IUCDAI inyaniso inowanzoshandiswa mumakiriniki ekuedzwa kweBDD
Kutsvakurudza chikamu chinokosha pakugadzirisa kurapwa patsva kwezvirwere zvose, kusanganisira kuvhiringidzika kwezvirwere (IBD) . Kutsvakurudza kunowanzoreva kuedza mishonga yemishonga mutsva muchikwata chiduku chevarwere, kuitira kuti vaone kana ichifanira kuongororwa boka guru, kana kana pfungwa yacho inofanira kuchinjwa kana kusiyiwa zvachose. Kune mitemo uye mitemo yakakomberedza kuongororwa kwemishonga mitsva muvarwere-hachisi chinhu chinoitwa pasina kunyanya kutarisa.
Kazhinji, mishonga iyi inotanga kuongororwa mumakombiyuta, uye pane zvemhuka (kazhinji makonzo kana mitezo), uye zvino mune vanhu vane utano. Mumakirini akawanda emakiriniki, zviyero zvakasarudzwa zvinoshandiswa kutarisa kufambira mberi, uye imwe yakadaro iyo ye ulcerative colitis ndiyo Ulcerative Colitis Disease Activity Index (UCDAI).
Vanotsvakurudza Vanoziva Sei Kana Chirapa Iri Kuita?
Kuti uone kana mushonga weBD uri kubudirira, masayendisiti anowanzoshandisa ruzivo rwakakura kuti aenzane nezvirwere zvezvirwere kune mumwe munhu varwere. Basa rezvirwere rinogona kusanganisira zviratidzo zvakadai sekurwadziwa, sei kangani munhu akaenda muimba yekugeza mune rimwe zuva, kana kunyange kuputika mumakoloni anowanikwa kana chiremba apedza colonoscopy . Mune zvimwe zviitiko, kuwedzera-matumbo mavara ezvirwere, seganda, ziso, kana matambudziko akabatana , zvinogonawo kuiswa mukutsvaga.
Icho chinonyanya kukosha chinopa vatsvakurudzi mutauro wakafanana kuti vataure nezvokuti murwere mumwe nomumwe ari kuitei paanenge achiwana kurapwa kuri kuedzwa.
Izvi zviyero zvakananga zvinogona kana zvisingashandiswi ne gastroenterologists mumakiriniki emitambo, kunze kwekliniki yekuedzwa. Kazhinji nguva, haasi, nokuti hazviiti kuti zviite chimwe chinhu: vanachiremba havangagoni kuenzanisa maronda omurwere mumwe kune imwe chirwere chemurwere, saka zvigumisiro hazvingabatsiri.
Chipatara inowanzobatsira chete kana ichienzaniswa nevarwere vari kupiwa kupindira kumwechete (sekunge mishonga) pane imwe nguva pasi pemamiriro ezvinhu akafanana. Uyezve, zvinogona kunge zvakaoma zvikuru uye nguva inopedza kuita zvikwata zvevarwere vose, kunyanya kana pasina purogiramu yakavonekwa yekuzviita. Zvisinei, pane dzimwe nguva, inogona kushandiswa kutarisa chirwere chechirwere kune varwere vari kutanga mushonga mutsva.
The Ulcerative Colitis Disease Activity Index
Nokuda kwehutachi inouraya, pane zvikwangwani zvakasiyana zvakaringana zviyero izvo zvinoshandiswa nokuda kwezvinangwa zvekuongorora kliniki. Imwe inoshandiswa zvakanaka nguva dzose inonzi UCDAI. Inofamba nedzimwe mazita dzimwe nguva, uye inogonawo kunzi Sutherland Index kana kuti Modified Ulcerative Colitis Disease Activity Index. IUCDAI yakagadzirwa muna 1987 naSutherland, et al. IUCDAI yaizopiwa pakutanga kwekliniki yekuedzwa kuti ione nheyo yepamusoro, uyezve zvakare pane dzimwe nhaurwa panguva yose yekuedzwa.
IUCDAI inongorongedza zvikwereti nezvezviratidzo zve ulcerative colitis, kusanganisira gumbo rinowedzera, ropa rectal, kuonekwa kweganda rekoloni, uye chiremba chechirwere chekuita zvirwere. Chimwe nechimwe chezvinhu izvi chinopiwa nhamba kubva ku 0 kusvika ku3, uye 3 kuva chiyero chepamusoro chechiito chezvirwere.
Mimwe yemibvunzo iyi inoda chiremba kuti aite chikamu chekupedzisira uye oona chikoni, saka hachisi chiyero chinogona kushandiswa nemurwere kuti anzwisise kuti chirwere chavo chiri kufambira mberi sei.
Nechinangwa chekuongororwa kwemakiriniki, kuregererwa kunowanzotsanangurwa sechikwata cheUCDAI che1 kana kupfuura, uye kuvandudzwa kunoderedza kudarika kwemashoko matatu kana kupfuura kubva pachikwata chekutanga kwekutongwa.
Shoko Rinobva
IUCDAI, kana chero humwe hutano hwehutano hwemishonga, haukwanise kuudza munhu kana kana iye kana ane chironda chekuonda, kana kuti chii chinonzi chirwere chacho. Icho chigadzirwa chinoshandiswa nevatsvakurudzi, kazhinji munguva yekliniki miedzo yekudzidza migumisiro yemishonga mutsva.
Vazhinji gastroenterologists havashandisi chiyero ichi, naizvozvo hachisi chimwe chinhu chaunofanira kutarisira kuva chikamu cheongororo yakakwana yeBDD.
Kunobva:
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.
Uyewo Anozivikanwa Se: Sutherland Index, Modified Ulcerative Colitis Disease Activity Index