I-ulcerative colitis yindlela yokuvuvukala kwesifo (IBD) , isifo esingasigxina apho okwangoku akukho unyanga owaziwayo. Uphawu oluphambili lwe-ulcerative colitis ukuvuvukala kwe-colon kunye ne-rectum, okubangela iimpawu ezahlukahlukeneyo kwisigca esiswini. Esi sifo sinokubangela iingxaki ezinokuchaphazela ezinye iinxalenye zomzimba, kubandakanywa amajoyina, isikhumba kunye namehlo.
Iimpawu
Iimpawu ze-ulcerative colitis ziza kwaye zihambe. Xa iimpawu zisebenza, kuthiwa yi-flare-up. I-flare-up ingaba nzima kwiintsuku okanye iiveki ezimbalwa uze uhambe, okanye ubuncinane uphumelele ixesha elithile. Kwabaninzi abantu, iimpawu ziyaqhubeka zikhupha kwaye zicime ubomi babo.
Kukho iintlobo ezahlukeneyo zezilonda zezilonda zesilitis-ulcerative proctitis, i-proctosigmoiditis, i-colitis-side colitis, kunye ne-pancolitis-kodwa bahlanganyela ezininzi iimpawu ezifanayo, kubandakanye nesichukumiso esinamandla sokuba neentshukumo zokuhamba, isisu esiswini, igazi kunye ne-muscus kwisitulo , umkhuhlane kunye nokulahleka kwesidlo.
Ngamanye amaxesha ngethuba elinamandla, intlungu yakho ikhula kwaye ikwazi ukuvelisa i-perforation encinci. I-perforation ivumela ukuvuza imfumba kwisisu sakho, esinokubangela isifo sokusongela ubomi (peritonitis).
Ukuba unesiqulatho sesilonda ixesha elide, unokufumana iimpawu kwezinye iindawo zomzimba wakho, kubandakanywa iziqholo, izilonda zomlomo kunye nentlungu edibeneyo.
Esi sifo sandisa ingozi yokuvelisa umdlavuza wekolon.
Izizathu
I-ulcerative colitis yi-disease ye-idiopathic, oku kuthetha ukuba akukho nto eyaziwayo. Kukho, nangona kunjalo, iingcamango ezininzi malunga nemvelaphi ye-ulcerative colitis kunye neemeko ezingabangela ukuphuhliswa kwayo. Uphando olutsha lubonisa ukuba i-geni engaphezu kwe-100 inokudibaniswa nophuhliso lwe-IBD.
Akukho nanye kwezi ngcamango ezingabonakaliyo, nangona kunjalo, kunye nezifundo ezininzi ziya kufuneka zenziwe ngaphambi kokuba kubekho impendulo ecacileyo.
Kwixesha elidlulileyo, kwakukholelwa kakhulu ukuba kukho inxalenye yengqondo kwi-IBD. Izifundo ezindala ezabonisa ukuba iingcinezelo kunye neengxaki zengqondo zadlala indima ekuphuhlisweni kwe-IBD ziye zazingqinanga. Uphando olutshanje luye lwabonisa ukuba izifundo zangaphambilini zazingenakulungiswa, kuba iziphumo zazo azikwazi ukuphinda zenziwe kwakhona. Akukho nxu lumano phakathi kwe-IBD kunye neengxaki zengqondo . Ngelishwa, abaninzi abantu bakholelwa ukuxinwa kwe-IBD.
Ukuxilongwa
Ukuze uncede uqinisekise ukuxilongwa kwe-ulcerative colitis, ugqirha wakho uya kuyala iimvavanyo ezahlukeneyo, eziza kubandakanya:
- Ukuhlolwa kwegazi
- Isampula sezantsi
- IColonoscopy
- Sigmoidoscopy yeFlexible
- X-ray
- CT scans
Unyango
Ininzi yexesha, i-ulcerative colitis iphathwa ngezilwanyana ezahlukeneyo okanye ukudibanisa iziyobisi. Nangona kunjalo, inxalenye ethile yabantu abane-ulcerative colitis ayiphenduli kwiyeza lonyango kwaye iyaqhubeka nokuba neempawu nangona kwinyanga. Abanye bangasengozini enkulu yomdlavuza wekolon emva kokuba benesi sifo seminyaka emininzi. Kuloo meko, uhlobo lotyando olubizwa ngokuba yi- ileal pouch-anal anastomosis (IPAA) , eyaziwa ngokuba yi-j-pouch, inokwenziwa.
Ukuba i-j-pouch ayinayo indlela efanelekileyo, u-optimization ye-uleostomy yindlela enye yokugonywa kwe-ulcerative colitis.
ILizwi
Ukuba ufumene ukuba unesifo se-ulcerative colitis, uya kuba nemingeni-ngokomzimba nangokomzwelo-ngenxa yesifo. Ukunyuka kunye nokuhlaselwa kwezinto ezingabonakaliyo kunye nokuxolelwa kungabangela uxinzelelo, yingakho kugcina ukuvuvukala phantsi kokulawulwa kunye nokujongana nezinye iingxaki zempilo njengoko zihluma iinto eziphambili zokuba nomgangatho wobomi obuhle. Ukubona i-gastroenterologist rhoqo kwaye ufumana unyango lokulondoloza, nangona xa uziva kakuhle, kubaluleke kakhulu ukukhusela ukukhupha.
Iindaba ezilungileyo kukuba kukho iindlela ezininzi zokwelapha ezikhoyo ngoku kunanini ngaphambili, kwaye ezininzi zihamba endleleni.
> Imithombo:
> Crohn's and Colitis Foundation of America. Izinketho zokwelashwa kweCaritis. CCFA.org 2016.
ULutgens MW, van Oijen MG, van der Heijden GJ, Vleggaar FP, Siersema PD, Oldenburg B. "Ukunciphisa umngcipheko wesifo sengculaza kwisifo sesibindi sokuvuvukala: i-meta-analysis analysis of population-based studies." I-Inflamm Bowel Dis . Ngo-2013 uMar-Apr; 19: 789-799.
> I-Merck Manual. "Ulcerative Colitis."