So wo nso wotaa kɔ wo dwensɔtwaa mu? Momma yensua saa akisikuru a ɛyɛ ketewaa yi ho ade!

So ɛtɔ mmere bi a wo dwensɔtwaa a ɛyɛ nsu a ɛtra hɔ nna pii? Nea ɛka ɛno ho no, wote nka sɛ wo ho nyɛ wo dɛ na wo yaw pii wɔ wo yafunu mu, ɛnte saa? Eyi yɛ tebea a yɛnka ho asɛm pii, nanso ebetumi aka nnipa pii. Ɛno ne nea microscopic colitis yɛ. Ɛnnɛ, yɛbɛka eyi ho asɛm kɔ akyiri na ɛnyɛ den koraa.

Dɛn ne Microscopic Colitis?

Sɛ yɛbɛka no tiawa a, microscopic colitis yɛ wo dwensɔtwaa kɛse (a wɔsan frɛ no wo dwensɔtwaa) no mu a ɛyɛ hyew a enni sabea (ɛkɔ so bere tenten). Asɛmfua "colitis" kyerɛ ɔfe a ɛba dwensɔtwaa kɛse no mu. Wɔfrɛ no "microscopic" efisɛ aniwa nkutoo ntumi nhu ɔfe no. Wɔde afiri a wɔde hwɛ nneɛma nketenkete nkutoo na etumi hu no pefee.

Eyi nso yɛ dwensɔtwaa mu yare bi a ɛma obi ho hyehye no (IBD). Nanso ɛyɛ soronko kakra wɔ IBD ahorow afoforo ho. Nkwammoaa a ɛwɔ wo dwensɔtwaa mu no bo fuw bere nyinaa . Nsɛnkyerɛnne titiriw ne akisikuru a ɛtaa ba a nsu wom. Te sɛ nyarewa afoforo a enni sabea no, ebetumi aba na akɔ, afei akɔ, na afei asan aba. Ɛne sɛ, nneɛma bi (yɛfrɛ no ``triggers'') betumi ama yare no ayɛ kɛse, ɛtɔ da bi a ɛno ankasa kɔ, na afei ɛsan ba bere tiaa bi akyi. Ɛwom sɛ ebetumi ayɛ tebea a ɛkɔ so wɔ nkwa nna nyinaa mu de, nanso mpɛn pii no wobetumi de aduruyɛ adi so yiye .

Hena na ɛda adi kɛse sɛ obenya eyi?

Saa tebea yi betumi aba obiara mu ankasa, nanso nnipa binom taa nya bi.

• Wɔtaa hu eyi wɔ nnipa a wɔn mfe akɔ anim mu .
• Wɔahu nso sɛ mmea nya bi sen mmarima kakra.
• Asiane yi nso yɛ kɛse ma wɔn a wɔnom sigaret .
• Ebetumi aba nnipa a wɔwɔ nyarewa bi a nipadua no tumi ko tia nyarewa nso, titiriw celiac yare (gluten allergy).

Wɔtaa susuw sɛ microscopic colitis ntaa mma te sɛ dwensɔtwaa mu nyarewa afoforo a ɛma obi ho hyehye no. Nanso esiane sɛ ɛsɛ sɛ wɔyɛ akyi berɛmo no mu nhwehwɛmu na ama wɔahu no pɛpɛɛpɛ nti, mprempren wogye di sɛ ebia nnipa pii na wɔwɔ yare no sen sɛnea yesusuwii .

So eyi yɛ yare a asiane wom?

Dabi, sɛ wɔde toto IBD afoforo a emu yɛ den ho a, wommu microscopic colitis sɛ yare a emu yɛ den a ɛde nkwa to asiane mu. Nanso, dwensɔtwaa a emu yɛ den bere nyinaa no betumi ama nsu atɔ no, ne mu duru so atew, na ebia wanya aduan pa nni. Nanso, ɛntaa nyɛ den saa.

Eyi yɛ tebea a ɛba na ɛkɔ na wotumi de nnuru di so, enti ɛho nhia sɛ wobɔ hu. Nanso, yafunu mu yare a wobɛtra ase bere a woadi aduan biara akyi no betumi anya w’asetra so nkɛntɛnso . Enti, ɛho hia sɛ wohu eyi.

Dɛn ne microscopic colitis ahorow atitiriw?

Nnuruyɛfo betumi asi yare yi so dua denam ntini bi a wɔde hwɛ wo dwensɔtwaa (intestinal mucosa) so wɔ afiri a wɔde hwɛ nneɛma nketenkete mu nkutoo so. Afei wobetumi ahu saa nkwammoaa no su pɔtee. Wɔde saa su ahorow yi di dwuma de kyerɛ yare no ahorow nketewa. Mprempren subtypes atitiriw abien na wɔahu. Wɔresusuw afoforo pii nso ho.

• Collagenous colitis: Ntini a ɛka wo dwensɔtwaa ho no yɛ collagen ne elastin. Wɔ saa ɔkwan yi so no, collagen nhama a ɛwɔ wo dwensɔtwaa no mu no yɛ kɛse wɔ ɔkwan a ɛnteɛ so. Eyi te sɛ ɔkwan a collagen ne elastin fa so hohoro wɔ ntini a ɛka bom nyarewa afoforo te sɛ ntini mu yare mu no. Wohu tebea horow a nipadua no tumi ko tia nyarewa yi nso wɔ nnipa a wɔwɔ microscopic colitis mu.

• Lymphocytic colitis: Wɔ saa ɔkwan yi so no, lymphocytes, nkwammoaa bi a ɛwɔ akyi berɛmo no mu (epithelium) no dodow kɔ soro wɔ ɔkwan a ɛnteɛ so. Lymphocytes yɛ mogya mu nkwammoaa fitaa bi. Wɔyɛ yɛn nipadua mu tumi a ɛko tia nyarewa no fã na wɔbɔ yɛn ho ban fi nyarewa ho. Ɛyɛ ade a ɛfata sɛ mogya mu nkwammoaa fitaa dodow bɛkɔ soro bere a ɔfe a ɛfa nipadua no mu tumi a ɛko tia nyarewa ho wɔ hɔ no.

Nea eye sen biara ne sɛ sɛnkyerɛnne ahorow a ɛwɔ ahorow abien no nyinaa mu no yɛ pɛ. Na ayaresa no nso yɛ pɛ. Nsonsonoe a ɛwɔ mu ara ne bere a wode afiri a wɔde hwɛ nneɛma nketenkete hwɛ wɔn no. Nyansahufo binom susuw sɛ eyinom yɛ nsɛm abien a ɛwɔ tebea koro mu ankasa. Ɛtɔ da bi mpo a, wubetumi ahu sɛnkyerɛnne ahorow abien no nyinaa wɔ onipa koro mu. Wɔfrɛ eyi "akisikuru nketenkete a enni mũ."

Bio nso, nnipa binom susuw sɛ ɛsɛ sɛ wobu tebea bi a wɔfrɛ no mastocytic enterocolitis nso sɛ ɛyɛ microscopic colitis bi. Ɛwɔ sɛnkyerɛnne koro no ara pii. Nanso, "enterocolitis" kyerɛ sɛ ɛnyɛ dwensɔtwaa kɛse no nko na ɛka, na mmom ɛka dwensɔtwaa ketewa no nso. "Mastocytic" kyerɛ sɛ nkɔanim a ɛnteɛ wɔ nipadua no mu nkwammoaa a ɛko tia nyarewa foforo a wɔfrɛ no mast cells a ɛwɔ dwensɔtwaa no mu.

Dɛn ne eyi ho sɛnkyerɛnne?

Ahurututu mu yare nketenkete ho sɛnkyerɛnne titiriw ne nea ɛda nsow sen biara ne dwensɔtwaa a enni sabea a nsu wom.. Mpɛn pii no, wubetumi akɔ wo dwensɔtwaa mu anum kosi du da biara. Ebia nnipa binom wɔ nea ɛboro eyi so anaa nea ennu saa. Ɛntaa mma koraa sɛ wɔabɔ amanneɛ sɛ microscopic colitis ba a ɛnyɛ dwensɔtwaa anaasɛ akisikuru. Wɔ tebea horow a ɛtete saa mu no, wohu no wɔ akwanhyia mu bere a wɔrehwehwɛ biribi foforo no.

Wɔ sɛnkyerɛnne atitiriw no akyi no, nsunsuanso bɔne pii wɔ hɔ a ɛtaa ba a wobetumi ahu:

• Yafunu mu yaw ne akisikuru.
• Yafunu a ɛtrɛw ne nea ɛho ayɛ kurukuruwa.
• Ɛho hia sɛ wokɔ aguaree ntɛm ara na ɛyɛ den sɛ wobɛkura nsukorabea.
• Nnyigyei a ɛwɔ dwensɔtwaa mu a wɔte (te sɛ yafunu a ɛrehuruhuruw).
• Ɛyɛ den ma nnipa binom sɛ wobedi nnuan a gluten wom (te sɛ paanoo ne noodles).
• Ɔbrɛ a wɔte nka bere nyinaa (Ɔbrɛ).

Sɛ tebea no mu yɛ den kɛse a, sɛnkyerɛnne ahorow te sɛ:

• Nsu a ɛho ntew.
• Akisikuru ne ɔfe.
• Mu duru a ɛso tew.

Nea ɛka eyi ho no, nnipa binom ka nneɛma afoforo ho asɛm:

• Ntini mu akisikuru anaa ntini mu yaw.
• Nkwaa mu yaw ne nea ɛyɛ den.
• Tiyɛ anaa atiridiinini.
• Ano mu akuru.
• Honam ani akisikuru.
• Komayare, acid a ɛsan kɔ nipadua no mu.
• Ntini a ɛma mogya tu a ahonhon.
• Thyroid ho haw ahorow.
• Ntini mu haw ahorow (e.g., nantew a ɛyɛ den - `(ataxia)`).

Nea ɛho hia: Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛnkyerɛ ankasa sɛ wowɔ microscopic colitis. Nanso, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu, titiriw sɛ wo dwensɔtwaa a ɛkɔ so daa a.

Dɛn ne nea enti a ɛte saa?

Nyansahufo nnya nhuu biribi pɔtee a ɛde eyi ba , nanso wosusuw sɛ ebia nneɛma pii na ɛde ba:

• Mmoawa bi, mmoawa awuduru, ne mmoawa a wɔde wɔn ho hyɛ mu.
• Autoimmune response yɛ mmuae a ɛba esiane mfomso bi a ɛwɔ yɛn nipadua ankasa nipadua mu ahoɔden a ɛko tia nyarewa no mu nti. Ɛne sɛ, nipadua no mu tumi a ɛko tia nyarewa no yɛ adwuma tia yɛn ankasa nkwammoaa.
• Awosu mu nneɛma. Ɛno kyerɛ sɛ ebetumi ayɛ biribi a efi awo ntoatoaso ahorow mu.

Nhwehwɛmu bi kyerɛ sɛ ebia nnuru a yɛde di dwuma no bi nso na ɛde ɔhaw yi ba. Nhwɛsoɔ:

• Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) - sɛ nhwɛso no, nnuru a wɔde kum ɛyaw te sɛ ibuprofen ne diclofenac.
• Proton pump inhibitors (PPIs) - nnuru te sɛ Omeprazole, a wɔde sa yafunu mu yare.
• Selective serotonin reuptake inhibitors (SSRIs) - nnuru a wɔde sa adwenemyareɛ te sɛ adwenemhaw.
• Ayaresa a wɔde si hormone ananmu (HRT).
• Beta blockers - nnuru bi a wode sa mogya mmoroso.
• Statins - Nnuru a ɛma mogya mu srade so tew.

Ɛnyɛ obiara a ɔnom nnuru yi na obenya saa tebea yi. Nanso, wosusuw sɛ ebia eyinom ne nea ɛde ba no mu biako. Sɛ worenom nnuru yi a, nnyae no a wo ne wo duruyɛfo nkasa.

Ɔkwan bɛn so na wobetumi ahu yare yi pɛpɛɛpɛ? (Nyare a Wɔahu) .

Mpɛn pii no, yafunu mu ɔyaresafo na ohu sɛ obi anya yafunu mu yare nketenkete. Obedi kan abisa wo w’ayaresa ho abakɔsɛm ne nnuru biara a worenom mprempren ho asɛm. Afei, ebia wɔbɛyɛ nhwehwɛmu ahorow ahwɛ sɛ nneɛma afoforo bi wɔ hɔ a ebetumi de wo tebea no aba anaa.

• Mogya mu nhwehwɛmu
• Nsu mu nhwehwɛmu
• Ebia mfoninitwa sɔhwɛ ahorow

Sɛ nhwehwɛmu ahorow yi nhu nea ɛde ba pefee a, afei oduruyɛfo no bɛkamfo akyerɛ sɛ wɔnyɛ colonoscopy ne biopsy . Eyi ne ɔkwan titiriw a wɔfa so si so dua sɛ microscopic colitis.

Sɛ woreyɛ wo dwensɔtwaa mu nhwehwɛmu a, wo duruyɛfo de adwinnade tenten bi a ɛyɛ mmerɛw (a wɔfrɛ no colonoscope) bɛhyɛ wo dwensɔtwaa mu na akɔ wo dwensɔtwaa kɛse no mu. Wɔbɛda wo bere a wɔreyɛ saa oprehyɛn yi, enti worente ɛyaw biara. Wɔde adwinnade ketewaa bi bɛhyɛ adwinnade no mu na wɔayi ntini ketewaa bi (biopsy) afi wo dwensɔtwaa no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu. Eyi nkutoo ne ɔkwan a wobɛfa so ahu sɛ wowɔ microscopic colitis anaa.

Ɔkwan bɛn so na wɔsa?

Ayaresa no betumi ayɛ soronko a egyina wo yare no ho sɛnkyerɛnne ne sɛnea emu yɛ den so. Ebia ɛho behia sɛ nnipa binom yɛ nsakrae nketenkete wɔ wɔn aduan ne wɔn asetra kwan mu. Ebia afoforo behia nnuru a wɔtɔn wɔ aduruyɛdan mu (OTC) anaasɛ wɔkyerɛw ma wɔn.

Fa no sɛ, wɔ nnipa binom fam no, sɛnkyerɛnne ahorow no ba mpofirim na afei wɔn ankasa yera. Wɔ ebinom fam no, sɛ wodi wɔn aduan so a, ebetumi ama wɔanya ahotɔ kɛse. Wɔ afoforo fam no, ebia ebehia sɛ wɔnom nnuru bere a ɔyare no mu ayɛ hyew nkutoo, anaasɛ ebia ebehia sɛ wɔnom nnuru bere nyinaa.

Nnuru a wɔtaa de di dwuma no bi:

• Nnuru a ɛma nsuo yɛ den na ɛtew mpɛn dodoɔ a ɛkɔ dwensɔtwaa mu (`Bulking agents`): Sɛ nhwɛsoɔ no, nneɛma te sɛ Isabgol `(psyllium).`
• Nnuru a ɛko tia dwensɔtwaa: Nnuru a ɛma dwensɔtwaa no twetwe brɛoo na ɛko tia akisikuru : Sɛ nhwɛso no, loperamide anaa diphenoxylate.
• Bismuth subsalicylate (te sɛ Pepto Bismol®): Wɔ atiridiinini, komayare, akisikuru, ne aduan a wontumi nnya mu.
• Budesonide a wɔde yɛ adwuma:Eyi yɛ aduru bi a wɔfrɛ no corticosteroid. Ɛtwe kɔ nipadua no mu wɔ dwensɔtwaa kɛse no mu, na ɛma ɔfe no so tew.
• Mesalamine: Nokwarem no, eyi yɛ aduru a wɔde sa ulcerative colitis, dwensɔtwaa mu yare foforo a ɛma obi ho hyehye no. Nanso wɔde di dwuma nso de tew ɔfe ne ɛyaw so.
• Bile acid sequestrants (e.g., colesevelam, colestipol): Wɔde eyinom ma sɛ wowɔ ɔhaw bi a wo nipadua ntumi nnye bile yiye (bile acid malabsorption).

Sɛ nnuru a ɛwɔ atifi hɔ no mmoa kɛse, na wo duruyɛfo susuw sɛ ebia efi biribi a nipadua no tumi ko tia nyarewa no mu a, ɛnde wobetumi ahyɛ nnuru afoforo a ɛde n’ani si nipadua no mu tumi a ɛko tia nyarewa no so ho nyansa:

• Nnuru a ɛma nipadua no tumi ko tia nyarewa.
• Nnuru a esiw TNF ano (sɛ nhwɛso no, adalimumab, infliximab).
• Cromolyn sodium (ɛde n’ani si mast nkwammoaa so, titiriw wɔ mastocytic enterocolitis mu).
• Naltrexone dodow a ɛba fam.

Afotu foforo a wubetumi anya afi wo duruyɛfo hɔ:

• Sɛ mprempren worenom nnuru afoforo a, susuw ho sɛ wobɛsesa dodow a wɔde ma anaasɛ wobɛsesa nnuru.
• Sigaretnom a wobegyae koraa.
• Mmɔden a wobɛbɔ sɛ wubehu nnuan a wo ho yɛ wo hyew ne nea ɛma wo sɛnkyerɛnne no mu yɛ den.

So wɔbɛsa yare yi koraa?

Ɛnyɛ daa. Nanso, wubetumi ayɛ obi a wunnya yare no ho sɛnkyerɛnne bere tenten . Yɛfrɛ eyi sɛ ``yare no gyae``. Saa bɔne fafiri yi betumi atra hɔ asram pii, mfe pii mpo. Nanso, te sɛ yare biara a enni sabea no, ebetumi asan aba esiane ``triggers`` nti. Sɛ wuhu nneɛma a ɛkanyan wo a, wubetumi atew ogyaframa a ɛbɛba no so.

Bere tenten ahe na flare-up di?

Eyi gu ahorow wɔ onipa biara mu. Nanso, bere a ɛtaa ba no betumi adi nna kakraa bi kosi adapɛn kakraa bi. Nnipa pii atumi atew bere tenten a saa ɔhyew yi kyɛ ne sɛnea emu yɛ den no so denam nnuan ne nnuru a ɛhyɛ wɔn abufuw a wɔkwati, ne nnuru a wɔnom bere a ɛho hia no so. Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa sɛ wo yare no ho sɛnkyerɛnne no mu yɛ den a.

Nnuan ne anonne bɛn na eye sen biara ma obi a ɔwɔ microscopic colitis?

"Microscopic colitis aduan" pɔtee biara nni hɔ a ɛfa microscopic colitis ho. Nanso, ebetumi aboa ma woadi wo sɛnkyerɛnne ahorow no ho dwuma denam nnuan a ɛma ɛyɛ kɛse a wobɛtew so na wode nnuan pii a ɛtew ɔfe so aka ho no so. Ɛsono wo nnuan pɔtee no. Ebegye sɛ wode wo ho hyɛ mu kakra na ama woahu nea ɛyɛ adwuma ma wo. Ebia wo duruyɛfo bɛka nneɛma te sɛ:

Nnuan a ɛtaa ma obi ho yɛ no hyew a wobeyi afi hɔ

Nnuan bi a wɔahu sɛ etumi ma microscopic colitis ho sɛnkyerɛnne yɛ kɛse ni:

• Nsaden.
• Caffeine (a wohu wɔ kɔfe, tii, ne anonne a ɛyɛ dɛ bi mu).
• Gluten (protein a ɛwɔ aburow te sɛ awi, atoko, ne rye mu - wɔ nneɛma te sɛ paanoo, pasta, ne keeki mu).
• Nufusu ne nufusu a wɔde yɛ nneɛma.
• Asikyire.
• Nneɛma a wɔde yɛ aduan dɛdɛ.

Nnuan a srade nnim ne nea ahoɔdennuru nnim

Bere a ɔyare mmoawa no rehyew no, nnuruyɛfo binom kamfo kyerɛ sɛ wɔmfa “aduan a ɛyɛ mmerɛw a wɔde di dwuma wɔ yafunu mu.” Nea ɛka eyi ho ne nnuan a srade nnim na ahoɔdennuru pii nni mu a wobedi. Eyi ma adwuma a ɛwɔ w’adidi mu no so tew. Nanso, ebia nnuan bi a ɛwɔ saa aduan yi mu no renyɛ wo dɛ.

Aduan a wɔde yi fi hɔ

Ɔkwan biako a wobɛfa so ahu nnuan a wo ho yɛ wo hyew ankasa ne sɛ wobɛsɔ aduan a wɔde yi fi hɔ ahwɛ. Sɛ nhwɛso no, aduan a FODMAP nnim. Eyi yɛ bere tiaa mu aduan. Wɔ eyi mu no, wuyi nnuan akuw bi fi hɔ koraa na afei wode nkakrankakra san de ba mmiako mmiako sɛnea ɛbɛyɛ a wubehu nea wote nka wɔ ho. Ɛho hia yiye sɛ wohwehwɛ akwankyerɛ fi aduan ho ɔbenfo a wɔakyerɛw ne din hɔ bere a woreyɛ biribi te sɛ eyi no.

Aduan a ɛko tia ɔyare mmoawa

Wɔahu sɛ nnuan bi te sɛ nnuan a srade pii wom no ma ɔfe a ɛwɔ nipadua no mu no so tew. Mediterranea aduan yɛ aduan a ɛte saa a ɛko tia ɔyare mmoawa ho nhwɛso pa. Turmeric nso yɛ ade pa a wode ka w’aduan ho, efisɛ ɛwɔ tumi a ɛko tia ɔyare mmoawa.

So probiotics ye ma eyi?

Kan no na wɔkamfo probiotics kyerɛ sɛ wɔmfa nyɛ aduru a wɔde sa akisikuru a ɛyɛ ketewaa bi. Nanso, mprempren akwankyerɛ ahorow nkamfo wɔn efisɛ nhwehwɛmu pii ho hia. Enti, nnom probiotics a wunnyaa wo duruyɛfo afotu.

Microscopic colitis yɛ tebea a wɔda so ara nte ase yiye. Wɔ dwensɔtwaa mu nyarewa afoforo a ɛma obi ho hyehye no mu no, ɛno na wonnim no kɛse. Nanso, mprempren nyansahufo susuw sɛ ebia abu so te sɛ afoforo no. Nhwehwɛmu pɔtee kakraa bi na wɔayɛ wɔ ho, na mprempren nnuru biara nni hɔ a wɔde asi wɔn ani so ama no. Nea eye ne sɛ, mpɛn pii no, wobetumi de ayaresa a ɛwɔ hɔ mprempren no adi so. Sɛ wobɔ mmɔden kakra, wunya nnuru ne aduan a ɛfata a, wubetumi adi wo sɛnkyerɛnne ahorow no ho dwuma yiye bere a asɔre no.

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae

• Microscopic Colitis yɛ tebea a wotumi di ho dwuma , enti mma ɛnhaw wo.
• Sɛnea ɛbɛyɛ na wɔahu eyi pɛpɛɛpɛ no, ɛsɛ sɛ wɔyɛ colonoscopy ne biopsy.
• Wo ne wo duruyɛfo nyɛ adwuma na hwehwɛ ayaresa a ɛbɛyɛ adwuma yiye ama wo.
• Ɛho hia paa sɛ wuhu nnuan, anonne, ne nneɛma afoforo a ɛma woyare (nneɛma a ɛkanyan wo).
• Sɛ wowɔ sɛnkyerɛnne ahorow a, mfa nsie na nhu amane, na mmom hwehwɛ aduruyɛ mu afotu. Ɛnyɛ wo nko ara!

Microscopic Colitis, Atiridiinini, Yafunu mu yaw, Yafunu mu yare, Yafunu mu yare, Aduan ho akisikuru, Yafunu mu yare