Mhando Yakasiyana Yokuregererwa muUlcerative Colitis uye Kurwara kwaCrohn
Chirwere chinokonzera chirwere (IBD) chirwere chisingagumi, zvinoreva kuti vanhu vanogara nayo vanoenda panguva dzehutano uye hukama. Chinangwa chekurapa vanhu vane Crohn's disease uye ulcerative colitis (maitiro makuru eBD) nderekuregererwa. Mishonga inogona kutora mhando dzakawanda, kusanganisira mishonga, kuvhiyiwa, nzira dzakasiyana-siyana uye dzinobatanidzwa, uye mararamiro emararamiro.
Vanhu vazhinji vane IBD vanofunga nezvekuregererwa semukana wekunzwa zviri nani, uye zviratidzo zvishoma kana zvisina zviratidzo zveBD zvakadai sekurwadziwa kwepamuviri, chirwere, kana ropa mune chigaro. Rudzi urwu rwekuregererwa dzimwe nguva kunonzi kliniki remission. Zvisinei, kune tsanangudzo yakawedzerwa yekuregererwa iyo iri kuwedzera kukosha kuvarwere uye vanachiremba zvinonzi endoscopic remission.
Mamwe Marudzi Akasiyana Okuregererwa
Funga nezvekuregererwa semumwe mukuru wemaamburera, nemhando dzakasiyana dzekuregererwa pasi payo. Vanachiremba vachashandisa mitemo yakasiyana-siyana kurondedzera kuregererwa kunobva pane zvinoitika neBD. Hasi gastroenterologist yose ichaita izvi mumitambo yavo yezuva nezuva, asi paBD specialty centers kana mumakiriniki, miitiro iyi yakasiyana yekuregererwa inogona kutaurwa uye inoonekwa sechinangwa chekurapa. Vanhu vane IBD vane mibvunzo pamusoro pemishonga vanogona kuwana ruzivo pamusoro peBD dzavo kuburikidza nekukumbira nezvemhando dzakasiyana dzekuregererwa, uye kana IBD yavo inowira mune imwe yenzvimbo idzi dzokuregererwa:
- Kurapa kwekliniki: "Kunzwa zviri nani" nezviratidzo zveBD zvichideredza kana kunyange kuparara.
- Endoscopic kuregererwa: Panguva yakawanda, yakadai sekolonoscopy kana sigmoidoscopy , hapana kupisa mumatumbo.
- Kuregererwa kwechimirochemical: Miedzo inoshandiswa kuongorora nzira iyo IBD inobata nayo ropa kana chigaro chinogona kuratidza kuti hapana zviratidzo zvekuputika zviripo.
- Kugadziriswa kuregererwa: Apo kuvhiyiwa kunoshandiswa sechirapa uye kunoguma munguva yezvishoma kana zvisiri zviratidzo. Izvi dzimwe nguva zvinogona kushandiswa kurondedzera vanhu vakambovhiyiwa uye havasati vaona zviratidzo chero chipi zvacho uye / kana kuvhiringidza.
- Kukanganiswa kwake kwechirevo chake: Rimwe izwi remavurasi rinosanganisira zvose zvinogumira uye kliniki yekuregererwa. Mukuwedzera, kana zvipimo zvichitorwa kubva mumatumbo uye zvichiongororwa, hazviratidzi chero humwe hunhu hwekuvhiringidza kweBD.
Endoscopic Remission
Vanhu vane IBD vanofanira kugara vachiedza kuongorora kuti miviri yavo iri kupindura sei kurapwa. Pakati pekuedza kwakasiyana-siyana kunogona kushandiswa ndeyekusingaperi kwemitambo yakadai sa colonoscopy kana kuti endoscopy yepamusoro. Munguva iyi miedzo chiremba anogona kuona mukati mekoloni kana mumukati muduku uye kutarisa zviratidzo zveBD sokuputika, chiratidzo checobblestone, kupora, kana kugadziriswa.
Kana kurapwa kuri kushanda uye gastroenterologist haaoni chero chinhu mumatumbo chinowanzoitwa neBD, murwere angafungidzirwa ari mune endoscopic remission. Kana paivapo pane dzimwe nzvimbo dzembudzi duku uye huru dzaive dzichivhiringidzika uye iye zvino vari kuporesa, murwere angangodaro ari kuitika mucosal kuporesa, iyo ndiyo apo kuvhiringidza mu mucosal kutarisa kwematumbu kunotanga kupora uye kudzokera kune hutano hwakanaka.
Urwu rudzi rwekuporesa runokosha zvikuru, nokuti zvinogona kureva kuti pane ngozi shoma yekudzivirira matambudziko anogona kutungamirira kuchipatara kana kuderedza hupenyu hwehupenyu.
Kuregererwa Kwekusingaperi Kunorevei Zviratidzo Here?
Kuve mumagumo ekupedzisira kunganganisa kana kuti zvisingarevi kuti zviratidzo zveBD zvakare. Izvo zvakawanikwa kuti vamwe vanhu vane IBD vanogona kuva nematumbo ari kurapa, asi ivo vachiri vane zviratidzo. Kana zviratidzo zvichiri kuenderera mberi, gastroenterologist inogona kutarisa chimwe chikonzero, zvakadai sekutsamwisa bhood syndrome (IBS) , chirwere cheliliac , kana kusagadzikana kwemurasise . Izvo zvakasununguka zvakare ndezvechokwadi: Vamwe vanhu vangave vane kuputira kwekuita uye zvingave zvisina zviratidzo.
Sei Kutaridzika Kwekupedzisira Kunokosha?
Zvinogona kuonekwa zvisina kufanira kune varwere: Chii chinonzi endoscopic kuregererwa nyaya kana zvinoreva kuti panogona kunge ichiine zviratidzo zveBD? Endoscopic kuregererwa kunokosha nokuti kuvhiringidza mukati mekugadzirisa chirwere kunogona kutungamirira kune zvinetso zvakakura pasi pemutsara. Kana kutuka kwacho kuderera kana kuenda, zvinoreva kuti njodzi dzezvinetso zvinoderedzwa. Kuvhiringidzika kunopera kusinganzwiki kunogona kutungamirira kumhando yakaderera yehupenyu kana kuwedzera mumatumbo uye chirwere chinowedzera mumatumbo. Ichi ndicho chikonzero endoscopic kuregererwa chikamu chimwe chinokosha chekuwana kuregererwa muBDD. Taura nachiremba wako kana une mibvunzo pamusoro peurongwa hwekurapa kwako uye kuti uri kufambira mberi sei pakuzadzisa zvinangwa mukuregererwa.
Sources:
Cellier C, Sahmoud T, Froguel E, et al. Groupe d'Etudes Therapeutiques des Affections Inflammatoires Digestives. Kuwirirana pakati pemakiriniki emakiriniki, endoscopy, kusuruvara, uye zviyero zvezvakaberekwa mumakolonic uye ileocolonic Crohn's disease. A tarisiro yekurukudziro yekuongorora mazana makumi maviri nemaviri. Gut . 1994; 35: 231-235.
Neurath MF, Travis SP. Mucosal kuporesa muzvirwere zvinoputira zvirwere: kurongwa kwakarongeka. Gut . 2012; 61: 1619-1635.