Ukwazi ukuthi yiluphi uhlobo lwe-ulcerative colitis onakho olubalulekile
I-colitis yokulonda i-ulcerative isifo esithile sokuvuvukala kwesifo sofuba (IBD) . Ukwelashwa kwe-ulcerative isifo esingelapheki, esingelapheki esithinta intumbu enkulu (colon). Kulesi sigaba esibanzi se-IBD kunamafomu ahlukene, kuye ngokuthi ingakanani ikoloni ehilelekile. Ukwelashwa kwe-ulcerative kungathinta noma yikuphi ingxenye yekoloni, kodwa akudluli izindawo njengenye indlela ebalulekile ye-IBD, isifo sikaCrohn.
E-ulcerative colitis, ukuvuvukala kuyaqhubeka kuzo zonke izingxenye zekoloni ezithintekayo.
Isizathu Sokuba Udinga Ukukwazi Uhlobo Lwakho Lwe-Ulcerative Colitis
Kubalulekile ukuthi noma ubani onale fomu ye-IBD aqonde ukubola kwesilonda futhi ukuthi ithinta kanjani umzimba. Ukwelashwa okudingekayo kuzoxhomeke kakhulu engxenyeni yekoloni evulekile (ine-colitis). Uma yonke ikolon isha, i-gastroenterologist ingase ifune ukwenza ukuhlolwa okuhlukile kunokuba uma ingxenye eyodwa yekhaloni ithintekile. Udokotela angase abhekane nesifo sochungechunge esiswini esiyinhloko samathumbu amakhulu abathintekayo, futhi iziguli nabanakekeli bayofuna ukwazi ngokwanele ukuxoxa ngakho.
Kungenzeka ukuthi akuwona wonke amacala we-ulcerative colitis awela kwenye yalezi zigaba ezibanzi. Imibuzo mayelana nokuxilongwa kwe-ulcerative colitis kufanele iqondiswe ku-gastroenterologist, ozokwazi ukucacisa lapho ukuvuvukala kutholakala kukholoni.
Bheka " Iyini uhlelo lokuGaya? " Ukuthola ulwazi oluthe xaxa ngezingxenye zamathumbu amakhulu.
Izinhlobo ezivame kakhulu ze-ulcerative colitis yizi:
- I-proctitis ye-ulcerative
- Proctosigmoiditis
- I-colitis yangakwesobunxele
- I-Pancolitis
I-proctitis ye-Ulcerative
I-proctitis ye-ulcerative ichazwa ukuvuvukala okutholakala e- rectum , ngokuvamile kuvame ukugcina ama-intshi ayisithupha noma ngaphansi.
Ngeziguli ezingaba ngu-30%, isifo sabo se-ulcerative colitis siqala kuleli fomu. Izimpawu zihlanganisa isifo sohudo, isitofu esinamanzi, ubuhlungu obungama-rectal, nesidingo esiphuthumayo sokuhambisa amathumbu (tenesmus). Njengoba ukuvuvukala kunomkhawulo kunendawo encane kunezinye izinhlobo ze-ulcerative colitis, i-proctitis ye-ulcerative ibhekwa njengohlobo olubi kakhulu lwe-ulcerative colitis, futhi ngokuvamile lunezinkinga ezimbalwa.
Ngenxa yokuthi ukuvuvukala sekupheleni kolononi, ukwelashwa kungaba yizihloko: kusho ukuthi imithi ingafakwa kahle ezindaweni ezivuliwe. Umuthi ungaba kufomini ye-suppository, i-enema, noma i-foam. Lezi fomu zingenziwa ngaphansi (i-anus) futhi zingabandakanya izidakamizwa zokulwa nokuvuvukala noma i-steroids.
Proctosigmoiditis
Uma ukuvuvukala kutholakala emgqeni we-rectum ne- sigmoid (ingxenye yokugcina ye-colon), yaziwa ngokuthi i-proctosigmoiditis. Izimpawu zihlanganisa isifo sohudo, isifo sohudo, igazi lobuhlungu, ukuphuthuma, nobuhlungu ngakwesokunxele kwesisu .
Loluhlobo lwe-ulcerative colitis lungabuye lusekwe ngemithi yokwelapha ngokwefomu ye-suppositories, i-enemas, ne-foam. I-Enemas ingafinyelela phambili ku-colon, eyenza ibe ngempumelelo kakhulu ekuphatheni ukuvuvukala okuphezulu, ku-sigmoid.
Leli fomu le-ulcerative colitis lingabuye lilashwe nge- 5-ASA (i-5-aminosalicylic acid) noma i-sulfasalazine, enikezwa ngomlomo futhi isetshenziselwe ukugcinwa isikhathi eside nokuqhubeka nokukhululwa. I-corticosteroid yomlomo (njenge-prednisone) ingahle isetshenziswe njengendlela yokwelashwa kwesikhashana ngesikhathi se-flare-up ukuze uthole izimpawu ezilawulwayo.
I-colitis yangakwesobunxele
Eyaziwa nangokuthi ingqikithi, noma i-distal colitis, i-colitis yangakwesokunxele yilapho ukuvuvukala kusehlangothini lwesobunxele lwe-colon (i-rectum, i-sigmoid colon, ne- descon colon ). Izimpawu zihlanganisa isifo sohudo, izitofu zamanzi, ukulahlekelwa isisindo, ukulahlekelwa ukudla , futhi ubuhlungu obukhulu kwesinye isikhathi.
Loluhlobo lwe-ulcerative colitis lungelashwa ngokuhlanganiswa kwemithi yokwelapha (i-suppositories, i-enemas, noma i-foam) kanye nomuthi we-5-ASA, i-sulfasalazine, noma i-corticosteroid.
I-Pancolitis
I-Pancolitis yilapho kukhona ukuvuvukala kuyo yonke ikoloni. Izimpawu zihlanganisa isifo sohudo, ama-cramps, ukulahlekelwa kwesisindo esikhulu, nobuhlungu obukhulu besisu. Leli fomu le-colitis kumele lilashwe ngemithi yomlomo (izidakamizwa ezinhlanu ze-ASA, sulfasalazine, noma i-corticosteroid) ukuze imithi ifinyelele kuzo zonke izindawo ze-colon. Ezinye izinhlobo zezidakamizwa ezingase zisetshenziswe zihlanganisa izidakamizwa ze- Tumor necrosis factor-alpha (TNF-alpha) , okuvame ukunikezwa noma ukumnika (ngaphakathi kwe-isikhungo esikhungweni sokungeniswa) noma ngomjovo. Amaphesenti amancane kwalezi zinhlobo ezinzima zesilonda esiswini angadinga ukwelashwa esibhedlela ngezikhathi ezithile.
Okubalulekile
I-IBD yisifo esiyinkimbinkimbi kakhulu esithatha izinhlobo eziningi. I-colitis ye-ulcerative ichazwa ngokubanzi ngokuthi ukuvuvukala emgqonyeni, kodwa kunesifo esikhulu kakhulu kule sifo. Ososayensi baqala ukuqonda ukuthi ngaphandle kwezifomu ezichazwe ngenhla, kungase kube nokuhlukahluka kwalesi sifo, yingakho ukwelashwa kusebenza ngokuhlukile kumuntu ngamunye. Imfundo iyithuluzi elihle kakhulu lesiguli ekusebenzeni nodokotela nokuqonda IBD. Ngokuqonda okujulile, iziguli zingaba ngummeli wazo ongcono futhi ziqinisekise ukuthi uhlelo lokunakekelwa okufanele lubekwe endaweni ukuze kugcinwe isifo.
Imithombo:
Ulwazi lwezeMpilo Publications. "Ukuhlukanisa i-Ulcerative Colitis." I-ehealthMar 17 Ephreli 2013.
Crohn's and Colitis Foundation of America. "Iyini i-Ulcerative Colitis?" I-CCFA 2016.
Maka i-Peppercorn, MD. Ulwazi olubekezelayo: Ulcerative Colitis. " UpToDate 9 Jan 2014.