Kev mob caj dab

Ulcerative colitis yog ib qho mob uas ua rau lub plab hnyuv loj (qhov hnyuv) thiab lub qhov quav tau mob. Nws yog ib hom mob rwj plab hnyuv (IBD). Kab mob Crohn yog ib yam mob uas cuam tshuam.

Cov teeb meem ua kom mob ncauj plab tsis paub meej. Cov neeg muaj tus mob no muaj teeb meem nrog lub cev tiv thaiv kab mob. Txawm li cas los xij, nws tsis paub meej meej yog tias cov kabmob tiv thaiv kab mob ua rau muaj mob. Kev ntxhov siab thiab qee yam zaub mov tuaj yeem ua rau cov tsos mob tshwm sim, tab sis lawv tsis ua rau mob plab hlaub.

Mob caj dab ua paug tuaj yeem cuam tshuam rau qee pawg hnub nyoog. Muaj cov peaks thaum muaj hnub nyoog 15 txog 30 thiab tom qab ntawd dua thaum hnub nyoog 50 txog 70 xyoo.

Tus kab mob pib tshwm sim hauv lub qhov quav. Nws yuav nyob hauv qhov quav los yog kis rau thaj tsam siab ntawm lub plab hnyuv loj. Txawm li cas los xij, tus kabmob tsis hla thaj chaw. Tej zaum nws yuav muaj txoj hnyuv tag nrho lub sijhawm.

Tej yam txaus ntshai muaj xws li tsev neeg keeb kwm ntawm mob caj dab los yog lwm yam kab mob autoimmune, lossis caj ces neeg Yudais.

Cov tsos mob tuaj yeem ua ntau dua lossis tsawg dua. Lawv yuav pib maj mam lossis sai sai. Ib nrab ntawm tib neeg tsuas muaj mob tshwm sim me me. Lwm tus neeg muaj ntau qhov kev tawm tsam hnyav uas tshwm sim ntau zaus. Ntau yam tuaj yeem ua rau muaj kev tawm tsam.

Cov tsos mob tuaj yeem suav nrog:

• Mob hauv plab (thaj tsam hauv plab) thiab mob plab.
• Lub suab gurgling los yog kev nrov nrov uas tau hnov ​​dhau txoj hnyuv.
• Ntshav thiab muaj kua paug hauv cov quav.
• Qhov raws plab, los ntawm qee qhov xwm txheej mus rau feem ntau.
• Ua npaws.
• Xav tias koj yuav tsum tau tso quav, tab txawm tias koj qhov quav tawm tas. Tej zaum nws yuav cuam tshuam nrog txhaws qhov mob, qhov mob, thiab kev mob plab (tenesmus).
• Lub cev yuag.

Menyuam txoj kev loj hlob qeeb.

Lwm cov tsos mob uas yuav tshwm sim nrog kev mob ua paug nrog plab yog:

• Mob pob qij txha thiab o
• Mob ncauj tawm (mob txhab)
• Xeev siab thiab ntuav
• Daim tawv nqaij mob lossis mob txhab

Mob hnyuv nrog txoj kev siv xyoob ntoo feem ntau siv rau kev kuaj mob ua paug plab. Kev kuaj mob hnyuv kuj tseem siv los kuaj xyuas tus neeg muaj mob txha caj qaum ua rau mob plab hnyuv plab.

Lwm yam kev ntsuas uas yuav ua tau los pab ntsuas tus mob no suav nrog:

• Barium enema
• Ua kom tiav cov ntshav suav (CBC)
• C-nti protein (CRP)
• Erythrocyte tus nqi txo qis (ESR)
• Quav calprotectin lossis lactoferrin
• Tshuaj tua kab mob los ntawm cov ntshav

Qee zaum, kev kuaj mob ntawm txoj hnyuv yog qhov xav tau kom paub qhov txawv ntawm qhov ua mob kiav txhab thiab Crohn tus kab mob, suav nrog:

• Iav scan
• MRI
• Upper endoscopy lossis tshuaj ntsiav kev kawm
• MR enterography

Lub hom phiaj ntawm kev kho mob yog:

• Tswj tawm tsam mob huam tuaj
• Tiv thaiv kev hem ntau zaus
• Pab txoj hnyuv zoo

Thaum muaj mob hnyav, koj yuav tau raug coj mus kho hauv tsev kho mob vim muaj kev raug mob hnyav. Koj tus kws kho mob tuaj yeem sau corticosteroids. Koj tuaj yeem yuav tau txais khoom noj haus los ntawm txoj hlab ntshav (IV kab).

TUAG THIAB TSIS NTSUAG

Qee yam khoom noj uas yuav ua rau kom mob raws plab thiab cov pa ua pa. Qhov teeb meem no yuav hnyav heev lub sijhawm muaj tus kab mob nquag ua haujlwm. Cov lus qhia txog khoom noj muaj xws li:

• Noj zaub mov me me kom thawm hnub.
• Haus dej kom ntau (haus me me rau ib hnub).
• Zam cov khoom noj muaj fiber ntau (pob kws, taum, noob txiv, noob, thiab paj kws).
• Tsis txhob noj cov rog, roj lossis kib thiab kua ntses (butter, roj qab rog, thiab qab zib).
• Txwv cov khoom siv mis nyuj yog tias koj tsis haus lactose. Cov khoom noj siv mis yog qhov zoo ntawm cov protein thiab calcium.

ZAJ

Koj tuaj yeem xav txhawj xeeb, txaj muag, lossis tseem nyuaj siab lossis nyuaj siab txog qhov muaj mob hauv plab hnyuv. Lwm yam kev ntxhov siab hauv koj lub neej, xws li tsiv chaw, lossis poob haujlwm lossis ib tus neeg hlub yuav ua rau mob plab zom mov.

Nug koj tus kws kho mob rau cov lus qhia txog kev yuav tswj hwm koj cov kev ntxhov siab.

COV TSHUAJ KHO MOB

Cov tshuaj uas tuaj yeem siv los txo qis kev tawm tsam suav nrog:

• 5-aminosalicylates xws li mesalamine lossis sulfasalazine, uas tuaj yeem pab tswj cov tsos mob me ntsis. Qee hom tshuaj no tshwm sim los ntawm qhov ncauj. Lwm tus yuav tsum muab tso rau hauv lub qhov quav.
• Tshuaj noj ntsiag to tiv thaiv kab mob.
• Corticosteroids xws li prednisone. Lawv tuaj yeem noj ntawm qhov ncauj thaum lub sijhawm tawg lossis tso rau hauv lub qhov quav.
• Immunomodulators, tshuaj noj ntawm qhov ncauj uas cuam tshuam rau lub cev tsis muaj zog, xws li azathioprine thiab 6-MP.
• Kev siv tshuaj lom, yog tias koj tsis teb rau lwm yam tshuaj.
• Acetaminophen (Tylenol) tuaj yeem pab txo qhov mob me. Tsis txhob siv tshuaj xws li tshuaj aspirin, ibuprofen (Advil, Motrin), lossis naproxen (Aleve, Naprosyn). Cov no tuaj yeem ua rau koj cov tsos mob hnyav ntxiv.

NTU

Kev phais mob kom tshem tawm cov nyuv yuav kho tus mob ulcerative thiab tshem tawm kev hem thawj ntawm txoj hnyuv. Koj yuav tsum tau phais yog tias koj muaj:

• Colitis tsis teb rau kev kho mob tiav
• Cov kev hloov pauv nyob rau sab hauv lub nruab nrab ntawm txoj hnyuv uas qhia tias yuav ua rau muaj feem ntau mob qog nqaij hlav cancer
• Cov teeb meem loj, xws li kev sib tawg ntawm txoj hnyuv, los ntshav, lossis lom megacolon

Feem ntau, tag nrho txoj hnyuv, nrog rau lub qhov quav, raug tshem tawm. Tom qab phais tas, koj yuav muaj:

• Qhov qhib hauv koj lub plab hu ua stoma (ileostomy). Cov quav yuav tso tawm los ntawm qhov qhib.
• Tus txheej txheem uas txuas cov hnyuv mus rau qhov quav kom tau tso quav ntau dua qub.

Kev txhawb nqa tib neeg feem ntau tuaj yeem pab nrog kev ntxhov siab los ntawm kev muaj mob, thiab cov pab pawg txhawb nqa kuj tseem muaj cov lus qhia tseem ceeb rau kev nrhiav kev kho mob zoo tshaj plaws thiab daws qhov mob.

Crohn's thiab Colitis Foundation ntawm Asmeskas (CCFA) muaj cov ntaub ntawv thiab kev sib txuas rau cov pab pawg.

Cov tsos mob yuav mob sib khuav hauv li ib nrab ntawm cov neeg uas mob raws plab. Cov tsos mob hnyav dua tsis tshua hnov ​​zoo rau tshuaj.

Txoj kev kho tau tsuas yog ua tau los ntawm kev ua tiav ntawm txoj hnyuv loj.

Txoj kev pheej hmoo rau mob qog noj ntshav hnyuv nce ntxiv hauv ib xyoo caum tom qab kuaj pom muaj mob ua paug.

Koj muaj feem ntau ua mob hnyuv thiab nyuv mob cancer yog tias koj mob plab ua paug. Hauv qee kis, koj tus kws kho mob yuav pom zoo kom kuaj xyuas kab mob hnyuv loj.

Cov kev tshwm sim hnyav dua uas rov tshwm sim dua tuaj yeem ua rau cov phab ntsa ntawm cov hnyuv tau ua, ua rau:

• Nyuv nqaim lossis txhaws (feem ntau muaj nyob hauv Crohn tus kab mob)
• Lub sijhawm muaj ntshav ntau dhau
• Kev kis mob hnyav
• Dheev dav dav (tso tawm) ntawm txoj hnyuv loj li ntawm ib mus rau ob peb hnub (lom megacolon)
• Kua muag los yog qhov (perforation) hauv txoj hnyuv
• Plawv tsis txaus, ntshav tsawg suav

Cov teeb meem nqus cov khoom noj muaj txiaj ntsig tuaj yeem ua rau:

• Thinning ntawm cov pob txha (osteoporosis)
• Cov teeb meem tswj lub cev nyhav
• Kev loj hlob qeeb thiab kev loj hlob ntawm menyuam yaus
• Kev ntsuas ntshav lossis ntshav qis

Tsawg dua cov teeb meem uas yuav tshwm sim suav nrog:

• Hom mob uas cuam tshuam rau cov pob txha thiab pob qij txha ntawm lub hauv paus ntawm tus txha nqaj qaum, qhov twg nws txuas nrog pelvis (ankylosing spondylitis)
• Mob siab
• Kev sib tw, lub pob liab liab (hnoos qeev) hauv qab ntawm daim tawv nqaij, uas tuaj yeem hloov mus rau qhov tawv nqaij ua paug
• Mob los yog o rau hauv lub qhov muag

Hu rau koj tus kws khomob yog:

• Koj pib mob plab, ua kom tawm los lossis muaj ntshav tawm hauv lub cev, ua npaws tsis ploj, lossis lwm yam tsos mob ua mob plab
• Koj muaj mob kiav txhab thiab koj cov tsos mob mob heev dua los sis tsis zoo nrog kev kho
• Koj tsim cov tsos mob tshiab

Tsis muaj kev paub txog kev tiv thaiv tus mob no.

Cov mob ntawm txoj hnyuv - ulcerative colitis; IBD - mob plab ua paug; Mob caj dab; Raug mob pob zeb; Ulcerative proctitis

• Bland kev noj haus
• Hloov koj lub hnab ostomy
• Raws plab - yuav tau nug koj tus kws kho mob - neeg laus
• Ileostomy thiab koj tus menyuam
• Ileostomy thiab koj li kev noj haus
• Ileostomy - tu koj lub plab
• Ileostomy - hloov koj lub hnab
• Ileostomy - tawm mus
• Ileostomy - dab tsi yuav nug koj tus kws kho mob
• Loj lub plab hnyuv rov qab - tso tawm
• Nyob nrog koj ileostomy
• Kev noj haus muaj fiber ntau
• Tag nrho colectomy lossis proctocolectomy - tshem tawm
• Hom ntawm ileostomy
• Ulcerative mob plab - paug

• Kev kuaj mob hnyuv
• Lub plab zom mov
• Kev mob caj dab

Goldblum JR, Kev quav loj. Hauv: Goldblum JR, Teeb Yuav LW, McKenney JK, Myers JL, eds. Rosai thiab Ackerman's phais Neeg Kho Mob. 11th ed. Philadelphia, PA: Elsevier; 2018: chap 17.

Mowat C, Cole A, Windsor A, li al. Cov Lus Qhia rau kev tswj hwm tus mob hnyuv laus hauv cov neeg laus. Plab. 2011; 60 (5): 571-607. PMID: 21464096 pubmed.ncbi.nlm.nih.gov/21464096/.

Rubin DT, Ananthakrishnan AN, Siegel CA, Sauer BG, MD Ntev. ACG cov lus qhia soj ntsuam: mob ncauj plab mob hauv cov neeg laus. Am J Gastroenterol. 2019: 114 (3): 384-413. PMID: 30840605 pubmed.ncbi.nlm.nih.gov/30840605/.

Ungaro R, Mehandru S, Allen PB, Peyrin-Biroulet L, Colombel JF. Kev mob caj dab. Kev Looj Mem. 2017; 389 (10080): 1756-1770. PMID: 27914657 pubmed.ncbi.nlm.nih.gov/27914657/.