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ulcerative colitis
LemonDKel
2022. 7. 30. 03:56
Overview
It is an inflammatory disease that causes inflammation of the innermost mucous membrane of the large intestine and causes ulcers and is designated as an incurable disease.The characteristic symptoms are frequent abdominal pain and severe diarrhea, and blood is often mixed in the stool.When it becomes more severe, symptoms of anemia due to prolonged bloody stool appear in addition to fever and tachycardia.There are also cases of weight loss due to the difficulty of nutrition intake, and various intestinal complications occur when inflammation progresses deep into the intestinal wall.The peak age of onset is 20-24 years for men and 25-29 years for women, but it occurs regardless of age.At least 90 percent of patients with severe diseases have mild to moderate symptoms.If you stay active for a long time, cancer can occur.cause
It is thought that the effects of intestinal bacteria, abnormal autoimmune reactions and changes in diet are related, but no explanation has been made.Since the disease is also recognized in the family, it is widely believed that genetic factors are involved.In Europe and the U.S., about 20 percent of patients suffer from inflammatory bowel disease (urcerous colitis or Crohn′s disease).In recent years, many researchers around the world have focused on identifying unique genes, including the cause of the disease, but no clear genetic answers have been received at this time.symptom
The main symptoms are abdominal pain and severe diarrhea, and blood stools accompanied by mucus.Symptoms such as fever, tachycardia, anemia, and weight loss may appear when they become more severe.If severe inflammation continues and the inflammation progresses deep into the intestinal wall, various intestinal complications occur.In addition, complications can occur in the whole body other than the intestinesExamples of intestinal complications include massive bleeding, constriction ( narrowing of the intestinal tract), perforation (having a hole in the intestinal tract), and addictive giant colonosisIf the bowel movement decreases, gas and toxins accumulate in the intestines and the large intestine expands, and poisoning symptoms such as fever and tachycardia occur throughout the body, emergency surgery is often required.In addition, complications outside the intestinal tract include joint, skin, eye lesions, aftertastic stomatitis, nodular erythema, etc.Long-term illness increases the risk of developing colorectal cancer.examination and diagnosis
In the medical examination, the progress of symptoms such as diarrhea, stool condition, frequency of blood stool, degree of abdominal pain, fever, and medical history are heard.After that, after confirming that there are no other infectious diseases through blood tests and stool tests, the stool is checked for blood, anemia, nutritional status, etc.Furthermore, after examining the form of ulcer and the extent to which inflammation occurs in the large intestine by colonoscopy, a part of the mucous membrane is collected and a pathological examination is conducted.In addition, an abdominal X-ray examination may be performed to check the condition of the gas in the intestines.treatment
There are medical treatments and surgical treatments, mainly internal treatments.Medical treatment focuses on medication to control inflammation of the intestines and control symptoms.Ulcerative colitis has an active stage in which inflammation occurs and symptoms appear strongly, and a ′relaxation stage′ in which the symptoms are subdulytherapy is performed to maintain remission while suppressing inflammation.By controlling inflammation, symptoms such as diarrhea, lower blood, and abdominal pain can be reduced.In order to maintain remission for a long time, it is important to take daily medication even if the symptoms have subsided.On the other hand, surgical treatment is performed when there is no effect of drug treatment, when there is a large amount of bleeding or perforation, or when there is a suspicion of cancer, and all the large intestine is removed by surgery.Although artificial anus is sometimes produced when the whole large intestine is removed, recently, the mainstream operation is to make a ileal sac to store stool in the small intestine and connect it to the anus, making it possible to live almost the same life as a healthy person.precautions after prevention/treatment
Ulcerative colitis has periods of activity and remission.In most cases, remission can be maintained if treatment is carried out properly, such as taking medicine under the direction of a doctor, but in some cases, remission and activity are repeated.In addition, regular endoscopy is necessary even if the symptoms calm down because colorectal cancer may occur more than 7-8 years after the onset of the disease.During the active period, high-energy, high-protein, low-fat and low-fiber diets are the basis, and stimulants, alcohol, and carbonated drinks should be kept low, and excessive intake of dairy products should be avoided.You should also refrain from long trips or strenuous exercise and be careful of stress, overwork and lack of sleep.
It is an inflammatory disease that causes inflammation of the innermost mucous membrane of the large intestine and causes ulcers and is designated as an incurable disease.The characteristic symptoms are frequent abdominal pain and severe diarrhea, and blood is often mixed in the stool.When it becomes more severe, symptoms of anemia due to prolonged bloody stool appear in addition to fever and tachycardia.There are also cases of weight loss due to the difficulty of nutrition intake, and various intestinal complications occur when inflammation progresses deep into the intestinal wall.The peak age of onset is 20-24 years for men and 25-29 years for women, but it occurs regardless of age.At least 90 percent of patients with severe diseases have mild to moderate symptoms.If you stay active for a long time, cancer can occur.cause
It is thought that the effects of intestinal bacteria, abnormal autoimmune reactions and changes in diet are related, but no explanation has been made.Since the disease is also recognized in the family, it is widely believed that genetic factors are involved.In Europe and the U.S., about 20 percent of patients suffer from inflammatory bowel disease (urcerous colitis or Crohn′s disease).In recent years, many researchers around the world have focused on identifying unique genes, including the cause of the disease, but no clear genetic answers have been received at this time.symptom
The main symptoms are abdominal pain and severe diarrhea, and blood stools accompanied by mucus.Symptoms such as fever, tachycardia, anemia, and weight loss may appear when they become more severe.If severe inflammation continues and the inflammation progresses deep into the intestinal wall, various intestinal complications occur.In addition, complications can occur in the whole body other than the intestinesExamples of intestinal complications include massive bleeding, constriction ( narrowing of the intestinal tract), perforation (having a hole in the intestinal tract), and addictive giant colonosisIf the bowel movement decreases, gas and toxins accumulate in the intestines and the large intestine expands, and poisoning symptoms such as fever and tachycardia occur throughout the body, emergency surgery is often required.In addition, complications outside the intestinal tract include joint, skin, eye lesions, aftertastic stomatitis, nodular erythema, etc.Long-term illness increases the risk of developing colorectal cancer.examination and diagnosis
In the medical examination, the progress of symptoms such as diarrhea, stool condition, frequency of blood stool, degree of abdominal pain, fever, and medical history are heard.After that, after confirming that there are no other infectious diseases through blood tests and stool tests, the stool is checked for blood, anemia, nutritional status, etc.Furthermore, after examining the form of ulcer and the extent to which inflammation occurs in the large intestine by colonoscopy, a part of the mucous membrane is collected and a pathological examination is conducted.In addition, an abdominal X-ray examination may be performed to check the condition of the gas in the intestines.treatment
There are medical treatments and surgical treatments, mainly internal treatments.Medical treatment focuses on medication to control inflammation of the intestines and control symptoms.Ulcerative colitis has an active stage in which inflammation occurs and symptoms appear strongly, and a ′relaxation stage′ in which the symptoms are subdulytherapy is performed to maintain remission while suppressing inflammation.By controlling inflammation, symptoms such as diarrhea, lower blood, and abdominal pain can be reduced.In order to maintain remission for a long time, it is important to take daily medication even if the symptoms have subsided.On the other hand, surgical treatment is performed when there is no effect of drug treatment, when there is a large amount of bleeding or perforation, or when there is a suspicion of cancer, and all the large intestine is removed by surgery.Although artificial anus is sometimes produced when the whole large intestine is removed, recently, the mainstream operation is to make a ileal sac to store stool in the small intestine and connect it to the anus, making it possible to live almost the same life as a healthy person.precautions after prevention/treatment
Ulcerative colitis has periods of activity and remission.In most cases, remission can be maintained if treatment is carried out properly, such as taking medicine under the direction of a doctor, but in some cases, remission and activity are repeated.In addition, regular endoscopy is necessary even if the symptoms calm down because colorectal cancer may occur more than 7-8 years after the onset of the disease.During the active period, high-energy, high-protein, low-fat and low-fiber diets are the basis, and stimulants, alcohol, and carbonated drinks should be kept low, and excessive intake of dairy products should be avoided.You should also refrain from long trips or strenuous exercise and be careful of stress, overwork and lack of sleep.