Thursday, November 22, 2007

IBD (Inflammatory Bowel Disease)



IBD (Inflammatory Bowel Disease) adalah perdarangan pada dinding mukosa usus. Hal ini dibagi dua yakni UC (ulcerative colitis) dan chron disease. Perdarangan yang terlibat dapat mulai dari dinding mukosa mulut hingga ke anus (pada UC) dan bisa hanya pada usus besar saja (chron disease). Penyakit muncul dengan gejala diare yang lama (diare kronik) yang disertai dengan perdarahan buang air besarnya dan rasa sakit perut (mules) yang mengganggu. Hal yang mendasari untuk terjadinya penyakit ini terdiri dari berbagai macam sebab yakni genetik, lingkungan dan imunologi. Untuk mendiagnosis diperlukan pemeriksaan kolonoskopi dan dilakukan biopsi mukosa usus yang meradang. Pengobatan pada penyakit ini juga terdiri dari berbagai macam modalitas yakni, obat untuk pengaturan imunologi badan, kortikosteroid dan obat anti diare. Lama pengobatan ini cukup memakan waktu antara 6 - 12 bulan. Nama penyakit ini perlu dibedakan dengan nama IBS (iritable bowel syndrome) yan mana pada penyakit ini justru tidak ditemukan kelainan apapun pada pemeriksaan kolonoskopi maupun biopsinya. Hal yang mendasarinya adalah psikologi.

92 Comments:

Blogger Sibermedik give you more than medicine said...

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December 1, 2007 at 1:43 PM  
Blogger Dr.Imran Nito (INTERNIST) said...

Anda aktif di MER-C juga?

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Halo Dokter, salam kenal. Saya sedang mencari informasi tentang IBD (belum ada kepastian apakah type Chron Disease atau UC), karena ayah saya di diagnosa menderita penyakit ini oleh RSUD Kulonprogo, Yogya (Sabtu,21 Juni 2008). Ayah saya dianjurkan ke RS Sardjito Yogya untuk menjalani pemeriksaan kolonoskopi di poli Gastro Hepatologi. Ayah saya juga dibawakan 5 macam obat(saya belum mencatat namanya) untuk satu bulan.
a. Apakah aman kalo saya menunggu setengah bulan ini untuk melihat progress ayah saya setelah mengkonsumsi obat sebelum membawa beliau untuk pemeriksaan kolonoskopi?
b. Menu makanan seperti apa yang dianjurkan untuk penderita IBD?
Terimaksih sekali DR. Imran atas informasinya. Alamat email saya ada di yuliant_jk@yahoo.com.

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dok, istri saya seminggu terakhir mengeluh sakit perut tepat sebelah kana pusar. kira2 kenapa ya dok? tahun 2007 istri saya pernah operasi usus buntu? apakah kira2 ada kaitannya dengan bekas operasinya?

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Ibu mertua saya sudah menderita diare kronik sejak kurang lebih 4-5tahun yang lalu.
Awalnya ada hemorid yg muncul karena gravid anak ketiga dok (anak1&2 aman, tidak muncul hemoroid.
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Memang yang saya sayangkan, setelah obat habis, ibu tidak mau kontrol, merasa keluhan tidak membaik, dan juga agak kecewa, karena internis bilang kalau masih diare ya minum aja obat diare. Padahal ibu BAB cair sepanjang waktu.
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