Ulcerative Colitis Togafitiga Filifiliga

Anotusi

• Ulcerative colitis
• Meaʻai ma meaʻai lelei
• Faʻafitauli pulega
• Vailaau
• Aminosalicylates
• Corticosteroids
• Immunomodulator
• Biologics
• Taotoga
• Ave ese

Ulcerative colitis

Faʻafitauli ma le ulcerative colitis e mafai ona maua ai ni luʻitau.

O le faʻamaʻi masani, lea e aʻafia ai le 1 miliona tagata i le Iunaite Setete, e mafua ai le fulafula ma le papala i le faʻaputuga o lau kolone ma lou tumutumu.

A o faasolo ina leaga le pupuga, o sela e laina i nei eria ua feoti, ma iʻu ai i le puna toto, siama, ma le manava tata.

O le tulaga mafai mafua ai:

• fiva
• anemia
• lelava
• tiga soʻoga
• ua leai se manaʻo
• paʻu pauna
• manua o le paʻu
• faaletonu meaʻai
• tuputupu aʻe le tutupu aʻe o tamaiti

O le mafuaaga tonu o ulcerative colitis e le manino. Toatele le au atamamai e talitonu e afua mai i le le masani ai o le immune system ma le le mafai ona taulima siama i le digestive tract.

Atonu e talosagaina e lau fomaʻi se faʻataʻitaʻiga o le toto, faʻataʻitaʻiga o nofoa, barium enema, ma le colonoscopy. O nei suʻega faʻafomaʻi o le a faʻatagaina ai i latou e faʻamautinoa pe o le ulcerative colitis e mafua ai au faʻailoga poʻo au faʻailoga e mafua mai i se isi tulaga e pei o le Crohn's disease, diverticular disease, poʻo le kanesa.

Ulcerative colitis tatau ona faʻamaoniaina e se meaʻai i le taimi o le colonoscopy.

A faʻapea e te maʻi ile ulcerative colitis, e taua tele lou galulue faʻatasi ma lau auaunaga faʻafomaʻi e fausia se togafitiga togafitiga e mafai ona faʻatonutonu ma puipuia ai osofaʻiga, ina ia mafai ona faʻamalolo e lau kolone.

Talu ai o faʻailoga ma aʻafiaga o le faʻamaʻi e eseese, e leai se togafitiga e tasi e aoga mo tagata uma. Togafitiga masani ona taulaʻi ile:

• meaʻai ma meaʻai lelei
• tulaga popole
• vailaʻau

Meaʻai ma meaʻai lelei

E sili le faʻaumatia laʻititi o meaʻai i le aso atoa. Aloese mai meaʻai masani ma maualuga le fiber pe afai o meaʻai faʻafitauli ia mo oe. Faʻataʻitaʻiga o meaʻai e 'alo i le UC aofia ai:

• nati
• fatu
• pi
• fatu atoa

Meaʻai gaʻoa ma gaʻoa e faʻatupuina foi ile mumu ma le tiga. I se tulaga lautele, saogalemu meaʻai aofia ai:

• maualalo saito fatu
• moa tao, puaa, ma iʻa vela
• fualaʻau / taoina pe faʻapipiina fualaʻau aina ma fualaʻau

O le suluina o le vai i le aso atoa e mafai ona fesoasoani i le faʻaluina o meaai ma fesoasoani e faʻaititia le mumu. Aʻoaʻo atili e uiga i taumafataga e ono fesoasoani i tagata ma UC.

Faʻafitauli pulega

O le popole ma le popolevale e mafai ona faateteleina ai auga. Faʻamalositino ma malologa metotia e fesoasoani ia oe e faʻataʻitaʻia ma faʻaititia ai ou mafatiaga tulaga mafai ona aoga. E aofia ai:

• biofeedback
• fofoa
• mafaufau loloto
• togafitiga

O le a le fesoʻotaʻiga i le va o mafatiaga ma UC flareups?

Vailaau

Lau fomaʻi ono faatonuina fualaʻau e faʻamalosia pe tausisia ai le faʻamagaloina. E ui lava e tele ituaiga o vailaʻau o loʻo i ai, taʻitasi vailaʻau paʻu atu i le fa autu vasega.

Aminosalicylates

O nei vailaʻau o loʻo i ai le 5-aminosalicyclic acid (5-ASA), e fesoasoani e faʻatonutonu ai le fulafula o le tino.

Aminosalicylates mafai ona faʻatautaia:

• tautalaga
• ala i se enema
• i se sapalai

E masani ona latou faigaluega ile 4 ile 6 vaiaso. Ae ui i lea, latou ono mafua ai aʻafiaga, aofia ai:

• niniva
• puaʻi
• momomo fatu
• manava tata
• tiga le ulu

Corticosteroids

Lenei vaega o vailaʻau vailaʻau - aofia ai prednisone, budesonide, methylprednisolone, ma le hydrocortisone - fesoasoani faʻaititia pupuga.

E masani ona faʻaaogaina pe a fai o loʻo e soifua ma feololo i le papala papala, e aofia ai pe a e leʻi tali lelei i fualaʻau 5-ASA.

Corticosteroids mafai ona faʻatautaia tuʻufofoga, faʻaaoga e ala i se enema, poʻo se sapalai. Aafiaga e aofia ai:

• fuafua
• lauulu lauulu
• toto maualuga
• maʻi suka
• mamafa maua
• suiga o lagona
• ponaivi lapopoʻa leiloa
• faateleina lamatiaga o siama

Steroids e fetaui lelei faʻaaogaina luga o se taimi puʻupuʻu faʻavae e faʻaititia ai aʻafiaga o le ulcerative colitis flare-up, nai lo le avea ma vailaʻau i aso uma e faʻatonutonu auga.

Pe a fai o le papala papitis ua sili ona ogaoga, lau fomaʻi ono faatonuina se inumaga i aso uma o vailaʻau e fesoasoani ia te oe e tausisi ai i se masani olaga olaga.

Immunomodulator

O nei vailaʻau, aofia ai azathioprine ma 6-mercapto-purine (6-MP), fesoasoani faʻaititia pupuga o le immune system - e ui lava e mafai ona latou faia i le umi e 6 masina e lelei galue.

Immunomodulator e faʻatonutonu tuʻuina ma masani ona faʻaaogaina pe a fai e te le tali lelei i le tuʻufaʻatasia o 5-ASAs ma corticosteroids. Aafiaga ono mafai aofia ai:

• pancreatitis
• hepatitis
• faʻaititia le paʻepaʻe toto sela
• faateleina lamatiaga o siama

Biologics

Nei o se fou vasega vasega o vailaʻau faʻaaogaina o se isi auala i immunomodulator e togafitia ulcerative colitis i tagata e leʻi lelei le tali atu i isi togafitiga.

Biologics e sili atu ona faigata ma faʻatulagaina ni polotini faʻapitoa. E mafai ona tuʻuina atu e ala i le faʻaaogaina o tui poʻo tui. I le taimi nei, e tele vailaʻau faʻamaonia ua fautuaina e le FDA e togafitia ai le ulcerative colitis:

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

Saili atili e uiga i le faʻaaogaina o meaola biologics e togafitia ai feololo ma ogaoga UC.

Taotoga

A faʻapea e leʻi galue isi ituaiga togafitiga, e ono avea oe ma sui tauva mo taʻotoga.

Nisi tagata ma UC mulimuli ane filifili e aveʻese a latou kolone o se faʻaiuga o le ogaoga o le tafetoto ma maʻi - pe o le mauaina o le faʻateleina lamatiaga mo kanesa.

E fa ituaiga taotoga o iai:

• toe faʻaleleia proctocolectomy ma ileal pouch-anal anastomosis
• aofaʻi colectomy manava ma ileorectal anastomosis
• aofaʻi colectomy manava ma iuga ileostomy
• aofaʻi proctocolectomy ma iʻuga ileostomy

A faʻapea e te maua i le papala papala, aloese mai vailaʻau e le faʻaaoga e teteʻe ai i le mafaufau (NSAIDs), e ono atili ai ona leaga faʻailoga.

Talanoa ma lau fomaʻi e fausia se togafiti togafiti e sili ona faʻalagolago i lau soifua maloloina manaʻomia.

Faʻapea foi, ona o le faʻateleina o le aʻafia o le kanesa e fesoʻotaʻi ma ulcerative colitis, faʻatulaga se suʻega taʻitasi tausaga taʻitasi pe taʻitasi 2 tausaga, i le fautuaga a lau fomaʻi.

Faatasi ai ma le auala saʻo, e mafai ai ona puleaina lou ulcerative colitis ma ola i se olaga masani.

O le a le mea e tupu pe a fai e te le sailia togafitiga mo UC?

Ave ese

Ulcerative colitis mafai ona luitauina e togafitia. E ui i lea, e tele togafitiga eseese o loʻo avanoa.

Talanoa ma lau fomaʻi e uiga i au faʻailoga. Faʻatasi e mafai ona e atiaʻe se togafitiga togafitiga e sili ona fetaui mo oe.