I-Classified njenge-inflammatory disease (ibD) isifo sofuba (i-IBD), i-ulcerative colitis yisimiso esinqunyiwe somzimba esithinta ngokuyinhloko umzila wokugaya, kepha ngokuvamile futhi unomthelela kwezinye izingxenye zomzimba. Kungabangela izimpawu zokuhuda igazi, ubuhlungu besisu, nesidingo esiphuthumayo sokukhipha amathambo. Izimpawu zingahamba ngezikhathi zokuxolelwa kanye nezifo ezisebenzayo.
Izimpawu zingase zihluke kumuntu nomuntu, ezingenza ukuxilongwa nokwelapha kube inselele, kodwa kunezindlela ezimbalwa ezibonisa ukuthi unesimo.
Izimpawu Ezivamile
Izibonakaliso nezimpawu zesifo sokulonda i-ulcerative colitis zingashintsha kancane ngokuya ngesiteji nendawo yesifo, kodwa okujwayelekile kungabandakanya:
- Izilonda (izimbobo) emgodini wamathumbu amakhulu
- Isihlalo segazi
- Ubuhlungu besisu namagundane
- Uhudo
- Isidingo esiphuthumayo sokuba nokunyakaza kwesisu (tenesmus)
- Fever
- Ukulahlekelwa kwesifiso
- I-Mucus esitokisini
I-colcer ulcerative yisifo esiqhubekayo. Izilonda ziqala engxenyeni yokugcina yamathumbu amakhulu, okuthiwa i-sigmoid colon, futhi ingahle isakaze ngaphesheya kwekoloni lonke. Izimpawu nezimpawu zingase zihluke ngokususelwa ekutheni ubuningi bomathumbu buyathinteka kanjani ukuvuvukala.
Izinhlobo ezahlukene ze-ulcerative colitis kanye nezimpawu zabo ezivame kakhulu zihlanganisa:
- I-proctitis ye-Ulcerative: Ukuvuvukala okutholakala engxenyeni ye-rectum, kubangela isifo sohudo, isisindo segazi, ubuhlungu bomhlanga, nesidingo esiphuthumayo sokuhambisa amathumbu (tenesmus).
- I-Proctosigmoiditis: Ukuvuvukala kufakwe emgqeni we-rectum ne-sigmoid, okwenza uhudo, isifo sohudo, ubuhlungu obukhulu, ukuphuthuma, nobuhlungu ngakwesokunxele kwesisu.
- I-colitis yangakwesobunxele (nokulinganiselwe noma ukusabalalisa kolitiki): Ukuvuvukala ngakwesokunxele kwekhaloni (i-rectum, i-sigmoid colon, i-colon ehla) kubangela isifo sohudo, izitofu zamanzi, ukulahleka kwesisindo, ukulahlekelwa ukudla, futhi ngezinye izikhathi ubuhlungu obukhulu ngakwesobunxele .
- I-Pancolitis: Ukuvuvukala kuyo yonke ikoloni, kubangele uhudo, ama-cramps, ukulahlekelwa kwesisindo esikhulu, nobuhlungu obukhulu besisu.
Izinkinga
I-ulcerative colitis ihlotshaniswa nezinkinga zombili ngaphakathi ohlelweni lokugaya futhi ngaphandle kwesimiso sokugaya (okubizwa ngokuthi izimpawu ezingaphezulu kwamathumbu).
Izinkinga zamathumbu zingabandakanya:
- I-perforation ye-bowel. Umgodi ekolon okuyisidingo esiphuthumayo sezokwelapha esingabangela ukuphuma kwegazi okukhulu kanye nobuhlungu besisu. Le nkinga ingavamile kubantu abane-ulcerative colitis.
- Fissure. I- fissure iyinyembezi eyenzeka emgodini womsele wamanzi ongabangela ukuphuma nokuhlunguphazwa kepha ngokuvamile ukwelapha ekhaya.
- I-megacolon enobuthi. Isimo esingavamile esibangele ukuxoshwa okukhulu kolononi, i-megacolon eyingozi iyinkimbinkimbi enzima edinga ukwelashwa okuphuthumayo.
Izinkinga ezingaphezulu kwamathumbu zingabandakanya:
- Ukukhula okulehlisiwe ezinganeni. Eminye imithi endala eyayisetshenziswa ekwelapheni i-ulcerative colitis kanye nokungondleki okubangelwa yisifo singabangela izinkinga zokukhula .
- Izifo zamehlo. Izimo eziningi zamehlo, ezifaka u- uveitis , i- glaucoma , i-keratopathy, i- episcleritis , namahlo omile, zihlotshaniswa ne-ulcerative colitis noma izifo zalesi sifo.
- I-arthritis. Okuvamile kakhulu ukubonakaliswa kwamathumbu engeziwe, izinhlobo eziningana ze- arthritis zingenzeka kubantu abane-arthritis ye-peripheral, i-axial arthritis, i-arthritis ye-rheumatoid, ne- anondlosing spondylitis .
- Izimo zesikhumba. I-Erythema nodosum ne- pyoderma gangrenosum yizimo ezingavamile ezenzeka njalo kubantu abane-IBD. I-Psoriasis , nesinye isimo sokuzivikela-mzimba, sibuye sivame kakhulu kubantu abane-IBD.
- Izilonda zamathumbu. Ebizwa nangokuthi i- aphthous stomatitis , lezi yizilonda emgqonyeni womlomo ongase uvele kanye ne-ulcerative colitis flare-up.
- Izimpawu ngesikhathi sokuya esikhathini. Abanye besifazane abane-IBD bathola ukuthi isandulela-ngculazi yangaphambi kokuya esikhathini (PMS) eyenzeka ezinsukwini eziholela esikhathini sabo iveza isifo sohudo kanye nobuhlungu obuningi.
Nini Ukubona Udokotela
Kubantu abane-ulcerative colitis, kungaba yinselele ukwazi ukuthi yiziphi izimpawu eziphuthumayo, okumele kube nomshayeli we-gastroenterologist , futhi ongalinda.
Ngemuva kokusebenza kahle nokuba nezimpawu ezimbalwa noma ezingekho, lapho izimpawu ( izinkinga zokulala , isifo sohudo, izitofu zamanzi, imizimba, isisindo sokulahleka) siqala futhi, kuyisizathu sokubiza udokotela futhi sihlolwe ngokungahle kwenzeke. Kungadingeka ukuthi ushintshe ukwelashwa noma ulungise uhlelo lokunakekelwa kwamanje ukuze uthole ukuvuvukala okulawulwa ngokushesha.
Ngokuvamile, izimpawu ezifana nobuhlungu obukhulu besisu, ukuphuma kwegazi ngokweqile, nezimpawu zokuphelelwa amandla kwamanzi (amagundane omlenze, ukuncipha komchamo, ukukhanya okukhanyayo) yisizathu sokufuna ukunakekelwa kwezempilo ngokushesha. Uma kunokwenzeka, ukubiza i-gastroenterologist ngaphambi kokuya esibhedlela kungasiza ekunqumeni ukuthi iyiphi insizakalo yokunakekela edingekayo.
Kodwa-ke, uma ukwelashwa kuyadingeka ngokushesha, ukuya emnyangweni ophuthumayo kungase kube yisinqumo esihle kakhulu. Uma kunesimo esibucayi esinjenge-bowel perforation noma i-megacolon enobuthi, kungadingeka ukuthi ubize u-911, ngoba lezi ziphuthumayo zezokwelapha.
> Imithombo:
> Crohn's & Colitis Foundation. "I-Arthritis." I-CrohnsColitisFoundation.org. 2 Meyi 2005.
> Crohn's & Colitis Foundation. "Izinkinga Zamehlo ku-IBD." CrohnsColitisFoundation.org. 1 Meyi 2012.
> Isikhungo Sokwaziswa Kwezempilo. "I-Ulcerative Colitis." I-National Institute of Diabetes and Digestive and Kidney Diseases.