Kusho ukuthini ukubuyela emuva kwezifo zika Crohn noma i-Ulcerative Colitis
Ungase ufunde okuningi mayelana "nokuhlaselwa" noma "ukufiphaza" ngokuphathelene nesifo sofuba (IBD) noma ezinye izimo ezingapheli. La magama ngokuvamile ahloselwe ukubhekisela esimweni esisebenzayo se-IBD. I-IBD ayilulapheki, futhi ijwayele ukuhamba ngezikhathi lapho isebenzayo (i-flare-up) nezinkathi lapho zingasebenzi (ukukhululwa). Isikhathi sokufiphala kanye nesikhathi sokuxoxwa kuyahluka kakhulu kusuka komuntu kuya komuntu: akukho abantu ababili abane-IBD abafanayo.
Kodwa-ke, ukuba nesifo sohudo ngosuku olulodwa noma ezimbili okuba ngcono ngokwakho akukona ngenxa ye-IBD yokuphazamiseka, futhi kungenzeka ukuthi ivela kwezinye izizathu. Yingakho kubalulekile ukuthola izimpawu ezihlolwe udokotela uma zivuna.
Umjikelezo we-Flare Up / Remission we-IBD
I-IBD yisifo esingapheli esibonakala ngezikhathi ezijwayelekile zezifo ezisebenzayo (ukuhlaselwa) kanye nomsebenzi omncane noma ongenasifo (ukuxolelwa). Isikhathi nobukhulu besigaba esisebenzayo kuyahlukahluka kakhulu kusuka komunye nomuntu. Umgomo wokwelapha ne-IBD ukuwuqeda ukuvutha futhi ukubuyisela i-IBD ngaphansi kokulawula futhi ngethemba lokuthi ngizokulahlwa.
Iyini i-IBD evulekile?
Ngemuva kwesikhathi sokukhululwa, noma isikhathi esinezimpawu ezimbalwa noma ezincane, i-IBD ingahle ivuleke, idale izimpawu futhi. Izimpawu okungenzeka ziye zaphela amasonto noma izinyanga ziphinde zihlukumeze futhi.
Kukhona, ngeshwa, akukho nqubo engachaza ukuphazamiseka: akukho mbuzo umuntu angayithatha ukuze anqume ukuthi i-IBD iyasebenza.
Izikhathi eziningi, isiguli sizoqala ukuba nezimpawu futhi sizobona i-gastroenterologist yabo yokuhlola. I-gastroenterologist ingenza uchungechunge lwezivivinyo ezifana nokuhlolwa kwegazi noma izivivinyo, ukuqala ukuqonda ukuthi kungani izimpawu zibuyela. Kwezinye izimo lokhu kungase kusho ukuthi une-endoscopy, njenge-sigmoidoscopy, i-colonoscopy, noma i-endoscopy engenhla.
Ngalezi zivivinyo, i-gastroenterologist ingabona kahle ukuthi kwenzekani ku-digestive tract, futhi ukhomba indawo yokuvuvukala. Kubalulekile ukwazi ukuthi inkinga iwuphi ukuphatha.
Ukwelapha i-Flare-Up
I-flare-up ngeke ixazululwe yodwa, futhi ukwelashwa kuyodingeka. Abantu abaningi abane-IBD bathatha imithi yesondlo ukusiza ukugcina izimpawu ngokuhlola, ngisho nalapho i-IBD ihamba khona. Izidakamizwa zokulondolozwa zizoqhubeka ngesikhathi sokuhlaselwa, nezinye izidakamizwa, ukuguqulwa kokudla, noma ukwelashwa okungaphezulu kungabhalwa isifo senzosi yegastroenterologist ukubuyisela lesi sifo ngaphansi kokulawula. Indlela umuthi wezidakamizwa oyoguqula ngayo iphuzu elibalulekile lokuxoxisana phakathi kwesineke nodokotela. Okusebenza okwesikhathi kungase kungabi ngempumelelo, futhi izidakamizwa ezintsha noma amasha amasha angadinga ukuhlolwa.
Ukwelashwa kubhekwa nangokuthi ukwelashwa kwe-IBD, futhi kuvame ukubhekwa kuphela ngemva kokuba zonke ezinye izindlela zokwelapha seziphelile. Ukwelashwa kungase kudingeke futhi uma kunezinkinga ze-IBD njenge-abscesses noma iziqu. Ngesifo sikaCrohn, ukuhlinzwa kungase kusetshenziselwe ukususa ingxenye yamathumbu amancane abonisa izifo. Ukuhlinzwa kwesifo sofuba, ukuhlinzeka njalo kuhilela ukukhipha ikoloni, ngoba lesi sifo sizobuya uma ingxenye yaleso sitho ishiywe endaweni.
Kunezinye izinhlobo eziningi zokwelapha ezenziwa ukuphatha i-IBD, futhi ngezinye izikhathi zithandwa ngabanye ngenxa yemvelo eguquguqukayo yalezi zifo kusuka komuntu kuya komuntu.
Izwi elivela
Abantu abane-IBD bazodinga ukunakekelwa odokotela kanye nokuhlola okujwayelekile ukugcina lesi sifo silawulwa. Kungaba yinselele ukwazi uma izimpawu zivela kwesinye isifo noma uma zivela kwi-IBD ephinda ikhiphe futhi. Uma izimpawu ezifana nesifo sohudo, ukuphuma kwegazi, ubuhlungu, nomkhuhlane kubuya, ukubona i-gastroenterologist ngokushesha kubaluleke kakhulu. Izimpawu zingaba zibi kakhulu, futhi ukuzitholela ngokushesha kunika ithuba elihle lokuvimba ukuqhuma ngaphambi kokuba kubangele umonakalo omkhulu.
Imithombo:
Crohn's and Colitis Foundation of America. "Iyini Ingculazi kaCrohn?" CCFA.org 2013. 8 Septemba 2013.
Crohn's and Colitis Foundation of America. "Iyini i-Ulcerative Colitis?" I-CCFA.org 2013. 8 Septemba 2013.