Loaʻa iā ʻoe kekahi maʻi kahe wai pinepine? He Microscopic Colitis paha ia!

He pinepine anei kou ʻōpū? Pono ʻoe e hele i ka lua i ʻelima a ʻeono paha manawa i ka lā, i kekahi manawa ʻoi aku ka nui? ʻO kēia kūlana, e hele mai me ka ʻeha o ka ʻōpū a me ka ʻoluʻolu ʻole, ua paʻakikī paha iā ʻoe ke hana pono i kāu mau hana o kēlā me kēia lā. Ua ʻike paha ʻoe i ke kauka no kēia, a ua loaʻa paha iā ʻoe nā scan a me nā hoʻokolohua. Akā ua hoʻi hou lākou a pau e like me "maʻamau." No laila ke noʻonoʻo nei paha ʻoe, "No laila he aha ka hewa iaʻu?" Inā ua loaʻa iā ʻoe kahi ʻike like, he mea nui loa ia iā ʻoe ke ʻike e pili ana i ka maʻi a mākou e kamaʻilio nei i kēia lā, ʻo ia hoʻi ʻo Microscopic Colitis (MC) .

I ka ʻōlelo maʻalahi, he aha ka Microscopic Colitis?

He mea paʻakikī paha kēia inoa, akā e wehewehe kākou a hoʻomaopopo maʻalahi.

• Colitis: ʻO ke ʻano kēia o ka mumū a i ʻole ka pehu ʻana o ka uhi o kou ʻōpū nui (colon). E like me ka wā e ʻulaʻula ai ko mākou ʻili a pehu i ka wā e loaʻa ai iā mākou kahi ʻeha, kapa mākou ia he 'colitis' no ka mea he mea like ke hana ʻia i loko o ka ʻōpū.
• Microscopic: ʻO ke ʻano o kēia huaʻōlelo ʻo 'microscopic'. ʻO ke ʻano kēia, ua liʻiliʻi loa ka mumū a ʻaʻole hiki ke ʻike ʻia e ka maka ʻōlohelohe, ke kāmela i hoʻohana ʻia i ka wā o ka endoscopy, a i ʻole kahi scan. Hiki ke ʻike maopopo ʻia inā lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai kou ʻōpū nui a nānā ʻia ma lalo o kahi microscope.

I ka ʻōlelo maʻalahi, ʻo Microscopic Colitis kahi maʻi mumū o ka ʻōpū nui i ʻike ʻole ʻia e nā hoʻokolohua maʻamau a hiki ke ʻike wale ʻia ma o kahi microscope. ʻO kēia no ka mea "huhū" mau nā cell i loko o kou colon. ʻO ka hopena, loaʻa pinepine iā ʻoe nā neʻe ʻōpū wai.

Hiki i kēia kūlana ke lilo i mea hoʻonāukiuki iki. Hiki ke hele koke mai, nalo wale aku ma hope o kekahi manawa, a laila hoʻi hou mai. Akā ʻo ka nūhou maikaʻi, ʻoiai he kūlana ia no ke ola holoʻokoʻa, hiki ke mālama maikaʻi ʻia . Pono wale nō ka lāʻau lapaʻau kūpono a me kekahi mau hoʻololi i ka ʻai.

ʻElua mau ʻano nui o ka Microscopic Colitis:

Ke nānā ke kauka i kahi hāpana ʻiʻo mai kou kolona ma lalo o kahi microscope, hoʻokaʻawale lākou i ka maʻi i ʻelua ʻano nui e pili ana i nā loli a lākou e ʻike ai. Akā, ʻaʻole pono ʻoe e hopohopo nui e pili ana i kēia, no ka mea, ua like loa nā hōʻailona a me nā lāʻau lapaʻau no nā ʻano ʻelua. ʻO ka ʻokoʻa ma ka pae microscope wale nō.

He aha nā hōʻailona maʻamau o kēia maʻi?

ʻO ka hōʻailona nui a hoʻonāukiuki loa o ka Microscopic Colitis, ʻo ia ka neʻe pinepine ʻana o ka ʻōpū wai (diarrhea) . Hiki i kēia ke hana i ʻelima a ʻumi mau manawa i ka lā, i kekahi manawa ʻoi aku ka nui. E noʻonoʻo i kou makaʻu i ka haʻalele ʻana i ka hale, ka hele ʻana i ka hana, a i ʻole ka huakaʻi.

Eia kekahi, hiki ke ʻike ʻia kekahi mau hiʻohiʻona ʻē aʻe:

• ʻEha ʻōpū a me ka ʻōʻō ʻana: Hiki paha iā ʻoe ke manaʻo i ka ʻeha ʻūlū i loko o kou ʻōpū.
• Pehu a me ka pahū ʻana o ka ʻōpū: He manaʻo e like me ka piha ʻana o ka ʻōpū i ke kinoea.
• Ke manaʻo nei i kahi pono wikiwiki e hele i ka lua a me ka pilikia o ka hoʻomalu ʻana iā ia: Holo i ka wā e manaʻo ai ʻoe e pono e hele i ka lua.
• Nā leo halulu mai loko mai o ka ʻōpū: Nā leo ʻē i lohe ʻia i ka wā o ka ʻai ʻana.

No ke aha e hana ʻia ai kēia? He aha nā kumu?

ʻAʻole i loaʻa i nā kānaka ʻepekema kekahi kumu kūpono no kēia, akā aia kekahi mau kumu i manaʻo ʻia e hiki ke kōkua i ia.

• Nā huakino, nā huakino, a i ʻole nā ​​bacteria: Hiki ke hana ʻia kēia ʻano ma muli o ka loaʻa ʻana o kahi maʻi ʻōpū i ka wā ma mua, ka mea i hoʻololi i ka hana o kāu ʻōnaehana pale.
• Maʻi Autoimmune: ʻO kēia ka wā e hana hewa ai ka ʻōnaehana pale o ko mākou kino a hoʻouka i kā mākou mau hunaola olakino ponoʻī. Hiki i kekahi poʻe me ka microscopic colitis ke loaʻa i nā maʻi autoimmune ʻē aʻe (e.g., rheumatoid arthritis, maʻi thyroid).
• Nā ʻano hoʻoilina:Inā loaʻa kekahi o kou ʻohana i kēia maʻi a i ʻole nā ​​maʻi ʻōpū ʻē aʻe, aia paha ʻoe i ka pilikia o ka loaʻa ʻana o ia maʻi.
• Kekahi mau lāʻau lapaʻau: Ua ʻike ʻia kekahi mau noiʻi e hiki i kekahi mau lāʻau lapaʻau a mākou e lawe ai i ka wā lōʻihi ke hoʻoulu a hoʻonui paha i kēia ʻano.

Nā lāʻau lapaʻau e pono ai ka nānā kūikawā

Inā ʻoe e lawe ana i kekahi o nā lāʻau lapaʻau ma lalo nei no ka wā lōʻihi, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea. Mai ho'ōki i ka lawe ʻana i kēia mau lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.

Ke hoʻopilikia nei anei ke kaumaha i kēia?

ʻAe, ʻoiaʻiʻo nō. Aia kahi pilina nui ma waena o ko kākou lolo a me ko kākou ʻōpū ma mua o kou manaʻo. I kekahi manawa ke ʻōlelo nei mākou, "ʻO ka ʻōpū ka lua o ka lolo." He ʻoiaʻiʻo. Ke kaumaha nui mākou a me ka hopohopo, loli nā pae hormone o ko mākou kino. Hiki i kēia ke hoʻopilikia pololei i kā mākou ʻōnaehana hoʻoheheʻe. No laila, he mea kūpono ke noʻonoʻo i ke ʻano o kou noʻonoʻo i nā lā i loaʻa ai kēia mau hōʻailona iā ʻoe.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki ke ulu kēia ʻano i loko o kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• Nā wāhine ma luna o 60 mau makahiki: ʻOiai ʻaʻole ʻike ʻia ke kumu pololei, ʻo kēia maʻi ka mea maʻamau i waena o nā wāhine o kēia hui makahiki.
• ʻO ka poʻe me nā maʻi ʻē aʻe (autoimmune): He kiʻekiʻe loa kēia pilikia no ka poʻe me ka maʻi Celiac (ka maʻi allergy o ke kino i ka gluten protein i loaʻa i ka palaoa huita).
• Nā mea puhi paka: ʻO ka puhi paka kekahi kumu o kēia maʻi a hiki ke hoʻonui i nā hōʻailona.

Pehea e ʻike pololei ai i ka maʻi?

E like me kaʻu i ʻōlelo ai ma mua, he paʻakikī ke ʻike i kēia me nā hoʻokolohua maʻamau, no laila inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​e kuhikuhi ʻia paha ʻoe i kahi gastroenterologist .

ʻO nā hoʻokolohua nui e hōʻoia i ka maʻi maʻi, ʻo ia ka colonoscopy a me ka biopsy .

• Colonoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole palupalu me kahi kāmela liʻiliʻi ma o kou rectum e nānā i kou ʻōpū nui holoʻokoʻa. E hāʻawi ʻia ʻoe i kahi anesthetic laulā ma mua o ke kaʻina hana, no laila ʻaʻole ʻoe e ʻeha pinepine.
• Biopsy: I ka wā o ka colonoscopy, e lawe kāu kauka i kahi laʻana liʻiliʻi o ka ʻiʻo mai ka uhi o kou ʻōpū nui. Ua kapa ʻia kēia he biopsy. A laila e nānā ʻia ka ʻiʻo ma lalo o kahi microscope e hoʻoholo ai inā he microscopic colitis kou, a inā pēlā, he aha ke ʻano.

Eia kekahi, hiki ke hana ʻia nā hoʻāʻo koko a me nā ʻōpala e hoʻoholo i nā kūlana olakino ʻē aʻe.

Pehea e mālama ai a hoʻokele?

ʻOkoʻa nā koho lapaʻau ma muli o ke ʻano a me ke koʻikoʻi o kāu mau hōʻailona. I kekahi manawa, hiki i nā hoʻololi liʻiliʻi i ka ʻai ke hana i kahi ʻokoʻa nui. Pono paha kekahi poʻe i ka lāʻau lapaʻau.

1. Nā loli ʻai a me ke ʻano o ka nohona

ʻO kēia ka hana mua a koʻikoʻi loa. ʻO ka mea āu e pono ai e hana ma ʻaneʻi, ʻo ia ke ʻike i nā meaʻai e "hoʻoulu" i kāu mau hōʻailona. He ʻokoʻa kēia no kēlā me kēia kanaka.

• Ke pale ʻana i nā allergens maʻamau:Aia kekahi mau meaʻai e hiki ke hoʻonui i nā hōʻailona no nā kānaka he nui. ʻO ka waiʻona, ka caffeine (kofe, kī), ka waiū a me nā huahana waiū, ka gluten (palaoa, bale), a me nā meaʻai kiʻekiʻe i ke kō kekahi o nā mea maʻamau.
• ʻAi haʻahaʻa i ka momona a me ka fiber: Ke koʻikoʻi nā hōʻailona, ​​hiki i ka ʻai ʻana i nā meaʻai maʻalahi ke hoʻoheheʻe ʻia a haʻahaʻa i ka momona a me ka fiber ke hōʻemi i ke kaumaha ma luna o nā ʻōpū. (e.g. laiki keʻokeʻo, ʻuala i hoʻolapalapa ʻia, sopa, maiʻa).
• ʻAi Hoʻopau: Pili kēia i ka hoʻopau loa ʻana i nā meaʻai āu e manaʻo nei e hoʻoluhi nei iā ʻoe no kekahi manawa, a laila e hoʻolauna hou iā lākou i hoʻokahi e ʻike i nā meaʻai e hoʻoulu ai i kāu mau hōʻailona. ʻOi aku ka maikaʻi o ka hana ʻana i kēia ma lalo o ke alakaʻi ʻana a ke kauka a meaʻai meaʻai paha.
• ʻAi kūʻē i ka mumū: Loaʻa i kekahi mau meaʻai ka hiki ke hōʻemi i ka mumū i loko o ke kino. ʻO nā meaʻai e like me nā mea kanu hou, nā huaʻai, nā iʻa (ʻoi aku ka iʻa ʻaila e like me ka salmon a me ka mackerel), a me ka ʻaila ʻoliva e kōkua i kēia.

2. Ka mālama ʻana i nā lāʻau lapaʻau

Inā paʻakikī ke kāohi ʻana ma o ka ʻai wale nō, e kuhikuhi kāu kauka i ka lāʻau lapaʻau nāu.

• Nā lāʻau lapaʻau kaohi maʻi kahe: Hiki i nā lāʻau lapaʻau e like me Loperamide ke hōʻemi i ke alapine o ka neʻe ʻana o ka ʻōpū.
• ʻO Bismuth subsalicylate: He lāʻau lapaʻau maʻamau kēia no ka maʻi pākī.
• Budesonide: He ʻano corticosteroid kūikawā kēia. Hana pololei ia i loko o nā ʻōpū e hōʻemi i ka mumū, no laila he emi nā hopena ʻaoʻao ma mua o nā steroid ʻē aʻe. He lāʻau lapaʻau kūpono loa kēia no ka Microscopic Colitis.

Ma waho aʻe o kēia mau mea a pau, he mea nui loa e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei (e like me nā lāʻau hoʻomaha ʻeha) a hana i nā hana e hoʻololi iā lākou inā pono, a e hoʻōki i ka puhipaka inā ʻoe e puhipaka.

E ho'ōla loa ʻia anei kēia maʻi?

ʻAʻole ia e nalowale loa. Eia nō naʻe, hiki ke hoʻomalu maikaʻi ʻia a hiki iā ʻoe ke ola i kahi ola maʻamau me ka ʻole o nā hōʻailona. Ua kapa ʻia kēia wā me ka ʻole o nā hōʻailona he remission . Hiki i kēia wā ke mau no nā mahina, a hiki i nā makahiki. Eia nō naʻe, inā ʻoe e ʻai i kahi meaʻai maikaʻi ʻole, aia ma lalo o ke kaumaha nui, a i ʻole no nā kumu ʻē aʻe, hiki i kāu mau hōʻailona ke hoʻāla hou (flare-up).

ʻO ka mea nui loa i ka wā e noho ai me kēia maʻi, ʻo ia ka hoʻolohe ʻana i kou kino. ʻO ka lāʻau lapaʻau maikaʻi loa, ʻo ia ka ʻike ʻana i nā mea e hoʻoulu ai i kāu mau hōʻailona.

ʻOiai ʻaʻole i ʻike nui ʻia ka Microscopic Colitis e like me nā maʻi ʻōpū ʻē aʻe, ʻaʻole ia he manaʻo he mea hiki ʻole ke mālama ʻia. Ke haʻi aku ke kauka iā ʻoe ua loaʻa iā ʻoe kēia maʻi, ma kekahi ʻaoʻao e kaumaha paha ʻoe, "Auē, he aha ka mea i hana iaʻu?" Akā ma kekahi ʻaoʻao, hiki paha iā ʻoe ke manaʻo i ka hōʻoluʻolu, "Ua ʻike hope wau i ke kumu o ka pilikia i loaʻa iaʻu no nā makahiki."

Me ka hoʻoikaika iki, kahi ʻai olakino, a me ka lāʻau lapaʻau paha, hiki iā ʻoe ke hoʻokele i kēia kūlana a noho olakino. E wehe a ʻoiaʻiʻo me kāu kauka e pili ana i kāu mau hōʻailona a pehea lākou e hoʻopilikia ai i kou ola. E hiki iā ia ke kōkua iā ʻoe e loaʻa ka hopena maikaʻi loa nāu.