Isifo sesifo sofuba yisifo esingapheli, futhi abantu abane-IBD bayodinga ukwelashwa kuzo zonke izimpilo zabo. Kodwa ingabe kukhona okungahlinzeka ukwelashwa?
Cha, okwamanje akakho ukwelashwa kwesifo sikaCrohn noma isifo sokulonda kwesilonda, izinhlobo ezimbili eziyinhloko ze- IBD . I-IBD yisimo esingapheli, futhi abantu abane-IBD bayodinga ukwelashwa kuzo zonke izimpilo zabo.
Kungenzeka ukuthi umuntu enze kahle nge-IBD yabo, kodwa lokhu kuzokubizwa ngokunembile ngokuthi ukuxoxwa okujulile, kunokuba kutholakale ukwelashwa.
Ukukhululwa Ingabe Injongo
Abanye abantu abane-IBD bangase bathole ukuxolelwa, noma ukungabi khona kwezimpawu isikhathi eside. I-IBD ibhekwa ukuthi iye yangena ekuxoxweni lapho umsebenzi wezinsizi ujwayelekile, futhi izimpawu ze-IBD azizona ezihluphayo. Kunezinhlobo ezahlukene zokuxolelwa, kanti ngenkathi ukungabikho kwezibonakaliso kuyasiza iziguli, indlela ejulile yokuxolelwa, ukukhululwa kwe-endoscopic, yilapho kungekho ukuvuvukala okutholakala ngesikhathi sokuphela kwe-endoscopy.
Ukukhululwa kungumgomo wokwelashwa, futhi kwabanye abantu abane-IBD, isikhathi sokuxolelwa singase side isikhathi eside. Kodwa-ke, iningi labantu lizobhekana nezikhathi ezithathelanayo zezifo ezisebenzayo (ukuhlaselwa) kanye nokuxoxwa kuzo zonke izimpilo zabo.
Kungani Ukuhlinzwa Akuyona "Ukwelapha"
Ukwelashwa kwesifo sikaCrohn kanye nesifo sokulonda kwesilonda kuhlanganisa kokubili imithi nokuhlinzwa.
I- colectomy ephelele ngezinye izikhathi ibizwa ngokungaqondile ngokuthi "ukwelashwa" ngenxa ye-ulcerative colitis ngoba, ngokukhipha ikoloni, leso sici sesifo siphumelele kahle. Kodwa-ke, kukhona i-subset encane yeziguli ezine-ulcerative colitis ezibuye zinezifo engxenyeni yokugcina yamathumbu amancane (i-leum esibulalayo), okungenakuphiliswa nge-colectomy.
Futhi, izinkinga ezihlobene nofana nezinkinga zokuhlinzeka, ukuhlukunyezwa, nobuhlungu obuhlangene kungenzeka zisenzeka.
Ukwelashwa kwesifo sikaCrohn kungabandakanya i-colectomy noma i- resection , kodwa futhi akuyona indlela yokwelashwa ngoba lesi sifo singase siphinde sibe nezinye izingxenye zendlela yokugaya.
Imithi Emisha ingayiphulukisa i-IBD?
Ukwelashwa kwe-IBD kuhlanganisa i- corticosteroids (i-prednisone), izidakamizwa ezingu-5 ze-ASA (i-mesalamine), i-immunosuppressives, ne-biologics njenge- Remicade (infliximab) , i- Humira (adalimumab) , i- Cimzia (certolizumab pegol) , i- Enbrel (etanercept) , i- Entyvio (i-vedolizumab) kanye no-Simponi (golimumab). Le mithi ayikwazi ukuphulukisa i-IBD, kodwa kubantu abaningi, bangakwazi ukuphatha izimpawu noma ukusiza ukudala isikhathi sokuxolelwa.
Ukuthola ukwelashwa kwe-IBD kungase kuqale ngokuthola imbangela yesifo sikaCrohn nesifo sokulonda kwesisu. I-IBD isifo se-idiopathic, noma isifo esinesizathu esingaziwa. Kukhona imibono mayelana nomphumela obangelwa yi-IBD ohlanganisa impendulo ye-IgE-mediated, okutheleleka ngebhaktheriya, i-trigger yemvelo, kanye nesakhi sofuzo.
Izwi elivela
I-Inthanethi igcwele abantu abathi baye bathola "ukwelashwa" kwe-IBD. Imithi ye-IBD ingaba yinkimbinkimbi futhi akumangalisi ukuthi abantu abane-IBD bafuna ukwelashwa okuzwakalayo okubonakala kubulula ukuyisebenzisa.
Kodwa-ke, azikho ezinye izindlela zokwelashwa ezengeziwe ezitholakale zokwelapha IBD. Awukho nemithi ejwayelekile etholakale ekwelapheni i-IBD.
Yini esinayo yokwelashwa okungasiza ukuyeka izimpawu nokuphatha ukuvuvukala nezinkinga. Ezinye izindlela zokwelapha zinezindawo zazo, kanti ezinye zitholakale zizuzisa i-IBD, kodwa azikwazi ukuthatha indawo yabaphathi yi-gastroenterologist.
Kuwukuhlakanipha ukugcina lesi sikhangiso engqondweni: "uma kukhona okubonakala sengathi kuhle kakhulu, kungenzeka ukuthi." Kukhona abantu abaningi abathi baziphilile ngokwabo.
Uma benza kahle (futhi baphatha ukuvuvukala, hhayi nje izimpawu), lokho kuyamangalisa kubo. Kodwa-ke, akunakwenzeka ukuthi omunye umuntu uzokwazi ukwenza okufanayo (ukudla, izithako, njalonjalo) futhi ube nemiphumela efanayo. Ngaphandle kokwazi imininingwane esondelene yesifo sabo kanye nokwelapha kwabo, akunakwenzeka ukuthatha uhlobo lomuntu futhi balindele ukuthi lusebenze ngendlela efanayo kwezinye iziguli.
Imithombo:
U-Abdelrazeq AS, uWilson TR, uLeitch DL, uLund JN, uLeveson SH. "I-Ileitis ku-Ulcerative Colitis: Ingabe I-Backwash?" Izifo ze-Colon & Rectum 48 (2005): 1542-1549.
Bell AJ, Price AB, Forbes A, et al. "I-leitis yangaphambi kwe-pouch: isifo se-ileum esilonda esiswini ngemuva kokubuyisela i-proctocolectomy." I- Colorectal Disease 8 (2006): 402-410.
Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso (NIDDK). "Izifo zikaCrohn." I-National Digestive Diseases Information Clearinghouse 10 Jul 2013.