Ubunzima beengxaki ze-IBD

Ezinye iinkathazo ze-IBD zingaba ziBomi-zisongela

Abantu abaninzi bakholelwa ukuba izifo zesibindi (i-IBD) ezibangelwa ngumzimba (i-IBD) kuphela zibangelwa urhudo, kodwa zichaphazela amathumbu amakhulu kunye amancinci ngeendlela ezahlukeneyo. Iingxaki zamathumbu ze-IBD zibandakanya izibilini, isithintelo sesisu, isilonda, isifo somhlaza, i-fissures, i-fistula, ukugqithisa kweempawu ngexesha lokuya esikhathini, kunye ne-megacolon enetyhefu. Ezinye zezi nkathazo ze-IBD (isifo sikaCrohn kunye nesifo sezilonda zesilonda) singasongela ubomi kwaye sifune unyango olukhawulezileyo ukukhusela izifo ezinzulu.

Abscess

I-abscess ingaphathwa ngamachiza e-antibiotiki ngenxa yokuba ingaba ngumphumo wokusuleleka kwebhaktheriya. Umfanekiso © Jon Larson / Getty Izithombe

I-abscess, eqhelekileyo kwisifo sikaCrohn kunokuba i-ulcerative colitis, i-accumulation of pus kwindawo yesifo. Kungenzeka ngaphakathi emzimbeni apho kungabonakali khona, njengodonga lwamathumbu, okanye ngaphandle, njengeluswini.

Amathumba angaphakathi angasombulula ngeyeza zokulwa neyeza, kodwa ukuba akunjalo, kuya kufuneka badityaniswe. Oku kunokwenziwa ngokufaka i-catheter ngesikhumba ukuya kwindawo ye-abscess. I-catheter ingeniswa ngezinye iindlela, njengodonga lwesisu. Kwezinye iziganeko ukuhlinzwa kuyakufuneka ukucima i-abscess.

Kaninzi

Ukuvalwa komzimba

Uhudo olukhulu, intlungu kunye nokuhlanza kungabangelwa ukuvalwa kwiimathumbu ezincinane okanye ezinkulu. Umfanekiso © Photodisc / Getty Izithombe

Isithintelo sesilwanyana senzeke xa inxalenye yamathumbu amancinci okanye amancinci inqandekile okanye ivalwe ngokupheleleyo, ukukhusela inkunkuma yomzimba ekuhambeni. Isibambiso sidla ngokuhambisana nentlungu, ukuhlanza nokuqhawuka . Kwezinye iimeko i- nasogastric tube inokukunceda ukukhulula iimpawu, kodwa utyando lungafuneka ukuba ususe umqobo.

Kaninzi

Ukuxhamla

I-perforation inokuthi yenzeke naphi na emathunjini, ngakumbi xa isilonda sinzulu. Umfanekiso © Dorling Kindersley / Getty Images

Umngcipheko wesilwanyana esihlakulelayo ukuvelisa i-perforation (umngxuma) awunqabile, kodwa kuyinkxalabo yokubulala ye-IBD. I-Perforation ixhaphake kakhulu ngexesha lokuqala lokuqhaqhazela kwezilonda zesilonda kunye nakwezo zindonga zamathumbu eziye zincinci ngenxa yezifo ezinzima. I-perforation ixhaphake ngokuqhelekileyo kunye nokuhlinzwa ukuze kulungiswe umgodi okanye kususe inxalenye yesibonda.

Kaninzi

ICrorectal Cancer

I-colonoscopy ngumgangatho wegolide we-colon cancer screening; ngexesha lovavanyo lwe-polyps lungafumaneka kwaye lususwe. Umfanekiso © SEBASTIAN KAULITZKI / Getty Izithombe

Abantu abane-IBD banomngcipheko ophezulu wokuba nomhlaza wokulala, ngokukodwa abantu abanobuchopho obukhulu bezilonda zesilonda kwiminyaka eyi-8 ukuya kwe-10. Abantu abanesifo sikaCrohn nabo basengozini, nangona kuncinci ulwazi olukhoyo malunga nenqanaba lomngcipheko. Ukubeka iliso ngokusemgangathweni ngomhlaza ogqithisileyo ngokusebenzisa i- colonoscopy kuyimfuneko kunoma ubani nge-IBD, kodwa ngokukodwa kulabo abasengozini enkulu.

Kaninzi

Fissure

I-fissure iya kuphulukisa ngaphandle kokuhlinzwa, kodwa inokubangela ukuphazamiseka okukhulu. Umfanekiso © Iimfundo zeSizwe zezeMpilo

I-fissure iyintlungu ebuhlungu kumngxube omdala ongabangela ukuphuma kwamanzi. Uninzi lweentlobo ziya kuphulukisa ngaphandle kokuhlinzwa kodwa kunokuba unyango olunjengeenkcukacha ze-topical kunye nokuqinisekisa ukuba ukunyakaza kwimizimba kuyadluliswa ngaphandle kokunciphisa. Iifisithi ezingapheliyo kwaye zihlala zingapheli zingadinga ukuhlinzwa.

Kaninzi

Fistula

I-fistula ngumxube ongaqhelekanga-onjengoxhumo phakathi kwezimbilini zomzimba ezimbini okanye phakathi komzimba kunye nesikhumba. I-fistula idla ngokuqhelekileyo kwisifo sikaCrohn kunokuba isifo se-ulcerative colitis, kwaye ngokwenene, malunga nama-25% abantu abanesifo sikaCrohn banokuphuhlisa i-fistula ngethuba elithile ngexesha lesifo sabo. Amanye ama-fistula angaphathwa ngamachiza, kodwa ngakumbi nangakumbi okanye aphezulu, mhlawumbi baya kufuna ukuhlinzwa.

Kaninzi

I-Premenstrual Syndrome

Abasetyhini abaninzi bafumanisa ukuba umjikelo wabo wenyanga uchaphazelekile yi-IBD. Umfanekiso © Julia Nichols / Getty Izithombe

Abanye abafazi abane-IBD bayaqaphela ukuba iimpawu zabo ziba nzima ngakumbi ngexesha lokuya esikhathini. Uhudo kunye nentlungu inokunyuka ngaphambi nangamaxesha. Isizathu saloo mpawu sinokunyuka kwamahomoni ngexesha lomjikelezo wesini .

Kaninzi

Inetyhefu yeMacacolon

Kwi-megacolon enetyhefu, intumbu enkulu iyancipha, enokubangela iingxaki ezinzulu. Umfanekiso © SCIEPRO / Getty Izithombe

I-megacolon inobunqabileyo iyabunqabile, kodwa yimeko esongela ubomi. I-megacolon engasayi kunyanga, ingabangela ukutshitshiswa, ukutshatyalaliswa, okanye isifo kwisisu okanye ngegazi. Kwezinye iimeko unokuphathwa unyango, kodwa iimeko ezinzima zingadinga ukuhlinzwa.

Kaninzi