So wotaa nya akisikuru a nsu wom nso? Ebetumi ayɛ Microscopic Colitis!

So wotaa kɔ wo dwensɔtwaa mu? So ɛsɛ sɛ wokɔ aguaree mpɛn anum anaa asia da biara, na ɛtɔ mmere bi mpo a ɛboro saa? Ebia saa tebea yi a ɛde yafunu mu yaw ne ahometew ba no ama ayɛ den ama wo sɛ wobɛyɛ wo da biara da dwumadi ahorow yiye. Ebia woakɔ oduruyɛfo nkyɛn wɔ eyi ho, na ebia wɔayɛ wo scan ne nhwehwɛmu. Nanso wɔn nyinaa san bae sɛ "wɔn a wɔtaa yɛ." Enti ebia woresusuw sɛ, "Enti dɛn na ɛhaw me?" Sɛ woanya osuahu a ɛte saa ara a, ɛbɛyɛ nea ɛho hia kɛse sɛ wubehu yare a yɛreka ho asɛm nnɛ no ho asɛm, a ɛne Microscopic Colitis (MC) .

Sɛ yɛbɛka no tiawa a, dɛn ne Microscopic Colitis?

Ebia saa din yi bɛyɛ te sɛ nea ɛyɛ den kakra, nanso momma yɛnkyekyɛ mu na yɛnte ase kɛkɛ.

• Colitis: Eyi kyerɛ sɛ wo dwensɔtwaa kɛse (colon) a ɛwɔ wo dwensɔtwaa mu no ho bɛhyew anaasɛ ɛho ahon. Te sɛ bere a yɛn honam ani yɛ kɔkɔɔ na ɛho ahonhon bere a yɛwɔ kuru no, yɛfrɛ no ‘colitis’ efisɛ biribi a ɛte saa ara si wɔ dwensɔtwaa no mu.
• Microscopic: Saa asɛmfua yi kyerɛ 'microscopic'. Eyi kyerɛ sɛ ɔfe no sua araa ma wontumi mfa aniwa, mfoninitwa afiri a wɔde di dwuma bere a wɔreyɛ endoscopy, anaa scan nhu. Sɛ woyi ntini ketewaa bi fi wo dwensɔtwaa kɛse no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ nkutoo a, na wobetumi ahu no yiye.

Sɛ yɛbɛka no tiawa a, Microscopic Colitis yɛ dwensɔtwaa kɛse no mu ɔyare a ɛma ɛyɛ hyew a wɔmfa nhwehwɛmu a wɔyɛ no daa nhu na wɔde afiri a wɔde hwɛ nneɛma nketenkete nkutoo na wotumi hu. Eyi te saa efisɛ nkwammoaa a ɛwɔ wo dwensɔtwaa mu no "bufuw" bere nyinaa. Ne saa nti, mpɛn pii no, wo dwensɔtwaa a ɛyɛ nsu.

Saa tebea yi betumi ayɛ nea ɛhaw adwene kakra. Ebetumi aba mpofirim, n’ankasa akɔ bere tiaa bi akyi, na afei asan aba bio. Nanso asɛmpa no ne sɛ ɛwom sɛ ɛyɛ tebea a ɛkɔ so wɔ nkwa nna nyinaa mu de, nanso mpɛn pii no wotumi di ho dwuma yiye . Ɛhwehwɛ sɛ wɔde nnuru a ɛfata ne nsakrae bi wɔ aduan mu ara kwa.

Microscopic Colitis ahorow atitiriw abien na ɛwɔ hɔ:

Sɛ oduruyɛfo de afiri a wɔde hwɛ nneɛma nketenkete hwɛ ntini bi a efi wo dwensɔtwaa mu a, wogyina nsakrae a wohu so kyekyɛ yare no mu atitiriw abien. Nanso enhia sɛ wohaw wo ho pii wɔ eyi ho, efisɛ sɛnkyerɛnne ne ayaresa a wɔde ma wɔ ahorow abien no nyinaa ho no di nsɛ yiye. Nsonsonoe no wɔ microscopic level nkutoo mu.

Dɛn ne yare yi ho sɛnkyerɛnne a ɛtaa ba?

Microscopic Colitis ho sɛnkyerɛnne titiriw ne nea ɛhyɛ abufuw sen biara ne nsu a ɛtaa ba ne dwensɔtwaa mu (atiridiinini) . Eyi betumi asi mpɛn anum kosi du da biara, na ɛtɔ mmere bi mpo a ɛboro saa. Wo de susuw sɛnea wusuro sɛ wubefi fie, akɔ adwuma, anaa akwantu mu no ho hwɛ.

Nea ɛka ho no, wobetumi ahu nneɛma afoforo pii:

• Yafunu mu yaw ne akisikuru: Ebia wobɛte ɛyaw a ɛyɛ den wɔ wo yafunu mu.
• Ɔhohoro ne akisikuru: Nkate a ɛte sɛ nea mframa ahyɛ yafunu no ma.
• Sɛ wote nka sɛ ɛho hia ntɛm ara sɛ wokɔ aguaree na ɛyɛ den ma wo sɛ wubedi so: Mmirikatu bere a wote nka sɛ ɛho hia sɛ wokɔ aguaree ara pɛ.
• Nnyigyei a ɛyɛ dede a efi yafunu no mu: Nnyigyei a ɛnteɛ a wɔte bere a wɔreyɛ aduan no.

Dɛn nti na eyi ba? Dɛn ne nea enti a ɛte saa?

Nyansahufo nnya nhuu ade biako pɛ a ɛde eyi ba, nanso nneɛma pii wɔ hɔ a wosusuw sɛ ebetumi ama ayɛ saa.

• Mmoawa, mmoawa, anaa mmoawa: Saa tebea yi betumi aba efisɛ ebia na woanya awotwaa mu yare bi bere bi a atwam, na asakra sɛnea wo nipadua no mu tumi a ɛko tia nyarewa no yɛ adwuma.
• Autoimmune disease: Eyi ne bere a yɛn nipadua mu tumi a ɛko tia nyarewa no nyɛ wɔn ade bɔne na ɛtow hyɛ yɛn ankasa nkwammoaa a ɛwɔ apɔwmuden no so. Nnipa binom a wɔwɔ microscopic colitis nso betumi anya nyarewa afoforo a nipadua no tumi ko tia nyarewa (e.g., ntini mu yare, thyroid yare).
• Awosu mu nneɛma:Sɛ obi a ɔwɔ w’abusua mu wɔ saa yare yi anaa dwensɔtwaa mu nyarewa afoforo a, ebia wo nso wubenya bi.
• Nnuru bi: Nhwehwɛmu bi ada no adi sɛ nnuru bi a yɛnom kyɛ no betumi de tebea yi aba anaasɛ ama ayɛ kɛse.

Nnuru a ɛhwehwɛ sɛ wɔhwɛ so titiriw

Sɛ worenom nnuru a edidi so yi mu biara bere tenten a, ɛho hia sɛ wo ne wo duruyɛfo kasa fa ho. Nnyae nnuru yinom da a wonkɔ wo duruyɛfo nkyɛn.

So adwennwen ka eyi?

Yiw, koraa. Abusuabɔ kɛse bi da yɛn amemene ne yɛn dwensɔtwaa ntam sen sɛnea ebia wubesusuw. Ɛtɔ da bi a yɛka sɛ, "Awotwaa no ne amemene a ɛto so abien." Ɛyɛ nokware. Sɛ yɛwɔ adwennwen ne dadwen pii mu a, yɛn nipadua mu hormone dodow sesa. Eyi betumi aka yɛn aduan mu nhyehyɛe no tẽẽ. Enti, ɛfata sɛ wugye bere kakra susuw sɛnea na w’adwene mu tebea te wɔ nna a wowɔ saa sɛnkyerɛnne ahorow yi mu no ho.

Henanom na wɔwɔ asiane kɛse mu sɛ wobenya saa yare yi?

Ɛwom sɛ saa tebea yi betumi aba obiara so de, nanso nnipa binom wɔ asiane kɛse mu.

• Mmea a wɔadi boro mfe 60: Ɛwom sɛ wonnim nea ɛde ba ankasa de, nanso saa yare yi abu so kɛse wɔ mmea a wɔadi mfe yi mu.
• Nnipa a wɔwɔ nyarewa afoforo (autoimmune): Asiane yi yɛ kɛse titiriw ma nnipa a wɔwɔ Celiac yare (nipadua no akisikuru wɔ protein gluten a ɛwɔ awi esiam mu no ho).
• Wɔn a Wɔnom Sigaret: Sigaretnom na ɛde yare yi ba na ebetumi ama yare no ho sɛnkyerɛnne asɛe kɛse.

Ɔkwan bɛn so na wobetumi ahu yare no yiye?

Sɛnea madi kan aka no, ɛyɛ den sɛ wobehu eyi denam nhwehwɛmu a wɔyɛ daa so, enti sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛda adi sɛ wɔde wo bɛkɔ yafunu mu oduruyɛfo nkyɛn .

Sɔhwɛ atitiriw a wɔde si so dua sɛ wɔahu yare no ne colonoscopy ne biopsy .

• Colonoscopy: Eyi hwehwɛ sɛ wode afiri a ɛyɛ mmerɛw a mfoninitwa afiri ketewaa bi wom bɛhyɛ wo akyi berɛmo mu de ahwɛ wo dwensɔtwaa kɛse no nyinaa mu. Wɔbɛma wo aduru a wɔde kum nipadua no ansa na wɔayɛ oprehyɛn no, enti mpɛn pii no worente ɛyaw biara nka.
• Biopsy: Bere a woreyɛ colonoscopy no, wo duruyɛfo no begye ntini ketewaa bi afi wo dwensɔtwaa kɛse no mu. Wɔfrɛ eyi biopsy. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ ntini no mu hwɛ sɛ wowɔ akisikuru a ɛyɛ ketewaa bi anaa, na sɛ ɛte saa a, nea ɛyɛ.

Nea ɛka ho no, wobetumi ayɛ mogya ne nsu mu nhwehwɛmu de ayi ayaresa tebea afoforo afi hɔ.

Ɔkwan bɛn so na wɔbɛsa yare na wɔadi ho dwuma?

Ayaresa a wubetumi apaw no gu ahorow a egyina sɛnea wo sɛnkyerɛnne ahorow no te ne sɛnea emu yɛ den so. Ɛtɔ mmere bi a, nsakrae nketenkete a wɔyɛ wɔ aduan mu no betumi ama nsakrae kɛse aba. Ebia nnipa binom nso behia nnuru.

1. Nsakrae a ɛba aduan ne asetra mu

Eyi ne ade a edi kan na ɛho hia sen biara. Nea ɛsɛ sɛ woyɛ wɔ ha ne sɛ wubehu nnuan a "ɛkanyan" wo sɛnkyerɛnne ahorow no. Ɛsono eyi wɔ onipa biara fam.

• Kwati a wobɛkwati nneɛma a ɛtaa ma obi ho yɛ no hyew:Nnuan pii wɔ hɔ a ebetumi ama yare no ho sɛnkyerɛnne no ayɛ kɛse ama nnipa pii. Nsã, caffeine (kɔfe, tii), nufusu ne nufusu, gluten (awi, atoko), ne nnuan a asikre pii wom ka nea abu so no ho.
• Aduan a srade ne ahoɔdennuru nnim: Sɛ yare no ho sɛnkyerɛnne no mu yɛ den a, nnuan a ɛnyɛ den sɛ wobɛyam a srade ne ahoɔdennuru nnim a, ebetumi atew adesoa a ɛda dwensɔtwaa so no so. (e.g. aburow fitaa, ɛmo a wɔanoa, soup, banana).
• Aduan a Wɔde Yi Fi hɔ: Nea ɛka eyi ho ne sɛ wubeyi nnuan a wususuw sɛ ɛrema wo ho ayɛ wo yaw no afi hɔ koraa bere bi, afei woasan de aba mmiako mmiako na woahu nnuan a ɛkanyan wo yare no ho sɛnkyerɛnne no. Ɛyɛ papa sɛ wɔbɛyɛ eyi wɔ oduruyɛfo anaa aduannuru ho ɔbenfo akwankyerɛ ase.
• Aduan a ɛko tia ɔyare mmoawa: Nnuan bi tumi tew ɔfe a ɛwɔ nipadua no mu so. Nnuan te sɛ nhabannuru a wɔayɛ no foforo, nnuaba, mpataa (titiriw mpataa a srade wom te sɛ salmon ne mackerel), ne ngodua ngo boa wɔ eyi mu.

2. Nnuru a wɔde sa yare

Sɛ ɛyɛ den sɛ wobɛfa aduan nkutoo so adi so a, wo duruyɛfo bɛkyerɛw nnuru ama wo.

• Nnuru a wɔde siw dwensɔtwaa ano: Nnuru te sɛ Loperamide betumi atew mpɛn dodow a obi de ne dwensɔtwaa mu no so.
• Bismuth subsalicylate: Eyi nso yɛ aduru a wɔtaa de sa akisikuru.
• Budesonide: Eyi yɛ corticosteroid soronko bi . Ɛyɛ adwuma wɔ dwensɔtwaa no mu tẽẽ ma ɛtew ɔfe so, enti enni nsunsuanso bɔne pii sen steroid afoforo. Eyi yɛ aduru a etu mpɔn yiye a wɔde sa Microscopic Colitis.

Eyinom nyinaa akyi no, ɛho hia yiye sɛ wo ne wo duruyɛfo bɛkasa afa nnuru afoforo a worenom (e.g. nnuru a wɔde kum ɛyaw) ho na woayɛ nneɛma bi de asesa sɛ ɛho hia a, na sɛ wonom sigaret a, wubegyae sigaretnom.

So wɔbɛsa yare yi koraa?

Ɛrenkɔ koraa. Nanso, wobetumi adi so yiye na wubetumi atra ase sɛnea ɛsɛ a wunnya yare no ho sɛnkyerɛnne biara. Wɔfrɛ saa bere a yare no ho sɛnkyerɛnne biara nni ho yi sɛ yare no gyae . Saa bere yi betumi adi asram pii, mfe pii mpo. Nanso, sɛ wudi aduan bɔne, wowɔ adwennwen pii, anaasɛ esiane nneɛma afoforo nti a, wo sɛnkyerɛnne ahorow no betumi asan ayɛ kɛse bio (flare-up).

Ade a ɛho hia sen biara bere a wo ne yare yi te ase ne sɛ wubetie wo nipadua. Ayaresa a eye sen biara ne sɛ wubehu nea ɛkanyan wo yare no ho sɛnkyerɛnne.

Ɛwom sɛ wonnim Microscopic Colitis yiye te sɛ dwensɔtwaa mu nyarewa afoforo de, nanso ɛno nkyerɛ sɛ wontumi nni ho dwuma. Sɛ oduruyɛfo bi ka kyerɛ wo sɛ wowɔ saa yare yi a, ɔkwan biako so no ebia wobɛte awerɛhow nka sɛ, "Oh, dɛn na ɛtoo me?" Nanso ɔkwan foforo so no, ebia wobɛte nka nso sɛ wo ho atɔ wo, "Awiei koraa no, mahu nea ɛde ɔhaw a manya mfe pii no ba."

Sɛ wobɔ mmɔden kakra, wudi aduan pa, na ebia wonom nnuru a, wubetumi adi tebea yi ho dwuma na woakɔ so anya apɔwmuden. Ka wo duruyɛfo no pefee na ka wo yare no ho sɛnkyerɛnne ne sɛnea ɛrenya w’asetra so nkɛntɛnso no ho nokware. Obetumi aboa wo ma woanya ano aduru a eye sen biara ama wo.