Mene ne ake nufi da samun gafara daga cutar Crohn ko ulcerative colitis? Ga mafi yawan marasa lafiya da cututtukan zuciya (IBD) , da likitocinsu, samun gafara ita ce manufa ta farko da magani. Za a iya samun fansa bayan magani tare da magunguna ko kuma bayan da tiyata. A wasu lokuta, zai iya faruwa da sauri, amma ga wasu, yana iya ɗaukar karin lokaci da gwagwarmayar gwaji tare da ɗaya ko fiye da kwayoyi da / ko tiyata.
Bisa ga tsarin Crohn da Colitis Foundation na Amurka, a lokacin da ake ciki, kimanin kashi 50 cikin 100 na mutanen da ke fama da cutar Crohn zai kasance a cikin gyare-gyare ko kuma suna fama da rashin lafiya kuma kimanin kashi 48 cikin dari na mutanen da ke fama da ciwon ciki zai kasance a cikin gafara.
Amincewa da Gyara
Kalmar remission yana nufin abubuwa daban-daban ga mutane daban-daban, ciki har da marasa lafiya da likitoci. Wannan na iya gabatar da matsala a lokacin da yake magana game da abin da gyaran yake nufi da kuma yadda za'a iya cimma. Shekaru da yawa, marasa lafiya sunyi la'akari da cewa idan akwai 'yan ko kaɗan babu alamun IBD . Wannan yana nufin cewa bayyanar cututtuka irin su ciwo na ciki , cututtuka, ko jini mai ƙaran jini an rage ko kuma ya ƙare.
Kamar yadda karin bayani game da IBD, duk da haka, ana ƙara fahimtar cewa gyarawa shine mafi mahimmanci ra'ayi fiye da ragowar alamun bayyanar. Ga marasa lafiya, samun kula da bayyanar cututtuka zai zama muhimmiyar mahimmanci wajen inganta rayuwar rayuwar dan gajeren lokaci.
Duk da haka, za'a iya samun wasu matakai har yanzu tare da IBD duk da cewa wasu bayyanar cututtuka, ko ma duk bayyanar cututtuka, sun tafi. Wasu marasa lafiya zasu iya samun ƙunawar IBD ko da yake sun ji daɗi. Kumburi alamace ce ta IBD wanda ke da damar haifar da rikitarwa mafi tsanani.
Daban-daban iri-iri
Marasa lafiya na iya kara koyo game da IBD ta hanyar tattaunawa game da gafara tare da gastroenterologist . Babu yarjejeniya a kan ainihin ma'anar remission a IBD. Akwai duk da haka, kayan aiki masu yawa waɗanda likitoci zasu iya amfani dasu don sanin idan mai haƙuri ya sami gafara. Masana gastroenterologists daban-daban da kuma cibiyoyi na IBD zasu yi amfani da ka'idojin da suka samo mafi dacewa, wanda ke nufin yana da wuyar yin kwatanta.
Wasu daga cikin nau'o'in gyarawa sun hada da:
- Mursaran Biochemical: Laboratory gwaje-gwaje da aka yi a kan jini ko stool ba nuna wani alamomin alama na IBD.
- Gwaji na asibiti: Lokacin da alamu na IBD sun ragu har zuwa maƙasudin cewa sun kasance mafi yawa basu halarta ko sun tafi ba.
- Ƙarsar endoscopic : Ba a taɓa ganin kumburi a lokacin gwajin inda likitan zai iya ganin rufin da ke cikin kwayar halitta, irin su colonoscopy ko sigmoidoscopy .
- Maganin tarihin tarihi: Irin wannan gyare-gyaren ya ƙunshi dukkanin endoscopic da gyaran asibiti. Lokacin da aka dauki biopsies da kuma bincika, alal misali a yayin da aka samo asali, ba a nuna kumburi ba.
- Moriyar haɓaka: Hoto zai iya kawo lokacin jinkirta ga wasu mutane tare da IBD, lokacin da ya haifar da kadan ko ba kumburi ko bayyanar cututtuka ba.
Dalilin da ya sa Gudun Gwajiyya ba zai isa ba
Magungunan asibiti yana da mahimmanci ga marasa lafiya domin yana nufin jin dadi. Abubuwan da ke nunawa na IBD wanda zai iya zama matsala da kuma haifar da marasa lafiya waɗanda ba su iya yin amfani da su ba ko kuma suna zuwa aiki ko makaranta sun fi yawa ko kuma ba su halarta ba. Koda ga wasu likitoci, wannan zai iya zama abin da ya dace da magani, amma ana ƙara fahimtar cewa gyarawa ya kamata ya hada da magungunan bayyanar cututtuka. Samun abin da ake kira "zurfi" gafara yanzu shine burin.
Dalilin haka shi ne cewa ko da a lokacin da yake cikin gyaran asibiti da kuma tafiya game da rayuwa kamar al'ada, IBD zai iya ci gaba da haifar da ƙonewa a fili.
Nazarin ya nuna cewa a ko'ina a tsakanin 30% da 45% na marasa lafiya da cututtukan da ke cikin asibiti wanda ke cikin ƙwaƙwalwar ƙwayar cuta suna da kumburi da za a iya samu a lokacin endoscopy. Matsalar wannan ita ce ƙin ƙonewa yana sa haƙuri a ƙarin haɗari ga wasu matakai mara kyau. Wannan ƙonewa na hade yana hade da sake dawowa da cututtukan ulcerative colitis, haɗari mafi girma na ciwon tiyata, da kuma matsalolin da ke da dogon lokaci irin su kara yawan ciwon ciwon ciwon ciwon daji .
Me Yaya Akwai Har yanzu Kumburi?
Samun kadan ko babu alamar cututtuka na da kyau ga marasa lafiya, amma samun gafara mai zurfi wanda ya haɗa da kulawa da ƙumburi yana da mahimmanci ga lafiyar lokaci. Lokacin da akwai ciwon kumburi a cikin tsarin narkewa, za'a iya buƙatar daban-daban irin magani. Yin aiki tare da likitan gastroenterologist don sanin abin da magani zai iya buƙata gaba da ba kawai ci gaba da remission na asibiti amma kuma kawo karshen remission endoscopic muhimmanci. Wasu marasa lafiya zasu iya jin cewa bai isa ba a samu bayyanar cutar ta IBD, amma burin magani ya kamata kuma cewa ƙonewa ya tafi. Akwai karin damar samun kyakkyawar sakamako mai tsawo daga IBD lokacin da endoscopy da biopsy ya nuna cewa babu wani ƙananan ƙumburi a cikin tsarin narkewa .
Kalma Daga
Yayinda likitoci da masana kimiyya suka fahimci abin da ke faruwa a cikin tsarin kwayar halitta na mutane tare da IBD, ma'anar wasu kalmomin suna canzawa. Amsawa ɗaya ne kawai, saboda yana amfani da rashin alamar bayyanar cututtuka, amma yanzu yana nufin maimaitawa. A gaskiya ma, an riga an raba gafara a cikin ƙananan ƙananan sassa. Yayinda masana kimiyya na IBD ba dole ba ne duk sun yarda game da ɗaya ma'anar abin da remission yake, an yarda da cewa remission na asibiti bai isa ga marasa lafiya ba. Mutane da ke tare da IBD ba wai kawai suna buƙatar alamun bayyanar su ba, amma kuma ƙin da Hakan ya haifar, don rage hadarin matsaloli daban-daban. Masu lafiya suna da basira game da IBD kuma suna iya godiya da nuances daban-daban na remission da kuma yadda za a cimma gafarar endoscopic wanda zai haifar da kyakkyawan sakamako.
> Sources:
> Ƙungiyar Crohn da kuma Colitis Foundation na Amurka. "Facts game da cututtuka na Inflammatory Bowels." CCFA.org. 1 Mayu 2011.
> AC Mos. "Rashin ƙwaƙwalwar ƙwayar cuta da ƙwayar cuta a cikin Gyara." Gastroenterol Hepatol (NY) . 2014 Mar; 10: 181-183.
> Pineton de Chambrun G, Blanc P, Peyrin-Biroulet L. "Shaidu na yanzu da ke taimakawa wajen warkar da maganin mucosal da kuma gafara mai zurfi a matsayin magunguna masu mahimmanci ga cutar cututtuka." Gwani Rev Gastroenterol Hepatol . 2016 Aug 10: 915-927.
> Reinink AR, Lee TC, Higgins PD. "Endoscopic Mucosal Healing Predicts Babban sakamako na asibiti a cikin ƙwaƙwalwar ƙwaƙwalwar ƙwayoyi cuta: Meta-bincike." Flamm Bowel Dis . 2016 Aug 22: 1859-1869.
> Zallot C, Peyrin-Biroulet L. "Raguwa mai zurfi a cututtukan zuciya mai ciwon jini: kallon bayan bayyanar cututtuka." Curr Gastroenterol Rep . 2013 Mar; 15: 315.