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INTRODUCTION
REVIEW LITERATURE
AIMS AND OBJECTIVES
PARAMETERS
PROPOSED TREATMENT SCHEDULE
INTRODUCTION
DEFINITION:
Ulcerative colitis is an inflammatory
bowel disease that causes inflammation and
ulcers in digestive tract. It mainly affects to the
large intestine or colon. It causes irritation and
swelling called inflammation eventually that
leads to the source called ulcers in the lining of
large intestine or colon.
TYPES OF ULCERATIVE COLITIS:
There are several other types of ulcerative
colitis. The following is the description of the
different types of ulcerative colitis:
Ulcerative proctitis
Proctosigmoiditis
Left – sided colitis
Pan – ulcerative(total) colitis
SIGNS AND SYMPTOMS:
Signs and symptoms may include:
Diarrhoea, often with blood or pus
Abdominal pain and cramping
Rectal pain
Rectal bleeding
Weight loss
Fatigue
Fever
In children, failure to grow
RISK FACTORS:
Risk factors may include:
Age
Race or ethnicity
Family history
Environmental factors
CAUSES:
Environmental factors
Immune system
Genetics
High intake of lenoelic acid
COMPLICATIONS:
Possible complications of ulcerative colitis
include:
a. Severe bleeding
b. Severe dehydration
c. A hole in the colon
d. Liver disease
e. Bone loss
f. Inflammation of skin and joints
g. An increased risk of colon cancer
h. A rapidly swelling colon
PATHOPHYSIOLOGY:
Inflammatory process usually confined to
rectum and sigmoid colon.
Inflammation leads to mucosal haemorrhages
and abscess formation which leads to necrosis
and slough of bowel mucosa.
Mucosa becomes red friable and ulcerated
bleeding is common.
Chronic inflammation leads to narrowing and
shortening of colon.
TREATMENT
S.N DRUG MECHANISM OF THERAPEUTIC USES ADVERSE EFFECTS
O ACTION
1. Amino salicylates like: Olsalazine, Salfa i. Blocks the i. Treatment of mild i. Headache
salazine production of and moderate ii. Nausea , vomiting
prostaglandins ulcerative colitis iii. Gastric distress
ii. Inhibits the ii. Treatment of iv. Haemolytic
activation of inflammatory anaemia
nuclear factor bowel disease v. cyanosis
(kappa)B
2 Corticosteroids like : prednisone , hydro i. Inhibits leukocyte i. for the treatment of i. Diabetes
cortisone infiltration at the primary and ii. Headache
site of inflammation secondary adreno iii. Hyper tension
ii. Suppress humeral cortical iv. Facial hair growth
immune response insufficiency v. Swelling of legs
controls the ii. Treatment of vi. Puffiness of the face
production of ulcerative colitis
prostaglandins and and liver disorders
leucotrienes