Colitis yog qhov mob ntawm txoj hnyuv loj uas tuaj yeem ua rau mob plab thiab raws plab. Nws kuj tseem tuaj yeem cuam tshuam nrog kev mob ntawm txoj hnyuv me (enteritis). Colitis tuaj yeem muaj ntau yam ua rau, thiab kev kho mob yog nyob ntawm qhov ua rau thiab hom. Koj tuaj yeem kho tus mob me me mus rau nruab nrab hauv tsev nrog cov tshuaj tom khw, tab sis mob hnyav hu rau kws kho mob.
Cov kauj ruam
Ntu 1 ntawm 3: Txiav Txim Qhov Ua Rau
Kauj Ruam 1. Kawm paub tias mob plab yog dab tsi
Tus mob no yog mob lossis o ntawm cov hnyuv loj thiab cov nyuv. Nws feem ntau tshwm sim los ntawm lwm qhov xwm txheej zoo li kev kis mob lossis kab mob autoimmune. Txawm li cas los xij, mob plab yog ib yam mob hnyav hauv nws tus kheej txoj cai, thiab koj yuav tsum nco ntsoov qhia rau kws kho mob yog tias koj muaj tsos mob tshwm sim. Kev kho tus mob colitis nyob ntawm qhov ua rau, thiab tuaj yeem suav txij ntawm kev saib xyuas hauv tsev mus rau cov tshuaj noj.
Kauj Ruam 2. Txheeb xyuas cov tsos mob colitis
Hom sib txawv ntawm tus mob plab hnyuv muaj qhov ua rau sib txawv, thiab yog li ntawd cov tsos mob thiab kev kho mob sib txawv. Txawm li cas los xij, muaj qee qhov cim qhia dav dav rau colitis uas tuaj yeem qhia rau koj paub tias koj yuav tsum tau saib zoo dua rau qhov kev kuaj mob tshwj xeeb. Cov tsos mob dav dav ntawm colitis suav nrog:
- Mob plab thiab tsam plab.
- Cov quav ntshav. Cov no tuaj yeem tshwm sim tsaus ntuj, tar zoo li lossis liab.
- Ua npaws thiab/lossis ua npaws.
- Zawv plab thiab/lossis lub cev qhuav dej.
Kauj Ruam 3. Nrhiav kev kho mob tam sim
Colitis yog mob hnyav, muaj peev xwm ua rau tuag taus uas yuav tsum muaj kws tshuaj ntsuam xyuas sai li sai tau. Muab tus kws kho mob nrog cov npe ntxaws txog koj cov tsos mob, nrog rau ntev npaum li cas koj tau pom lawv. Muaj peev xwm teev lwm yam mob uas koj muaj, nrog rau cov tshuaj uas koj tab tom noj. Nyob ntawm qhov ua rau koj tus kws kho mob xav li cas, nws tuaj yeem ua tus lej sib txawv. Piv txwv li:
- Kab mob sib kis: Lub chaw kuaj ntshav yuav tshuaj xyuas cov quav los txheeb xyuas cov kab mob uas ua rau kis mob. Lawv kuj tseem yuav tshuaj xyuas koj cov qe ntshav dawb, uas feem ntau yog nce yog tias koj muaj mob o lossis kis mob.
- IBD: Yog tias koj tus kws kho mob xav tias mob plab hnyuv, lub chaw kuaj ntshav yuav kuaj ntshav rau ntshav tsis txaus (cov qe ntshav liab tsawg) lossis cov cim qhia tias muaj kab mob.
- Lawv kuj tseem tuaj yeem tshuaj xyuas cov quav quav txiav tawm lwm qhov ua rau lossis kuaj pom tias muaj cov qe ntshav dawb hauv koj cov quav, uas qhia txog mob plab.
- Koj kuj tseem xav tau kev kuaj txoj hnyuv loj, kuaj ntshav, lossis kuaj duab txhawm rau txiav tawm lwm yam mob lossis txiav txim siab qhov mob o.
Kauj Ruam 4. Txheeb xyuas tus kab mob
Cov kab mob sib kis tau los ntawm txhua hom kev kis mob - kab mob, kis, lossis cab. Kev kis tus kab mob feem ntau yog ua rau mob plab rau menyuam yaus. Ua rau kis mob sib xws muaj xws li:
- Cov kab mob: zaub mov lom los ntawm Escherichia coli, Shigella, lossis Salmonella.
- Viral: kis tus kab mob cytomegalovirus (CMV).
- Parasitic: Entamoeba histolytica.
Kauj Ruam 5. Xav txog pseudomembranous colitis yog tias koj tau noj tshuaj tua kab mob tsis ntev los no vim tias lawv yuav tua koj cov kab mob muaj txiaj ntsig ntau dhau
Yog tsis muaj cov kab mob zoo txaus, ces Clostridium difficile (C. diff) tuaj yeem siv tau. C. sib txawv tuaj yeem tshwm sim tom qab noj clindamycin, fluoroquinolone, penicillin, lossis cephalosporin. Cov tshuaj tua kab mob feem ntau tau sau tseg rau kev kis kab mob, tab sis feem ntau cov tshuaj tua kab mob tsis tua C. diff vim tias nws muaj cov kab spore uas tsis ua los ntawm cov tshuaj tua kab mob. Cov kab mob no tuaj yeem ua rau mob plab hnyuv thiab ua rau mob. Txawm hais tias kho tau, pseudomembranous colitis tuaj yeem ua rau tuag taus, yog li ceeb toom tus kws kho mob tam sim yog tias koj muaj cov tsos mob:
- Dej los ntshav
- Mob plab thiab mob
- Ua npaws
- Pus los yog hnoos qeev hauv koj cov quav
- Xeev siab/tsis qab los noj mov
- Lub cev qhuav dej
Kauj Ruam 6. Xav txog seb koj puas muaj kab mob plab hnyuv (IBD)
Qhov no yog lub ntsiab lus dav dav uas npog peb qhov xwm txheej tshwj xeeb uas ua rau mob hauv plab. IBD tuaj yeem hais txog mob plab, Crohn tus kab mob, lossis mob plab tsis paub meej. Lwm cov tsos mob ntawm IBD suav nrog:
- Cramping
- Kev txav ntawm lub cev tsis xwm yeem lossis ntshav
- Poob phaus
- Ua npaws lossis tawm hws
- Qaug zog
Kauj Ruam 7. Nrhiav cov tsos mob ntawm ischemic colitis
Thaum cov hlab ntsha hauv cheeb tsam tau nqaim dhau los lossis raug txwv, nws txo cov ntshav ntws mus rau txoj hnyuv loj, ua rau ischemic colitis. Txawm hais tias koj tuaj yeem hnov mob nyob txhua qhov chaw ntawm txoj hnyuv, cov neeg mob feem ntau hnov nws nyob sab laug ntawm lub plab. Cov tsos mob ntawm ischemic colitis muaj xws li:
- Mob plab, mob rwj lossis cramping (sai lossis maj mam)
- Ntshav liab los yog ntshav xim daj hauv koj cov quav
- Ntshav los ntshav tsis muaj quav
- Kev mob plab sai
- Raws plab
Kauj Ruam 8. Xav tias necrotizing enterocolitis (NEC) hauv cov menyuam mos
Cov menyuam mos uas yug ntxov lossis tus menyuam noj mis tsis txhob siv mis niam yuav raug kev txom nyem los ntawm NEC, feem ntau tsis pub dhau ob txog peb lub lis piam thaum yug los. Nws tshwm sim tsis tshua muaj menyuam puv thiab nyob ze lub sijhawm, tab sis cov tsos mob tuaj yeem tshwm sim los ntawm ib mus rau peb hnub tom qab yug los txog rau thawj lub hlis ntawm lub neej. NEC tuaj yeem ua rau txaus ntshai heev, nrog rau kev tuag ntawm 50% lossis ntau dua, yog li qhia cov tsos mob tam sim:
- Ntuav
- Raws plab
- Ncua plab plab
- Mob plab thiab/lossis mob plab
- Kev txo qis hauv lub plab
- Erythema (liab) ntawm lub plab hauv qib siab
- Cov quav ntshav
- Pw tsaug zog apnea (nres ua pa thaum pw tsaug zog)
- Lub cev tsis muaj zog
- Teeb meem ua tsis taus pa
Ntu 2 ntawm 3: Tau Txais Kev Kho Mob
Kauj Ruam 1. Tham nrog koj tus kws kho mob txog kev kho tshuaj
Muaj ntau hom tshuaj uas siv los pab tswj IBD.
- Aminosalicylates tsom rau txoj hnyuv o, tab sis tsis muaj txiaj ntsig zoo ntawm kev kho cov hnyuv me. Cov tshuaj no feem ntau yog siv los kho mob me me mus rau mob plab.
- Sulfasalazine muaj txiaj ntsig zoo, tab sis cov kev mob tshwm sim suav nrog xeev siab, ntuav, raws plab, kub cev, thiab mob taub hau.
- Corticosteroids tiv thaiv kev mob, tab sis tiv thaiv txhua qhov kev tiv thaiv kab mob tsis txhob tsom mus rau txoj hnyuv. Cov tshuaj no (prednisone, methylprednisolone) tau siv rau qhov mob me me mus rau mob hnyav. Cov kev mob tshwm sim suav nrog nce phaus, nce ntsej muag plaub hau ntau ntxiv, hloov pauv lub siab, ntshav siab, hom 2 mob ntshav qab zib, txha pob txha, pob txha puas, cataracts, glaucoma, thiab muaj kev pheej hmoo kis mob ntau ntxiv.
- Azathioprine thiab mercaptopurine ua qeeb, yog li lawv feem ntau tau sau tseg nrog corticosteroid.
- Immunomodulators, zoo li corticosteroids, tiv thaiv kev tiv thaiv kab mob kom ua rau mob siab. Lawv feem ntau siv tsuas yog thaum aminosalicylates thiab corticosteroids ua tsis tiav.
- Cyclosporine yog cov tshuaj muaj zog heev uas pib ua haujlwm tsis pub dhau ib lossis ob lub lis piam. Txij li nws muaj zog heev thiab los nrog ntau yam kev phiv loj heev, nws feem ntau tsuas yog sau tseg kom txog thaum cov tshuaj muaj tshuaj tsawg tuaj yeem siv tau.
- Infliximab thiab adalimumab sib ntaus mob plab hnyuv tshwj xeeb. Infliximab tuaj yeem ua teeb meem rau cov neeg mob qog noj ntshav lossis keeb kwm mob plawv.
Kauj Ruam 2. Xav txog kev siv tshuaj tua kab mob
Tshuaj tua kab mob tsis kho tus mob plab nws tus kheej. Yog tias mob plab hnyuv ua rau kis tau tus kab mob, tshuaj tua kab mob yuav tiv thaiv kom tsis txhob muaj teeb meem ntxiv.
- Tshuaj tua kab mob tuaj yeem kho qhov mob ntawm fistulas (kev sib txuas tsis sib xws ntawm cov kabmob lossis cov hlab ntsha) pom hauv Crohn's Disease thiab feem ntau tshwm sim hauv txoj hnyuv me.
- Qhia koj tus kws kho mob yog tias koj ua npaws, uas tuaj yeem qhia pom tias muaj kab mob.
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog kev kho tshuaj lom neeg
Txawm hais tias nws yuav suab "ntuj" lossis "tshuaj ntsuab," kev kho tshuaj lom neeg siv lawv lub npe los ntawm qhov tseeb tias lawv tau tsim los ntawm cov khoom siv roj ntsha - feem ntau yog cov protein. Qhov kev kho mob no tsom rau cov tshuaj ua lub luag haujlwm rau qhov mob. Cov tshuaj tshiab no ncaj ncees tau siv rau qhov mob me me mus rau mob hnyav yog tias lwm txoj kev kho mob ua tsis tiav.
- Lawv tseem raug hu ua anti-TNF cov neeg sawv cev. Tumor necrosis factor (TNF) yog cov tshuaj tsim los ua lub luag haujlwm rau qhov mob.
- Kev kho tshuaj lom neeg tsim cov tshuaj tiv thaiv kab mob uas txuas rau lawv tus kheej rau TNF, yog li nws tuaj yeem rhuav tshem los ntawm lub cev.
- Koj tus kws kho mob yuav tsum kuaj koj mob ntsws ua ntej koj tuaj yeem pib TNF.
Kauj Ruam 4. Npaj rau kev phais yog tsim nyog
Yog tias koj tus mob plab hnyuv loj heev uas tsis muaj tshuaj, kho hauv tsev, lossis lwm txoj kev kho mob tuaj yeem ua rau nws kuaj xyuas, koj yuav xav tau kom muaj colectomy. Thaum lub sijhawm phais no, ib feem lossis tag nrho koj cov nyuv yuav raug tshem tawm. Kev tshem koj cov nyuv yuav ua rau muaj kev hloov pauv hauv lub neej. Txawm hais tias tib neeg feem ntau yuav tuaj yeem ua feem ntau ntawm cov haujlwm niaj hnub uas lawv tau ua ua ntej, koj yuav tsum nyob nrog lub stoma (lub qhov hauv koj lub plab los ntawm qhov pov tseg raug tshem tawm).
- Tib txoj hauv kev los kho mob plab hnyuv tag yog ua kom tag nrho cov colectomy ua. Txij li thaum tag nrho colectomy tuaj yeem muaj cov kev phiv tsis zoo (xws li mob plab me me), txawm li cas los xij, qee qhov colectomy qee zaum qee zaum ua tiav.
- Tus kws phais mob kuj tseem tuaj yeem xaiv ua tus txheej txheem uas txuas cov hnyuv me rau lub qhov quav, yog li ua rau lub cev ua haujlwm ntau dua qub.
Ntu 3 ntawm 3: Saib Xyuas Kab Mob Hauv Tsev
Kauj Ruam 1. Siv tshuaj tua kab mob rau mob plab los ntawm kev kis kab mob
Cov kab mob gastroenteritis lossis zaub mov lom tuaj yeem tshwm sim los ntawm kev noj lossis haus cov zaub mov lossis dej tsis huv. Feem ntau, hom mob colitis no yuav ploj mus ntawm nws tus kheej hauv ob rau peb hnub. Tab sis yog tias kev kis mob hnyav, koj tus kws kho mob yuav sau tshuaj tua kab mob nyob ntawm seb hom kab mob ua rau kis mob li cas. Yog tias tau sau tshuaj tua kab mob, nws yog ib qho tseem ceeb kom ua tiav cov tshuaj tua kab mob tag nrho thiab tsis hla koob tshuaj, txawm tias cov tsos mob ploj mus.
Kauj Ruam 2. Tswj cov mob raws plab
Peb qhov kev txhawj xeeb loj nrog raws plab yog lub cev qhuav dej, xeev siab/ntuav, thiab qaug zog. So kom txaus, thiab nrhiav kev kho mob yog tias ib qho ntawm cov tsos mob no loj tuaj. Koj tseem tuaj yeem nug koj tus kws kho mob seb nws puas pom zoo kom yuav tom khw tom khw los tiv thaiv raws plab raws li Imodium.
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Ceev faj: Yog tias koj muaj tus kab mob C. diff thiab siv Imodium rau peb hnub ntxiv kom tsis txhob mob raws plab, koj yuav khaws cov tshuaj lom uas txaus ntshai los ntawm C. diff uas tuaj yeem ua rau lub raum, mob siab thiab hnyuv, thiab lwm yam.
Kho Colitis Kauj Ruam 14
Kauj Ruam 3. Tsis txhob muaj teeb meem zaub mov uas yuav ua rau IBS ua rau mob plab lossis ua rau raws plab hnyav
Thaum noj zaub mov tsis yog qhov ua rau mob plab, qee yam zaub mov tuaj yeem ua rau koj cov tsos mob thiab ua rau mob hnyav dua. Cov zaub mov uas ntxhib ntawm koj lub plab lossis txoj hnyuv yuav tsum raug txiav tawm ntawm koj cov zaub mov kom ntau li ntau tau.
- Cov mis nyuj tuaj yeem ua rau cov tsos mob hnyav dua, tshwj xeeb tshaj yog tias koj tsis muaj lactose. Thaum koj muaj mis nyuj, noj cov khoom enzyme uas tuaj yeem pab txhawm rau rhuav tshem cov teeb meem lactose hauv mis.
- Zam cov khoom noj muaj fiber ntau (txiv hmab txiv ntoo thiab zaub), lossis ua noj kom zom cov fiber.
- Txiav tawm cov zaub mov uas tsim cov pa roj (cov dej haus carbonated lossis caffeine), ntxiv rau cov rog, rog, lossis zaub mov kib.
- Hloov chaw, noj cov zom zaub mov tsis zoo xws li kua zaub ntshiab, crackers, toast, tsawb, txhuv, thiab txiv applesauce. Yog tias koj nquag ntuav, koj yuav tsum lo nrog cov kua ntshiab ib leeg kom txog thaum koj tuaj yeem tuav tau.
Kauj Ruam 4. Noj mov me me
Cov pluas noj me me yuav tsis ua rau koj muaj tsos mob. Cov pluas noj loj, ntawm qhov tod tes, tuaj yeem hla koj txoj hnyuv thiab ua rau mob plab. Hloov los ntawm ob lossis peb pluas mov loj txhua hnub rau tsib lossis rau qhov me me. Muab koj lub plab zom mov ib lub lis piam lossis ntau dua los kho, thiab txuas ntxiv lub sijhawm no yog tias nws txhim kho koj cov tsos mob. Yog tias tsis yog, koj tuaj yeem hloov pauv mus rau koj li niaj hnub ua.
Kauj Ruam 5. Haus dej kom txaus
Kev haus dej yog qhov tseem ceeb rau kev kis kab mob thiab IBD. Kev raws plab los ntawm kev kis kab mob tuaj yeem ua rau lub cev qhuav dej txaus ntshai. Yog tias koj muaj IBD, kua dej yooj yim hla cov khib nyiab los ntawm koj cov hnyuv, ua rau mob tsawg dua thiab muaj teeb meem tsawg dua.
- Dej yog qhov kev xaiv zoo tshaj plaws. Sim haus 6 txog yim 8-oz (250-ml) tsom iav dej txhua hnub kom ua rau koj txoj kev noj qab haus huv zoo.
- Tsis txhob haus dej uas tuaj yeem ua rau koj lub cev qhuav dej, zoo li cov uas muaj cawv thiab caffeine. Caffeine kuj tseem ua rau cov hnyuv, feem ntau ua rau cov tsos mob tsis zoo hauv cov txheej txheem. Cov dej haus carbonated tuaj yeem ua rau cov tsos mob tshwm sim los ntawm kev tsim roj.
Kauj Ruam 6. Nug koj tus kws kho mob txog kev siv tshuaj multivitamin
Colitis tuaj yeem ua rau nws nyuaj rau koj txoj hnyuv kom nqus tau cov as -ham txaus, txawm tias koj noj zaub mov tsis zoo. Multivitamin tuaj yeem tuaj yeem ntxiv qee cov vitamins thiab minerals uas koj lub cev ploj mus.
- Thaum cov tshuaj multivitamins tuaj yeem pab koj ntxiv cov khoom noj uas ploj lawm, tsis txhob cia siab rau cov vitamins ntau dua li cov zaub mov thiab dej haus.
- Multivitamins tsis muab koj lub cev nrog cov protein thiab calories uas nws xav tau kom khiav.
Kauj Ruam 7. Txo koj txoj kev ntxhov siab
Kev nyuaj siab tuaj yeem ua rau mob plab hnyuv, yog li koj yuav tsum siv sijhawm ntev los txo nws, txawm tias koj tsis tuaj yeem txiav nws tawm ntawm koj lub neej. Kev nyuab siab tuaj yeem ua rau koj lub plab khoob qeeb thiab tsim cov kua qaub ntau dua li ib txwm. Nws kuj tseem tuaj yeem hloov pauv tus nqi ntawm cov zaub mov uas hla cov hnyuv lossis cuam tshuam rau cov nqaij hauv plab.
- Kev qoj ib ce kom me me (dhia, caij tsheb kauj vab) tuaj yeem txo qis koj cov kev ntxhov siab.
- Koj tseem tuaj yeem sim yoga, xav txog lwm yam, lossis lwm yam kev tawm dag zog uas nug koj kom mob siab rau koj kev ua pa.
- Yog tias tsis muaj cov kev xaiv no pab lossis zoo li txaus siab, koj tuaj yeem tso tseg me ntsis txhua hnub los ua qee yam uas koj nyiam. Qhov kev ua yooj yim ntawd, hauv nws tus kheej, tuaj yeem txo koj qib kev ntxhov siab.
Kauj Ruam 8. Tsis txhob noj tshuaj uas tuaj yeem ua rau tawg
Saib ntawm cov kev mob tshwm sim rau txhua yam ntawm koj cov tshuaj (suav nrog cov khw muag khoom tom khw) kom pom tias lawv ua rau lub plab zom mov lossis tsis ua. Tsis txhob noj tshuaj yuav tom khw uas hais txog kev mob plab lossis hnyuv. Tsis txhob tsum noj tshuaj yam tsis tau tham nrog koj tus kws kho mob ua ntej.
Nonsteroidal anti-inflammatory drugs (NSAIDs), tshwj xeeb, tau paub tias ua rau ua rau mob plab
Kauj Ruam 9. Sim lwm txoj kev kho mob
Probiotics yog cov kab mob muaj txiaj ntsig pom nyob hauv cov hnyuv. Tau txais ntau ntawm lawv los ntawm yogurt lossis tshuaj ntxiv tuaj yeem hloov cov uas poob los ntawm colitis, ua kom lub plab zom zaub mov zoo. Qhov ua tau zoo ntawm cov roj ntses tau sib cav - txawm hais tias paub txog kev tiv thaiv kab mob, nws tsis tau raug pov thawj muaj txiaj ntsig zoo rau kev mob plab. Nws kuj tseem tuaj yeem tshem tawm cov quav, thiab ua rau mob plab zom mov ntau ntxiv.
- Qee cov pov thawj qhia tias aloe vera tuaj yeem pab ua rau tiv thaiv kev mob, tab sis cov pov thawj tsis muaj zog ntawm qhov zoo tshaj plaws. Zoo li cov roj ntses, nws yog tus paub laxative.
- Acupuncture yog siv los kho ntau yam mob uas cuam tshuam nrog mob thiab o. Ib txwm mus rau daim ntawv tso cai, ntau dua li kev pib xyaum ua, kws kho mob tshwj xeeb thaum siv qhov kev kho mob no.
- Turmeric muaj cov tshuaj hu ua curcumin. Thaum siv ua ke nrog lwm txoj kev kho mob colitis, qee qhov pov thawj qhia tias cov tshuaj no tuaj yeem txhim kho cov tsos mob.
