Ngokuningiliziwe kwezifo zesifo sofuba (IBD)
I-colitis ye-ulcerative kanye nesifo sikaCrohn yizifo ezingapheli ezingapheli ezingxenyeni zokugoma emathunjini. Izifo ezimbili zivame ukuqoqwa ndawonye njengesifo sofuba (IBD) ngenxa yezibonakaliso zabo ezifanayo.
Abantu abangaba yizigidi ezingu-5 (kufaka phakathi izigidi ezingu-1.6 zamaMelika, ama-23,000 ase-Australia, nama-250,000 aseCanada) emhlabeni jikelele bahlala nefomu IBD. Izindleko zokukhiqiza okulahlekile emabhizinisini ase-US ngenxa ye-IBD kulinganiselwa ukuthi zibalelwa ku-$ .8 billion ngonyaka.
Isifo sikaCrohn kanye nesifo sofuba esiswini sezilonda kukhona impilo yonke, izimo ezingapheli, kepha kunezindlela zokwelapha ezitholakalayo. Ukuthuthukiswa kwezokwelapha nokuhlinzeka okwenzeka njalo ngonyaka futhi abantu abaningi abane-IBD bathola ukuxolelwa futhi bakwazi ukulondoloza izinga labo lokuphila.
> Bheka indlela ulcerative colitis engathinta ngayo ikoloni.
Abantu abathintekayo abane-IBD bazodinga ukunakekelwa okuvamile kusukela kuchwepheshe we-digestive-i-gastroenterologist-nokusekelwa kwabanye abahlinzeki bezempilo njengokwesazi sokudla / umsoco, umhlinzeki wokunakekela oyinhloko, noma ezinye izazi njengoba kunesidingo.
Izinto Ezibaluleke Kakhulu Ukuzi
- Ayikho imbangela noma imithi eyaziwayo ye-IBD.
- Abantu abane-IBD abazange bazigulise ngenxa yokudla okuncane noma ukucindezeleka .
- Akukho ukudla okulodwa okusebenza kubo bonke abantu abane-IBD.
- Isifo sika-Crohn nesifo sochungechunge sesilonda singase sihlangane nezinkinga ezingaphandle kwegciwane lokugaya (izinkinga ezingaphezu kwamathumbu).
- I-IBD ayifani ne- syndrome eyathukuthela (IBS) futhi iphathwa ngendlela ehluke kakhulu.
- Abantu abane-IBD bangengozi enkulu yokuthuthukisa ezinye izimo.
- I-IBD ngokuvamile ayibhekwa njengesimo esibulalayo .
Izimpawu
Isifo sika-Crohn nesifo sofuba sinezilonda ezifanayo kepha asifani ngendlela esithinta ngayo indlela yokugaya.
Isimo ngasinye sinezinketho ezahlukene zokuhlinzwa futhi singaphathwa nge-spectrum yemithi ehlukahlukene. Izimpawu ezivame kakhulu zifaka, kepha azikhawulelwe ku:
- Ubuhlungu besisu
- Ukulahlekelwa kwesisindo
- Fever
- Ukuphuma kwegazi
- Ukucasula isikhumba neso
- Uhudo
Ukuxilongwa
Izivivinyo eziningana zokuxilonga ngokuvamile ziqediwe futhi zifundwe ngumchwepheshe wokugaya ukudla ngaphambi kokuba kuhlolwe i-IBD. I "standard standard" yokuxilongwa ibhekwa njenge- colonoscopy . Phakathi nalesi sivivinyo, i-fibre optic tube ifakwe engxenyeni lapho isiguli sitshiswa ukuze kuvunyelwe udokotela ukuba ahlole ubhedu bamathumbu amakhulu futhi athathe ama- biopsies .
Okunye ukuhlolwa okungasetshenziselwa ukuxilongwa kuhlanganisa:
- Barium enema
- Ukuhlolwa kwegazi
- I-Capsule endoscopy
- Iskena se-computed tomography (CT)
- Uchungechunge oluphezulu lwasemathunjini (i-GI engenhla)
- I-Sigmoidoscopy
- Endoscopy ephezulu
Ukwelapha
Ukuphazamiseka kwezifo ezisebenzayo, noma "ama- flare-ups ," kanye nezinkathi zokungabikho kwesifo ( ukuxolelwa ) zijwayelekile ze-IBD. Izidakamizwa zemithi ngokuvamile zisetshenziselwa ukuvimbela ukuvuvukala (okubizwa ngokuthi izidakamizwa zesondlo) noma ukulawula ukuphazamiseka okukhona.
Ukwelashwa kwesinye isikhathi kusetshenziselwa ukuphatha i-IBD , futhi uhlobo lokuhlinzwa olusetshenzisiwe luzohluka kakhulu ngokusekelwe kuhlobo lwe-IBD futhi lapho kutholakala khona ukugaya okuthile noma yisiphi ukuvuvukala kutholakala. Imithi ejwayelekile esetshenziselwa ukuphatha i-IBD ihlanganisa:
- Izidakamizwa ze- sulfa ( sulfasalazine )
- I-Corticosteroids ( budesonide , prednisone )
- 5-Aminosalicylates ( Asacol , Apriso , Pentasa, Rowasa, noma 5-ASA)
- I- Immunosuppressives (i- Imuran , i- 6-MP , ne- Methotrexate )
- I-Biologics ( Remicade , Entyvio , Humira )
Okuyisisekelo Sezifo Ze-Crohn
Isifo sikaCrohn singathinta intombazane encane nenkulu kanye nezinye izitho ezisendleleni yokugaya ukudla. Ngokungafani ne-ulcerative colitis , okuthinta kuphela uhlaka lwangaphakathi lwamathumbu amakhulu, isifo sikaCrohn ngokuvamile sihilela zonke izingxenye zodonga lwamathumbu emathunjini.
Izinhlobo eziningana zokuhlinza zingasetshenziswa ukuphatha izimpawu nezinkinga zesifo sikaCrohn , kodwa akekho okunye okwelashwa . Okuvame kakhulu ukuguqulwa, lapho odokotela abahlinzayo bekhipha ucezu lwesifo esiswini bese bexhuma kabusha ukuphela kokuphela. Ukuhlinzeka nge-Ostomy, kuhlanganise ne- colostomy ne ileostomy , ezinye izinqubo zokuhlinzwa ezivame ukusetshenziswa.
I-Basics of Ulcerative Colitis
E-ulcerative colitis, ububanzi obungaphakathi ngaphakathi emathunjini amakhulu (colon) kanye ne-rectum zivutha. Lesi sifo asithinti amathumbu amancane. Ukwelashwa kwe-ulcerative colitis njalo kuhilela ukususwa kwe-colon yonke.
Izinketho zokuhlinza zihlanganisa i-ileostomy noma i-ileal-anal anal anastomosis (i-IPAA), evame ukubizwa ngokuthi i- j-pouch . Iningi labantu abane-ulcerative colitis ayidingi ukuhlinzeka, kodwa bayakwazi ukuphatha isimo sabo ngemithi.
Umehluko Phakathi kwezifo zika Crohn kanye ne-Ulcerative Colitis
Ukwelashwa kwe-IBD njengamanje kusekelwe ekutholeni isifo sikaCrohn noma isifo sofuba, ngakho-ke kubalulekile ukuchaza umehluko phakathi kwabo.
Nazi umehluko omkhulu :
- E-ulcerative colitis, ukuvuvukala emathunjini amakhulu, kuyilapho isifo sikaCrohn, ukuvuvukala kungabonakala noma yikuphi lapho kuhamba khona umgogodla.
- Ukuvuvukala kwesifo sikaCrohn kuthinta zonke izingqimba zezindonga zamathumbu, kanti kuyi-ulcerative colitis kuphela uhlaka lwangaphakathi luyathinteka.
-
Yini Ososayensi Abacabanga Ngayo Ebangelwa Izifo Ze-Crohn and Ulcerative Colitis?
-
Uyazi ukuthi kusho ukuthini ukuba ne-IBD Flare-Up?
- Ukubhema ugwayi kungadala isifo sikaCrohn, kodwa abanye abantu abane-ulcerative colitis kuphela bahlakulele lesi sifo ngemuva kokuyeka ukubhema.
- I-Biopsies emathunjini omuntu onesifo sikaCrohn ingabonisa i- granulomas , engatholakali kubantu abane-ulcerative colitis.
- E-ulcerative colitis, ukuvuvukala kuqala e-rectum futhi kuhamba ngendlela eqhubekayo emathunjini amakhulu, kuyilapho isifo sikaCrohn, ukuvuvukala kungaqala noma kuphi futhi kubonakale kuma-patches ahlukaniswe izicubu ezinempilo.
- Izinkinga eziningi ezingaphezulu kwamathumbu namathumbu ziyafana phakathi kwamafomu e-IBD, kodwa ama-abscesses , izivimbela isisu , izifucu , i- fistula zivame kakhulu kubantu abane-Crohn's disease kanye nesifo sofuba (ikakhulukazi ngesikhathi sokuqala), umdlavuza we-colorectal , ne- toxic i-megacolon ivame kakhulu kubantu abane-ulcerative colitis.
Izwi elivela
Ngeshwa, imbangela ngayinye yalezi zinkinga zamathumbu ayiqondakali kahle futhi akekho kubo onokwelashwa. Izimpawu ziyacindezela, zihlazise futhi zikhubekise. Ucwaningo nokuqwashisa kuyadingeka empini yokunqoba i-IBD.
Izindaba ezinhle ukuthi ukwelashwa kuyaqhubeka njalo ngonyaka. Kukhona imithi emisha ehlolwayo futhi ivunyiwe ukuthi inezinga lokunciphisa kangcono nemiphumela emibi embalwa kunanini ngaphambili. Ukusekela abantu abane-IBD nakho kufinyeleleka kakhulu, kokubili ku-intanethi nakuxhumekile ku-intanethi, njengoba inhlamba yesimo idiliziwe.
Ukuthola ukuthi une-IBD kunzima futhi kuyashintsha ukuphila. Kodwa-ke, iningi labantu abakhona nalo liphila ukuphila okugculisayo, ukushada, nokuba nezingane, nokujabulela imisebenzi ephumelelayo. Ukuphatha i-IBD ngokusebenzisa ubuhlobo obuseduze ne-gastroenterologist kuzoba yingxenye ebalulekile ekufezeni ukuxolelwa nokugwema izinkinga ezihlobene.
> Imithombo:
> Bhandari BM, Kroser JA, Bloomfeld RS, Lynch SP. "Izifo Zezifo Ezivuthayo." I-American College of Gastroenterology 2013.
> Crohn's and Colitis Foundation of America. "Mayelana ne-Ulcerative Colitis & Proctitis." CCFA.org 2013.
> Crohns and Colitis Foundation of America. "Iyini izifo zika Crohn?" CCFA.org 2013.
> Schraag J. "IBD: Izinkambiso zamanje nezesikhathi esizayo." EndoNurse 01 Dec 2005.