Iningi lezidakamizwa ezisetshenziselwa ukwelapha i-IBD ngeke lihambisane nokuthola isibhamu
Abantu abanezifo zesifo sofuba (IBD) bangase babe engozini yokwanda kwezifo ezibangelwa umkhuhlane (umkhuhlane) . Sicabanga ukuthi umkhuhlane uyisifo esivamile, esiyingozi, kodwa akusiyo ingozi yodwa kanye nonyaka eyabangwa igciwane. Ngokusho kwamaCentral for Disease Control and Prevention (CDC), ukufa okuvela emkhuhlane kuyahlukahluka njalo ngonyaka ngenxa yokuhluka kwezikhathi zentsholongwane, kodwa kusukela ngo-1976 inani lokufa likhona phakathi kuka-3 000 no-49,000 ngonyaka.
Iningi labantu ababulalayo bangabantu abangaphezu kweminyaka engama-65.
Imithi ye-immunosuppressive isetshenziselwa ukuphatha i-IBD, futhi abantu abathatha lezi zinhlobo zemithi bayabhekwa njengengozi ephakeme kunayo engozini yokwenza izinkinga ezivela emkhuhlane. Ngenxa yokuthi i-IBD yinkinga yokuzivikela emzimbeni, imithi ethintela amasosha omzimba ngezinye izikhathi inikezwa njengokwelashwa. Lokhu kucatshangwa ukugcina ukuvuvukala ku-IBD kuhlolwa. Noma kunjalo, lokhu kusho nokuthi umzimba awukwazi ukulwa nezinye izinhlobo zokutheleleka, njengalezo ezibangelwa amagciwane noma amagciwane, kuhlanganise nomkhuhlane (okuyinto igciwane).
Izinkinga ezivela ku-Flu
Izinkinga ezivamile ezivela emkhuhlane zingabandakanya:
I-brronchitis . I-brronchitis iyisifo se-airway (ama-tuby bronchial) angabangela ukukhwehlela, ukugubha, nokukhathala. Kungase kube yedwa emasontweni ambalwa, kepha kungase kudingeke ukwelashwa ukuxazulula, ikakhulukazi uma kubangelwa amabhaktheriya futhi kungelashwa ngama-antibiotics.
Izifo zendlebe . Ukutheleleka ngaphakathi kwendlebe, okubizwa nangokuthi i-otitis media, kungenzeka ngemuva kokugula. Ezinye zezimpawu zifaka umkhuhlane, ubuhlungu bezindlebe, kanye nosizi noma izinkinga zokulinganisela.
I-pneumonia . I-pneumonia iyisifo emaphashini okungenzeka ngemuva kokubanda noma umkhuhlane. Kungabangela ubuhlungu lapho ukuphefumula, ukukhwehlela nge-sputum, nomkhuhlane.
I-pneumonia ingaba yingozi kakhulu kuncane nakancane kakhulu.
Izifo zesinus (sinusitis) . Izoni, ezitholakala eduze kwamehlo, zingenwa igciwane, futhi kuyinkimbinkimbi ejwayelekile yomkhuhlane. I-sinusitis ingabangela ubuhlungu bekhanda noma ubuhlungu besibuso, umkhuhlane, nokuncintisana kwesono. Ukutheleleka kwe-sinus kungadinga ukwelashwa noma kungase kuxazululwe ngokwakho.
Yiziphi izidakamizwa ze-IBD ezifakiwe?
Ezinye izidakamizwa ze-immunosuppressive zifaka:
- I-Imuran (azathioprin)
- I-Cimzia (i-certolizumab pegol)
- I-Cyclosporine (i-Neoral, i-Sandimmune)
- Huma (adalimumab)
- I-Mercaptopurine (iPinetinethol, i-6-MP)
- I-Prednisone
- I-Methotrexate
Lapho Ukuthola Umkhuhlane Wezikhukhula
Kubantu abathatha lezi zidakamizwa noma ezinye izidakamizwa ezivimbela isimiso somzimba sokuzivikela, isikhathi esihle sokuthola ukuqhuma komkhuhlane sisuka ekupheleni kuka-Okthoba kuya kuNovemba, noma ngisho nangaphambili uma kutholakala. Ukuguqulwa komkhuhlane kumele kuhlelwe kahle ngaphambi kokuba inkathi yempukane iqale ukuba yimatasa ngoba ingathatha amasonto amabili kuya kwamabili ukuthi lo mkhuhlane uthathe ukuthatha umphumela ogcwele. Kodwa-ke, ukugonywa kunganikezwa ngisho nangemva kwalokho, uma kudingekile, ngoba ukuthola isikhathi sokuphumula kungcono kunokuba ungatholi nhlobo.
Isifo Sokushisa Noma Isiqu?
Abantu abasebenzisa izidakamizwa ze-immunosuppressive kufanele bathole ukuguqulwa komkhuhlane, hhayi umgomo wokugcoba umkhuhlane (obizwa nangokuthi i- LAIV , okumele i-Live Attenuated Influenza Vaccine).
I-LAIV, equkethe bukhoma, ifinyelela amagciwane e-flu, ayinconywa kunoma ubani onesifo esingapheli, kuhlanganise ne-IBD. I-LAIV akufanele futhi ithathwe yilowo nalowo ophuza imithi enganciphisa isimiso somzimba sokuzivikela njengezidakamizwa ze-IBD okukhulunywe ngenhla.
Umkhuhlane ovulekile ongakapheli uqukethe amagciwane afile, futhi ngeke unike umamukeli umkhuhlane.
Izwi elivela
Ukudubula komkhuhlane kubalulekile kunoma ubani onayo i-IBD, ukuze anikeze ithuba elihle lokugwema umkhuhlane kanye nezinkinga ezihlobene. Ezimweni eziningi, izidakamizwa ze-IBD ngeke zivimbele umuntu onesifo sikaCrohn noma isifo sofuba esiswini sokuthola umkhuhlane.
Nakuba kungakaze "kuphuze kakhulu" ukuthola ukuguquka komkhuhlane, kunconywa ukuthi ukugoma kwenzeka kusukela ngo-Okthoba. Isikhathi somkhuhlane sifika ngezikhathi ezehlukene ezweni lonke, kanti kuyilapho kungcono ukubikezela, kungcono ukugonywa kusenesikhathi ukuze ube nethuba elihle kakhulu lokugwema umkhuhlane.
Imithombo:
Alsahli M, Farrell RJ. Izifo Ezingavamile Emzimbeni Wezifo Ezivuthayo. Crohn's and Colitis Foundation of America 14 Okthoba 2005.
Amasevisi Okulawula Nokuvimbela Izifo. "Izimpawu Zemfudu Nokucindezeleka." CDC.gov. 19 Agasti 2015. 11 Septemba 2015.
I-Melmed GY, i-Ippoliti AF, i-Papadakis KA, i-Tran TT, i-Birt JL, i-Lee SK, i-Frenck RW, i-Targan SR, i-Vasiliauskas EA. Iziguli ezinezifo zesifo sofuba zisengozini yokugula okuvimbela ukugoma. Am J Gastroenterol Aug 2006. 08 Okthoba 2007.
Sands BE, Cuffari C, Katz J, Kugathasan S, Onken J, Vitek C, Orenstein W. Imihlahlandlela yokugoma iziguli ezinezifo zesifo sofuba. I-Inflamm Bowel Dis Sep 2004. 08 Okthoba 2007.