Abantu abane-IBD Ngeke Bahlale Bebuhlungu
Izimpawu zesifo sofuba esiswini (IBD) singafaka isifo sohudo , igazi esitokisini , ukulahlekelwa isisindo, nobuhlungu besisu. Uhlobo nendawo yezinhlungu zesisu akufani nje kuphela phakathi kwamafomu amabili asemqoka e-IBD (isifo sikaCrohn nesifo sochungechunge), kodwa futhi ne-subtypes yalezi zifo. Ngaphezu kwalokho, ubuhlungu buyingqayizivele kumuntu ngamunye, lapho ngisho nabantu abanesifo esifanayo nesifo se-Crohn noma i-ulcerative colitis bangase babe nobuhlungu obuhlukile.
Eqinisweni, abanye abantu abane-IBD abanalo ubuhlungu besisu nganoma yikuphi ukuqhuma kwe-IBD; Ngaphezu kwalokho, ubuhlungu besisu kungenzeka buhlobene nezinye izinkinga, njenge- appendicitis , gallstones , noma i- reflux eisease ye-gastroesophageal (GERD) . Kodwa njengoba ubuhlungu besisu kuyinto isifo esivamile se-IBD, nansi ukubuka kabanzi kwezinhlobo zesisu esiswini esivame ukuhlangenwe nakho ngabantu abane-IBD.
I-Quadrants yesisu
Ukuqonda nokukhuluma lapho ubuhlungu bukhona khona kungasiza uma usebenza nodokotela bakho. Isisu sisuke sicatshangwa ukuthi sibe nezigaba ezine: kwesokudla kwesigcawu esiphezulu, i-quadrant esezansi esezansi, i-quadrant engenhla, nesokunxele esincane. Imigqa yokucabanga phakathi kwama-quadrants angenhla naphansi kanye ne-quadrant engakwesokudla nangesobunxele ihamba enkabayeni (inkinobho ye-umbilicus noma isisu). "Kwesokudla" futhi "kwesokunxele" kukhona kwesokudla kwesiguli (hhayi odokotela). Izigaba ezahlukene zesisu ziqukethe izitho ezihlukene, ngakho ukwazi indawo lapho ubuhlungu bungasiza khona iphuzu lapho izakhiwo zithinteka khona.
Ubuhlungu be-Abdomen Pain
Ubuhlungu obuzwa njengama-cramps phakathi kwesisu noma i-quadrant engezansi ejwayelekile kunezinhlobo ze-Crohn's disease eyaziwa ngokuthi ileocolitis kanye neitis. I-neocolitis yindlela ejwayelekile kunazo zonke zesifo sikaCrohn futhi ichazwa ukuvuvukala okukhona esigabeni sokugcina samathumbu amancane (i- ileum ) nasemathunjini amakhulu ( colon ).
I-Ileitis uhlobo lwesifo sikaCrohn esithinta kuphela i-ileum futhi ifomu lesibili elivame kakhulu. Abantu abane-leitis bangase bathole ukuthi ubuhlungu babo noma ukungaboni kahle kubonakala phakathi namahora ambalwa bedla ukudla.
Upper Paum Abdomen Pain
Uhlobo lwe-Crohn's disease olubizwa ngokuthi igastroduodenal Crohn's disease ngokuvamile lubangela ubuhlungu obuphakathi kwezigaba eziphakathi nesisenhla kwesisu. Isifo sika-Crohn sika-Crohn sithinta isisu ne- duodenum (isigaba sokuqala samathumbu amancane). Lolu hlobo lwesifo sikaCrohn aluvamile kakhulu kuneleocolitis kanye neitis.
Ubuhlungu besisu esiswini
Nge-jejunoileitis, ubuhlungu besisu buhluka kakhulu futhi bungabonakala njengobumnene noma obukhulu. Lolu hlobo lwesifo sikaCrohn luthinta i jejunum (isigaba esiphakathi samathumbu amancane) futhi i-subtype engavamile. Abantu abane-jejunoileitis nabo bangabhekana nobuhlungu obukhulu ngemva kokudla.
Ubuhlungu obukhulu
Ubuhlungu obukhona emgqeni (isakhiwo esisemaphethelweni emathumbu amakhulu) yisifo se-proctitis ye-ulcerative. I-proctitis ye-ulcerative iyinhlobo ye-ulcerative colitis , futhi kuthiwa cishe ingxenye eyodwa kwezintathu zezimpawu ze-ulcerative colitis ziqala.
Ubuhlungu obunxele obungakwesokunxele
Ubuhlungu ohlangothini lwesobunxele besisu ngenye yezimpawu zakudala zesifo se-ulcerative colitis.
Izinhlobo ezimbili ze-ulcerative colitis ezingabangela ubuhlungu obungakwesokunxele yi-proctosigmoiditis kanye ne-distal or side colitis. Ku-proctosigmoiditis, isilonda esiswini sitholakala e-rectum kanye ne-sigmoid colon (ingxenye yokugcina yamathumbu amakhulu). E-colitis yangasese, i-rectum, ikoloni ye-sigmoid, ne-colon ehlayo ithinteka ngokuvuvukala. Ubuhlungu be-colitis engakwesokunxele bungaba nzima ngezikhathi ezithile.
Ubuhlungu obukhulu besisu
Ubuhlungu obukhulu esiswini lungaba uphawu lwezimiso eziningi zokugaya ukudla, kodwa njengoba kuhlobene nosizi lwe-IBD, lungathintwa ne-pancolitis. I-Pancolitis yilona uhlobo lwe-ulcerative colitis elibhekwa yisilonda emathunjini amakhulu.
Ubuhlungu njengeThuluzi Lokuthola Ukuxilongwa
Ngenxa yokuthi ubuhlungu buvela emithonjeni ehlukene, futhi ubuhlungu esiswini bunzima kakhulu ukukhomba, ubuhlungu abujwayele ukuhlola i-IBD noma uhlobo oluthile lwe-IBD. Kunalokho, uhlobo nendawo yobuhlungu kusetshenziswe kaningi ngokubambisana nezinye izimpawu nezimpawu lapho uhlola i-IBD noma ezinye izimo.
Lapho Ubuhlungu Buba Ngukukhathazeka
Nge-IBD, ubuhlungu obubodwa bubhekwa njengesifo, kodwa izinhlobo ezithile zobuhlungu kufanele zibhekwe njengefulegi elibomvu bese zixoxwa nodokotela wakho ngokushesha. Noma yibuphi ubuhlungu obusha kuwe, bunzima kakhulu, noma buhambisana nezimpawu ezifana nokuntuleka kwesitokisi, ukuvinjelwa kwesisu, isisindo sokuqothulwa, ukuqothulwa noma ukuhlanza kuyimbangela yocingo kudokotela noma uhambo oluya ku-ER. Lezi zimpawu zingase zibe ngenxa yesimo esibi kakhulu, njenge- megacolon enobuthi noma isithiyo sezinyosi .
Imithombo:
Crohn's and Colitis Foundation of America. "Izinhlobo Zezifo ZaseCrohn kanye Nezibonakaliso Ezihlanganisiwe." CCFA.org. 2013. 6 Septemba 2013.
Crohn's and Colitis Foundation of America. "Izinhlobo ze-Ulcerative Colitis." CCFA.org. 2013. 6 Septemba 2013.
I-Tan WC, i-Allan RN. " Ukusabalalisa i-jejunoileitis yesifo sikaCrohn ." Gut . Ngo-1993 Okthoba; 34: 1374-1378. 6 Septemba 2013.
I-Walfish AE, i-Sachar DB. "Ulcerative Colitis." I-Merck Manual. Dec 2012. 6 Septemba 2013.