Ezinye izinkinga ze-IBD zingaba impilo-ezisongelayo
Abantu abaningi bakholelwa ukuthi isifo sofuba esivuvukalayo (IBD) senza kuphela isifo sohudo, kodwa sithinta futhi emathunjini amakhulu nezincane ngezindlela eziningi ezahlukene. Izinkinga zamathumbu ze-IBD zibandakanya ama-abscesses, ukuvinjelwa kwesisu, isifo sofuba, isifo somdlavuza, imfucuza, i-fistula, ukuwohloka kwezibonakaliso ngesikhathi sokuya esikhathini, kanye ne-megacolon enobuthi. Ezinye zalezi zinkinga ze-IBD (isifo sikaCrohn nesifo sesilonda) singasongela impilo futhi sidinga ukwelashwa okusheshayo ukuvimbela isifo esibi kakhulu.
Abscess
I-abscess, evame kakhulu kwisifo sikaCrohn kune-ulcerative colitis, i-accumulation of pus endaweni yesifo. Kungenzeka ngaphakathi komzimba lapho kungabonakali khona, njengodonga lwamathumbu, noma ngaphandle, njengesikhumba.
Amathumba angaphakathi angaxazulula ngemithi yokwelapha, kepha uma kungenjalo, kuzodingeka ukuthi igonywe. Lokhu kungenziwa ngokufaka i-catheter esikhunjeni esikhungweni se-abscess. I-catheter ingase ifakwe ngezinye izindlela, njenge-odongeni lwesisu. Kwezinye izimo kuzodingeka ukuhlinzekwa ukukhipha imbumbulu.
Ukwakhiwa kwemizimba
Ukuvinjelwa kwamathumbu kwenzeka lapho ingxenye yamathumbu amancane noma amakhulu evinjelwe ngokugcwele noma egcwele, evimbela ukudoba komzimba ukuthi kungadluli. Ukuvimbela kuvame ukuhambisana nobuhlungu obukhulu, ukuhlanza nokuqothulwa . Kwezinye izimo i- nasogastric tube ingasiza ekunciphiseni izimpawu, kodwa kungase kudingeke ukuba kuhlinzwe ukuvimbela ukuvinjelwa.
I-Perforation ye-Bowel
Ingozi yesilonda esihlakulela i-perforation (imbobo) ayivamile, kodwa kuyinkinga engaba yingozi ye-IBD. I-Perforation ivame kakhulu ngesikhathi sokuqala kokushayeka kwesifo sofuba esiswini futhi kulabo abangezindonga zabo zamathumbu baye baba mncane kakhulu ngenxa yezifo ezinzima. I-perforation ivame ukuphathwa ngokuhlinzwa ukuze kulungiswe umgodi noma ngisho nokususa ingxenye yamathumbu.
I-Cancer Colorectal
Abantu abane-IBD bangengozi enkulu yomdlavuza wokulala, ikakhulukazi abantu abaye banesifo sochungechunge esilonda kakhulu iminyaka engu-8 kuya kwengu-10. Abantu abanesifo sikaCrohn nabo basengozini, nakuba kukhona ulwazi oluncane olutholakalayo mayelana nezinga lokubeka ingozi. Ukuqapha ngokucophelela umdlavuza we-colorectal nge- colonoscopy kuyadingeka kunoma ubani one-IBD, kodwa ikakhulu kulabo abasengozini enkulu.
Fissure
I-fissure iyinyembezi ebuhlungu emgodini omdala ongabangela ukuphuma. Izinhlanzi eziningi zizophulukisa ngaphandle kokuhlinzwa kepha esikhundleni sokwelapha njengezicucu ze-topical nokuqinisekisa ukunyakaza kwamathumbu kudluliswa ngaphandle kokucindezela. Ama-fissures angaphilisi futhi abe ngukugula angadinga ukuhlinzwa.
I-Fistula
I-fistula yi-uxhumano olungavamile olufana nomhubhe ophakathi kwemikhumbi emibili yomzimba noma phakathi komzimba nomzimba. I-fistula ivame ukuvame kakhulu kwisifo sikaCrohn kune-ulcerative colitis, futhi empeleni, abantu abangaba ngu-25% abanesifo sikaCrohn bangase bahlakulele i-fistula ngesikhatsi besifo sabo. Amanye ama-fistula angase aphathwe ngemithi, kodwa lapho ejulile noma ejulile, cishe kuzodinga ukuhlinzwa.I-Premenstrual Syndrome
Abanye besifazane abane-IBD bayaqaphela ukuthi izimpawu zabo ziba zimbi nakakhulu ngesikhathi sokuya esikhathini. Isifo sohudo kanye nobuhlungu singakhuphuka ngaphambi nangesikhathi esisodwa. Isizathu salezi zimpawu kungaba ukwanda kwamahomoni ngesikhathi sokuya esikhathini .
I-Megacolon enobuthi
I-megacolon enobuthi ayivamile, kodwa yisimo esisongela ukuphila. I-megacolon engakaphenduliwe ingaholela ekuthumeni, ukuphazamiseka, noma ukutheleleka esiswini noma ngegazi. Kwezinye izimo zingelashwa ngokwemithi, kodwa amacala amakhulu angadinga ukuhlinzwa.