He "whakatūpato whero" te mate korere mau tonu neke atu i te 4 wiki e rangona ana e ngā whekau, ā, me mataara ki te mate puku mumura (IBD).

Engari koinei te raruraru: ina tomo koe ki te whare hauora, me pēhea te tākuta e whakatau ai mēnā kei te mumura ō whekau? Ā, he aha te kaha o te mumura? I tēnei wā, ka tīmata he whakamātautau "kāore i te tino miharo" -calprotectin paru whakamātautau. He rite ki tētahi "kaiwhakamaori" pono e taea te whakamāori i ngā "kōrero" a ngā whekau ki ngā raraunga ka taea e ngā tākuta te mārama. I roto i tēnei putanga o "E Hia Ngā Mea E Mōhio Ana Koe Mō Te Puku," ka āwhina mātou i a koe kia mōhio ki tēnei "kaiwhakamaori" o te hauora o te whekau.

1) Ina mumura ngā whekau, mā wai e kōrero mai?

Whakaarohia tēnei: ​​kei te "kā" ō whekau, engari kāore e taea e koe te kite, te pā atu rānei — ka taea e koe te whakaaro mā roto i ngā "tohu ā-kore" pērā i te mate korere me te mamae o te puku.

He tikanga anō kei reira hei whakaatu tika mai, hei whakaatu tika mai hoki i te āhua o te mumura o ngā whekau? Ā, he pēhea te kaha o te mumura?

Ko te whakautu: āe. Kei roto tonu i tō tūru e huna ana.

Ina puta te mumura o te puku, ka huihui ngā neutrophils i roto i te tini ki te wāhi o te mumura hei "tinei i te ahi." I roto i tēnei "pakanga," ka tukuna e ēnei pūtau he pūmua —calprotectinKa puta mai i te tinana me te tūtae, ā, ko tōna kukū e whakaata tika ana i te kaha o te mumura o te puku.

2)CalprotectinHe aha i arohia ai e te hunga hauora?

I muacalprotectini puta ake, i whakawhirinaki ngā tākuta ki ngā tohu toto (pēnei iCRP, ESR, me ētahi atu) hei aromatawai i te mumura. Engari he "hapa whakamate" tō ēnei tohu - kāore i te tino motuhake ki te puku. Arā, ki te teitei ake, tera pea he tohu mumura kei tētahi wāhi o te tinana, engari kāore i roto i ngā whekau.Calprotectinhe rerekē. He maha ōna "painga taiao":

Kotahi te meka:calprotectin paru kua whakaurua ki roto i ngā aratohu a Haina mō te tātaritanga me te maimoatanga o te mate puku mumura, ā, kua noho hei tohu koiora kore-whakaeke e whakamahia whānuitia ana i roto i te mahi haumanu.

3) He aha tā tēnei "kaiwhakamaori" e āwhina ai i a tātou?

Ngā tono haumanu ocalprotectin paru kei te whānui haere, tae atu ki ēnei āhuatanga matua:

① Te wehewehe i te IBD mai i te IBS

Koinei te "tino tohungatanga" a calprotectin. He rite tonu ngā tohu o te mate puku irritable (IBS) me te mate puku mumura (IBD) i ētahi wā - ka mamae te puku, ka korere, ka huri hoki ngā tikanga o te puku i ngā mea e rua. Engari he rerekē rawa ngā mea e rua: he mate mahi te IBS, kāore he mumura rauropi i roto i ngā whekau; ko te IBD he mumura whekau tūturu.

② Te aromatawai i ngā mahi a te mate

Mō ngā tūroro kua tāpaetia kētia he IBD,calprotectinka taea te kī atu ki ngā tākuta: kei roto te mate i te wā e kaha ana, e memeha ana rānei? E whakaatu ana ngā rangahau he hononga nui ngā taumata calprotectin fecal ki te nui o te mumura o te puku e kitea ana i raro i te endoscopy. Ko te teitei ake o te uara, ko te kaha ake o te mumura; ko te hekenga o te uara ka taea te whakamahi hei tohu tohutoro mā ngā tākuta ki te aromatawai i te whai huatanga o te maimoatanga.

③ Te aroturuki i te whai huatanga me te matapae i te hokinga mai o te mate

He mate pūmau te IBD e hiahia ana kia rongoatia mō te wā roa.Calprotectinhe rite ki te "kaitātari." Ko te hekenga o te calprotectin i muri i te maimoatanga he tohu pea kei te whai hua te maimoatanga; ki te tīmata te pikinga o te calprotectin i roto i te tūroro e māhorahora ana, he tohu pea kei te tata te hokinga mai o te mate, ā, ka taea e ngā tākuta te whakarerekē i te mahere maimoatanga i mua.

④ Te tirotiro i te take o te mamae o te puku i roto i ngā tamariki

He mea tino nui te whakamātautau calprotectin mō ngā tūroro tamariki. Ka taea e ia te āwhina ki te wehewehe i te mamae puku mahi mai i te mate puku mumura tūturu, me te karo i ngā whakamātautau whakaeke kore e hiahiatia.

4) Me pēhea te whakamārama i ngā hua o te whakamātautau? He aha te tikanga o ngā uara?”

Ina whiwhi koe i te pūrongo whakamātautau, tera pea ka kite koe i tētahi raupapa o ngā tau. He aha te tikanga o aua tau?

5) Ko wai te hunga e tohutohuhia ana kia whai icalprotectin whakamātautau?

Mena ka pāngia koe, tō whānau rānei e ēnei āhuatanga e whai ake nei, me kōrero koe ki te tākuta mō te hiahia ki te whakamātautau:

• Te mamae o te puku, te mate korere rānei mō te wā roa, kāore e pai ake mō ngā wiki e 4 neke atu
• He tūtae me te hūpē, te pura rānei me te toto
• Te ngaronga taumaha, te anemia rānei kāore i te mārama
• Kua kitea kētia te IBD, ā, me aroturukitia te mate
• Ngā tamariki e mamae ana te puku, e whakaroa ana rānei i te tipu, hei whakakore i ngā mate rauropi
• Te tirotiro āwhina mō ngā rōpū mōrearea nui mō te mate pukupuku koroni