Ama-blood clots avame kakhulu kubantu abane-IBD kodwa ingozi enkulu iphansi
Kuyaziwa ukuthi isifo sofuba esiswini (IBD) sihlotshaniswa nalokho okubizwa ngokuthi ukubonakaliswa kwamathumbu amathumbu: izimo ezihlobene ne-IBD kepha azitholakali endleleni yokugaya. Enye yalezi ingozi yokuthuthukisa ama-blood clots.
Ingozi eyanda kakhulu yezindwangu zegazi kubantu abane-Crohn's disease kanye ne-ulcerative colitis yayaziwa kubachwepheshe be-IBD kodwa kungenzeka ukuthi ingabe ingaziqondi kahle abanye odokotela nabantu abanayo i-IBD. Akucaci kahle ukuthi kungani abantu abane-IBD besengozini yezindwangu zegazi kodwa kucatshangwa ukuthi kuhlangene nomsebenzi wesifo kanye nezinguquko egazini elikhuthaza ukwakhiwa kwegazi.
Ngenkathi ingozi yezindwangu zegazi iboniswe ukuthi iphakeme kubantu abane-IBD, kunezinto ezingenziwa ukuze zibavimbele. Okubalulekile ukuthi abantu abane-IBD baqonde ingozi yabo siqu yezindwangu zegazi nokuthi odokotela bathatha izinyathelo zokugwema lokhu kunenkinga uma kunesidingo, njengokuthi ngemuva kokuhlinzwa . Abantu abane-IBD nabo bangazijwayeza ngezimpawu ze- clot yegazi , njengobuhlungu, ukuvuvukala, ukugubha, nokukhumba isikhumba emlenzeni owodwa. Ingozi enkulu yezindwangu zegazi kubantu abane-IBD abangenazo ezinye izinto eziyingozi kubhekwa njengento ephansi.
Yini Okugqoka Igazi?
Igazi ngokuvamile livale ukuze liyeke ukuphuma, njengalapho kunqunywa noma isilonda. Kodwa-ke, uma i-blood clots kalula noma idala ama-clots amakhulu, igazi ligeleza phakathi kwe-vein noma umthambo lingavinjelwa. Lapho ama-clots ehamba ohlelweni lwe-circulatory futhi avuke emzimbeni njengenhliziyo, ubuchopho, izinso, noma amaphaphu , angabangela ukulimala kulawo malungu noma izinkinga ezifana nesifo senhliziyo noma isifo .
Ubani Osesengozini?
Unyaka ngamunye, kulinganiselwa ukuthi abantu abangu-900 000 e-United States bahlangabezana ne-clot yegazi futhi phakathi kuka-60,000 no-100 000 bazofa ngalolu cwaningo. Abantu bangasengozini yezindwangu zegazi ngokusekelwe eziningana zezici. Ezinye zezimo ezihlotshaniswa namaqabunga egazi zihlanganisa i- atherosclerosis , i-fibrillation ye-atrial , i-thrombosis ejulile ye-vev ( DVT ), isifo sikashukela, ukuhluleka kwenhliziyo, isifo se-metabolic, isifo se-arterial peripheral, kanye ne- vasculitis . Kunezici eziningi ezizimele ezizimele ezingxenyeni zegazi, ezihlanganisa:
- Ukuphumula embhedeni
- Ukuxilongwa kwegciwane
- Izihambi zakamuva
- Ukwehla kwamanzi
- Umlando womndeni wezindwangu zegazi
- Ukulimala ku-vein
- Ukukhuluphala nokukhuluphala ngokweqile
- Umlando womuntu wezindwangu zegazi
- Umlando womuntu weziphambeko eziphuthumayo
- Ukuhlinzwa kwakamuva
- Ingozi yakamuva (njengengozi yemoto)
- Ukuhlala isikhathi eside
- Ukubhema
- Ukusetshenziswa kwemithi equkethe i-estrogen (njengokulawulwa kokubeletha noma ukwelashwa kwe-hormone)
Ubufakazi Begazi Ukuvala Ingozi ku-IBD
Ucwaningo olulodwa lwezindwangu zegazi lwenziwa kubantu abangaba ngu-50 000 nabantwana abane-IBD eDenmark phakathi kuka-1980 no-2007. Lokho abacwaningi baphetha ngokuthi uma kuqhathaniswa nabantu abangenabo i-IBD, abantu abane-IBD babenezinkinga ezimbili zokungena kwe-pulmonary kanye ne-vein thrombosis.
Ngisho nangemva kokulungisa idatha yezinye izimbangela ezingabangela izingxenyeni zegazi, ezifana nesifo senhliziyo, isifo sikashukela, ukuhluleka kwenhliziyo ukugubha, nokusebenzisa imithi ethile, ingozi yayisengamaphesenti angu-80 ephakeme eqenjini le-IBD.
Esinye isifundo esanyatheliswa ngo-2004 sabheka abantu abangu-618 abane-IBD kanye nabantu abane-arthritis ye-rheumatoid nesifo se-celiac futhi bawaqhathanisa neqembu lokulawula. Njengoba kuvame ukuqhutshwa ezincwadini ezinjalo, umuntu ngamunye one-IBD ufaniswe nomuntu eqenjini lokulawula elineminyaka efanayo nobulili. Ngemva kokubheka idatha emaceleni egazi, abacwaningi bathola ukuthi abantu abane-IBD babhekana nama-blood clots ngesilinganiso samaphesenti angu-6.2 (okungaba iziguli ezingu-38), uma kuqhathaniswa nama-1.6% eqenjini elingenalo i-IBD.
Ucwaningo olwenziwa ngo-2010 olwenziwe e-UK lubheka ingozi yezindwangu zamagciwane ezigulini ezine-IBD ezingakhanjelwa esibhedlela futhi ezingenayo isifo esisebenzayo kanye nalabo ababhekana nokuhlukumeza nalabo ababesezibhedlela. Kwakukhona iziguli ezingu-13 756 ezine-IBD ezifakiwe kanti imiphumela yabonisa ukuthi ngisho nalapho kungabantu abahlaselayo abane-IBD babe nengozi yegazi eliphindwe kathathu kuneliqembu elilawulayo. Abantu ababesezibhedlela ngenxa ye-IBD yabo babenengozi yegazi eliphindwe kathathu kunezinye iziguli esibhedlela. Ukuphazamiseka kwe-IBD kwakuhlobene nengozi yezindwangu zegazi okwakuyizikhathi eziyisishiyagalombili zabantu abeseqembu lokulawula elingenalo i-IBD.
Lokho Okushiwo Yonke Idatha
Izinombolo ezivela ocwaningweni zingazwakala ziyingozi kepha kunezici eziningi okufanele zicatshangelwe. Ingozi yomuntu yezindwangu zegazi izobe isekelwe ezintweni eziningana futhi ukuba ne-IBD manje ibhekwe njengenye yalezi zinto kuphela.
I-Gastroenterologists kufanele iqaphele ingozi ekhulayo futhi ingasiza ukubeka ingozi yomuntu siqu ibe umbono, kucatshangelwa ezinye izingozi ezifana nobudala, umlando womndeni, izinga lomsebenzi, imithi, nokukhulelwa. Imihlahlandlela evela kuCanada Association of Gastroenterology eyanyatheliswa ngo-2014 incoma ukuthi imithi ye-anticoagulant (engavimbela i-blood clots) isetshenziswe kwezinye iziguli ezine-IBD, ikakhulukazi ngesikhathi sezibhedlela, ngemuva kokuhlinzwa, futhi uma i-clot yegazi isenzekile kakade. Akunconywa ukuthi abantu abane-IBD bathole imithi yokuvimbela ama-blood clots ngesimiso.
Ukunciphisa Ingozi
Ukunciphisa ingozi yezindwangu zegazi kuhlanganisa izeluleko ezifana nokuzivocavoca, ukugcina isisindo esinempilo, ukuphuza amanzi anele, nokulawula izimo ezihlobene nesifo sikashukela nesifo senhliziyo.
Kubantu abane-IBD abasesibhedlela, imishanguzo yokuvimbela imithi, eyanciphisa ingozi yezindwangu zegazi, ingabe ishiwo. Kube khona ingxoxo phakathi kwabachwepheshe mayelana nokuhlinzeka ngemithi yokuqapha abantu abane-IBD abangena ezibhedlela kodwa kuze kube manje ukwenza lokhu akucatshangwa ukuthi kunikeze okuningi endleleni yokuzuzisa.
Wonke umuntu ophethe i-IBD uzodinga ukuqonda ingozi yawo siqu yezindwangu zegazi futhi asebenze nodokotela ukwazi ukuthi kungadingeka yini ukusebenzisa imithi ukuvimbela.
Izwi elivela
I-Gastroenterologists ingase iqaphele ingozi yegazi i-clot kodwa amanye odokotela kungenzeka. Lokhu kugcizelela isidingo sokuba wonke umuntu eqenjini lokunakekela i-IBD axhumane futhi abeke izinto ezingozini engqondweni. Lokhu kusho nokuthi uma abantu abane-IBD behlangabezana nesifo se-clot engozini, njengokuhlinzwa noma esesibhedlela, kubalulekile ukuthi odokotela bathathe amathuba okuba ingozi ephakeme ye-blood clot ibe yi-akhawunti.
Abantu abane-IBD abanenkinga mayelana nezingozi zabo zomzimba wegazi ngenxa yezinto eziyingozi noma umlando womndeni kufanele bakhulume nomuntu wesifo sofuba ngokuvimbela ama-blood clots.
> Imithombo:
> Isigaba seNational Disorder National Division on Izinga Lokuzalwa Nokukhubazeka Okuthuthukiswayo, Izindawo Zokulawulwa Nokuvimbela Izifo "I-Venous Thromboembolism (Izambatho Zegazi): Idatha & Izibalo." CDC.gov 6 Apr 2017.
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> Kappelman MD, uHorvath-Puho E, Sandler RS, et al "Ingozi ye-Thromboembolic phakathi kwezingane zaseDenmark kanye nabantu abadala abanezifo ezifuywayo ezifuywayo: isifundo sezwe esisekelwe emphakathini." Gut: Ishicilelwe Kuqala Kuqala: 21 Febhuwari 2011. doi: 10.1136 / gut .2010.228585
> Miehsler W, Reinisch W, Valic E, et al. "Ingabe isifo sofuba esibangela ukuvuvukala isifo esizimele kanye nesifo esithile se-thromboembolism?" Gut . 2004; 53: 542-548. doi: 10.1136 / gut.2003.025411
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