Kuziva Ndeupi Mufananidzo Wekugadzirisa Kurwara Iwe Unokosha
Ulcerative colitis imwe yeropa rekudzivirira zvirwere (IBD) . Ulcerative colitis chirwere chisingagumi, chisingaregi chinokanganisa utumbo hukuru (colon). Munharaunda iyi yakafara yeBD pane maitiro akasiyana, zvichienderana nehuwandu hwekoloni inobatanidzwa. Kuchengetedza kwehutachiona kunogona kukanganisa chero chikamu chemukoni, asi hachibvumi nzvimbo seimwe nzira huru yeBD, Crohn's disease, inodaro.
Mu ulcerative colitis, kuputika kunopfuurira mukati mezvikamu zvekoloni inoshandiswa.
Chikonzero Nei Uchifanira Kuziva Yenyu Yacho Yokupedzisira Inonzi Colitis
Zvakakosha kune ani zvake ane chimiro ichi cheBD kuti anzwisise ulcerative colitis uye kuti inobata sei muviri. Mushonga unodiwa unotaridzika zvikuru kune chikamu chekoroni iyo inopisa (ine chirwere). Kana iyo yose ikakonzerwa, gastroenterologist inogona kuedza kuedza miedzo yakasiyana kunze kwekuti kana chikamu chekoloni chikabatwa. Chiremba anogonawo kutarisa chironda chekurara chinokonzerwa nenharaunda yepamusoro yemukumbo yakakura inobatanidzwa, uye varwere nevanochengeta vachabva vaine ruzivo rwakakwana kuti vakurukure.
Zvinokwanisika kuti havasi zvose zvinokonzera ulcerative colitis inowira mune imwe yezvikamu zvakakura. Mibvunzo pamusoro pekuongororwa kwe ulcerative colitis inofanira kunyorerwa kune gastroenterologist, uyo achakwanisa kujekesa uko kutuka kuripo mukoloni.
Ona " Chii chinonzi Digestive System? " Kuti uwane mamwe mashoko pamusoro pezvikamu zvemukati mako.
Nzira dzakanyanya kuwanda dzekuonda kwehutachiona ndezvekuti:
- Ulcerative proctitis
- Proctosigmoiditis
- Kuruboshwe-rumwe rutivi rwechirwere
- Pancolitis
Ulcerative Proctitis
Ulcerative proctitis inotsanangurwa nokuputika kunowanikwa mune rectum , kazhinji inowanikwa yekupedzisira 6 inches kana pasi.
Kune vanenge makumi matatu kubva muzana varwere, varwere vavo vane chirwere chepachirwere chinotanga mumufananidzo uyu. Zviratidzo zvinosanganisira chirwere, chiropa chinouraya, marwadzo emakumbo, uye kudiwa nokukurumidza kutamisa matumbo (tenesmus). Nekuvhiringidza kunongopedzisira kune nzvimbo duku kudarika mune mamwe maitiro ealcerative colitis, ulcerative proctitis inonzi inoripisa rudzi rwechirwere chekuonda, uye kazhinji kacho ine zviduku zvishoma.
Nemhaka yokuti kupisa kuri pamugumo wekoloni, kurapwa kunogona kuva nhepfenyuro: zvinoreva kuti mishonga inokwanisa kuiswa zvakanaka panzvimbo dzakapisa. Mushonga wacho unogona kunge uri muudhipatimendi, enema, kana fomu fomu. Aya maitiro anogona kugadziriswa kuburikidza nechepasi (anus) uye inogona kusanganisira anti-inflammatory drugs kana steroids.
Proctosigmoiditis
Kana kuputika kuri mu rectum uye sigmoid colon (chikamu chekupedzisira chekoni), inozivikanwa se proctosigmoiditis. Zviratidzo zvinosanganisira kubuda, chirwere cheropa, ropa rinorwadza, kukurumidza, uye kurwadziwa kurutivi rworuboshwe rwemuviri .
Urwu rwehutachi inouraya hutachiona hunogonawo kurapwa nemishonga yepicopia nenzira ye suppositories, enemas, uye foam. Enemas inogona kuenderera mberi ichipinda mumakoloni, ichiita kuti ibudirire mukurapa kuputika kwakakwirira, muchigumiid.
Ichi chimiro chealcerative colitis chinogonawo kurapwa ne 5-ASA (5-aminosalicylic acid) mishonga kana sulfasalazine, inopiwa nemuromo uye inoshandiswa kwenguva refu yekuchengetedza uye mukuenderera mberi kuregererwa. An oral corticosteroid (yakadai sa prednisone) inogonawo kushandiswa sechirwere chenguva pfupi panguva yekutadza-kuwana zviratidzo zvinotungamirirwa.
Kuruboshwe-rumwe rutivi rwechirwere
Izvo zvinozivikanwa sechidiki, kana kuti distal colitis, kuruboshwe-sided colitis ndeye apo kuvhunika kuri kuruboshwe rworutoni (rectum, sigmoid colon, uye kuburuka kwekoni ). Zviratidzo zvinosanganisira kubuda, zvirwere zvinouraya, kuora muviri, kurasikirwa kwechido , uye dzimwe nguva zvakanyanya kusuruvara-marwadzo.
Izvi zvinogona kurapwa nekubatanidza mishonga yepicalical (suppositories, enemas, kana mvere) uyewo 5-ASA mishonga, sulfasalazine, kana corticosteroid.
Pancolitis
Pancolitis ndeye apo kune kuvhiringidzika mukati mekoloni yose. Zviratidzo zvinosanganisira marara, maronda, kurasikirwa kukuru, uye kurwadziwa kwepamu. Iyi yehutachikiti inofanirwa kubatwa nemuromo wemishonga (5-ASA zvinodhaka, sulfasalazine, kana corticosteroid) kuitira kuti mishonga isvike kune dzimwe nzvimbo dzekoloni. Mimwe mhando yemishonga inogona kushandiswa inosanganisira Tumor necrosis factor-alpha (TNF-alpha) zvinodhaka, izvo zvinowanzopiwa kana kuiswa mukati (mune mutsva pakusanganiswa kwepakati) kana nejisi. Zvichienderana nematambudziko akakura emuuyu rudzi rwechirwere chinonzi ulcerative colitis chingada kurapwa muchipatara dzimwe nguva.
The Bottom Line
IBD chirwere chakaoma zvikuru chinotora mhando dzakawanda. Chirwere chinokonzera chirwere chinorondedzerwa zvakajeka sekuvhiringidza mumakoloni, asi kune zvakawanda zvakanyanya kune chirwere ichi. Masayendisiti ari kutanga kunzwisisa kuti kunze kwemafomu anotsanangurwa pamusoro apa, panogona kuva nekusiyana kwakawanda kwechirwere ichi, ndicho chikonzero marapirwo akashanda zvakasiyana nemunhu mumwe nomumwe. Dzidzo ibasa rakanakisisa remurwere pakushanda nevarapi uye kunzwisisa IBD. Nekunzwisisa kwakadzika, varwere vanogona kuva vatsigiri vavo vakanaka uye vanovimbisa kuti chirongwa chakanaka chekuchengeta chinoiswa panzvimbo yekuchengetedza chirwere ichi.
Sources:
Health Information Information Publications. "Kuronga Ulcerative Colitis." EhealthM 17 Apr 2013.
Crohn's uye Colitis Foundation yeAmerica. "Chii chinonzi Ulcerative Colitis?" CCFA 2016.
Mark A Peppercorn, MD. "Ruzivo rwevarwere: Ulcerative Colitis." UpToDate 9 Jan 2014.