Ese ni iki? Microscopic Colitis, Ibimenyetso, Impamvu n’Uburyo bwo kuyivura

Microscopic colitis ni ubwoko bw’indwara y’umwijima iterwa n’uburyo bw’umubiri bwo kurwanya indwara, itera impiswi z’amazi zikomeza igihe kirekire. Bitandukanye n’izindi ndwara z’umwijima, umwijima wawe ugaragara neza mu bipimo bya colonoscopy, ariko iyo urebye neza cyane, ubona uburibwe mu gice cy’imbere cy’umwijima.

Iyi ndwara igaragara kuri abantu bagera kuri 20 kuri buri 100.000, abagore bakaba aribo bayirwara cyane kurusha abagabo. Nubwo izina ryayo rishobora gutera ubwoba, microscopic colitis iravurwa neza kandi ntiyakunze gutera ibibazo bikomeye.

Ibimenyetso bya Microscopic Colitis ni ibihe?

Ikimenyetso nyamukuru cya microscopic colitis ni impiswi z’amazi zikomeza igihe kirekire, zikamara ibyumweru cyangwa amezi. Izi ntabwo ari impiswi zisanzwe zikira mu minsi mike.

Reka turebe ibimenyetso ushobora kugira, dutangiriye ku bimenyetso bisanzwe:

• Impiswi z’amazi zigera kuri 3-20 ku munsi
• Kubabara mu nda, ubusanzwe buke cyangwa buciriritse
• Guhora ushaka kujya mu bwiherero
• Kuziba mu nda n’umuyoboro
• Umunaniro uterwa no kujya cyane mu bwiherero no kubura ibitotsi
• Gutakaza ibiro kubera kudafata neza intungamubiri
• Kuma umubiri niba utakaza amazi menshi

Bamwe mu bantu bagira n’ibimenyetso bitagenda bibaho, nko kubabara mu ngingo, kwishima ku ruhu, cyangwa kubabara amaso. Ibi bimenyetso bishobora kuza no kugenda, bikabaho igihe runaka, hanyuma bikongera.

Ubwoko bwa Microscopic Colitis ni ubuhe?

Hari ubwoko bubiri nyamukuru bwa microscopic colitis, kandi buzwi bitewe n’ibyo abaganga babona iyo barebye neza. Ubu bwoko bubiri butera ibimenyetso bisa, ariko bigaragara neza mu buryo butandukanye.

Collagenous colitis ibaho iyo hari umugozi mwinshi wa collagen ugaragara munsi y’umwijima. Uyu mugozi wa collagen uba munini cyane kurusha uko bikwiye, ugakorana n’uburyo umwijima wawe ufata amazi.

Lymphocytic colitis ibaho iyo hari utunyangingo twinshi twa lymphocytes (ubwoko bw’uturemangingo tw’amaraso yera) twibumbiye mu gice cy’imbere cy’umwijima. Aya turemangingo tugaragaza ko hari uburibwe bukomeza, nubwo umwijima wawe ugaragara neza.

Ubu bwoko bubiri buvurwa mu buryo bumwe, kandi muganga wawe azabona ubwoko ufite binyuze mu gupima ibice by’umwijima muri colonoscopy.

Ese Microscopic Colitis iterwa n’iki?

Impamvu nyamukuru ya microscopic colitis ntiyaramenyekana neza, ariko abashakashatsi bemeza ko iterwa n’ibintu byinshi. Uburyo bw’umubiri bwo kurwanya indwara bushobora kugira uruhare mu gutera uburibwe.

Dore ibintu by’ingenzi bishobora gutera iyi ndwara:

• Uburyo bw’umubiri bwo kurwanya indwara butera uburibwe mu gice cy’umwijima
• Imiti imwe n’imwe, cyane cyane NSAIDs nka ibuprofen, proton pump inhibitors, na imiti imwe n’imwe yo kuvura ihungabana
• Indwara ziterwa na bagiteri cyangwa virusi zishobora gutera uburibwe bukomeza
• Ibintu by’umuzuko bishobora gutera iyi ndwara
• Kudafata neza acide ya bile, bishobora kubabaza umwijima
• Itabi, ryongera cyane ibyago byo kurwara iyi ndwara

Mu bihe bitoroshye, microscopic colitis ishobora guhuzwa n’indwara ya celiac, indwara z’umwijima, cyangwa kwandura uburozi bumwe na bumwe. Ariko kandi, abantu benshi barayirwara nta mpamvu isobanutse, ibyo bishobora gutera agahinda ariko ni ibisanzwe.

Ni ryari ukwiye kujya kwa muganga kubera Microscopic Colitis?

Ukwiye kuvugana na muganga wawe niba ufite impiswi z’amazi zikomeza iminsi irenga mike, cyane cyane niba zibangamira imibereho yawe ya buri munsi. Kumenya hakiri kare iyi ndwara bishobora gufasha kwirinda ibibazo no kugira ngo wihute ukire.

Shaka ubufasha bw’abaganga vuba niba ubona ibimenyetso byo gukama umubiri nko guhinda umutwe, kumara umunwa, cyangwa kudakora neza inkari. Ibi bimenyetso bigaragaza ko umubiri wawe utakaza amazi menshi kandi ukeneye ubufasha bw’ihutirwa.

Hamagara muganga wawe ako kanya niba ubona ububabare bukomeye mu nda, amaraso mu ntege, cyangwa umuriro mwinshi. Nubwo ibi bimenyetso bitabaho cyane kuri microscopic colitis, bishobora kugaragaza izindi ndwara zikomeye zikeneye ubufasha bw’ihutirwa.

Ibyago byo kurwara Microscopic Colitis ni ibihe?

Ibintu bimwe na bimwe bishobora kongera ibyago byo kurwara microscopic colitis, nubwo kugira ibyago ntibibuza ko uzayirwara. Gusobanukirwa ibi bintu bishobora kugufasha wowe na muganga wawe kuba maso ku bimenyetso.

Ibyago by’ingenzi birimo:

• Kuba umugore, kuko abagore barwara iyi ndwara cyane kurusha abagabo
• Kuba ufite imyaka irenga 50, kuko iyi ndwara iba cyane iyo ufite imyaka 60 na 70
• Kunywesha itabi cyangwa kuba waranyweshaga itabi
• Guhora ufata imiti imwe n’imwe, cyane cyane NSAIDs cyangwa PPIs
• Kugira indwara ziterwa n’uburyo bw’umubiri bwo kurwanya indwara nka celiac, indwara z’umwijima, cyangwa rheumatoid arthritis
• Kugira abavandimwe barwaye indwara z’umwijima

Ibindi byago bitabaho cyane birimo kuba warakoze igikorwa cyo kubaga umwijima cyangwa gufata imiti imwe n’imwe yo kuvura ihungabana. Niba ufite ibyago byinshi, ntibisobanura ko uzirwara microscopic colitis, ariko ni byiza kubivugana na muganga wawe niba ufite ibimenyetso by’uburwayi mu gifu bikomeza.

Ibibazo bishobora guterwa na Microscopic Colitis ni ibihe?

Abantu benshi barwaye microscopic colitis ntibagira ibibazo bikomeye, ariko impiswi zikomeza igihe kirekire zishobora gutera ibibazo by’ubuzima niba zitavuwe. Inkuru nziza ni uko ibi bibazo bishobora kwirindwa neza niba uvuwe neza.

Ibibazo bisanzwe ushobora kugira birimo:

• Kuma umubiri kubera gutakaza amazi menshi binyuze mu mpiswi
• Kudafata neza imyunyu y’umubiri, cyane cyane potasiyumu na sodium
• Kudafata neza intungamubiri
• Gutakaza ibiro bishobora kuba byinshi uko iminsi igenda
• Umunaniro n’intege nke kubera kudafata neza intungamubiri
• Kwikura mu bandi kubera impiswi zidakorwa neza

Mu bihe bitoroshye, indwara zikomeye zishobora gutera ibibazo by’impyiko kubera gukama umubiri cyangwa kudafata neza intungamubiri bikomeye bisaba kujya mu bitaro. Ariko kandi, iyo uvuwe neza, abantu benshi birinda ibi bibazo bikomeye.

Microscopic Colitis ishobora kwirindwa gute?

Nubwo utayashobora kwirinda microscopic colitis burundu, guhindura imibereho bishobora kugabanya ibyago cyangwa gufasha gucunga ibimenyetso niba urayifite. Kwiringira kwirinda iyi ndwara ni ukwirinda ibintu byayitera no kubungabunga ubuzima bw’umwijima.

Uburyo bwiza bwo kwirinda iyi ndwara ni ukureka kunywesha itabi, kuko bigabanya cyane ibyago byo kuyirwara. Niba unywa itabi, vugana na muganga wawe ku buryo bwo kureka kunywesha itabi.

Korana na muganga wawe kugira ngo urebe imiti ufata, cyane cyane niba ufata NSAIDs cyangwa proton pump inhibitors buri gihe. Rimwe na rimwe guhindura imiti bishobora kugabanya ibyago byo kuyirwara.

Kurya indyo yuzuye ifite ibinyamisogwe byinshi no kunywa amazi ahagije bifasha kubungabunga ubuzima bw’umwijima. Bamwe mu bantu basanga kwirinda caffeine na alcool byinshi bifasha kwirinda kubabara mu gifu.

Microscopic Colitis imenyekanwa ite?

Kumenya microscopic colitis bisaba gukora colonoscopy no gupima ibice by’umwijima kuko iyi ndwara idagaragara amaso. Muganga wawe azakenera gusuzuma ibice by’umwijima neza kugira ngo amenye iyi ndwara.

Uburyo bwo gupima iyi ndwara busanzwe butangira muganga wawe asuzumye ibimenyetso byawe n’amateka y’ubuzima bwawe. Azakubaza ku mpiswi zawe, imiti ufata, niba ufite izindi ndwara ziterwa n’uburyo bw’umubiri bwo kurwanya indwara.

Ibizamini by’amaraso bishobora gukorwa kugira ngo harebwe ibimenyetso by’uburibwe, anemiya, cyangwa kudafata neza imyunyu y’umubiri. Muganga wawe ashobora kandi gupima umusemburo wawe kugira ngo akureho izindi ndwara ziterwa n’impinduka mu gifu.

Muri colonoscopy, muganga wawe azatwara ibice bito by’umwijima. Ibi bipimo bizasuzumwa neza kugira ngo harebwe impinduka zigaragaza microscopic colitis.

Uburyo bwo kuvura Microscopic Colitis ni ubuhe?

Uburyo bwo kuvura microscopic colitis bugamije kugabanya uburibwe no kugenzura impiswi kugira ngo wihute ukire kandi wirinde ibibazo. Inkuru nziza ni uko abantu benshi bakira iyo bavuwe.

Muganga wawe ashobora gutangira n’uburyo bworoshye:

1. Guhagarika imiti ishobora kuba itera iyi ndwara, niba bishoboka
2. Imiti igabanya impiswi nka loperamide kugira ngo igabanye kujya mu bwiherero
3. Budesonide, imiti ikora mu mwijima idafite ingaruka nyinshi
4. Imiti igabanya acide ya bile niba kudafata neza acide ya bile ari cyo kibitera
5. Probiotics kugira ngo ifashe gusubizaho bagiteri nziza mu gifu

Ku ndwara zikomeye, muganga wawe ashobora kwandika imiti ikomeye nka steroide, imiti igabanya uburyo bw’umubiri bwo kurwanya indwara, cyangwa biologics. Iyi miti isanzwe ikoreshwa ku bantu batakira iyo bafashe imiti isanzwe.

Mu bihe bitoroshye aho imiti idakora, bamwe mu bantu bagira akamaro ko gufata bagiteri nziza mu gifu, nubwo iki kigikorwa kikiri mu igeragezwa kuri microscopic colitis.

Uburyo bwo kuvura Microscopic Colitis mu rugo ni ubuhe?

Kuvura iyi ndwara mu rugo bigira uruhare mu kugenzura ibimenyetso byayo no kunoza imibereho yawe. Guhindura imirire n’imibereho bishobora kugira uruhare mu buryo wumva.

Tangira ubanza kwandika ibyo urya kugira ngo umenye ibyo birya bikurwanya. Ibyo birya bisanzwe birimo caffeine, ibiryo birimo ibinyonyo, ibiryo birimo amavuta menshi, n’ibinyobwa birimo isukari nyinshi, nubwo ibyo birya bitandukanye ku muntu ku wundi.

Komeza kunywa amazi menshi, cyane cyane iyo ibimenyetso byongeye kugaragara. Ibinyobwa birimo imyunyu y’umubiri bishobora gufasha gusubiza ibyo utakaza binyuze mu mpiswi, ariko hitamo ibinyobwa bidakubiyemo isukari nyinshi.

Kurya ibiryo bike, ariko kenshi aho kurya ibiryo byinshi, kandi ugerageze kurya indyo ya low-FODMAP niba ibiryo bimwe na bimwe bigaragara ko bigutera ibimenyetso. Bamwe mu bantu basanga kwirinda gluten bifasha, nubwo badafite celiac.

Plana ibikorwa byawe bya buri munsi hakurikijwe uburyo bwo kujya mu bwiherero iyo ibimenyetso byaragaragaye. Ibi bishobora kugaragara nk’ibibangamira, ariko bishobora kugabanya impungenge kandi bikagufasha gukomeza gahunda yawe ya buri munsi.

Uko wakwitegura kujya kwa muganga

Kwitoza kujya kwa muganga bifasha kugira ngo umenye neza indwara ufite n’uburyo bwo kuyivura. Muganga wawe akeneye amakuru arambuye ku bimenyetso byawe kugira ngo akwiteho neza.

Andika ibimenyetso byawe byibuze icyumweru mbere yo kujya kwa muganga, bandika uburemere bw’ibimenyetso, ububabare, n’ibintu bishobora kubitera. Aya makuru afite akamaro cyane kuri muganga wawe.

Andika urutonde rwuzuye rw’imiti, ibinyobwa, na vitamine ufata, harimo n’ibyo ugura udafite resept. Imiti imwe na imwe ishobora gutera microscopic colitis, bityo aya makuru afite akamaro cyane.

Tegura urutonde rw’ibibazo ushaka kubaza, nko kumenya ibizamini ukeneye, uburyo bwo kuvura, n’uburyo bwo gucunga ibimenyetso mu gihe utegereje ibisubizo. Andika ibibazo byawe mbere kugira ngo utabyibagirwa mu gihe uri kwa muganga.

Icyo ukwiye kumenya kuri Microscopic Colitis

Microscopic colitis ni indwara ivurwa neza, nubwo idashimishije, ntiyakunze gutera ibibazo bikomeye iyo ivuwe neza. Impiswi zikomeza igihe kirekire n’ibindi bimenyetso bishobora kugira ingaruka ku mibereho yawe, ariko hari uburyo bwo kuyivura.

Abantu benshi barwaye microscopic colitis bakira iyo bavuwe kandi basubira mu mirimo yabo. Nubwo iyi ndwara ishobora gusaba kuvurwa igihe kirekire, abantu benshi bagira igihe kirekire batarwara.

Ibanga ryo kuvura neza iyi ndwara ni ugukorana na muganga wawe, kwihangana mu gihe cyo kuvurwa, no guhindura imibereho yawe kugira ngo ube muzima. Iyi ndwara ntabwo ari amakosa yawe, kandi iyo uvuwe neza, ushobora kubaho ubuzima buzira umuze.

Ibibazo byakunze kubaho kuri Microscopic Colitis

Ese Microscopic Colitis isa nka Crohn’s disease cyangwa ulcerative colitis?

Oya, microscopic colitis itandukanye n’izindi ndwara z’umwijima nka Crohn’s disease na ulcerative colitis. Nubwo zose zitera uburibwe mu gifu, microscopic colitis isanzwe ikira neza kandi ifite uburyo butandukanye bwo kuyivura. Bitandukanye n’izindi ndwara z’umwijima, microscopic colitis ntiyagira ingaruka ku kwirinda kanseri y’umwijima kandi ntiyakunze gusaba kubagwa.

Ese nzagomba gukurikiza indyo idasanzwe iteka ryose?

Oya. Nubwo bamwe mu bantu basanga guhindura imirire bifasha gucunga ibimenyetso byabo igihe kirekire, abandi bashobora gusubira ku mirire yabo isanzwe iyo indwara yabo ibayeho neza. Korana na muganga wawe kugira ngo umenye indyo ikubereye.

Ese Microscopic Colitis ishobora gukira yonyine?

Bamwe mu bantu barakira batavuwe. Ariko kandi, ibi ntibisobanuka, kandi iyi ndwara ikunze kugaruka. Abaganga benshi bagira inama yo kuvurwa kugira ngo ugenzure ibimenyetso byawe kandi wirinde ibibazo aho gutegereza ko ikira yonyine.

Ese Microscopic Colitis yandura?

Oya, microscopic colitis ntiyandura. Ntushobora kuyandura ku wundi cyangwa kuyitwara ku wundi. Ni indwara iterwa n’ibintu byinshi birimo umuzuko, uburyo bw’umubiri bwo kurwanya indwara, n’ibintu byo mu kirere.

Ese kuvurwa bikamara igihe kingana iki kugira ngo bikore?

Abantu benshi batangira kubona impinduka mu gihe cy’ibyumweru 2-8 batangiye kuvurwa, nubwo bishobora kumara amezi kugira ngo ibimenyetso byose bikire. Imiti imwe nka anti-diarrheal ishobora gufasha mu minsi mike, mu gihe indi miti nka budesonide ishobora kumara ibyumweru kugira ngo igaragaze ingaruka zayo. Ihangane kandi ubanze na muganga wawe ku iterambere ryawe.