Daban-daban iri-iri a cikin Cutar Ulcerative Colitis da Crohn
Ciwon jijiyar ƙwayar cuta (IBD) wani yanayi ne na yau da kullum, wanda ke nufin cewa mutanen da ke zaune tare da shi suna fama da rashin lafiya da jin dadi. Manufar magani ga mutanen da ke fama da cutar Crohn da cututtukan ulcerative colitis (asali na IBD) shine gafara. Jiyya na iya daukar nau'o'i daban-daban, ciki har da magunguna, tiyata, madaidaiciya da hanyoyin kwantar da hankali, da kuma canje-canje na rayuwa.
Mutane da yawa tare da IBD suna tunani akan gyarawa a matsayin lokacin jin dadi, tare da ƙananan ko babu alamun bayyanar na IBD irin su ciwon ciki, cututtuka, ko jini a cikin ɗakin. Irin wannan gyare-gyaren ne a wasu lokutan ana kiransa remission. Duk da haka, akwai fadada ma'anar remission wanda ya zama da muhimmanci ga marasa lafiya da likitoci da ake kira endoscopic remission.
Wasu nau'i na daban
Ka yi la'akari da gyare-gyare a matsayin babban lokacin laima, tare da iri-iri iri-iri a ƙarƙashinsa. Magunguna za su yi amfani da sharuɗɗa daban-daban don bayyana remission bisa ga abin da ke faruwa tare da IBD. Ba kowane mai ilimin gastroenterologist zai yi haka a cikin aikin yau da kullum ba, amma a cikin cibiyoyin na musamman na IBD ko kuma a gwaje-gwaje na asibiti, za'a iya yin magana akan wadannan nau'o'in gyare-gyare daban-daban kuma an gani a matsayin manufar magani. Mutanen da ke da IBD waɗanda suke da tambayoyi game da magani zasu iya samun fahimtar IBD ta hanyar tambayar game da waɗannan gafarar, kuma idan IBD ya shiga cikin waɗannan daga cikin waɗannan gyare-gyaren:
- Magani na asibiti: "jin dadi mafi kyau" tare da alamomin da ake ciki na IBD ko raguwa.
- Murtarar endoscopic: A lokacin da yake iya yin amfani da shi, irin su ma'auni ko sigmoidoscopy , babu wani ƙonewa a cikin hanji.
- Murtaran Biochemical: Gwaje-gwajen da aka yi amfani da shi don auna yadda yadda ake amfani da shi cikin jini ko kwanciyar hankali ba zai nuna alamun ƙonewa ba.
- Motowa mai sauki: Lokacin da ake amfani da tiyata a matsayin magani da kuma sakamako a cikin tsawon lokaci ko a'a. Wannan zai iya amfani dashi a wasu lokuta don bayyana mutanen da suka yi tiyata kuma ba a halin yanzu suna fuskantar wani bayyanar cututtuka da / ko kumburi.
- Maganin tarihin tarihi: Wani lokaci mai laima da ya hada da duka endoscopic da remission. Bugu da ƙari, idan an cire biopsies daga hanji kuma an bincika su, ba su nuna wani halayen IBD ƙonewa ba.
Endoscopic Sake
Mutane da ke tare da IBD sunyi gwajin gwajin yau da kullum don duba yadda jikinsu suke karɓar magani. Daga cikin gwaje-gwajen daban-daban da za a iya amfani dasu shine hanyoyin endoscopic irin su ma'auni ko na karshe. A lokacin gwaje-gwajen da likita zai iya gani a ciki ko ƙananan hanji kuma ya nemi alamun IBD kamar ƙonewa, alamar cobblestone , damuwa, ko ƙyama.
Idan magani yana aiki kuma gastroenterologist ba ya ganin wani abu a cikin hanji wanda yake da masaniya na IBD, mai yiwuwa a yi la'akari da cewa a cikin remission endoscopic. Idan akwai sassa na ƙananan ƙananan hanyoyi waɗanda aka ƙone kuma a yanzu an warkar da su, mai yiwuwa mai haƙuri zai shawo kan maganin mucosal, wanda shine lokacin da ƙonewa a cikin ƙwayar mucosal na hanji zai fara warkar da komawa zuwa jihar lafiya.
Wannan warkarwa yana da mahimmanci, saboda yana iya nuna cewa akwai hadarin ƙaddamar da rikitarwa wanda zai haifar da asibiti ko rage yanayin rayuwa.
Shin Endoscopic Remission Babu Ma'anar Cutar Bamai?
Kasancewa a cikin remission endoscopic iya ko a'a ba yana nufin cewa bayyanar cututtuka na IBD sun tafi. An gano cewa wasu mutane tare da IBD na iya samun hanyoyi wanda ke warkarwa, amma har yanzu suna ciwon bayyanar cututtuka. Idan bayyanar cututtuka na gudana, mai yiwuwa gastroenterologist na iya neman wani dalili, irin su cututtukan zuciya mai jiji (IBS) , cutar celiac , ko rashin haƙuri . Sakamakon haka kuma gaskiya ne: Wasu mutane suna da ƙwauro mai tsanani kuma bazai da alamun bayyanar.
Me yasa Matsakaicin Endoscopic Muhimmanci?
Zai iya zama marasa lafiya ga marasa lafiya: Mene ne matsalar maganin endoscopic idan yana nufin cewa za'a iya kasancewa bayyanar cutar ta IBD? Ƙarsar endoscopic yana da muhimmanci saboda ƙullun cikin tsarin narkewa zai iya haifar da matsaloli mafi girma a layi. Idan ƙananan ƙananan ya ragu ko ya tafi, yana nufin cewa haɗari na rikitarwa an saukar. Kumburi da ba a yuwuwa zai iya haifar da kyawawan dabi'u na rayuwa ko mafi tsanani na hanji da kuma karin rikitarwa na hanji. Wannan shi ne dalilin da ya sa remission endoscopic wani ɓangare ne muhimmiyar gado a cikin IBD. Yi magana da likita idan kana da tambayoyi game da shirinka na lafiyarka da kuma yadda kake ci gaba wajen cimma burin raguwa.
Sources:
Cellier C, Sahmoud T, Froguel E, et al. Groupe d'Etudes Therapeutiques des Affections Inflammatoires Digestives. Daidaitawa tsakanin aikin asibiti, endoscopy, tsananin, da kuma sifofin halittu a cikin suturcin mallaka da na Crohn. Nazarin abubuwa masu yawa na binciken 121. Gut . 1994; 35: 231-235.
Neurath MF, Travis SP. Maganin mucosal waraka a cikin cututtukan ƙwayar cututtuka: ƙaddamarwa na yau da kullum. Gut . 2012; 61: 1619-1635.