Ukwazi ukuba yeyiphi iFomu ye-Ulcerative Colitis Unayo ibalulekileyo
I-ulcerative colitis yinye uhlobo lwesifo sokukhupha (IBD) . I-ulcerative colitis iyisifo esingapheliyo, esingenakuphilisa esithinta intumbu enkulu (i-colon). Kuloluhlu olubanzi lwe-IBD kukho iifom ezahlukeneyo, kuxhomekeka kwimeko eninzi ye- colon echaphazelekayo. I-ulcerative colitis inokuchaphazela nayiphi na inxalenye yekoloni, kodwa ayikudluli indawo njengenye enye indlela ebalulekileyo ye-IBD, isifo sikaCrohn.
Kwi-ulcerative colitis, ukuvuvukala kuyaqhubeka kuyo yonke indawo yekoloni echaphazelekayo.
Isizathu sokuba Ufanele Ukwazi Uhlobo Lwakho Ulcerative Colitis
Kubalulekile ukuba nabani na onale fomu ye-IBD ukuba baqonde ukubola kwesilonda kunye nendlela echaphazela ngayo umzimba. Unyango olufunekayo luya kuxhomekeke kakhulu kwinxalenye yekoloni evuliwe (ine-colitis). Ukuba yonke ikoloni ivuliwe, i-gastroenterologist ingafuna ukwenza iimvavanyo ezahlukileyo kunokuba iyingxenye yecolon ichaphazelekayo. Ugqirha unokuphinde ubhekise kwi-ulcerative colitis esekelwe kwindawo ephambili yintumbo enkulu ebandakanyekayo, kwaye izigulane kunye nabanonopheli baya kufuna ukwazi ngokwaneleyo ukuxoxa ngazo.
Kungenzeka ukuba akuzona zonke iimeko zesifo sezilonda zesilonda esiwela kwesinye isinye sezigaba ezibanzi. Imibuzo malunga nokuxilongwa kwe-ulcerative colitis kufuneka ithunyelwe kwi-gastroenterologist, ngubani na oya kukwazi ukucacisa apho ukuvuvukala kufumaneka khona kwikolon.
Jonga " Yisiphi i-Digestive System? " Ukuze ufumane ulwazi oluninzi malunga neengxenyana ezinkulu zamathumbu.
Iifom eziqhelekileyo zesifo sezilonda zesilonda zi:
- I-proctitis yolwelwesi
- Proctosigmoiditis
- I-colitis yangasese
- Pancolitis
Ulcerative Proctitis
I-proctitis ye-ulcerative ichazwa ngokuvuvukala okufumaneka kwi- rectum , ngokuqhelekileyo ngokuqhelekileyo ukugqibela kweeyintshi ezingama-6 okanye ngaphantsi.
Kuba malunga ne-30% yezigulane, i-ulcerative colitis iqala kule fomu. Iimpawu zibandakanya isifo sohudo, isisu esinokugawula igazi, intlungu emzimbeni, kunye nesidingo esiphuthumayo sokuhambisa amathambo (tenesmus). Ngokuvuvukala kummandla omncinci kunezinye iindidi ze-ulcerative colitis, i-proctitis yesilonda ithathwa njengoluhlobo olubi kakhulu lwe-ulcerative colitis, kwaye ngokuqhelekileyo luneengxaki ezincinci.
Ngenxa yokuba ukuvuvukala kukupheleni kwekholoni, unyango lunokuba yi-topical: oku kuthetha ukuba amayeza anokufakwa kwindawo echanekileyo. Iyeza lingaba kwifom ye-suppository, i-enema, okanye i-foam. Ezi fom zinokulawulwa ngezantsi (i-anus) kwaye zingabandakanya izidakamizwa ezichasayo okanye i-steroids.
Proctosigmoiditis
Xa ukuvuvukala kufumaneka kwi-rectum kunye ne- sigmoid colon (icandelo lokugqibela lekholoni), liyaziwa ngokuthi proctosigmoiditis. Iimpawu zibandakanya uhudo, ihudo lokugawula igazi, intlungu, ukuphuthuma kunye nentlungu ekhohlo kwesisu .
Olu hlobo lwesifo sesilonda singasiphathwa ngamachiza angamayeza angokwesimo se-suppositories, i-enemas, ne-foam. I-Enemas ikwazi ukufikelela phambili kwi-colon, eyenza iphumelele ngakumbi ekuphatheni ukuvuvukala okuphezulu, kwisigmoid.
Le fom ye-ulcerative colitis nayo ingaphathwa nge- 5-ASA (i-5-aminosalicylic acid) okanye i-sulfasalazine, enikwa ngomlomo kwaye isetyenziswe ukugcinwa kwexesha elide kunye nokuqhubeka nokuxolelwa. I-corticosteroid yomlomo (njenge-prednisone) ingasetyenziselwa njengonyango lwexesha elifutshane ngexesha lokuhlaselwa ukufumana iimpawu ezilawulwayo.
I-colitis yangasese
Eyaziwa ngokuba ngumkhawulo, okanye i-colal distal, i-colitis-side side colitis yilapho ukuvuvukala kwicala lasekhohlo lekholoni (i-rectum, i-colmo sigimoid, kunye nehlayoni yehla ). Iimpawu zibandakanya uhudo, izigulana zamanzi, ukulahleka kwesisindo, ukulahleka kwesidlo , kunye neentlungu ezinqamlezileyo.
Olu hlobo lwesifo sesilonda singasiphathwa ngokudibanisa imithi yonyango (i-suppositories, i-enemas, okanye i-foam) kunye neyeza-5 ze-ASA, i-sulfasalazine, okanye i-corticosteroid.
Pancolitis
I-Pancolitis yilapho kukho ukuvuvukala kuyo yonke ikoloni. Iimpawu zibandakanya uhudo, iincampu, ukulahleka kwamandla kunye neentlungu ezinzima zesisu. Le fom ye-colitis kufuneka iphathwe ngamachiza omlomo (i-5-ASA iziyobisi, i-sulfasalazine, okanye i-corticosteroid) ukwenzela ukuba amayeza afinyelele kuzo zonke iinkalo zekholoni. Ezinye iintlobo zonyango ezingasetyenziselwa ziquka i- tumor necrosis factor-alpha (TNF-alpha) , ezihlala zinikwe ngokunyuswa (kwindawo ye-infusion) okanye nge-injection. Iimeko ezincinci kwiimeko ezinzima zalolu hlobo lwesifo sesilonda singasidinga unyango esibhedlele ngamanye amaxesha.
Ngaphantsi
I-IBD isifo esiyinkimbinkimbi esithatha iindidi ezininzi. I-colitis yolceritis ichazwa ngokubanzi njengesiqhwala kwikolon, kodwa kukho into eninzi kwesi sifo. Iingcali zenzululwazi ziqala ukuqonda ukuba ngaphandle kweefom ezichazwe ngasentla, kukho ukuhlukahluka kwesi sifo, kungenxa yoko unyango lusebenza ngokuhlukileyo kumntu ngamnye. Imfundo sisixhobo esona sihle kakhulu ekusebenzeni kunye noogqirha kunye nokuqonda IBD. Ngokuqonda okunzulu, izigulana zinokuba ngummeli wazo kwaye ziqinisekise ukuba isicwangciso sokukhathalela esifanelekileyo senziwa ukuze sigcine isifo sifakwe.
Imithombo:
Ulwazi loLwazi lwezeMpilo. "Ukumisa i-Ulcerative Colitis." I-ehealthMD 17 Meyi 2013.
Crohn's and Colitis Foundation of America. "Yintoni i-Ulcerative Colitis?" ICFAFA 2016.
Phawula i-Peppercorn, MD. Ulwazi oluneMonde: Ulcerative Colitis. " Ngomhla ka-9 Januwari 2014.