Loaʻa iā ʻoe kekahi mau ʻeha ʻōpū pinepine? Aia ke koko i loko o kou ʻōpala? He Ulcerative Colitis paha ia? E kamaʻilio kākou e pili ana i kēia!

Ke manaʻo pinepine nei ʻoe i ka ʻoluʻolu ʻole i loko o kou ʻōpū, e like me ka ʻōpū piha a me ka ʻeha wela? Inā ʻoe e kahe iki i ke koko me kou ʻōpala i kekahi manawa, pono ʻoe e hopohopo iki no ia mea. He hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo `(Ulcerative Colitis - UC)`. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka `(Ulcerative Colitis - UC)`? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo Ulcerative Colitis kahi maʻi no ke ola holoʻokoʻa e hoʻoulu ai i ka mumū a me nā ʻeha i loko o kou kolona a me ka rectum. He ʻāpana ia o kahi hui nui o nā maʻi i kapa ʻia ʻo Inflammatory Bowel Disease (IBD). Ua lohe paha ʻoe i ka maʻi ʻo Crohn, ʻeā? Hāʻule pū kēlā i ka māhele like me IBD.

Ke loaʻa iā ʻoe ka UC, hiki iā ʻoe ke ʻike i nā mea e like me ke koko koko, nā ʻōpū ʻeha, a me ka mimi pinepine . E hoʻomanaʻo, aia nā manawa e ʻoi aku ka ʻino o kēia mau hōʻailona, ​​​​​​a mākou e kapa nei he "flare-ups." A laila aia nā manawa ʻē aʻe e hiki ai iā ʻoe ke noho me ka ʻole o nā hōʻailona, ​​​​​​a mākou e kapa nei he "remission."

Aia kekahi mau ʻano o `(UC)`?

ʻAe, aia kekahi mau ʻano o ka UC. Ua hoʻokaʻawale ʻia kēia mau mea ma muli o kahi o kou kolona e pehu ai a me nā ʻeha . ʻO ka hapa pinepine, hoʻomaka ia ma ka ʻāpana hope loa o kou rectum, kahi kokoke loa i kou anus. Hiki iā ia ke hoʻomaka ma laila a hohola i luna o ka kolona. Eia nā ʻano:

• ʻO ka proctitis Ulcerative: Ma kēia, aia wale ka mumū ma ka ʻaoʻao hope loa o kou rectum.
• (Proctosigmoiditis): Maanei, aia ka mumū ma ka ʻāpana hope loa o ka anus (rectum) a me ka ʻāpana haʻahaʻa, ʻano 'S' o ka ʻōpū nui (sigmoid colon).
• (Colitis ʻaoʻao hema): E like me ka inoa e hōʻike nei, hoʻopilikia kēia i ka ʻaoʻao hema o ka kolona.
• (Pancolitis): I kēia hihia, hiki ke pālahalaha ka pehu a me nā ʻeha ma loko o ka kolona holoʻokoʻa .

Hiki i kēia kūlana (UC) ke ʻoluʻolu, kaulike, a koʻikoʻi paha , ma muli o kāu mau hōʻailona. Aia kekahi ʻano koʻikoʻi loa, akā kakaikahi loa, i kapa ʻia ʻo "fulminant ulcerative colitis". I kekahi manawa hiki ke hoʻoweliweli i ke ola a pono e mālama koke ʻia e ke kauka.

Pehea ka maʻamau o kēia maʻi i kapa ʻia ʻo `(Ulcerative Colitis)`?

I hui pū ʻia me ka maʻi Crohn, ua manaʻo ʻia aia ma kahi o hoʻokahi i kēlā me kēia 250 poʻe ma ʻAmelika ʻĀkau a me ʻEulopa i loaʻa i kekahi o kēia mau kūlana. Ma ʻAmelika Hui Pū ʻIa wale nō, ua manaʻo ʻia aia ma kahi o 900,000 poʻe e noho ana me UC. Ke ʻike nui ʻia nei kēia kūlana ma Sri Lanka.

He aha nā hōʻailona o ka Ulcerative Colitis?

ʻOi aku ka ʻino o nā hōʻailona o ka UC i ka hala ʻana o ka manawa.ʻAe. I ka wā mua, e ʻike paha ʻoe i nā hōʻailona liʻiliʻi e like me kēia:

• Ka hoʻokuʻu ʻana o ka ʻōpū: Hiki paha kēia a ʻaʻole paha e hana me ke koko.
• Hoʻonui ʻia ke alapine (frequency) o ka neʻe ʻana o ka ʻōpū: Hiki i kēia ke ʻehā manawa i ka lā a i ʻole ka emi mai.
• Koi e hele i ka lua: He pono wikiwiki e paʻakikī ke kāohi.
• (Tenesmus): He ʻano ʻē kēia huaʻōlelo, ʻeā? I ka ʻōlelo maʻalahi, he manaʻo ia o ka pono e hele i ka lua akā ʻaʻole hiki, he manaʻo o ka paʻa ʻana i loko o kou ʻōpū.
• ʻEha iki ka ʻōpū a i ʻole ka ʻūmiʻi.

Ma hope, i ka holomua ʻana o ka maʻi, hiki ke ʻike ʻia nā hōʻailona kaulike a koʻikoʻi paha e like me kēia:

• Pono e hele pinepine i ka lua, ʻoi aku ma mua o ʻehā manawa i ka lā.
• Koko, mucus, a i ʻole pus i loko o ka ʻōpala. He hōʻailona maoli kēia e hopohopo ai.
• ʻEha nui ka ʻōpū.
• Manaʻo luhi loa (luhi). Manaʻo luhi loa e hana i kekahi mea.
• Ka emi koke ʻana o ke kaumaha.
• Manaʻo luaʻi.
• Kuni.

ʻO kaʻoiaʻiʻo, ma kahi o ka hapalua o ka poʻe me UC he mau hōʻailona iki i ka wā o ka flareup. Akā hiki i kekahi poʻe ke loaʻa i nā kuni pinepine, ka maʻi kahe koko, ka nausea, a me nā ʻeha ʻōpū koʻikoʻi.

Aia kekahi mau hōʻailona ʻē aʻe ma waho aʻe o ka colon?

ʻAe, mai kāhāhā, ma kahi o 25% o ka poʻe me UC hiki ke loaʻa nā hōʻailona ma waho o ka kolona, ​​ma nā wahi ʻē aʻe o ke kino . ʻO kēia no ka mea hiki i ka mumū i loko o ka kolona ke laha i nā wahi ʻē aʻe o ke kino, e like me nā iwi, nā hono, nā maka, ka ʻili, a me ke akepaʻa.

• ʻEha a me ka pehu ʻana o nā hono.
• ʻUlaʻula, pehu, ʻāʻī o nā maka.
• Nā puʻupuʻu ʻeha, nā ʻeha, a i ʻole nā ​​​​​​ʻeha ma ka ʻili.

No ke aha e ulu ai kēia ʻano maʻi ʻo Ulcerative Colitis? He aha ke kumu?

ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia ʻano. Eia nō naʻe, manaʻoʻiʻo nā kauka a me nā mea noiʻi he ʻano paʻakikī ia, me nā kumu pilikia he nui e hui pū ana . Ua ʻae ka hapa nui e pili ana ia i ka hana pono ʻole o ka ʻōnaehana pale o ko mākou kino.

E noʻonoʻo e pili ana i ia mea, ʻo ka hana nui o kā mākou ʻōnaehana pale ʻana, ʻo ia ka pale ʻana i ko mākou kino mai nā germs a me nā mea ʻino ʻē aʻe e hele mai ana mai waho. Akā i kekahi manawa, hoʻomaka hewa kēia ʻōnaehana pale e hoʻouka i kā mākou mau ʻiʻo olakino ponoʻī. ʻO ia ka manawa e hana ʻia ai kēia ʻano mumū a me ka hōʻino ʻana o nā ʻiʻo. I loko o ka `(UC)`, hana ʻia kēia hoʻouka ʻana i ka uhi o loko o ka colon.

He aha nā kumu pilikia? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?

ʻOiai hiki i kekahi ke loaʻa i ka Ulcerative Colitis, ʻoi aku ka nui o ka pilikia o kekahi poʻe. E nānā inā pili kēia mau ʻoiaʻiʻo iā ʻoe:

• Makahiki: ʻIke pinepine ʻia kēia maʻi i nā poʻe ʻōpio ma waena o 15 a me 30 mau makahiki, a i ʻole i nā poʻe ʻelemakule ma hope o 60 mau makahiki .
• Lāhui a me ka lāhui: Ua hōʻike kekahi mau noiʻi he ʻoi aku ka nui o ka pilikia o ka poʻe keʻokeʻo, ʻoiai ka poʻe Iudaio Ashkenazi. Eia nō naʻe, pono ka noiʻi hou aku e hoʻoholo i ka nui o kēia hopena i kahi ʻāina e like me Sri Lanka.
• ʻIke Hoʻoilina: He mea nui nō hoʻi kēia. Inā loaʻa i kekahi o kou ʻohana pili (ʻo ia hoʻi, nā mākua, nā kaikaina, nā keiki) ka maʻi UC a i ʻole ka maʻi Crohn, ʻoi aku ka nui o kou loaʻa ʻana i ke ʻano. Ma kahi o 20% o ka poʻe me UC he lālā ʻohana ko lākou nona kekahi o kēia mau kūlana.
• ʻO ka microbiome o ka ʻōpū: ʻO kā mākou ʻōnaehana hoʻoheheʻe, ʻoiai ka ʻōpū nui, kahi home no nā miliona o nā microbes (bacteria, viruses, fungi). Ua kapa ʻia kēia hōʻiliʻili ʻo "gut microbiome". Ua like ia me kahi ʻōnaehana liʻiliʻi i loko o ko mākou ʻōpū. Ua hōʻike ʻia e ka noiʻi he nui nā ʻokoʻa i loko o kēia kaiapuni microbial i nā poʻe me ka "UC" i hoʻohālikelike ʻia me nā poʻe me ka ʻole o ke ʻano. ʻOiai ʻaʻole i ʻike ʻia ke kumu pololei, ua manaʻo ʻia he mea kōkua pū kēia i ka ulu ʻana o ka "UC".

ʻO kahi mea e hoʻomanaʻo ai , ʻaʻole kou kaumaha a me kāu ʻai e hoʻokumu pololei i kāu UC. Eia nō naʻe, inā loaʻa iā ʻoe ka UC, hiki i kēia mau mea ke hoʻāla i kāu mau hōʻailona. No laila, inā ua ʻike ʻia ʻoe me UC, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke nānā pono i kāu mau mea hoʻonāukiuki a pale aku iā lākou i ka hiki.

He aha nā pilikia ʻē aʻe e hiki ke kū mai ma muli o ka Ulcerative colitis?

ʻO ka loaʻa ʻana o ka Ulcerative Colitis e hoʻonui i kou pilikia o ka loaʻa ʻana o kekahi mau pilikia olakino ʻē aʻe. Pono paha kēia i ka nānā ʻana a me ka mālama ʻana i nā lāʻau lapaʻau hou aku.

• Anemia: ʻO ke kahe koko mau, lohi, a i kekahi manawa koke, mai nā ʻeha o ka colon hiki ke alakaʻi i ka emi ʻana o ka nui o ke koko i loko o ke kino, e alakaʻi ana i ka anemia, kahi emi ʻana o nā hunaola koko ʻulaʻula.
• ʻO ke kanesa kolona: ʻO ka poʻe me UC, ʻoiai ka poʻe i loaʻa i ke ʻano no nā makahiki he nui, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ke kanesa kolona ma mua o nā poʻe ʻē aʻe. Aia kou pilikia ma kahi o ka mumū i loko o kou kolona a me ka lōʻihi o kou loaʻa ʻana o UC. He mea nui e kamaʻilio me kāu kauka e pili ana i kēia a loaʻa nā nānā maʻamau.
• Osteoporosis: ʻO ka mumū i loko o ke kolona hiki ke hoʻopili i nā iwi a me nā hono i kekahi manawa, e hoʻonāwaliwali ai ka iwi, kahi ʻano i kapa ʻia ʻo osteoporosis.
• ʻO ka cholangitis sclerosing mua:He ʻano paʻakikī kēia inoa. I ka ʻōlelo maʻalahi, inā pālahalaha ka mumū ma ka kolona i ke akepaʻa, hiki iā ia ke hana i ka pehu a me ka ʻeha o nā ʻauwai bile i loko o ke akepaʻa. Hiki i kēia ʻiʻo i hōʻino ʻia ke hoʻopilikia i ka hana o ke akepaʻa.
• Nā pilikia me ka ulu ʻana a me ka ulu ʻana o nā keiki: Inā loaʻa i kahi keiki ʻōpio ka UC, hiki ke kaupalena ʻia ka hana o ka ʻōpū nui, e hōʻemi ana i ka hiki o ke kino ke omo i nā meaʻai e pono ai no ka ulu ʻana a me ka ulu ʻana. ʻOiai e lawe ana i ka lāʻau lapaʻau no ka UC, pono paha e hāʻawi i kāu keiki i nā huaora me nā mea hoʻohui ʻē aʻe.

Nā pilikia e pono ai ka mālama ʻana i ka pilikia

He mea weliweli iki kēia mau pilikia, a inā loaʻa kekahi mea e like me kēia , pono ʻoe e lawe koke ʻia i ka haukapila a loaʻa ka mālama ʻana i ka pilikia (ER treatment).

• Ka maloʻo nui ʻana o ka wai: Hiki i nā neʻe pinepine ʻana o ka ʻōpū ke hoʻolilo i kou kino i ka nui o ka wai, kahi e hiki ai ke alakaʻi i ka maloʻo nui ʻana. Inā hana kēia, pono paha ʻoe e hāʻawi ʻia i nā wai IV ma ka haukapila.
• ʻO ka puka ʻana o ke kolona: He kūlana weliweli loa kēia. He pilikia olakino ka puka ʻana o ka lua ma ka paia o ke kolona a pono e ʻoki koke ʻia.
• Ke kahe koko nui: Inā nui ke kahe koko mai ka ʻeha, pono paha ke hoʻoili koko.
• Megacolon ʻawahia: He ʻano laha ʻole kēia akā he mea hoʻoweliweli paha i ke ola. ʻO ka pehu nui e hoʻōki loa ai ka hana ʻana o ke kolona, ​​e hoʻonui ai i ke kolona (megacolon), e hoʻoheheʻe ai i nā mea ʻawahia i loko o ke koko.
• Nā ʻūpā koko: Hoʻonui ka UC i ka pilikia o ka hana ʻana o nā ʻūpā koko i loko o nā kīʻaha koko o ke kino ( nā veins , nā arteries , a me nā capillaries). Ma muli o kahi e kū ai kēia mau ʻūpā, hiki iā lākou ke hoʻoweliweli i ke ola.

Pehea e ʻike ʻia ai ka Ulcerative Colitis? He aha nā hoʻokolohua e hana ʻia?

Inā kānalua ʻoe he UC kou, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​hana i kahi hoʻokolokolo kino, a nīnau inā he IBD kekahi o kou ʻohana. A laila, hiki iā lākou ke kauoha i kekahi mau hoʻokolohua e kāpae i nā kūlana ʻē aʻe i loaʻa nā hōʻailona like me UC a e hōʻoia i ka UC.

• Nā hoʻāʻo koko: Hiki ke lawe ʻia kahi hāpana o kou koko e nānā i ka anemia. ʻO ke anemia ke ʻano he kahe koko i loko o ka colon a i ʻole ka rectum. Hiki i kēia mau hoʻāʻo koko ke nānā i nā kumu ʻē aʻe, e like me nā maʻi.
• Nā laʻana o ka ʻōpala: E nānā ʻia kahi laʻana o kāu ʻōpala e ʻike ai inā he mau hōʻailona o ka maʻi, nā parasites, a i ʻole ka mumū.
• Nā hoʻāʻo kiʻi: Hiki ke lawe ʻia nā kiʻi e nānā i loko o ka kolona a me ka rectum.
• (ʻEnema Barium)He ʻano X-ray kūikawā ia. Hiki iā ia ke ʻike i nā mea e like me ka pehu ʻana i loko o ka ʻōpū nui.
• Hiki i ka CT scan (Computed Tomography scan) a me ka MRI (Magnetic Resonance Imaging) ke hōʻike maopopo i ka pehu ʻana i loko o ka colon, ʻoiai i nā hihia kaulike a koʻikoʻi o UC.
• Hiki i kahi X-ray maʻamau ke nānā i nā pilikia weliweli e like me ka megacolon a i ʻole ka perforation o ka colon.
• Nā hoʻāʻo Endoscopic: ʻO kēia ka hoʻāʻo nui a maopopo loa e ʻike ai i ka UC. ʻO ka endoscope kahi paipu lahilahi a palupalu me kahi kāmela liʻiliʻi ma kekahi ʻaoʻao. Hoʻokomo ʻia kēia paipu ma o kou anus a hiki i ke kauka ke ʻike i loko o kou colon. Hiki iā lākou ke lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai nā wahi kānalua a hoʻouna iā ia i kahi lab e hōʻoia i ka hōʻailona. ʻO nā hoʻāʻo endoscopic nui e ʻike ai i ka UC ʻo colonoscopy a me sigmoidoscopy .

Pehea e mālama ʻia ai ka Ulcerative Colitis?

ʻElua mau pahuhopu nui o ka mālama ʻana i ka UC. ʻO kekahi e hōʻemi i kāu mau hōʻailona (flare-ups) a hoʻokuʻu iā ʻoe i ke kala ʻana. ʻO kekahi pahuhopu e mālama i kou kala ʻana inā ua komo mua ʻoe i ke kala ʻana. Hana ʻia kēia me nā lāʻau lapaʻau a i kekahi manawa ke ʻoki kino .

Nā lāʻau lapaʻau

Hoʻohana nā kauka i nā lāʻau lapaʻau like ʻole (hoʻokahi a i ʻole i hui pū ʻia) e hōʻemi i ka mumū a ho'ōla i nā ʻeha ma ka ʻōpū. Ke emi ka pehu a me ka mumū, loaʻa i nā ʻiʻo kahi manawa e ho'ōla ai. Hoʻemi pū kēia i kāu mau hōʻailona, ​​a ua kāohi ʻia kou ʻeha a me kou neʻe ʻana o ka ʻōpū.

• (Aminosalicylates): Hoʻohana pinepine ʻia ka Sulfasalazine (Azulfidine®) no ka UC ʻoluʻolu a kaulike. Eia nō naʻe, inā he maʻi allergy kou i ka sulfa, e haʻi i kāu kauka. Hiki i kāu kauka ke kuhikuhi i kahi aminosalicylate non-sulfa, e like me mesalamine (Canasa®, Delzicol®, Asacol® HD, Pentasa®, Lialda®, Apriso®).
• Corticosteroids: Inā loaʻa iā ʻoe ka UC koʻikoʻi, hiki ke hāʻawi ʻia iā ʻoe kahi corticosteroid, e like me prednisone (Deltasone®) a i ʻole budesonide (Entocort® EC, Uceris®). Eia nō naʻe, no ka mea he mau hopena koʻikoʻi kēia mau corticosteroids, paipai wale nā ​​​​kauka iā lākou no kahi manawa pōkole.
• Nā lāʻau pale kino: Hāʻawi ʻia kēia mau lāʻau lapaʻau e kāohi i kāu ʻōnaehana pale mai ka lilo ʻana i mea hana nui a me ka hoʻouka ʻana i kou kino ponoʻī, ʻo ia hoʻi, e hōʻoluʻolu i ka ʻōnaehana pale. ʻO ia mau lāʻau lapaʻau ʻo `(6-mercaptopurine (Purixan®, Purinethol®))`, `(azathioprine (Azasan® a me Imuran®))` a i ʻole `(methotrexate (Trexall®))`.
• (ʻIke Olaola):He mau lāʻau lapaʻau hou kēia, a he maikaʻi loa. Hoʻohana ʻia lākou e mālama i nā hihia UC waena a koʻikoʻi. Hana kēia mau lāʻau lapaʻau ma ka kaohi ʻana i ka hana o nā ʻāpana kikoʻī o ka ʻōnaehana pale e pili ana i ka mumū. ʻO nā lāʻau lapaʻau biologic e komo pū me ka infliximab (Remicade®), adalimumab (Humira®), golimumab (Simponi®), vedolizumab (Entyvio®), a me ustekinumab (Stelara®).
• (Nā mea hoʻopaʻa Janus kinase (JAK) - nā lāʻau lapaʻau molekole liʻiliʻi): Hana nā lāʻau lapaʻau e like me `(Tofacitinib (Xeljanz®))` ma ke kāohi ʻana i ka hana o kahi enzyme kikoʻī i loko o ke kino e hoʻoulu ai i ka mumū. ʻO `(Upadacitinib (RinvoQ®))` kekahi ʻano o `(JAK inhibitor).`

ʻoki kino

Inā ʻaʻole i kāohi ʻia nā hōʻailona me ka lāʻau lapaʻau, a inā ua hoʻoulu ka UC i nā pilikia koʻikoʻi, ʻo ke ʻoki paha ke ala hope loa. Ma kahi o 30% o ka poʻe me UC e pono ai ke ʻoki ʻana i kekahi manawa o ko lākou ola. Eia kekahi, ma kahi o 20% o nā keiki me UC e pono ai ke ʻoki ʻana.

ʻElua ʻano nui o ke ʻoki kino no ka UC. Pili nā mea ʻelua i kahi kaʻina hana i kapa ʻia he proctocolectomy , ʻo ia hoʻi ka wehe ʻana i kahi āpau a i ʻole kekahi hapa o kou kolona a me ka rectum.

1. (Proctocolectomy a me ka ʻeke ileal): ʻO kēia ke kaʻina hana ʻoki maʻamau a makemake nui ʻia no UC. Ma kēia kaʻina hana, wehe ke kauka ʻoki i kou kolona a me ka ʻāpana hope loa o kou rectum, akā haʻalele i kou anus. A laila, hoʻohana ʻia kahi ʻāpana o kou ʻōpū liʻiliʻi e hana i kahi ʻeke liʻiliʻi (ʻeke ileal) a hoʻohui iā ia i kou rectum. Ma hope o kou ho'ōla ʻana mai ke ʻoki ʻana, hana kēia ʻōpū liʻiliʻi ma ke ʻano he rectum hou, e ʻae ana iā ʻoe e loaʻa nā neʻe ʻōpū maʻamau.

2. (Proctocolectomy a me ka ileostomy): I kekahi manawa, ʻaʻole hiki ke hana i kahi "ʻeke ileal". Inā ʻo kēia ka hihia, hiki i kāu hui lapaʻau ke ʻōlelo aku i kahi (ileostomy) mau loa (me ka ʻole o kahi ʻeke ileal). Ma kēia, wehe ke kauka lapaʻau i kou kolona holoʻokoʻa, ka ʻāpana hope loa o kou rectum, a me kou anus. A laila, hana ʻia kahi lua liʻiliʻi i loko o kou ʻōpū (ʻōpū) a hoʻopili ʻia kahi ʻeke (ileal stoma) i waho o kou kino e hōʻiliʻili i ka ʻōpala. Pono ʻoe e hoʻokahe i kēia ʻeke i nā manawa a pau.

Pehea e pale aku ai i ka hoʻomaka ʻana o nā hōʻailona o ka ulcerative colitis?

Inā loaʻa iā ʻoe ka UC, he mea nui e hoʻāʻo e hōʻemi i kāu mau flareup. ʻO ke ala maikaʻi loa e hana ai i kēia, ʻo ia ke ʻike i kāu mau mea hoʻonāukiuki a pale aku iā lākou i ka hiki. Eia kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e pale aku i nā mea hoʻonāukiuki maʻamau:

• Ka mālama ʻana i ke kaumaha:Hiki i ke kaumaha ke kumu nui o ka hoʻāla ʻana o ka maʻi UC. No laila, e loaʻa i ka liʻiliʻi he 7 mau hola o ka hiamoe maikaʻi i ka pō, e hoʻoikaika kino mau , a hana i nā mea e hōʻoluʻolu ai i kou noʻonoʻo, e like me ka noʻonoʻo ʻana.
• E pale i nā NSAID: Inā loaʻa iā ʻoe ke kuni a ʻeha paha ke kino, e lawe i kahi lāʻau lapaʻau e like me ka acetaminophen (Tylenol®). Hiki i nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me ka ibuprofen (Motrin®, Advil®) ke hoʻonui i nā hōʻailona UC.
• E pale i nā meaʻai e hoʻonui ai i kou mau hōʻailona: ʻAʻole i hoʻopilikia ʻia nā kānaka a pau e nā meaʻai like. ʻO ka mea e hoʻonui ai i kou mau hōʻailona nou, ʻaʻole paha ia e like no kekahi. Eia nō naʻe, ua ʻike ka nui o ka poʻe me UC he mea hoʻoulu nā huahana waiū a me nā meaʻai fiber kiʻekiʻe i nā ʻōhū. E kamaʻilio me kāu kauka a meaʻai meaʻai paha e hana i kahi papaʻai e pono ai nou a ʻaʻole e hoʻonele iā ʻoe i nā meaola e pono ai kou kino.

He manaʻo maikaʻi ka mālama ʻana i kahi puke moʻolelo liʻiliʻi o nā mea e hoʻonui ai i kou mau hōʻailona, ​​e like me nā meaʻai a me nā kūlana. Ke kaʻana like ʻoe me kāu kauka, hiki iā ʻoe ke hoʻoholo pū i nā ala maikaʻi loa e pale aku ai i kēlā mau mea a mālama i kou kūlana.

Inā loaʻa iaʻu ka Ulcerative Colitis, he aha kaʻu e manaʻo ai?

ʻOkoʻa loa ke ʻano (UC) mai kēlā me kēia kanaka a i kēia kanaka. Hoʻokahi wale nō paha ka loaʻa ʻana o kekahi poʻe i ko lākou ola a ʻaʻole loaʻa hou. Loaʻa paha i kekahi poʻe nā hōʻailona mau loa e paʻakikī ke kaohi.

Eia nō naʻe, no nā poʻe he nui, hele mai a hele aku nā hōʻailona. ʻO ia hoʻi, hoʻololi lākou ma waena o nā wā o ka hoʻonui ʻia ʻana o nā hōʻailona (flare-ups) a me nā wā lōʻihi, ʻaʻohe hōʻailona (remissions). Ma kahi o 30% o ka poʻe me UC, e ʻoi aku ka ʻino o nā hōʻailona i ka hala ʻana o ka manawa, lilo i mea pinepine, a ma hope e pono ai ke ʻoki ʻana.

Hoʻokele ka hapa nui o ka poʻe i kā lākou UC ma ka pale ʻana i nā mea hoʻonāukiuki a me ka lawe ʻana i kā lākou mau lāʻau lapaʻau e like me ke kauoha. Pono ʻoe e ʻike pinepine i kāu kauka e nānā i kou olakino. No ka laʻana, hiki i kāu kauka ke paipai i nā colonoscopies maʻamau e nānā i ka maʻi ʻaʻai colon, ma muli o kou pilikia. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.

E ho'ōla loa ʻia anei ka Ulcerative Colitis?

ʻO ke "lāʻau lapaʻau" wale nō no kēia maʻi, ʻo ia ke ʻoki ʻana e wehe i kou kolona a me ka rectum. Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, hiki i ka hapa nui o ka poʻe ke hoʻokele maikaʻi i ke kūlana me ka lāʻau lapaʻau a, inā pono, ke ʻoki ʻana, a ola i kahi ola maʻamau. ʻO ka pahuhopu nui o ka mālama ʻana no UC, ʻo ia ka hoʻokō ʻana i ke kala ʻana a mālama iā ia no ka lōʻihi e hiki ai. E kōkua kāu hui lapaʻau iā ʻoe me kēia.

Āhea wau e kāhea aku ai i kaʻu kauka?

Inā loaʻa iā ʻoe ka `(UC)`, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kokoke loa inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Inā ʻoe e hoʻomoe nui ana i ka noho, me ke kū ʻole.
• Inā he kahe koko mai ka anus, a inā he mau ʻōpū koko i loko o ka ʻōpala.
• Inā loaʻa iā ʻoe ka ʻeha nui pinepine a me ke kuni kiʻekiʻe.

ʻO nā hōʻailona e like me kēia e hōʻike ana e ʻoi aku ka ʻino o kou kūlana, no laila he mea nui e ʻimi koke i ke kōkua lapaʻau.

He aha kaʻu e nīnau aku ai i kaʻu kauka?

Inā loaʻa iā ʻoe ka UC, mai makaʻu e nīnau i kāu kauka i nā nīnau āu e loaʻa ai. ʻO ka nui o kou ʻike e pili ana i kou kūlana, ʻo ka maʻalahi hoʻi iā ʻoe ke mālama iā ia. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau:

• Pehea ka hopena o ke ʻano o ka UC iaʻu i koʻu olakino i ka wā e hiki mai ana (prognosis)?
• He aha koʻu pilikia o ka hoʻomohala ʻana i nā pilikia ʻē aʻe mai UC?
• He aha nā lāʻau lapaʻau āu e paipai mai ai iaʻu?
• He aha nā pilikia a i ʻole nā ​​hopena ʻaoʻao e hiki iaʻu ke manaʻo mai kēia mau lāʻau lapaʻau?
• Pehea e hiki ai iaʻu ke hoʻololi i koʻu nohona e pale aku ai i nā ʻōhūhū? (E pili ana i nā mea e like me ka ʻai ʻana, ka hoʻoikaika kino, ka hoʻokele kaumaha, a me nā mea ʻē aʻe)
• Ke ʻoi aʻe ka ʻino o nā hōʻailona, ​​he aha kaʻu e hana ai ma ka home e mālama ai iā lākou?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi hoʻonāwaliwali iki ka Ulcerative Colitis no ke ola holoʻokoʻa. Eia nō naʻe, me ka mālama pono ʻana i nā lāʻau lapaʻau a me nā ʻōlelo aʻoaʻo, a me ka hana ʻana i nā hoʻololi e pono ai i kou nohona, hiki iā ʻoe ke hoʻokele maikaʻi i ke kūlana a ola i kahi ola olakino.

He mea nui loa ka hana pū ʻana me kāu hui lapaʻau. E lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a kāu kauka, a i ka manawa kūpono. Mai ho'ōki i ka lawe ʻana i kāu mau lāʻau lapaʻau ʻoiai ʻaʻohe ou hōʻailona, ​​​​no ka mea hiki i kēia ke hoʻāla hou i kāu mau hōʻailona a hoʻolilo i mea paʻakikī ke kaohi i kou kūlana.

E hoʻomaopopo i kou pilikia o nā pilikia a pehea e pili ai kēlā i kāu hoʻolālā mālama. No ka laʻana, pono paha ʻoe i nā hoʻāʻo koko pinepine a i ʻole nā ​​​​colonoscopies ma mua o kahi mea me ka ʻole o UC. E kamaʻilio me kāu kauka e pili ana i nā ala maikaʻi loa e mālama ai i kou kala ʻana a mālama i kou olakino holoʻokoʻa. ʻAʻole ʻoe hoʻokahi, a aia nā kauka, nā kahu maʻi, a me nā mea aloha e hiki ke kōkua iā ʻoe ma kēia huakaʻi.

ʻO ka Ulcerative Colitis, nā ʻōpū ʻōpū, ʻeha ʻōpū, IBD, ka maʻi Crohn, ka maʻi kahe, ke koko i loko o ka ʻōpala, ka ʻōnaehana hoʻoheheʻe