunikira chidzadalira kwambiri pa mbali ya coloni yomwe imatuluka (ili ndi matenda a colitis). Ngati coloni yonse ikuwotchedwa, gastroenterologist ingafune kuyesa zosiyana kusiyana ndi ngati mbali imodzi ya coloni imakhudzidwa. Dokotala angathenso kugwiritsira ntchito ulcerative colitis kuchokera kumbali yoyamba ya matumbo akulu omwe akukhudzidwa, ndipo odwala ndi osamalira amafuna kukhala odziwa bwino kuti akambirane.
N'zotheka kuti sikuti zonse zomwe zimayambitsa ulcerative colitis zimagwera m'gulu limodzi la magawo akuluakulu. Mafunso okhudza matenda a ulcerative colitis ayenera kupita kwa gastroenterologist, amene adzatha kufotokoza kumene kutupa kuli pa colon.
Onani " Kodi Digestive System ndi chiyani? " Kuti mudziwe zambiri za zigawo za matumbo akuluakulu.
Mitundu yofala kwambiri ya ulcerative colitis ndi:
- Ulcerative proctitis
- Proctosigmoiditis
- Kumanzere kumtunda
- Pancolitis
Ulcerative Proctitis
Ulcerative proctitis imatanthauzidwa ndi kutukusira komwe kuli mu rectum , kawirikawiri kotalikirana masentimita 6 kapena osachepera.
Kwa odwala pafupifupi 30%, zilonda zawo zam'mimba zimayambira mu mawonekedwe awa. Zizindikiro zimakhala ndi kutsegula m'mimba, mitsempha yamagazi, ululu wamadzimadzi, ndi kufunika kofulumira kusuntha matumbo (tenesmus). Ndi kutupa kumakhala kochepa kokha kusiyana ndi mtundu wina wa ulcerative colitis, ulcerative proctitis amaonedwa ngati mtundu wochepa wa ulcerative colitis, ndipo kawirikawiri amakhala ndi zovuta zochepa.
Chifukwa kutupa kumapeto kwa koloni, chithandizo chingakhale chapamwamba: kutanthauza kuti mankhwala akhoza kuikidwa bwino m'madera otentha. Mankhwalawa akhoza kukhala mu mawonekedwe a suppository, enema, kapena foam. Mitundu imeneyi imatha kuperekedwa pansi (anus) ndipo ingaphatikizepo mankhwala osokoneza bongo kapena steroids.
Proctosigmoiditis
Pamene kutupa kuli mu rectum ndi sigmoid kolon (gawo lotsiriza la koloni), limadziwika kuti proctosigmoiditis. Zizindikiro ndi kutsegula m'mimba, kutsegula m'magazi, kupweteka, kupweteka, ndi kupweteka kumanzere kwa mimba .
Mtundu wotere wa ulcerative colitis ungathenso kutengedwa ndi mankhwala opatsirana pogwiritsa ntchito suppositories, enemas, ndi foam. Enemas ikhoza kupitirira mpaka mu colon, kuwapangitsa kukhala ogwira mtima pochizira kutupa komwe kuli pamwamba, mu sigmoid.
Mtundu uwu wa ulcerative colitis ungathandizidwenso ndi 5-ASA (5-aminosalicylic acid) mankhwala kapena sulfasalazine, omwe amaperekedwa pamlomo ndi kugwiritsidwa ntchito kwa nthawi yaitali yokonza ndi kupitiliza kukhululukidwa. Mlomo wodwala corticosteroid (monga prednisone) ukhoza kugwiritsidwa ntchito ngati mankhwala afupikitsa panthawi yomwe amatha kutulukira zizindikiro.
Kumanzere kumtunda
Zomwe zimatchedwanso kuchepa, kapena kutalika kwa colitis, kumbali ya kumanzere kumatenda ndi pamene kutupa kuli kumbali ya kumanzere kwa koloni (kachilomboka, sigimoid colon, ndi descon colon ). Zizindikiro zimakhala ndi kutsegula m'mimba, mitsempha yamagazi, kulemera kwa thupi, kusowa kwa njala , komanso nthawi zina ululu waukulu wamanzere.
Mtundu wotere wa ulcerative colitis ukhoza kuperekedwa ndi mankhwala osokoneza bongo (suppositories, enemas, kapena foam) komanso mankhwala 5-ASA, sulfasalazine, kapena corticosteroid.
Pancolitis
Pancolitis ndi pamene kutupa kulikonse mu koloni. Zizindikiro zimatinso kutsekula m'mimba, kupweteka, kulemera kwakukulu, ndi ululu waukulu m'mimba. Mtundu uwu wa colitis uyenera kuchitidwa ndi mankhwala am'mawu (mankhwala osokoneza bongo 5-ASA, sulfasalazine, kapena corticosteroid) kuti mankhwala athe kufika kumadera onse a coloni. Mitundu ina ya mankhwala omwe angagwiritsidwe ntchito ikuphatikizapo mankhwala a Tumor necrosis factor-alpha (TNF-alpha) , omwe nthawi zambiri amaperekedwa mwa kulowetsedwa (mu mitsempha kumalo osungirako mankhwala) kapena mwa jekeseni. Matenda ochepa kwambiri a mtundu uwu wa ulcerative colitis angafunike chithandizo kuchipatala nthawi zina.
Mfundo Yofunika Kwambiri
IBD ndi matenda ovuta kwambiri omwe amatenga mitundu yambiri. Ulcerative colitis imatanthauzidwa kuti kutupa mu colon, koma pali matenda ambiri. Asayansi akuyamba kuzindikira kuti kupatulapo maonekedwe omwe atchulidwa pamwambapa, pangakhale kusiyana kwakukulu kwa matendawa, chifukwa chake mankhwala amachiritsira amagwira ntchito mosiyana kwa munthu aliyense. Maphunziro ndi chida chabwino kwambiri cha wodwalayo pakugwira ntchito ndi madokotala komanso kumvetsa IBD. Ndi kumvetsetsa kozama, odwala akhoza kukhala ovomerezeka okha ndikuonetsetsa kuti ndondomeko yoyenera ya chisamaliro imayikidwa kuti matendawa asamangidwe.
Zotsatira:
Nkhani Za Zaumoyo. "Kupanga Ulcerative Colitis." EhealthMD 17 Apr 2013.
Crohn's ndi Colitis Foundation ya America. "Ulcerative Colitis ndi chiyani?" CCFA 2016.
Mark A Peppercorn, MD. "Chidziwitso cha Odwala: Ulcerative Colitis." Kufika pa 9 Jan 2014.