Doctors have various treatment options, although some drugs such as biological agents cannot be widely accessed because they are not covered by the National Health Insurance (JKN).
“Sometimes our patients need a combination of 2 drugs to control their colitis. Some also require surgery to remove the inflamed intestine, ”said dr. Rabbinu Rangga Pribadi, Sp.PD, Specialist in Internal Medicine RSCM-FKUI.
Basically, the first difficulty most often faced is confirming the diagnosis in such patients whether IBD or colitis is caused by another infection. The second difficulty that is also most often faced is the limited access of patients to biological agents due to costs. In fact, various studies have shown that biological agents have great benefits, especially in IBD patients with moderate and severe degrees of severity.
Doctor Rabbinu also appealed to awareness and knowledge about IBD for IBD patients, families, and caregivers, even for the wider community so that awareness of the dangers of IBD is increasing. When diagnosed with IBD, patients need to understand that the inflammatory process in this disease can subside if committed to treatment and lifestyle modification with a diet appropriate to IBD levels and exercise.
It is also recommended to gather with other IBD patients to share experiences and strengthen them. There needs to be continuous education to educate various parties that the burden of this disease continues to increase.
The preparation that the caregiver needs to do is providing psychosocial support because IBD sufferers are prone to depression and anxiety. Caregivers with IBD are also expected to be able to assist patients in carrying out activities of daily life and at the same time become partners in their treatment journey. Apart from paying attention to financial readiness.