Kwiminyaka edlulileyo, abasetyhini abasenokuba besengozini yokutshatyalaliswa kwezifo zesibindi (IBD) bebekwa iingcebiso ngokubhekiselele kwipilisi yokukhulelwa komlomo ("ipilisi") ngenxa yesiphumo esinokuba nayo engozini ye-IBD. Ngokukodwa, bekukho uphando olwalubonisa ukuba abafazi abasebenzisa ipilisi bangaba mngcipheko wokwanda kwesifo sikaCrohn.
I-jury isaphumile nokuba ingaba ipilisi ingabangela i-IBD okanye i-IBD.
Kubafazi abano-IBD, ukukhulelwa kwezilwanyana kuyisifundo esibalulekileyo, kwaye kukho ukhetho oluninzi. Ukukhulelwa kwabasetyhini abane-IBD kufuneka kucetywe kwangaphambili, kwaye kwabesetyhini abaninzi, iipilisi yindlela efikelelekayo, esebenzayo, kwaye isenokuba lula ukukhusela ukukhulelwa. Abesifazane abasengozini ye-IBD kwaye abane-IBD kufuneka baqikelele ngokukhethekileyo ukulawulwa kolawulo lokuzalwa baze bathethe noogqirha babo malunga nokuba impilo yabo ingachaphazeleka njani.
Ubungqina obusemva koxhumano
Ubungqina obunxibelelwano phakathi kwepilisi kunye ne-IBD buphikisana. Kukho uphando oludala olubonisa ukuba kukho umngcipheko wokuphuhlisa i-IBD yabasetyhini abathabatha ipilisi, kodwa kusekho ezinye iifundo ezithe zazingekho uxhulumaniso phakathi kwepilisi ne-IBD. Izindlela kunye neziphumo zezinye zezi zifundo zivela kumbuzo, kwaye ubungqina obudibana ne-IBD kunye neepilisi ngokuqhelekileyo kubonwa njengobuthathaka.
Olunye uphando-meta-uphando lweziphumo ezili-14 luphelile ukuba ukuthatha i-oral contraceptives kungakhuphula umngcipheko wokuphuhlisa i-IBD, kwaye ingakumbi isifo sikaCrohn.
Abasetyhini abasebenzisa i-cigarettes baza bathabatha ipilisi ixesha elide bafunyanwa ngokusemngciphekweni. Kukho ukucinga ukuba ukutshaya nokuthatha izithintelo zomlomo zisebenza kunye nokwandisa umngcipheko wokuphuhlisa isifo sikaCrohn. Isifo sikaCrohn ngamanye amaxesha sibizwa ngokuba "isifo sabashushu," kwaye abantu abaneSifo sikaCrohn bayacetyiswa ukuba bangabhubhisi ngenxa yomngcipheko wokuhlaselwa.
Olunye uphando-meta-uphando lwezifundo ezili-10 lufumene ukuba abafazi abasebenzisa ipilisi kwaye sele bebenayo i-IBD babengenako ukwanda kwengozi yokuba ne-flare-up. Olu pho nonongo lufumene ukuba abafazi abanesifo sokulonda ngesilonda kunye nokuthatha izithintelo zokukhulelwa komlomo babenokuxinwa kwee-hormone ezifanayo kwigazi labo njengabesetyhini abasempilweni. Oku kuya kubonisa ukuba abafazi abane-ulcerative colitis ezivela kwizifundo ezimbini ezibandakanyiweyo kuhlalutyo bakwazi ukufumana ipilisi kunye nabasetyhini abasempilweni.
Ukufundwa kwabafundi abangama-117,375 eUnited States kubonise ukuba abafazi abasebenzisa izithintelo zokukhulelwa komlomo kunye nomsi womngcipheko bangasengozini yokulonda i-ulcerative colitis. Umngcipheko wesifo sikaCrohn nawo wenyuka kulabo bathatha i-oral contraceptive.
Ngaphantsi
Ngeli xesha, akukho ubungqina obaneleyo bokugqiba ngenye indlela ukuba ukukhulelwa komlomo kungabangela i-IBD. Uninzi lwezifundo lubonisa ukuba ezinye izinto (ezifana nokubhema) nazo zibandakanyeka ingozi eyongezelelweyo ye-IBD kwabasetyhini abathabatha ipilisi. Kubafazi abane-IBD, ukukhulelwa kufuneka kucetywe ngelixa i-IBD ixoxwa ngayo. Ukukhulelwa kunokukhuphaza kwakhona ukubuyiswa kwindlela yokuhlinzwa esiswini. Ngoko ke, ukusebenzisa i-contraceptives ukukhusela ukukhulelwa okungafunekiyo ngexesha lamaxesha athile kwi-IBD kubalulekile.
Kwababhinqa abane-IBD, iimiphumo ezichaphazelekayo zokukhulelwa komlomo kufuneka zilinganiswe neengozi zokukhulelwa okungalindelekanga.
Izithandabuzo zomlomo zithandwa kakhulu ngenxa yokukhululeka kwazo, ukufumaneka kwazo kunye nokusebenza kwazo . Kwababhinqa abathile, ezinye iindlela zokulawulwa kokuzalwa azikho ukhetho olufanelekileyo kuba zinzima ukusebenzisa okanye ngenxa yokuba zingasetyenziswa ngokufanayo. Ukuba usemngciphekweni we-IBD , okanye unayo i-IBD, kwaye uqwalasela ukusetyenziswa kwemithi yokukhulelwa komlomo, kufuneka uxoxe naluphi na uxhalabisayo onalo kunye nomzimba wakho wesifo somzimba kunye ne-gastroenterologist yakho. Iqela lakho lononophelo lwempilo linokukunceda kakhulu ukuba unqume indlela yolawulo lokuzalwa eya kusebenza kakhulu kuwe.
Imithombo:
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