ʻO ka maʻi maʻi maʻi i nā ʻīlio a me nā pōpoki: pono ʻoe e hopohopo?

ʻAʻole ʻike pinepine ʻia ka maʻi maʻi maʻi i nā holoholona. ʻOi loa inā hoʻomaka i ka wā ʻōpiopio a "maʻa" nā mea a pau i kēia.

ʻO ka maʻamau, ʻo ka defecation i loko o kahi ʻīlio makua a i ʻole ka pōpoki e hana ʻia 1-2 mau manawa i ka lā, a hoʻokumu ʻia ka stool. Inā hoʻonui ʻia ke alapine o ka defecation, a ʻoi aku ka lōʻihi o ka stool no ka manawa lōʻihi a ʻike ʻia paha nā relapses, hiki ke hōʻike i kahi pathology.

Hoʻopili pinepine ʻia ka maʻi maʻi maʻi me kahi pūʻulu o nā maʻi i kapa ʻia ʻo IBD, ka maʻi ʻeha ʻeha. E kamaʻilio mākou ma kēia ʻatikala.

ʻO nā hōʻailona o ka IBD (inflammatory bowel disease) nā:

1. luaʻi

2. diarrhea

3. Weight lilo

4. Hoʻoholo i ka hoʻoikaika kino

5. Koko i loko o ka pehu a me ka luaʻi

6. Hoʻoemi i ka makemake.

ʻAʻole ʻike ʻia ke kumu maoli o ka IBD (inflammatory bowel disease), akā aia kekahi mau kumu e hiki ke hoʻololi i kona ulu ʻana:

1. Predisposition genetic

2. ʻO nā pilikia o ke kino i loko o ka ʻōpū

3. Poina

4. nā kumu microbial.

• Predisposition genetic

I loko o ke kanaka, ua ʻike ʻia nā hoʻololi like ʻana o ka genome e pili ana i kēia maʻi. Ua hana ʻia kekahi mau haʻawina i nā holoholona, ​​akā i kēia manawa he kakaikahi o lākou.

• ʻO nā pilikia o ke kino i loko o ka ʻōpū

He paʻakikī ka ʻōnaehana pale kino. Loaʻa iā ia nā mucous membranes, mucus, immunoglobulins, nā ʻano like ʻole o nā cell immune, a pēlā aku. I loko o kēia ʻōnaehana, aia ka hoʻoponopono ponoʻī, no ka laʻana, hoʻoulu a pale paha kekahi mau cell immune i ka hana o nā cell ʻē aʻe, e pili ana i ke kūlana. ʻO ka hoʻohaunaele o kēia kaulike hiki ke hoʻoulu i kahi pane kūpono ʻole o ka ʻōnaehana pale i nā kumu like ʻole, e alakaʻi ana, no ka laʻana, i ka ʻeha nui i kahi mea hoʻonāukiuki liʻiliʻi.

• Poina

Ua wehewehe ʻia nā hopena o ke koʻikoʻi, ka meaʻai, a me nā lāʻau lapaʻau i ka hoʻomohala ʻana o IBD i nā kānaka. Akā i loko o nā holoholona, ​​ʻaʻole i hōʻoia ʻia ka pilina ma waena o ke kaumaha a me ka ulu ʻana o ka maʻi maʻi maʻi. Eia nō naʻe, ʻike ʻia nā pōpoki a me nā ʻīlio e hoʻomohala i nā hopena inflammatory ʻē aʻe i ka pane ʻana i ke koʻikoʻi, e like me ka cystitis.

Me ka meaʻai, ua like nā mea a pau me nā kānaka. Hoʻomaʻamaʻa maʻamau ka ʻōnaehana immune e ʻike i kahi protein haole ma luna o ka ʻili o kekahi hua bacteria a i ʻole ka maʻi. Hiki ke ʻike ʻia nā ʻano meaʻai protein e ka holoholona ma ke ʻano he ʻenemi, hiki ke hoʻoulu i ka mumū i loko o ka ʻōpū.

• Nā kumu microbial

Hiki i ka hoʻololi ʻana i ke ʻano o ka microbiome gut ke alakaʻi i ka ulu nui ʻana o nā ʻano bacteria e hōʻeha i nā paia o ka ʻōpū, e alakaʻi ana i ka mumū.

Hoʻokaʻawale ʻia ʻo IBD i 4 mau ʻano o nā pathologies gastrointestinal:

1. ʻO ka noʻonoʻo i ka meaʻai. Ma ka hoʻohana ʻana i kahi meaʻai elimination a i ʻole hydrolyzed protein i ka hānai, hoʻōla ʻia ka maʻi. ʻO kēia ʻano IBD ka mea maʻamau.

2. ʻO ka noʻonoʻo i nā lāʻau'alopelo. I kēia hihia, hoʻoholo ka IBD i ka pane ʻana i ka hoʻohana ʻana i nā lāʻau antibiotic. Hoʻomaka hou ka maʻi ma hope o ko lākou hoʻopau ʻana.

3. ʻO ka noʻonoʻo ʻana i nā steroids (ka hoʻopaʻa ʻana i ke kino). Hoʻoholo ia me ka hoʻohana ʻana i nā lāʻau e hoʻopau i ka ʻōnaehana pale. Pono kēia inā ʻaʻole hana pono ka ʻōnaehana pale i loko o ka ʻōpū.

4. Refractoriness (ʻaʻohe sensitivity i nā mea a pau). ʻAʻole pane kēia IBD i kekahi mea. ʻAʻole ʻike ʻia ke kumu o ia mea.

Hoʻomaka ka hōʻailona o IBD me ka wehe ʻana i nā pathologies i loaʻa nā hōʻailona like.

Keia mau puke:

• ʻO nā maʻi viral mau o nā pōpoki (leukemia a me ka immunodeficiency)

• Nā maʻi Parasitic

• Neoplasms

• ʻO nā maʻi o ka ate

• ʻO ka maʻi maʻi maʻi

• Hoʻopilikia i ka ʻōnaehana endocrine

• Nā kino haole

• ʻAi ʻino

• Ka ʻike ʻana i nā mea ʻawaʻawa.

• Nā hoʻāʻo koko. ʻAʻole hiki ke hoʻohana ʻia e ʻike i ka IBD, akā hiki ke kānalua ʻia a kāpae ʻia nā maʻi ʻē aʻe me nā hōʻailona like.

• Nānā X-ray. E ʻae iā ʻoe e haʻalele i nā pathologies ʻē aʻe i hiki ke hōʻailona i ka IBD.

• Kaʻina hana ultrasound. Hiki iā ʻoe ke ʻike i nā loli i ka paia o ka ʻōpū i ke ʻano o ka IBD, akā hiki ke loaʻa i nā maʻi ʻē aʻe, e like me ka lymphoma. Eia kekahi, hiki i ka ultrasound ke kāpae i nā pathologies ʻē aʻe, e like me nā neoplasms.

• Endoscopy o ka ʻōpū a me ka ʻōpū. Me ke kōkua o kahi kamera liʻiliʻi, nānā ʻia ka mucous membrane o ka ʻōpū a me nā ʻōpū. Me kekahi mau hoʻololi, hiki iā ʻoe ke kānalua i ka IBD a kāpae i nā pilikia ʻē aʻe, ʻo ia hoʻi nā kino haole, neoplasms, a pēlā aku.

• Moʻolelo mōʻaukala. No kēia ho'āʻo, pono ʻoe e lawe i nā ʻāpana o ka ʻiʻo ʻōpū. Hana ʻia ke kaʻina hana i ka wā o ka hoʻokolokolo endoscopic a i ʻole i ka wā o ka ʻoki ʻana. Nānā ʻia nā laʻana i loaʻa ma lalo o kahi microscope. Ma ke kumu wale nō o kēia ala e hiki ai ke hana i kahi hōʻailona maopopo o IBD.

ʻO ka nānāʻana i ka histological he invasive, no laila hiki ke hoʻomaka i kahi ho'āʻo lapaʻau inā ua kāpaeʻia ka IBD haʻahaʻa a haʻahaʻa paha a ua kāpaeʻia nā pilikia'ē aʻe. Eia naʻe, no ka hōʻoia ʻana, ʻoi aku ka maikaʻi o ka nānā ʻana i ka histological.

Inā ʻaʻole pane ka pipi i ka lāʻau lapaʻau a i ʻole nā ​​pilikia e pili ana i ka IBD, pono e hana ʻia ka endoscopic a me ka histological examination.

• ʻAiʻai. Hoʻololi mālie ʻia ka holoholona i ka meaʻai me kahi kumu hou o ka protein a i ʻole me ka protein hydrolyzed. Inā loaʻa ka hopena i ka meaʻai hou, a laila loaʻa i ka pipi ka IBD pili i ka meaʻai.
• Nā lāʻau lapaʻau. Hoʻohana ʻia inā ʻaʻohe pane i ka meaʻai. Ma mua o ka hoʻomaka ʻana i kahi papa o ka lāʻau antibiotic, hiki ke hoʻohana ʻia kekahi mau meaʻai like ʻole i ka lālani, a i kekahi manawa he mau mahina.

Lawe ʻia nā lāʻau antibiotic me ka pane kūleʻa ma kahi o 1 mahina, a laila hoʻopau ʻia. Inā hoʻi hou nā hōʻailona, ​​​​kau ​​ʻia ka mālama lōʻihi.

• Ka hoʻopaʻa ʻana. Inā ʻaʻole pane ka holoholona i ka mālama ʻana me ka meaʻai a me nā antibiotics, ua kuhikuhi ʻia nā hui like ʻole o nā lāʻau immunosuppressive. Koho ʻia ka maʻi a me ka hui pū ʻana ma muli o ka pane ʻana i ka mālama a me / a i ʻole nā ​​hopena ʻaoʻao.
• Hoʻohui probiotic therapy. ʻO ke kauka ke kuhikuhi a ʻaʻole ʻōlelo i nā probiotics, e pili ana i ke kūlana, ma kona ʻano.
• Hoʻoikaika kino. Inā he IBD koʻikoʻi kāu pipi, pono paha lākou i ka mālama koʻikoʻi ma ka haukapila e hoʻomalu i nā pilikia.

Aia ka prognosis i kēlā me kēia holoholona. Hōʻike kēlā me kēia ʻīlio ʻelua i nā hōʻailona o IBD. ʻO kēlā me kēia hāhā e hele i ke kala paʻa. Hoʻokahi i loko o 25 mau ʻīlio i mālama ʻole ʻia.

Inā loaʻa i kāu pipi ka maʻi maʻi maʻi a i ʻole ka luaʻi ʻana ma mua o 3 mau pule, e ʻoluʻolu e kelepona i kāu kauā. Hiki iā ia ke ʻike i ke kumu o ke ʻano o ka holoholona a kuhikuhi i ka lāʻau lapaʻau i ka manawa.

Ka mea kākau o ka ʻatikala: ʻO Mac Boris Vladimirovich, ka lāʻau lapaʻau a me ka lāʻau lapaʻau ma ke keʻena ʻo Sputnik.