Iintlobo zezifo zesibindi ezihlanganiswe nezifo zeCrohn kunye ne-Ulcerative Colitis
Isifo sesibindi sokuvutha (IBD) sichaphazela umzila wokutya, kodwa kunokuchaphazela ezinye iindawo zomzimba ngokunjalo. Abantu abanesifo sikaCrohn kunye ne-ulcerative colitis nabo bangasengozini yokuphuhlisa ingxaki yesibindi. Ezinye zeengxaki zesibindi ezidibene ne-IBD ziyi- primary sclerosing cholangitis , i-autopatmune hepatitis, kunye ne-cirrhosis eyimibandela eyintloko.
Yintoni Ibindi?
Isibindi, esiyinxalenye enkulu kunazo zonke emzimbeni, sinikeza imisebenzi emininzi ebalulekileyo ngaphandle kokuba umzimba awukwazi ukusinda. Isibindi sisusa ukungcola kunye namanye amazwe angaphandle kwigazi, yenza iiprotheni ezincedisa igazi, kwaye zivelise i-bile. Xa izifo ziphazamisa ukusebenza kwesibindi, kunokubangela iingxaki ezinkulu zonyango.
Iimbangela ze-Cirrhosis yeSibindi
Kubantu abane-IBD, i-cirrhosis ibangelwa yi-autoimmune ye-hepatitis okanye i-cirrhosis yamabhiliyali oyintloko. I-hepatitis eyenziwa ngokuzenzekelayo ihambelana nesistim somzimba esingasasebenzi. I-cirrhosis yebhiliyari yeprayimari ukuvuvukala kwamadaka e-bile angayivimbela ibhile ukuba ashiye isibindi aze aye emathunjini amancinci. Xa i-bile ibambelela phezulu ingabangela umonakalo omkhulu kwimizimba yesibindi. I-sclerosing cholangitis e-Primary, exhomekeke kakhulu kwi-ulcerative colitis, ingaba nayo i-hepatitis (ngezinye izihlandlo ebizwa ngokuba yi-"sylaprome syndrome").
Izibonakaliso zezifo zesibindi
Enye yeyona nkxalabo enkulu malunga nesifo sesibindi kukuba ekuhambeni kwayo, akukho nto imbonakalo. Abanye abantu banokuba nesifo sesibindi, kodwa bengabonakali zibonakaliso zabo kwiimpawu zabo okanye ngeemvavanyo zesibindi. Xa i- cirrhosis iqalisa ukubangela iimpawu, zingabandakanya:
- Ukudinwa
- Ukukhathala
- Ukuphelelwa kwesidlo
- I sizathu
- Ubuthathaka
- Ukuhla ukusinda
Iingxaki zeSifo seSibindi
Kwezinye iimeko, isifo sesibindi sitholwa kuqala xa siqala ukudala iingxaki, njengale:
- Umxube we-Fluid kwimilenze (edema) okanye isisu ( ascites )
- Ukugqithisa ngokweqile kunye nokuphuma kwamanzi
- I-jaundice , ephuzileyo kwamehlo kunye nesikhumba esibangelwa yi-buildup ye-bilirubin
- Ukutshaya, okubangelwa yinto yokwenza i-bile kwesikhumba
- I-Gallstones , ephuhliswayo xa ubhiya buvaliwe ukungena kwi gallbladder
- Ukwakhiwa kwe-Toxin egazini kunye nengqondo
- Ulwaphulo-mzimba olubangelwa ukungakwazi kwesibindi ukusetyenziswa kweziyobisi
- I-hypertension ye-Portal, okwenyuka kwimixinzelelo yegazi kwindawo ebizwa ngokuba yi-portal vein
- Ii-Varices, eziphakanyisiweyo iimpahla zegazi ezibangelwa ukuhamba kwegazi ngokukhawuleza kwi-veal venin
- Ezinye iingxaki ezinjengezixhobo zokuzivikela, izifo, kunye neengxaki zeengso
Iintsholongwane Zesifo Ziyabonwa Njani?
Ezinye zeemvavanyo ezisetyenziselwa ukuxilonga izifo zesibindi ziquka:
- Ukuhlolwa kwegazi
- Ukukhangela kweCompography ye-axial tomography (CAT)
- I-biopsy
- Ukukhangela kwesibindi nge-radiosotope okanye i-laparoscope
- Imbali yonyango
- Uvavanyo lomzimba
- Iimpawu
- Ultrasound
Ingaba Isifo Seengxaki Esihlala Phakade?
Umonakalo wesibindi awubuyiselwa, kodwa xa kukho isifo sesibindi, umonakalo omkhulu unokuthintelwa.
Ukufumana unyango olufanelekileyo, ukutya ukutya okunempilo, nokuphepha ukusela izidaka zonke kubalulekile ukumisa ukunyuka kwesifo sesibindi. Naziphi na iingxaki ezivela kwisifo sesibindi kufuneka ziphathwe, ukuphepha umonakalo omkhulu kwezinye iisistim zomzimba ezivela kwiibhoksi ezakhiwa kwingqondo kunye negazi. Amachiza angasetyenziselwa ukulawula uxinzelelo lwe-portal kunye nama-varice.
Kuthiwani Ngokudluliselwa?
Kwezinye iimeko, isibindi sonakaliswe kakhulu kwaye ukutsalwa kwesibindi kuyadingeka. Ukutshintshwa kuvela kumnikeli, kwaye kunye nekhnoloji ephucukisiwe, iya kuphumelela.
Ukujongana Nezifo Zesibindi
Abantu abane-IBD abanenkxalabo malunga nokukhula kwesifo sesibindi kufuneka bacele i-gastroenterologist yabo malunga nokuba baninzi kangakanani kufuneka babe nokuhlolwa kwesibindi.
Amanye amayeza anokunxulumana nesifo sesibindi, kwaye iliso rhoqo liyanconywa.
Umthombo:
U-Olsson R, uGlaumann H, uAlmer S, et al. "Ukuphakama okuphakamileyo kwindlela yokuziphatha encinci ye-sclerosing cholangitis phakathi kwezigulane ezine-hepatitis kunye ne-primary sclerosing cholangitis." Eur J Intern Med . 2009 Mar; 20: 190-196.