Disease Treat

Know About Ulcers Blog

טיפול בקוליטיס כיבית

It is important for you to know that the purpose
of this film is solely to provide information. It does not express an opinion, diagnosis,
recommendation of medical treatment
or consultation process
in the name of your family doctor. Ulcerative Colitis:
Treatment Ulcerative colitis is
a disease of the intestine in which a chronic inflammation
damages the large intestine. The disease is accompanied by
symptoms that greatly affect the quality of life of patients
dealing with the disease. Treatment methods aim to reduce
the active period of the disease, and bring about the longest remission
possible, to relieve and reduce
the accompanying symptoms thus enabling patients to lead
a normal life. There is still no treatment that
offers a total cure of the disease but efficient early treatment
reduces its active stage and can alleviate symptoms and
prevent possible future complications. More on this subject in this clip. Ulcerative colitis is
a disease of the intestine in which a chronic inflammation
damages the large intestine and could present
in different levels of severity: Mild, intermediate, and severe. The location of ulcerative colitis, its proximity to the anus, or only
on the left side of the intestine or all along the large intestine,
a case called “Pan Colitis,” will determine the type of treatment. For example, patients with a mild
form can be treated with medicines
called aminosalicylates, drugs that can be administered
in pills, enemas or suppositories and are good, as we said,
for patients whose complaints of rectal bleeding, diarrhea or
stomach pains are relatively mild. If drugs from this group are not effective enough and do not
get the symptoms under control, we could use steroids which can be administered orally,
or by enemas. In severe cases in which
patients are hospitalized, they can be administered
intravenously. These preparations are very effective
and can work very quickly to restore a state of calmness.
However, with ongoing use, or if the drugs are used
many times, they could be accompanied
by many different side effects and so we prefer to refrain from
multiple dosages of steroids and certainly not to use them
over the period of several months. What can be done to avoid
use of steroids and still control
the disease’s symptoms to offer the patient remission
and a full and pleasant life? There are a number of options. One is the use of a group of drugs
called imunomodulators. These drugs are very effective
in maintaining a remission without ongoing use of steroids. However, the time it takes
for the drug to take effect, from the moment we begin treatment,
is slow. It could take 10, 12 or even more
weeks from the start of treatment. If we want to avoid
the use of steroids, and the imunomodulators do not
work fast enough, we’ll need to use a drug
from a different group, for instance,
a group of biologic drugs which are not administered orally
or via the rectum, only by injection
or intravenously. These drugs are very effective.
They work fairly quickly and can reduce
the patient’s symptoms, reinstate a period of quiet and maintain this quiet and prevent
a recurrence of the disease, and of course, reduce
to the barest minimum the need for steroids. If all these types of treatments are
still not efficient enough, if the patient’s disease
is still very active, or if there are symptoms
that begin to be acute, something that happens suddenly,
and rarely, like a sudden perforation of the
intestine or massive bleeding, or symptoms that develop
gradually and are also very rare
but can be very dangerous, like the development of cancerous
or pre-cancerous situations, this could lead to the surgical
removal of the entire large intestine. As ulcerative colitis is a disease
that damages only the large intestine, it is assumed that if we
remove the large intestine, we can use the small intestine as
a replacement for the large intestine, avoid the disease’s symptoms, and also enable the patient to lead
a full and healthy life. The surgery itself, despite its
long and short term success presents a few problematic issues and so we prefer to avoid surgery
and use it only as a last option. It is important to note that
medical guidance and correct use of any one of the drugs
we mentioned can completely restore the patient’s
ability to function, if his abilities were compromised, and will also completely restore
the patient’s quality of life. Of course, in order to get through all
stages of the disease’s progression, it is recommended to ask for
support from family and friends, and help from the medical team,
nutritional consultants, and of course, from psychologists
and social workers who are all available to our patients.

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