Amacwecwe egazi aqheleke kakhulu kubantu abane-IBD kodwa ingozi enkulu iphantsi
Kuyaziwa ukuba izifo zesibindi sokuvuvukala (IBD) zidibaniswa nento ebizwa ngokuba yimbonakaliso eyongezelelweyo yamathumbu: imiqathango enxulumene ne-IBD kodwa ayifumanekanga kwindlela yokugaya. Enye yale mngcipheko wophuhliso lwegazi.
Ingozi eyongeziweyo yamacandelo egazi kubantu abane-Crohn's disease kunye ne-ulcerative colitis iyaziwa kwiingcali ze-IBD kodwa kungenakucaciswa ngamanye amagqirha kunye nabantu abane-IBD. Akucaci kakuhle ukuba kutheni abantu abane-IBD basengozini yamacwecwe egazi kodwa bacingelwa ukuba bahlangane nomsebenzi wesifo kunye noshintsho kwigazi elikhuthaza ukucima.
Ngoxa i-risk of clots yegazi iboniswe ukuba iphakamileyo kubantu abane-IBD, kukho izinto ezinokuthi zithintele. Yintoni ebalulekileyo kukuba abantu abane-IBD bayayiqonda ingozi yabo yemicengezelo yegazi kunye nokuba oogqirha bathatha amanyathelo okuphepha le ngxaki xa kunesidingo, njengokungathi emva kokuhlinzwa . Abantu abane-IBD banokuziqhelanisa kunye neempawu zegazi , njengentlungu, ukuvuvukala, ukukhenkceza, kunye nekhumba eliphaphakileyo emlenzeni omnye. Umngcipheko weengcambu zegazi kubantu abano-IBD abangenayo eminye imiba yengozi isacingelwa phantsi.
Igazi Liyithini?
Igazi ngokuqhelekileyo livale ukwenzela ukuba liyeke ukuphuma kwegazi, njengokuba kunqunywe okanye isilonda. Nangona kunjalo, xa igazi livala ngokulula okanye lenza amaqhezu amakhulu, igazi eligelezayo kwi-vein okanye umriba ungavalwa. Xa ama-clots ehamba kwinkqubo yokujikeleza kunye nomoya phezulu kwinqanaba elinjengentliziyo, ingqondo, iintso, okanye imiphunga , kunokudala umonakalo kulawo malungu okanye iingxaki ezinjenge-heart attack or stroke .
Ngubani Osemngciphekweni?
Unyaka ngamnye, kulinganiselwa ukuba abantu abayi-900 000 eUnited States bafumana i-clot yegazi kunye phakathi kwama-60,000 kunye no-100 000 baya kufa kweli qhinga. Abantu bangasengozini yamacandelo egazi ngokusekelwe kwizinto ezininzi. Ezinye zeemeko ezinxulumene namaqhekeza egazi ziquka i- atherosclerosis , i-fibrillation ye-agrification , i-thrombosis ye-vein ( DVT ), isifo sikashukela, ukuhluleka kwentliziyo, isifo se-metabolic, isifo se-arterium, kunye ne- vasculitis . Kukho neengxaki ezizimeleyo ezizimeleyo ezikhupha igazi, eziquka:
- Ukulala ekuphumleni
- Ukuxilongwa komhlaza
- Izibhedlele ezikhoyo
- Ukuditywa kwamanzi
- Imbali yentsapho yamacwecwe egazi
- Ukulimala kwi-vein
- Ukukhulula nokugqithisa
- Imbali yomntu yamacandelo egazi
- Imbali yomuntu siqu
- Utyando olutsha
- Ingozi yakutshanje (njengengozi yemoto)
- Ukuhlala ixesha elide
- Ukutshaya
- Ukusetyenziswa kwamachiza anesi-estrogen (njengokulawulwa kokuzalwa okanye unyango lwe-hormone)
Ubungqina beGazi lokuCima ingozi kwi-IBD
Uphando oluthile lwamacandelo egazi lwenziwa kuma-50,000 abadala kunye nabantwana abane-IBD eDenmark phakathi ko-1980 no-2007. Oko abaphandi baphetha kukuba xa kuthelekiswa nabantu abangenabo i-IBD, abantu abane-IBD babenomngcipheko we-pulmonary embolism kunye ne-vein thrombosis.
Nangona emva kokulungisa i-data yezinye izizathu ezinokubangela i-blood clots, ezifana nesifo senhliziyo, isifo sikashukela, ukusilela kwintliziyo yesifo, kunye nokusetyenziswa kwamachiza athile, umngcipheko wawungama-80 ekhulwini phezulu kwiqela le-IBD.
Olunye uphando olwanyatheliswa ngo-2004 lwalujonga abantu abangama-618 abane-IBD kunye nabantu abane-rheumatoid arthritis kunye nesifo se-celiac kwaye bawaqhathanisa neqela lokulawula. Njengoko kudlalwa kwimiba elolu hlobo, umntu ngamnye one-IBD ufanelwe nomntu kwiqela elilawulayo elineminyaka efanayo nobulili. Emva kokukhangela idatha malunga neengcingo zegazi, abaphandi bafumanisa ukuba abantu abane-IBD bafumana ama-blood clots ngesilinganiso se-6.2 ekhulwini (elinezigulane ezingama-38), xa kuthelekiswa nama-1.6 ekhulwini kwiqela elingenalo iBD.
Ucwaningo luka-2010 lwenziwe e-UK lukhangele umngcipheko weengcambu zegazi kwizigulane ezine-IBD ezingabhedlelekanga kwaye zazingenayo isifo esisebenzayo kunye nalabo ababenokubhathala kunye nabo babesibhedlele. Kwakukho izigulane ezingama-13,756 ezine-IBD ezibandakanyekileyo kwaye iziphumo zibonise ukuba nangona zingekho kubantu abavuthayo kunye ne-IBD babenomngcipheko wecala legazi eliphindwe kathathu ngaphezu kweqela lolawulo. Abantu ababethelelwe esibhedlele ngenxa ye-IBD babenomngcipheko wegazi eliphindwe kathathu ngaphezu kwezinye izigulana esibhedlele. Ukuhlaselwa kwe-IBD kwahlanganiswa nomngcipheko wamacwecwe egazi okwakunezihlandlo ezisibhozo zabantu abakwiqela lokulawula elingenalo iBD.
Zithini zonke iiDatha
Amanani avela kuphando anokuvakala okwesabisayo kodwa kukho izinto ezinokuthi ziqwalaselwe. Umngcipheko womntu wamacandelo egazi uza kusekelwe kwizinto eziliqela kwaye i-IBD ngoku iqondwa ukuba yinto enye kuphela.
I-Gastroenterologists kufuneka iqaphele le mngcipheko kwaye inokunceda ukubeka umngcipheko kumntu othile, ingqalelo ezinye iingozi ezifana nobudala, imbali yentsapho, izinga lomsebenzi, amayeza kunye nokukhulelwa. Izikhokelo ezisuka kwi-Canadian Association of Gastroenterology eshicilelwe ngo-2014 zicebisa ukuba imithi ye-anticoagulant (enokuthintela i-clots yegazi) isetyenziswe kwizigulane ezithile ezine-IBD, ingakumbi ngexesha lobhedlele, emva kokuhlinzwa, kwaye ukuba i-clot yegazi sele isenzekile. Akukhuthazwa ukuba abantu abane-IBD bafumane amayeza okuthintela ama-clots egazi ngokuqhelekileyo.
Ukunciphisa Ingozi
Ukunciphisa umngcipheko wamacwecwe egazi kubandakanya iingcebiso ezifana nokuzilolonga, ukugcina ubunzima obuphilileyo, ukusela amanzi aneleyo, nokulawula imeko ehambelana nesifo sikashukela nesifo senhliziyo.
Kubantu abane-IBD abasesibhedlele, imishanguzo yokulwa ne-clotting, eyanciphisa umngcipheko wee-clots zegazi, inokumiselwa. Kuye kubekho ingxoxo phakathi kweengcali malunga nokunikezela imishanguzo yokwazisa abantu abane-IBD abangabhedlele kwizibhedlele kodwa ngoku ukwenza oku akucingelwa ukuba kunikezele kakhulu ngendlela yokufumana inzuzo.
Bonke abantu abane-IBD baya kufuna ukuqonda umngcipheko wabo wecala legazi kwaye basebenze nodokotela ukuze bazi ukuba kunokufuneka nini ukusebenzisa imithi yokukhusela.
ILizwi
I-Gastroenterologists iyakwazi ukuqaphela umngcipheko wegazi kodwa amanye amagqirha ayinako. Oku kugxininisa imfuneko yokuba wonke umntu kwiqela lezonxibelelwano lwe-IBD axhumane kwaye afake izinto ezinobungozi ngombono. Oku kuthetha ukuba xa abantu abane-IBD befumana ingozi yengozi yegazi, njengokwenza utyando okanye esesibhedlele, kubalulekile ukuba oogqirha bathatha inzuzo enkulu yokubeka ingozi kwigazi.
Abantu abane-IBD abanenkxalabo malunga nomngcipheko wabo wecala legazi ngenxa yeemeko zobungozi okanye imbali yentsapho kufuneka bathethe ne-gastroenterologist malunga nokuthintela ama-blood clots.
> Imithombo:
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> Kappelman MD, uHorvath-Puho E, uSandler RS, et al "Ingozi ye-Thromboembolic phakathi kwabantwana baseDenmark kunye nabantu abadala abanezifo ezikhukhulayo: isifundo esivela kwisizwe sonke." .2010.228585
> Miehsler W, Reinisch W, Valic E, et al. "Ngaba izifo zesibindi sokuvuvukala isifo esizimeleyo kunye nesifo esichengeni se-thromboembolism?" Gut . 2004; 53: 542-548. i-doi: 10.1136 / umthamo.2003.025411
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