Isifo sesibindi sokukhubaza sisifo esingapheliyo, kwaye abantu abane-IBD baya kufuna unyango kulo lonke ubomi babo. Kodwa ngaba kukho nantoni na enokubangela unyango?
Hayi, okwangoku akukho nonyango yesifo sikaCrohn okanye i-ulcerative colitis, iindidi ezimbini eziphambili ze- IBD . I-IBD yimeko engapheliyo, kwaye abantu abane-IBD baya kufuna unyango kulo lonke ubomi babo.
Kunokwenzeka ukuba umntu enze kakuhle ne-IBD yabo, kodwa oku kuya kuchaneka ngokuthe ngqo kuthiwa ukuxolelwa ngokujulileyo, kunokunyanga.
Ukuxolelwa Ngaba Injongo
Abanye abantu abane-IBD banokufumana ukuxolelwa, okanye ukungabikho kweempawu ezide. I-IBD ithathwa njengokuba iye yangena ekuxoxweni xa umsebenzi wesigxina uqhelekileyo, kwaye iimpawu ze-IBD azikhathazi. Kukho iintlobo ezahlukeneyo zokuxolelwa, kwaye nangona ukungabikho kwezibonakaliso kunceda izigulane, uhlobo olunzulu lokuxolelwa, ukuxolelwa kwe-endoscopic, xa kungabikho ukuvuvukala okufumaneka ngexesha lokuphela kwe-endoscopy.
Ukuxolelwa yinjongo yonyango, kunye nabanye abantu abane-IBD, ixesha lokuxolelwa lingahlala ixesha elide. Nangona kunjalo, uninzi lwabantu luya kuba nolunye ixesha lwezifo ezisisigxina (i-flare-ups) kunye nokuxolelwa kubo bonke ubomi babo.
Kutheni Kuthi Ukuhlinzwa Kukho "I-Cure"
Ukunyangwa kwesifo sikaCrohn kunye ne-ulcerative colitis kubandakanya kokubili imithi kunye nokuhlinzwa.
I- colectomy ekhethiweyo ngamanye amaxesha ibizwa ngokugqithisileyo ngokuthi "unyango" lwesifo sezilonda zesilonda ngenxa yokuba, ngokususwa kwekoloni, eso sifo siphumelele ngokuphumelelayo. Nangona kunjalo, kukho i-subset encinci yezigulane ezinezilonda zesilonda esinezilonda kwisigxina sokugqibela samathumbu amancinci (i-terminal leum), engayi kuphulukiswa ne-colectomy.
Kwakhona, iingxaki ezinxulumene noxinzelelo lwezobuchopho, ukuhlukumeza kunye nentlungu edibeneyo isenokuqhubeka.
Ugqirha lwesifo sikaCrohn sinokuquka ukuqokelela okanye ukuchithwa , kodwa ayilona unyango ngenxa yokuba isifo singabuya kwezinye iindawo zendlela yokugaya.
Ngaba iiMedizo ezitsha zonyango i-IBD?
Unyango lwe-IBD luquka i- corticosteroids (prednisone), i-5-ASA izidakamizwa (i-mesalamine), i-immunosuppressives, kunye ne-biologics ezifana ne- Remicade (infliximab) , i- Humira (adalimumab) , iCimzia (certolizumab pegol) , i- Enbrel (etanercept) , i- Entyvio (vedolizumab) kunye ne-Simponi (golimumab). Ezi zonyango azikwazi ukuphilisa i-IBD, kodwa kubantu abaninzi, banokunyanga iimpawu okanye bancedise ixesha lokuxolelwa.
Ukufumana unyango kwi-IBD kunokuqala ngokufumanisa isizathu sesifo sikaCrohn kunye nesifo sokulonda. I-IBD isifo se-idiopathic, okanye isifo esingaziwayo. Kukho iingcamango malunga neyona nto ibangelwa yi-IBD equka impendulo ye-IgE-mediated response, i-infection infection, i-ecgger, kunye ne-genetic component.
ILizwi
I-intanethi igcwele abantu abathi bafumene "unyango" lwe-IBD. Unyango lwe-IBD lunokuba lunzima kwaye ke akumangalisi ukuba abantu abane-IBD bafuna unyango olunomdla olubonakala lunzima ukuyisebenzisa.
Nangona kunjalo, ayikho enye indlela okanye iindlela ezongezelelweyo ezithe zafunyanwa ukuphilisa i-IBD. Akukho ziyeza eziqhelekileyo ezifunyenweyo zokuphilisa i-IBD.
Oko sinakho unyango oluya kunceda ukuphucula iimpawu nokulawula ukuvutha kunye neengxaki. Olunye unyango kunye nolunye unyango luyindawo yabo, kwaye ezinye ziye zafunyaniswa zinenzuzo kwi-IBD, kodwa azikwazi ukuthatha indawo yokulawulwa yi-gastroenterologist.
Kuqiqile ukugcina le ngqalelo engqondweni: "Ukuba kukho into enjengeyona nto ibonakala ingenakulungele ukuba yinyani, mhlawumbi ikhona." Kukho abantu abaninzi abathi baziphilise.
Ukuba benza kakuhle (kwaye baphatha ukuvuvukala, kungekhona nje iimpawu), oko kuyamangalisa kubo. Nangona kunjalo, akunakwenzeka ukuba nabani na oya kukwazi ukwenza into efanayo (ukutya, ukutya, kunye nokunye) kunye neziphumo ezifanayo. Ngaphandle kokwazi iinkcukacha ezithandwayo zesifo sabo kunye nokunyanga kwabo, akunakwenzeka ukuthatha irejimen yomntu kwaye ulindele ukuba isebenze ngendlela efanayo kwezinye izigulane.
Imithombo:
Abdelrazeq AS, Wilson TR, Leitch DL, uLund JN, Leveson SH. "Ileitis kwi-Ulcerative Colitis: Ngaba i-Backwash?" Izifo zeColon & Rectum 48 (2005): 1542-1549.
I-Bell AJ, i-Price AB, iForbes A, et al. "I-leitis ye-pre-pouch: isifo se-leum kwisifo se-ulcerative colitis emva kwe-proctocolectomy yokubuyisela." I- Colorectal Disease 8 (2006): 402-410.
Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane kunye neNtsholongwane (iNIDDK). "Isifo seCrohn." I-National Digestive Diseases Information Clearinghouse 10 Julayi 2013.