Pasina mushonga, ihwo hupenyu hwose
Ulcerative colitis isiri yehuputi hwechirwere chirwere (IBD) iyo ikozvino haisati yazivikanwa kurapwa . Chiratidzo chekupedzisira chekuonda kwehutachiona ndiko kuputika mumakoni uye rectum. Zvisinei, chirwere chacho chinosanganiswa nematambudziko anogadzirisa dzimwe nhengo dzomuviri, kusanganisira majoini, ganda, nemaziso. Kwemakore gumi okutanga mushure mekuongororwa, kufungidzira kwevanhu vakawanda vane ulcerative colitis zvakanaka - muyero we colectomy uri pasi, uye varwere vazhinji vanowana kuregererwa.
Mashoko akanaka ndeokuti pane zvimwe zvirwere zvinowanikwa ikozvino kupfuura kare, uye zvimwe zviri munzira. Mumakumi emakore akapfuura varwere vairwara zvikuru uye vangave vaida ileostomy yekusingaperi nokuti chirwere chacho chakanga chakanyanyisa, kana mungozi yekenza yekoloni yaiva yakakwirira kwazvo. Izvo zvichiri kuitika mune dzimwe mamiriro ezvinhu, asi kuvhiyiwa mitsva, yakadai seyeal pouch-anal anastomosis (IPAA ), kana j-poch , ikozvino inowanzoitwa.
Kuramba-Ups uye Kuregererwa
Ulcerative colitis chirwere chisingaperi, izvo zvinoreva kuti hazviperi. Nzira yealcerative colitis inoita kuti iende pakati pezviitiko zvezvirwere zvinoshanda ( marre-ups ) uye nguva dzekuregererwa (uko kune vashomanana kana zvisiri zviratidzo, kana kuti pane kuvhara kuduku mumakoloni). Vamwe vanhu vane ulcerative colitis havazogoni kuregererwa asi panzvimbo iyo vacharamba vane chirwere chinopfuurira, chinoshanda. Vanenge 10 muzana yevanhu vane matambudziko akakomba, akadai sokuputika (gomba mumakoloni) kana kubuda ropa kukuru, mushure mekunge vachisimuka.
Inenge 10% yevanhu havazombove neyekare-shure mushure mekutanga kwavo, izvo zvingangodaro nokuti kuongororwa kwealcerative colitis kwakanga kusina kururama.
Kuchengetedza chirwere chetachiona kunotanga kutanga mu rectum kana chikamu chekupedzisira chekoloni (chimiro che sigimoid ) uye chinogona kupararira kuburikidza nezvose zvekoloni.
Kune avo vanoongororwa vane ulcerative proctitis , apo chirwere chacho chinongowanikwa muRecum, mukana wezvirwere unopararira kuburikidza nekoni ndeye 10% kusvika 30%.
Ndivanaani Rinofanira Kunyanya Kudiwa?
Pose kubva pa10 kusvika ku40% yevarwere vane ulcerative colitis vachada kuvhiyiwa kuti vararame chirwere chavo. Kuvhiya nguva dzose kunosanganisira kubviswa zvachose kwekoloni; kusunungurwa zvishoma hazviiti nokuti chironda chekurara chichadzoka muchikamu chekoloni chinoramba chiripo. Chisarudzo chakakurumbira chekuvhiyiwa mushure mekuvhara kwecholectomy chirwere chej -pouch , uko chikamu chekupedzisira chemukati mudumbu (the ileum) chinoshandiswa kuita chikwama kuti chigadzire chigaro. I-j-poch inoshanda se rectum uye yakasimbiswa kumashure kune anus kuitira kuti munhu abudise matumbu avo kubva pasi.
Mune dzimwe mamiriro ezvinhu, ileostomy inogona kudiwa kuti iite. Anotiostomy apo chikamu chemukati chinounzwa kuburikidza nedumbu (a stoma ), chikwata chekunze chinoshandiswa kuunganidza tsvina. Izvi zvinoitwa mumatambudziko akaoma kana kuti chirwere chej-pouch chinokundikana. Mumamiriro ezvinhu aya, ileostomy inogona kuva yakasimba
The Risk Of Cancer Colon
Kanzera yeColon inokura munenge 5% yevanhu vane ulcerative colitis. Ngozi yekenza yekoloni inowedzera mushure memakore makumi mapfumbamwe nemakumi mapfumbamwe ezvirwere zvinoshanda uye kuva nechirwere chakawanda (chinonzi pan colitis).
Zvikonzero zvehuwandu hwehuwandu hwehutachiona hwekondomu hunofungidzirwa kuti hunobva pakuve nekuputika kwechirwere kunobata ruvara rwekoloni. Ichi chikonzero nei zvichikosha kune vanhu vane ulcerative colitis kuti vave nehanya nguva dzose kubva kune gastroenterologist , kuti vawane chirwere ichi kuregererwa, uye kuva nekolonoscopy yenguva dzose kuti vaongorore matambudziko ose.
The Bottom Line
Vanhu vane chirwere chepachirwere vanorwisana nematambudziko semugumisiro wezvirwere zvavo. Kuona gastroenterologist nguva dzose uye kugamuchira chirongwa chekugadzirisa, kunyange kana uchinzwa zvakanaka, zvichave zvakakosha mukudzivirira kupisa-ups.
Izvo zvakashata zvekutsvaga uye kuregererwa kunogona kuva kushungurudza, ndicho chikonzero kuchengeta kuputika pasi pekutonga nekubata nezvimwe zvinetso zvehutano sezvavanenge vakura zvinenge zvichizova kiyi yekuva nehutano hwakanaka hwehupenyu.
Sources:
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National Institute of Diabetes and Digestive and Kidney Diseases. "Ulcerative Colitis." The National Digestive Diseases Information Clearinghouse Sept 2014.
Sachar DB, Walfish AE. "Ulcerative Colitis." The Merck Manual Aug 2006.
Solberg IC, Lygren I, Jahnsen J, Aadland E, et al. "Chikoro Chekudzidzisa Mukati Yekutanga 10 Makore Ekupedzisira AUlcerative Colitis: Zvibereko Kubva kuVanhu-Vakadzika Inception Cohort (IBSEN Study)." Scand J Gastroenterol 2009; 44: 431-440.