I-IBD Ayisho Emathunjini; Kungasithinta Futhi Umlomo Wakho
Isifo samathumba esivuthayo (IBD) sivame ukucatshangwa njengokuthile okuthinta kuphela umgudu wokugaya, kepha kuningi endabeni. Into yokuqala okumele uyikhumbule ukuthi umlomo uyingxenye yendlela yokugaya, ngakho-ke futhi ingathinteka yi-IBD. Abanye abantu abane-Crohn's disease noma i-ulcerative colitis bangase babe nezilonda emlonyeni, okuthiwa i- aphthous stomatitis .
Nakuba kungavamile, kunezimo lapho abantu abane-Crohn's disease beye bezwa ukuvuvukala kukaCrohn emlonyeni.
Esinye isici somlomo esikhathalelwa ngezinye izikhathi, kodwa, amazinyo. Amazinyo angeke ahlaselwe ngqo yi-IBD njengoba izicubu ezithambile ngaphakathi emlonyeni, kodwa kunalokho zithinteka ngokuqondile, njengemithi kanye nezici zokudla okunomsoco.
Ucwaningo olulodwa lubonise ukuthi abantu abanesifo sikaCrohn badinga ukungenelela okwengeziwe kudokotela bamazinyo kunabantu abanempilo eneminyaka efanayo. Okufanayo kwakuyiqiniso, ngesilinganiso esincane, kubantu abane-ulcerative colitis. Lokhu kusho ukuthinta abantu abane-IBD ukuthi kudingeka ukuthi kugxilwe ekugcineni amazinyo enempilo, kanye nokubhekana nezinye izinkinga ze-IBD.
I-Periodontitis ne-IBD
Abantu abane-IBD baye baboniswa ukuthi babhekana ne- periodontitis , ukutheleleka kwezinsini ezisezinyoweni, kaningi kunabantu abangenawo i-IBD. I-Periodontitis inobungozi bokulahlekelwa izinyo, ngakho-ke, iholela ekutheni uhambo oluya kudokotela wamazinyo ukuze uthole ukunakekelwa.
Ukubhema kuyinkinga eyodwa ehlanganisa ingozi ye-periodontitis kubantu abane-IBD. Abantu abanesifo sikaCrohn ababhemayo baye baboniswa ukuthi banezifo ezimbi kakhulu. Ukubhema nakho kuyingozi engozini ye-periodontitis, futhi abantu abanesifo sikaCrohn kanye nesifo sofuba esiswini abandayo basandisa ingozi yokuthuthukisa isimo.
Kunconywa kakhulu ukuthi abantu abane-IBD bangabhemi ukuze bagweme izinkinga (ngisho nalawo abane-ulcerative colitis).
Imikhumbi ne-IBD
Abantu abane-IBD nabo baye baboniswa ukuthi banezinsika eziningi kunabantu abangenayo i-IBD. Ucwaningo olulodwa lwabonisa ukuthi abantu abanesifo sikaCrohn banezinga eliphakeme lezinhlobo ezimbili zama-bacteria ematheni abo, iLactobacilli ne- Streptococcus mutan . Ucwaningo lubonise nokuthi abantu abanesifo sikaCrohn baphuza iziphuzo ezingaphezulu eziqukethe ushukela kunokulawula okunempilo.
Lo mphumela awuhloswanga ukuhlazisa abantu abaneCrohn mayelana nokudla kwabo, njengoba kunezizathu ezinhle zokuthi kungani abantu abanesifo sikaCrohn bangase badle iziphuzo eziningi noshukela. Abantu abane-IBD bangase babe nesidingo seziphuzo zokudla okunomsoco ngenxa yokuntuleka kwezakhi ezidleni noma iziphuzo zezemidlalo zokulwa nokuphelelwa amandla kwamanzi. Esikhundleni salokhu, lokhu kungenye iphuzu lokukhumbula engqondweni yomlomo nokuthi kubalulekile ukuthola ukunakekelwa okujwayelekile kokuvikela.
Akucaci kahle ukuthi noma imithi ye-IBD ingathinta kanjani impilo yomlomo. Abantu abaningi abane-IBD baphathwa nge-steroids, njenge-prednisone, ngenkathi isifundo sabo sesifo. I-Prednisone ingase ihlotshwe nengozi enkulu yokwenza amazinyo, kodwa ayikho ucwaningo kubantu abane-IBD, nakuba kunemibiko ye-anecdotal.
Ukuthola Ukunakekelwa Kwemlomo Okufanele
Ukweqa udokotela wamazinyo akuvamile kubantu abadala, ikakhulu uma kunezinye izici eziningi emsebenzini. Abantu abane-IBD sebevele bebona odokotela abahlukahlukene njalo futhi bangase babe nomthwalo obalulekile wezezimali ukuhamba nawo. Ukuthola amazinyo kuhlanza kabili ngonyaka noma ukunakekelwa kwezinye izinkinga zomlomo kuvame ukuphoqa phansi uhlu lwezinto ezibalulekile, okuqondakalayo.
Kodwa-ke, njengezici eziningi zokunakekelwa kwezempilo, ukunakekelwa okufanelekile kokuvikela kuyoba yisici esibaluleke kakhulu ekugwemeni izinkinga zesikhathi esizayo. Ukuxubha nokushayisana kabili ngosuku kunconywa ukunakekelwa ngomlomo kubantu abadala abaningi, kodwa abantu abane-IBD kufanele bacele amazinyo abo uma kunesidingo sokunakekelwa kwansuku zonke.
Ukuthola udokotela wamazinyo onolwazi ngeziguli ezine-IBD ezingathatha isikhathi. Kungase kudingeke ukuba ubuze isifo senzosi sezinyosi zezinyosi ukuze uthole isincomo kumkhuba wamazinyo wendawo ohlangene neziguli ezine-IBD noma ezinye izifo ezingelapheki. Ezinye izinqubo zamazinyo zingase zibize ukuthi ukusetshenziswa kwezidambisigciwane noma izidakamizwa ezingekho-steroidal eziphikisayo (ama-NSAID) kanye nesifo se- gastroenterologist kufanele sigcinwe ku-loop uma lezi zidakamizwa zisetshenziswa. Lokhu kungenxa yokuthi ama-antibiotic kanye nama-NSAID boke bobabili baboniswa ukuthi babangele izinkinga kwabanye abantu abane-IBD, njengesifo sohudo noma ngisho ne-flare-up.
Izwi elivela
Kuyaqonda ukuthi i-IBD ithinta wonke umuntu. Lokhu kufaka phakathi umlomo namazinyo, nakuba kungase kungabi yingxenye yomzimba ukuthi iningi labantu abane-IBD ligxile. Kufanelekile ukukhuluma ne-gastroenterologist ngokuthola udokotela wamazinyo ongasiza nje kuphela uma kunezinkinga, kodwa futhi nokunakekelwa kokuvikela. Kungenzeka ukuthi abantu abane-IBD bangadinga ukuhlela ukuhlanzwa okungaphezulu noma babe nomsebenzi wokunakekela ngomlomo okhethekile, ikakhulukazi ngaphambi noma emva kokuhlinzwa. Ukutshela udokotela wamazinyo mayelana ne-IBD kanye nanoma imiphi imithi ibalulekile, ikakhulukazi uma kudingeka izinqubo zamazinyo.
> Imithombo:
> Brito F, de Barros FC, uZaltman C, et al. "Ukwanda kwe-periodontitis kanye ne-DMFT index kwiziguli ezine-Crohn's and ulcerative colitis." J Clin Periodontol . 2008 Jun; 35: 555-560.
> Grössner-Schreiber B, Umfutho T, uHedderich J, et al. "Ukusabalalisa kwama-caries wamazinyo kanye nezifo ze-periodontal ezigulini ezinezifo zesifo sofuba: isifundo sokulawula icala." J Clin Periodontol . 2006 Jul; 33: 478-84.
> Johannsen A, Fored MC, uHåkansson J. "Ukusetshenziswa Kwezinyoko Zamazinyo Ezilwelweni Eziphethwe Izifo Zezifo Ezivuthayo, I-Registration Study." PLoS One. 2015; 10: e0134001.