Calool xanuun - dheecaan

Waxaad ku jirtay isbitaalka si aad udaaweyso ulcerative colitis. Kani waa barar (caabuq) xuubka gudaha xiidankaaga iyo malawadka (sidoo kale loo yaqaanno xiidmahaaga weyn). Maqaalkani wuxuu kuu sheegayaa sida loo daryeelo naftaada markii aad ku noqoto gurigaaga.

Waxaad ku jirtay isbitaalka maxaa yeelay waxaad qabtaa ulcerative colitis. Kani waa barar ku dhaca xuubka hoose ee xiidankaaga iyo malawadka (sidoo kale loo yaqaanno xiidmahaaga weyn). Waxay dhaawacdaa dahaadhka, taasoo keenta inuu dhiig baxo ama dheecaan ka dareemo xabka ama malax.

Waxaa laga yaabaa inaad dareere ku heshay tubada xididka (IV) ee xididkaaga. Waxaa laga yaabaa in lagugu shubay dhiig, nafaqada tubbada quudinta ama IV, iyo daawooyin kaa caawinaya joojinta shubanka. Waxaa laga yaabaa in lagu siiyay daawooyin si loo yareeyo bararka, looga hortago ama loola dagaallamo infekshinka, ama looga caawiyo habka difaaca jirka.

Waxaa laga yaabaa inaad soo martay baarista walamadka. Waxa kale oo laga yaabaa inaad qalliin ku gashay. Hadday saas tahay, waxaa laga yaabaa inaad yeelatay mid ka mid ah ileostomy ama mindhicirka ka goynta (colectomy).

Dadka badankood waxay yeelan doonaan nasashooyin dhaadheer inta udhaxeysa nabarrada ku dhaca ulcerica haddii ay qaataan daawooyinka loo qoray.

Marka ugu horeysa ee aad aado gurigaaga, waxaad ubaahantahay inaad cabto oo keliya cabitaano ama aad cuntid cuntooyin ka duwan wixii aad caadiyan cuni jirtay. Weydii bixiyaha xanaanada caafimaadkaaga goorta aad bilaabi karto cuntadaada caadiga ah. Waa inaad cuntaa cunto isku dheelitiran oo caafimaad leh. Waxaa muhiim ah inaad kaloriyo ku filan, borotiin, iyo nafaqooyin ka hesho noocyada kala duwan ee kooxaha cuntada.

Cunnooyinka qaarkood iyo cabitaanada ayaa ka sii dari kara astaamahaaga. Cunnooyinkaan ayaa laga yaabaa inay dhibaato kuu keenaan adiga waqtiga oo dhan ama keliya inta ay ololuhu socdaan. Ka fogow cuntooyinka kaaga sii daraya astaamahaaga.

• Fibre aad u badan ayaa laga yaabaa inay calaamadahaaga ka sii daraan. Isku day dubista ama fuudista miraha iyo khudaarta haddii cunitaankooda ay ceyriin ku dhibayaan.
• Ka fogow cuntooyinka la og yahay inay keenaan gaaska, sida digirta, cuntada basbaaska leh, kaabajka, broccoli, kaabullaha, casiirka khudradda ceyriinka ah, iyo khudradda (gaar ahaan liinta). Ka fogow ama xaddid khamriga iyo kafeega. Waxay ka sii dari karaan shubankaaga.

Cun cuntooyin yar-yar, oo inbadan cun. Cab cabitaanno fara badan.

Weydii adeeg bixiyahaaga fiitamiinno iyo macdano dheeraad ah oo aad u baahan karto, oo ay ka mid yihiin:

• Kaabisyada birta (haddii dhiig-yaraantu ku hayso)
• Kordhinta nafaqada
• Kaalshiyamka iyo fiitamiin D-ga oo ka caawiya lafahaaga inay xoog yeeshaan

La hadal cunto yaqaanka, gaar ahaan haddii miisaankaagu yaraado ama cuntadaadu noqoto mid aad u xaddidan.

Waxaad dareemi kartaa welwel ku saabsan shil mindhicir, xishood, ama xitaa murugo ama niyad jab. Dhacdooyinka kale ee walaaca leh ee noloshaada, sida dhaqaaqista, shaqo la'aanta, ama luminta qof aad jeceshahay, waxay dhibaato ku keeni karaan dheef shiidkaaga.

Tilmaamahan ayaa laga yaabaa inay kaa caawiyaan inaad maareyso xiidmaha caloosha:

• Ku biir koox taageero ah. Weydii adeeg bixiyahaaga wax ku saabsan kooxaha aaggaaga.
• Jimicsi. Kala hadal adeeg bixiyahaaga qorshaha jimicsiga ee adiga kugu habboon.
• Isku day biofeedback si aad u yareeyso murqaha murugada oo aad u yareysid garaaca wadnahaaga, jimicsiyada neefsashada qoto dheer, hypnosis, ama siyaabo kale oo aad ku nasato. Tusaalooyinka waxaa ka mid ah sameynta yoga, dhageysiga muusikada, akhriska, ama ku qubaysashada qubays diiran.
• U tag adeeg bixiyaha daryeelka caafimaadka dhimirka caawimaad.

Bixiyahaaga ayaa ku siin kara xoogaa daawooyin ah oo kaa caawiya yareynta calaamadahaaga. Iyada oo ku saleysan sida uu u daran yahay nabar xanuunka nabarrada leh iyo sida aad uga jawaab celiso daaweynta, waxaad u baahan kartaa inaad qaadato mid ama in ka badan oo ka mid ah daawooyinkan:

• Dawooyinka shuban-biyoodka ayaa kaa caawin kara markaad leedahay shuban aad u xun. Waad iibsan kartaa loperamide (Imodium) iyada oo aan dhakhtar qorin. Had iyo jeer la hadal adeeg bixiyahaaga kahor intaadan isticmaalin daawooyinkan.
• Fibre supplements ayaa kaa caawin kara calaamadahaaga. Waad iibsan kartaa budada psyllium (Metamucil) ama methylcellulose (Citrucel) iyada oo aan dhakhtar qorin.
• Had iyo jeer la hadal adeeg bixiyahaaga ka hor intaadan isticmaalin wax daawooyin caloosha jilciya ah.
• Waxaad u isticmaali kartaa acetaminophen (Tylenol) xanuunka fudud. Daawooyinka sida asbiriin, ibuprofen (Advil, Motrin), ama naproxen (Aleve, Naprosyn) ayaa calaamadahaaga ka sii dari kara. La hadal dhakhtarkaaga intaadan qaadan daawooyinkan. Waxa kale oo laga yaabaa inaad u baahato warqad rijeeto ah oo ku saabsan dawooyinka xanuunka ee adag.

Waxaa jira noocyo badan oo daawooyin ah oo laga yaabo in adeeg bixiyahaagu u adeegsado kahortagga ama daaweynta weerarada ku dhaca nabarrada nabarrada.

Daryeelkaaga socda wuxuu ku salaysnaan doonaa baahiyahaaga. Bixiyahaaga ayaa kuu sheegi doona goorta aad u soo noqoneyso baaritaanka gudaha malawadkaaga iyo xiidanka iyadoo loo marayo tubbo jilicsan (sigmoidoscopy ama colonoscopy).

Wac adeeg bixiyahaaga haddii aad leedahay:

• Maroojis ama xanuun ku dhaca aagga calooshaada hoose
• Shuban dhiig leh, oo badanaa leh xab ama malax
• Shuban aan lagu xakamayn karin isbeddelada cuntada iyo daroogada
• Dhiigbaxa saxarada, dheecaanka, ama nabarrada
• Qandho soconaysa in ka badan 2 ama 3 maalmood, ama qandho ka sarreysa 100.4 ° F (38 ° C) iyada oo aan la helin sharraxaad
• Lalabbo iyo matag soconaya in ka badan maalin
• Nabarrada maqaarka ama nabarrada aan bogsan
• Xanuun wada jir ah oo kaa celinaya inaad qabato howlo maalmeedkaaga
• Dareen ah inaad haysato digniin yar kahor intaadan u baahnayn inaad saxarooto
• Baahida loo qabo in laga tooso hurdada si loo saxaroodo
• Ku guuldareysiga inuu kordho miisaanka, walaaca cunugga sii kordhaya ama cunugga
• Dhibaatooyinka ay keento daawooyinka loo qoro xaaladdaada

Cudurka mindhicirka ee caabuqa - dheecaanka; Cudurka qanjirka 'proctitis' - dheecaanka; Colitis - dheecaan

• Cudurka caloosha ee caabuqa leh

Atallah CI, Efron JE, Fang SH. Maareynta xanuunka loo yaqaan 'ulcerative colitis'. Gudaha: Cameron JL, Cameron AM, eds. Daaweynta Qalliinka ee Hadda. 12aad ed. Philadelphia, PA: Elsevier; 2017: 154-161.

Dassopoulos T, Sultan S, Falck-Ytter YT, Inadomi JM, Hanauer SB. Machadka American Gastroenterological Association Institute dib u eegis farsamo oo ku saabsan isticmaalka thiopurines, methotrexate, iyo anti-tnf-a biologic drugs for induction and dayactirka ka-cafinta cudurrada 'Crohn inflammatory inflammatory'. Gastroenterology. 2013; 145 (6): 1464-1478. PMID: 24267475 www.ncbi.nlm.nih.gov/pubmed/24267475.

Kornbluth A, Sachar DB; Layliska Xuduudaha Gudiga Kuliyada Maraykanka ee Cilmiga Gastroenterology. Tilmaamaha tababarka ku dhaca ulcerative colitis ee dadka qaangaarka ah: Kuleejka Mareykanka ee Cudurka Gastroenterology, Ku Xaddididda Tababbarka Guddiga Am J Gastroenterol. 2010; 105 (3): 501-523. PMID: 20068560 www.ncbi.nlm.nih.gov/pubmed/20068560.

Osterman MT, Lichtenstein GR. Cudurka 'ulcerative colitis'. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 116.

Swaroop PP. Cudurka mindhicirka ee infakshanka: Cudurka Crohn iyo ulcerative colitis. Gudaha: Kellerman RD, Rakel DP, eds. Daaweynta Conn ee hadda 2019. Philadelphia, PA: Elsevier; 2019: 224-230.

• Saxaro madow ama tarry ah
• Baaritaanka kansarka mindhicirka weyn
• Ileostomy
• Qalitaanka mindhicirka oo yar
• Wadarta isku-uruurinta caloosha
• Wadarta proctocolectomy iyo boorsada ilmo-galeenka
• Cudurka 'ulcerative colitis'

• Shuban - maxaa la weydiinayaa dhakhtarkaaga - ilmahaaga
• Shuban - maxaa la weydiinayaa bixiyahaaga daryeelka caafimaadka - qof weyn
• Dhibaatooyinka maareynta nafaqada ee gudaha - carruurta
• Tuubbada quudinta caloosha - caloosha
• Ileostomy iyo ilmahaaga
• Ileostomy iyo cuntadaada
• Ileostomy - daryeelka stoma-gaaga
• Ileostomy - dheecaan
• Tuubbada quudinta Jejunostomy
• La noolaanshaha cirridkaaga
• Cunnooyinka dufanka yar

• Cudurka 'Ulcerative Colitis'