Iimbopho Zakho Azikho Iimpawu Zona Zodwa Ezihluphekayo
Ukutshaya i-cigarette kuthinta zonke iindawo zomzimba, kubandakanywa inkqubo yokutya . Oku kuyingozi ngakumbi kuba inkqubo yokugaya iqhuba ukutya esikudlayo kwizinto ezifunekayo ukuze umzimba usebenze ngokufanelekileyo. Ngokukodwa, abantu abanesifo sikaCrohn (uhlobo oluthile lwezifo zesibindi sokuvuvukala , okanye i-IBD) babeka ingozi yokuba isifo sabo siphume xa sibhema.
Izifo zikaCrohn
Ukubhema i-cigarettes inefuthe elibi kwisifo sikaCrohn. Abantu abavuthayo, okanye abaye bavutha kwixesha elidlulileyo, baye baboniswa ukuba banomngcipheko ophezulu wokuhlaselwa kwesifo sikaCrohn kunabantu abangabambi. Abantu abanesifo sikaCrohn abatshitshisiyo banomlinganiselo okwandisiweyo wokuphindaphinda (ukuhlaselwa) kunye nokuphinda ukuhlinzwa, kunye nesidingo esikhulu sokhathaza unyango kunye neziyobisi ezibizwa ngokuba yi-immunosuppressants.
Akukho mntu uyazi ngokwenene kutheni ukutshaya kuphazamisa inkqubo yesifo sikaCrohn. Kucatshulwa ukuba ukutshaya kunokunciphisa ukuhamba kwegazi ukuya emathunjini okanye ukuba kungabangela impendulo kwi-immune system. Nangona emva kokuyeka ukutshaya, umntu owayekade etshaya usenomngcipheko wokuhlaselwa kwesifo sikaCrohn. Nangona kunjalo, kukho inzuzo kubantu abanesifo sikaCrohn abayeka ukutshaya. Unyaka emva kokuyeka ukutshaya, ababenokutshaya nesifo sikaCrohn bangaba nekhondo elibi le sifo.
Ukuguquka
Ukuqubuka komzimba kungabangela ukutshaya. I-valve ekupheleni kwesisu (i-sphincter esezantsi, okanye i-LES) ngokuqhelekileyo igcina isisu se-acids ukuba ibuye iphinde ibe yindawo. I-LES iyancipha ngenxa yokutshaya, okubangela ukuba isisu se-acid isakwazi ukungena kwi-esophagus kwaye ibangele ukugquma.
Ukubhema kubonakala kukulimaza i-oopopus ngqo, ephazamisa ukukwazi kwayo ukulwa nomonakalo. Ukongeza, ukutshaya kuphazamisa ukuhamba kweeyile ze-bile. Iityu zebile zihamba zisuka emathunjini ukuya kwisisu. Xa oku kungenzekiyo (isifo esibizwa ngokuthi i-duodenogastric reflux) isisu esiswini siyaba namandla ngakumbi kwaye sinokuyingozi ngakumbi.
Izifo zesifo
Elinye ilungu kwindlela yokugaya echaphazelekayo ngokutshaya yiyobindi . Isibindi siyilungu ebalulekileyo elihlutha iibhox ezivela emzimbeni. Ezi ngxube ziquka imishanguzo kunye neziyobisi. Umsebenzi wesibindi unokuthintelwa ngumsi wecuba. Xa oko kwenzeka, i-dose eyahlukeneyo yamachiza iyadingeka ukuphumeza umphumo oyifunayo kwisifo okanye kwisifo. Ukubhema kunokunyusa isifo sesibindi esele sibangelwa utywala.
Abantu abane-IBD banomngcipheko okwandisiweyo kwizifo ezithile zesibindi, njenge- primary sclerosing cholangitis (efunyenwe ngokukodwa kulabo abane-ulcerative colitis), i-hepatitis, kunye ne-cirrhosis eyimibandela eyintloko. Umngcipheko wesifo sesibindi esinye isizathu sokuba abantu abane-IBD bangabikho msi.
Ulp Ultic
Ababhemayo banethuba eliphezulu lokuhlalisa isilonda (umhadi kwisisu).
Ukuba umntu otshaya ufumana isilonda, ngokuqhelekileyo kuthatha ixesha elide ukuphilisa kwaye unethuba elikhulu lokubulala ngaphezu kokungaboni. Akukho mntu uyazi ukuba kutheni le nto kunjalo, kodwa kungenxa yemimandla yeempembelelo zokutshaya. Ukubhema kunciphisa inani le-sodium bicarbonate eveliswa yi-pancreas. Ngaphandle kwayo, isisu se-asidi ayifumananga kwi-duodenum (inxalenye yokuqala yesisu esincinci ). Oku kunokubangela ukuba izilonda zenziwe kwi-duodenum. Kwakhona, ukutshaya kungabangela ukwanda kwindoda yesisu egeleza kwi-duodenum.
ILizwi
Ukubhema kubangela umonakalo omkhulu kwaye ngamanye amaxesha umonakalo ongenakuguquka kwi-digestive tract.
Kuqikelelwa ukuba abantu abayi-400 000 bafa ngamnye ngonyaka ngenxa yokutshaya ugwayi. Ezi zokufa, kunye nokubandezeleka okuphambi kwabo, ziyakuthintela ngokupheleleyo ngokucima ukucima iinkqubo.
IBD kunye nokutshaya kunobunye obusondeleyo, kwaye abantu abanesifo sikaCrohn ngokukodwa kufuneka bayeke ukutshaya ukuze banqande ukuba isifo sabo singabi sisisongelo ngakumbi kwaye kubangele iimeko ezinzima. Abanye abantu abangazange babe neengxaki ngelixa bevutha ukuba ne-ulcerative colitis emva kokuba bayeke ukutshaya. Kodwa oko akuthethi kuphephile ukuqala ukutshaya kwakhona. Iimpawu ezibangelwa yimpilo ezibangelwa ukutshaya zihlala zihamba ngaphezu kweyiphi na inzuzo "." Abantu, ngokuqhelekileyo, akufanele bashiye, kodwa abantu abane-IBD kufuneka baqaphele ngokukhethekileyo iingxaki zokutya ukutshaya ziya kubangela.
Imithombo:
UJohnson GJ, uCosnes J, uMansfield JC. "Phinda uqaphele inkcazo: ukuyeka ukutshaya njengonyango oluphambili lokuguqula inkambo yesifo sikaCrohn." I-Pharmacy Ther. 2005 kuMatshi 15; 21: 921-931.
Cosnes J, Beaugerie L, uCarbonnel F, uGendre JP. "Ukuyeka ukutshaya kunye nenkqubo yesifo sikaCrohn: uphando lwongenelelo ." I- Gastroenterology Apr 2001.
I-National Digestive Diseases Information Clearinghouse. "Ukubhema kunye neNkqubo Yakho yokuGaya." Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane neNtsholongwane 14 Septemba 2013.
I-Yamamoto T. "Izinto ezichaphazela ukuphinda emva kokuhlinzwa ngenxa yesifo sikaCrohn." Ihlabathi J Gastroenterol 14 Julayi 2005.