Ukweqa Kwe-Rectum Kungaba Isibonakaliso se-IBD
Esinye sezibonakaliso eziningi zesifo sofuba esiswini (IBD) siyaphala. Igazi lingase livele ngaphakathi noma esitokisini noma abanye abantu bangadluli nhlobo ngesinye isikhathi ngezikhathi ezithile, bese nje bedlulisa igazi. Ukweqa okuvela emathunjini omzimba we- rectum namakhulu amakhulu okuvela ku-IBD ngokuvamile kubomvu noma okubomvu , kuyilapho igazi elivela phezulu egazini lokugaya lingase livele njengamatshe amnyama noma amnyama .
Ezimweni eziningi lokhu kuphuma kwephuza kuyashesha futhi kuyashesha. Uma ukuphuma kwegazi kunzima, noma uhlanza igazi, kunesidingo sokuphuthumayo okudingekayo. Okufanayo nakanjani uma uzizwa uphelile noma uthola ukupela okuphazamisayo.
Igazi noma esitokisini lingasabisa kodwa akusho ukuthi kukhona okuphuthumayo noma ukuthi kunesidingo sokuya emnyangweni ophuthumayo. Ngesinye isikhathi yingxenye ye-IBD ephazamisekile futhi kufanele ikhulunywe nodokotela ngokushesha ngangokunokwenzeka, ikakhulu uma kungakaze kwenzeke okwesikhashana. Ukweqa kusho ukuthi kukhona ukuvuvukala endaweni ethile, futhi ushintsho kokwelashwa lungadingeka. Kunezinhlobo eziningi zokwelapha ezitholakalayo ze-IBD ezingasiza ukuyeka ukuvuvukala nokuphuma.
Ukukhipha igazi ku-Ulcerative Colitis
Ukuhlwitha kusuka e-rectum kuvame kakhulu ku-ulcerative colitis kunesifo se-Crohn. I-colcer ulcerative ngokuvamile ihilela i-rectum. Ngenxa yokuthi i-rectum iphelile emathunjini amakhulu, igazi elivela kulo mthombo liyabonakala kakhulu noma kulesi sikhundla.
Ukukhipha igazi kuyenzeka futhi nge-ulcerative colitis ngoba leli fomu le-IBD lihlasela ubhedu bomathumbu amakhulu. Izilonda ezitholakala emcimbini wamathumbu amakhulu zivame ukuphuma.
Kwezinye izimo, ukuphuma e-ulcerative colitis kungaholela ekulahlekelweni kwegazi okuphawulekayo. Umgomo oyinhloko wokwelashwa kuyoba ukwehlisa ukuvuvukala nokuyeka ukuphuma kwegazi, kepha ukuphatha ukulahlekelwa igazi kungadingeka.
Ezimweni ezinzima ze- anemia ezivela kolwelwesi lwesifo sofuba, ukugcwalisa nge- iron , folic acid , ne- vitamin B12 kungasiza ukwakha amaseli amasha wegazi. Ezimweni ezimbi kakhulu zokulahleka kwegazi, kungase kudingeke ukumpompela igazi .
Ukuphaphazeka okukhulu (okubizwa ngokuthi ukugaya igazi) okubangelwa ulcerative colitis kungasongela ukuphila. Lokhu akuvamile, kodwa uma ukuphuma kungenakuyeka, ukuhlinzwa ukukhipha ikoloni nokwakha i-ileostomy kungadingeka. Phakathi nokuhlinzwa kwe- ileostomy isisu esikhulu sisuswe futhi i- stoma idalwe ukuvumela ukudoba kudlule ngaphandle komzimba futhi kukhwama yeqoqo eligqoke esiswini . Okunye ukuhlinzeka kungenziwa ngosuku olulandelayo ukuze udale i- j-poch , edala indlela yokuya endlini yokugezela nge-rectum esikhundleni se-stoma.
Ukukhipha igazi ku-Crohn's Illness
Isifo sikaCrohn senza ukuba igazi lingene esitokisini kakhulu kunalokhu okulunywa yi-ulcerative colitis, kodwa lokhu kuzohluka phakathi kweziguli esekelwe lapho i-Crohn's ibangela ukuvuvukala khona. Isifo sikaCrohn esitholakala ekolon noma emgodleni, kunokuba emathunjini amancane, kungenzeka ukuthi kungabangela ukuba igazi livele ngaphakathi noma esitokisini.
Ukwelapha ukulahleka kwegazi esivela ku-Crohn's isifo kufana nalokhu ku-ulcerative colitis: ukuthola i-IBD ngaphansi kokulawula, ukwesezela ngamavithamini, ukuthola ukumpompela noma ukuhlinzwa.
Ngesifo sikaCrohn, ukuhlinzekwa kwe-resection kungenziwa ukuze kususwe izingxenye zamathumbu ezonakaliswe ukuvuvukala okukhulu. Ukuhlinzwa kokuhlinzwa kwe-J-pouch ngokuvamile akukwenziwe isifo sikaCrohn ngoba kunengozi ukuthi i-Crohn's ingase ibuyele esikhwameni.
Ukulahleka kwegazi kungase kwenzeke lapho i- fissure eyisikhombisa iqhubekile njengenkinga yesifo sikaCrohn. Ama-fissures ajwayelekile kakhulu nesifo sikaCrohn kunokuba abe ne-ulcerative colitis. Ezimweni eziningi, ama-fissures angaphathwa ngempumelelo ngaphandle kokuhlinzwa.
Inothi Kusuka
Ukusuka ku-rectum negazi okuvela ngaphakathi noma esiteshini akuyona into evamile ku-IBD.
Lesi esinye sezibonakaliso eziphawulekayo zesifo sokulonda kwe-ulcerative, ngoba iziguli eziningi zithola lesi sibonakaliso. Noma kunjalo, ukuphuma kwamanzi kumele kukhulunywe ngaso sonke isikhathi ngogastroenterologist ngoba kusho ukuthi kukhona okuqhubekayo ne-IBD kanye nokushintsha kokwelapha kungadingeka. Ngisho noma ukuphuma kwegazi kwenzeke ngaphambili, kubalulekile ukukhuluma ngalokhu nodokotela. Uma kukhona ukulahleka kwegazi okuningi, ukunakekelwa ngokushesha kuzodingeka. Uma kunezinye izimpawu ezifana nokuphoqa, ukuzondeka, noma ubuhlungu obunzima, kungaba isimo esiphuthumayo futhi ukubiza i-ambulensi kungumqondo omuhle kakhulu.
Imithombo:
I-American Gastroenterological Association. "Isifo Sezifo Ezivuthayo." Gastro.org Apr 2008.
Crohns and Colitis Foundation of America. "Iyini izifo zikaCrohn?" CCFA.org 2012.
I-National Digestive Diseases Information Clearinghouse. "Izifo zikaCrohn." I-National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Dec 2011.