Izinhlobo Ezihlukahlukene Zokukhulumisana E-Ulcerative Colitis kanye Nezifo ZaseCrohn
Isifo sesifo sofuba (IBD) yisimo esingapheli, okusho ukuthi abantu abahlala nayo bahamba ngezikhathi zokugula kanye nokuphila kahle. Umgomo wokwelapha kubantu abanesifo sikaCrohn kanye nesifo sokulonda (ulcerative colitis) (izinhlobo eziyinhloko ze-IBD) ukuxolelwa. Ukwelashwa kungathatha izinhlobo eziningi, kufaka phakathi imithi, ukuhlinzwa, izindlela zokwelashwa ezingeziwe kanye nezengeziwe, kanye nezinguquko zendlela yokuphila.
Abantu abaningi abane-IBD bacabanga ukuxolelwa njengesikhathi sokuzizwa kangcono, ngezimpawu ezimbalwa noma ezingekho ze-IBD ezifana nobuhlungu besisu, isifo sohudo, noma igazi esitokisini. Lolu hlobo lokuxolelwa ngezinye izikhathi lubizwa ngokuthi ukukhululwa komtholampilo. Kodwa-ke, kukhona incazelo ekhulisiwe yokukhululwa okuqhubekayo kubaluleke kakhulu ezigulini kanye nodokotela okuthiwa i-endoscopic ukuxolelwa.
Izinhlobo Eziningana Zokukhulumisana
Cabanga ukuxolelwa njengegama elilodwa lesambulela esikhulu, nezinhlobo ezahlukene zokuxolelwa ngaphansi kwalo. Odokotela bazosebenzisa imigomo ehlukene ukuchaza ukuxolelwa okusekelwe kulokho okuqhubekayo ne-IBD. Akuwona wonke ama- gastroenterologist ozokwenza lokhu emisebenzini yabo yansuku zonke, kodwa ezindaweni ezikhethekile ze-IBD noma ezivivinyweni zomtholampilo, lezi zinhlobo ezahlukene zokuxolelwa zingakhulunywa futhi zibonwe njengenhloso yokwelapha. Abantu abane-IBD abanemibuzo mayelana nokwelashwa bangathola ukuqonda okuthile nge-IBD yabo ngokubuza ngalezi zinhlobo ezahlukene zokuxolelwa, futhi uma i-IBD yabo iwela kunoma iyiphi yalezi zigaba zokukhululwa:
- Ukukhululwa komtholampilo: "Ukuzwa kungcono" nezimpawu ze-IBD ukuncipha noma ngisho nokunyamalala.
- Ukukhululwa kwe-Endoscopic: Phakathi nendawo, njenge- colonoscopy noma i- sigmoidoscopy , akukho ukuvuvukala emathunjini.
- Ukukhululwa kwezinto eziphilayo: Izivivinyo ezisetshenziselwa ukukala ukuthi i-IBD ithinta kanjani igazi noma isitokisi angabonisa ukuthi kukhona ukubonakaliswa kokuvuvukala okukhona.
- Ukuxoxwa kokuhlinzwa: Uma ukuhlinzwa kusetshenziselwa ukwelashwa kanye nemiphumela esikhathini esincane noma kungekho izimpawu. Lokhu kungase kusetshenziswe ngezinye izikhathi ukuchaza abantu abaye bahlinzwa futhi okwamanje abanaso izimpawu kanye / noma ukuvuvukala.
- Ukukhululwa kwe-Histologic: Isikhathi sesinye isambulela esibandakanya kokubili ukuphela kokuphela kwe-endoscopic kanye nemitholampilo. Ngaphezu kwalokho, lapho ama-biopsies ethathwa emathunjini futhi ehlolwa, awabonisi noma yiziphi izici zokuvuvukala kwe-IBD.
Isikhumbuzi se-Endoscopic
Abantu abane-IBD kufanele babe nokuhlolwa okujwayelekile ukuqapha ukuthi imizimba yabo isabela kanjani empilweni. Phakathi kokuhlolwa okuhlukahlukene okungasetshenziswa yizinqubo ze-endoscopic ezifana ne-colonoscopy noma i-endoscopy engenhla. Phakathi nalezi zivivinyo udokotela angabona ngaphakathi kwekoloni noma emathunjini amancane futhi abuke izimpawu ze-IBD njenge-ukuvuvukala, isibonakaliso se-cobblestone , ukukhwabanisa, noma iziqu.
Uma ukwelashwa kusebenza futhi i-gastroenterologist ayiboni noma yini emathunjini ejwayelekile ye-IBD, isiguli singase sithathwe njengokuphelelwa kwe-endoscopic. Uma kwakunjalo izingxenye zamathumbu amancane namakhulu ayevuliwe futhi manje aphulukisa, isiguli singase siphumelele ekuphulukisweni kwe-mucosal, okuwukuthi ukuvuvukala emgqeni wamathumbu wezinkukhu kuqala ukuphulukisa nokubuyela esimweni esinempilo.
Lolu hlobo lokuphulukisa lubaluleke kakhulu, ngoba kungasho ukuthi kunengozi encane yokuthuthukisa izinkinga ezingase ziholele esibhedlela noma ukunciphisa izinga lokuphila.
Ingabe ukukhunjulwa kwe-Endoscopic Akusho Izimpawu?
Ukuba nokukhululwa kwe-endoscopic kungenzeka noma kungasho ukuthi izimpawu ze-IBD nazo zaphela. Kutholakale ukuthi abanye abantu abane-IBD bangase babe namathumbu abaphulukisa, kodwa basenayo izimpawu. Uma izimpawu ziqhubeka, i-gastroenterologist ingase ibheke esinye isizathu, njengesifo sofuba esiswini (IBS) , isifo se-celiac , noma ukubekezelelana kwe-lactose . I-reverse nayo iqinisile: Abanye abantu bangase babe nokuvuvukala okusebenzayo futhi kungenzeka bangenayo izimpawu.
Kungani Ukukhululwa Kwe-Endoscopic Kubalulekile?
Kungase kubonakale kungenangqondo ezigulini: Kuyini indaba yokuxoxwa kwe-endoscopic uma kusho ukuthi kungase kube khona izimpawu ze-IBD? Ukubuyiswa kwe-Endoscopic kubalulekile ngoba ukuvuvukala ohlelweni lokugaya kungabangela izinkinga ezinkulu ngaphansi komugqa. Uma ukuvuvukala kuncishisiwe noma kungasekho, kusho ukuthi izingozi zezinkinga ziyancipha. Ukuvuvukala okungahambiki kungabangela izinga eliphansi lokuphila noma izinkinga ezingaphezu kwamathumbu emathunjini nakwezinye izisu. Yingakho ukubuyiswa kwe-endoscopic yingxenye eyodwa ebalulekile yokuthola ukuxolelwa ku-IBD. Khuluma nodokotela wakho uma unemibuzo mayelana nohlelo lwakho lwezokwelapha nokuthi uthuthukela kanjani ekufinyeleleni imigomo ekuxoxweni.
Imithombo:
Cellier C, Sahmoud T, Froguel E, et al. I-Groupe d'Etudes Therapeutiques des Affections Izidakamizwa zokugaya. Ukulinganisa phakathi kwemisebenzi yomtholampilo, i-endoscopy, i-severeness, kanye nemingcele yezinto eziphilayo emgodini weColonic ne-ileocolonic Crohn. Ucwaningo olulindeleke lwama-multicentre ngamacala angu-121. Gut . 1994; 35: 231-235.
I-Neurath MF, i-Travis SP. Ukuphulukiswa kwe-mucosal kwezifo ezikhukhumeza izifo: ukubuyekezwa okuhlelekile. Gut . 2012; 61: 1619-1635.