He aha ka Microscopic Colitis? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka microscopic colitis kahi ʻano o ka mumū o ka ʻōpū e hoʻokumu ai i ka luaʻi wai mau loa. ʻAʻole like me nā ʻano ʻē aʻe o ka colitis, ua maʻamau loa kou kolona i ka wā o ka colonoscopy, akā ma lalo o ka microscope, ʻike ʻia ka mumū ma ka papa o ka kolona.

Hoʻopili kēia maʻi ma kahi o 20 i kēlā me kēia 100,000 mau kānaka, a ʻoi aku ka nui o nā wāhine ma mua o nā kāne. ʻOiai paha he weliweli ka inoa, hiki ke mālama ʻia ka microscopic colitis me ka lapaʻau kūpono a maʻamau ʻole ka hopena koʻikoʻi.

He aha nā hōʻailona o ka microscopic colitis?

ʻO ka hōʻailona nui o ka microscopic colitis ka luaʻi wai mau loa e mau ana no nā pule a i ʻole nā mahina. ʻAʻole kēia ka maʻi ʻōpū maʻamau e hoʻōla i loko o kekahi mau lā.

E hele kākou i nā hōʻailona āu e ʻike ai, e hoʻomaka ana me nā mea maʻamau loa:

• Luaʻi wai e hana ana i 3-20 mau manawa i ka lā
• ʻEha a me ka ʻeha o ka ʻōpū, maʻamau mai ka māmā a hiki i ka waena
• Ka wikiwiki e hele i ka lumipaku
• Pūpū a me ke ea
• Luhi mai ka hele pinepine ʻana i ka lumipaku a me ka hoʻopilikia ʻana i ka hiamoe
• Kaumaha emi ma muli o ka ʻai ʻole pono
• Ka maloʻo inā nui ka nalowale o ka wai

ʻIke kekahi poʻe i nā hōʻailona ʻaʻole maʻamau e like me ka ʻeha o nā hono, nā ʻili ʻili, a i ʻole ka mumū o nā maka. Hiki i kēia mau hōʻailona ke hele mai a hele aku, me nā manawa hoʻomaha i ukali ʻia e nā flare-ups e mau ana no kekahi mau mahina.

He aha nā ʻano o ka microscopic colitis?

ʻElua mau ʻano nui o ka microscopic colitis, a kapa ʻia lākou ma muli o ka mea i ʻike ʻia e nā kauka ma lalo o ka microscope. Hoʻokumu nā ʻano ʻelua i nā hōʻailona like akā he ʻano ʻokoʻa iki lākou ma lalo o ka microscope.

Hana ʻia ka collagenous colitis i ka wā e kūkulu ʻia ai kahi kāʻei mānoanoa o ka collagen ma lalo o ka ʻili o ka kolona. ʻOi aku ka mānoanoa o kēia kāʻei collagen ma mua o ka maʻamau, e hana ana i ka pale e hoʻopilikia ai i ke ʻano o ka hoʻomoʻi ʻana o kou kolona i ka wai.

Hana ʻia ka lymphocytic colitis i ka wā e hōʻiliʻili nui ai nā lymphocytes (kahi ʻano o nā keʻena koko keʻokeʻo) i ka papa o ka kolona. Hōʻike kēia mau keʻena pale i ka mumū mau loa, ʻoiai ua maʻamau kou kolona mai waho.

Pane like nā ʻano ʻelua i nā lapaʻau like, a e hoʻoholo kāu kauka i ke ʻano āu e loaʻa ai ma o ka biopsy i ka wā o ka colonoscopy.

He aha ke kumu o ka microscopic colitis?

ʻAʻole maopopo loa ke kumu o ka microscopic colitis, akā manaʻo nā mea noiʻi ua ulu mai ia mai ka hui ʻana o nā mea. Loaʻa paha kahi kuleana nui i kou ʻōnaehana pale i ka hoʻomaka ʻana o ka mumū.

Eia nā mea nui e hiki ke hoʻokomo i ka ulu ʻana o kēia maʻi:

• Ka pane autoimmune kahi e hoʻouka ai kou ʻōnaehana pale i nā pūnaewele kolona olakino
• Nā lāʻau lapaʻau, ʻo nā NSAIDs e like me ka ibuprofen, nā proton pump inhibitors, a me kekahi mau antidepressants
• Nā maʻi bacteria a i ʻole nā maʻi viral e hoʻomaka ai i ka mumū mau loa
• Nā kumu genetic e hoʻonui ai i kou pilikia
• Ka malabsorption o ka waikawa bile, hiki ke hoʻonāukiuki i ka papa o ka kolona
• Paka, e hoʻonui nui ana i kou pilikia

I nā hihia kakaikahi, hiki ke pili ka microscopic colitis i ka maʻi celiac, nā maʻi thyroid, a i ʻole ka hōʻike ʻia i kekahi mau mea ʻino. Eia naʻe, ulu nui nā kānaka i ka maʻi me ka ʻole o kekahi kumu maopopo, hiki ke manaʻo ʻia he mea hoʻonāukiuki akā he mea maʻamau loa.

I ka wā hea ʻoe e ʻike ai i ke kauka no ka microscopic colitis?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i ka luaʻi wai e mau ana ma mua o kekahi mau lā, ʻoiai inā e hoʻopilikia ana i kou ola i kēlā me kēia lā. Hiki i ka ʻike mua ke kōkua i ka pale ʻana i nā pilikia a me ka hoʻomaikaʻi ʻana i kou manaʻo i ka wā koke.

E ʻimi i ka mālama lapaʻau koke inā ʻike ʻoe i nā hōʻailona o ka maloʻo e like me ka dizziness, ka maloʻo o ka waha, a i ʻole ka emi ʻana o ka urination. Hōʻike kēia mau hōʻailona ua nalowale kou kino i ka wai nui a pono i ka mālama koke.

E kāhea koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū, ke koko i kou luaʻi, a i ʻole ka mahana kiʻekiʻe. ʻOiai he mea maʻamau ʻole kēia mau hōʻailona me ka microscopic colitis, hiki iā lākou ke hōʻike i nā maʻi koʻikoʻi ʻē aʻe e pono ai ka mālama koke.

He aha nā mea pilikia no ka microscopic colitis?

ʻAʻole ulu nui nā kānaka me ka microscopic colitis i nā pilikia koʻikoʻi, akā hiki i ka luaʻi mau loa ke alakaʻi i kekahi mau pilikia olakino inā waiho ʻia me ka mālama ʻole. ʻO ka ʻoiaʻiʻo maikaʻi, maʻamau ka pale ʻana i kēia mau pilikia me ka mālama kūpono.

ʻO nā pilikia maʻamau āu e kū ai e komo pū me:

• Ka maloʻo mai ka nalowale nui o ka wai ma o ka luaʻi
• Nā pilikia electrolyte, ʻo ka potassium a me ka sodium haʻahaʻa
• Ka nele o ka meaʻai ma muli o ka ʻai ʻole pono
• Kaumaha emi e hiki ke lilo i mea nui ma hope o kekahi manawa
• Luhi a nāwaliwali mai nā nele o ka meaʻai
• Ka hoʻokaʻawale ʻana i ka nohona ma muli o nā neʻe ʻana o ka ʻōpū i manaʻo ʻole ʻia

Ma nā hihia kakaikahi, hiki i nā hihia koʻikoʻi ke alakaʻi i nā pilikia o ka puʻupaʻa mai ka maloʻo mau loa a i ʻole ka nele nui o ka meaʻai e pono ai ka hoʻokomo ʻia i ka haukapila. Eia naʻe, me ka lapaʻau kūpono, pale nui nā kānaka i kēia mau pilikia koʻikoʻi loa.

Pehea e pale aku ai i ka microscopic colitis?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka microscopic colitis, hiki i kekahi mau hoʻololi o ke ola ke hoʻemi i kou pilikia a i ʻole ke kōkua i ka mālama ʻana i nā hōʻailona inā loaʻa iā ʻoe ka maʻi. Hoʻokomo ka pale ʻana i ka pale ʻana i nā mea hoʻonāukiuki i ʻike ʻia a me ka mālama ʻana i ke olakino o ka kolona.

ʻO nā hana pale maikaʻi loa e komo pū me ka haʻalele ʻana i ka paka, ʻoiai e hoʻemi nui ana kēia i kou pilikia o ka ulu ʻana o ka maʻi. Inā paka ʻoe, e kamaʻilio me kāu kauka e pili ana i nā papahana haʻalele e hiki ke kōkua iā ʻoe e haʻalele me ka palekana.

E hana pū me kāu kauka e nānā i kāu mau lāʻau lapaʻau, ʻoiai inā lawe mau ʻoe i nā NSAIDs a i ʻole nā proton pump inhibitors. I kekahi manawa, hiki i ka hoʻololi ʻana i nā lāʻau lapaʻau ʻē aʻe ke hoʻemi i kou pilikia me ka ʻole o ka hoʻopilikia ʻana i kou mau maʻi ʻē aʻe.

Ke mālama nei i ka ʻai olakino piha i ka fiber a me ka wai maikaʻi e kākoʻo ana i ke olakino o ka kolona. ʻIke kekahi poʻe ua kōkua ka pale ʻana i ka caffeine a me ka waiʻona nui i ka pale ʻana i ka hoʻonāukiuki ʻana o ka ʻōpū.

Pehea ka ʻike ʻana o ka microscopic colitis?

Pono ka ʻike ʻana o ka microscopic colitis i ka colonoscopy me ka biopsy o ka pūnaewele no ka mea ʻaʻole hiki ke ʻike ʻia ka maʻi me ka maka maka. Pono kāu kauka e nānā i ka pūnaewele kolona ma lalo o ka microscope e hana i ka ʻike.

Hoʻomaka maʻamau ke kaʻina hana ʻike me kāu kauka e nānā ana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau. E nīnau lākou e pili ana i kāu mau neʻe ʻana o ka ʻōpū, nā lāʻau lapaʻau āu e lawe nei, a inā loaʻa iā ʻoe nā maʻi autoimmune ʻē aʻe.

Hiki ke kauoha ʻia nā hoʻokolohua koko e nānā i nā hōʻailona o ka mumū, anemia, a i ʻole nā pilikia electrolyte. Hiki paha i kāu kauka ke hoʻokolohua i kou luaʻi e kāpae i nā maʻi a i ʻole nā kumu ʻē aʻe o ka luaʻi mau loa.

I ka wā o ka colonoscopy, e lawe kāu kauka i nā laʻana pūnaewele liʻiliʻi mai nā wahi like ʻole o kou kolona. A laila, e nānā ʻia kēia mau biopsies ma lalo o ka microscope e nānā i nā loli hiʻohiʻona e hōʻike ana i ka microscopic colitis.

He aha ka lapaʻau no ka microscopic colitis?

Hoʻokomo ka lapaʻau no ka microscopic colitis i ka hoʻemi ʻana i ka mumū a me ka kaohi ʻana i ka luaʻi e kōkua iā ʻoe e ʻoi aku ka maikaʻi a pale i nā pilikia. ʻO ka ʻoiaʻiʻo maikaʻi, pane maikaʻi ka hapa nui o nā kānaka i ka lapaʻau.

E hoʻomaka paha kāu kauka me nā ala māmā loa ma mua:

1. Ke haʻalele ʻana i nā lāʻau lapaʻau e hiki ke hoʻokumu i ka pilikia, inā hiki
2. Nā lāʻau lapaʻau anti-diarrheal e like me ka loperamide e hoʻemi i nā neʻe ʻana o ka ʻōpū
3. Budesonide, kahi corticosteroid e hana ana ma kahi kūloko i ka kolona me nā hopena ʻaoʻao liʻiliʻi
4. Nā mea hoʻopaʻa waikawa bile inā ke kōkua nei ka malabsorption o ka waikawa bile
5. Probiotics e kōkua i ka hoʻihoʻi ʻana i nā bacteria olakino o ka ʻōpū

No nā hihia koʻikoʻi, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ikaika e like me nā steroids systemic, nā immunosuppressants, a i ʻole nā biologics. Hoʻopaʻa ʻia kēia mau lapaʻau no nā kānaka ʻaʻole pane i nā therapies mua.

I nā hihia kakaikahi kahi ʻaʻole hana nā lāʻau lapaʻau, loaʻa i kekahi poʻe ka pono mai ka fecal microbiota transplantation, ʻoiai ke manaʻo ʻia nei he mea hoʻokolohua kēia no ka microscopic colitis.

Pehea ʻoe e mālama ai i ka microscopic colitis ma ka home?

Ke pāʻani nei ka mālama home i kahi kuleana nui i ka kaohi ʻana i kāu mau hōʻailona a me ka hoʻomaikaʻi ʻana i kou maikaʻi o ke ola. Hiki i nā hoʻololi maʻalahi o ka ʻai a me ke ola ke hana i kahi ʻokoʻa nui i kou manaʻo i kēlā me kēia lā.

E hoʻomaka ma ka mālama ʻana i kahi puke moʻolelo meaʻai e ʻike i nā mea hoʻonāukiuki e hoʻonāukiuki i kāu mau hōʻailona. ʻO nā mea hoʻonāukiuki maʻamau e komo pū me ka caffeine, nā meaʻai ʻawaʻawa, nā meaʻai momona kiʻekiʻe, a me nā meaʻono hana, ʻoiai ʻokoʻa nā mea hoʻonāukiuki mai ke kanaka a i ke kanaka.

E mālama i ka wai maikaʻi ma o ka inu ʻana i ka wai nui i ka lā, ʻoiai i ka wā o nā flare-ups. Hiki i nā mea inu electrolyte ke kōkua i ka hoʻololi ʻana i kāu mea i nalowale ma o ka luaʻi, akā e koho i nā koho me ka ʻole o nā meaʻono hana.

E ʻai i nā meaʻai liʻiliʻi, pinepine ma mua o nā mea nui, a e noʻonoʻo e hahai i kahi ʻai haʻahaʻa-FODMAP inā ʻike ʻia kekahi mau meaʻai e hoʻonāukiuki i nā hōʻailona. ʻIke kekahi poʻe ua kōkua ka pale ʻana i ka gluten, ʻoiai inā ʻaʻole lākou he maʻi celiac.

E hoʻolālā i kāu mau hana i kēlā me kēia lā a puni ke komo ʻana i ka lumipaku i ka wā e hana ana nā hōʻailona. Hiki ke manaʻo ʻia kēia he mea kaupalena, akā hiki ke hoʻemi i ka hopohopo a kōkua iā ʻoe e mālama i kāu hana maʻamau e like me ka hiki.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ke hoʻomākaukau nei no kāu hālāwai e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a me ka papahana lapaʻau maikaʻi. Pono kāu kauka i ka ʻike kikoʻī e pili ana i kāu mau hōʻailona e kōkua pono iā ʻoe.

E mālama i kahi puke moʻolelo hōʻailona no ka liʻiliʻi o hoʻokahi pule ma mua o kāu hālāwai, e hoʻomaopopo ana i ka pinepine a me ke kūlike o nā neʻe ʻana o ka ʻōpū, kekahi ʻeha pili, a me nā mea hoʻonāukiuki hiki. He waiwai nui kēia ʻike no kāu kauka.

E hana i kahi papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huaora āu e lawe nei, me nā mea kūʻai aku ma luna o ka counter. Hiki i kekahi mau lāʻau lapaʻau ke hoʻokomo i ka microscopic colitis, no laila he mea nui kēia ʻike.

E hoʻomākaukau i kahi papa inoa o nā nīnau āu e makemake ai e nīnau, e like me nā hoʻokolohua āu e pono ai, nā koho lapaʻau i loaʻa, a pehea e mālama ai i nā hōʻailona i ka wā e kali nei no nā hopena. E kākau i kāu mau nīnau ma mua i ʻole ʻoe e poina iā lākou i ka wā o ka hālāwai.

He aha ka lawe nui e pili ana i ka microscopic colitis?

ʻO ka microscopic colitis kahi maʻi hiki ke mālama ʻia, ʻoiai he mea ʻoluʻolu ʻole, maʻamau ʻole ka hopena koʻikoʻi i ka wā e mālama pono ʻia. Hiki i ka luaʻi mau loa a me nā hōʻailona ʻē aʻe ke hoʻopilikia nui i kou maikaʻi o ke ola, akā loaʻa nā lapaʻau maikaʻi.

Pane maikaʻi ka hapa nui o nā kānaka me ka microscopic colitis i ka lapaʻau a hiki ke hoʻi i kā lākou mau hana maʻamau. ʻOiai paha e pono ai ka mālama mau ʻana i ka maʻi, ʻike nui nā kānaka i nā manawa lōʻihi o ka remission me nā hōʻailona liʻiliʻi.

ʻO ke kī i ka mālama holomua ka hana pili me kāu hui mālama ola, ke ahonui me ke kaʻina hana lapaʻau, a me ka hoʻololi ʻana i ke ola e kākoʻo ana i kou olakino holoʻokoʻa. E hoʻomanaʻo ʻaʻole kēia maʻi kou hewa, a me ka mālama pono, hiki iā ʻoe ke ola i kahi ola piha a hana nui.

Nā nīnau pinepine e pili ana i ka microscopic colitis

Ua like anei ka microscopic colitis me ka maʻi Crohn a i ʻole ka ulcerative colitis?

ʻAʻole, ʻokoʻa ka microscopic colitis mai nā maʻi inflammatory bowel e like me ka maʻi Crohn a me ka ulcerative colitis. ʻOiai ʻelua mau maʻi e hoʻokumu ana i ka mumū i ka ʻōnaehana digestive, loaʻa maʻamau i ka microscopic colitis kahi prognosis maikaʻi a me nā ala lapaʻau ʻokoʻa. ʻAʻole like me ka IBD, ʻaʻole hoʻonui ka microscopic colitis i kou pilikia o ka maʻi kanesa kolona a maʻamau ʻole ka ʻoki ʻana.

Pono anei au e hahai i kahi ʻai kūikawā mau loa?

ʻAʻole pono. ʻOiai ʻike kekahi poʻe ua kōkua kekahi mau hoʻololi ʻai i ka mālama ʻana i kā lākou mau hōʻailona lōʻihi, hiki i nā mea ʻē aʻe ke hoʻi i kā lākou ʻai maʻamau i ka wā e kaohi ʻia ai kā lākou maʻi. E hana pū me kāu kauka a me kahi dietitian paha e hoʻomohala i kahi papa ʻai e hana ana no kāu kūlana a me nā hōʻailona kikoʻī.

Hiki anei i ka microscopic colitis ke hele aku ma kona iho?

ʻIke kekahi poʻe i ka remission kūlohelohe, kahi e nalowale ai nā hōʻailona me ka ʻole o ka lapaʻau. Eia naʻe, he mea manaʻo ʻole kēia, a hoʻi pinepine ka maʻi. Manaʻo nui nā kauka i ka lapaʻau e kaohi i nā hōʻailona a pale i nā pilikia ma mua o ka kali ʻana e ʻike inā e hoʻoponopono ʻia ma kona iho.

He mea hoʻopilikia anei ka microscopic colitis?

ʻAʻole, ʻaʻole he mea hoʻopilikia ka microscopic colitis. ʻAʻole hiki iā ʻoe ke hopu mai kekahi a hoʻoili paha i nā mea ʻē aʻe. He maʻi mumū ia e ulu ana ma muli o ka hui ʻana o nā mea e komo pū me nā genetics, ka hana ʻole o ka ʻōnaehana pale, a me nā mea hoʻonāukiuki o ke kaiapuni.

Pehea ka lōʻihi o ka lapaʻau e hana ai?

Hoʻomaka ka hapa nui o nā kānaka e ʻike i ka hoʻomaikaʻi ʻana i loko o 2-8 mau pule o ka hoʻomaka ʻana o ka lapaʻau, ʻoiai hiki ke mau i kekahi mau mahina e hoʻokō i ka kaohi piha ʻana o nā hōʻailona. Hiki i kekahi mau lāʻau lapaʻau e like me nā lāʻau anti-diarrheal ke hāʻawi i ka hoʻomaha i loko o nā lā, ʻoiai nā mea ʻē aʻe e like me ka budesonide e pono ai kekahi mau pule e hōʻike i kā lākou hopena piha. E ahonui me ke kaʻina hana a e kamaʻilio mau me kāu kauka e pili ana i kāu holomua.