Aiki na Kwararrun Ƙwararru na IBD, Arthritis Yana Shafar Wani Yara 25% Daga Marasa lafiya
Ƙwayar cututtuka na inflammatory (IBD) tana hade da wasu yanayi dabam dabam, ciki har da cutar hanta na farko sclerosing cholangitis , fissures , fistulas , da kuma arthritis. Arthritis shine mafi yawan cututtuka wanda ya fi dacewa, wanda ya shafi kimanin kashi 25% na marasa lafiya IBD. Abubuwa biyu na cututtukan arthritis da marasa lafiya na IBD ke fuskanta sune maganin arthritis da kuma maganin arthritis.
Saboda cututtukan arthritis yana da yawa, yana da muhimmanci ga mutanen da ke da IBD don su kula da matsaloli da baƙin ciki. Duk da yake wani mummunar zafi zai kasance na hali, ya kamata a ci gaba da yin aiki tare da likitoci. Tsayawa da gidajen lafiya lafiya da kuma guje wa ayyukan da ke lalata, da kuma zama a kan kowane matsala idan sun yi girma, yana da mahimmanci. Idan jin zafi ya zama damuwa, ya kamata a yi magana da wani mai ilimin gastroenterologist ko likitan jini kafin ya fara duk wani magungunan magani, saboda mutanen dake da IBD na iya buƙata su guje wa wasu magungunan (musamman NSAIDs, duba tattaunawa a kasa).
Kwayar cututtukan Arthritis
Magungunan farfadowa na al'ada shi ne yafi kowa a cikin mutane tare da cututtuka ko cutar Crohn na mallaka . Daga nau'o'in wariyar launin fata da ke shafi mutane tare da IBD, an kiyasta cewa kashi 60% zuwa 70% na cututtuka ne. Yawanci, tafarkin maganin wariyar launin fata ya bi abin da IBD yayi, tare da fure-fuka da kuma gafara ta haɗuwa.
Babu gwaji guda daya wanda zai iya gano asalin jikin mutum. Maimakon haka, yawancin gwaje-gwajen, irin su gwaje-gwaje na jini, nazarin ruwa mai kwakwalwa , da hasken rana , ana amfani da su don ware wasu yanayi waɗanda zasu iya haifar da alamar bayyanar.
Kwayoyin cututtukan cututtuka na ciki sun hada da:
- Haɗin gwiwa
- Kusawa daga gidajen
- Stiffness a cikin guda ɗaya ko fiye
- Kwayar cututtuka da ke ƙaura a tsakanin ɗakunan
Kwayar maganin ƙwararren ƙwayar cuta yana kula da kullun, wuyan hannu, gwiwa, da kuma idon. Lokacin da za a rage jin zafi daga cututtuka na jiki wanda ba shi da kyau, zai iya wucewa daga kwanaki da yawa zuwa makonni; Duk da haka, ba a samo yawancin lalacewa ba tukuna.
Yin maganin cututtuka na jiki yakan ƙunshi hadayun raɗaɗi masu raɗaɗi tare da ƙuƙwalwa da kuma ruwan zafi mai ma'ana. Ayyukan da aka tsara ta hanyar kwantar da hankalin jiki na amfani da su don inganta yawancin motsi. Kwayoyin anti-inflammatory mai cututtuka (NSAIDs) ana amfani da su a wasu lokutan don rage redness, busawa, da kuma ciwo na ɗakunan flamed - amma NSAIDs na iya kara yawan bayyanar da ake ciki na IBD .
Wani hanyar da za a magance wannan nau'in maganin ƙwaro ne don samun iko akan ƙonewa a cikin sashin saboda IBD. Kwayoyin cututtukan arthritis zai rage yawancin lokacin da IBD ya kasance mai ƙaura, kuma yawancin kwayoyi da ake amfani dashi don biyan IBD zai iya zama taimako ga cututtukan cututtuka. Masu haƙuri na IBD da ake bi da su tare da prednisone sau da yawa sukan sami sakamako mai kyau daga farfadowa daga haɗin gwiwa. Magunguna masu samun kwayoyin necrosis factor-alpha (anti-TNF), irin su Remicade (infliximab) ko Humira (adalimumab) , don biyan bukatun su na IBD na iya samun cigaba a cikin bayyanar cututtukan arthritis.
Azulfidine (sulfasalazine) , wata likita 5-Aminosalicylate wanda aka yi amfani da ita don yin amfani da IBD, na iya bayar da taimako ga alama duk da cewa babu shaidar da yawa don tallafawa amfani. Wani miyagun ƙwayoyi waɗanda aka umurce su don magance IBD, methotrexate , na iya kasancewa magani mai mahimmanci don ciwon maganin ƙwararru.
Arthritis Axial (Spondyloarthropathy)
A lokuta na arthritis na fata, alamun bayyanar zai iya bayyana watanni ko shekaru kafin farkon IBD. Kwayoyin cututtuka sun hada da ciwo da haushi a cikin haɗin mahaɗin kashin da ke cikin mummunar safiya, amma zai inganta tare da aikin jiki. Ayyukan arthritis masu aiki suna shafar matasa da yawa kuma suna cigaba da ci gaba a marasa lafiya wadanda suka fi 40.
Maganin arthritis na iya haifar da haɗuwa da kasusuwa na shafi na vertebral. Wannan wahala na har abada zai iya haifar da raguwa a madadin motsi a cikin baya da kuma iyakancewar haɗarin riba wanda ya sace ikon yin amfani da numfashi mai zurfi.
Manufar magani don maganin arthritis shine don kara yawan motsin motsi. Jiki na jiki, ta yin amfani da layi da ƙaddamarwa da kuma yin amfani da zafi mai zafi a baya, su ne nau'i biyu na magani. Wasu marasa lafiya suna amfani da magani tare da NSAIDs.
Yin maganin IBD ba shi da tasiri a kan irin wannan cututtuka na arthritis; Duk da haka, magungunan TNF da Azulfidine na iya amfani da su wajen rage alamun bayyanar.
Ankylosing Spondylitis
Ankylosing spondylitis (AS) wani nau'i na amosanin gabbai inda zane-zane a cikin kashin baya da ƙananan kwari ya zama ƙura. AS tana kula da cutar wadanda ke fama da cutar Crohn sau da yawa fiye da wadanda ke da ciwon hauka, kuma maza sau da yawa fiye da mata. Ana la'akari da la'akari da la'akari da ita saboda kawai yana rinjayar kimanin kashi 1% zuwa 6% na waɗanda ke tare da IBD. Har ila yau za'a iya zama wani nau'i na kwayoyin halitta zuwa AS, amma abin da ya sa wannan nau'in maganin wariyar launin fata ba a sani ba.
Yawancin AS yana yawan haɗuwa da sassauci a cikin kashin baya. Jiyya ya haɗa da kulawa da ciwo da kuma gyara don kula da sassin spine. Remicade da Humira sun yarda don magance duka IBD da AS, kuma yana iya zama tasiri a zalunta duka yanayi a lokaci guda. Azulfidine zai iya taimakawa wajen rage alamar cututtuka, musamman ma da tsakar rana. Wasu nazarin sun nuna matakan da za su taimaka wa AS, yayin da wasu ba su nuna amfana ba; Mahimmanci ana amfani dasu don bi da AS a hade tare da wasu kwayoyi. Duk da haka, har ma da farfadowa, wasu mutane tare da AS har yanzu suna nuna alama, kuma kasusuwa na kashin baya na iya haɗuwa tare.
Sources:
Bourikas LA, Papadakis KA. "Maganin Musculoskeletal na Ciwon Marau Mai Farin Ciki." In ji Bowel Dis 2009; 1915-1924. 21 Jan 2016.
Chen J, Liu C. "Sulfasalazine don tsinkayar sparkylitis." Cochrane Database of Review System 2005: CD004800. 21 Jan 2016.
Kaufman I, Caspi D, Yeshurun D, Dotan I, Yaron M, Elkayam O. "Sakamakon sakamako akan cututtuka na cututtukan Crohn." Rheumatol Int Aug 2005; 25: 406-10. Afub 2004 Aug 12. 21 Jan 2016.
Orchard TR. "Gudanar da Arthritis a cikin marasa lafiya tare da Inflammatory Bowel cuta." Gastroenterol Hepatol (NY) . 2012 Mayu; 8: 327-329. 21 Jan 2016.
Peluso R, Atteno M, Iervolino S, et al. "Methotrexate a maganin cututtuka na jiki a cikin cututtuka." Rheumatismo 2009 Jan-Mar; 61: 15-20. 21 Jan 2016.
van der Heijde D, Dijkmans B, Geusens P, et al. "Ƙarfafawa da aminci ga marasa lafiya a cikin marasa lafiya tare da spondylitis ankylosing: Sakamakon gwajin gwagwarmaya, wanda aka sanya shi a cikin tsari (ASSERT)." Arthritis & Rheumatism Feb 2005; 52: 582-591. 21 Jan 2016.
Yüksel I, Hada H, Başar O, Köklü S, et al. "Ciwon Arthritis a cikin Kwayoyin Flammatory Bowels." Dig Dig Sci 11 Mayu 2010. 21 Jan 2016.