He aha te Kolitis Te Miro? Tohutohu, Take, me te Maimoatanga

Ko te kolitis te miro tētahi momo āhuatanga mumura o te kopu e pā ana ki te ruaki wai roa. Kāore i rite ki ētahi atu momo kolitis, ka kitea te ahua noa o tō kopu i te wā o te colonoscopy, engari i raro i te microscope, ka kitea te mumura i roto i te papanga o te kopu.

Ko tēnei āhuatanga e pā ana ki te 20 o ia 100,000 tangata, ā, he maha atu ngā wāhine e pā ana i te hunga tāne. Ahakoa ko te ingoa pea he wehi, he āhei te whakahaere i te kolitis te miro me te maimoatanga tika, ā, he iti rawa te tupono ka puta he raruraru nui.

He aha ngā tohu o te kolitis te miro?

Ko te tohu matua o te kolitis te miro ko te ruaki wai roa e roa ana mō ngā wiki, mō ngā marama rānei. Kāore tēnei i te rite ki te mate puku noa e mutu ana i roto i ngā rā torutoru.

Tātou e haere tahi ana i ngā tohu ka pā pea ki a koe, mā te tīmata i ngā mea tino noa:

• Te ruaki wai e puta ana i te 3-20 wā ia rā
• Te mamae o te kopu, he ngawari ki te reo
• Te hiahia ki te haere ki te wharepaku
• Te pupū me te hau
• Te ngenge mai i te maha o ngā haerenga ki te wharepaku me te moe kore
• Te ngaro o te taumaha na te kore o te kai pai
• Te maroke mena he nui te ngaro o te wai

Ka pā pea ki ētahi atu tangata ngā tohu iti ake penei i te mamae o ngā hononga, ngā pupuhi o te kiri, te mumura rānei o te kanohi. Ka haere mai, ka haere atu ēnei tohu, me ngā wā okioki e whai ake ana i ngā wā ka pupuhi, ka roa pea mō ngā marama maha.

He aha ngā momo o te kolitis te miro?

E rua ngā momo matua o te kolitis te miro, ā, ko ngā ingoa o rātou e whakamahia ana e ngā tākuta i raro i te microscope. E rua ngā momo e pā ana ki ngā tohu rite, engari he iti te rerekē o te ahua o te microscope.

Ka puta te kolitis collagenous ina hangaia he potae matotoru o te collagen i raro i te mata o te kopu. He nui atu te matotoru o tēnei potae collagen i te noa, e hanga ana i te ārai e pā ana ki te āhua o te tango wai e tō kopu.

Ka puta te kolitis lymphocytic ina huihui rawa ngā lymphocytes (he momo pūtau toto ma) ki te papanga o te kopu. Ko ēnei pūtau ārai e whakaatu ana i te mumura e haere tonu ana, ahakoa he noa te ahua o tō kopu mai i waho.

E rua ngā momo e whakautu ana ki ngā maimoatanga rite, ā, ka whakatau tō tākuta ko tēhea momo tōu mā te biopsy i te wā o te colonoscopy.

He aha ngā take o te kolitis te miro?

Kāore i tino mōhiotia te take pono o te kolitis te miro, engari e whakapono ana ngā kairangahau ka puta mai i te whakakotahitanga o ngā take. Ko tō pūnaha ārai pea te mea nui ki te whakaoho i te mumura.

Ko ēnei ngā take matua ka āhei te whakauru ki te whanaketanga o tēnei āhuatanga:

• Te whakautu ārai-tinana kei hea te whakaeke he o tō pūnaha ārai i ngā kiko kopu hauora
• Ngā rongoā, inā ngā NSAIDs penei i te ibuprofen, ngā kaihoroi pomu proton, me ētahi rongoā pouri
• Ngā mate huaketo, mate huaketo rānei e whakaoho ana i te mumura e haere tonu ana
• Ngā take ira e whakapakari ana i a koe
• Te kore o te tango i te waikawa bile, ka āhei te whakaoho i te papanga o te kopu
• Te kai hikareti, e nui atu ana te whakapakari i tō tūponotanga

I roto i ngā take onge, ka taea te hono atu te kolitis te miro ki te mate celiac, ngā mate thyroid, te whakapiri rānei ki ētahi atu poizon. Heoi, he maha ngā tangata e whanake ana i te āhuatanga kahore he whakaoho mārama, ka āhei te ahua whakatoi, engari he noa rawa.

Nōhea koe me haere ki te tākuta mō te kolitis te miro?

Me whakapiri atu koe ki tō tākuta mena ka pā ki a koe te ruaki wai e roa atu ana i ngā rā torutoru, inā te whakaroa ana i tō oranga o ia rā. Ka āhei te taumata whakamutunga te āwhina i te aukati i ngā raruraru, ā, ka pai ake te āhua o koe.

Rapua te tiaki hauora tonu mena ka kite koe i ngā tohu o te maroke penei i te mokemoke, te waha maroke, te iti rānei o te mimi. Ko ēnei tohu e whakaatu ana kei te ngaro rawa te wai o tō tinana, ā, me whai āwhina tonu.

Karanga atu ki tō tākuta tonu mena ka puta he mamae nui o te kopu, te toto i roto i tō kakī, te kirika nui rānei. Ahakoa he onge ēnei tohu me te kolitis te miro, ka taea e rātou te whakaatu i ētahi atu āhuatanga nui e hiahia ana ki te tiaki tonu.

He aha ngā take morearea mō te kolitis te miro?

Ka taea e ētahi take te whakapakari i tō tūponotanga ki te whanaketanga o te kolitis te miro, ahakoa ko te whai i ngā take morearea kāore e whakamana ka whiwhi koe i te āhuatanga. Ka taea te āwhina i a koe me tō tākuta ki te mataara ki ngā tohu te mōhio ki ēnei take.

Ko ngā take morearea tino nui ko:

• Ko te wahine, i te mea he 3-9 wā te tūponotanga o ngā wāhine ki te whanaketanga o te āhuatanga
• Te pakeke neke atu i te 50, me te tūponotanga nui i ngā tau 60 me te 70
• Te kai hikareti, te hītori rānei o te kai hikareti
• Te tango i ngā rongoā tonu, inā ngā NSAIDs, ngā PPIs rānei
• Te whai i ngā āhuatanga ārai-tinana penei i te mate celiac, ngā mate thyroid, te mate rheumatoid arthritis rānei
• Te hītori whānau o te mate mumura o te kopu

Ko ngā take morearea iti ake ko te whai i te pokanga gallbladder, te tango rānei i ētahi rongoā hinengaro. Mena he maha ngā take morearea tōu, kāore te tikanga ka whanake koe i te kolitis te miro, engari he mea tika te kōrero ki tō tākuta mena ka pā ki a koe ngā tohu digestive roa.

He aha ngā raruraru pea o te kolitis te miro?

Ko te nuinga o ngā tangata e whai ana i te kolitis te miro kāore e whanake i ngā raruraru nui, engari ka taea e te ruaki wai roa te ārai i ētahi take hauora mena kāore i te maimoatia. Ko te rongo pai ko ēnei raruraru he mea aukati i te nuinga o te wā me te whakahaere tika.

Ko ngā raruraru tino noa ka pā pea ki a koe ko:

• Te maroke mai i te ngaro nui o te wai mā te ruaki
• Ngā koretake o te electrolyte, inā te iti o te potassium me te sodium
• Te kore kai pai na te kore o te tango i ngā kai
• Te ngaro o te taumaha ka taea te nui i te wā
• Te ngenge me te ngoikore mai i ngā koretake o te kai
• Te motu hapori na te kore e taea te whakahaere i ngā nekehanga o te kopu

He onge, ka taea e ngā take nui te ārai i ngā raruraru whatukuhu mai i te maroke roa, te kore kai nui rānei e hiahia ana ki te noho whare hauora. Heoi, me te maimoatanga tika, ko te nuinga o ngā tangata ka karo i ēnei raruraru nui katoa.

Me pēhea te aukati i te kolitis te miro?

Ahakoa kāore e taea e koe te aukati katoa i te kolitis te miro, ka taea e ētahi huringa oranga te whakaiti i tō tūponotanga, te āwhina rānei i te whakahaere i ngā tohu mena kei a koe kē te āhuatanga. Ko te aukati e aro ana ki te karo i ngā whakaoho e mōhiotia ana, me te pupuri i te hauora o te kopu.

Ko ngā rautaki aukati tino whai hua ko te mutu i te kai hikareti, i te mea ka whakaiti nui tēnei i tō tūponotanga ki te whanaketanga o te āhuatanga. Mena kei te kai hikareti koe, kōrero atu ki tō tākuta mō ngā kaupapa mutu ka taea te āwhina i a koe ki te mutu haumaru.

Mahi tahi me tō tākuta ki te arotake i ō rongoā, inā kei te tango tonu koe i ngā NSAIDs, ngā kaihoroi pomu proton rānei. I etahi wā, ka taea te whakaiti i tō tūponotanga te whakawhiti ki ētahi atu rongoā kahore he whakaroa i ō āhuatanga hauora atu.

Ko te pupuri i te kai hauora e whai hua ana i te muka, me te pupuri i te wai pai e tautoko ana i te hauora o te kopu. Ka kite etahi tangata ko te karo i te nui o te caffeine me te waipiro e āwhina ana ki te aukati i te mumura o te puku.

Me pēhea te taumata whakamutunga o te kolitis te miro?

Ko te taumata whakamutunga o te kolitis te miro e hiahia ana ki te colonoscopy me te biopsy o te kiko, na te mea kāore e taea te kite i te āhuatanga me te kanohi tahanga. Me tirotiro e tō tākuta te kiko o te kopu i raro i te microscope hei mahi i te taumata whakamutunga.

Ko te tukanga taumata whakamutunga e tīmata ana i tō tākuta e arotake ana i ō tohu me tō hītori hauora. Ka ui rātou mō ō nekehanga o te kopu, ngā rongoā kei te tango koe, me te whai rānei koe i ētahi atu āhuatanga ārai-tinana.

Ka taea te tono i ngā whakamātautau toto hei tirotiro i ngā tohu o te mumura, te anemia, ngā koretake rānei o te electrolyte. Ka taea hoki e tō tākuta te whakamātautau i tō kakī hei whakakore i ngā mate huaketo, ngā take rānei o te ruaki wai roa.

I te wā o te colonoscopy, ka tangohia e tō tākuta ngā tauira kiko iti mai i ngā wāhi rerekē o tō kopu. Katahi ka tirotirohia ēnei biopsies i raro i te microscope hei rapu i ngā huringa āhuatanga e whakaatu ana i te kolitis te miro.

He aha te maimoatanga mō te kolitis te miro?

Ko te maimoatanga mō te kolitis te miro e aro ana ki te whakaiti i te mumura me te whakahaere i te ruaki hei āwhina i a koe ki te pai ake te āhua, ki te aukati rānei i ngā raruraru. Ko te rongo pai ko te nuinga o ngā tangata e whakautu pai ana ki te maimoatanga.

Ka tīmata pea tō tākuta me ngā huarahi ngawari rawa:

1. Te mutu i ngā rongoā ka āhei te take, mena ka taea
2. Ngā rongoā anti-diarrheal penei i te loperamide hei whakaiti i ngā nekehanga o te kopu
3. Budesonide, he corticosteroid e mahi ana i te rohe i te kopu me ngā pānga iti ake
4. Ngā kaihoroi waikawa bile mena kei te whakauru te kore o te tango i te waikawa bile
5. Ngā probiotics hei āwhina i te whakahoki mai i ngā huaketo puku hauora

Mō ngā take nui ake, ka taea e tō tākuta te whakahau i ngā rongoā kaha ake penei i ngā steroids pūnaha, ngā immunosuppressants, ngā biologics rānei. Ko ēnei maimoatanga e mānuitia ana mō ngā tangata kāore e whakautu ki ngā maimoatanga rārangi tuatahi.

I roto i ngā take onge kei hea ngā rongoā kāore e mahi, ka whai hua ētahi tangata i te whakawhiti microbiota fecal, ahakoa kei te whakaarohia tonu tēnei hei whakamātautau mō te kolitis te miro.

Me pēhea te whakahaere i te kolitis te miro i te kāinga?

Ko te whakahaere kāinga he mea nui ki te whakahaere i ō tohu me te whakapai ake i tō kounga o te ora. Ka taea e ngā huringa kai me te oranga ngāwari te whakarereke nui ki te āhua o tō āhua i ia rā.

Tīmata mā te pupuri i te puka kai hei kimi i ngā whakaoho e whaka kino ana i ō tohu. Ko ngā whakaoho noa ko te caffeine, ngā kai pikipiki, ngā kai momona nui, ngā kai whakakapi rānei, ahakoa he rerekē ngā whakaoho mai i te tangata ki te tangata.

Pupuri i te wai pai mā te inu i te wai nui i te rā katoa, inā i ngā wā ka pupuhi. Ka taea e ngā inu electrolyte te āwhina i te whakakapi i te mea ka ngaro koe mā te ruaki, engari tīpakohia ngā kōwhiringa kahore he kai whakakapi.

Kai iti ake, ngā kai maha atu i te nui, ā, whakaarohia te whai i te kai iti-FODMAP mena ka puta mai ngā tohu mai i ētahi kai. Ka kite ētahi tangata ko te karo i te gluten e āwhina ana, ahakoa kāore rātou e whai mate celiac.

Whakaritea ō mahi o ia rā ki te uru atu ki te wharepaku ina ka mahi ngā tohu. Ka āhei te ahua whakaroa tēnei, engari ka taea te whakaiti i te manukanuka, ā, ka taea te pupuri i tō mahi noa i te mea ka taea.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui e āwhina ana ki te whakarite ka whiwhi koe i te taumata whakamutunga tika me te mahere maimoatanga whai hua. E hiahia ana tō tākuta ki ngā korero taipitopito mō ō tohu hei āwhina i a koe.

Pupuri i te puka tohu mō te wiki kotahi i mua atu i tō hui, mā te tuhi i te maha me te āhua o ngā nekehanga o te kopu, te mamae e hono atu ana, ngā whakaoho pea rānei. He tino nui ēnei korero mō tō tākuta.

Hangaia he rārangi katoa o ngā rongoā, ngā taapiri, ngā huaora katoa kei te tango koe, tae atu ki ngā taonga-ā-te-kāinga. Ka taea e ētahi rongoā te whakauru ki te kolitis te miro, no reira he tino nui ēnei korero.

Whakaritea he rārangi o ngā pātai e hiahia ana koe ki te ui, penei i ngā whakamātautau pea e hiahia ana koe, ngā kōwhiringa maimoatanga e wātea ana, me te whakahaere i ngā tohu i te wā e tatari ana mō ngā hua. Tuhia ō pātai i mua kia kaua e wareware i te wā o te hui.

He aha te mea nui mō te kolitis te miro?

Ko te kolitis te miro he āhuatanga e taea te whakahaere, ā, ahakoa he kore ngāwari, he iti rawa te tupono ka puta he raruraru nui ina maimoatia tika. Ka taea e te ruaki wai roa me ētahi atu tohu te pā kino ki tō kounga o te ora, engari he maimoatanga whai hua e wātea ana.

Ko te nuinga o ngā tangata e whai ana i te kolitis te miro e whakautu pai ana ki te maimoatanga, ā, ka taea te hoki ki ō mahi noa. Ahakoa pea e hiahia ana te āhuatanga ki te whakahaere tonu, he maha ngā tangata e wheako ana i ngā wā roa o te okioki me ngā tohu iti.

Ko te matua o te whakahaere angitu ko te mahi tata me tō rōpū hauora, te manawanui ki te tukanga maimoatanga, me te mahi i ngā whakarereketanga oranga e tautoko ana i tō hauora katoa. Kia mahara kāore tēnei āhuatanga i tō hara, ā, me te tiaki tika, ka taea e koe te ora i te ora katoa, te ora mahi.

Ngā pātai e ui pinepinetia ana mō te kolitis te miro

He rite te kolitis te miro ki te mate Crohn, te mate ulcerative colitis rānei?

Kāore, he rerekē te kolitis te miro i ngā mate mumura o te kopu penei i te mate Crohn me te mate ulcerative colitis. Ahakoa e toru ngā āhuatanga e pā ana ki te mumura i roto i te pūnaha kai, ko te kolitis te miro e tino pai ana te tohu, me ngā huarahi maimoatanga rerekē. Kāore i rite ki te IBD, kāore te kolitis te miro e whakapakari i tō tūponotanga ki te mate pukupuku o te kopu, ā, he iti rawa te hiahia ki te pokanga.

Me whai rānei au i te kai motuhake ake ake?

Kāore pea. Ahakoa ka kite ētahi tangata ko ētahi huringa kai e āwhina ana ki te whakahaere i ō tohu roa, ka taea e ētahi atu te hoki ki ō rātou kai noa ina whakahaeretia tō āhuatanga. Mahi tahi me tō tākuta me te kai kai pea hei whakawhanake i te mahere kai e mahi ana mō tō āhuatanga me ō tohu motuhake.

Ka taea te haere atu te kolitis te miro i runga i a ia ake?

Ka wheako ētahi tangata i te okioki noa, kei hea ngā tohu e ngaro ana kahore he maimoatanga. Heoi, he kore e taea te whakatau, ā, ka hoki mai te āhuatanga i te nuinga o te wā. Ko te nuinga o ngā tākuta e tūtohutia ana te maimoatanga hei whakahaere i ngā tohu me te aukati i ngā raruraru i te tatari kia kite mena ka mutu ake.

He mate pukupuku te kolitis te miro?

Kāore, kāore te kolitis te miro e mate pukupuku. Kāore e taea te hopu mai i tētahi atu, te tuku atu rānei ki ētahi atu. He āhuatanga mumura tēnei e whanake ana na te whakakotahitanga o ngā take tae atu ki ngā take ira, te kore mahi o te pūnaha ārai, me ngā whakaoho taiao.

E hia te roa o te maimoatanga hei mahi?

Ko te nuinga o ngā tangata e tīmata ana ki te kite i te whakapainga i roto i ngā wiki 2-8 o te tīmatanga o te maimoatanga, ahakoa ka roa pea ngā marama maha hei whakatutuki i te whakahaere katoa o ngā tohu. Ka taea e ētahi rongoā penei i ngā rongoā anti-diarrheal te hoatu i te whakaora i roto i ngā rā, engari ko ētahi atu penei i te budesonide pea ka roa ngā wiki maha hei whakaatu i ō rātou hua katoa. Kia manawanui ki te tukanga, ā, kōrero tonu ki tō tākuta mō tō ahunga whakamua.