Jiyya ga Flammatory Bowel cuta

Ƙunƙarar ƙuƙwarar ƙwaƙwalwar ƙwayar cuta (IBD)

Kwayoyin cututtuka na inflammatory (IBD) , wanda ya haɗa da cutar Crohn, cututtukan ulcerative colitis, da cututtukan da ba su da tabbacin zuciya, sune cututtuka na yau da kullum na tsarin narkewa. A halin yanzu babu maganin warkar da kowane nau'i na IBD, amma akwai hanyoyin zaɓin lafiya. A nan zamu tattauna zalunar da aka amince da ita don manyan siffofin IBD guda biyu: cutar Crohn da cututtuka. Marasa marasa lafiya wanda aka kiyasta sun hada da kashi 10 cikin dari na marasa lafiya tare da IBD) an ba da izini da aka yarda da su don maganin ulcerative colitis.

> Dubi yadda ulcerative colitis yana rinjayar ciwon.

Akwai magunguna da yawa waɗanda aka yarda don amfani da su a cikin mutanen da ke cikin kwayar cutar Crohn da ciwon cututtuka. Wasu, duk da haka, an yarda su ɗaya ko ɗaya. Drugs suna da hanyoyi daban-daban na aiki da aka ba su, don haka marasa lafiya da masu ilimin gastroenterologists zasu iya aiki tare don samun wani zaɓi wanda ba wai kawai ya kula da alamun su ba, amma ya dace da salon rayuwar mai haƙuri.

• Kasancewa zuwa Kwanan wata a kan Turawa yana da muhimmanci ga mutane tare da IBD

• Mene ne Bambancin tsakanin waɗannan 6 halittu na IBD?

Bishara ita ce, idan wani magani ko kuma irin nau'in maganin ba shi da aikin, akwai sauran kwayoyi a cikin ɗayan, ko kuma a wani ɗayan, wanda za a iya gwada shi gaba. Har ila yau, mafi kyawun labarai shine ana samar da karin magungunan don magance IBD, kuma akwai mafi bege fiye da baya kafin a sami magani wanda yake aiki da kyau don gudanar da bayyanar cutar ta IBD da kuma ƙin IBD.

Hoto kuma hanya ce da za ta bi da IBD, kuma saboda cutar Crohn tare da cututtukan da ke ciki, ana amfani da su daban daban a matsayin magani. Duk da haka, irin tiyata da aka yi amfani da shi zai zama daban-daban bisa ga ko an yi masa maganin cututtukan Crohn ko ulcerative colitis.

Wannan shi ne saboda hanyoyi daban-daban da wadannan cututtuka ke shafar kwayar halitta da kuma yadda tiyata ke inganta bayyanar cututtuka da ingancin rayuwa ga marasa lafiya. Yayinda tunanin yin tiyata yana da damuwa, ana amfani dasu ne kawai bayan an gwada wasu jiyya kuma basu da aiki.

Manufofin IBD Jiyya

Akwai magunguna daban-daban da ake amfani dasu don biyan IBD. Wadannan magunguna suna yawan magana ne game da su, kuma sun hada da maganin rigakafi, kwayoyin halittu, corticosteroids, da immunomodulators. Jiyya tare da magunguna yana da burin guda biyu: don samun haske a karkashin iko da kuma gafara, sannan kuma a ci gaba da gyarawa kuma zai hana ƙari. Ana amfani da wasu magungunan ko dai ɗaya daga waɗannan burin ko wasu, kuma wasu ana amfani da su duka.

Babu wani misali na magani wanda ake amfani dashi ga kowane mutum tare da IBD. Akwai jagororin da wasu asibitoci ke bayarwa, amma magani bai dace da kowa ba. Mahimmancin likita zai bukaci a daidaita su don dacewa da bukatun kowane mai haƙuri.

Duk da haka, ana cewa, yanke shawara game da zaɓin magani yana dogara ne akan hujjojin bincike.

Magunguna na Cutar Crohn

Magunguna don cutar Crohn

Magunguna da ake amfani da su don bi da cutar Crohn sun hada da:

Antibiotics

• Cipro (ciprofloxacin)
• Flagyl (metronidazole)

Immunomodulators

• 6-mercaptopurine (Purinethol, 6-MP)
• Azathioprine (Imuran da Azasan)
• Folex, Rheumatrex (methotrexate)
• Shafin (Tacrolimus)
• Sandimmune, Neoral (cyclosporine A)

Corticosteroids

• Cortenema (hydrocortisone)
• Deltasone ( prednisone )
• Shigarwa (budesonide)
• Medrol (methylprednisolone)
• Proctofoam-HC (hydrocortisone acetate, rectal kumfa)

Binciken Halitta

• Cimzia (certolizumab pegol)
• Entyvio (vedolizumab)
• Humira (adalimumab)
• Hanyoyi (infliximab-dyyb)
• Alamarwa (ƙananan)
• Stelara (yanar gizo)
• Tysabri (natalizumab)

Hoto don cutar Crohn

Yawancin lokaci ana yin tiyata bayan magunguna ba su taimakawa tare da kumburi ko akwai matsaloli. Irin aikin tiyata za a dogara ne a kan wurin da ƙananan ƙwayar cutar Crohn ke haifarwa da kuma yadda yaduwar ta yada.

Jirgin ba zai zama magani ga cutar Crohn ba, kuma a wasu mutane, ƙwayar cutar Crohn zai iya komawa a wani wuri.

Hoto don ƙwayar cutar Crohn yana ci gaba da ingantawa, kuma a wasu lokuta ana iya yin amfani da wasu fasaha marasa mahimmanci (irin su laparoscopic tiyata ) wanda ya rage a lokacin asibiti da kuma lokacin dawowa. Ga wasu daga cikin nau'o'in dabarar da ake yi don magance cutar Crohn:

• Binciken : Mafi yawan aikin tiyata da ake yi don magance cutar Crohn shine kamfani. Aiki ne lokacin da aka cire wani ɓangare na flamed ko ƙwayar cuta, kuma an kawo ƙarshen ƙafa biyu na nama lafiya (wanda ake kira anastomosis). Ana iya yin hakan a ƙananan hanji ko babban hanji .
• Tsarin cututtuka : cututtukan Crohn zai iya haifar da ƙwayar jikin da ke ginawa kuma yana iya haifar da raguwa a cikin hanji. Lokacin da wani ɓangare na hanji ya zama ƙarami, za'a iya sake buɗewa a lokacin aikin tiyata.
• Proctocolectomy : A wasu mutane da cutar Crohn inda babu wata cuta a cikin dubun, za'a iya yin gyaran gyare-gyaren gyaran gyare-gyare. An cire hanji mai zurfi kuma ƙarshen ƙananan hanji an haɗa kai tsaye zuwa ga anus. Wannan yana nufin cewa ba'a buƙatar cike da damuwa ba kuma za a iya shigo da kasa. Irin wannan tiyata yana yawanci ne kawai a cikin ƙungiyar marasa lafiya. Wannan tiyata kuma ana kiran shi anastomosis ta tsakiya (madaidaiciyar hanya).

• Jagoranku don Yin Tafiyar Hanya ta Prednisone

• Abin da mutane da IBD Ya Kamata Su San Game da Cipro

• Yin aikin tiyata : Wasu mutane da ke da kwayar cutar Crohn da ke shafar mazaunin za su yi tiyata don haifar da wani abu. Wannan shi ne lokacin da aka cire mallaka kuma an halicci stoma a ciki. Stool ya fita daga jikinsa ta hanyar stoma maimakon kasan, kuma ana amfani da kayan aiki a ciki don kama shi. Yawancin mutanen da ke fama da cutar Crohn ba za su buƙaci aikin tiyata ba.

Ulcerative Colitis Jiyya

Magunguna don Ulcerative Colitis

Magunguna da ake amfani da su don biyan cututtuka na ciki sun hada da:

Aminosalicylates (5-ASA)

• Azulfidine (sulfasalazine)
• Asacol , Pentasa, Lialda, Apriso , Delzicol (mesalamine)
• Canasa (mesalamine juriya)
• Colazal (balsalazide)
• Dipentum (olsazine)
• Rowasa (mesalamine enemas)

Immunomodulators

• 6-mercaptopurine (Purinethol, 6-MP)
• Azathioprine (Imuran da Azasan)
• Sandimmune, Neoral (cyclosporine A)
• Tacrolimus (Prograf)

Corticosteroids

• Cortenema (hydrocortisone enema)
• Deltasone ( prednisone )
• Shigarwa (budesonide)
• Medrol (methylprednisolone)
• Proctofoam-HC (hydrocortisone acetate, rectal kumfa)
• Uceris (budesonide)

Binciken Halitta

• Entyvio (vedolizumab)
• Humira (adalimumab)
• Hanyoyi (infliximab-dyyb)
• Alamarwa (ƙananan)
• Simponi (Golimumab)

Tiyata don Ulcerative Colitis

Cibiyar Crohn da Colitis Foundation ta Amurka ta kiyasta cewa a ko'ina tsakanin kashi 23 da kashi 45 cikin 100 na marasa lafiya na cututtuka na ciwon tiyata suna da tiyata. Abubuwan da za a iya yin amfani da su don cututtuka a ciki kullum sun haɗa da cire daga cikin hanji mai zurfi (colectomy), tare da ƙirƙirar ko dai wani sutura ko kwalliya na ciki don tattara tarin. A m zažužžukan for ulcerative colitis sun hada da:

• Tsarin layi tare da jigon kwallar pelvic : Bayan an cire mallaka don magance cututtukan daji, an halicci tayin cikin gida daga ɓangaren sashi na ƙananan hanji (ileum). Tare da wannan jaka, babu wani waje na ostomy na waje ko wani suma saboda tayin yana kamar nau'i ɗaya. Za a iya yin jigilar Pelvic a cikin wasu nau'i-nau'i daban-daban, amma wanda aka fi amfani dashi mafi yawa shine jakar jaka. Wannan tiyata kuma ana kiransa laase-anal anastomosis, ko IPAA.
• Tsarin ladabi tare da ƙirƙirar ciwon ciki : Bayan ƙwaƙwalwar ƙwayar cuta, wasu marasa lafiya da cututtuka da ƙwayar cuta suna haifar da ƙarancin ƙarewa. An halicci wani tsari a cikin ciki don ƙuƙwalwar ƙafa kuma an saka kayan aiki na jiki a kan stoma. Maganar samun ciwon zuciya alama yana jin tsoro, amma mafi yawan marasa lafiya da cututtuka suna da halayyar rayuwa bayan samun ciwon jiki kuma suna da kyau sosai tare da stoma.

Kalma Daga

Akwai karin maganin likita da kuma samfuran da ake samuwa a yau don magance cututtukan Crohn da ciwon cututtuka fiye da kowane lokaci. Hanyoyin da suka samu a cikin 'yan shekarun sun fi tasiri, kuma akwai ƙarin karatu.

Mafi muhimmin sashi na zalunta na IBD da kuma samun shi a gafara ita ce ganin wani gastroenterologist a kowane lokaci kuma shan shan magani a lokaci. Tare da magunguna daban-daban, marasa lafiya da yawa zasu iya kawo kumburi, hana rikitarwa, da inganta yanayin rayuwar su.

> Sources:

> Bhandari BM, Kroser JA. "Ciwon ƙwaƙwalwar ƙwayar cuta." Kwalejin Amirka na Gastroenterology. Maris 2010, Maris 2011. Cleveland Clinic Foundation. 26 Satumba 2013.

> Braegger CP, Nicholls S, Murch SH, Stephens S, MacDonald TT. "Tumo necrosis factor alpha a cikin harsashi a matsayin alamar na na hanji kumburi." Lancet. 1992; 339: 89.

> Crohns & Foundation of America. "Hoto don cutar Crohn & Ulcerative Colitis." CCFA.org. 31 Aug 2010.

> JP Terdiman, Gruss CB, Heidelbaugh JJ, Sultan S, Falck-Ytter YT, Cibiyar Nazarin Kasuwancin Cibiyar AGA da Kwamitin Gudanarwa. "Cibiyar Harkokin Gastroenterological Association ta Amirka ta Amincewa da Amfani da Ciopiopines, Methotrexate, and Anti-TNF-Drugs Biologic for Induction and Maintenance of Remission in Inflammatory Crohn's Disease." Gastro. 2013; 145: 1459-1463.