He aha ka Colitis Ulcerative? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka colitis ulcerative he maʻi mumū loloa o ka ʻōpū, kahi e hoʻoulu ai i ka mumū a me nā ʻōpala ma ka papa o kou ʻōpū nui (colon) a me ka rectum. ʻAʻole like me nā kūlana ʻē aʻe o ka ʻōnaehana digestive, ʻo kēia mumū ke noho nei ma ka papa o loko loa o ka paia o kou ʻōpū a hoʻomaka maʻamau i ka rectum, a laila e pālahalaha paha i luna ma o ka colon.

Hoʻopili kēia kūlana i kahi 1 i 250 mau kānaka a hiki ke ulu i kēlā me kēia makahiki, ʻoiai ka mea maʻamau loa ma waena o nā makahiki 15 a me 30. ʻOiai he kūlana ola lōʻihi ka colitis ulcerative, nui nā kānaka e loaʻa nā ala maikaʻi e hoʻokele ai i kā lākou mau hōʻailona a ola i nā ola piha a hana.

He aha nā hōʻailona o ka colitis ulcerative?

ʻO nā hōʻailona nui o ka colitis ulcerative e pili ana i nā loli i kāu mau neʻe ʻana o ka ʻōpū a me ka ʻeha o ka ʻōpū. Hiki i kēia mau hōʻailona ke piʻi mai ka māmā a i ka nui a hiki ke hele mai a hele aku i nā flare-ups i hahai ʻia e nā manawa o ka remission.

Eia nā hōʻailona maʻamau loa āu e ʻike ai:

• Ka luaʻi, pinepine me ke koko a i ʻole ka mucus
• ʻEha o ka ʻōpū a me ka ʻeha, ma ka ʻaoʻao hema maʻamau
• Pono koke e hele i ka luaʻi
• Manaʻo e hiki ʻole iā ʻoe ke hoʻopau loa i kou ʻōpū
• ʻEha o ka rectum a me ke koko
• Luhi a nāwaliwali
• Nalowale o ka makemake a me ka nalowale o ke kaupaona
• Fever haʻahaʻa i ka wā o nā flare-ups

Nui nā kānaka e ʻike pū i nā hōʻailona ma waho o kā lākou ʻōnaehana digestive. Hiki i kēia ke komo pū me ka ʻeha o nā hui, nā pilikia o ka ʻili, ka mumū o nā maka, a i ʻole nā ʻōpala o ka waha. Hoʻomaikaʻi pinepine kēia mau hōʻailona i ka wā e hoʻomalu maikaʻi ʻia ai kāu mumū intestinal.

Hiki i ka nui o nā hōʻailona ke ʻokoʻa loa mai ke kanaka a i ke kanaka. Loaʻa i kekahi poʻe nā hōʻailona māmā e pili iki i ko lākou ola i kēlā me kēia lā, ʻoiai kekahi poʻe e ʻike i nā flare-ups ikaika e pono ai ka nānā koke o nā kauka.

He aha nā ʻano o ka colitis ulcerative?

Hoʻokaʻawale ʻia ka colitis ulcerative ma muli o kahi o ka mumū ma kou kolona. Ke hoʻomaopopo ʻoe i kou ʻano kikoʻī, e kōkua ia i kāu kauka e koho i ke ala lapaʻau kūpono loa.

ʻO nā ʻano nui e komo pū ana:

• Ulcerative proctitis: Ua kaupalena ʻia ka mumū i ka rectum, ʻo ia pinepine ka ʻano palupalu loa
• Left-sided colitis: Hoʻolōʻihi ka mumū mai ka rectum a i luna ma ka ʻaoʻao hema o ka kolona
• Extensive colitis: Hoʻopilikia ka mumū i ka hapa nui a i ʻole ka kolona āpau
• Acute severe colitis: He ʻano maʻamau ʻole akā koʻikoʻi e hoʻopilikia ana i ka kolona āpau me nā hōʻailona koʻikoʻi

Hiki ke loli kou ʻano i ka manawa. Hoʻomaka kekahi poʻe me ka proctitis a laila hoʻomohala i ka maʻi ākea aʻe, ʻoiai ke mālama nei kekahi i ka ʻano hoʻokahi i ko lākou kūlana.

He aha ka mea e hoʻoulu ai i ka colitis ulcerative?

ʻAʻole maopopo loa ke kumu o ka colitis ulcerative, akā manaʻo nā mea noiʻi ua hoʻomohala ʻia ia i ka wā e hoʻouka ai kou ʻōnaehana pale i ka ʻiʻo olakino ma kou kolona. Hana ʻia kēia ma muli o ka hui pū ʻana o nā kumu genetic, kaiapuni, a me ka ʻōnaehana pale e hana pū ana.

Hiki i kekahi mau kumu ke kōkua i ka hoʻomohala ʻana i ka colitis ulcerative:

• Genetics: Ke loaʻa iā ʻoe nā ʻohana me ka maʻi inflammatory bowel, e hoʻonui ʻia kou pilikia
• Immune system dysfunction: Hoʻouka ka ʻōnaehana pale o kou kino i kou ʻiʻo ʻōpū ponoʻī
• Environmental triggers: Hiki i kekahi mau bacteria, nā mea hoʻomaʻi, a i ʻole nā ​​kumu ʻē aʻe ke hoʻoulu i ka pane pale
• Gut bacteria imbalance: Hiki i nā loli i nā bacteria maʻamau ma kou ʻōpū ke pāʻani i kahi kuleana

ʻO ka mea kūʻē i nā manaʻo kahiko, ʻaʻole ka pilikia a me ka ʻai e hoʻoulu ai i ka colitis ulcerative, ʻoiai hiki iā lākou ke hoʻoulu i nā flare-ups i nā poʻe i loaʻa mua ka maʻi. ʻAʻole maʻi kēia maʻi a ʻaʻole hiki ke hoʻoili ʻia mai ke kanaka a i ke kanaka.

Aia kekahi mau kumu kōkua maʻamau e noiʻi ana nā mea noiʻi, e like me kekahi mau lāʻau lapaʻau, nā maʻi ma mua, a me ka hōʻike ʻana i nā mea ʻino kūlohelohe kūikawā, ʻoiai ʻaʻole i hōʻoia piha kēia mau pilina.

I ka wā e ʻike ai i ke kauka no ka ulcerative colitis?

Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe nā loli mau i kou mau hana ʻōpū, ʻoi aku inā ʻike ʻoe i ke koko i kou pālolo a i ʻole he ʻeha ʻōpū mau. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke kōkua i ka pale ʻana i nā pilikia a hoʻomaikaʻi i kou ola.

E ʻimi i ka mālama lapaʻau inā loaʻa iā ʻoe:

• Ke koko a i ʻole ka mucus i loko o kou pālolo no nā lā he nui ma mua
• Ka diarrhea mau ʻaʻole i hoʻomaikaʻi
• ʻEha ʻōpū e hoʻopilikia ana i nā hana o kēlā me kēia lā
• Ka emi ʻana o ke kaumaha a i ʻole ka nele o ka makemake ʻai
• Ka luhi ʻaʻole i hoʻomaikaʻi me ka hoʻomaha

Pono kekahi mau kūlana i ka mālama lapaʻau koke. E hele i ka lumi pilikia inā loaʻa iā ʻoe ka ʻeha ʻōpū nui, ka mahana kiʻekiʻe, ka wikiwiki o ka naʻau, nā hōʻailona o ka nele o ka wai, a i ʻole inā ke hele nei ʻoe i ka nui o ke koko.

ʻOiai inā he māmā kou mau hōʻailona, ​​pono ke kūkākūkā ʻana me kāu kauka. He nui nā kānaka e kali lōʻihi loa e ʻimi i ke kōkua, kahi e alakaʻi ai i nā hōʻailona ʻoi aku ka nui a me nā pilikia ma hope.

He aha nā kumu pilikia no ka ulcerative colitis?

ʻOiai hiki i kekahi ke loaʻa i ka ulcerative colitis, hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai kēia kūlana. Hiki i ka hoʻomaopopo ʻana i kēia mau kumu pilikia ke kōkua iā ʻoe e ʻike i nā hōʻailona i ka wā mua a ʻimi i ka mālama kūpono.

ʻO nā kumu pilikia nui e komo pū ana:

• Makahiki: Hoʻomaka pinepine ma waena o 15-30 mau makahiki, me kahi piko liʻiliʻi a puni 50-70 mau makahiki
• Mōʻaukala ʻohana: Loaʻa ka makua, kaikaina, a i ʻole ke keiki me ka maʻi inflammatory bowel
• Lāhui: ʻOi aku ka nui i nā kānaka o ka lāhui Iudaio, ʻoiai e pili ana i nā lāhui āpau
• Honua: ʻOi aku ka nui ma nā ʻāina holomua a me nā wahi kūlanakauhale
• Appendectomy ma mua: He mea hoihoi, ʻo ka wehe ʻana i kou appendix e hiki ke hoʻemi iki i ka pilikia

ʻO kekahi mau kumu pilikia liʻiliʻi e aʻo ʻia nei, ʻo ia nā lāʻau lapaʻau e like me nā NSAIDs (nā lāʻau anti-inflammatory non-steroidal), nā kumu hormonal, a me nā ʻano ʻai kikoʻī, ʻoiai ʻaʻole i hōʻoia ʻia kēia mau pilina.

ʻO ka loaʻa ʻana o nā kumu pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka ulcerative colitis. He nui nā kānaka me nā kumu pilikia he nui ʻaʻole loaʻa iā lākou ka maʻi, ʻoiai kekahi poʻe ʻaʻohe kumu pilikia maopopo i loaʻa iā lākou.

He aha nā pilikia hiki ke loaʻa i ka ulcerative colitis?

ʻOiai ka nui o nā kānaka me ka ulcerative colitis e hoʻokele pono i ko lākou kūlana, he mea nui ia e hoʻomaopopo i nā pilikia hiki ke loaʻa i hiki iā ʻoe ke hana pū me kāu hui olakino e pale aku iā lākou. Hiki ke pale ʻia nā pilikia he nui me ka mālama kūpono a me ka nānā.

ʻO nā pilikia maʻamau e komo pū ana:

• Ke koko nui: Hiki i ka nalowale koko mau ke alakaʻi i ka anemia
• Ka nele o ka wai: Mai ka diarrhea mau a me ka emi ʻana o ka inu wai
• Ka nalowale o ka iwi: Ma muli o ka mumū a me kekahi mau lāʻau lapaʻau
• Hoʻonui ʻia ka pilikia o ka maʻi: Mai nā lāʻau lapaʻau e kāohi i kou ʻōnaehana pale
• Nā pilikia o ka ʻili, maka, a me nā hono: ʻO ka mumū e pili ana i nā ʻāpana ʻē aʻe o kou kino

ʻO nā pilikia koʻikoʻi, ʻoiai he kakaikahi, e pono ai ka nānā koke. Loaʻa kēia i ka toxic megacolon (ka pehu weliweli o ka colon), ka perforation bowel, a me ka nele wai nui e hiki ke alakaʻi i nā pilikia o ka puʻupaʻa.

I ka wā lōʻihi, ʻoi aku ka nui o ka pilikia o ka maʻi kanesa colon i nā kānaka me ka ulcerative colitis nui, ʻoiai inā ua hana nui ka maʻi no nā makahiki he nui. Kūleʻa ka nānā colonoscopy maʻamau i ka ʻike ʻana i nā loli mua i ka wā maʻalahi loa ke mālama.

Pehea e pale aku ai i ka ulcerative colitis?

ʻAʻole maopopo ke ala e pale aku ai i ka ulcerative colitis, no ka mea, nui ka mana o nā kumu genetics a me nā ʻōnaehana pale kino ma waho o ko kākou mana. Eia naʻe, hiki iā ʻoe ke lawe i nā ʻanuʻu e hoʻemi i kou pilikia o nā flare-ups ma hope o kou loaʻa ʻana i ke kūlana.

ʻOiai ʻaʻole hiki ke pale aku, hiki i kekahi mau ʻano ola ke kōkua i ka hoʻemi ʻana i ka pinepine o nā flare-up:

• Ke hoʻokele nei i ke kaumaha ma o nā ʻano hoʻomaha, ka hoʻoikaika kino, a i ʻole ka ʻōlelo aʻo
• Ke ʻai nei i ka ʻai kaulike a me ka ʻike ʻana i kāu mau meaʻai hoʻonāukiuki pilikino
• Ke loaʻa nei i ka hoʻoikaika kino maʻamau e kākoʻo i ka hana pale kino holoʻokoʻa
• ʻAʻole puhi paka (hiki i ka puhi paka ke hoʻoino i nā hōʻailona ulcerative colitis)
• Ke lawe nei i nā lāʻau lapaʻau e like me ke kauoha ʻia, ʻoiai i nā manawa ʻole o nā hōʻailona

Loaʻa i kekahi poʻe ka mālama ʻana i ka diary meaʻai a me nā hōʻailona e kōkua iā lākou e ʻike i nā ʻano a me nā mea hoʻonāukiuki hiki. He waiwai kēia ʻike no kāu hui olakino i ka hoʻomohala ʻana i kāu papahana mālama.

ʻO ka hana pale ʻana nui loa ka hana pili loa me kāu hui olakino e hoʻokele pono i kou kūlana a hopu i nā loli mua.

Pehea ka hōʻoia ʻana o ka ulcerative colitis?

ʻO ka hōʻoia ʻana i ka ulcerative colitis e komo pū ana i nā ʻanuʻu he nui no ka mea ʻaʻohe hoʻokolohua hoʻokahi e hiki ke hōʻoia maopopo i ke kūlana. E hui pū kāu kauka i kāu moʻolelo lapaʻau, ka nānā kino, a me nā hoʻokolohua like ʻole e hana i ka hōʻoia pololei.

ʻO ka hana hōʻoia maʻamau e komo pū ana me:

• Mōʻaukala lapaʻau a me ka nānā kino: Ke kūkākūkā nei i kāu mau hōʻailona a me ka mōʻaukala ʻohana
• Nā hoʻokolohua koko: Ke nānā nei i ka anemia, nā hōʻailona o ka mumū, a me ka kāpae ʻana i nā maʻi
• Nā hāpana ʻōpala: Ke hoʻokolohua nei i nā maʻi, ke koko, a me nā hōʻailona o ka mumū
• Colonoscopy: Ke nānā pololei nei i ka papa o kou kolona me nā hāpana pūnaewele
• Nā kiʻi CT a i ʻole MRI: Ke kiʻi nei e ʻike i ka nui o ka mumū

ʻO ka colonoscopy maʻamau ka hoʻokolohua nui loa no ka mea hiki i kāu kauka ke ʻike i ke ʻano mumū o ka ulcerative colitis a kāpae i nā kūlana ʻē aʻe e like me ka maʻi Crohn a i ʻole ka maʻi kanesa kolona.

I kekahi manawa, lōʻihi ka manawa o ka ʻike, ʻoiai inā he māmā kāu mau hōʻailona a like paha me nā kūlana ʻē aʻe o ka ʻōpū. Pono paha kāu kauka e hana hou i kekahi mau hoʻokolohua a hoʻāʻo i nā ala ʻē aʻe e kiʻi i kahi kiʻi maopopo o ka mea e hana nei.

He aha ka lāʻau lapaʻau no ka ulcerative colitis?

ʻO ka lāʻau lapaʻau no ka ulcerative colitis ke hoʻemi i ka mumū, hoʻomalu i nā hōʻailona, ​​a kōkua iā ʻoe e hoʻokō a mālama i ka remission. E hoʻopilikino ʻia kāu papahana lāʻau lapaʻau i kāu mau hōʻailona kūikawā, ka nui o kou maʻi, a me ke ʻano o kou pane ʻana i nā lāʻau lapaʻau like ʻole.

ʻO nā ala lāʻau lapaʻau maʻamau e komo pū ana:

• Nā lāʻau lapaʻau anti-inflammatory: Aminosalicylates (e like me ka mesalamine) e hoʻemi i ka mumū
• Corticosteroids: No nā flare-ups waena a koʻikoʻi, hoʻohana ʻia i ka manawa pōkole
• Immunosuppressants: Nā lāʻau lapaʻau e hoʻomaha i kou ʻōnaehana pale ʻino nui
• Biologic therapies: Nā lāʻau lapaʻau i hoʻonohonoho ʻia e kāohi i nā ala mumū kūikawā
• JAK inhibitors: Nā lāʻau lapaʻau waha hou e hoʻemi i ka mumū

Hoʻomaka ka hapa nui o nā kānaka me nā lāʻau lapaʻau palupalu a hoʻomau i nā mea ikaika inā pono. E nānā pono kāu kauka iā ʻoe e ʻimi i ka mālama maikaʻi loa me nā hopena ʻaoʻao liʻiliʻi loa.

I nā hihia kakaikahi kahi i nele ai nā lāʻau lapaʻau a i ʻole ka hoʻomohala ʻana o nā pilikia, hiki ke ʻōlelo ʻia ka ʻoki kino e wehe i ka kolona a me ka rectum. ʻOiai he ʻoki nui kēia, hiki ke hoʻōla a hiki i nā kānaka ke ola me ka ʻole o nā hōʻailona.

Pehea e mālama ai i ka ulcerative colitis ma ka home?

He kuleana nui ka mālama ʻana i ka home i ka kaohi ʻana i nā hōʻailona o ka ulcerative colitis a me ka pale ʻana i nā flare-ups. ʻOiai he mea nui nā lāʻau lapaʻau, hiki i kāu mau hana i kēlā me kēia lā a me nā ʻano mālama ponoʻī ke hoʻopili nui i kou manaʻo.

ʻO nā ʻano mālama home maikaʻi e komo pū ana:

• Hoʻololi ʻana i ka ʻai: Ke pale aku nei i nā meaʻai hoʻonāukiuki i ka wā o nā flare-ups, ʻai ʻana i nā ʻai liʻiliʻi pinepine
• Mālama i ke kaumaha: Hoʻoikaika maʻamau, noʻonoʻo, a i ʻole yoga e hoʻemi i nā pae kaumaha
• Hydration lawa: inu nui o nā wai, ʻoi aku hoʻi i ka wā o nā manawa diarrhea
• Hoʻopili pono ʻana i ka lāʻau lapaʻau: Lawe mau i nā lāʻau lapaʻau i kuhikuhi ʻia, ʻoiai ke ʻoluʻolu nei
• Hygiena hiamoe: Loaʻa 7-8 mau hola o ka hiamoe maikaʻi e kākoʻo i ka hana paleʻea

E mālama i kahi puke hōʻailona e hahai i nā meaʻai, nā hana, a i ʻole nā mea hoʻonāukiuki e hoʻonāukiuki paha i kāu mau hōʻailona. Kūkulu kēia ʻike iā ʻoe a me kāu hui mālama ola e hana i nā hoʻoholo mālama maikaʻi aʻe.

I ka wā o nā flare-ups, e kau i ka manaʻo i nā meaʻai mālie, maʻalahi ke ʻai, a pale i nā meaʻai kiʻekiʻe-fiber, ʻawaʻawa, a momona paha e hoʻonāukiuki i kou ʻōpū. Hiki i nā probiotics ke kōkua i kekahi poʻe, ʻoiai pono ʻoe e kūkākūkā me kāu kauka ma mua.

Pehea ʻoe e hoʻomākaukau ai no kāu kauka?

ʻO ka hoʻomākaukau ʻana no kāu hālāwai me ke kauka e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka pono loa mai kāu kipa a hāʻawi i kāu hui mālama ola me ka ʻike e pono ai e kōkua pono iā ʻoe. Hiki i ka hoʻomākaukau maikaʻi ke mālama i ka manawa a alakaʻi i ka mālama ʻana maikaʻi.

Ma mua o kāu hālāwai, e ʻohi i ka ʻike ma lalo nei:

• He papa inoa kikoʻī o kāu mau hōʻailona, ​​me ka wā i hoʻomaka ai a me ka pinepine o ka hanana ʻana
• ʻO nā lāʻau āpau āu e lawe nei i kēia manawa, me nā mea hoʻohui a me nā lāʻau lapaʻau ma luna o ka papa kūʻai
• Kāu mōʻaukala lapaʻau ʻohana, ʻoiai kekahi mau kūlana ʻōpū a i ʻole autoimmune
• He papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka
• Kekahi mau hopena ho'āʻo mua a i ʻole nā ​​moʻolelo lapaʻau e pili ana i kāu mau hōʻailona

E noʻonoʻo e mālama i kahi moʻolelo hōʻailona no hoʻokahi a ʻelua pule ma mua o kāu hālāwai. E hoʻomaopopo i kāu meaʻai, kāu mau pae kaumaha, a me nā hōʻailona āu e ʻike ai. Hiki i kēia ʻike ke kōkua i ka ʻike ʻana i nā ʻano e pono ai kāu kauka e ʻike.

Mai kānalua e lawe mai i kahi hoaaloha a hoa ʻohana hilinaʻi i kāu hālāwai. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo i ka wā e hiki mai ana i kahi kipa kaumaha.

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

ʻO ka ulcerative colitis kahi kūlana maʻi maʻi hiki ke mālama ʻia e hoʻopilikia i nā kānaka āpau i nā ʻano like ʻole. ʻOiai ke loaʻa ʻana o kēia ʻike hōʻailona hiki ke manaʻo nui, e hoʻomanaʻo he nui nā kānaka me ka ulcerative colitis e ola ana i nā ola piha, hana me ka mālama kūpono a me ka mālama ponoʻī.

ʻO nā mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua ʻana a me ka mālama ʻana e hoʻomaikaʻi nui i nā hopena, a ʻo ka hana pili kokoke me kāu hui mālama ola e kōkua iā ʻoe e loaʻa ka hui kūpono o nā lāʻau lapaʻau a me nā hoʻolālā nohona no kāu kūlana kikoʻī.

Ua hoʻololi nā lāʻau lapaʻau hou i ka manaʻo no nā kānaka me ka ulcerative colitis. Me nā lāʻau lapaʻau a me nā hana hoʻokele o kēia wā, hiki i ka hapa nui o nā kānaka ke loaʻa a mālama i ka remission, e pale aku i nā pilikia a mālama i ko lākou ola maikaʻi.

E mau i ka manaʻolana a e pili mau i kāu hui olakino. He huakaʻi ka ulcerative colitis, akā ʻaʻole pono ʻoe e holo wale.

Nā nīnau pinepine e pili ana i ka ulcerative colitis

Ua like anei ka ulcerative colitis me ka maʻi Crohn?

ʻAʻole, ʻoiai ʻelua kēia mau maʻi inflammatory bowel, he mau kūlana ʻokoʻa kēia. Hoʻopili wale ka ulcerative colitis i ka papa o loko o ka colon a me ka rectum, ʻoiai hiki i ka maʻi Crohn ke hoʻopili i kekahi ʻāpana o ka ʻōnaehana digestive a komo i nā papa hohonu o ka paia o ka ʻōpū. Hiki ke like nā hōʻailona a me nā lāʻau lapaʻau, akā hiki ke ʻokoʻa ke ala kūikawā.

Hiki i ka ʻai ke hoʻōla i ka ulcerative colitis?

ʻAʻole hiki i ka ʻai wale ke hoʻōla i ka ulcerative colitis, akā hiki iā ia ke kōkua i ka hoʻokele ʻana i nā hōʻailona a kākoʻo i kāu papa hana lapaʻau holoʻokoʻa. ʻOiai ʻaʻohe meaʻai hoʻokahi

ʻAe, nui ka poʻe me ka colitis ulcerative i loaʻa nā hapai olakino a me nā keiki. Eia naʻe, he mea nui ka hoʻolālā pono ʻana i nā hapai me kāu hui mālama ola e hōʻoia i ka mālama pono ʻia o kou ʻano a me ka palekana o kāu mau lāʻau lapaʻau i ka wā hapai. Pono paha ke hoʻololi i kekahi mau lāʻau lapaʻau, akā hiki ke hoʻomau ʻia ka hapa nui me ka palekana.

He mea hoʻoilina anei ka colitis ulcerative?

ʻOiai he ʻāpana genetic ka colitis ulcerative, ʻaʻole ia i hoʻoilina pololei e like me kekahi mau ʻano ʻē aʻe. ʻO ka loaʻa ʻana o kahi hoa ʻohana me ka maʻi inflammatory bowel e hoʻonui i kou pilikia, akā ʻaʻole ka hapa nui o ka poʻe me ka colitis ulcerative i loaʻa nā hoa ʻohana i pilikia. Inā loaʻa iā ʻoe ke ʻano, loaʻa i kāu mau keiki kahi pilikia iki e hoʻonui ʻia, akā ʻaʻole ka hapa nui e loaʻa.