Ulcerative colitis (UC) yog ib yam kab mob uas tshwm sim los ntawm o thiab ulceration ntawm ob sab ntawm txoj hnyuv loj. Cov txheej txheem pathological no yog nyob rau hauv qhov xwm txheej, uas exacerbations tshwm sim ib ntus. Txoj kev kho tus kab mob no yog ib txoj kev nyuaj heev uas yuav tsum tau muaj kev sib koom tes los ntawm ob tus kws kho mob thiab tus neeg mob nws tus kheej. Nyob rau hauv cov xwm txheej hnyav dua, tus neeg mob tsis tuaj yeem zam kev mus xyuas lub tsev kho mob, nrog rau kev mus pw hauv tsev kho mob.
Tab sis yog tias qhov tshwm sim ntawm tus kab mob me me, ces nws tuaj yeem kho NUC nrog cov tshuaj pej xeem. Tsis tas li ntawd, lwm cov tshuaj yog ib qho kev pab zoo hauv kev kho mob ntawm cov ntaub ntawv hnyav dua thiabhom kab mob colitis. Qhov no yog qhov tshwj xeeb tshaj yog nyob rau hauv cov xwm txheej uas kev kho mob ntawm UC nrog cov tshuaj pej xeem yuav muab ua ke nrog kev kho tshuaj.
Kev txhim kho kab mob
Nws tsim nyog ceeb toom tam sim no tias tam sim no, cov laj thawj tseem ceeb ntawm tus kab mob no tseem tsis tau txheeb xyuas tag nrho. Txawm li cas los xij, raws li qhov kev xav ntawm cov kev tshawb fawb tsis ntev los no, nws tuaj yeem xaus lus tias UC tuaj yeem ua rau muaj kev cuam tshuam los ntawm cov xwm txheej xws li:
- kis ntau yam kab mob hauv cov hnyuv loj;
- predominance nyob rau hauv cov zaub mov ntawm fatty, high-calorie zaub mov uas muaj me ntsis fiber;
- malnutrition;
- noob kev hloov pauv thiab keeb kwm yav dhau los;
- siv sijhawm ntev ntawm qee yam tshuaj, xws li cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory;
- kev xav thiab kev ntxhov siab ntau zaus;
- kev ua txhaum ntawm plab hnyuv microflora.
Vim los ntawm kev cuam tshuam ntawm cov xwm txheej no, cov neeg ua haujlwm ntawm lub cev tiv thaiv kab mob pib ua haujlwm tsis yog ntawm cov kab mob pathogenic thiab kab mob, tab sis ntawm cov mucous hauv cov hnyuv loj. Raws li qhov tshwm sim, nws pib mob, thiab cov kab mob tshwm sim rau ntawm nws.
Nws yuav tsum tau muab sau tseg tias UC thiab Crohn tus kab mob muaj qee yam zoo sib xws ntawm lawv txoj kev loj hlob. Qhov sib txawv tsuas yog nyob rau hauv qhov dav thiab qhov tob ntawm qhov txhab. Hauv thawj kis, tus kab mob tsuas yog cuam tshuam rau txoj hnyuv loj xwb, qhov mob thiab cov kab mob kis mus rau hauv submucosal txheej thiab mucosa.
Raws li tus kab mob Crohn, qhov noCov txheej txheem pathological pib koom nrog tag nrho cov plab zom mov, pib ntawm qhov quav thiab xaus nrog qhov ncauj kab noj hniav. Hauv qhov no, tus kab mob cuam tshuam rau txhua txheej ntawm cov kab mob hauv plab hnyuv.
Ulcerative Colitis Symptoms
Kev kho mob nrog pej xeem tshuaj yuav nyob ntawm seb cov tsos mob thiab cov tsos mob ntawm tus kab mob ulcerative colitis tshwm sim li cas. Qee cov neeg mob uas raug mob los ntawm tus kab mob no zoo heev rau ntau xyoo. Lawv tsuas muaj qee zaus muaj ntshav hauv lawv cov quav. Nrog cov tsos mob me me ntawm cov kab mob ulcerative colitis, cov tshuaj pej xeem tuaj yeem kho nws tus kheej hauv tsev, tab sis koj yuav tsum xub mus ntsib kws kho mob.
Yog tus kab mob no tshwm sim hauv daim ntawv mob hnyav, nrog rau mob raws plab, ua npaws, mob hnyav thiab tsis muaj zog, ces nyob rau hauv cov xwm txheej zoo li no tus neeg mob yuav tsum tau mus pw hauv tsev kho mob.
Feem ntau, UC tshwm sim nrog cov tsos mob hauv qab no:
- quav nrog cov ntshav xws li los ntawm NW nyuam qhuav hnov ntxhiab mus rau ntau los ntshav;
- feces nrog kuas thiab mucus;
- mob plab;
- cem quav, uas qhia txog kev puas tsuaj rau sigmoid thiab lub qhov quav;
- dag ntxias kom tso quav, thaum lub sijhawm tsis quav ntsej, tab sis ntshav, hnoos qeev thiab cov kua qaub;
- yuav tsum tau quav thaum hmo ntuj;
- fecal incontinence;
- flatulence thiab nce roj tsim;
- pain inthaj chaw ntawm lub plab, uas feem ntau tshwm sim hauv nws thaj tsam sab laug;
- cim qhia kev qaug cawv, uas yuav tsum muaj xws li kub taub hau, ua npaws, ntuav, poob phaus, tachycardia, anorexia, lub cev qhuav dej thiab tsis muaj zog;
- extraintestinal manifestations ntawm UC, uas yog kev puas tsuaj rau kev sib koom ua ke, ua pob khaus ntawm daim tawv nqaij thiab cov mucous daim nyias nyias, pom kev cuam tshuam, nce thrombus tsim, impaired daim siab ua haujlwm, thiab ntau ntxiv.
Nws yuav tsum raug sau tseg tias cov tsos mob zaum kawg tsuas yog pom hauv 10% ntawm cov neeg mob. Qee zaum, lawv tshwm sim ua ntej cov tsos mob ntawm plab hnyuv loj. Kev kho mob ntawm NUC nrog cov tshuaj pej xeem thiab tshuaj nyob rau hauv rooj plaub no yuav nyob ntawm qhov hnyav ntawm cov tsos mob ntawm tus kab mob.
Kev kuaj kab mob
Cov txheej txheem kuaj mob, raws li txoj cai, suav nrog kev ntsuas ntsuas thiab ntsuas ntsuas. Ua ntej pib kho NUC nrog cov tshuaj pej xeem lossis tshuaj, tus kws kho mob tshwj xeeb yuav tsum ua qhov kev soj ntsuam ntawm qhov ncauj ntawm tus neeg mob, ua tus ntiv tes ntsuas, tom qab ntawd sau cov npe ntawm cov txheej txheem tsim nyog rau kev kho mob, nrog rau cov tshuaj thiab cov tshuaj pej xeem, suav nrog. Kev kuaj mob suav nrog cov txheej txheem hauv qab no:
- Biochemical thiab ua tiav cov ntshav suav, uas tuaj yeem kuaj xyuas qib hemoglobin thiab erythrocytes, nce qib ntawm c-reactive proteins, nrog rau ESR.
- Coprogram, uas yog ib qho kev kuaj mob ntawm cov quav, vim cov ntsiab lus ntawm cov hnoos qeev, ntshav, kab mob, cov kua paug, thiab lwm yam. Ntxiv mus. Ua tsaug rau cov txheej txheem no, koj tuaj yeem pom cov qib ntawm qhov mob thiab kev puas tsuaj rau cov mucous hauv cov hnyuv.
- Colonoscopy thiab sigmoidoscopy, uas yog cov cuab yeej siv tshuaj tiv thaiv kab mob, ua tsaug rau tus kws tshaj lij tuaj yeem pom cov kab mob ntawm cov hnyuv mucosa, thiab yog tias tsim nyog, nqa cov khoom me me ntawm cov ntaub so ntswg puas tsuaj rau kev sim, uas yog, ua ib qho kev kuaj mob. biopsy.
- Irrigoscopy, uas yog kev kuaj x-ray ntawm txoj hnyuv nrog kev qhia txog cov cuab yeej tshwj xeeb rau hauv nws. Ua tsaug rau daim duab, koj tuaj yeem paub txog qhov muaj kev hloov pauv hauv cov hnyuv loj.
- Computed tomography, uas yog kev kuaj x-ray, nyob rau hauv uas cov duab coj los ntawm ntau lub ces kaum yog tso tawm nyob rau hauv ib tug tshwj xeeb saib. Qhov tseeb, qhov kev kuaj mob no raug sau tseg yog tias muaj kev xav tias muaj tus kab mob Crohn.
Tsuas yog tom qab kuaj tau tiav lawm, tus kws kho mob tuaj yeem sau tshuaj kho rau UC nrog cov tshuaj pej xeem thiab tshuaj.
Kev kho mob
Nyob rau hauv rooj plaub ntawm exacerbation ntawm UC, kev kho mob yog nqa tawm nyob rau hauv lub tsev kho mob. Nyob rau hauv cov ntaub ntawv no, cov tshuaj yog muab nrog kev pab los ntawm kev txhaj tshuaj thiab droppers, tej zaum cov khoom noj khoom haus yog npaj los ntawm ib lub raj. Nyob rau hauv daim ntawv mob ntev ntawm ulcerative colitis ntawm txoj hnyuv, pej xeem tshuaj tuaj yeem kho nrog tshuaj hauv tsev.
Traditional method
Kev kho tshuaj muaj kev siv cov hauv qab notshuaj kho mob ulcerative colitis:
- txhais tau tias muaj acetylsalicylic acid, xws li Mesacol, Sulfasalazine, Tidokol, Salofalk, Pentasa thiab lwm yam. Cov tshuaj no tuaj yeem siv tau ua tshuaj ntsiav, ntsiav tshuaj, tshuaj tua kab mob hauv qhov quav, enemas, thiab foams.
- Cov tshuaj corticosteroid, nthuav tawm hauv daim ntawv ntawm cov ntsiav tshuaj, nrog rau cov tshuaj tso rau hauv cov hlab ntsha thiab qhov quav. Cov tshuaj no suav nrog "Hydrocortisone" thiab "Prednisolone".
- Immunosuppressants, xws li Methotrexate, Azathioprine, Infliximab.
Tsis tas li ntawd, koj tuaj yeem siv cov kev kho mob ntawm cov kab mob ulcerative ntawm txoj hnyuv nrog cov tshuaj pej xeem.
tshuaj kho lwm yam
Raws li tau hais ua ntej, thawj theem ntawm kev txhim kho tus kabmob, nrog rau cov kab mob ulcerative colitis, lwm txoj kev kho mob tuaj yeem siv tau. Txawm li cas los xij, ua ntej kho cov kab mob ulcerative nrog cov tshuaj pej xeem, nws yog ib qho tsim nyog yuav tsum sab laj nrog kws kho mob, vim tias tus neeg mob yuav muaj kev tsis haum rau ib tus neeg los yog lwm cov khoom xyaw uas yog ib feem ntawm daim ntawv qhia.
Siv Shilajit
Feem ntau, niam yog siv los kho tus kab mob no. Qhov no yog ib qho ntawm cov kev kho mob pej xeem rau cov kab mob ulcerative colitis uas qhia tau tias muaj txiaj ntsig tiag tiag.
Txhawm rau npaj tshuaj, koj yuav tsum muab cov mummy sib tov nrog dej hauvtus nqi ntawm 0.1 g ib tablespoon ntawm kua. Cov tshuaj tiav yog noj ib hnub rau 0.2 g. Txhua qhov ncauj yuav tsum yog 10 ml ntawm cov tshuaj npaj, qhov concentration ntawm uas yog 1%. Cov koob tshuaj ntxiv txhua hnub, kwv yees li 0.1 g, yuav tsum tau siv los ua cov tshuaj suppositories. Koj tuaj yeem ua tiav cov lus hais tawm los tiv thaiv kab mob, rov ua dua tshiab thiab ua kom muaj zog yog tias koj siv qhov kev kho mob ntawm UC nrog cov tshuaj pej xeem. Kev tshuaj xyuas qhia tau hais tias cov neeg mob kuj tshem tawm cov kev tshwm sim tshwj xeeb ntawm cov kab mob hauv plab, uas yog, belching, heartburn, raws plab.
YSiv Propolis
Lwm txoj hauv kev zoo tshaj plaws rau pej xeem kev kho mob ulcerative colitis yog propolis. Cov khoom no muaj peev xwm tiv thaiv kab mob siab, thaum pab txhawb rau kev tsim kho sai ntawm cov ntaub so ntswg mucous, vim tias cov kab mob ulcerative pib raug tshem tawm zoo. Daim ntawv loj npaum li cas rau kev siv propolis hauv tus kab mob no yog ib qho cawv cawv.
Txhawm rau npaj cov tshuaj no, koj yuav tsum tau ntxiv 1 liter cawv rau hauv lub thawv tsaus, lub zog uas yuav tsum yog los ntawm 70 mus rau 96%. Npaj tincture yog siv nrog lub zog ntawm 10, 20 lossis 30%. Txawm li cas los xij, kev kho mob yog qhov zoo tshaj plaws los pib nrog 10%. Txhawm rau npaj cov tincture ntawm lub zog, nws yog ib qho tsim nyog yuav tau soj ntsuam qhov sib piv ntawm 1:10, uas yog, 10 g ntawm propolis ib 100 ml ntawm cawv. Cov tshuaj yuav tsum tau infused rau 2 mus rau 5 hnub hauv chav tsaus. Cog txhua hnub.
kev kho mob
siv tau heevCov tshuaj tsis yog tshuaj rau NUC yog enemas siv hiav txwv buckthorn thiab rosehip roj. Lawv tuaj yeem yuav npaj tau ntawm txhua lub tsev muag tshuaj. Nws yog ib qho tsim nyog los qhia cov roj ntawm 50 g rau cov neeg laus, nrog rau 25 g rau cov menyuam yaus hnub nyoog qis dua kaum ob xyoos. Lub catheter rau cov neeg laus yuav tsum ntev 25 mus rau 30 cm. Rau cov me nyuam, lub catheter yuav tsum yog 10 mus rau 15 cm ntev.
Yuav ua kom zoo li no, koj yuav tsum tau yuav 100-gram syringe nrog lub catheter tshwj xeeb. 50 g ntawm rosehip los yog hiav txwv buckthorn roj yog kos rau hauv lub syringe, tom qab uas tus neeg sawv cev yog txhaj rau hauv lub qhov quav. Nws yuav tsum tau xyuas kom meej tias cov tshuaj nyob hauv cov hnyuv kom ntev li ntev tau. Nyob rau hauv txoj kev no, tus neeg mob yuav tsum nyob rau hauv lub supine txoj hauj lwm ntawm sab laug.
Ntawv qhia zaub mov
Ib zaug nrog kev siv tshuaj ib txwm siv thiab cov tshuaj pej xeem rau kev kho mob ntawm cov kab mob ulcerative, koj tseem yuav tau ua raws li qee yam kev noj haus. Nws yuav tsim nyog tso nqaij npuas, ntsev, qaub, haus luam yeeb thiab kib zaub mov. Cov zaub mov yuav tsum muaj ntau ntawm boiled, pureed zaub mov. Raws li rau cov khoom noj siv mis, nws pom zoo kom noj tsev cheese, kefir lossis yogurt. Los ntawm nqaij cov tais diav, nyiam yuav tsum tau muab rau nqaij qaib thiab nqaij nyuj. Ntses thiab stale dawb qhob cij yuav tsum muaj nyob rau hauv cov zaub mov. Oatmeal kuj tseem yog qhov tseem ceeb hauv cov ntawv qhia zaub mov ntawm cov neeg uas raug kev txom nyem los ntawm cov kab mob ulcerative.
Kev tshuaj xyuas thiab cov lus pom zoo
Kev tshuaj xyuas ntawm kev kho mob plab ulcerativepej xeem kev kho mob qhia tau hais tias qhov zoo tshaj plaws yog cov khoom uas yog tsim los ntawm lub mummy. Cov neeg mob pom tias tom qab ib hlis kho tus kab mob nrog lwm cov tshuaj, kev txhim kho tau pom.
Txhawm rau txo qhov zaus ntawm tus kab mob hnyav ntxiv, nrog rau kev txhawb nqa kev zam mus ntev, cov kws tshaj lij pom zoo kom ua qee yam ntsuas. Cov kev ntsuas no suav nrog:
- siv cov tshuaj uas tau muab los ntawm kws kho mob.
- Tau noj tshuaj kho mob.
- Kev tshuaj xyuas tsis tu ncua los ntawm tus kws tshaj lij.
- Yog tias tus neeg mob muaj mob thaum lub sijhawm muaj tus kabmob, cov kws kho mob pom zoo kom noj tshuaj xws li Efferalgan, Acetaminophen, Paracetamol, thiab hauv qhov no, koj yuav tsum tso tseg cov tshuaj uas tsis yog-steroidal anti-inflammatory, xws li. Raws li Naproxen "los yog Ibuprofen".
Txawm li cas los xij, tsis txhob hnov qab tias cov tshuaj tua kab mob tuaj yeem ua rau UC exacerbation. Cov tshuaj no tsuas yog siv rau hauv cov xwm txheej hnyav thiab tsuas yog raws li tus kws tshaj lij qhia.
Nyob rau hauv xaus, nws yuav tsum tau muab sau tseg tias UC yog ib tug kab mob uas cov mucous daim nyias nyias ntawm txoj hnyuv loj pib ua rau mob thiab npog nrog rwj. Qee zaum qhov pathology no tseem cuam tshuam rau txheej submucosal. Raws li txoj cai, ulcerative colitis tshwm sim nyob rau hauv ib tug ntev daim ntawv, thaum lub sij hawm kev tawm tsam ntawm exacerbations tshwm sim. Kev kho mobkab mob yog ntev thiab conservative. Yog tias kho tsis tau, yuav tsum tau phais.
