Ingqwalaselo yeZifo eziBulisayo (IBD)
I-ulcerative colitis kunye nesifo sikaCrohn ziyizifo ezingapheliyo ezinokugula ezingapheliyo. Ezi zifo zibini zihlala zihlanganiswe ndawonye njengesifo sovuba (IBD) ngenxa yeempawu zabo ezifanayo.
Abantu abangaphezu kwezigidi ezi-5 (kuquka ii-1.6 million zaseMerika, ii-23,000 zase-Australia kunye nama-Canadi angama-250,000) emhlabeni jikelele zihlala neBD ifomu. Iindleko zemveliso elahlekileyo kwiimveliso zase-US ngenxa ye-IBD iqikelelwe ukuba yi-$ .8 billion ngonyaka.
Isifo sikaCrohn kunye nesifo sezilonda zesilonda sisigxina, iimeko ezingapheliyo, kodwa zikhona unyango olukhoyo. Uphuhliso lwezonyango kunye nophando olwenzekayo lunyaka wonke kwaye abantu abaninzi abane-IBD bafumana ukuxolelwa kwaye banako ukugcina umgangatho wobomi.
> Khangela indlela i-ulcerative colitis echaphazela ngayo ikoloni.
Abantu abaxilongwa nge-IBD baya kufuna ukunakekelwa rhoqo kwi-digestive specialist-i-gastroenterologist-kunye nenkxaso evela kwabanye ababoneleli bezempilo njengomfokazi / isondlo, umniki-nkonzo oyintloko, okanye ezinye iingcali njengoko kufuneka.
-
Kuthetha ukuthini Ukuba neCrohn's Colitis?
-
Kutheni i-IBD inokuchaphazela abafazi ngokuhlukileyo kunokuba babantu
Izinto Ezibaluleke Kakhulu Ukuzi
- Akukho nto eyaziwayo okanye unyango lwe-IBD.
- Abantu abane-IBD abazange bazigulise ngenxa yokutya okubi okanye uxinzelelo .
- Akukho nto yokutya eyenza bonke abantu abane-IBD.
- Isifo sikaCrohn kunye nesifo sezilonda zesilonda sinokudibaniswa neengxaki ngaphandle kwendlela yokugaya (ubunzima beengxenyana zamathumbu).
- I-IBD ayifani nentsholongwane ekhubazayo (IBS) kwaye iphathwa ngendlela eyahlukileyo.
- Abantu abane-IBD banomngcipheko okhulayo wokuphuhlisa ezinye iimeko.
- I-IBD ayithathwa njengento ebulalayo .
Iimpawu
Isifo sikaCrohn kunye nesifo se-ulcerative colitis sinempawu ezifanayo kodwa zihluke ngendlela echaphazela ngayo i-tract digestive tract.
Iimeko nganye zineendlela ezahlukeneyo zokugonywa kwaye zinokuphathwa ngeempawu ezahlukeneyo zemithi. Iimpawu eziqhelekileyo ziquka, kodwa azithethi:
- Intlungu zesisu
- Ukuhla ukusinda
- Fever
- Ukuphuma kwamanzi
- Ikhumba kunye neliso
- Uhudo
Ukuxilongwa
Iimvavanyo ezininzi zokuxilonga zivame ukugqitywa kwaye zifundwe ngugqirha wokugaya ukutya ngaphambi kokuxilongwa kwe-IBD. "Imilinganiselo yegolide" yokuxilongwa ithathwa njenge- colonoscopy . Ngethuba lo vavanyo, ityhubhu ye-fiber optic ifakwe kwi-rectum xa isigulane sitsalwa ukuze kuvumele ugqirha ukuba ahlole umbane we-intestine enkulu kwaye athathe i- biopsies .
Ezinye iimvavanyo ezingasetyenziselwa ukuxilongwa ziquka:
- Barium enema
- Ukuhlolwa kwegazi
- I-Capsule endoscopy
- Ukukhangela kwe-Computed tomography (CT)
- Uchungechunge oluphezulu lwesisu (i-GI)
- Sigmoidoscopy
- Endoscopy ephezulu
Unyango
Iziganeko zesifo esisebenzayo, okanye "i- flare-ups ," kunye nezikhathi zesenzo sesifo ( ukuxolelwa ) zifana ne-IBD. Izidakamizwa zamagqabantshe zihlala zisetyenziselwa ukuthintela ukuvuvukala (ezaziwa ngokuba izidakamizwa zesondlo) okanye ukulawula i-flare-up ekhoyo.
Uphando luye lwasetyenziselwa ukuphatha i-IBD , kwaye uhlobo lotyando olusetyenzisiweyo luyahlukahluka ngokusekelwe kwimihlobo ye-IBD kwaye apho kwindawo yokugaya ifumaneka ukuvuvukala. Amachiza aqhelekileyo asetyenziswa ukuphathwa kwe-IBD aquka:
- Iidakamizwa zeSulfa ( sulfasalazine )
- I-Corticosteroids (i- budesonide , i- prednisone )
- 5-Aminosalicylates ( Asacol , Apriso , Pentasa, Rowasa, okanye 5-ASA)
- Immunosuppressives ( Imuran , 6-MP , kunye neMethotrexate )
- Biologics ( Remicade , Entyvio , Humira )
Izizathu zeSifo seCrohn
Isifo sikaCrohn sinokuchaphazela intlungu emancinci kunye namanye amalungu kwisigca sokutya. Ngokungafani ne-ulcerative colitis , echaphazela kuphela uluhlu lwangaphakathi lwesitumbu esikhulu, isifo sikaCrohn sichaphazela zonke iindonga zodonga lwamathumbu.
Zininzi iintlobo zokuhlinzwa zingasetyenziselwa ukunyanga iimpawu kunye neengxaki zesifo sikaCrohn , kodwa akukho nanye yonyango . Into eqhelekileyo yintengiso , ngexesha apho oogqirha basusa isalathisi esibulalayo samathumbu baze babuyisane kwakhona. Utyando lwe-Ostomy, kuquka i- colostomy kunye ne- eleostomy , ezinye iindlela zokuhlinzwa ezidlalwa ngamanye amaxesha.
I-Basics of Ulcerative Colitis
Kwi-ulcerative colitis, i-lining yangaphakathi yomathumbu amakhulu (i-colon) kunye ne-rectum iyavutha. Esi sifo asichaphazeli intlungu encinci. Uphando lwe-ulcerative colitis luhlala lubandakanya ukususwa kwekoloni yonke.
Izinketho zokuphanda ziquka i-ileostomy okanye i-ileal-anal anal anastomosis (IPAA), ebizwa ngokuba yi- j-poch . Uninzi lwabantu abane-ulcerative colitis aludingi ukuhlinzwa, kodwa bayakwazi ukulawula imeko yabo ngamachiza.
Ukwahlukana Phakathi kweeCrohn's and Ulcerative Colitis
I-Treatment ye-IBD okwangoku isekelwe ekubeni ixilongo yesifo sikaCrohn okanye i-ulcerative colitis, ngoko kubalulekile ukucacisa umahluko phakathi kwabo.
Nazi ezinye iintlukwano ezibalulekileyo :
- Kwi-ulcerative colitis, ukuvuvukala emathunjini amakhulu, ngelixa isifo sikaCrohn, ukuvutha kungabonakala naphina kwindlela yokugaya.
- Ukuvuvukala kwesifo sikaCrohn kuchaphazela zonke iindonga zeendonga zamathumbu, ngelixa i-colitis i-ulcerative colitis kuphela isalathisi sangaphakathi sichaphazelekayo.
-
Iingcali Zenzululwazi Zicinga Njani Zibangelwa Izifo Ze-Crohn ne-Ulcerative Colitis?
-
Ngaba Uyazi Okwenzekayo Ukuba ne-IBD Flare-Up?
- Ukubhema i-cigarettes kunokudlukisa isifo sika-Crohn, kodwa abanye abantu abane-ulcerative colitis kuphela bahlakulele isifo emva kokuba bayeke ukutshaya.
- Iibhoopsies ezisuka emathunjini omntu onesifo sikaCrohn zingabonisa i- granulomas , ezingabonakali kubantu abane-ulcerative colitis.
- Kwi-ulcerative colitis, ukuvuvukala kuqala kwi-rectum kwaye kushukunyiswa ngendlela eqhubekayo emathunjini amakhulu, ngelixa isifo sikaCrohn, ukuvuvukala kungaqala naphi na kubonakala kwiindawo eziphathekayo ezihlukaniswe zizicubu ezinempilo.
- Amaninzi amaninzi emathunjini kunye namathumbu asemathunjini afanayo afanayo phakathi kweefom ze-IBD, kodwa izibilini , izibilini , izibilini , iifistula ziqhelekile kubantu abanesifo sikaCrohn kunye nesilonda (ikakhulukazi ngexesha lokuqala), umhlaza we-colorectal kunye ne- toxic i-megacolon ixhaphake kakhulu kubantu abane-ulcerative colitis.
ILizwi
Ngelishwa, imbangela yesifo ngasinye sesisu asiqondanga kakuhle kwaye akukho nto iyenyango. Iimpawu zibuhlungu, zihlazo kwaye zidibanise. Uphando kunye nokwazisa kuyimfuneko ekuloleni ukunqoba i-IBD.
Iindaba ezilungileyo kukuba unyango luphucuka minyaka yonke. Kukho amachiza amatsha ahlolwayo kwaye avunywe ukuba anezinga eliphezulu lokuxolelwa kunye nemiphumo embi engaphantsi kwayo ngaphambili. Inkxaso yabantu abane-IBD nayo ifumaneka ngakumbi, kokubili kwi-intanethi nakwi-intanethi, njengoko i-stigma yeso simo idilizwe.
Ukufunyaniswa ukuba ne-IBD kunzima kwaye utshintsha ubomi. Nangona kunjalo, uninzi lwabantu abaphila nalo luphila ubomi obuzalisekileyo, batshata, banabantwana, kwaye banandipha imisebenzi ephumelelayo. Ukulawula i-IBD ngokusebenzisa ubudlelwane obusondeleyo kunye ne-gastroenterologist iya kuba yinto ebalulekileyo ekuphumezeni ukuxolelwa nokuphepha iingxaki ezinxulumene nazo.
> Imithombo:
> Bhandari BM, Kroser JA, Bloomfeld RS, uLynch SP. "Izifo ezithintekayo zezifo." Ikholeji yaseMerika yaseGastroenterology 2013.
> Crohn's and Colitis Foundation of America. "Nge-Ulcerative Colitis & Proctitis." CCFA.org 2013.
> Crohns and Colitis Foundation of America. "Yintoni i-Crohn's Disease?" CCFA.org 2013.
> Schraag J. "IBD: Iindlela ezikhoyo kunye nexesha elizayo." EndoNurse 01 Disemba 2005.