الجمعة، 13 سبتمبر 2013

Ulcerative Colitis





Ulcerative colitis is a chronic disease that affects the inner layer to Jaddaralcolon, and spreads widely in Western societies by about 150 per 100,000 people, especially young people between 15 - 30 years old, male and female. The increasing prevalence in many regions, including Saudi Arabia for reasons unknown, but may be associated with increased stress, and changes in lifestyle and dietary habits and approached the western style in addition to the development of diagnostics and detection of cases were undergoing previously undiagnosed. 

Ulcerative colitis affects the rectum and the left side of the colon and may extend to involve the entire colon and the last part of the small intestine high with inflammation and ulceration protrusions Bbtantha.
Scientists did not find - until now - the cause of this disease, and there outweigh Doralawaml theories and genetic disorders of the immune system and change the composition and functions of the colon mucus, and possibly other factors related to food. This Studies have shown that about 5-15% of the first-degree relatives - especially twins - for patients with ulcerative colitis are infected with the same disease.
May show symptoms of ulcerative colitis and sometimes disappear again and severity vary from patient to patient, doctors have class this disease for four categories:
1 - chronic inflammation activates other sometimes and lives in 70% of cases.
2 - chronic inflammation is compounded continuously without periods of improvement in 10% of cases.
3 - a very acute inflammation with dilation of the colon in 10% of cases.
4 - the rest of the patients have a heart inflammation and one leads to what looks like with immune disease will not return.
Symptoms include chronic diarrhea and frequent accompanied by blood and pus, with feeling Balahtiaj to stand out even after you do (Zake) with the lower abdominal pain especially the left side and underweight. Perhaps some patients suffering from the pain of the joints, eye infections, inflammatory bile channels, or skin rash.

One of the main complications of the disease, anemia, bleeding, growth retardation, bowel obstruction, colon cancer, and acute inflammation of the colon and of expansion. Regular check-ups and treatment adherence and regular follow-up in a specialized center is the key to avoid these complications. The disease is diagnosed by examining medical history and clinical examination, laboratory tests and optical colonoscopy taking tissue samples for microscopic examination, in addition to various Balohaat tests. The ulcerative colitis is similar in symptoms with other diseases such as "Crohn's disease", irritable bowel syndrome and tuberculosis the colon and Oramh. Previous tests and help to differentiate between them and accurately confirm the diagnosis and to identify the degree of activity and the extension of the disease. Can control the disease, ulcerative colitis for long periods if committed to patient treatment and follow-up.But there is no radical cure, nor a specified period of treatment.According to available drugs to reduce inflammation, correct nutritional deficiencies, and prevent relapses, and reduce complications and the need for surgery. Include anti-diarrhea, amino Alsaleslat and corticosteroids and drugs inhibiting the immune system and vital medicines. All of these drugs should be used under the supervision of a physician specialist.
Most cases respond to medical treatment and do not require surgery, and in some cases become need surgery to remove part of the intestine in the case of injury complications can not be treated with drugs. Is not considered ulcerative colitis contagious disease is not transmitted to any kind of communion, and when you want to have children should consult a doctor because some medications may temporarily affect the degree of fertility or the fetus. Individuals with inflammatory colitis more susceptible to colon tumors than others, especially when infected the entire colon and disease activity continues for many years. Studies have shown that colon cancer affects 3% after 15 years, and 5% after 20 years, and 9% after 25 years of the onset of illness. It can reduce the risk of colon cancer through adherence and continuous monitoring, and periodic inspection optical laparoscopically helps diagnosed early.
Required programs to increase awareness of this disease, and the expansion of the scientific research, and database for the compulsory registration of cases to assist the relevant authorities in develop appropriate for dealing with this disease.
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