Ulcerative colitis ndi mtundu wa matenda opatsirana (IBD) , matenda aakulu omwe pakalipano palibe mankhwala omwe amadziwika. Chizindikiro chachikulu cha ulcerative colitis ndi kutupa kwa colon ndi rectum, zomwe zimachititsa zizindikiro zosiyanasiyana m'matumbo a m'mimba. Matendawa nthawi zina amabweretsa mavuto omwe amakhudza mbali zina za thupi, kuphatikizapo ziwalo, khungu, ndi maso.
Zizindikiro
Zizindikiro za ulcerative colitis zimabwera ndikupita. Pamene zizindikiro zikugwira ntchito, imatchedwa kuti-flare-up. Kuwongolera kungakhale koopsa kwa masiku angapo kapena masabata ndikupita kutali, kapena kukhala bwino kwa kanthawi. Kwa anthu ambiri, zizindikiro zimapitirizabe kuyenda bwino.
Pali mitundu yosiyanasiyana ya ulcerative colitis-ulcerative proctitis, proctosigmoiditis, kumapeto kwa kolitis, ndi pancolitis-koma amagawana zizindikiro zambiri, kuphatikizapo chilakolako champhamvu chokhala ndi matumbo, kupweteka kwa m'mimba, magazi ndi ntchentche mu mpando , malungo, komanso kusowa kwa njala.
Nthawi zina pamakhala zovuta kwambiri, matumbo anu akuluakulu amakula ndipo amatha kukhala ndi pang'onopang'ono. A perforation amalola chitsimikizo kulowa m'mimba mwako, chomwe chingayambitse matenda opatsirana (peritonitis).
Ngati mwakhala ndi zilonda zam'mimba kwa nthawi yayitali, mukhoza kukhala ndi zizindikiro m'madera ena a thupi lanu, kuphatikizapo ziphuphu, zilonda za m'kamwa, ndi ululu wamodzi.
Nthendayi imapangitsanso chiopsezo chanu chokhala ndi khansa yamtunda.
Zimayambitsa
Ulcerative colitis ndi matenda a idiopathic, kutanthauza kuti palibe chifukwa chodziwika. Komabe, pali ziphunzitso zingapo zokhudzana ndi chiyambi cha ulcerative colitis ndi zinthu zomwe zingapangitse patsogolo. Kafukufuku waposachedwapa amasonyeza kuti zoposa 100 majini angagwirizane ndi chitukuko cha IBD.
Palibe mwazinthu izi zomwe zatsimikiziridwabe, komabe, komanso maphunziro ambiri ayenera kuchita pasanayankhe yankho.
M'mbuyomu, anthu ambiri ankakhulupirira kuti panali chigawo cha maganizo ku IBD. Maphunziro achikulire omwe adawonetsa kuti mavuto ndi mavuto a maganizo adathandizira kuti chitukuko cha IBD chisakhale chotsimikizika. Kafukufuku waposachedwapa wasonyeza kuti maphunziro oyambirira angakhale olakwitsa, chifukwa zotsatira zawo sizingathe kubwerekanso. Palibe kugwirizana pakati pa IBD ndi matenda a maganizo . Tsoka ilo, anthu ambiri amakhulupirirabe kugwirizana kwa IBD.
Kudziwa
Pofuna kuthandizira kutsimikizira kuti munthu akudwala matenda a zilonda zam'mimba, adokotala adzalamula mayesero osiyanasiyana, omwe angaphatikizepo:
- Mayeso a magazi
- Chitsanzo cha sitolo
- Colonoscopy
- Sigmoidoscopy yovuta
- X-ray
- CT ikuyang'ana
Chithandizo
Nthawi zambiri, ulcerative colitis imachizidwa ndi mankhwala osiyanasiyana kapena mankhwala osokoneza bongo. Komabe, gawo lina la anthu omwe ali ndi zilonda zam'mimba sizimayankha mankhwala opatsirana mankhwala ndipo akupitirizabe kukhala ndi zizindikiro ngakhale pa chithandizo. Ena akhoza kukhala pachiopsezo chachikulu cha khansa ya coloni atakhala ndi matenda kwa zaka zingapo. Pazochitikazi, mtundu wa opaleshoni wotchedwa ileal pouch-anal anastomosis (IPAA) , womwe umadziwika kuti j-pouch, ukhoza kuchitidwa.
Ngati j-poch si njira yabwino, opaleshoni ya ileostomy ndiyo njira ina yopaleshoni ya ulcerative.
Mawu Ochokera
Ngati mwapezeka ndi ulcerative colitis, mudzakumana ndi mavuto-thupi ndi maganizo-chifukwa cha matendawa. Zomwe zimapangitsa kuti anthu asamangokhalira kukhumudwa komanso kukhumudwa kungakhale kovuta, chifukwa chake kusungira kutupa kumawongolera komanso kuthana ndi mavuto ena azaumoyo pamene akukula ndizofunikira kuti akhale ndi moyo wabwino. Kuwona gastroenterologist nthawi zonse ndi kulandira chithandizo chokonzekera, ngakhale pamene mumamva bwino, ndikofunika kwambiri kuti muteteze zolaula.
Nkhani yabwino ndi yakuti pali mankhwala ambiri omwe alipo tsopano kuposa kale, ndipo ambiri ali panjira.
> Zotsatira:
> Crohn's ndi Colitis Foundation ya America. "Colitis Treatment Options." CCFA.org 2016.
Lutgens MW, van Oijen MG, Van der Heijden GJ, Vleggaar FP, Siersema PD, Oldenburg B. "Kuwononga chiopsezo cha khansa yoyipa m'matenda opatsirana: kumaphatikizapo ndondomeko ya kafukufuku wamagulu a anthu." Inflamm Bowel Dis . 2013 Mar-Apr; 19: 789-799.
> Merck Manual. "Ulcerative Colitis."