I-UCDAI yisilinganiso esivame ukusetshenziselwa ukuhlolwa kwemitholampilo ye-IBD
Ucwaningo luyingxenye ebalulekile yokuthuthukisa ukwelashwa okusha kuzo zonke izifo, kufaka phakathi isifo sofuba (IBD) . Ucwaningo luvame ukuhlolisisa ukufakelwa kwezidakamizwa ezintsha kwiqembu elincane leziguli, ukuze kunqunywe ukuthi kufanele lihlolwe yini eqenjini elikhulu, noma uma umqondo kufanele uguqulwe noma ushiywe ngokuphelele. Kukhona imithetho nezinqubo ezizungezile ukuhlolwa kwezidakamizwa ezintsha ezigulini-akuyona into eyenziwa ngaphandle kokubheka okubalulekile.
Ngokujwayelekile, lesi sidakamizwa sesivele sihlolwe kuqala kumakhompiyutha wekhompiyutha, bese kuthi kuzilwane (ngokuvamile amagundane noma amagundane), bese kuba nabantu abanempilo. Ezinkulingweni eziningi zokwelashwa, isilinganiso esizimele sisetshenziselwa ukulandelela inqubekela phambili, kanti esinye sezilinganiso zokulonda kwe-ulcerative yi-Ulcerative Colitis Disease Activity Index (UCDAI).
Abacwaningi Bayazi Kanjani Ukuthi Ukwelashwa Kusebenza?
Ukuze unqume uma ukwelashwa kwe-IBD kuphumelela, ososayensi bavame ukusebenzisa isilinganiso esikhethekile ukukala umsebenzi wezifo ezigulini ngabanye. Umsebenzi wesifo ungase ufake lezi zibonakaliso njengobuhlungu, izikhathi ezingakanani umuntu oye endlini yokugezela ngosuku, noma ngisho nokuvuvukala ekolonini etholakala lapho udokotela eqedela ikholonoscopy . Kwezinye izimo, izimpawu ezengeziwe zamathumbu ezinesifo, njengezikhumba, iso, noma izinkinga ezihlangene , zingafaka phakathi nokuhlaziywa.
Yeka ukuthi izinga elikhethekile lunikeza abacwaningi ulimi oluvamile ukuthi bakhulume ukuthi isiguli ngasinye senzani ngenkathi sithola ukwelashwa okuhlolwe.
Lezi zilinganiso ezikhethekile zingase zisetshenziswe noma zingasetshenziselwa i- gastroenterologists emtholampilo, ngaphandle kwesilingo somtholampilo. Esikhathini esiningi, azikho, ngoba akudingi lutho: Abahlengikazi abanakuqhathanisa amaphuzu owodwa ngesiguli sesinye isiguli, ngakho-ke imiphumela ngeke ibe yusizo.
Isikali somtholampilo ngokuvamile siwusizo kuphela uma kuqhathaniswa neziguli ezithola ukungenelela okufanayo (njengemithi) esikhathini esingaphansi kwezimo ezifanayo. Ukwengeza, kungase kube nzima kakhulu futhi kusetshenziswe isikhathi sokwenza amagoli kuzo zonke iziguli, ikakhulukazi uma kungekho inzuzo eqinisekisiwe yokwenza. Kodwa-ke, kwezinye izimo, ingasetshenziswa ukulandelela umsebenzi wesifo ezigulini eziqala ukwelashwa okusha.
I-Ulcerative Colitis Disease Activity Index
Ukuze uthole isifo sofuba esiswini, kunezilinganiso eziningana zokulinganisa ezisetshenziselwa izinhloso zokucwaninga emtholampilo. Elinye elisetshenziswe kaningi libizwa ngokuthi i-UCDAI. Ihamba ngamanye amagama ngezinye izikhathi, futhi ingabizwa ngokuthi i-Sutherland Index noma i-Modified Ulcerative Colitis Disease Activity Index. UCDAI yasungulwa ngo-1987 nguSutherland, et al. I-UCDAI izonikezwa ekuqaleni kokuvivinywa komtholampilo ukuze kuqinisekiswe isisekelo, bese kuphinda kumaphuzu akhethiwe kulo lonke lolu cwaningo.
I-UCDAI iyinhlanganisela yeziqu eziphathelene nezimpawu ze-ulcerative colitis ezifaka imvamisa yesibindi, ukuphuma kwamagciwane, ukubonakala kwendwangu yamakolon, nokulinganisa odokotela wezenzo zesifo. Ngayinye yalezi zinto inikezwa inombolo kusuka ku-0 kuya kweyesi-3, ne-3 ibe yisilinganiso esiphakeme kakhulu somsebenzi wesifo.
Eminye yale mibuzo idinga udokotela ukuthi enze i-endoscopy futhi abone ikholoni, ngakho akuyona isilinganiso esingasetshenziswa isiguli ukuqonda ukuthi isifo sabo siyaqhubeka kanjani.
Ngenhloso yokwelashwa kwemitholampilo, ukuxolelwa kuvame ukuchazwa njengengxenye ye-UCDAI ye-1 noma ngaphansi, futhi ukuthuthukiswa kunciphisa amaphuzu angu-3 noma ngaphezulu kusukela kumaphuzu ekuqaleni kwecala.
Izwi elivela
I-UCDAI, noma yisiphi esinye isisindo somsebenzi wesifo, angeke sitshele umuntu ukuthi ngabe unesifo sokulonda kwesilonda noma cha isimo sesifo. Kuyinto ithuluzi elisetshenziselwa abacwaningi, ngokuvamile phakathi nokuhlolwa kwemitholampilo ukutadisha imiphumela yomuthi omusha.
Abaningi be-gastroenterologists abasebenzisi lesi sikali, ngakho akuyona into okufanele ulindele ukuba yingxenye yokuhlolwa okujwayelekile kwe-IBD.
Umthombo:
Sutherland LR, Martin F, Greer S, et al. "I-5-Aminosalicylic Acid Enema ku-Treatment of Distal Ulcerative Colitis, i-Proctosigmoiditis, ne-Proctitis." I-Gastroenterology 1987; 92: 1894-1898. 5 Okthoba 2010.
Eyaziwa nangokuthi: I- Sutherland Index, i-Modified Ulcerative Colitis Illness Activity Index