I-IBD ayiyeki kwiimathumbu; Iyakwazi Ukuchaphazela Nomlomo Wakho
Isifo sesibindi sokuvutha (IBD) sisoloko sicinga ukuba yinto echaphazela kuphela umgudu wokutya, kodwa kuninzi kwibali. Into yokuqala yokukhumbuza kukuba umlomo uyinxalenye yendlela yokutya, kwaye ngoko ke inokuchaphazeleka yi-IBD. Abanye abantu abanesifo sikaCrohn okanye i-ulcerative colitis bangaba nezilonda emlonyeni, obizwa ngokuba yi- aphthous stomatitis .
Ngelixa lingaqhelekanga, kukho imeko apho abantu abanesifo sikaCrohn baye bafumana ukuvutha kukaCrohn emlonyeni.
Enye inxalenye yomlomo ekhelwa ngamanye amaxesha, nangona kunjalo, ngamazinyo. Amazinzi asinakuchaphazeleka ngqo yi-IBD njengamathambo athambileyo ngaphakathi emlonyeni, kodwa kunoko achaphazeleka ngokungathanga ngqo, njengemithi kunye neyondlo.
Olunye uphando lubonise ukuba abantu abanesifo sikaCrohn badinga ukungenelela kwinyango yamazinyo kunabantu abanezempilo abaneminyaka efanayo. Kwakunjalo, kwinqanaba elincinci labantu abanesifo sokulonda. Oko kuthetha ukuthini abantu abane-IBD kukuba kufuneka ukuba kugxininiswe ekugcineni iizinyo ezinempilo, kunye nokujongana nezinye iingxaki ze-IBD.
IPeriodontitis kunye ne-IBD
Abantu abane-IBD baye baboniswa ukuba bafumane i- periodontitis , isifo sezinsini ezinamazinyo, ngokuphindaphindiweyo kunabantu abangenaye IBD. I-Periodontitis inomngcipheko wokulahlekelwa kwezinyo, kwaye ngoko ke ikhokelela ekutyeleleni ukuya kwidokotela wamazinyo ukwenzela ukunakekelwa.
Ukubhema ngenye into ebangela umngcipheko we-periodontitis kubantu abane-IBD. Abantu abanesifo sikaCrohn abatshitshiweyo baye baboniswa ukuba banezifo ezibi kakhulu. Ukubhema kusemngciphekweni we-periodontitis, kwaye abantu abanesifo sikaCrohn kunye ne-ulcerative colitis abatshitshisiyo bayandisa umngcipheko wokuphuhlisa imeko.
Kunconywa kakhulu ukuba abantu abane-IBD bangabikho umsi ukuze baphephe iingxaki (nakwabo abane-ulcerative colitis).
Izixhobo kunye ne-IBD
Abantu abane-IBD baye baboniswa ukuba banemipu engaphezulu kunabantu abangenawo IBD. Olunye uphando lubonise ukuba abantu abanesifo sikaCrohn banezinga elinyukayo ezimbini zeebhaktheriya ematheni abo, iLactobacilli neStreptococcus mutan . Uphando luye lwabonisa ukuba abantu abanesifo sikaCrohn basela iziphuzo ezingaphezulu kuneeshukela kunokulawula okusemgangathweni.
Esi siphumo asibhekiswanga ukuhlazisa abantu abaneCrohn malunga nokutya kwabo, njengoko kukho izizathu ezilungileyo zokuba kutheni abantu abanesifo sikaCrohn bangadla iziphuzo ezininzi kunye noshukela. Abantu abane-IBD banakho ukufuna izixhobo zokusela ezizezondlo ngenxa yokungabikho kwezondlo ekudleni okanye iziphuzo zezemidlalo zokulwa nokuphelelwa amanzi. Kunoko, le ngenye ingongoma yokugcina engqondweni ngempilo yomlomo kwaye kubalulekile ukufumana unyango olukhuselekileyo.
Akucaci kakuhle ukuba okanye imithi ye-IBD ingayichaphazela njani impilo yomlomo. Abantu abaninzi abane-IBD baphathwe nge-steroids, njenge-prednisone, ngexesha lexesha lesifo. I-Prednisone inokuthi idibaniswe nobungozi obunzulu bamazinyo, kodwa akukho uphando kubantu abane-IBD, nangona kukho iingxelo ze-anecdotal.
Ukufumana Unonophelo oluhle
Ukugxotha umlenze wamazinyo akuqhelekanga kubantu abadala, ngakumbi xa kukho ezinye izinto ezininzi emsebenzini. Abantu abane-IBD sele bebona oogqirha abahlukahlukeneyo rhoqo kwaye banokuba nemithwalo yemali ebalulekileyo yokuhamba nayo. Ukufumana amazinyo ahlambuluke kabini ngonyaka okanye ukunyamekela ezinye iingxaki zomlomo zivame ukuphosa phantsi uludwe lwezinto eziphambili, eziqondakalayo.
Nangona kunjalo, njengemiba emininzi yokhathalelo lwezempilo, ukunyamekela okufanelekileyo kuyakuba yinto ebalulekileyo ekukhuseleni iingxaki zexesha elizayo. Ukuxubusha nokubetha kabini ngosuku kunconywa ukunakekelwa komlomo kubantu abadala abaninzi, kodwa abantu abane-IBD kufuneka bacele iizinyango zabo ukuba kukho olunye unyango olufunekayo.
Ukufumana udokotela wamazinyo onamava nezigulane ezine-IBD zingathatha ixesha. Kungafanelekile ukucela i-gastroenterologist malunga nenkcazo kwindlela yamazinyo asekuhlaleni anamava kunye nezigulane ezine-IBD okanye ezinye izifo ezingapheliyo. Ezinye iinkqubo zamazinyo zingabiza ukuba kusetyenziswe iziza-antibiotics okanye izidakamizwa ezingekho-steroidal ezichasayo (i-NSAID) kunye ne- gastroenterologist kufuneka zigcinwe kwi-loop xa ezi ziyobisi zisetyenziswa. Oku kuba i-antibiotics kunye nee-NSAID zombini ziboniswe ukuba zibangele iingxaki kwabanye abantu abane-IBD, njenge-diarrhea okanye i-flare-up.
ILizwi
Kuya kuqonda ukuba i-IBD ithinta wonke umntu. Oku kuquka umlomo kunye namazinyo, nangona kungenakuba yingxenye yomzimba ukuba abaninzi abantu abane-IBD bajolise kuyo. Kufanelekile ukuthetha nodokotela we-gastroenterologist malunga nokufumana unyango wamazinyo onokukunceda kuphela ukuba kukho iingxaki, kodwa kunye nokunyamekela. Kungenzeka ukuba abantu abane-IBD bangadinga ukucwangcisa ukuhlanjululwa okungakumbi okanye babe nomsebenzi oqhelekileyo wokunyamekela ngomlomo, ngakumbi ngaphambi okanye emva kokuhlinzwa. Ukuxelela udokotela wamazinyo malunga ne-IBD kunye nayo nayiphi nayiphi na imichiza ibalulekile, ngakumbi xa kufuneka iinkqubo zamazinyo.
> Imithombo:
> Brito F, de Barros FC, uZaltman C, et al. "Ubuninzi bexesha le-periodontitis kunye ne-DMFT inkcazo kwizigulane ezineesifo sikaCrohn kunye nesifo sezilonda zesilonda." J Clin Periodontol . 2008 Juni; 35: 555-560.
> Grössner-Schreiber B, U-Fetter T, uHedderich J, et al. "Ukuxhaphaka kwamazinyo kunye nesifo se-periodontal kwizigulane ezinezifo zesibindi sokuvuvukala: isifundo sokulawulwa kwamacala." J Clin Periodontol . 2006 Julayi; 33: 478-84.
> UJohnsen A, Fored MC, uHåkansson J. "Ukusetyenziswa kweMithi yamaNyango kwizifo ezinezifo ezithintekayo, isifundo soBhaliso." PLoS One. 2015; 10: e0134001.