Kana iwe wakamboonekwa uine ulcerative colitis, chirongwa chako chekurapa chichatora kufunga nezvezviratidzo zvako zvakananga uye kuti wakareba sei chirwere ichi. Over-the-counter (OTC) uye mishonga yemishonga ingashandiswa; mararamiro emararamiro angarumbidzwa, pamwe chete nemishonga inobatanidza uye dzimwe nzira. Mune zviitiko zvakakomba, chirwere chokurapa kubvisa zvikamu zvinorwara zvekoloni zvinogona kupa rubatsiro uye kuderedza dambudziko rekuita kenza yekoloni.
Zvinyorwa
Makirasi akawanda akasiyana-siyana emishonga anoshandiswa kurapa zviratidzo zve ulcerative colitis, oga kana kuti pamwe chete. Zvimwe zvinogona kutorwa nguva dzose, asi zvimwe zvinodhaka zvinotapira zvinopiwa pfupi kwenguva pfupi kuti tibate kushanda kwakasimba. Vamwe vavo vanogona kuva nemigumisiro yakakomba, saka zvakakosha kuramba muchikurukura nachiremba wako kuti uone kuipa nekubatsirwa.
Anti-inflammatories
Anti-inflammatory drugs zvinowanzova danho rokutanga mukurapa kwekuonda kwehutachi. Dzinosanganisira:
- 5-aminosalicylates. Zvichienderana nezvikamu zvipi zvekoni yako zvakakanganiswa, unogona kutora mazwi aya, kana seemaema kana suppository. Mimwe mienzaniso inosanganisira sulfasalazine (Azulfidine), mesalamine (Asacol HD, Delzicol, vamwe), balsalazide (Colazal), uye olsalazine (Dipentum).
- Corticosteroids. Prednisone uye hydrocortisone inowira munharaunda iyi; iyo inowanzochengetwa kuti ienzaniswe kuti iome chirwere chepachirwere chisingaiti kune mamwe marapirwo, zvichida nekukwanisa kuve nemigumisiro yakakomba.
Immune system suppressors
Iyi mishonga inodzora kuvhiringidzika nekudzivisa zvirwere zvemuviri. Vanowanzopiwa pamwe chete. Chikoro ichi chinosanganisira:
- Azathioprine (Azasan, Imuran) uye mercaptopurine (Purinethol, Purixan). Idzi ndidzo dzinoshandiswa zvikuru mumasikirwo emakemikari ekurapa zvirwere zvinoputika. Kuzvitora zvinoda kuti iwe uite zvakasimba pamwe nachiremba wako uye kuti ropa rako riongororwe nguva nenguva kuti utsvake migumisiro yechirwere, kusanganisira zvinokonzerwa nechiropa uye pancreas.
- Cyclosporine (Gengraf, Neoral, Sandimmune). Izvi zvinowanzochengeterwa vanhu vasina kupindura zvakanaka kune mamwe mishonga. Cyclosporine ine mikonzero yemigumisiro yakakomba uye haisi yekushandisa kwenguva refu.
- Infliximab (Remicade), adalimumab (Humira) uye golimumab (Simponi). Aya mishonga, inonzi tumor necrosis factor (TNF) inhibitors, kana biologics, inoshanda nekudzivirira puroteni inogadzirwa nemunhurume wenyu. Izvo ndezvevanhu vane chirwere chakakomba chirwere chisingaiti kana vasingakwanisi kutsungirira dzimwe mishonga.
- Vedolizumab (Entyvio). Iyi mishonga yakanga ichangobva kugamuchirwa kurapwa kwechirwere chepachirwere kune vanhu vasingateereri kana vasingakwanisi kutsungirira dzimwe mishonga. Inoshanda nekudzivirira masero ekuvhiringidza kubva pakuenda kune nzvimbo yekuvhiringidza.
Antibiotics
Mishonga inorwisa mabhakitiriya inogona kurongerwa kana utachiona mukoloni inofungidzirwa, asi vanhu vane ulcerative colitis dzimwe nguva vanopiwa zano pamusoro pekushandiswa kwemishonga inorwisa mabhakitiriya pavanenge vasina kunyatsodiwa, sezvo vanogona kukonzera chirwere.
Vamwe vatsvakurudzi vanofunga kuti panogona kuva nekubatana pakati pemishonga inorwisa mabhakitiriya uye kukurudzirwa kwechirwere chinokonzera chirwere (IBD), chimwe chimi cheicho chiri ulcerative colitis. Iyi nyanzvi haisati yavharidzirwa, ine zvidzidzo zvishomanana uye uchapupu hwehutachiona hunotsigira.
Over-the-Counter (OTC) Kurapa
Nguva dzose taura nachiremba wako usati watenga mishonga yeOTC. Heano mamwe acho anoshandiswa kurapa chironda chekurara:
- Anti-diarrheal mishonga. Loperamide (rimwe zita rainzi Imodium), rinogona kubatsira nehurwere, asi shandisa nekuchenjerera, sezvo izvi zvinogona kuwedzera kungozi yekoloni yakakura (inonzi mexicacon toxic).
- Pain relievers. Nokurwadziwa kunorwadza, chiremba wako anogona kukurudzira acetaminophen (Tylenol). Dzivisa ibuprofen (Advil, Motrin IB, vamwe), naproxen sodium (Aleve), uye diclofenac sodium (Voltaren), iyo inogona kukuvadza zviratidzo uye kuwedzera kuoma kwezvirwere.
- Enemas. Enemas ine butyrate inogona kuva yakakosha pakurapa chironda chekuonda muhutachi muzvikamu zvekupedzisira zvekoloni (iyo inowanzonzi distal ulcerative colitis). Inowanikwa seemaema kana se suppository.
- Iron inowedzera. Kana iwe uine chirwere chisingaperi chisingadi kubuda mumuviri, unogona kukura kushaiwa kwesimbi kushaya anemia; simbi kuwedzera zvinogona kubatsira.
Surgeries
Vanenge makumi matatu kubva muzana yevanhu vane chirwere chinonzi ulcerative colitis vachada kuvhiyiwa kuti vawane zororo kubva kune zviratidzo, mishonga ine ngozi yemishonga, kana kuderedza dambudziko rekenza yekoloni. Emergency surgery dzimwe nguva inodiwa kana pane kuora kwechimbichimbi chekoni kana kubuda ropa kukuru.
Kuvhiyiwa, kunonzi colectomy, kunosanganisira kubviswa kwemukati mamumbu (colon). Kune marudzi akasiyana-siyana ekuvhiya kwekushaiwa, uye izvi zviviri zviri izvo zvinowanzoshandiswa pakuchengetwa kwechirwere chepachirwere:
Proctocolectomy nealeal pouch-anal anastomosis (IPAA)
Muchiitiko ichi, hutumbu hwakawanda uye zvizhinji zve rectum zvinobviswa, uye duku duku (rinonzi J-pouch) rakasikwa kubva mudumbu ruduku uye rakanamatirwa ne rectum yakasara pamusoro peinus. Nemhaka yokuti misumbu ye anus (anal sphincter) haibviswe, iyi nzira inobvumira vanhu kuti varambe vachidzora matumbo avo.
Total proctocolectomy
Kuvhiyiwa uku kunosanganisira kubviswa zvakakwana kwemukati wemukumbo, rectum, uye anus, uye rinoporesa zvachose chirwere chepachirwere chepachirwere uye chinobvisa njodzi yekenza yekoloni. Zvisinei, nokuti rectum uye anus zvinobviswa, unofanira kunge uine ileostomy zvachose. Mune ileostomy, chiremba anovhiya anounza kuguma kwechikamu chakaderera chemuviri mudumbu (ileum) kunze kwemuvhuro mudumbu remadziro (stoma). Vanhu avo vane ileostomy vanofanira kugara vachipfeka bhagi replastiki (ileostomy bag) pamusoro pekuzarura kuunganidza chigaro chinobuda.
Iwe nechiremba wako uchakurukura kuti ndeipi nzira yakakunakira iwe, yakaratidza zviratidzo zvako zvakananga uye hutano hwehutano hwako, uye mararamiro ako uye zvaunofarira.
Mishonga Inobatanidza uye Mimwewo
Nepo mamwe emishonga aya anonyatsotendwa kuti anobatsira mukudzivirira zviratidzo, hapana akawana ruzivo rwakanyanya rwekuchirapa. Heano zvinhu zvitatu izvo zvakatanga kukwezva vaongorori vezvokurapa:
Probiotics
Maprobiotics anotenda kuti anobatsira pakuchengeta ulcerative colitis uye zvimwe zvirwere zvisingaperi zvekudya. Aya "anobatana" mabhakitiriya anoshandiswa anowanzogona kudzora mabhakitiriya akawanda anokuvadza paanoderedza kupisa uye kuvandudza kusungidzirwa kwemukoko kunongedza mumvura. Vanoonekwa sevakachengeteka pasina mimwe migumisiro yakaipa.
Aloe vera gel
Aloe vera gel yakawanikwa mune zvidzidzo kuti uve nehupikisa hwehutachiona kuvanhu vane chironda chekuonda. Chimwe cheviri-mapofu, chirongwa che randomized chakaongorora kubudirira kwemuti gel muvanhu 30 vakayirwa kaviri pazuva, 100 mL dose. Pashure pemavhiki mana, kliniki yekuregererwa yakaonekwa muvanhu mapfumbamwe (30 muzana), kuwedzera kwechipatara kwakaratidzwa muna 11 (37 muzana), uye kliniki yakapindurwa yakaonekwa muna 14 (47 muzana).
Boswellia
Boswellia imishonga yemishonga inobva mumuti wekuIndia. Izvo zvinoshandiswa zvinoshandiswa mumvura yebark uye zvinotendwa zvine simba rakasimba rinopesana nemigumisiro. Muchiri chinotora kubva, Boswellia inowanzoshandiswa kurapa mamiriro ekuvhiringidza akadai se rheumatoid arthritis asi pasina kushungurudzika kwemudumbu kunowanzoonekwa nekurwadziwa kwakasununguka kunoderedza.
Ramba uchiyeuka kuti zvinowedzera uye mamwe maitiro ezvimwe kurapwa zvisina kukodzera hazvina kuongororwa zvakajeka kudzivirirwa mumadzimai ane pamuviri, vana vanoyamwisa, vana, kana vanhu vane zvirwere. Nepo kune nzira dzekutora zvigadzirwa zvakachengeteka, hazvifanirwe kushandiswa sechinzvimbo chekuchengetwa kwechiremba. Nguva dzose taurira mushandi wako wehutano nezvezvimwe zvidimbu zvekuwedzera, herbs, kana mishonga inonzi homeopathic iwe unogona kutora.
Mishonga Yekumba uye Maitiro Eupenyu
Kuchinja mukudya kwako uye mararamiro ako kunogona kubatsira kudzora zviratidzo zvako nekuwedzeresa nguva pakati pe-flare-ups. Iwe unogona kukwanisa kuwana zororo kubva pachirwere chetachiona nekutora zvimwe zvezviito zvehupenyu zvinotevera:
- Rongedza mishonga yemisi. Matambudziko akadai sehuta, kurwadziwa kwepamuviri, uye gesi zvinogona kuwedzera kuburikidza nekudzikisa kana kubvisa zvigadzirwa zvemichero. Iwe unogona kunge une lactose isinganzwisisiki - kureva kuti, muviri wako haugoni kupedza ushuga wemukaka (lactose) mune zvekudya zvekuisa. Kushandisa michina ye enzyme yakadai seLactaid inogona kubatsira zvakare.
- Limit fiber. Zvokudya zvepamusoro-soro, zvakadai semichero mitsva nemiriwo uye mbeu dzose, zvinogona kuita kuti zviratidzo zvako zviwedzere. Kana michero yemiriwo nemiriwo zvinokutambudza, edza kuvheka. (Zvokudya mumhuri yekakichi, zvakadai se broccoli neholiflower, zvinogona kunge zvichitsamwisa zvikuru.)
- Edzai mafuta ehove. Omega-3 fatty acids, mafuta ane utano anowanikwa muarimoni uye mackeral, anogona kuramba achizvimba uye achidzivirira zvironda zvekurwara.
- Dzivisa zvokudya zvinonaka, doro, uye caffeine. Izvi zvinogona kuita kuti zviratidzo zvako zviwedzere.
- Idya zviduku zvishoma. Zvishanu kana zvitanhatu zvokudya zviduku pazuva pane zviviri kana zvitatu zvakakura zvingakubatsira iwe kugadzira nyore nyore uye zvakajeka.
> Sources:
> Fedorak, R. "Probiotics muHurumende yeUlcerative Colitis." J Clinic Gastroenterol. 2015 Nhasi-Dec; 49 Suppl 1 >: S50-5 >. > doi >: 10.1097 / MCG.0000000000000368.
> Mayo Clinic, Ulcerative Colitis.
> Merck Manual, Consumer Version. Ulcerative Colitis.
> Sutherland LR, Martin F, Greer S, et al. "5-Aminosalicylic Acid Enema muTraining of Distal Ulcerative Colitis, Proctosigmoiditis, uye Proctitis." Gastroenterology 1987; 92: 1894-1898. 5 Nov 2010. doi: 10.1016 / 0016-5085 (87) 90621-4