It is basic medical information of Crohn's disease and Ulcerative colitis.
What's about both diesease, Wanting you to understand at our disease
Crohn's disease, Ulcerative colitis are intractable diseases to produce
inflammation mainly on the intestines. A main symptom is weight lower bellyache,
diarrhea, bloody excrement, blood, the generation of heat, decrease.
The numbers of Crohn's disease patients are 21,061 in Japan. The numbers
of Ulcerative colitis patients are 72,672 in Japan. (The end of 2001)
It is said that both diseases increase with westernization of eating habits
year by year.
There is illness defined as inflammatory bowel disease elsewhere, but,
in this page, defines Crohn's disease and Ulcerative Colitis as inflammatory
bowel disease.
A cause is indistinct, and a treatment method is not established, and it is designated as a specification medical care disease of the Ministry of Health and Welfare both disease.
It is said that there is immunity abnormality of the intestines as an elucidated
cause currently.
When a person originally eats a meal, I do not recognize food as allergy.
However, the immunity system which failed, an intestine and digestive organs
receive a damage in order to attack "food as an alien substance."
Medical therapy does not reach it to complete recovery with a treatment
method of makeshift.
A condition repeats remission and a relapse when you watch it in the long
term.
Crohn's disease is illness to be generated in the digestive organs whole
from a mouth to an anus.Even if crohn's disease has surgery on, it is easy
to have a relapse. The most effective treatment is said to take elemental
diet "Elental" which does not burden with digestive organs, in
Japan.
←Elental
It becomes how important whether you avoid an operation so that an intestine
will shorten by an operation.
| Japan | America | England | |
| Dietetic therapy | Traditional Japanese meal is good for patients. Patients avoide rich fiber and indigestible food, instant food. Control dietetic is easy. There is a difference between institutions of dietary counselling. |
A lot of fatty food understands a thing with many diseases. It seems to think that " Quality of life" is bad that McDonald is not eaten. |
Choice removal appetite, a study of diet therapy mainly on low-fat low fiber diet progress. |
| Nutritional therapy | Nutrient medicine spreads by insurance adaptation. | From inserting a tube in nasal pit and nutrient medicine being bad, nutrition care does not spread for reasons of the national traits that there is not patiently. | Insurance adaptation includes a limit, and nutrition care is not done in acute stage. It is made diagnosis and medical treatment except acute stage freely. |
| Drug therapy | There is a few it and is behind with an entry of a maker by a thing with a little number of patient, too. | There are much number of drug and entries of a development maker, and, in proportion to the number of patient, a trial progresses, too. |
This disease is often mistaken for clone technology that is famous for
a clone sheep.
It born of name of Burrill B. Crohn,M.D of a Mount Sinai hospital of New
York that reported this disease in 1932.
Because ulcerative colitis to occur only in large intestine, it might cure
completely if you extract all large intestine.
However, up to an operation, it is troubled disease by many side effects
because you must take large quantities steroid.
Right information is important for you, because you are troubled by a "complication
except the intestines" if you miss a timing of operation.
Operation adaptation of ulcerative colitis includes "social adaptation"
without concept by general disease.
A lot of patients are troubled with judgment of the time deciding an operation. Generally,
operation divided twice is the mainstream.
It is done a colostomy by the first time operation. In addition, patient
has worry to large intestine being lost.s temporary stoma becomes mental
pain, and it is not possible for determination to operation.
Patient of ulcerative colitis is cured by twice operations. Crohn's disease
repeat relapse, even if patients have operation, it is very severe in such
a meaning.
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What's Enema solution steroido? Enema steroid inserts it in an anus and lets the inside of the bowel which wound stuck to soak. Because a reflection of "rectum / bowel" is severe, it is offspring of patience just while it put medicine! |
| Steroido | Enema solution steroido | In addition, there is steroid for continuous infusion. |
As for the inflammatory bowel disease, there are many cases to become
sick from being young. However, patients can send life as a member of society
if controlled disease well.
It has a various social problem at points such as school life, consideration
to working, a chance of finding employment.
It is one purpose of this homepage establishment that would like you
to know that there are such diseases.、Society consider if there is a person
of such symptom close to you, I am glad.
Inside handicap is the disease that it is hard to understand very much.
In a crowded train, I almost fall down for anemia if I give concreteness
example, and there is no experience to have a seat handed over to me. I
have experience that an outside handicapped person required to change a
seat.
If anemia is terrible, patients should generally look unhealthy.
A normal value of hemoglobin value is more than 12-14. There are many
cases that Hemogrobin value is less than 6 as for us.
I think it to fall down with around 8 that it is a general person.
If you were such a state, how do you think? There is no concern about a
train problem in urban region, Osaka in particular. I had a seat handed
over considerably in New York. Manner to hand over a seat to a handicapped
person and an old man, a power gate bus for a wheelchair are completely
different in social correspondence.
A problem to be more acute than anemia is a rest room. It is a characteristic that frequency of a rest room increases as for this disease. A person of diarrhea goes to a rest room more than ten times on a day.
What we in particular are made to wait for in a rest room is severe. I
may think that it is unreasonable to have you exchange a turn though a
lot of one stands in line into a rest room. It is a terrible problem to
us because our disease is minor.
The following enlightenment is necessary for the school person concerned.
1. A problem of a rest room of a pupil child
2. A problem of supply of food (there being the thing which you must not
eat)
3. There are the problems that must drink an elemental diet "Elental".
I think that the school side does not understand our disease on entrance
into a school of higher grade either.
I want mass communication seems to have people know it and to take up this disease simply.
There seems to be a help card to change by a turn of a rest room in the
United Kingdom. The person who can take a handicapped person pass by this
disease is extremely few. A handicapped person pass of a help card is replaced.
It will be impossible to change a turn of a rest room judging from the recognition degree between the current sick world.
Mass communication wants to have report on the basis of right medical care
information and hear an actual voice of a patient. There are 80,000 patients
in Japan, however, it is said that there are about 1,000,000 patients in
America.
The circumstances that we gather around are considerably severe. I ask for support that you are warm.
TERMS
"Inflammatory Bowel Disease"=IBD, ”Crohn's disease”=CD, "Ulcerative
Colitis"=UC, "Elemental Diet"=ED
*As for the nutrition care, information on the basis of the Japanese eating habits, drug have to select American information (on the basis of a treatise) to obtain better information.
It is necessary to think about the basis which above, what which include an obstacle of a language can trust.
I refer to MEDLINE (National Library of Medicine) publication thesis and CCFA (Crohn's & Colitis Foundation of America, Inc.), Medscape by my WEB site.