Njengoba kungekho ukwelashwa, kuyisimo sempilo yonke
Ukwelashwa kwe-ulcerative iyindlela yokuvuvukala kwesifo sofuba (IBD) okwamanje okwamanje ayikho ikhambi elaziwa . Isibonakaliso esiyinhloko se-ulcerative colitis ukuvuvukala ekolon kanye ne-rectum. Noma kunjalo, lesi sifo sihlobene nezinkinga ezithinta ezinye izingxenye zomzimba, kuhlanganise namalungu, isikhumba, namehlo. Eminyakeni eyishumi yokuqala emva kokuxilongwa, ukuchazwa kwabantu abaningi abane-ulcerative colitis kuhle - izinga lokucolectomy liphansi, futhi iziguli eziningi zizuza ukukhululwa.
Izindaba ezinhle ukuthi kunezinye izindlela zokwelashwa ezitholakalayo manje kunanini ngaphambili, futhi abaningi basendleleni. Emashumini eminyaka edlule iziguli zagula kakhulu futhi kungenzeka ukuthi zidinga ileostomy engunaphakade ngoba lesi sifo siphume kakhulu, noma ingozi yomdlavuza wekoloni yayiphezulu kakhulu. Lokhu kusenzeka nakwezinye izimo, kodwa ukuhlinza okusha, njengesikhwama se- ileal-anal anastomosis (i-IPAA ), noma i-j-poch , manje sekujwayelekile.
I-Flare-Ups ne-Remission
I-ulcerative colitis iyisifo esingapheli, okusho ukuthi akusoze kwaphela. Inkambo ye-ulcerative colitis ijwayele ukuhamba phakathi kwezinkathi zezifo ezisebenzayo (ama- flare-ups ) nezinkathi zokwehliswa (lapho kukhona khona izimpawu ezimbalwa noma ezingekho, noma lapho kukhona ukuvuvukala okuncane kukholoni). Abanye abantu abane-ulcerative colitis ngeke babone ukuxolelwa kodwa kunalokho bazoba nesifo esiqhubekayo, esisebenzayo. Abantu abangaba ngu-10% banezinkinga ezinkulu, ezifana ne-perforation (umgodi ekolon) noma ukuphuma okukhulu kwegazi, ngemuva kokuqala kokuqala.
Abantu abangaba ngu-10% abazange baphinde baphinde balwe ngemuva kokuqala kwabo, okungenzeka ukuthi ukuxilongwa kwe-ulcerative colitis kwakungalungile.
I-colcer ulcerative iqala ukuqala emgqeni noma ingxenye yokugcina yekoloni (ikoloni ye- sigmoid ) futhi ingahle isakaze ngaphesheya kwe-colon.
Kulabo abathintekayo abanesifo se- ulcerative proctitis , lapho lesi sifo sitholakala kuphela e-rectum, ithuba lesifo esisakazeka phakathi kolononi li-10% kuya ku-30%.
Kuyadingeka nini i-Colectomy?
Noma yikuphi okuvela ku-10% kuya ku-40% weziguli ezine-ulcerative colitis zizodinga ukuhlinzwa ukuze zilaphe isifo sabo. Ukwelashwa kuhilela njalo ukukhishwa okuphelele kwekoloni; ukususwa okuyingxenye akukwenziwa ngoba i-ulcerative colitis izophinde ibuyele engxenyeni yekoloni ehlala. Ukukhethwa okuthandwayo kokuhlinzwa ngemuva kwe-colectomy yi- j-pouch ukuhlinzwa , lapho ingxenye yokugcina yamathumbu amancane (i-ileum) isetshenziselwa ukwenza isikhwama sokubamba isikhwama. I-j-isikhwama senza njenge-rectum futhi ixhunyiwe emuva ku-anus ukuze umuntu akwazi ukuhambisa izibilini zabo phansi.
Kwezinye izimo, i-ileostomy ingadingeka yenziwe. I-ileostomy yilapho ingxenye yamathumbu ihanjiswa ngesisu (a stoma ), isikhwama sangaphandle sisetshenziselwa ukuqoqa imfucuza. Lokhu kwenziwa ezimweni eziyinkimbinkimbi ikakhulukazi noma lapho ukuhlinzeka nge-j-pouch kwehluleka. Kulesi simo, i-ileostomy ingase ibe yunaphakade
I-Cancer Of Colon Cancer
Umdlavuza weColon uqala cishe ngo-5% wabantu abane-ulcerative colitis. Ingozi yomdlavuza wekoloni yanda emva kweminyaka engu-8 kuya kwengu-10 yesifo esisebenzayo futhi isifo esiningi (okuthiwa i-pan colitis).
Izizathu zengozi yokwandisa ingozi yomdlavuza wekoloni kucatshangwa ukuthi ivela ekuqhumeni okuqhubekayo okuthinta uhlaka lwamakholoni. Yingakho kubalulekile kubantu abane-ulcerative colitis ukuba banakekelwa njalo kusuka ku- gastroenterologist , ukuze uthole lesi sifo sibe yisikhumbuzo, futhi babe ne-colonoscopy evamile ukuhlola izinkinga.
Okubalulekile
Abantu abane-ulcerative colitis babhekana nezinselele ngenxa yesifo sabo. Ukubona i-gastroenterologist njalo futhi ukuthola ukwelashwa kwesondlo, ngisho nalapho uzizwa kahle, kuyoba okubaluleke kakhulu ekuvimbeleni ama-flare-ups.
Ukukhuphuka nokuhlukunyezwa kwamaphutha nokukhulumisana kungabangela ukucindezeleka, yingakho ukugcina ukuvuvukala kungaphansi kokulawula nokubhekana nezinye izinto eziphathelene nokukhathazeka kwezempilo njengoba zihluma kuyoba yisihluthulelo sokuba nekhwalithi elihle lokuphila.
Imithombo:
U-Langholz E, Munkholm P, uDavidsen M, uBinder V. "Inkambo Yokuqeda I-Ulcerative Colitis: Ukuhlaziywa Kwezinguquko Ekudleni Umsebenzi Eminyakeni." I-Gastroenterology 1994 Jul; 107: 3-11.
I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. "Ulcerative Colitis." I-National Digestive Diseases Information Clearinghouse Sept 2014.
I-Sachar DB, i-Walfish AE. "Ulcerative Colitis." I-Merck Manual ka-2006.
I-Solberg IC, uLygren I, uJahnsen J, u-Aadland E, et al. "Inkambo Yezokwelapha Eminyakeni Eyishumi Yokuqala Yokuqeda I-Ulcerative Colitis: Imiphumela Evela Eqoqweni Lokuqala Lokuqala Labantu (IBSEN Study)." Scand J Gastroenterol 2009; 44: 431-440.