Kusho ukuthini ukuxolelwa kwesifo sikaCrohn noma isifo sofuba? Kulezi ziguli eziningi ezinezifo zesifo sofuba (IBD) , kanye nodokotela bazo, ukufeza ukukhululwa yilo mgomo oyinhloko wokwelashwa. Ukukhululwa kungase kwenzeke ngemuva kokwelashwa ngemithi noma ngemuva kokuhlinzwa. Kwezinye izimo, kungase kwenzeke ngokushesha, kodwa kwabanye, kungathatha isikhathi esiningi futhi uzame ukwelapha ngesinye sezidakamizwa kanye / noma ukuhlinzwa.
Ngokusho kweCrohn's and Colitis Foundation of America, ngonyaka ovamile, abantu abangaba ngu-50% abanesifo sikaCrohn bazobe behlehlisiwe noma babe nezifo ezincane futhi abantu abangaba ngu-48% abane-ulcerative colitis bazobe besemtholampilo.
Ukuqonda Ukulahlwa
Igama lokuxoxwa lisho izinto ezahlukene kubantu abahlukene, kuhlanganise neziguli kanye nodokotela. Lokhu kungabonisa inkinga encane uma ukhuluma ngokuthi kusho ukuthini ukuxoxwa nokuthi kungenziwa kanjani. Kwaphela iminyaka eminingi, iziguli zacatshangwa ukuthi zikhululekile uma zikhona izimpawu ezimbalwa noma ezingekho ze-IBD . Ngokuvamile lokho kwakusho ukuthi izimpawu ezifana nobuhlungu besisu , isifo sohudo, noma izigxoko ezigazini zazinciphisa kakhulu noma zaphela ngokuphelele.
Njengoba kuningi okufundwayo nge-IBD, nokho, kuyaqondakala ukuthi ukukhulumisana kuwumqondo obanzi kunokunciphisa izimpawu. Kuziguli, ukuthola ukulawula izimpawu kuzoba yisici esibaluleke kakhulu ekuthuthukiseni izinga lokuphila esikhathini esifushane.
Kodwa-ke, kungase kube nezinye izinqubo eziqhubekayo ne-IBD nakuba izimpawu ezithile, noma zonke izimpawu, seziphelile. Ezinye iziguli zisengakwazi ukuvuvukala kwe-IBD noma zizwa zingcono. Ukuvuvukala kuyisibonakaliso se-IBD esingakwazi ukuholela ezinkingeni ezinzima kakhulu.
Izinhlobo Ezihlukene Zokukhulumisana
Iziguli zingafunda kabanzi nge-IBD yazo ngokuba nengxoxo mayelana nokuxoxisana ne- gastroenterologist . Akukho ukuvumelana mayelana nencazelo eqondile yokukhululwa ku-IBD. Kodwa-ke, kukhona amathrikhi amaningana okukhomba ukuthi odokotela bangase basebenzise ukucacisa ukuthi isiguli sithole ukukhululwa. Ama-gastroenterologists ahlukene kanye nezikhungo ze-IBD zizosebenzisa izindlela abazitholile ukuthi zifanelekile, okusho ukuthi kungaba nzima ukufanisa.
Ezinye zezinhlobo ezahlukene zokuxolelwa zihlanganisa:
- Ukuxoxwa kwezinto eziphilayo: Ukuhlola i-Laboratory eyenziwa egazini noma esitokisini akubonisi noma yiziphi izimpawu eziphawulekayo ze-IBD.
- Ukukhululwa komtholampilo: Uma izimpawu ze-IBD ziye zafinyelela ekugcineni ukuthi zingekho noma azikho.
- Ukuxoshwa kwe-Endoscopic : Akukho ukuvuvukala kubonakala ngesikhathi sokuhlolwa lapho udokotela angabona ibhande le-digestive tract, njenge- colonoscopy noma i- sigmoidoscopy .
- Ukuxoxwa kwe-Histologic: Lolu hlobo lokuxoxwa luhlanganisa konke kokubili ukuphela kwe-endoscopic kanye nemitholampilo. Uma ama-biopsies ethathwa futhi ahlolwa, isibonelo ngesikhathi se-colonoscopy, akukho ukuvuvukala kubonakala.
- Ukuphulukiswa kokuhlinzwa : Ukuhlinzwa kungaphinde kulethe isikhathi sokuxolelwa kwabanye abantu abane-IBD, uma kubangelwa ukungabi nokuvuvukala noma izimpawu ezincane.
Okwenza UkuKholelwa Kwemitholampilo Kungabi Nokwanele
Ukukhululwa komtholampilo kubaluleke kakhulu ezigulini ngoba kusho ukuzwa kangcono. Izimpawu ze-IBD ezingase zibe nzima futhi ziholele ezigulini ezingakwazi ukuhlanganyela noma ukuya emsebenzini noma esikoleni ikakhulu noma ezingekho ngokuphelele. Ngisho nodokotela abathile, lokhu kungase kube iphuzu lokuphela kokwelapha, kodwa kuyaqondakala ngokwengeziwe ukuthi ukuxolelwa kufanele kufake okungaphezu kwezimpawu zokulawula. Ukuthola lokho okubizwa ngokuthi "okujulile" ukuxolelwa manje kuyinhloso.
Isizathu salokhu ukuthi ngisho nalapho ukukhululwa komtholampilo nokuhamba ngempilo kufana nokuvamile, i-IBD isengabangela ukuvuvukala endleleni yokugaya.
Ucwaningo luye lwabonisa ukuthi noma yikuphi phakathi kuka-30% no-45% weziguli ezine-ulcerative colitis ezisekukhusweni komtholampilo kukhona ukuvuvukala okungatholakala ngesikhathi sokuphela kwe-endoscopy. Inkinga ngalokhu ukuthi ukuvuvukala kubeka isiguli engozini enkulu eminye imiphumela ehlukene empofu. Lokhu ukuvuvukala okusalayo kuhlotshaniswa nokuphindaphinda kwe-ulcerative colitis, ingozi ephakeme yokuhlinzwa, nezinkinga ezingaphezulu zesikhathi eside njengengozi ekhulayo yomdlavuza wekoloni .
Kuthiwani Uma Kukhona Ukuvuvukala?
Ukuba nezibonakaliso ezimbalwa noma ezingekho kumnandi ezigulini, kodwa ukuthola ukuxoxwa okujulile okuhlanganisa ukulawula ukuvuvukala kubalulekile empilweni yesikhathi eside. Uma kusekhona ukuvuvukala okwamanje kuhlelo lokugaya, uhlobo oluhlukile lwezokwelapha lungadingeka. Ukusebenza ne-gastroenterologist ukuthola ukuthi ingabe ukwelashwa okungase kudingeke eduze nje kuphela ukuqhubeka nokukhululwa komtholampilo kodwa futhi ukuletha ukukhululwa kwe-endoscopic kubalulekile. Ezinye iziguli zingase zizwe ukuthi zanele ukuba zingabi nazo izimpawu ze-IBD, kodwa umgomo wokwelapha kufanele futhi ukuthi ukuvuvukala sekuphelile. Kunamathuba amaningi okuba nomphumela omuhle wesikhathi eside kusukela ku-IBD uma i- endoscopy ne- biopsy ibonisa ukuthi akukho ukuvuvukala okusele ohlelweni lokugaya .
Izwi elivela
Njengoba odokotela nososayensi beqaphela ukuthi kwenzekani ohlelweni lokugaya abantu abane-IBD, izincazelo zamagama athile ziyashintsha. Ukukhululwa kungenye yeli gama, ngoba lalivame ukusho ukungabi nampawu, kodwa manje kusho okuningi kakhulu. Eqinisweni, ukuxolelwa manje sekuhlukaniswe ngezigaba eziningana. Ngesikhathi ochwepheshe be-IBD bengavumelani ngokuvumelana nencazelo eyodwa yalokho okukhulunywe ngakho, kuyavuma ukuthi ukukhululwa komtholampilo akwanele iziguli. Abantu abane-IBD abadingi kuphela izimpawu zabo ezilawulwayo, kodwa futhi ukuvutha okubangelwa i-IBD, ukuze kuncishiswe ingozi yezimo ezihlukahlukene. Iziguli zihlakaniphile nge-IBD futhi zingakwazi ukuqonda ama-nuances ezinhlobonhlobo zokuxolelwa kanye nendlela yokufezekisa ukukhululwa kwe-endoscopic okuzoholela emiphumeleni engcono.
> Imithombo:
> Crohn's and Colitis Foundation of America. "Amaqiniso mayelana nezifo ezikhukhumeza izifo." CCFA.org. 1 Meyi 2011.
> I-Moss AC. "Ukuvuvukala okuqhubekayo kanye ne-Ulcerative Colitis". " I-Gastroenterol Hepatol (NY) . 2014 Mar; 10: 181-183.
> Pineton de Chambrun G, Blanc P, uPyrin-Biroulet L. "Ubufakazi bamanje obusekela ukuphulukisa nokuphulukiswa okujulile njengenhloso ebalulekile yokwelapha izifo zesifo sofuba." Uchwepheshe we-Rev Gastroenterol Hepatol . Ngo-2016 Aug; 10: 915-927.
> Reinink AR, Lee TC, Higgins PD. "Ukuphulukisa kwe-Endoscopic Mucosal Ukubikezela Imiphumela Eyakhekayo Yomtholampilo Emitholampilo Yokuvuvukala: Ukuhlaziywa kwe-Meta." I-Inflamm Bowel Dis . Ngo-2016 Aug; 22: 1859-1869.
> Zallot C, uPeyrin-Biroulet L. "Ukuxoshwa okujulile kwesifo sofuba esiswini: ukubheka okungaphezu kwampawu." I-Curr Gastroenterol Rep . 2013 Mar; 15: 315.