I-IBD ingathatha isikhathi ukuxilonga kodwa lezi ezinye zezibonakaliso ezivamile
Uke wazibuza ukuthi imbangela yezifo eziqhubekayo zesisu ingaba isifo sikaCrohn noma isifo sofuba? Igazi ne-mucus esisiswini ngezinhlungu zesisu, ukulahlekelwa kwesisindo okungenhloso, ukuhlukunyezwa kwesisu, nokuhuda yizo zonke izimpawu nezimpawu zesifo sofuba esiswini (IBD) . Lezi zimpawu zingase zenzeke nezinye izifo zokugaya, yingakho noma ubani obhekene nazo kudingeka adle udokotela wabo wokunakekela oyinhloko ukuqala futhi mhlawumbe uthole ukuhanjiswa ukuze abone igastroenterologist . Kodwa-ke, kwezinye izimo, ukuba nalezi zimpawu nabanye kungadala udokotela ukuba acabangele i-IBD njengesifo sokuthi utholakala kanjani. Thola kabanzi mayelana nokuthi izimpawu ze-mucus negazi esitokisini ezinesisu esiswini nesifo sohudo zingenzeka kubantu abane-IBD.
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Ukukhipha okwejwayelekileUkusuka ku-rectum, noma ukubona igazi esitokisini , akuyona into ejwayelekile, futhi kuyisibonakaliso se-IBD. Abantu abaningi bangase bahlobanise igazi esitokisini ngomdlavuza wekoloni, kodwa kunezizathu eziningi zokweba izitofu zamanzi. Into yokuqala okufanele uyenze ukuqiniseka ukuthi umbala obomvu noma omnyama ngempela igazi. Ukudla okubomvu noma umbala wokudla kungaholela esitokisini ukubukeka sengathi iqukethe igazi. Ama-hemorrhoids angabangela igazi esitokisini noma ephepheni lezindlu zangasese, kodwa ngokuvamile lilingana.
Igazi elisesitokisini liyisifo esivamile se-ulcerative colitis, futhi sisebenza nesifo sikaCrohn. nakuba kaningi kangako. Ukulahleka kwegazi kungaba okuphawulekayo, ikakhulukazi nge-ulcerative colitis, ngakho-ke uma kungekho sizathu sokuthi isitokisi sizoba sesibomvu, i-maroon, noma emnyama, noma uma iqhubeka noma ihambisana nohudo, ubuhlungu noma ukuhlanza, bheka udokotela ngokushesha.
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I-Mucus In The StoolUkudlula i-mucus esitokisini akusiyo njalo imbangela ye-alamu. Ngempela, i-mucus iyinhlangano evamile yesitokisi, kodwa ngokuvamile ayibonakali ngamehlo. Uma kukhona i-mucus eyanele esitokisini ukuze wazi, kungase kube nezizathu eziningana zokuthi kungani kwenzeka. Abantu abane-ulcerative colitis noma i-Crohn's disease ngezinye izikhathi badlula inani elibonakalayo le-mucus esitokisini sabo, noma ngenxa yezilonda emgqonyeni noma mhlawumbe kusukela ekubunjweni kwe- fissure .
Ezinye izimo ezingabangela umcibisholo esitokisini unomsindo wesifo sofuba (IBS) , ukutheleleka kwebhaktheriya , kanye nokuvimbela isisu. Abantu abaye bahlinzwa nge-ulcerative colitis futhi bane-j-pouch (isikhwama se-elial-anal anastomosis, noma i-IPAA) nabo bangadlula uhla, okungaba uphawu lwesimo esibizwa nge- pouchitis . Uma i-mucus ihambelana nobuhlungu besisu, ukuhlanza, noma isifo sohudo, bheka udokotela ngokushesha ukuze uhlolwe.
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Ubuhlungu besisuUbuhlungu besisu (noma "ubuhlungu besisu") kungaba yinkinga eyinkimbinkimbi yokuxilonga ngoba ayiyona into eqondile futhi ingaba uphawu lwezifo eziningi ezahlukene. Abantu abane-ulcerative colitis bavame ukuba nezinhlungu ezinjenge-cramp-ephakathi kwesokunxele kwesisu, futhi abantu abanesifo sikaCrohn bavame ukuzwa ubuhlungu phakathi noma kwesokudla kwesisu (nakuba ubuhlungu bungabonakala kwezinye izingxenye kwesisu futhi). Akuwona wonke umuntu onayo i-IBD ozwa ubuhlungu, futhi ubuhlungu bungase buhambe, ngezinye izikhathi buvele ngemuva kokudla noma kukhululwe ngokunyakaza kwesibindi. Abantu abane-IBS bangase babe nobuhlungu besisu, futhi kwezinye izimo, kungadambisa.
Uma kukhona ubuhlungu obukhulu besisu obuhambisana nokuhlanza, isicanucanu, nomkhuhlane, lezi yizibonakaliso ezingase zibe khona zokuvimbela isisu, futhi ukunakekelwa kwezempilo kuyadingeka ngokushesha.
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Uhudo oluqhubekayoI-diarrhea inezimbangela eziningi, futhi abantu abaningi abanempilo banesifo sohudo izikhathi ezimbalwa ngonyaka. Ngokuvamile, isifo sohudo sixazulula ngokwayo, futhi imbangela ingase ingabonakali. Kodwa-ke, ukuhuda okuqhubekayo-isifo sohudo esihlala izinsuku ezingaphezu kwezinsuku ezintathu-kungaba uphawu lwezinkinga ezingadinga ukwelashwa.
Abantu abane-IBD kaningi baneziqephu zalokho okubizwa ngokuthi "ukuqhuma" kwesifo sohudo izikhathi eziningana ngosuku. Lokhu kungaba noma yikuphi okuvela ku-3 kuya kwezingu-10 noma ku-20 kwamanzi okuhamba kwamathumbu ngosuku. Uma kunesifo sohudo esingaxazululwanga sodwa futhi sihambisana nobuhlungu besisu, igazi esitokisini, ukulahlekelwa isisindo, umkhuhlane, noma ezinye izimpawu, bheka udokotela ngokushesha.
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Ukulahlekelwa kwesisindo esingalindelekileIsiko lethu ligcwele imibono yokuthi ungayithwala kanjani isisindo, ngoba abantu abaningi asezweni laseNtshonalanga banamandla kakhulu. Kodwa ukulahlekelwa isisindo ngaphandle kokuvimbela ama-calorie noma ukuzivocavoca kungaba uphawu lokuthi kukhona okungahambi kahle emzimbeni. Isibonakaliso esisodwa se-IBD yisifo sohudo (bheka ngenhla), okungaholela ekulahlekelweni kwesisindo esisheshayo. Ngokuvamile futhi, abantu abane-IBD banesifiso sokudla , okungabangela lokho okubizwa ngokuthi "ukulahlekelwa isisindo esingalindelekile" ngokumane nje ungathathi amakholori alanele emini. Ngokungazelelwe ukulahlekelwa isisindo ngokungalindelekile kuyisizathu sokukhuluma nodokotela, ikakhulukazi uma kunesifo sohudo oluqhubekayo, ukuhlanza noma ukungabi nesidlo. Ukuthola isisindo ngenkathi kuxoxwa yi-IBD kungase kube yinto yokuqala, kodwa kufanele kwenziwe ngendlela enempilo.