Bɔku tɛm yu nid fɔ go na di bafa? Yu bɛlɛ de at lɛk nɛf? Yu dɔn ɛva notis smɔl blɔd na yu stɔl? Nɔ dismis dɛn tin ya as nɔmal tin. Bikɔs dɛn kin bi sayn fɔ wan sik we dɛn kɔl Ulcerative Colitis (UC), we nid sɔm atɛnshɔn. Nɔ fred, i nɔ denja lɛk aw yu tink. Lɛ wi tɔk bɔt dis simpul, padi biznɛs ɛn mek ɔltin klia.
Fɔ tɔk am simpul wan, wetin na Ulcerative Colitis (UC)?
Ulcerative Colitis (UC) na wan sik wae de kam wae yu de liv yu layf wae nɔr kin mɛn bɔt yu kin ebul fɔ mɛn am fayn fayn wan. I kin mek wi gɛt inflamɛns ɛn smɔl smɔl sɔri (ɔlsa) dɛn na di layn na wi big intestinal (kɔlɔn) ɛn rɛktum. Fɔ tɔk am simpul wan, di insay pat pan di insay kin inflam ɛn i kin wund.
UC na wan pan tu big sik dɛm na di grup fɔ sik dɛm we dɛn kɔl Inflammatory Bowel Disease (IBD) . Di ɔda wan na di sik we dɛn kɔl Crohn. Pɔsin we gɛt UC kin gɛt sɔm sayn dɛm lɛk fɔ gɛt dayarɛa ɔltɛm, bɛlɛ de pen, ɛn blɔd na in stɔl.
De kayn sik wae de kam pan dis sik na wae e nɔr kin gɛt di sem sayn ɔltɛm.
- Flare-ups: Insay dis tɛm, di sayn dɛm kin tranga pasmak.
- Remission (period of remission): Insay dis tɛm, yu kin liv nɔrmal wan wae nɔr gɛt ɛni sayn.
Di men gol fɔ tritmɛnt na fɔ ridyus di flare-up ɛn fɔ mek di rɛmishɔn lɔng as i pɔsibul.
Wetin na di men kayn UC?
Dɔktɔ dɛn kin klas UC bay usay na yu big intestin di inflamɛns de apin. I kin bigin nia di anus, ɔ di rεktum. Dɔn i kin skata ɔlsay na di big intestin. Lɛ wi luk dis chɔt fɔ ɛp yu fɔ ɔndastand dis mɔ.
| UC tayp | Di eria we dɛn afɛkt |
|---|---|
| Ulsɛraytiv prɔktitis | di inflameshn de limited to di rεktum. |
| Proktosigmoiditis we gɛt di sik | i de afekt di las pat pan di an (rεktum) εn di lכw S-shεp pat pan di big intestin (sigmoid colon). |
| Kɔlaytis we de na di lɛft say | Di inflamɛns dɔn spre along di lɛft say na di big intestinal. |
| Pankolaytis we gɛt di sik | If na so i bi, di inflamɛns kin afɛkt di wan ol kɔlon. |
Apat frɔm dɛn kayn ya, dɛn kin klas UC as smɔl, mɔdaret, ɔ siriɔs dipen pan aw di sik dɛn kin tranga. Di kayn we we kin rili bad, we nɔ kin bɔku ɛn we kin mek pɔsin in layf de pan denja, dɛn kɔl am fulminant ulcerative colitis . If dɛn kayn tin ya apin, dɛn nid fɔ go to dɔktɔ wantɛm wantɛm.
Wetin na di sayn dɛm fɔ dis sik?
UC simptom kin inkris smɔl smɔl as tɛm de go. We yu bigin, yu kin gɛt sɔm kayn smɔl smɔl sayn dɛm. Leta, as di sik de go bifo, mɔ sayn dɛn kin sho. Lɛ wi luk dɛn tin ya wan bay wan.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Sɔft tin dɛn we pɔsin kin si fɔs | |
| Rɔnbɛlɛ | Stɔl dɛn we nɔ gɛt bɛtɛ trɛnk. I kin bi ɔ i nɔ kin gɛt blɔd. I kin apin 4 tɛm insay di de ɔ smɔl pas dat. |
| Wantɛm wantɛm nid fɔ defecate | Wantɛm wantɛm, a kin fil se a nid fɔ go na tɔylɛt. I at fɔ kɔntrol. |
| Tenesmus we dɛn kɔl Tenesmus | Fɔ fil lɛk se yu nid fɔ go na tɔylɛt, bɔt nɔ ebul fɔ pas stɔl. |
| Bɛlɛ de at/kɔf | Wan smɔl kramp ɔ kramp filin na di ɔnda bɛlɛ. |
| Mɔdaret ɛn siriɔs sayn dɛm wae kin kam leta | |
| Dayrɛa we kin kam bɔku tɛm | Dayarɛa pas 4 tɛm insay di de. |
| Blɔd, mכkus, ɔ pus wit di stɔl | Blɔd, wata we tan lɛk mכkus, ɔ pus de na di stɔl we yu kin si klia wan. |
| Bɛlɛ we de at bad bad wan | Bɛlɛ pen bad bad wan we pɔsin nɔ go ebul fɔ bia. |
| Taya | Fɔ fil taya pasmak ɛn taya fɔ natin. |
| We yu de lɔs yu wet | We yu nɔ bin de ɛkspɛkt fɔ lɔs yu wet wantɛm wantɛm. |
| Vɔmit ɛn nɔs | I nɔ kin want fɔ it igen ɛn i kin gɛt nɔys. |
| Fiva | Fɔ fil se yu gɛt fiva. |
Ɛni ɔda tin dɛn de we kin apin to pɔsin apat frɔm di insay?
Yɛs. pan lεk 25% pan di UC pasεnshכn dεm, dis inflameshn kin afekt כda pat dεm na di bכdi apat frכm di intestכn dεm. Dɔn, sɔm kayn sik dɛn we gɛt fɔ du wit dis kin apin bak.
- Jɔyn pen ɛn swel: Jɔyn dɛn lɛk ni ɛn ɛlb kin pen ɛn swel.
- Prɔblɛm na di yay: Di yay kin rɛd, inflamɛns, ɛn it kin apin.
- Prɔblɛm dɛn na di skin: Bɔmp, spat, ɔ sos we de mek yu fil pen kin apia na di skin.
Wetin mek dis sik kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Infakt, dɛn nɔ dɔn no yet di rayt tin we kin mek pɔsin gɛt UC. Bɔt di wan dɛn we de stɔdi bɔt dis biliv se bɔku tin dɛn we dɛn jɔyn togɛda kin mek i apin.
di men aidia na dat dis kin kכz f כ wan ova aktif imyun sistεm . Tink bɔt am lɛk wi nashɔnal ami. di wok we i de du na fכ protεkt di bכdi frכm fכrin invayda dεm lεk jεm εn vayrus. Bɔt sɔntɛnde dis sistɛm kin go rɔng ɛn bigin fɔ atak wi yon wɛlbɔdi sɛl dɛn. insay UC, di imyun sistεm de atak di sεl dεm na di kכlon. Na dat kin mek dis inflamɛns ɛn skata.
Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:
- Ej: Dɛn kin no dis sik mɔr pan yɔŋ pipul dɛm wae ol bitwin 15-30 ia, ɔr pan pipul dɛm wae dɔn ol afta dɛn dɔn ol 60 ia.
- Jɛnɛtiks: If pɔrsin na yu famili, lɛk yu mama, papa, ɔr brɔda ɛn sista gɛt UC ɔr Crohn’s disease, yu kin gɛt dis sik bak.
- Gut microbiome: Na wi gut gɛt bɔku bɔku bɛnifit baktri dɛm, ɛn baktri dɛm, vayrɔs dɛm, ɛn fɛns dɛm we de ambɔg wi. Dɛn dɔn si se wan imbalans na dis ikɔsistɛn kin kɔntribyut to UC.
Di impɔtant tin na dat strɛs ɛn di it dɛm wae yu de it nɔr de mek UC de divɛlɔp. Bɔt if yu dɔn gɛt UC, dɛn tin ya kin mek yu sik wɔs, ɔ mek yu gɛt flare-up. So wae dɛn dɔn no se yu gɛt dis sik, i impɔtant fɔ no di rayt tin we de mek yu gɛt dis sik ɛn nɔr de nia dɛm.
Us ɔda kɔmplikɛshɔn dɛn kin apin bikɔs ɔf UC?
If yu gɛt ɔlsa kɔlaytis, dat kin mek yu gɛt ɔda wɛlbɔdi prɔblɛm dɛn smɔl, so i impɔtant fɔ de ɔnda dɔktɔ in sɔpɔtishɔn.
- Anemia: If yu kɔntinyu fɔ blɔd kɔmɔt na di intestinal, dat kin mek di nɔmba fɔ di rɛd blɔd sɛl dɛn na di bɔdi go dɔŋ, ɛn dis kin mek yu gɛt anemia.
- Kɔlɔn kansa: Pipul dɛn we gɛt UC gɛt ay risk fɔ gɛt kɔlon kansa pas di jenɛral pipul dɛn. Dis risk dipen pan aw lɔŋ yu dɔn gɛt UC ɛn us pat pan yu kɔlon de afɛkt. I impɔtant fɔ tɔk to yu dɔktɔ bɔt dis ɛn gɛt kɔlon skɔpi skrinin ɔltɛm.
- Ɔstioporosis: If yu bɔdi wam fɔ lɔng tɛm ɛn sɔm tritmɛnt dɛn kin mek yu bon dɛn wik ɛn brok izi wan.
- Prɔblɛm dɛn na di liva: Nɔto ɔltɛm dis inflamɛns kin afɛkt di liva bak, ɛn dis kin mek pɔsin gɛt wan sik we dɛn kɔl praymari sklɛrosing kɔlangitis .
- di ifekt dεm pan di pikin dεm we de gro: If pikin gεt UC, dεn kin gεt stכn biכs dεn nכ kin ebul fכ tek di nyutriεnt dεm fayn fayn wan frכm di intestכn dεm.
Imejɛnsi sityueshɔn dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm
If dɛn sayn ya apin, na imejensi. Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Wae yu nɔ gɛt wata na yu bɔdi: If yu gɛt dayarɛa pasmak, dat kin mek yu nɔ gɛt wata na yu bɔdi, ɛn dis kin mek yu nɔ gɛt wata na yu bɔdi. If i sik bad bad wan , dɛn kin gi am IV fluid (saline) na ɔspitul.
- di big intestin we de pכt: If di inflameshn kכmכt bad bad wan, di wכl na di big intestin kin pכt. Dis na tin we rili denja.
- Blɔd we de kɔmɔt pasmak: If yu de blɔd tumɔs fɔ kɔntrol, yu go nid fɔ tek blɔd.
- Tɔxik mɛgakolon: Dis na rili siriɔs kɔmplikeshɔn we nɔ kin apin so ɔltɛm. If na so i bi, di big intestin kin swel, i kin stɔp fɔ wok, ɛn i kin bigin fɔ tek pɔyzin frɔm insay insay di bɔdi.
- Blɔd klɔt: UC de mek di risk fɔ mek blɔd klɔt na di bɔdi in blɔd vesel dɛn go ɔp.
Aw yu kin no dis sik?
Afta yu dɔn lisin to yu sayn dɛm, di dɔktɔ go ɔda fɔ du sɔm tɛst fɔ no if yu gɛt dis sik.
- Blɔd tɛst: Chɛk fɔ si if pɔsin nɔ gɛt bɛtɛ blɔd (di blɔd nɔ bɔku) ɔ if i gɛt sayn dɛn we de sho se i gɛt inflamɛns.
- Test fɔ di stɔl: Chɛk fɔ si if blɔd, jem, ɔ parasayt de na di stɔl.
- Imej tɛst: Tɛst lɛk X-ray, CT skan, ɔ MRI kin gi yu aidia bɔt di kɔndishɔn na di intestin.
- εndoskopik egzamin: Dis na di mכst akכrd we fכ no UC. wan tin, fleksibul tכb we gεt kεmεra (εndoskop) dεn de put am tru di anus εn dεn de si di insay pat pan di big intestin pan skrin. Dɛn kɔl dis tɛst kɔlonɔskɔpi ɔ sigmoidoskɔpi . dis tεm ya, dεn kin pul wan sכm sכm tisu na di kכlon fכ egzamin. Dɛn kɔl dis bayɔpsi .
Aw dɛn kin trit am?
Tu men gol dɛn de fɔ tritmɛnt. Wan na fɔ kɔntrol di simptom dɛm we di sik de flay ɛn briŋ di sik to rɛmishɔn. Di sɛkɔn wan na fɔ mek yu kɔntinyu fɔ gɛt rɛmishɔn fɔ lɔng tɛm we yu ebul. Dɛn kin du dis mɔ bay we dɛn de yuz mɛrɛsin ɛn ɔpreshɔn.
Di mɛrɛsin dɛn we dɛn kin yuz
Bɔku kayn mɛrɛsin dɛn de we kin mek di bɔdi nɔ wam pasmak.
- Aminosalicylates: Na wan kayn mɛrɛsin we dɛn kin yuz fɔ mild to mɔdaret UC. Ɛgzampul dɛn: sɔlfasalazin, mɛsalamin .
- Kɔtikosterɔyd dɛn:Dis na strɔng anti-inflammatory drɔgs. Dɛn kin gi dɛn fɔ shɔt tɛm nɔmɔ we pɔsin gɛt siriɔs flare-up. Bikɔs if pɔsin yuz am fɔ lɔng tɛm, i kin gɛt mɔ sayd ɛfɛkt dɛn. Ɛgzampul dɛn: prɛdnison, budesonide .
- Immunosuppressants: Na drɔgs we de kɔntrol di ɔva aktiviti na di imyun sistɛm. Ɛgzampul dɛn: azathioprine, mɛtɔtreksɛt .
- Bayolojikal: Dis na nyu tritmɛnt dɛm we dɛn kin tɔch we kin tɔch sɔm patikyula pat dɛm na di imyun sistɛm we kin mek pɔsin inflamɛns. Ɛgzampul dɛn: infliximab (Remicade®), adalimumab (Humira®) .
- JAK inhibitors: Dis na nyu klas dεm bak we de blכk di prכsεs we de mek inflameshn. Ɛgzampul dɛn: tofacitinib (Xeljanz®) .
Ɔpreshɔn
If dɛn nɔ ebul fɔ kɔntrol di sik wit mɛrɛsin, ɔ if siriɔs prɔblɛm dɛn apin, i kin nid fɔ du ɔpreshɔn. Na lɛk 30% pan di pipul dɛm wae gɛt UC go nid ɔpreshɔn insay dɛn layf.
Tu men kayn ɔpreshɔn dɛn de. Dɛn tu tin ya gɛt fɔ du wit wan tin we dɛn kɔl proctocolectomy , we gɛt fɔ du wit fɔ pul di big intestin ɛn di las pat na di rεktum.
1. Proctocolectomy ɛn ileal pouch: Dis na di ɔpreshɔn we dɛn kin du mɔ. insay dis prosidur, dεn kin pul di big intestinal, mek wan paus frכm wan pat pan di sכmכl intestכn, εn i kכnεkt to di an. Afta yu dɔn wɛl, yu go ebul fɔ gɛt nɔmal bɔdi muvmɛnt.
2. Proctocolectomy ɛn ileostomy: Dɛn kin du dis we di ɔpreshɔn we wi dɔn tɔk bɔt nɔ pɔsibul. insay dis prosidכs, dεn de pul di כl big intestinal, dεn de mek wan opin (stoma) na di bכdi, εn dεn de atak wan bag fכ kכlekt fכs frכm di כdasay.
Wetin dɛn kin du fɔ mek di sik nɔ wɔs?
If yu no di tin dɛn we de mek yu gɛt prɔblɛm ɛn avɔyd dɛn, dat kin rili ridyus di prɔblɛm we yu gɛt fɔ mek yu gɛt flawa.
- Manej di strɛs: Gɛt inof slip, ɛksesaiz, ɛn du sɔntin we de mek yu kol lɛk fɔ tink gud wan.
- Nɔ tek sɔm pen kil: NSAID (e.g., ibuprofen, diclofenac) kin mek di UC simptom dɛn wɔs. I bɛtɛ fɔ tek mɛrɛsin lɛk paracetamol fɔ fiva ɔ pen. Ɔltɛm, go to yu dɔktɔ bifo yu tek ɛni mɛrɛsin.
- Nɔ it tin dɛn we de mek yu gɛt UC: Nɔto ɔlman gɛt di sem tin dɛn we de mek yu gɛt UC. Sɔm pipul dɛn kin fil fɔ it tin dɛn we dɛn kin mek wit milk, ɛn ɔda wan dɛn kin fil fɔ it tin dɛn we gɛt bɔku fayv. Di bɛst we fɔ no wetin de trig yu na fɔ kip yu it dayari ɛn rayt di it dɛn we yu de it ɛn di sayn dɛm we yu de gɛt. Dɔn, tɔk to yu dɔktɔ ɛn kam wit wan it plan we go wok fɔ yu.
I rili impɔtant fɔ mek yu kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm. Tek di mɛrɛsin we dɛn gi yu jɔs lɛk aw dɛn tɛl yu fɔ tek, ivin we yu nɔ gɛt ɛni sik. If yu stɔp di mɛrɛsin, dat kin mek di sik bigin fɔ kam bak.
Mɛsej we dɛn kin kɛr go na os
- Ulcerative Colitis (UC) na wan sik wae de kam wae yu kin gɛt fɔ yu layf bɔt yu kin ebul fɔ kɔntrol am, so nɔr frayd am wae nɔr nid fɔ de.
- Ivin we yu gɛt wɛlbɔdi ɛn yu nɔ gɛt ɛni sik, tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.
- No us it, drink, ɛn tin wae kin mek yu strɛs kin mek yu sik, ɛn tray fɔ de fa frɔm dɛn.
- If yu gɛt sɔm sayn dɛn lɛk fɔ dayarɛa ɔltɛm, fɔ blɔd pasmak wit yu stɔl, yu bɛlɛ de at bad bad wan, ɛn yu gɛt fiva, nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm.
- Bikɔs yu gɛt UC, yu risk fɔ gɛt kansa na yu kɔlon kin bɔku smɔl, so mek shɔ se yu du kɔlon skɔpi di tɛm we yu dɔktɔ se.
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