Izinhlobo zezifo zesibindi ezihlanganiswe nezifo ze-Crohn's and Ulcerative Colitis
Isifo sesifo sofuba (IBD) sithinta ipheshana lokugaya, kepha lingathinta nezinye izingxenye zomzimba kanye. Abantu abane-Crohn's and ulcerative colitis bangase babe engozini yokuthuthukisa izinkinga zesibindi. Ezinye zezinkinga zesibindi ezihlotshaniswa ne-IBD ziyi- primary sclerosing cholangitis , i-autoimmune hepatitis, ne-cirrhosis eyinhloko ye-biliary.
Liyini Isibindi?
Isibindi, okuyilungu elikhulu kunawo wonke emzimbeni, linikeza imisebenzi eminingana ebalulekile ngaphandle kokuthi umzimba awukwazi ukusinda. Isibindi susa ukungcola nemzimba yangaphandle egazini, kwenza amaprotheni azisize i-blood clot, futhi akhiqize i-bile. Uma izifo ziphazamisa ukusebenza kwesibindi, kungabangela izinkinga ezibalulekile zezokwelapha.
Izimbangela ze-Cirrhosis yesibindi
Kubantu abane-IBD, i-cirrhosis ingabangelwa i-autoimmune hepatitis noma i-cirrhosis eyinhloko ye-biliary. I-autoimmune hepatitis ihlotshaniswa nesistimu yomzimba omzimba ongasebenzi. I-cirrhosis yebhiliyali eyinhloko ukuvuvukala kwemidlana ye-bile engakwazi ukuvimbela ubhiya ukushiya isibindi nokuya emathunjini amancane. Uma i-bile ibamba isipele ingabangela ukulimala okunye emathisini e-isibindi. I-primary sclerosing cholangitis, ehlotshaniswa kakhulu ne-ulcerative colitis, ingaba ne-autoimmune hepatitis (ngezinye izikhathi ebizwa ngokuthi "overlap syndrome").
Izimpawu Zezifo Zesibindi
Esinye sezikhathazeka kakhulu ngesifo sesibindi yilezi ezingeni zokuqala, kungase kube khona izimpawu nakancane. Abanye abantu bangase babe nezifo zesibindi, kepha nokho bangabonakali izibonakaliso zazo noma ngezivivinyo zabo noma ngezivivinyo zesibindi. Uma i- cirrhosis iqala ukudala izimpawu, ingafaka:
- Ukukhathala
- Ukukhathala
- Ukulahlekelwa kwesifiso
- I-nausea
- Ukungabi namandla
- Ukulahlekelwa kwesisindo
Izinkinga zesifo se-fover
Kwezinye izimo, isifo sesibindi sitholakala kuqala uma siqala ukudala izinkinga, njenge:
- Ukwakhiwa kwamanzi emilenzeni (i-edema) noma isisu ( ascites )
- Ukweqa ngokweqile nokuphuma kwegazi
- I-jaundice , ephuza amehlo nesikhumba ebangelwa yi-buildup ye-bilirubin
- Ukunambitheka, okubangelwa i-buildup ye-bile esikhumbeni
- Ama-gallstones , aqalayo ngenkathi ibhala livinjelwa ukungena kwi-gallbladder
- I-toxin buildup egazini nasebuchosheni
- Ukwelashwa kwemithi okubangelwa ukungakwazi kwesibindi ukusebenzisa izidakamizwa
- I-Portal hypertension, okuyinto ukwanda komfutho wegazi emgodini obizwa ngokuthi i-portal vein
- Ama-Varice, ayenayo imithwalo yegazi ekhulisiwe ngenxa yegazi eliphuthumayo eligeleza ngaphakathi kwe-portal vein
- Ezinye izinkinga eziningi ezifana nesistimu yomzimba yokuzivikela, izifo, nezinkinga zezinso
Isifo Sezilonda Sitholakala Kanjani?
Ezinye zezivivinyo ezazisetshenziselwa ukuxilonga izifo zesibindi zihlanganisa:
- Ukuhlolwa kwegazi
- Ukuskena kwe-compact axial tomography (CAT)
- I-biopsy yesibindi
- Ukukhipha isibindi nge-radioisotope noma i-laparoscope
- Umlando wezokwelapha
- Ukuhlolwa ngokomzimba
- Izimpawu
- I-Ultrasound
Ingabe Izifo Zesibindi Zihlala Unomphela?
Ukulimala kwesibindi akubuyiselwa emuva, kodwa uma isifo sesibindi sisekhona, umonakalo owengeziwe ungavinjelwa.
Ukuthola ukwelashwa okufanele, ukudla ukudla okunempilo, nokugwema utshwala konke kubalulekile ukuvimbela ukuqhubeka kwesifo sesibindi. Noma yikuphi ukucindezeleka okuvela esibhedlela sesibindi kufanele futhi baphathwe, ukugwema ukulimala okunye kwamanye amahlelo omzimba kusuka ezinobuthi ezakhiwa ebuchosheni nasegazini. Imithi ingase isetshenziswe futhi ukulawula ukucindezeleka kwe-portal kanye nama-varice.
Kuthiwani Ngokudlulisela?
Kwezinye izimo, isibindi sinomonakalo kakhulu futhi kudingeka ukufakelwa kwesibindi. Ukufakelwa kuvela kumnikeli, futhi ngezobuchwepheshe obuthuthukisiwe, kuyaqhubeka ngempumelelo.
Ukuqapha Isifo Sezinso
Abantu abane-IBD abanenkinga yokuthuthukisa isifo sobindi kufanele bacele isifo sabo sezinsana zegastroenterologist ukuthi kufanele bahlolwe kaningi kangakanani.
Eminye imithi ingase ihlotshaniswe nezifo zesibindi, futhi ukuqapha okujwayelekile kunconywa.
Umthombo:
Olsson R, Glaumann H, Almer S, et al. "Ukukhuphuka okuphezulu kwe-duct encane eyinhloko ye-sclerosing cholangitis phakathi kweziguli ezine-hepatitis ene-auto-bloodmill and primary sclerosing cholangitis." I-Eur J Intern Med . 2009 Mar; 20: 190-196.