Ulcerative colitis yog ib hom kab mob ua rau mob plab (IBD) uas cuam tshuam rau lub qhov quav thiab nthuav mus rau sab saud, mus rau koj cov nyuv. Nws yog tus cwj pwm los ntawm kev mob ntev thiab mob txhab rau hauv koj cov nyuv. Tus mob feem ntau muaj qhov tshwm sim ntxiv nrog rau lub sijhawm tshem tawm. Txhawm rau txheeb xyuas tus kab mob ulcerative, nws yog qhov tseem ceeb kom nkag siab tias cov cim thiab cov tsos mob twg yuav tsum saib xyuas, nrog rau kev nkag siab cov cim ntawm cov teeb meem uas yuav tshwm sim los ntawm tus kab mob.
Cov kauj ruam
Ntu 1 ntawm 3: Txheeb Xyuas Cov Cim Qhia thiab Cov tsos mob ntawm Ulcerative Colitis
Kauj Ruam 1. Qhia koj tus kws kho mob yog tias koj tab tom muaj mob raws plab
Zawv plab yog thaum koj muaj peb lossis ntau dua cov quav, cov quav dej txhua hnub. Yog tias koj tab tom muaj mob raws plab ntev dua li ob peb hnub - thiab tshwj xeeb tshaj yog tias koj lub plab muaj ntshav lossis pus hauv nws - nws yuav yog ib qho cim qhia tias mob plab.
Kev mob raws plab hauv cov kab mob plab kuj tseem yuav hnyav txaus kom koj tsaug zog nrog xav tau kev tso quav
Kauj Ruam 2. Nco tseg qhov mob plab thiab/lossis mob plab
Lwm cov tsos mob ntawm tus kab mob ulcerative yog mob plab nrog lossis tsis muaj cramps. Koj tuaj yeem hnov qhov no hauv ib cheeb tsam ntawm koj lub plab, vim nws nyob ntawm thaj chaw twg ntawm koj txoj hnyuv muaj mob. (Nco ntsoov tias thaj tsam ntawm txoj hnyuv uas cuam tshuam yuav txawv ntawm ib tus neeg mus rau ib tus neeg uas muaj tus kab mob plab; nws kuj tseem tuaj yeem sib txawv ntawm lub sijhawm sib txawv hauv tib tus neeg.)
Kauj Ruam 3. Saib seb puas muaj teeb meem hla quav
Tsis yog txhua tus neeg uas muaj tus mob plab hnyuv tuaj nrog raws plab. Qee tus neeg yuav tsis muaj peev xwm tso quav tawm txawm tias qhov kev xav uas lawv xav tau.
- Kev tawm tsam nrog kev tso quav yog feem ntau nrog mob qhov quav, thiab qee zaum nrog ntshav los ntawm qhov quav thiab.
- Nco ntsoov tias cov ntshav los yog cov paug hauv koj cov quav yog cov tsos mob tshwm sim ntau heev hauv cov kab mob ua rau mob plab.
Kauj Ruam 4. Nco ntsoov koj qib zog
Ulcerative colitis feem ntau nthuav tawm nrog qib siab ntawm kev qaug zog ntau dua li koj ib txwm muaj hauv koj lub neej niaj hnub. Qhia rau koj tus kws kho mob yog tias koj tau hnov nkees ntau dua li ib txwm.
Qhov no tuaj yeem yog qhov thib ob rau kev poob ntshav. Anemia tuaj yeem tshwm sim yog tias cov ntshav poob hnyav, nthuav tawm nrog cov tsos mob ntawm ntshav los ntawm qhov quav, qaug zog, ua tsis taus pa thiab/lossis lub plawv palpitations
Kauj Ruam 5. Saib xyuas kom poob phaus
Yog tias koj muaj kab mob plab, qhov mob hauv cov nyuv cuam tshuam nrog kev nqus cov khoom noj. Vim li ntawd, koj lub cev yuav tsis nqus cov as -ham uas nws xav tau, thiab tej zaum koj yuav raug kev txom nyem los ntawm kev noj zaub mov tsis zoo. Qhia koj tus kws kho mob yog tias koj tau poob phaus, vim qhov no tuaj yeem yog lub cim qhia tias koj tsis nqus cov zaub mov kom raug vim yog mob plab.
Hauv cov menyuam yaus, ntau dua qhov poob phaus, malabsorption los ntawm kev mob plab hnyuv feem ntau tshwm sim raws li kev ua tsis tau zoo
Kauj Ruam 6. Ntsuas koj qhov ntsuas kub
Ulcerative colitis kuj tseem tuaj yeem ua npaws nrog rau mob raws plab ntev thiab mob plab. Yog tias koj muaj kub taub hau uas tsis tau piav qhia ntev tshaj li ob peb hnub nws yog qhov tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob. Nco tseg, txawm li cas los xij, yog tias koj kub taub hau yog vim lwm qhov ua rau mob khaub thuas lossis mob khaub thuas ces nws yuav tsis cuam tshuam nrog mob plab.
Kauj Ruam 7. Saib xyuas koj tus kab mob
Ulcerative colitis feem ntau mus rau hauv nthwv dej, nrog rau lub sijhawm nws tsis zoo thiab lub sijhawm thaum nws zoo dua. Hauv lwm lo lus, nws tsis yog qhov xwm txheej ruaj khov, tab sis yog ib qho uas txhim kho thiab ua rau muaj kev hloov pauv zuj zus.
- Qee tus neeg muaj lub sijhawm ntev ntawm kev tshem tawm ntawm lawv cov kab mob plab, thaum lwm tus tau ntsib qhov xwm txheej tshwm sim ntau zaus.
- Kev ntxhov siab feem ntau tuaj yeem cuam tshuam rau tus mob no thiab ua rau nws mob ntxiv.
Ntu 2 ntawm 3: Txheeb Xyuas Cov tsos mob ntawm Cov Teeb Meem Tsis Zoo
Kauj Ruam 1. Saib cov cim thiab cov tsos mob ntawm ntshav loj
Ib qho ntawm cov teeb meem uas tuaj yeem ua rau mob plab hnyuv yog ib ntu ntawm cov ntshav hnyav. Qhia rau koj tus kws kho mob yog tias koj tau ntsib ib qho ntawm cov hauv qab no, uas tuaj yeem qhia tias muaj ntshav txaus:
- Hnov qhov muag tsis pom kev lossis tsis pom kev zoo (uas tuaj yeem yog lub cim ntawm kev poob ntshav ntau)
- Pom cov ntshav liab hauv koj cov quav
Kauj Ruam 2. Qhia koj tus kws kho mob yog tias koj tab tom mob hnyav zuj zus
Ib tus lej ntawm cov teeb meem muaj peev xwm ua rau mob plab hnyuv tshwm sim sai sai, mob plab hnyav. Cov teeb meem muaj peev xwm yuav tsum paub txog suav nrog:
- Ib "perforated colon" - Qhov no yog thaum koj txhim kho lub qhov hauv koj cov nyuv ntawm thaj chaw uas muaj kab mob.
- "Toxic megacolon" - Qhov no yog thaum ib feem ntawm koj txoj hnyuv loj raug thaiv nrog qhov mob thiab tom qab ntawd ua rau qhov loj me me. Qhov no ua rau koj txoj hnyuv loj dhau los ua phab ntsa nyias thiab nthuav dav, thiab nws thiaj tuaj yeem dhau los ua qhov txhab.
Kauj Ruam 3. Saib xyuas qhov mob ntawm koj cov tawv nqaij, pob qij txha, qhov muag, thiab qhov ncauj
Lwm qhov teeb meem tuaj yeem ua rau mob plab yog liab thiab mob ntawm daim tawv nqaij nyob txhua qhov chaw ntawm koj lub cev, mob lossis ua pob qij txha, ua rau lub qhov muag tsis pom kev, lossis txhim kho qhov ncauj. Qhia rau koj tus kws kho mob yog tias koj tab tom ntsib ib qho ntawm no vim tias muaj cov kev kho mob muaj.
Ulcerative colitis yog kab mob autoimmune, uas yog vim li cas lwm qhov ntawm lub cev tuaj yeem cuam tshuam. Kev kho mob yog tsom mus rau kev hloov pauv thiab tiv thaiv cov lus teb no
Ntu 3 ntawm 3: Txheeb Xyuas Kab Mob Plab Hlav
Kauj Ruam 1. Nug kom kuaj ntshav
Yog tias koj muaj cov tsos mob qhia tias mob plab, ib txoj hauv kev los tshuaj xyuas ntxiv yog los ntawm kev xaj ntshav mus kuaj. Cov no tuaj yeem suav nrog cov txheej txheem tshuaj lom neeg ua tiav lossis ua kom tiav cov txheej txheem zom zaub mov ntsuas lub raum ua haujlwm (creatinine, cov ntshav pom zoo), lub siab ua haujlwm, thiab electrolytes (sodium, potassium, calcium). Tshwj xeeb, koj tus kws kho mob yuav nrhiav:
- Anemia (qis hemoglobin), uas tuaj yeem qhia pom ntshav poob los ntawm kev mob hauv koj txoj hnyuv. Qhov no yog ntsuas los ntawm kev suav cov ntshav tag (CBC) ntsuas cov qe ntshav liab (thiab lawv cov khoom), cov qe ntshav dawb (ntsuas lub cev lub peev xwm los tawm tsam kev kis tus kab mob), thiab suav cov platelet (cov cell uas pab lub cev khov lossis tsis los ntshav).
- Ua kom cov qe ntshav dawb nce ntxiv, uas tuaj yeem qhia pom tias kis mob lossis mob. Qhov no kuj tseem yuav txiav txim siab los ntawm CBC.
Kauj Ruam 2. Tau txais cov quav quav
Ib qho quav quav kuj tseem tuaj yeem pab kho tus mob plab hnyuv. Koj tus kws kho mob yuav kuaj ntshav (hemoglobin) hauv koj cov quav, uas ib zaug ntxiv tuaj yeem yog lub cim ntawm ntshav poob. Kev kuaj quav kuj tseem tuaj yeem nrhiav cov qe ntshav dawb nce ntxiv, thiab tuaj yeem tshuaj xyuas qhov muaj peev xwm kis mob (xws li kab mob cab, kab mob, lossis kis kab mob) uas tuaj yeem tshwm sim zoo ib yam li mob plab.
Kauj Ruam 3. Muaj txoj hnyuv loj
Thaum kuaj ntshav thiab kuaj cov quav ob qho tib si pab kho tus mob plab hnyuv, txoj hnyuv loj yog txoj hauv kev zoo tshaj plaws los tshuaj xyuas koj cov nyuv thiab kom paub tseeb qhov kev kuaj mob. Ib lub raj tso rau hauv koj lub qhov quav thiab hla txhua txoj hauv kev mus rau koj txoj hnyuv loj. Muaj lub koob yees duab tom kawg ntawm nws txhawm rau tshuaj xyuas txhua feem ntawm koj txoj hnyuv, nrhiav kev puas tsuaj thiab mob o uas tuaj yeem hais qhia thiab/lossis kuaj mob ntawm mob plab.
- Biopsies ntawm thaj chaw tsis txaus ntseeg ntawm koj txoj hnyuv kuj tseem tuaj yeem nqa thaum kuaj txoj hnyuv.
- Cov qauv kuaj ntshav tuaj yeem pom tom qab los ntawm cov kws kho mob hauv qab lub tshuab tsom iav.
- Cov tsos mob ntawm cov nqaij mos hauv qab lub tshuab tsom iav tuaj yeem siv los lees paub qhov kev kuaj mob ntawm tus kab mob plab.
Kauj Ruam 4. Nug koj tus kws kho mob kom xoo hluav taws xob lossis CT scan yog nws xav tias nws muaj teeb meem mob plab
Yog tias koj pom cov tsos mob thiab cov tsos mob uas tuaj yeem ua rau mob plab hnyuv, xoo hluav taws xob thiab lossis CT scan feem ntau yog txoj hauv kev zoo tshaj los saib cov no. Piv txwv li, thiab xoo hluav taws xob thiab/lossis CT tuaj yeem nqa:
- Lub plab phab ntsa perforation (lub qhov hauv lub plab phab ntsa) vim yog tus kab mob
- "Toxic megacolon," uas yog txoj hnyuv sai sai vim yog ib nrab ntawm qhov txhaws los ntawm qhov mob
- Mob khees xaws hnyuv, raws li muaj mob plab hnyuv ua rau koj muaj feem yuav muaj feem tsim muaj mob qog noj ntshav
