1 Treatment measures
If you start to treat ailment in the late stages of its appearance, in the patient the disease can go into a chronic form. At the same time, coping with the disease will be very difficult. Heavy forms often provoke a complication. For example, there may be malignant formation on the large intestine, rupture of the intestinal wall, etc.
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Modern medicine allows treating non-specific ulcerative colitis in various ways. Therapy can be carried out at the expense of medications or with the help of surgical intervention.
Among the indications are: blood transfusion, the introduction of fluid into the body, since dehydration is observed.
The patient's nutrition should be parenteral, which makes it possible to reduce the degree of adverse effects on the intestinal mucosa.
Within the framework of therapy, drugs are selected for each patient individually. Their action is different:
- Ability to stop internal bleeding.
- Normalization of the balance of water and salt( taking infusion medications, medications that effectively combat diarrhea).
- Reduction of the negative effect on the surface of the intestinal wall, which allows the regeneration of the epithelial layer.
When the medicines are correctly selected, it is possible to reduce the term of the treatment course. The body is practically not affected by toxins. If antibiotics are prescribed, lactose funds are used in the complex.
With drug therapy, 1 line uses corticosteroids, aminosalicylates, and immunosuppressors are suitable for the treatment of 2 lines. The active component of aminosapicides is 5-ASA, the most popular drug is Mesalazine. With the help of it, you can effectively cope with inflammation in the intestines, ensure the absence of signs and symptoms of the disease. Among corticosteroids, Budesonide is preferred. It is safe, can be used for a long time, it helps maintain a stable remission in the patient.
If you need a long course of treatment with 2 lines, it is better to use Methotrexate. It is suitable for patients who have been diagnosed as having an intolerance to azathioprine. This drug will significantly speed up the treatment, and the result will be noticeable much faster. The agent is used by intramuscular injection or is administered internally. Usually the course of treatment with this drug is 2-4 weeks. Lack of funds: there is no stable result, a high probability of exacerbation even after 6 months.
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Provides a quick effect( after 6 days) drug Ciclosporin, but its effect is too short. That is why it is not the main medication of therapy, but only serves as an intermediate link that interrupts the attack and provides a transition to immunosuppressants of prolonged admission.
Infliximab gives good results. The drug is not only highly effective, but also safe. He is appointed to combat the active form of the NJC.Infliximab helps to avoid colectomy when an acute, steroid-refractory disease of a severe type develops. This drug can control the course of the disease due to its selective actions that neutralize the tumor necrosis factor. After carrying out numerical studies, the drug was given the highest level of evidence. According to the studies, drug therapy not only leads to the arrest of severe attacks of NNC( steroid-dependent and steroid-resistant form), it induces long-term remission.
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Various kinds of disorders of the colon function in this disease cause the development of other complications, for example, the toxemia syndrome. To get rid of such problems, doctors use a set of drugs and methods:
- Antibacterial drugs.
- UFO autoblood.
- Recovery of eubiosis.
- Hemosorbtion.
Parenterally, protein medications are also introduced to normalize the metabolic and steroid hormone effects. These can be essential amino acids, serum albumin and plasma protein.
2 Surgical intervention
In some cases, due to properly selected medications, it is possible to cope with the problem completely and to cure NNC.However, if the symptomatology does not disappear, then the specialists perform surgical operations.
When NNC is diagnosed after the examination, three types of operations can be performed. In palliative surgery, the mucosa and the focus are not completely removed from the inflammatory process. This form is indicated if localization of inflammation is observed in different areas, the intestine is affected by no more than 55-60%.
Reconstructive surgical intervention involves removal of the entire intestine from the body, and a prosthesis is put instead. Such an event is carried out with too much running sickness.
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A radical operation can be performed when an organ is significantly affected, it is difficult or impossible to restore it. In the process of intervention, the body is provided with a resection of the intestinal parts, the integrity of the organ completely renews with time.
You can not bring the state to irreversible consequences. It is better to do without surgical interventions in the body. But if there is no other way out, then it is necessary to apply for help to a qualified specialist. It is important to take into account that an incorrect or inadequate operation can make a person disabled, even a fatal outcome( extremely rare) is likely.
3 The process of full recovery of
For a complete cure of ulcerative colitis after surgical intervention and treatment with medicines, the patient must undergo a rehabilitation course. Such an event can take a long period, it varies in each case.
In the process of recovery of the body, you must follow a diet. At the same time from the daily diet exclude individual foods. Portions should not be reduced, because the body needs replenishment of energy and strength. Proper nutrition is the absence of harm to the digestive system. You can eat lean broths, light soups, fish first courses. Meat consumed must be low-fat. Allowed food should contain proteins that are absorbed well and quickly. Fiber from the diet is better to exclude( fruits, vegetables, especially fresh).It is not necessary to eat carbohydrates, bakery products, dishes in which any dough is present.
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With proper nutrition, it is important to consider the temperature of food and food. Before eating, the temperature should be warm. Too hot and cold food causes harm. Cold foods are slowly absorbed, which provokes the processes of fermentation and digestive disorders. A very high temperature causes an additional irritant effect on the gastrointestinal tract.
During the recovery of the body, antibiotics are prescribed. Infusion treatment means the introduction of fluid into the body. So it is possible to completely relieve the patient of dehydration, replenish the carbohydrate reserve, to normalize the water-salt balance.
To prevent dehydration after intensive therapy, to fasten a loose stool, you need to use medications with astringent action. Most often, choose options of synthetic origin or products made from plant components. For maintenance treatment in many cases, take special hormones( corticosteroid drugs).
If a symptomatology of NNA is detected, it is necessary to immediately contact a medical institution and take a survey. If you do not consult a specialist, a high probability of getting total colitis.
The development of pharmaceuticals and medicine allows you to cope with even the most dangerous diseases. However, everyone is responsible for their health, you do not need to start ailment. Each course of therapy should begin with a campaign in a medical institution.
- 1 Treatment activities
- 2 Surgical intervention
- 3 Full recovery
With competent and timely medical care, NNC is curable. Nonspecific ulcerative colitis is a gastrointestinal disease that poses a significant threat to the human body. The disease proceeds with intestinal bleeding, the patient's body weight decreases significantly, painful sensations appear in the abdominal cavity, fever may be present.
