Ukuhlamba kwi-Rectum ingaba ngumqondiso we-IBD
Esinye sezibonakaliso ezininzi zezifo zesibindi esivuthayo (IBD) iphuma. Igazi lingavela okanye kwi-stool okanye abanye abantu bangadlulanga i-stool kuwo onke amaxesha, kwaye baphelele igazi. Ukuhlamba okuvela kumqolo kunye nomathumbu omkhulu ovela kwi-IBD kubomvu obomvu okanye obomvu , ngelixa igazi elivela phezulu phezulu kwindlela yokugaya ingabonakala njengamnyama okanye amnyama .
Kwiimeko ezininzi, ukuphuma kwegazi kuhamba ngokukhawuleza. Ukuba ukuphuma kwegazi kunzima, okanye uhlamba igazi, kufuneka uqwalasele ingxamiseko. Kuyinto efanayo ukuba uziva utyhafile okanye ufumene ukupela.
Igazi okanye kwi-stool linokuyikrakra kodwa akusoloko kuthetha ukuba kukho imeko engxamisekileyo okanye ukuba kukho isidingo sokuya kwisebe lexakeka. Ngamanye amaxesha inxalenye ye-IBD ephazamisayo kwaye kufuneka ixoxwe nodokotela ngokukhawuleza, ngokukodwa ukuba akuzange kwenzeke ngexesha elithile. Ukuhlamba kuthetha ukuba kukho ukuvuvukala kwindawo ethile, kwaye utshintsho kunyango luyadingeka. Kukho unyango oluninzi olutholakalayo lwe-IBD olunokukunceda ukuyeka ukuvuvukala nokuphuma.
Ukuhlamba kwi-Ulcerative Colitis
Ukuqhaqhawula kwi-rectum kuqhelekileyo kwi-ulcerative colitis kunokuba isifo sesifo sikaCrohn. I-ulcerative colitis iquka i-rectum. Ngenxa yokuba i-rectum iphelile emathunjini amakhulu, igazi elivela kulo mthombo liyabonakala nakwi-stool.
Ukuhlambalaza kwakhona kwenzeka nge-ulcerative colitis ngenxa yokuba le fomu ye-IBD ihlasela ibhande lomathumbu omkhulu. Izilonda ezenza kwi-mucosa yomathumbu amakhulu zivame ukuphuma igazi.
Kwezinye iimeko, ukuphuma kwi-ulcerative colitis kungakhokelela ekulahlekeni kwegazi. Injongo ephambili yonyango iya kuba ukuzola ukuvuvukala nokuyeka ukuphuma, kodwa ukuphathwa kwelahleko yegazi kungafuneka.
Kwiimeko ezinzima ze- anemia kwi-ulcerative colitis, ukuxhaswa ngesinyithi , i- folic acid , kunye ne- vitamin B12 kunokukunceda ukwenza iindiza ezintsha zegazi. Kwiimeko ezininzi ezilahlekileyo zokulahleka kwegazi, kufuneka kutyelwe igazi .
Ukuphuma kwegazi kakhulu (ebizwa ngokuba yi-hemorrhaging) ebangelwa yi-ulcerative colitis ingasongela ubomi. Oku akuqhelekanga, kodwa ukuba ukuphuma kwegazi akunakunqandwa, utyando lokususa i-colon nokudala i-ileostomy ingadinga. Ngexesha lotyando lwe-ileostomy intumbu enkulu isuswe kwaye i- stoma yenziwe ukuvumela inkunkuma ukuba idlule ngaphandle komzimba kunye nebhegi yokuqokelela egugile esiswini . Olunye utyando lunokwenziwa kwithuba lomhla ukudala i- j-poch , edala indlela yokuya kwindawo yokuhlambela nge-rectum esikhundleni se-stoma.
Ukuhlamba kwiZifo zeCrohn
Isifo sikaCrohn sibangela ukuba igazi lihlale lingaphantsi kwesifo sezilonda zesilonda, kodwa oku kuya kwahluka phakathi kwezigulane ezisekelwe apho iCrohn ibangela ukuvuvukala. Isifo sikaCrohn esitholakala kwi-colon okanye i-rectum, kunokuba isifo samathumbu amancinci, sinokubangela ukuba igazi livele kwi-stool.
Ukuphulukana nokulahlekelwa igazi kwi-Crohn's isifo kuya kufana neso ku-ulcerative colitis: ukufumana i-IBD phantsi kokulawula, ukuxhaswa ngeivithamini, ukufumana ukuxilongwa, okanye ukuhlinzwa.
Ngenxa yesifo sikaCrohn, utyando lwe-resection lungenziwa ukwenzela ukususa iinxalenye zamathumbu ezonakaliswe ukuvutha okukhulu. Utyando lwe-J-pouch aluqhelekanga kwisifo sikaCrohn kuba kukho umngcipheko wokuba uKrohn aphinde avele kwisikhwama.
Ukulahleka kwegazi kunokukwenzeka kwakhona xa i- fissure ye-anal iqhubekile njengenkcaso yesifo sikaCrohn. Iifisitye zixhaphakile kakhulu kwisifo sikaCrohn kunokuba sine-ulcerative colitis. Kwiimeko ezininzi, iifissures zingaphathwa ngempumelelo ngaphandle kokuhlinzwa.
Inqaku esuka
Ukuhlamba okuvela kwi-rectum kunye negazi elibonakalayo okanye kwi-stool akuqhelekanga kwi-IBD.
Enye yeempawu eziphawulekayo zokulonda i-ulcerative colitis, kuba ezininzi izigulane zifumana lo mqondiso. Nangona kunjalo, ukuphuma kwamanzi kuhlale kuxoxwa kunye ne-gastroenterologist kuba kuthetha ukuba kukho into eyenzekayo kunye ne-IBD kunye nokutshintshwa kwonyango kunokufuneka. Nangona ukuphuma kwegazi kwenzeka ngaphambili, kubalulekile ukuthetha ngodokotela. Ukuba kukho ukulahleka kwegazi, ukunyamekela ngokukhawuleza kuya kufuneka. Ukuba kukho ezinye iimpawu ezinjengokuphazamiseka, utywala, okanye intlungu enzima, ingaba imeko yongxamiseko kwaye ukubiza i-ambulensi yona nto ingcono.
Imithombo:
American Gastroenterological Association. "Izifo ezithintekayo zezifo." Gastro.org Apr 2008.
Crohns and Colitis Foundation yaseMelika. "Iyintoni isifo seCrohn?" CCFA.org 2012.
INational Digestive Diseases Information Clearinghouse. "Isifo seCrohn." Isiko seSizwe soSwekile neSigestive and Kidney Diseases (NIDDK) ngoDisemba 2011.