Muedzo Unowedzera Uchishandiswa MuBD Management uye Covered By Insurance Companies
Vanachiremba vanoshandisa zviratidzo zvakasiyana-siyana kuti vaone kuti chii chiri kuitika mukati mevanhu vane chirwere chinoputira chirwere (IBD) . Kushandisa chirongwa chekupedzisira kunotarisa mukati memukomana maduku kana makuru ndiyo nzira yakanakisisa yekuwana nayo, asi zviitiko zvinogona kuitwa nguva dzose kazhinji uye vanachiremba vanokwanisa ruzivo kakawanda kupfuura izvo. Ndiyo apo fecal calprotectin muedzo inogona kubatsira nekuti, kusiyana nekugadzirisa endoscopy, haisi yekusvibisa asi inogona kupa ruzivo runogona kubatsira pakuita zvisarudzo zveutano.
Calprotectin chiratidzo chepuroteni chinowanikwa mune mamwe marudzi emasero machena anonzi neutrophil granulocytes uye mune mamwe marudzi emasero machena eropa kusvika pfupi. Nhamba ye calprotectin muzvigaro inogona kuyerwa, uye yakawanikwa kuti vanhu vane IBD vane huwandu hwe calprotectin muzvigaro zvavo (fecal nyaya) kupfuura vanhu vasina IBD.
Zvinyorwa Zvitsva Nezve Fecal Calprotectin Miedzo (Kana Kurapa)
- Calprotectin ipuroteni inowanzowanikwa muchena masero eropa anowanzove ari muhuwandu hwevanhu vane IBD.
- A fecal calprotectin muedzo unoitwa pachigadziro chechigaro.
- Mazhinji emakambani einishuwarenzi achafukidza fecal calprotectin test kuitira kuti igone IBD.
- Pane kusiyanisa kune "zvakakwana" fecal calprotectin mazinga kubva kumunhu kusvika kumunhu.
- Fecal calprotectin mazinga anogona kunge akakwirira kunyange zvazvo pasina maitiro akaoma echirwere cheBD.
Sei Vanhu Vane IBD Vachine More Calprotectin Muzvitoro Chavo?
Zvidzidzo zvakaratidza kuti kuchengeta nhamba yezinga re fecal calprotectin muchitsigiro kunobatsira pakuronga kweBDD.
Ichi chigumisiro chechirwere cheCrohn kana chironda chekurara chinokonzera kupisa mumugwagwa wekudya . Apo kutuka kunowira mu mucosal kutarisa kwematumbu, apo masero eropa ari kuwedzera munhamba kurwisana naro. Maso matsvuku eropa anogona kukonzera, izvo zvinoreva kuti vanosunungura zviri mukati mazvo kuitira kudzivirira masero emuviri kubva pakuputika.
Mukati memasero machena eropa ndiyo calprotectin (pamwe chete nemamwe makemikari akawanda) uye kana pane zvakawanda zvinonzi calprotectin muchitsiko, ibhe rakanaka kuti kune kuvhiringidzwa kwakanyanya mumatumbo.
Muedzo weFecal Calprotectin Wakaita Sei?
Kuyera fecal calprotectin inowanzova muedzo wakaoma wokuita nekuti zvose zvinoda kuti zvive zvigadzirisiti, chimwe chinhu chinowanzova nyore kuuya nemusana. Kana murwere achikumbira kupa soro soro, zvinoreva kureva chigaro mumudziyo usina kuchena uye kuchiendesa kubhii, zvimwe kuchipatara, hofisi yechiremba, kana nzvimbo yakasununguka. A fecal calprotectin level inowanzokwirira panguva yekutsvaira uye kuderera munguva yekuregererwa, asi muedzo hauna kukwana. Ikoko kunogona kuve nekusiyana mumakero e calprotectin kune mumwe munhu uye pane, zvechokwadi, kuchinja kubva kumunhu kusvika kune munhu. Icho, zvakadaro, chimwe chishandiso chinonzi gastroenterologist chingashandisa kubatsira vanhu vane IBD kugara mberi kwekuchinja muhosha yavo.
Nei Fecal Calprotectin Inobatsira muBD?
Calprotectin inobatsira pamusana pezvikonzero zvishomanana: Yokutanga ndechokuti kana inowanikwa muchitsiko, yakasimba kune imwe nguva yakareba. Nokuti kusvika kwenguva yakareba semazuva manomwe, uwandu hwe calprotectin mune samuenzaniso shato ucharamba uchifanana, zvichiita kuti kuedza zvive nyore zvikuru kuita.
Chimwe chibatsiro chekuedza uku ndechekuti fecal calprotectin level inogona kuonekwa mune kunyange soro duku.
Tsvakurudzo dzinoverengeka dzakaratidza kuti vanhu vane IBD vane chikwata chapamusoro che calprotectin muchigaro chavo kana vachienzaniswa nevanhu vasina IBD (vanhu vane utano mune zvidzidzo izvi vanonzi kutonga). Kuti uone kuti kuongorora uku kunobatsira, zvidzidzo zvakaitwa zvakaenzana nehutachiona hwemafecal calprotectin kuvanhu vane IBD, iyo yakateverwa ne testos endoscopy kuti ione kuti mazinga akaenzana sei kune zvaiitika munharaunda yekudya. Zvinotsvakurudzwa nevatsvakurudzi ndezvokuti vanhu vane IBD vaiva nepamusoro pefecal calprotectin mazinga aigonawo kunge ane kuvhuvhuta kana zvipembenene zvinokonzerwa neBD pane imwe nzvimbo mumugwagwa wavo wokudya.
Vanhu vari mune zvidzidzo havana nguva dzose vane zviratidzo zvakanyanya zvakanyanya zveBD, kunyange, kunyange kana fecal calprotectin mazinga akanga akakwirira. Ichi chaiva chechokwadi chaiye kakawanda mukurwara kwehutachiona kupfuura yakange iri muCrohn's disease. Izvi zvinoratidza chimwe chibatsiro chekuongorora kwemafecal calprotectin, nokuti inogona kupa nyevero yekare kuti kumwe kuputika kuri kuitika munharaunda yekudya kunyange zvisati zvaitika zviratidzo zvinotanga kuwedzera.
Nokuenzanisa calprotectin muchitsiko, vashandi vanogona kutanga kutsika nzira yekuongorora IBD mumurwere, kana kuongorora basa rezvirwere mumurwere akatoonekwa neBD. Pfungwa iyi ndeyekuti kuedza kwakajeka, uko kusingaitiki nokuti kunoitwa pachigaro, kunogona kubvisa chido chekupedzisira (zvakadai se sigmoidoscopy kana colonoscopy ) pane dzimwe nguva uye kusimbisa kudikanwa kwekuedzwa kwekupedzisira kune vamwe. Iyo fecal calprotectin muedzo haisi kuzoshandura endoscopy, asi inogona kubatsira vanachiremba sechinhu chekuongorora, kusarudza zviri nani kana uye kana mamwe maitiro ekutevera achidiwa.
Muvana vane IBD fecal calprotectin inogona kubatsira zvikuru. Nokushandisa iyi muedzo, kune chikonzero chechiremba kuti chikurumidze kuziva kana zviratidzo zvingangove zvichibva kuBD kana kwete, pasina kuedza kuedza kusinganzwisisiki sekusingaperi kana chiyero chinosanganisira radiology seT CT scan kubva pamba.
Fecal calprotectin mazinga anogonawo kubatsira kune vanhu vari kutsvaga kuongororwa uye IBD iri musanganiswa. A fecal calprotectin inogona kurayirwa nechiremba wekutanga wekurapa kana kuti mudzidzisi uye kana ikazove yakakwirira, iyo inogona kukurudzira kutumira kune gastroenterologist kuti iwedzere kuongororwa.
Pane Mhinduro kune Fecal Calprotectin Assay?
Chimwe chezvipingamupinyi zvekuedza fecal calprotectin chikonzero chekunyengera-chisina kunaka kana chikonzero-chenhema, kunyange zviitiko izvi zvisingawanzoitiki. Murwere anogona chaizvo kuva neBD kana kuti angave nekuputika kubva kuBD, asi fecal calprotectin level haingave yakakwirira kwazvo. Izvozvo zvinogona kureva kuti pane imomo kuvhiringidzika kunenge kuchiitika munharaunda yezvokudya asi mhinduro dzekuedza dziri kudzoka nechezasi dzemakirittinini (kunyange izvi zvisingaitiki). Nhema-inogona kunge inonetsa zvikuru kuvana nevechiri kuyaruka, vanoita chikamu chakakura chevarwere vanoonekwa kuti vane IBD.
Chirwere cheFecal Calprotectin chakavharwa neInishuwarenzi here?
Dzimwe inshuwarheni dzinogona kuvhara fecal calprotectin kuongororwa kweCrohn's disease uye ulcerative colitis nokuti yakaratidza kuti inodhura. Mutengo wekuedzwa uku uchave wakadzika kupfuura kuperacopy kana CT scan. Iko kunogona kunge kune makambani einishuwarenzi asina kuvhara chiyero ichi asi pane chiitiko nokuti hauna mhemberero yakareba yeimwe mimwe miedzo, uye makambani einishuwarenzi anotowedzera kunonoka kutora kuchinja. Zvisinei, pane nguva dzose chirongwa chekukumbira, uye Crohn's uye Colitis Foundation kunyange ine nyanzvi inowanikwa iyo chiremba angashandisa kukumbira kugoverwa kwekuedzwa kubva kune ainishuwarenzi.
Tsananguro Inobva
Iko fecal calprotectin test test inowanikwa zvakanyanya muBD world kupfuura, inoti, colonoscopy inoita. Zvisinei, kuedza kwakakosha, kunyanya nokuti hakudi chinhu chakakosha, sepamberi kana zuva rekubva kubasa, kuti riite. Haasi chiremba wega wega anogona kuraira izvi, saka zvakakosha kubvunza kana zvakakodzera mune imwe mamiriro ezvinhu. Makambani eInishuwarenzi achawanzoifukidza, kunyanya kana iri murwere neBD (vanoziva kuti inodhura kupfuura mamwe maedzo). Pane dzimwe nguva apo fecal calprotectin inogona kunge isingadzokeri nemazinga anotarisirwa, asi izvi hazvisi kuitika.
> Sources:
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> Roda G, Caponi A, Benevento M, et al. "Zvitsva Zvitsva Zvokutora Biomarker Kuwana Mukuputika Kwezvirwere Zvirwere." Inflamm Bowel Dis . 2010. 16; 7: 1239-1246
> Van Rheenen PF, Van de Vijver E, Fidler V. "Faecal calprotectin kuti iongororwe nevarwere vane chikonzero chokufungidzirwa chirwere chechirwere chekudzivirira: kuongorora meta-analysis." BMJ . 2010 Jul 15; 341: c3369.
Van de Vijver E, Schreuder AB, uye al. North Netherlands Pediatric IBD Consortium. "Kuchengeteka kutonga chirwere chechirwere chechirwere muvana nevechiri kuyaruka pasina kutumirwa kwekusingaperi." Arch Dis Child . 2012 Dec; 97: 1014-1018.
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