Zaɓuɓɓukan Magunguna na Ulcerative Colitis

Wadatacce

• Ciwan ulcer
• Abinci da abinci mai gina jiki
• Gudanar da damuwa
• Magunguna
• Aminosalicylates
• Corticosteroids
• Immunomodulators
• Ilimin halittu
• Tiyata
• Awauki

Ciwan ulcer

Yin fama da cutar ulcerative colitis na iya haifar da ƙalubale.

Ciwo mai tsauri, wanda ke shafar kusan mutane miliyan 1 a Amurka, yana haifar da kumburi da ciwo a cikin rufin hanji da dubura.

Yayin da kumburin ya kara kamari, kwayoyin da ke layin wadannan yankuna sun mutu, wanda ke haifar da zub da jini, kamuwa da cuta, da gudawa.

Yanayin na iya haifar da:

• zazzaɓi
• karancin jini
• gajiya
• ciwon gwiwa
• asarar abinci
• asarar nauyi
• raunin fata
• Karancin abinci mai gina jiki
• ci gaban yara

Ba a san ainihin abin da ke haifar da cutar ulcerative colitis ba. Masana da yawa sunyi imanin hakan yana faruwa ne daga mummunan yanayin tsarin garkuwar jiki da rashin iya kula da kwayoyin cuta a cikin hanyar narkewar abinci.

Likitanka na iya neman gwajin jini, samfurin tabo, barium enema, da kuma colonoscopy. Wadannan gwaje-gwajen likitancin zasu basu damar sanin ko ulcerative colitis ke haifar da alamomin ka ko kuma alamun ka na faruwa ne ta wani yanayi kamar cutar Crohn, cututtukan da ke bijirowa, ko kuma sankara.

Ciwon ulcerative colitis ya kamata a tabbatar da shi ta hanyar nazarin halittar nama a yayin da ake gudanar da bincike.

Idan an gano ku tare da cututtukan miki, yana da mahimmanci kuyi aiki tare da mai ba ku kiwon lafiya don ƙirƙirar shirin magani wanda ke kulawa da hana kai hare-hare don ciwon ku na iya warkewa.

Saboda alamomi da illolin cutar sun banbanta, babu wani magani guda daya da ke aiki ga kowa. Magunguna sau da yawa suna mai da hankali akan:

• abinci da abinci mai gina jiki
• Matsalar damuwa
• magani

Abinci da abinci mai gina jiki

Zai fi kyau a ci ƙananan abinci a cikin yini. Guji ɗanyen abinci mai ƙanshi da mai ƙanshi idan waɗannan abinci ne masu wahala a gare ku. Misalan abinci don kaucewa tare da UC sun haɗa da:

• kwayoyi
• tsaba
• wake
• dukan hatsi

Abinci mai mai da mai ma yana taimakawa ga kumburi da ciwo. Gabaɗaya, abinci mai aminci ya haɗa da:

• ƙananan ƙwayoyin fiber
• gasa kaza, naman alade, da kifi
• steamed / gasa ko stewed 'ya'yan itatuwa da kayan marmari

Satar ruwa a cikin yini na iya taimakawa wajen narkewa da taimakawa rage kumburi. Ara koyo game da abincin da zai iya taimakawa mutane tare da UC.

Gudanar da damuwa

Tashin hankali da juyayi na iya kara bayyanar cututtuka. Motsa jiki da fasahohin shakatawa waɗanda zasu taimaka muku gudanarwa da rage matakan damuwa zasu iya zama taimako. Wadannan sun hada da:

• biofeedback
• tausa
• tunani
• far

Menene haɗin tsakanin damuwa da tashin hankali na UC?

Magunguna

Likitanku na iya rubuta magani don jawowa ko kula da gafara. Kodayake akwai nau'ikan magunguna da yawa, kowane magani ya faɗi cikin manyan rukunoni huɗu.

Aminosalicylates

Wadannan kwayoyi suna dauke da 5-aminosalicyclic acid (5-ASA), wanda ke taimakawa sarrafa kumburi a cikin hanji.

Aminosalicylates za a iya gudanar da su:

• ta baki
• ta hanyar enema
• a cikin zato

Yawanci suna ɗaukar sati 4 zuwa 6 suyi aiki. Koyaya, suna iya haifar da sakamako masu illa, gami da:

• tashin zuciya
• amai
• ƙwannafi
• gudawa
• ciwon kai

Corticosteroids

Wannan rukuni na magungunan steroid - ciki har da prednisone, budesonide, methylprednisolone, da hydrocortisone - suna taimakawa rage ƙonewa.

Ana amfani da su sau da yawa idan kuna zaune tare da matsakaici zuwa matsanancin ciwo, ciki har da idan ba ku amsa da kyau ga magungunan 5-ASA ba.

Corticosteroids ana iya yin amfani da shi ta hanyar magana, ta hanyar intanet, ta hanyar amfani da jijiyoyin jiki, ko kuma a sanya su a ciki. Hanyoyi masu illa sun hada da:

• kuraje
• gashin fuska
• hauhawar jini
• ciwon sukari
• riba mai nauyi
• canjin yanayi
• asarar kashi
• haɗarin kamuwa da cuta

Ana amfani da kwayoyin cuta ta hanyar amfani da gajeren lokaci don rage tasirin cutar ulcerative colitis, maimakon azaman magani na yau da kullun don gudanar da alamomin.

Lokacin da cutar cututtukan fata ta kasance mai tsananin gaske, likitanku na iya ba da umarnin yawan kwayoyi na yau da kullun don taimaka muku ci gaba da rayuwa ta yau da kullun.

Immunomodulators

Wadannan kwayoyi, gami da azathioprine da 6-mercapto-purine (6-MP), suna taimakawa rage kumburin garkuwar jiki - kodayake suna iya daukar tsawon watanni 6 don yin aiki yadda ya kamata.

Ana yin amfani da magungunan ƙwayoyin cuta da baki kuma yawanci ana amfani da su idan ba ku amsa da kyau ga haɗin 5-ASAs da corticosteroids ba. Hanyoyi masu illa masu haɗari sun haɗa da:

• pancreatitis
• ciwon hanta
• rage yawan kwayar halittar farin jini
• haɗarin kamuwa da cuta

Ilimin halittu

Waɗannan su ne sababbin nau'ikan magungunan da aka yi amfani da su azaman madadin immunomodulators don magance ulcerative colitis a cikin mutanen da ba su amsa da kyau ga sauran jiyya ba.

Ilimin ilimin halittu yafi hadadden abu kuma ya shafi takamaiman sunadarai. Ana iya ba su ta hanyar jijiyoyin jini ko allura. A halin yanzu, akwai magunguna da yawa da likitancin FDA suka amince da su don magance ulcerative colitis:

• tofacitinib (Xeljanz)
• adalimumab (Humira)
• golimumab (Simponi)
• infliximab (Remicade)
• vedolizumab (Entyvio)

Nemi ƙarin game da amfani da ilimin kimiyyar halitta don magance matsakaici zuwa mai tsanani UC.

Tiyata

Idan wasu nau'ikan magani basu yi aiki ba, ƙila ka zama ɗan takarar tiyata.

Wasu mutane masu cutar UC daga ƙarshe suna yanke shawarar cire colonsu sakamakon tsananin zub da jini da rashin lafiya - ko kuma samun haɗarin cutar kansa.

Akwai nau'ikan tiyata guda huɗu:

• gyaran kafa na gyaran jiki tare da 'yar karamar jaka-anastomosis
• jimlar kwaskwarimar ciki tare da ciwon ciki
• jimlar kwalliyar ciki tare da ƙarshen ƙoshin lafiya
• duka proctocolectomy tare da ƙarshen ƙarewar jiki

Idan kuna da ciwon ulcerative colitis, ku guje wa magungunan anti-inflammatory wanda ba na steroid ba (NSAIDs), wanda zai iya haifar da bayyanar cututtuka.

Yi magana da likitanka don ƙirƙirar dabarun magani wanda zai iya magance bukatun lafiyar ku.

Har ila yau, saboda karuwar haɗarin cutar kansa wanda ke da alaƙa da ulcerative colitis, tsara jarabawa kowace shekara ko kowace shekara 2, bisa shawarar likitanku.

Tare da madaidaiciyar hanya, yana yiwuwa a gudanar da cututtukan ku na ulcerative da kuma rayuwa ta yau da kullun.

Menene zai faru idan baku nemi magani don UC ba?

Awauki

Ciwan ulcer na iya zama ƙalubale don magance shi. Koyaya, akwai hanyoyin zaɓuɓɓukan magani daban-daban.

Yi magana da likitanka game da alamun ku. Tare za ku iya haɓaka shirin maganin da ke aiki mafi kyau a gare ku.