Loaʻa iā ʻoe kekahi mau neʻe pinepine ʻana o ka ʻōpū? E aʻo kākou e pili ana i kēia colitis microscopic!

Loaʻa iā ʻoe kekahi manawa kahi neʻe ʻōpū wai e mau ana no nā lā? Me kēlā, manaʻo nui ʻoe i ka ʻoluʻolu ʻole a me ka ʻeha i loko o kou ʻōpū, ʻeā? He kūlana kēia a mākou e kamaʻilio nui ʻole ai, akā hiki ke hoʻopilikia i nā poʻe he nui. ʻO ia ke ʻano o ka microscopic colitis. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi loa.

He aha ka Microscopic Colitis?

I ka ʻōlelo maʻalahi, ʻo ka microscopic colitis kahi mumū mau (lōʻihi) o ka uhi o kou ʻōpū nui (i ʻike ʻia hoʻi ʻo kou colon). ʻO ka huaʻōlelo "colitis" ʻo ia hoʻi ka mumū o ka ʻōpū nui. Ua kapa ʻia ʻo "microscopic" no ka mea ʻaʻole ʻike ʻia ka mumū i ka maka ʻōlohelohe. Hiki ke ʻike maopopo ʻia me ka microscope.

He ʻano maʻi ʻōpū mumū kēia (IBD). Akā he ʻokoʻa iki ia mai nā ʻano IBD ʻē aʻe. Hoʻonāukiuki mau ʻia nā ʻōpū o kou ʻōpū. ʻO ka hōʻailona nui ka maʻi diarrhea pinepine a wai. E like me nā maʻi maʻi ʻē aʻe, hiki ke hele mai a hele aku, a laila nalo aku, a laila hoʻi mai. ʻO ia hoʻi, hiki i kekahi mau mea (kapa mākou iā lākou he "mea hoʻoulu") ke hoʻonui i ka maʻi, i kekahi manawa nalo ia ma kona iho, a laila hoʻi mai ma hope o kekahi manawa. ʻOiai hiki ke lilo i maʻi no ke ola holoʻokoʻa, hiki ke hoʻomalu maikaʻi ʻia me ka mālama lapaʻau .

ʻO wai ka mea kūpono loa e loaʻa i kēia?

Hiki i kēia maʻi ke ulu i loko o kekahi, akā ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe.

• ʻIke pinepine ʻia kēia i nā poʻe ʻelemakule .
• Ua ʻike ʻia hoʻi ua ulu iki aʻe nā wāhine ma mua o nā kāne.
• ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe puhi paka .
• Hiki ke hana ia i nā poʻe me kekahi mau maʻi autoimmune, ʻoi aku ka maʻi celiac (gluten allergy).

Ua manaʻo nui ʻia ʻo ka microscopic colitis he mea maʻamau ʻole ia ma mua o nā maʻi mumū ʻē aʻe o ka ʻōpū. Eia nō naʻe, ʻoiai ʻo ka biopsy o ka colon e pono ai ke ʻike pololei iā ia, ua manaʻoʻiʻo ʻia i kēia manawa he nui aku ka poʻe i loaʻa i ke ʻano ma mua o ko mākou manaʻo .

He maʻi weliweli anei kēia?

ʻAʻole, i hoʻohālikelike ʻia me nā ʻano IBD koʻikoʻi ʻē aʻe, ʻaʻole i manaʻo ʻia ka microscopic colitis he maʻi koʻikoʻi a hoʻoweliweli i ke ola. Eia nō naʻe, hiki i ka maʻi diarrhea mau a koʻikoʻi ke alakaʻi i ka maloʻo ʻana o ka wai, ka pohō kaumaha, a me ka maʻi ʻai ʻole paha. Eia naʻe, ʻaʻole ia he koʻikoʻi loa.

He kūlana kēia e hele mai a hele aku a hiki ke kāohi ʻia me ka lāʻau lapaʻau, no laila ʻaʻohe pono e hopohopo. Eia nō naʻe, ʻo ka noho ʻana me ka ʻeha ʻōpū ma hope o kēlā me kēia ʻai ʻana hiki ke hoʻopilikia i kou ʻano ola . No laila, he mea nui e makaʻala i kēia.

He aha nā ʻano nui o ka colitis microscopic?

Hiki i nā kauka ke hōʻoia i kēia maʻi ma ka nānā ʻana i kahi hāpana ʻiʻo mai ka uhi o kou ʻōpū (mucosa ʻōpū) ma lalo o kahi microscope. A laila hiki iā lākou ke ʻike i nā ʻano kikoʻī o kēlā mau cell. Hoʻohana ʻia kēia mau ʻano e hoʻoholo ai i nā ʻano o ka maʻi. I kēia manawa, aia ʻelua mau ʻano nui i ʻike ʻia. Ke kūkākūkā ʻia nei kekahi mau mea ʻē aʻe.

• ʻO ka collagenous colitis: ʻO ka ʻiʻo hoʻopili e uhi ana i kou kolona ua hana ʻia me ka collagen a me ka elastin. I kēia ʻano, lilo nā kāʻei collagen i loko o ka uhi o kou kolona i mānoanoa loa. Ua like kēia me ke ʻano o ka pehu ʻana o ka collagen a me ka elastin i nā maʻi ʻiʻo hoʻopili ʻē aʻe, e like me ka rheumatoid arthritis. ʻIke ʻia kēia mau kūlana autoimmune i nā poʻe me ka microscopic colitis.

• ʻO ka Lymphocytic colitis: Ma kēia ʻano, aia kahi piʻi ʻano ʻē o ka helu o nā lymphocytes, kahi ʻano cell i loko o ka uhi o ka colon (epithelium). ʻO nā Lymphocytes kahi ʻano o nā cell koko keʻokeʻo. He ʻāpana lākou o kā mākou ʻōnaehana pale a pale iā mākou mai nā maʻi. He mea maʻamau ka piʻi ʻana o ka helu o nā cell koko keʻokeʻo i ka wā e loaʻa ai ka mumū e pili ana i ka ʻōnaehana pale.

ʻO ka mea maikaʻi loa, ua like nā hōʻailona o nā ʻano ʻelua. A ua like ka lāʻau lapaʻau. ʻO ka ʻokoʻa wale nō ke nānā ʻoe iā lākou ma lalo o kahi microscope. Manaʻo kekahi poʻe ʻepekema he ʻelua mau hihia kēia o ke ʻano like. I kekahi manawa, hiki iā ʻoe ke ʻike i nā hōʻailona o nā ʻano ʻelua i loko o ka mea hoʻokahi. Ua kapa ʻia kēia ʻo "incomplete microscopic colitis."

Eia kekahi, manaʻo kekahi poʻe he pono ke manaʻo ʻia he ʻano microscopic colitis kahi maʻi i kapa ʻia ʻo mastocytic enterocolitis. He nui nā hōʻailona like. Eia nō naʻe, ʻo "enterocolitis" ke ʻano o ka hoʻopilikia ʻana ʻaʻole wale i ka ʻōpū nui, akā i ka ʻōpū liʻiliʻi. ʻO "Mastocytic" ke ʻano o ka hoʻonui ʻia ʻana o kahi ʻano ʻē aʻe o nā cell immune i kapa ʻia ʻo mast cells i loko o ka ʻōpū.

He aha nā hōʻailona o kēia?

ʻO ka hōʻailona nui a koʻikoʻi loa o ka microscopic colitis, ʻo ia ka neʻe ʻana o ka ʻōpū wai a mau loa.ʻO ka maʻamau, hiki iā ʻoe ke loaʻa i ʻelima a ʻumi mau neʻe ʻana o ka ʻōpū i ka lā. Loaʻa paha i kekahi poʻe ka nui a emi mai paha ma mua o kēia. He mea kākaʻikahi loa, ua hōʻike ʻia ka colitis microscopic e kū mai me ka ʻole o ka neʻe ʻana o ka ʻōpū a i ʻole me ka paʻa ʻana o ka ʻōpū. I ia mau hihia, ʻike ʻia ia ma ke ʻano ulia i ka wā e ʻimi ana i kahi mea ʻē aʻe.

Ma waho aʻe o nā hōʻailona nui, aia kekahi mau hopena ʻaoʻao maʻamau e hiki ke ʻike ʻia:

• ʻEha ʻōpū a me ke kuʻi.
• ʻŌpū me ka pehu.
• Pono koke e hele i ka lua a me ka pilikia e hoʻopaʻa i ka noho.
• Ke lohe nei i nā leo o ka ʻōpū (e like me ke kani ʻana o ka ʻōpū).
• He paʻakikī i kekahi poʻe ke ʻai i nā meaʻai i loaʻa ka gluten (e like me ka berena a me nā noodles).
• Luhi mau ka manaʻo (Fatigue).

Inā ʻoi aku ka koʻikoʻi o ke kūlana, ua like nā hōʻailona e like me:

• Ka maloʻo ʻana o ka wai.
• Ka luaʻi a me ka luaʻi.
• Ka emi ʻana o ke kaumaha.

Ma waho aʻe o kēia, ua ʻōlelo kekahi poʻe i nā hiʻohiʻona ʻē aʻe:

• ʻEhaʻeha o nā ʻiʻo a i ʻole ka ʻeha o nā ʻiʻo.
• ʻEha a me ka ʻoʻoleʻa o nā hono.
• ʻEha poʻo a migraine paha.
• Nā ʻeha waha.
• Nā ʻūhū ʻili.
• ʻĀʻī puʻuwai, reflux waikawa.
• Nā ʻōpū lymph pehu.
• Nā pilikia thyroid.
• Nā pilikia o ka ʻōnaehana aʻalolo (e.g., ka paʻakikī i ka hele wāwae - `(ataxia)`).

He mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he microscopic colitis kou. Eia nō naʻe, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau, ʻoiai inā loaʻa iā ʻoe ka maʻi diarrhea mau.

He aha nā kumu no kēia?

ʻAʻole i loaʻa i nā kānaka ʻepekema kahi kumu kūpono no kēia, akā manaʻo lākou he nui nā kumu e hiki ke kōkua:

• Ka ʻike ʻia ʻana i kekahi mau bacteria, nā mea ʻawahia bacteria, a me nā virus.
• ʻO ka pane autoimmune kahi pane e kū mai ana ma muli o kahi hewa i loko o ka ʻōnaehana pale ponoʻī o ko mākou kino. ʻO ia hoʻi, hana ka ʻōnaehana pale kūʻē i ko mākou mau cell ponoʻī.
• ʻIke hoʻoilina. ʻO ia hoʻi, hiki ke lilo i mea i loaʻa mai nā hanauna.

Ua hōʻike kekahi mau noiʻi e hiki i kekahi o nā lāʻau lapaʻau a mākou e hoʻohana ai ke kōkua pū i kēia pilikia. Eia kekahi laʻana:

• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) - no ka laʻana, nā lāʻau ʻeha e like me ibuprofen a me diclofenac.
• Nā mea hoʻopaʻa pamu proton (PPI) - nā lāʻau lapaʻau e like me Omeprazole, i hoʻohana ʻia e mālama i ka gastritis.
• Nā mea hoʻopale serotonin reuptake koho (SSRIs) - nā lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi noʻonoʻo e like me ke kaumaha.
• Ka lāʻau lapaʻau hoʻololi hormone (HRT).
• Nā mea pale Beta - kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe.
• Nā Statins - nā lāʻau lapaʻau e hoʻohaʻahaʻa i ka cholesterol.

ʻAʻole nā ​​kānaka a pau e lawe ana i kēia mau lāʻau lapaʻau e loaʻa i kēia maʻi. Eia nō naʻe, ua manaʻo ʻia he kumu kēia paha. Inā ʻoe e lawe ana i kēia mau lāʻau lapaʻau, mai hoʻōki i ka lawe ʻana iā lākou me ke kamaʻilio ʻole ʻana me kāu kauka.

Pehea e ʻike pololei ai i kēia maʻi? (Diagnosis)

ʻO ka maʻamau, ʻike ʻia ka colitis microscopic e kahi gastroenterologist. E nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a me nā lāʻau lapaʻau āu e lawe nei. A laila, hana paha lākou i nā hoʻokolohua like ʻole e ʻike ai inā he mau mea ʻē aʻe paha e hoʻoulu ai i kou kūlana.

• Nā hoʻāʻo koko
• Nā hoʻāʻo ʻana i ka noho
• Malia paha nā hoʻokolohua kiʻi

Inā ʻaʻole i loaʻa i kēia mau hoʻokolohua kahi kumu maopopo, a laila e paipai ke kauka i kahi colonoscopy a me ka biopsy . ʻO kēia ke ala nui e hōʻoia ai i ka colitis microscopic.

I ka wā o ka colonoscopy, e hoʻokomo kāu kauka i kahi mea lōʻihi a palupalu (i kapa ʻia he colonoscope) ma o kou rectum a i loko o kou ʻōpū nui. E hoʻomoe ʻia ʻoe i ka wā o kēia kaʻina hana, no laila ʻaʻole ʻoe e ʻeha. E hoʻokomo ʻia kahi mea liʻiliʻi ma o ka mea hana a e lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai ka uhi o kou colon a nānā ʻia ma lalo o kahi microscope. ʻO kēia wale nō ke ala e ʻike ai inā he microscopic colitis kou.

Pehea e mālama ʻia ai?

Hiki ke ʻokoʻa ka lāʻau lapaʻau ma muli o kāu mau hōʻailona a me ko lākou koʻikoʻi. Pono paha kekahi poʻe e hana i nā hoʻololi liʻiliʻi i kā lākou ʻai a me ke ʻano o ka nohona. Pono paha kekahi i nā lāʻau lapaʻau over-the-counter (OTC) a i ʻole nā ​​​​lāʻau lapaʻau i kuhikuhi ʻia.

E noʻonoʻo, no kekahi poʻe, hiki koke mai nā hōʻailona a laila nalo wale aku. No kekahi poʻe, hiki i ka kaohi ʻana i kā lākou ʻai ke hāʻawi i ka hōʻoluʻolu nui. No kekahi poʻe, pono paha lākou e lawe i ka lāʻau lapaʻau i ka wā o ka hoʻāla ʻana o ka maʻi, a i ʻole pono paha lākou e lawe mau i ka lāʻau lapaʻau.

ʻO kekahi mau lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā lāʻau lapaʻau e hoʻomānoanoa i ka ʻōpala a hoʻemi i ke alapine o ka neʻe ʻana o ka ʻōpū ('Bulking agents`): No ka laʻana, nā mea e like me Isabgol `(psyllium).`
• Nā lāʻau lapaʻau anti-diarrhea: Nā lāʻau lapaʻau e hoʻolohi i ka wikiwiki o nā ʻūlū ʻōpū a kaohi i ka diarrhea : No ka laʻana, loperamide a i ʻole diphenoxylate.
• ʻO Bismuth subsalicylate (e like me Pepto Bismol®): No ka maʻi pākī, ka ʻāʻī ʻana o ka puʻuwai, ka nausea, a me ka indigestion.
• ʻO Budesonide:He ʻano corticosteroid kēia. Hoʻokomo ʻia ia i loko o ke kino ma ka ʻōpū nui, kahi e hōʻemi ai i ka mumū.
• Mesalamine: He lāʻau lapaʻau kēia no ka ulcerative colitis, kahi maʻi ʻōpū mumū ʻē aʻe. Akā hoʻohana ʻia nō hoʻi e hōʻemi i ka pehu a me ka ʻeha.
• Nā mea hoʻopaʻa waikawa bile (e.g., colesevelam, colestipol): Hāʻawi ʻia kēia mau mea inā loaʻa iā ʻoe kahi pilikia kahi i komo pono ʻole ai kou kino i ka bile (bile acid malabsorption).

Inā ʻaʻole kōkua nui nā lāʻau lapaʻau i luna, a manaʻo kāu kauka he kumu autoimmune paha ia, a laila hiki ke kuhikuhi ʻia nā lāʻau lapaʻau ʻē aʻe e pili ana i ka ʻōnaehana pale:

• Nā lāʻau pale kino.
• Nā mea hoʻopaʻa TNF (e.g. adalimumab, infliximab).
• ʻO Cromolyn sodium (e pili ana i nā pūnaewele mast, ʻoi aku hoʻi i ka mastocytic enterocolitis).
• Naltrexone haʻahaʻa haʻahaʻa.

Nā ʻōlelo aʻoaʻo hou aʻe hiki iā ʻoe ke loaʻa mai kāu kauka mai:

• Inā ʻoe e lawe nei i nā lāʻau lapaʻau ʻē aʻe, e noʻonoʻo e hoʻololi i kā lākou dosage a hoʻololi paha i nā lāʻau lapaʻau.
• Ke hoʻōki loa nei i ka puhipaka.
• Ke hoʻāʻo nei e ʻike i nā meaʻai āu e maʻi ai a me nā mea e hoʻonui ai i kou mau hōʻailona.

E ho'ōla loa ʻia anei kēia maʻi?

ʻAʻole mau loa. Akā, hiki iā ʻoe ke noho me ka ʻole o nā hōʻailona no ka manawa lōʻihi . Kāhea mākou i kēia he "kala ʻana" o ka maʻi. Hiki i kēia kala ʻana ke mau no nā mahina, a hiki i nā makahiki. Akā, e like me nā maʻi maʻi āpau, hiki ke hoʻi hou mai ma muli o nā "mea hoʻoulu". Inā ʻike ʻoe i kāu mau mea hoʻoulu, hiki iā ʻoe ke hōʻemi i nā flare-up.

Pehea ka lōʻihi o ka hopena o ka maʻi ʻaʻai?

ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka. Eia nō naʻe, hiki i ka wā hoʻāla maʻamau ke mau mai kekahi mau lā a i kekahi mau pule. Ua hiki i ka poʻe he nui ke hōʻemi i ka lōʻihi a me ke koʻikoʻi o kēia mau hoʻāla ma ka pale ʻana i nā meaʻai a me nā kemika e hoʻonāukiuki iā lākou, a ma ka lawe ʻana i ka lāʻau lapaʻau i ka wā e pono ai. E kamaʻilio me kāu kauka inā e ʻoi aʻe ka ʻino o kāu mau hōʻailona.

He aha nā meaʻai a me nā mea inu maikaʻi loa no kekahi me ka microscopic colitis?

ʻAʻohe "ʻai microscopic colitis" kikoʻī no ka microscopic colitis. Eia nō naʻe, hiki iā ia ke kōkua i ka mālama ʻana i kāu mau hōʻailona ma ka hōʻemi ʻana i nā meaʻai e hoʻonui ai iā lākou a me ka hoʻohui ʻana i nā meaʻai hou aʻe e hōʻemi ana i ka mumū. E ʻokoʻa kāu mau meaʻai kikoʻī nou. Pono kekahi hoʻomaʻamaʻa e ʻike ai i ka mea e kūpono iā ʻoe. Hiki i kāu kauka ke kuhikuhi i nā mea e like me:

Ka hoʻopau ʻana i nā meaʻai allergen maʻamau

Eia kekahi mau meaʻai i ʻike ʻia he hiki ke hoʻonui i nā hōʻailona o ka colitis microscopic:

• ʻAila.
• Caffeine (loaʻa i loko o ke kofe, ke kī, a me kekahi mau mea inu palupalu).
• ʻO Gluten (kahi protein i loaʻa i nā palaoa e like me ka palaoa, ka bale, a me ka rai - i nā mea e like me ka berena, ka pasta, a me nā keke).
• Waiū a me nā huahana waiū.
• Kūkae.
• Nā mea ʻono hana.

Nā meaʻai momona haʻahaʻa a me nā meaʻai fiber haʻahaʻa

I ka wā o ka hoʻomaka ʻana o nā maʻi ʻeha, ʻōlelo kekahi mau kauka i ka "ʻai palupalu gastrointestinal." Pili kēia i ka ʻai ʻana i nā meaʻai haʻahaʻa i ka momona a haʻahaʻa i ka fiber. Hoʻemi kēia i ka ukana hana ma kāu ʻōnaehana hoʻoheheʻe. Eia nō naʻe, ʻoluʻolu ʻole paha kekahi mau meaʻai ma kēia ʻai iā ʻoe.

ʻAi hoʻopau

ʻO kahi ala e ʻike pono ai i nā meaʻai āu e maʻi ai, ʻo ia ka hoʻāʻo ʻana i kahi papaʻai hoʻopau. Eia kekahi laʻana, he papaʻai haʻahaʻa-FODMAP. He papaʻai pōkole kēia. Ma kēia, hoʻopau loa ʻoe i kekahi mau hui meaʻai a laila hoʻolauna mālie iā lākou i hoʻokahi e ʻike i nā mea āu e maʻalahi ai. He mea nui loa ka ʻimi ʻana i ke alakaʻi a kahi meaʻai meaʻai i hoʻopaʻa inoa ʻia i ka wā e hana ai i kahi mea e like me kēia.

ʻAi anti-inflammatory

Ua ʻike ʻia kekahi mau meaʻai, e like me nā meaʻai kiʻekiʻe i nā momona polyunsaturated, e hōʻemi i ka mumū i loko o ke kino. ʻO ka ʻai Mediterranean kahi laʻana maikaʻi o ia ʻano ʻai anti-inflammatory. He mea hoʻohui maikaʻi nō hoʻi ʻo Turmeric i kāu ʻai, no ka mea, he mau waiwai anti-inflammatory kona.

He maikaʻi anei nā probiotics no kēia?

Ua ʻōlelo mua ʻia nā probiotics ma ke ʻano he lāʻau lapaʻau no ka microscopic colitis. Eia nō naʻe, ʻaʻole ʻōlelo ʻia lākou e nā alakaʻi o kēia manawa no ka mea pono ka noiʻi hou aku. No laila, mai lawe i nā probiotics me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.

ʻO ka microscopic colitis kahi maʻi i maopopo ʻole ʻia. ʻO nā maʻi ʻōpū mumū ʻē aʻe, ʻo ia ka mea i ʻike iki ʻia. Eia nō naʻe, ke manaʻo nei nā kānaka ʻepekema he mea maʻamau paha ia e like me nā mea ʻē aʻe. ʻAʻohe noiʻi kikoʻī e pili ana i ia mea, a ʻaʻohe lāʻau lapaʻau i kuhikuhi ʻia no ia i kēia manawa. ʻO ka mea pōmaikaʻi, hiki ke hoʻomalu pinepine ʻia me nā lāʻau lapaʻau o kēia manawa. Me ka hoʻoikaika iki, ka loaʻa ʻana o ka lāʻau lapaʻau kūpono a me ka ʻai, hiki iā ʻoe ke hoʻokele maikaʻi i kāu mau hōʻailona ke kū mai lākou.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

• He maʻi hiki ke hoʻokele ʻia ka Microscopic Colitis, no laila mai hopohopo.
• No ka hoʻomaopopo pono ʻana i kēia, pono e hoʻohana ʻia kahi colonoscopy a me kahi biopsy.
• E hana pū me kāu kauka e ʻike i ka lāʻau lapaʻau e kūpono loa iā ʻoe.
• He mea nui loa ia e ʻike i nā meaʻai, nā mea inu, a me nā mea ʻē aʻe e hoʻomaʻi ai iā ʻoe (nā mea hoʻoulu).
• Inā loaʻa iā ʻoe nā hōʻailona, ​​mai hūnā iā lākou a ʻeha, akā e ʻimi i ke aʻo lapaʻau. ʻAʻole ʻoe hoʻokahi!

Microscopic Colitis, Diarrhea, ʻEha ʻōpū, Mumū ʻōpū, Colitis, Allergy meaʻai, Gastroenterology