Iimvavanyo zegazi kunye ne-stool, i-x-rays, kunye neenkqubo zokugqibela zihlala zisetyenziswa
Xa izifo zesibindi sokuvuvukala (IBD) zikhunjulwa ngokusekelwe kwiimpawu kunye nembali, ucwangciso lweemvavanyo lunokusetyenziswa ukuqinisekisa ukuxilongwa. Kwezinye iimeko, i-IBD inokukrokrelwa, kodwa ezinye izimbangela zeempawu kufuneka zilawulwe kwangaphambili ngokusebenzisa iimvavanyo zokuxilonga. Kwezinye iimeko apho i-IBD ixilongo yokusebenza, kunokuba nzima ukuhlula ukuba yiyiphi i-IBD (okanye isifo sikaCrohn okanye isifo se-ulcerative colitis) esikhona.
Izilingo ezingaphezulu, okanye ukulinda okulindileyo, zisetyenziselwa ukunceda ukwahlula uhlobo lwe-IBD.
IBD Symptoms
Inkcazo yokuqala yokwenza ukuxilongwa kwe-IBD idla impawu:
- Udoho olungapheliyo
- Igazi kunye / okanye i- mucus kwisitolongo (eqhelekileyo kunye ne-ulcerative colitis kune-Crohn's disease)
- Fever
- Iintlungu zesisu
Nangona kunjalo, ezinye zezi mpawu zi no kubakho nosulelo lwe-parasitic, i- diverticulitis , isifo se-celiac , umdlavuza wekoloni , okanye ezinye iimeko eziqhelekanga. Ngaloo nto ingqondweni, i-IBD ayinakuba yimiba enokuthi isifo sengqondo se- gastroenterologist sinalo uluhlu lwahlukileyo lwezifo (uluhlu lwezifo ezinokuthi zihambelana neempawu).
Uvavanyo lweGazi
Iimvavanyo zokuqala ezinokuthi zenziweyo zivavanyo zegazi kunye novavanyo lwesitampu, kuquka:
- Inani le- CBC lingabandakanya isheke se- white white cell (WBC count count) kunye nesibalo sebomvu segazi (RBC) . Inani eliphezulu le-WBC lingaba ngumqondiso wokuthi kukho ukutshaya kwindawo ethile emzimbeni. Inani eliphantsi le-RBC lingabonakalisa ukuba uphalala kwindawo ethile emzimbeni (ukuba kungabonakali kwigazi elibonakalayo kwisigxina) okanye kubonise ukuba igazi lilahlekile kangakanani xa lifaniswa nezinga lokubala kweRBC.
- Iphaneli ye-electrolyte ilinganisa izinga le-sodium, i-potassium, i-chloride kunye ne-carbon dioxide emzimbeni. Uhudo olungapheliyo lunokubangela ukuba la ma-electrolytes afike kumazinga aphantsi.
- Izilingo zomsebenzi wentsholongwane (LFTs) zilinganisa i-alanine transaminase (ALT), i-aspartate transaminase (AST), i-alkaline phosphatase (ALP), i-albin, iprotheni epheleleyo, kunye namazinga e-bilirubin. Amanqanaba angavamile angabangelwa ukungondleki ngenxa yokuba isondlo sesisu asifumani izondlo ngendlela efanele.
- Uvavanyo lwegazi lomlingo (olubizwa nangokuthi i-stool guaiac okanye uvavanyo lwe-hemoccult) lisetyenziselwa ukuhlolisisa ukulandelwa kwegazi elingenakubonwa ngeso iso. Isitolori sinokuvavanywa nokuba khona kwintsholongwane yebhaktheriya engabangela iimpawu.
I-Endoscopy nezinye iimvavanyo
I-gastroenterologist inokulinda iziphumo zale mvavanyo ngaphambi kokuqhubela kwezinye iimvavanyo ezifana ne-radiology (ii-ray-rays) okanye iinkqubo ze-endoscopic (i-colonoscopy okanye i-sigmoidoscopy). Ukuba iimpawu zinzima, kwaye isigulane sisicindezelekileyo okanye sigule kakhulu, i-gastroenterologist ayikwazi ukulinda ngaphambi kokuyalela iimvavanyo ezininzi, kubandakanywa:
- I-X-ray iyakhawuleza, ixabiso elincinci, elingenayo intsha, kunye ne-X-ray yesisu isenokubonisa ukuba isilonda sincitshisiwe, sithinteka, okanye siyancipha.
- I-Barium enema (ebizwa ngokuba yintlupheko yesisu esezantsi) yinto ekhethekileyo ye-X-ray esebenzisa i-barium sulfate kunye nomoya ukucacisa umgca we-rectum kunye ne-colon. Iziphumo zingabonisa iipolisi, izicubu, okanye i-diverticulosis.
- Uchungechunge olusentla lwesigxina (i-GI phezulu) luhlobo lwe-X-ray esetshenziselwa ukuhlola isisu, isisu, kunye ne- duodenum (isigaba sokuqala samathumbu amancinci). Ngamanye amaxesha isetyenziselwa ukuhlola isisu esincinci.
- I- sigmoidoscopy yindlela yokugcina i-endoscopic esetyenziselwa ukuhlola isithathu sokugqibela samathumbu amakhulu, okuquka i-rectum ne-sigmoid colon. Olu vavanyo lunokusetyenziswa ukujonga umhlaza, ukukhula okungaqhelekanga (iipolisi), ukuvuvukala kunye nezilonda .
- I- colonoscopy yindlela yokugcina i-endoscopic esetyenziselwa ukuhlolisisa ngaphakathi kwekoloni ekwazi ukuhamba ngaphaya kweendawo ezingabonakaliyo kwi-sigmoidoscopy. I-colonoscopy iluncedo ekufumaneni umdlavuza wekoloni, izilonda, ukuvuvukala kunye nezinye iingxaki kwi-colon. I-Biopsies inokuthi ithathwe ngexesha le-colonoscopy kwaye ihlolwe ngamacandelo ekwenzeni ukuxilongwa.
- I- endoscopy engenasetyenzisi isetyenziselwa ukubona ngaphakathi kwisisu, isisu, kunye ne-duodenum (icandelo lokuqala lomathumbu omncinci). Ingasetyenziselwa ukufumana umthombo wokugwinya iingxaki, isicupunu, ukuhlanza, ukuhlambalaza, ukuphuma kwamanzi, ukunyanzelisa, iintlungu zesisu, okanye intlungu yesifuba.
Ngokuxhomekeke kwiimpawu kunye nesizathu esityholweyo sokuba yingxaki, udibaniso lwezi mvavanyo luyalelwe.
Uvavanyo ngalunye luba neenzuzo kunye neempembelelo, kwaye ugqirha uya kusebenzisa ulwazi oluqoqwe kwimbali yesigulane (njengobunzima kunye nobude beempawu kunye nembali yentsapho ) ukuze ulandele iimvavanyo eziza kusebenza kakhulu ekuqaliseni imbangela yeempawu. Iziphumo zovavanyo ziya kuhlolisiswa ukuba zibone ukuba zifanelekile ukuxilongwa kwefomu ye-IBD, okanye ukuba kukho enye imbangela yeempawu.
Inqaku esuka
Kwezinye iimeko, kunokuthatha ixesha elithile ukufumanisa i-IBD. Ukuxilonga kukunyuka nje ngokuba izixhobo ezisetyenziselwa ukuxilonga i-IBD ziphucula kwaye izigulane kunye noogqirha bayazi ngakumbi ukuxhaphaka kwezi zifo. Kubantu abavakalelwa ngokukrakra ngathi i-IBD inokwenzeka, ukubona i-IBD ingcali ingaba yindlela efanelekileyo yokulungisa ukuxilongwa ngokufanelekileyo. Oku kunokuthetha ukuhamba ukubona ugqirha kwiziko le-IBD kwaye mhlawumbi, ukuhlawula i-pocket. Akukho nanye kwezi zinto ezinqwenelekayo, kodwa ukufumana uvavanyo olufanelekileyo ngexesha elifanelekileyo ukwenzela ukuba unyango luqalise kubalulekile ekulawuleni okufanelekileyo kwe-IBD.
Imithombo :
Velayos F, Mahadevan, U. "Indlela i-IBD ifunyaniswa ngayo." I-Crohn kunye neColitis Foundation yaseMelika 2008. 09 Apr 2008.
Kliniki yaseCleveland. "Iintsholongwane ezivuthayo." ClevelandClinic.org 2008. 09 Apr 2008.
Ulwahlulo lweGastroenterology. "Nge-IBD." IYunivesithi yaseCalifornia, iSan Diego 2006. 09 Apr 2008.