Loaʻa iā ʻoe ke mumū pinepine a me ka ʻeha i loko o kou ʻōpū? E kamaʻilio kākou e pili ana i kēia (Inflammatory Bowel Disease - IBD)!

Loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha pinepine o ka ʻōpū, ka pehu ʻana e mau ana no nā lā, a i ʻole ka ʻeha o ka ʻōpū a me ke koko paha i loko o kou ʻōpala? I kekahi manawa manaʻo mākou he mau ʻeha ʻōpū maʻamau kēia, akā inā hoʻomau kēia mau mea, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo ka maʻi ʻōpū mumū ( IBD ) . Mai makaʻu ke lohe ʻoe i kēia inoa. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o ka IBD, no ke aha e hana ʻia ai, he aha nā hōʻailona, ​​pehea mākou e hana ai me ia, a pehea e hiki ai iā mākou ke noho maikaʻi me kēia maʻi ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka manaʻo o `(IBD)`?

I ka ʻōlelo maʻalahi, ʻo IBD kahi mumū mau loa o kāu ʻōnaehana hoʻoheheʻe, ʻoiai kou ʻōpū. ʻO ke ʻano o "Chronic" he maʻi lōʻihi ia, ʻaʻole ia he maʻi e nalowale wale ma hope o kekahi manawa. Ke lohe ʻoe i ka huaʻōlelo " inflammatory, " pono ʻoe e hoʻomanaʻo e like me ka wā e loaʻa ai iā mākou kahi ʻoki ma ko mākou ʻili, lilo ia i ʻulaʻula, pehu, a ʻeha, hana like ka mea i loko o nā ʻōpū.

Hiki i ka IBD ke hana i nā hōʻailona koke a koʻikoʻi e like me ka ʻeha ʻōpū a me ka maʻi kahe. Kāhea mākou i kēia mau "flares." Akā, ʻaʻole wale ka hopena o ka IBD i kou ʻōpū. Hiki iā ia ke hoʻopilikia i kou olakino holoʻokoʻa, kou noʻonoʻo pono, a me kou ola o kēlā me kēia lā.

Ke lohe ʻoe he maʻi ola ka IBD ʻaʻohe ona lāʻau lapaʻau i kēia manawa, e kaumaha a makaʻu paha ʻoe. He mea maopopo ia. Akā ʻo ka mea nui, aia nā lāʻau lapaʻau kūpono e kāohi ai i kēia mau hōʻailona. A he nui nā mea hiki iā ʻoe ke hana e kōkua i kou ola e like me ka maʻamau me ka ʻole o ka ʻae ʻana iā IBD e hoʻopilikia i kou ola.

He aha nā ʻano nui o IBD?

Ma lalo o ka `(IBD)` ke kamaʻilio nui nei mākou e pili ana i ʻelua ʻano maʻi:

Pehea ka maʻamau o ka IBD?

He miliona miliona ka poʻe a puni ka honua e ʻeha nei i ka maʻi ʻōpū mumū (IBD). Hiki i ke kūlana ke hoʻopilikia i kekahi, mai nā keiki ʻōpio a i nā pākeke ma luna o 65. Eia nō naʻe, ʻike pinepine ʻia ia i nā poʻe ʻōpio ma waena o 15 a me 35 mau makahiki.

He aha nā hōʻailona o ka `(IBD)`?

Hiki i nā hōʻailona IBD ke akahai no kekahi poʻe, a koʻikoʻi no kekahi. ʻAʻole mau kēia mau hōʻailona, ​​hele mai a hele aku. Ke kū mai nā hōʻailona, ​​e ʻōlelo nā kauka he "IBD flare" a i ʻole "flare-up" kou. Ke pau nā hōʻailona ma hope o ka mālama ʻana, ua kapa ʻia lākou ʻo "remission."

Nā hōʻailona i ʻike pinepine ʻia:

• ʻEha ma ka ʻōpū lalo, me he mea lā ʻeha ka ʻōpū i ka wā e hoʻopā ʻia ai ( ʻeha ʻōpū).
• Koko i loko o ka ʻōpala. He mea liʻiliʻi paha kēia a maopopo paha.
• Ka maʻi kahe mau loa: Pono e hele i ka lua i nā manawa he nui i ka lā.
• Luhi loa ke kino (' Fatigue' ). Luhi loa ke kino a ʻaʻole hiki ke hana i kekahi mea.
• ʻO ka pohō kaumaha i manaʻo ʻole ʻia: Hana ʻia ka pohō kaumaha ke pohō kaumaha ʻoe me ka hoʻāʻo ʻole e kaohi i kāu ʻai.

He aha nā kumu o ka IBD? No ke aha e hana ai kēia?

ʻAʻole maopopo i nā kānaka noiʻi ke kumu o ka IBD. Akā, ʻike mākou e hana ʻia ia ke hoʻouka hewa ko mākou ʻōnaehana pale ponoʻī i nā ʻiʻo olakino i loko o kā mākou ʻōnaehana hoʻoheheʻe. Ua like ia me ka pūʻali koa e pale aku ana i ko mākou ʻāina e hoʻouka hewa ana i kona poʻe ponoʻī. ʻO kēia hoʻouka kaua ke kumu o ka mumū, ka pehu, a me nā ʻeha a mākou i ʻōlelo ai ma mua.

Ke aʻo nei nā kānaka noiʻi i kekahi mau genes kikoʻī a lākou e manaʻo nei he kuleana ko lākou. Ke hana ʻia kekahi mau loli (mutations) i loko o kēia mau genes, piʻi ka pilikia o ka loaʻa ʻana o ka IBD. Ua kapa ʻia kēia mau mea ʻo "susceptibility genes." Inā hoʻoilina ʻoe i kēia mau genes, hiki i kekahi mau mea o kēlā me kēia lā ke hoʻoulu i nā hōʻailona o IBD. Akā e hoʻomanaʻo, ʻaʻole kēia mau mea ke kumu o ka maʻi, hoʻonui wale lākou i ka maʻi a hoʻoulu i nā hōʻailona.

ʻO nā mea hoʻonāukiuki maʻamau no nā hōʻailona IBD:

• ʻO kekahi mau lāʻau antibiotic .
• ʻO kekahi mau lāʻau ʻeha, no ka laʻana "NSAIDS - nā lāʻau anti-inflammatory nonsteroidal" (e.g. Ibuprofen, Diclofenac).
• Puhipaka .
• Kaumaha.

He aha nā pilikia e hiki ke loaʻa mai ka IBD?

Ke loaʻa iā ʻoe ka IBD, hiki iā ia ke hoʻopilikia ʻaʻole wale i kāu ʻōnaehana hoʻoheheʻe ʻana, akā i nā ʻāpana ʻē aʻe o kou kino, e hana ana i nā pilikia olakino ʻē aʻe. Hiki i kekahi o lākou ke koʻikoʻi e pono ai ka mālama olakino ulia pōpilikia.

Nā pilikia koʻikoʻi e hiki mai ana e pili ana i ka ʻōnaehana digestive:

• ʻO ke kanesa kolona: ʻOi aku ka nui o ka pilikia o ka poʻe me IBD i ka loaʻa ʻana o ke kanesa kolona ma mua o ka heluna kanaka.
• ʻŌpū puka: He ʻano kēia i hōʻike ʻia e ka ʻeha nui o ka ʻōpū, ka pehu ʻana, a me ka palupalu. He pilikia kēia.
• Megacolon ʻawahia: He kūlana weliweli kahi e pehu nui ai ka ʻōpū nui a nalowale kāna hana. ʻO nā hōʻailona e komo pū me ke koko i loko o ka ʻōpala a me ka ʻeha nui o ka ʻōpū. He pilikia nō hoʻi kēia.

Nā pilikia e pili ana i nā ʻāpana ʻē aʻe o ke kino:

• Anemia ( ka nele o ke koko).
• Nā ʻūpā koko.
• ʻEha maka a me nā maʻi.
• Nā pōhaku puʻupaʻa.
• Nā ʻeha waha.
• Nā maʻi o ke akepaʻa (e.g. cirrhosis).
• ʻO ka malabsorption a me ka ʻai ʻole .
• Pehu a me ka ʻeha o nā hono ('Swelling joints').
• Nā ʻeha ʻili a me nā ʻūlū.
• Ka nāwaliwali o nā iwi (osteoporosis).

Pehea e ʻike ai nā kauka i ka IBD?

Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila, e hana lākou i kahi hoʻokolokolo kino. Eia kekahi, hiki iā lākou ke hana i kekahi mau hoʻokolohua e ʻike ai inā he IBD kou:

• Helu koko piha (CBC).
• ʻO ka endoskopi capsule.
• Kolonoskopi.
• ʻO ke kiʻi CT (ʻO ke kiʻi i helu ʻia - CT scan`).
• ʻO ke ultrasound endoscopic (`EUS - ultrasound endoscopic`).
• ʻO ka sigmoidoscopy maʻalahi.
• ʻO ke kiʻi MRI (kiʻi resonance magnetic - MRI scan).
• ʻO ka endoscopy luna.

Pehea e mālama ʻia ai ka `(IBD)`?

Hiki ke ʻokoʻa iki ka mālama ʻana no ka IBD ma muli o ke ʻano o ka IBD āu e loaʻa ai (Crohn's a i ʻole ulcerative colitis). Eia nō naʻe , ʻo ka pahuhopu nui o nā mālama āpau, ʻo ia ke kāohi i nā hōʻailona, ​​​​e hoʻihoʻi i ka maʻi i ke kala ʻana, a mālama i kēlā kala ʻana.

E kuhikuhi ana kāu kauka i nā lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i kāu mau hōʻailona. I kekahi mau hihia, inā ʻaʻole lawa nā lāʻau lapaʻau wale nō, pono paha ke ʻoki ʻana.