Ukwelashwa kwe-ulcerative yindlela yokuvuvukala kwesifo sofuba (IBD) , isifo esingapheli lapho okwamanje kungekho ukwelashwa okuwaziwa khona. Isibonakaliso esiyinhloko se-ulcerative colitis ukuvuvukala kwe-colon kanye ne-rectum, okubangela izimpawu ezihlukahlukene emaphethelweni emathunjini. Lesi sifo singase sibangele izinkinga ezithinta ezinye izingxenye zomzimba, kufaka phakathi amalunga, isikhumba, namehlo.
Izimpawu
Izimpawu ze-ulcerative colitis ziza futhi zihambe. Uma izimpawu zisebenza, kuthiwa yi-flare-up. I-flare-up ingaba nzima ezinsukwini ezimbalwa noma emasontweni bese uhamba, noma okungenani uthole kangcono okwesikhashana. Kubantu abaningi, izimpawu ziyaqhubeka zivulekile futhi ziphuluke kuzo zonke izimpilo zabo.
Kunezinhlobo eziningana ezihlukahlukene ze-ulcerative colitis-ulcerative proctitis, i-proctosigmoiditis, i-colitis yangakwesobunxele, ne-pancolitis-kodwa babelana eziningi zezimpawu ezifanayo, kuhlanganise nesifiso esinamandla sokuba nokunyakaza kwamathumbu, izimpande zesisu, igazi ne-mucus esitokisini , umkhuhlane, nokulahlekelwa ukudla.
Ngesinye isikhathi ngesikhathi isifo esibuhlungu, intombazane yakho enkulu ikhula futhi ingase ihlakulele i-perforation encane. I-perforation ivumela isitoreji ukuvuza ngaphakathi kwesisu sakho, okungabangela isifo esisongela impilo (peritonitis).
Uma uke waba nesifo se-ulcerative colitis isikhathi eside, ungase ubone izibonakaliso kwezinye izindawo zomzimba wakho, kufaka phakathi imivimbo, izilonda zomlomo, nobuhlungu obuhlangene.
Lesi sifo sandisa futhi ingozi yokuthuthukisa umdlavuza wekoloni.
Izimbangela
I-ulcerative colitis iyisifo se-idiopathic, okusho ukuthi ayikho imbangela eyaziwayo. Nokho, kunezinkolelo eziningana mayelana nemvelaphi ye-ulcerative colitis nemibandela engabangela ukuthuthukiswa kwayo. Ucwaningo lwakamuva lubonisa ukuthi amagciwane angaphezu kuka-100 angase ahlotshaniswe nentuthuko ye-IBD.
Akekho kulezi zindinganiso ezingakavunywa, kodwa, futhi izifundo eziningi kuzodingeka zenziwe ngaphambi kokuba kube nempendulo eqondile.
Esikhathini esidlule, kwakukholelwa kabanzi ukuthi kwakukhona ingxenye engokwengqondo ku-IBD. Ucwaningo oludala olubonisa ukuthi ukucindezeleka nezinkinga ezingokwengqondo zaba nomthelela ekwakhiweni kwe-IBD kuye kwahlala kungaqinisekisiwe. Ucwaningo lwamuva luye lwabonisa ukuthi izifundo zangaphambili kungenzeka ukuthi ziphutha, ngoba imiphumela yabo ayikwazi ukuphinda ikhiqizwe. Akukho ukuxhumana okuqondile phakathi kwe-IBD nokuphazamiseka kwengqondo . Ngeshwa, abantu abaningi bakholelwa ukuxhumeka kwe-IBD.
Ukuxilongwa
Ukuze usize uqinisekise ukuxilongwa kwe-ulcerative colitis, udokotela wakho uzobe eyala ukuhlolwa okuhlukahlukene, okungase kuhlanganise:
- Ukuhlolwa kwegazi
- Isampula se-stool
- I-Colonoscopy
- Sigmoidoscopy ye-Flexible
- X-ray
- Ukuhlola kwe-CT
Ukwelapha
Esikhathini esiningi, i-ulcerative colitis iphathwa ngezidakamizwa ezihlukahlukene noma inhlanganisela yezidakamizwa. Kodwa-ke, ingxenye ethile yabantu abane-ulcerative colitis ayiphenduli kwezokwelapha izidakamizwa futhi iyaqhubeka ibe nezimpawu ngisho nangesikhathi sokwelapha. Abanye bangabe besengozini enkulu yomdlavuza wekoloni ngemuva kokuthola lesi sifo iminyaka eminingi. Kulezo zimo, uhlobo lokuhlinza olubizwa ngokuthi isikhwama se-ileal-anal anastomosis (i-IPAA) , eyaziwa ngokuthi i-j-poch, kungenzeka.
Uma i-j-isikhwama esingeyona indlela enokusebenza, ukuhlinzwa kwe-ileostomy kungenye indlela yokuhlinzwa ye-ulcerative colitis.
Izwi elivela
Uma uthola ukuthi une-ulcerative colitis, uzobhekana nezinselele-ngokomzimba nangokomzwelo-ngenxa yesifo. Ukukhuphuka nokuphazamiseka kokulahlwa kanye nokuxolelwa kungabangela ukucindezeleka, yingakho ukugcina ukuvuvukala kungaphansi kokulawula nokubhekana nezinye izimpikiswano zezempilo njengoba behluma kuyisihluthulelo sokuba nekhwalithi elihle lokuphila. Ukubona i-gastroenterologist njalo futhi ukuthola ukwelashwa kwesondlo, ngisho nalapho uzizwa kahle, kubaluleke kakhulu ekuvimbeleni ukuphazamiseka.
Izindaba ezinhle ukuthi kunezinye izindlela zokwelashwa ezitholakalayo manje kunanini ngaphambili, futhi abaningi basendleleni.
> Imithombo:
> Crohn's and Colitis Foundation of America. "Izinketho ze-Colitis Treatment." CCFA.org 2016.
ULutgens MW, van Oijen MG, van der Heijden GJ, Vleggaar FP, Siersema PD, Oldenburg B. "Ukunciphisa ingozi yomdlavuza obala emzimbeni wesifo sofuba: i-meta-analysis ebuyekeziwe yezinhlelo zezinhlobonhlobo zabantu." I-Inflamm Bowel Dis . 2013 Mar-Apr; 19: 789-799.
> I-Merck Manual. "Ulcerative Colitis."