Yu kin gɛt bɛlɛ pen bak ɔltɛm? Yu gɛt blɔd na yu stɔl? Yu tink se na Ulcerative Colitis? Lɛ wi tɔk bɔt dis!

Bɔrku tɛm yu kin fil bak bɔrku tɛm na yu bɛlɛ, lɛk wae yu bɛlɛ ful-ɔp ɛn yu de bɔn? If sɔntɛnde yu kin pas smɔl blɔd wit yu stɔl, yu fɔ wɔri smɔl bɔt am. Dis kin bi wan sayn fɔ wan sik we dɛn kɔl `(Ulcerative Colitis - UC)`. Nɔ wɔri, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na `(Ɔlsɛraytiv Kɔlayt - UC)`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Ulcerative Colitis na wan sik we de apin fɔ yu layf we de mek yu gɛt inflamɛns ɛn ɔlsa na yu kɔlon ɛn rɛktum. Na pat pan wan big grup fɔ sik dɛn we dɛn kɔl Inflammatory Bowel Disease (IBD). Yu go dɔn yɛri bak bɔt di sik we dɛn kɔl Crohn, nɔto so? Dat tu de insay di sem kategori we IBD de.

We yu gɛt UC, yu kin gɛt tin dɛn lɛk fɔ gɛt blɔd stɔl, bɛlɛ kramp, ɛn fɔ pis ɔltɛm . Mɛmba se, tɛm kin de wae dɛn sik ya kin wɔs, we wi kin kɔl "flare-ups." Ɛn afta dat ɔda tɛm dɛn de we yu kin nɔ gɛt ɛni sik atɔl, we wi kin kɔl "rɛmishɔn."

Yu tink se kayn `(UC)` de?

Yes, sɔm kayn UC de. Dɛn kin sheb dɛn tin ya bay usay na yu kɔlon di swɛlin ɛn di sɔl dɛn de . Bɔku tɛm, i kin bigin na di las pat na yu rεktum, we de nia yu an. I kin bigin de ɛn spre ɔp di kɔlon. Na di kayn dɛn ya:

• Ulcerative proctitis: insay dis, di inflameshn de כnli na di las pat pan yu rεktum.
• (Proctosigmoiditis): na ya, di inflameshn de na di las pat na di an (rεktum) εn di lכw, ‘S’-shep pat pan di big intestin (sigmoid colon).
• (Left-sided colitis): As di nem sho, dis kin afɛkt di lɛft say na di kɔlon.
• (Pancolitis): Insay dis kes, di swɛlin ɛn di lɛsin dɛn kin skata ɔlsay na di kɔlon .

Dis sik (UC) kin bi smɔl, smɔl, ɔr siriɔs , i kin dipen pan yu sayn dɛm. wan kayn we de bak we rili bad, bɔt we nɔ kin bɔku, we dɛn kɔl ``fulminant ulcerative colitis''. Sɔntɛnde, i kin mek pɔsin in layf de pan denja ɛn i kin nid fɔ go to dɔktɔ wantɛm wantɛm.

Aw kכmכn dεn kכl dis kכndyushכn `(Ulcerative Colitis)`?

If yu put am togɛda wit di sik we dɛn kɔl Crohn, dɛn se na lɛk wan pan ɛvri 250 pipul dɛn na Nɔt Amɛrika ɛn Yurop gɛt wan pan dɛn sik ya. Na Amɛrika nɔmɔ, dɛn se na lɛk 900,000 pipul dɛn de liv wit UC. Dɛn kin si dis kɔndishɔn mɔ ɛn mɔ bak na Sri Lanka.

Wetin na di sayn dɛm fɔ Ulcerative Colitis?

Bɔku tɛm, di sayn dɛm fɔ UC kin wɔs as tɛm de go.Yɛs. Fɔs, yu kin notis smɔl smɔl tin dɛn lɛk dɛn wan ya:

• Abdominal distension: Dis kin apin ɔ nɔ kin apin wit blɔd.
• di bכku bכku bכku wan: Dis kin bi 4 tεm insay di de כ less.
• Urge fɔ go na tɔylɛt: Na nid fɔ go kwik kwik wan we at fɔ kɔntrol.
• (Tenesmus): Dis na smɔl strenj wɔd, nɔto so? Fɔ tɔk am simpul wan, na filin we yu gɛt fɔ go tɔylɛt bɔt yu nɔ ebul fɔ go, na filin we yu de fil se yu dɔn stɔp na yu bɛlɛ.
• Smɔl bɛlɛ de at ɔ tayt.

Leta, as di sik de go bifo, sɔm kayn ɔr siriɔs sayn dɛm lɛk dis kin apin bak:

• Fɔ go na tɔylɛt bɔku tɛm, pas 4 tɛm insay di de.
• Blɔd, mכkus, ɔ pus na di stɔl. Dis na sayn fɔ tru fɔ wɔri bɔt.
• Bɛlɛ we de at bad bad wan.
• Fɔ fil taya bad bad wan (taya). Fɔ fil se yu taya pasmak fɔ du ɛnitin.
• We yu de lɔs yu wet wantɛm wantɛm.
• Fɔ fil lɛk se yu de fil lɛk yu nɔs.
• Fiva.

Infakt, lɛk af pan pipul dɛm wae gɛt UC kin gɛt smɔl smɔl sik dɛm wae dɛn kin gɛt flawa. Bɔt ɔda pipul dɛn kin gɛt fiva bɔku tɛm, dɛn kin gɛt blɔd dayarɛa, dɛn kin gɛt nɔys, ɛn dɛn bɛlɛ kin kramp bad bad wan.

Ɛni ɔda sayn de apat frɔm di kɔlon?

Yes, nɔr sɔprayz, lɛk 25% pan di pipul dɛm wae gɛt UC kin gɛt sɔm kayn sik wae de ausayd di kɔlon, na ɔda pat dɛm na di bɔdi . Dis na bikɔs sɔntɛnde inflamɛns na di kɔlon kin go na ɔda pat dɛn na di bɔdi lɛk di bon dɛn, di jɔyn dɛn, di yay dɛn, di skin, ɛn di liva.

• Jɔyn pen ɛn swel.
• Rɛd, inflamɛns, it na di yay.
• Bɔmp, lɛsin, ɔ sɔri na di skin we de mek yu fil pen.

Wetin mek dis `(Ulcerative Colitis)` de divεlכp? Wetin na di kɔz?

Dɛn nɔr no yet di rayt tin we kin mek dis sik kam. Bɔt dɔktɔ ɛn pipul dɛn we de stɔdi bɔt dis biliv se na kɔmpleks sik, ɛn bɔku tin dɛn we kin mek pɔsin gɛt dis sik kin kam togɛda . Bɔku pan dɛn gri se i gɛt sɔntin fɔ du wit di we aw wi bɔdi de fɛt di sik we nɔ de wok fayn .

Tink bɔt am, di men wok we wi imyun sistɛm de du na fɔ protɛkt wi bɔdi frɔm jem ɛn ɔda bad tin dɛn we de kɔmɔt na do. Bɔt sɔntɛnde, dis imyun sistɛm kin mistek bigin fɔ atak wi yon wɛlbɔdi tisu dɛn. Na da tɛm de dis kayn inflamɛns ɛn tisu damej kin apin. insay `(UC)`, dis atak de apin to di insay layn na di kכlon.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik? Udat dɛn kin gɛt am mɔ?

Pan ɔl we ɛnibɔdi kin gɛt Ulcerative Colitis, sɔm pipul dɛn kin gɛt mɔ risk. Si if dɛn tin ya apin to yu:

• Ej: Dɛn kin no dis sik mɔr pan yɔŋ pipul dɛm wae ol bitwin 15 ɛn 30 ia, ɔr pan pipul dɛm wae dɔn ol afta dɛn dɔn ol 60 ia .
• Ras ɛn etnik grup: Sɔm stɔdi dɛn dɔn sho se pipul dɛn we kɔmɔt na wayt, mɔ di Ju pipul dɛn we kɔmɔt na Ashkenazi, kin gɛt mɔ prɔblɛm. Bɔt dɛn nid fɔ du mɔ risach fɔ no aw dis kin afɛkt kɔntri lɛk Sri Lanka.
• Jɛnɛtiks: Dis na impɔtant tin bak. If pɔrsin na yu fambul wae de nia yu (i.e., mama ɛn papa, brɔda ɛn sista, pikin dɛm) gɛt UC ɔr Crohn’s disease, yu kin gɛt dis sik. Na lɛk 20% pan di pipul dɛm wae gɛt UC gɛt famili mɛmba wae gɛt wan pan dɛn sik ya.
• di gכt maykrobaym: di dijestiv sistεm we wi de digεstiv, spεshal wan di big intestinal, de na di say we plεnti milyan maykrobaym dεm (baktri, vayrus, fכn) de. dis kכlekshכn dεn kכl am di ``gut maykrobayom''. I tan lɛk wan smɔl ikɔsistɛn na wi intestin. Risach dɔn sho se big difrɛns de na dis maykrobial ɛnvayrɔmɛnt pan pipul dɛm we gɛt ``UC'' we yu kɔmpia am wit pipul dɛm we nɔ gɛt di kɔndishɔn. pan tap we dεn nכ no yet di εksakεt kכz, dεn tink se dis de kכntribyut bak fכ divεlכpmεnt fכ ``UC''.

Wan tin fɔ mɛmba na dat yu strɛs ɛn di it we yu de it nɔ de mek yu gɛt UC dairekt wan. Bɔt if yu dɔn gɛt UC, dɛn tin ya kin mek yu simptom dɛn bigin fɔ flay. So, if dɛn no se yu gɛt UC, di bɛst tin we yu kin du na fɔ kip yu yay pan yu trig ɛn avɔyd dɛn as yu ebul.

Us ɔda kɔmplikɛshɔn dɛn kin apin bikɔs ɔf Ɔlsɛrativ Kɔlaytis?

If yu gɛt Ulcerative Colitis, dat kin mek yu gɛt bɔku ɔda wɛlbɔdi prɔblɛm dɛn. Dɛn tin ya kin nid fɔ gɛt ɔda mɛrɛsin fɔ wach ɛn trit dɛn.

• Anemia: If pɔsin kɔntinyu fɔ kɔmɔt na di blɔd we de kɔmɔt na di bɔdi ɔltɛm, sloslo, ɛn sɔntɛnde wantɛm wantɛm, i kin mek di blɔd we de na di bɔdi go dɔŋ, ɛn dis kin mek di blɔd we de na di bɔdi nɔ bɔku, we kin mek di blɔd nɔ gɛt bɛtɛ blɔd, we na di rɛd blɔd sɛl dɛn we de go dɔŋ.
• Kɔlɔn kansa: Pipul dɛm wae gɛt UC, mɔr di wan dɛm wae dɔn gɛt dis sik fɔ bɔrku ia, kin gɛt bɔrku risk fɔ gɛt kɔlon kansa pas ɔda pipul dɛm. Yu risk de dipen pan usay di inflamɛns de na yu kɔlon ɛn aw lɔng yu dɔn gɛt UC. I impɔtant fɔ tɔk to yu dɔktɔ bɔt dis ɛn gɛt chɛk-ap ɔltɛm.
• Ɔstioporosis: Sɔntɛnde if yu gɛt inflamɛns na di kɔlon, i kin afɛkt di bon dɛn ɛn di jɔyn dɛn, ɛn dis kin mek di bon dɛn wik, we na wan sik we dɛn kɔl ɔstioporosis.
• Praymari sklerɔs kɔlangitis:Dis na smɔl kɔmplikɛt nem. Fɔ tɔk am simpul wan, if inflamɛns na di kɔlon spre to di liva, i kin mek di bayl dakt dɛn na di liva swel ɛn gɛt skata. Dis tisu we dɔn pwɛl kin mek di liva nɔ wok fayn.
• di prכblεm dεm we pikin dεn de gro εn divεlכpmεnt: If yכŋ pikin gεt UC, di wok we di big intestכn de du kin sכmtεm, we de ridyus di bכdi in ebul fכ abzכp di nyutriεnt dεm we nid fכ gro εn divεlכpmεnt. We yu de tek mɛrɛsin fɔ UC, i kin nid fɔ gi yu pikin vaytamɛn dɛn apat frɔm ɔda sɔpɔtmɛnt dɛn.

Kɔmplikɛshɔn dɛn we nid fɔ gɛt tritmɛnt kwik kwik wan

Dɛn kɔmplikeshɔn ya kin denja smɔl, ɛn if sɔntin lɛk dis apin , yu fɔ go na ɔspitul wantɛm wantɛm ɛn gɛt imejensi tritmɛnt (ER tritmɛnt).

• Di wata we de kɔmɔt na yu bɔdi bad bad wan: We yu de muv yu bɔdi ɔltɛm, dat kin mek yu bɔdi nɔ gɛt bɔku wata, ɛn dis kin mek yu nɔ gɛt wata bad bad wan. If dis apin, yu kin nid fɔ gi yu IV wata na ɔspitul.
• Kɔlɔn Pɛrfɔreshɔn: Dis na tin we rili denja. Wan ol na di wɔl na di kɔlon na mɛdikal imejensi ɛn i nid fɔ ɔpreshɔn wantɛm wantɛm.
• Blɔd we de kɔmɔt bad bad wan: If bɔku blɔd de kɔmɔt na di wund, i go nid fɔ tek blɔd.
• Toxic megacolon: Dis na tin bak we nɔ kin apin so ɔltɛm bɔt i kin mek pɔsin in layf de pan denja. we di bכdi swεla bad bad wan de mek di kכlon stכp fכ wok kכmplit wan, we de mek di kכlon big (megacolon), we de mek di tכxin dεm lik insay di bכdi.
• Blɔd klɔt: UC de mek di risk fɔ mek blɔd klɔt na di bɔdi in blɔd vesel dɛn ( veins , arteries , ɛn capillaries) go ɔp. Dipen pan usay dɛn klot ya kin apin, dɛn kin mek pɔsin in layf de pan denja.

Aw dɛn kin no se pɔsin gɛt Ulcerative Colitis? Us tɛst dɛn dɛn kin du?

If yu sɔspɛkt se yu gɛt UC, yu dɔktɔ go aks yu fɔs bɔt yu sik, du yu bɔdi ɛgzam, ɛn aks if ɛnibɔdi na yu famili gɛt IBD. Dɔn, dɛn kin ɔda fɔ du sɔm tɛst fɔ pul ɔda kɔndishɔn dɛn we gɛt di sem kayn simptom lɛk UC ɛn fɔ kɔnfɔm UC.

• Blɔd tɛst: Dɛn kin tek yu blɔd fɔ chɛk if yu blɔd nɔ gɛt bɛtɛ blɔd. Anemia kin min se blɔd de kɔmɔt na di kɔlon ɔ di rεktum. Dɛn blɔd tɛst ya kin luk bak fɔ ɔda tin dɛn we kin mek pɔsin gɛt sik, lɛk infɛkshɔn.
• Stɔl sɛmpul: Dɛn go chɛk wan sɛmpul pan yu stɔl fɔ si if ɛni sayn de fɔ se yu gɛt infekshɔn, parasayt, ɔ inflamɛns.
• di tεst dεm fכ imej: dεn kin tek pikchכ fכ luk insay di kכlon εn di rεktum.
• (Enɛma we gɛt bariɔm) .Na spɛshal kayn ɛkstrem rayt. I kin no tin dɛm lɛk fɔ swel na di kɔlon.
• CT skan (Computed Tomography scan) εn MRI (Magnetic Resonance Imaging) kin sho klia wan se di kכlon swεla, spεshal wan pan mכdarεt εn siriכs kes dεm fכ UC.
• We yu de du ɛkstrem rayt ɔltɛm, i kin chɛk bak fɔ si if yu gɛt prɔblɛm dɛn we de mek yu gɛt prɔblɛm lɛk megakolon ɔ we di kɔlon de pwɛt.
• εndoskopik tεst dεm: Dis na di men εn mכst difinitiv tεst fכ no UC. Ɛndoskɔp na tin we tan lɛk tiub we kin chenj ɛn we gɛt smɔl kamɛra na wan ɛnd. Dɛn kin put dis tiub tru yu an ɛn di dɔktɔ kin si di insay pat pan yu kɔlon. Dɛn kin tek smɔl pat pan di tisu (bayɔpsi) bak frɔm say dɛn we dɛn kin sɔprayz ɛn sɛn am to lab fɔ kɔnfɔm di diagnosis. di men endoskopik tεst dεm fכ no UC na k כlonoskopi εn sigmoidoscopy .

Aw dɛn kin trit Ɔlsɛrativ Kɔlaytis?

Tu men gol de fɔ trit UC. Wan na fɔ ridyus yu simptom dɛm (flare-ups) ɛn put yu na remission. Di ɔda gol na fɔ mek yu kɔntinyu fɔ gɛt rɛmishɔn if yu dɔn ɔlrɛdi gɛt rɛmishɔn. Dɛn kin du dis mɔ wit mɛrɛsin ɛn sɔntɛnde dɛn kin du ɔpreshɔn .

Di mɛrɛsin dɛn we dɛn kin yuz

Dɔktɔ dɛn kin yuz difrɛn mɛrɛsin dɛn (in wan ɔ dɛn kin yuz am togɛda) fɔ ridyus di inflamɛns ɛn fɔ mɛn wund dɛn na di kɔlon. We di swel ɛn inflamɛns dɔn ridyus, di tisu dɛn kin gɛt chans fɔ wɛl. Dis kin mek yu nɔ gɛt bɛtɛ sik bak, ɛn dɛn kin kɔntrol yu pen ɛn yu bɔdi we yu de muv.

• (Aminosalicylates): Bɔku tɛm dɛn kin gi sɔlfasalazine (Azulfidine®) fɔ UC we nɔ gɛt bɛtɛ to mɔdaret. Bɔt if yu gɛt alɛji fɔ sɔlfa, tɛl yu dɔktɔ. Yu dɔktɔ kin gi yu wan aminosalicylate we nɔ gɛt sɔlfa, lɛk mɛsalamin (Canasa®, Delzicol®, Asacol® HD, Pentasa®, Lialda®, Apriso®).
• Kɔtikosterɔyd: If yu gɛt siriɔs UC, dɛn kin gi yu kɔtikosterɔyd, lɛk prɛdnison (Deltasone®) ɔ budesonide (Entocort® EC, Uceris®). Bɔt bikɔs dɛn kɔtikosterɔyd ya gɛt sɔm impɔtant sayd ɛfɛkt dɛn, dɔktɔ dɛn kin jɔs tɛl dɛn fɔ yuz dɛn fɔ shɔt tɛm.
• Immunosuppressants: Dɛn kin gi dɛn mɛrɛsin ya fɔ kɔntrol yu imyun sistɛm fɔ mek i nɔ go wok pasmak ɛn atak yu yon bɔdi, dat na fɔ mek di imyun sistɛm kol. `(6-mɛkaptopurin (Purixan®, Purinethol®))`, `(azathioprine (Azasan® ɛn Imuran®))` ɔ `(mɛtɔtreksɛt (Trexall®))` na dɛn kayn mɛrɛsin ya.
• (Bayolojikal tin dɛn): .Dɛn mɛrɛsin ya na nyu mɛrɛsin dɛn, ɛn dɛn kin rili wok fayn. Dɛn kin yuz dɛn fɔ trit mɔdaret to siriɔs kes dɛm fɔ UC. Dɛn mɛrɛsin ya de wok bay we dɛn de kɔntrol di wok we sɔm patikyula pat dɛn na di imyun sistɛm we de involv pan inflamɛns de du. Bayolojikal mɛrɛsin dɛn na infliximab (Remicade®), adalimumab (Humira®), golimumab (Simponi®), vedolizumab (Entyvio®), ɛn ustekinumab (Stelara®).
• (Janus kinase (JAK) inhibito dεm - sכm sכm mכlikul dεm): Drug dεm lεk `(Tofacitinib (Xeljanz®))` de wok bay we dεn de blכk di akshכn fכ wan spεsifi k εnzym na di bכdi we de mek inflameshn. `(Upadacitinib (RinvoQ®))` na ɔda kayn `(JAK inhibito).`

Ɔpreshɔn

If dɛn nɔ kɔntrol di sik dɛn pan ɔl we dɛn de tek mɛrɛsin, ɔ if UC dɔn mek bad bad prɔblɛm dɛn, ɔpreshɔn kin bi di las tin we dɛn fɔ du. Na lɛk 30% pan di pipul dɛm wae gɛt UC go nid ɔpreshɔn sɔm tɛm na dɛn layf. Dɔn bak, lɛk 20% pan di pikin dɛn we gɛt UC kin nid ɔpreshɔn.

Tu men kayn ɔpreshɔn de fɔ UC. Dɛn tu tin ya gɛt fɔ du wit wan tin we dɛn kɔl proctocolectomy , we na fɔ pul ɔl ɔ pat pan yu kɔlon ɛn rɛktum.

1. (Proctocolectomy and ileal pouch): Dis na di mכst kכmכn εn we dεn kin fכs fכ sכj fכ UC. Insay dis prosidur, di ɔspitul kin pul yu kɔlon ɛn di las pat pan yu rɛktum, bɔt i kin kɔmɔt na yu an. afta dat, dεn de yuz wan pat pan yu sכmכl intestכn fכ mek wan sכmכl paus (ileal pouch) εn kכnekt am to yu rεktum. Afta yu dɔn wɛl frɔm di ɔpreshɔn, dis smɔl intestin de wok lɛk nyu rɛktum, we de mek yu gɛt nɔmal bɔdi muvmɛnt.

2. (Proctocolectomy εn ileostomy): sכmtεm, i kin nכ posεbul fכ mek wan ``ileal pouch''. If dis na di kayn tin, yu mεdikal tim kin rεkomεnd fכ pεrmanεnt (ileostomy) (we nכ gεt ileal pouch). Insay dis, di dɔktɔ we de du di ɔpreshɔn kin pul yu wan ol kɔlon, di las pat pan yu rɛktum, ɛn yu an. afta dat, dεn kin mek wan sכmכl ol na yu bεlε (bεlε) εn dεn kin tay wan paus (ileal stoma) na di כdasay na yu bכdi fכ kכlekt stכl. Yu go nid fɔ ɛmti dis pɔch ɔltɛm.

Aw fɔ mek yu nɔ gɛt flare-up fɔ di Ulcerative Colitis simptom dɛm?

If yu gɛt UC, i impɔtant fɔ tray fɔ minimiz yu flare-ups. Di bɛst we fɔ du dis na fɔ no di tin dɛn we de mek yu du dis ɛn avɔyd dɛn as yu ebul. Na sɔm advays dɛn ya fɔ ɛp yu fɔ avɔyd tin dɛn we kin mek yu nɔ gɛt prɔblɛm:

• Fɔ kɔntrol di strɛs:Stret kin bi wan big tin we kin mek UC flare-up. So, slip fayn fɔ at le 7 awa insay wan nɛt, du ɛksɛsayz ɔltɛm , ɛn du tin dɛn we go mek yu maynd kol, lɛk fɔ tink gud wan.
• Nɔ tek NSAID: If yu gɛt fiva ɔ yu bɔdi de at, tek mɛrɛsin lɛk asetaminofɛn (Tylenol®). Nɔn-stɛroyd anti-inflammatory drɔgs (NSAID) lɛk ibuprofen (Motrin®, Advil®) kin mek di UC simptom dɛn wɔs.
• Nɔ it tin dɛn we de mek yu sik wɔs: Nɔto ɔlman kin gɛt di sem it. Wetin kin mek yu sik wɔs fɔ yu nɔr kin bi di sem fɔ ɔda pɔrsin. Bɔt bɔku pipul dɛn we gɛt UC dɔn si se di tin dɛn we dɛn mek wit milk ɛn it dɛn we gɛt bɔku fayv kin mek dɛn gɛt flawa. Tɔk to yu dɔktɔ ɔr pɔsin we sabi bɔt it fɔ mek wan it plan we go wok fɔ yu ɛn nɔ go mek yu nɔ gɛt di tin dɛn we yu bɔdi nid.

E fayn fɔ kip smɔl dayari fɔ tin dɛm wae de mek yu sik wɔs, lɛk aw yu de it ɛn tin dɛm wae de apin to yu. We yu sheb am wit yu dɔktɔ, una kin disayd togɛda wetin na di bɛst we fɔ avɔyd dɛn tin ya ɛn kɔntrol yu sik.

If a gɛt Ulcerative Colitis, wetin a fɔ ɛkspɛkt?

De sik (UC) kin difrɛn bad bad wan frɔm pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn kin jɔs gɛt wan flawa na dɛn layf ɛn dɛn nɔ kin ɛva gɛt ɔda wan. Ɔda pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin dɔn wae nɔr kin izi fɔ kɔntrol.

Bɔt fɔ bɔku pipul dɛn, di sayn dɛn kin kam ɛn go. Dat min se, dɛn kin chenj bitwin di tɛm dɛn we di sik kin bɔku (flare-up) ɛn di tɛm we lɔng, we nɔ kin gɛt di sik (remissions). Na lɛk 30% pan di pipul dɛm wae gɛt UC, di sik kin wɔs smɔl smɔl as tɛm de go, dɛn kin kam bɔku, ɛn leta dɛn kin nid ɔpreshɔn.

Bɔrku pipul dɛn kin manej dɛn UC bay wae dɛn nɔr de trig ɛn tek dɛn mɛrɛsin lɛk aw dɛn tɛl dɛn. Yu fɔ go to yu dɔktɔ ɔltɛm bak fɔ wach yu wɛlbɔdi. Fɔ ɛgzampul, yu dɔktɔ kin tɛl yu fɔ du kɔlon skɔpi ɔltɛm fɔ chɛk if yu gɛt kansa na yu kɔlon, i go dipen pan di risk we yu gɛt. Yu dɔktɔ go ɛksplen ɔl dis to yu.

Yu tink se Ulcerative Colitis go ɛva wɛl ɔltogɛda?

di onli "cure" fכ dis kכndyushכn na כpεrayshכn fכ pul yu kכlon εn rεktum. Bɔt lɛk aw wi bin dɔn tɔk, bɔku pipul dɛn kin ebul fɔ kɔntrol di sik fayn fayn wan wit mɛrɛsin ɛn if nid de, ɔpreshɔn, ɛn liv nɔmal layf. di men gol fכ tritmεnt fכ UC na fכ rich rεmishכn εn mεnten am fכ as lכng as i pכsibul. Yu mɛdikal tim go ɛp yu wit dis.

Ustɛm a fɔ kɔl mi dɔktɔ?

If yu gɛt `(UC)`, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu if yu gɛt ɛni wan pan dɛn sayn ya:

• If yu de pas stɔl pasmak, we yu nɔ stɔp.
• If blɔd de kɔmɔt na di an, ɔ if blɔd de klɔt na di stɔl.
• If yu kin gɛt siriɔs pen ɔltɛm ɛn yu kin gɛt ay fiva.

Di sayn dɛm lɛk dis kin sho se yu sik kin de wɔs, so i impɔtant fɔ go to dɔktɔ kwik kwik wan.

Wetin a fɔ aks mi dɔktɔ?

If yu gɛt UC, nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt. Di mɔ yu no bɔt yu sik, na di mɔ i go izi fɔ yu fɔ kɔntrol am. Na sɔm kwɛstyɔn dɛn we yu kin aks:

• Aw di kayn UC we a gɛt kin afɛkt mi fiuja wɛlbɔdi (prognosis)?
• Wetin na mi risk fɔ gɛt ɔda kɔmplikeshɔn frɔm UC?
• Us tritmɛnt dɛn yu kin kɔmɛnt fɔ mi?
• Us risk ɔ sayd ɛfɛkt a kin ɛkspɛkt frɔm dɛn tritmɛnt ya?
• Aw a go chenj mi layf fɔ mek a nɔ gɛt flawa? (Bɔt tin dɛn lɛk it, ɛksesaiz, strɛs mɛnejɛmɛnt, ɛn ɔda tin dɛn)
• We di sayn dɛn de wɔs, wetin a kin du na os fɔ kɔntrol dɛn?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Ulcerative Colitis na wan sik wae de kam wae yu de liv yu layf, wae de mek yu nɔr gɛt bɛtɛ trɛnk. Bɔt if yu gɛt di rayt tritmɛnt ɛn advays, ɛn yu mek di chenj dɛn we yu nid fɔ du na yu layf, yu go ebul fɔ kɔntrol di sik fayn fayn wan ɛn liv fayn layf.

I rili impɔtant fɔ wok klos wit yu mɛdikal tim. Tek yu mɛrɛsin dɛn lɛk aw yu dɔktɔ tɛl yu fɔ tek, ɛn di rayt tɛm. Nɔr stɔp fɔ tek yu mɛrɛsin ivin wae yu nɔr gɛt ɛni sik, bikɔs dis kin mek yu sik kam bak ɛn mek i nɔr izi fɔ kɔntrol yu sik.

Ɔndastand yu risk fɔ gɛt kɔmplikeshɔn ɛn aw dat go afɛkt yu kia plan. Fɔ ɛgzampul, yu kin nid fɔ du blɔd tɛst ɔ kɔlon skɔpi bɔku tɛm pas pɔsin we nɔ gɛt UC. Tɔk to yu dɔktɔ bɔt di bɛst we fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi ɛn fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi. Nɔto yu wan de, ɛn dɔktɔ, nɔs, ɛn pipul dɛn we yu lɛk de we go ɛp yu pan dis waka.

` Ɔlsɛrativ Kɔlayt, Kɔlɔn Ɔlsa, Bɛlɛ Pen, IBD, Kron Sik, Dayarɛa, Blɔd na Stɔl, Dijestiv Sistɛm