Kuthathwe njengesifo sesibindi sokugula (IBD), i-ulcerative colitis yimeko yokuxhatshazwa komzimba echaphazela kakhulu indlela yokutya, kodwa ngokuqhelekileyo inegalelo kwezinye iindawo zomzimba. Ingabangela iimpawu zokurhuda igazi, isisu esiswini, kunye nesidingo esiphuthumayo ukukhupha amathambo. Iimpawu zikwazi ukujikeleza ixesha lokuxolelwa kunye nezifo ezisebenzayo.
Iimpawu ziyahlukahluka kumntu kumntu, onokuyifumanisa kwaye unyango lucelomngeni, kodwa kukho ezimbalwa ezithintekayo xa unesimo.
Iimpawu Zamaxesha amaninzi
Iimpawu kunye neempawu zesifo se-ulcerative colitis ziyahlukahluka ngokuxhomekeke kwisigaba kunye nendawo yesifo eso, kodwa esona siqhelekileyo singabandakanya:
- Izilonda (imingxuma) kwindawo yokuhlala emathunjini amakhulu
- Isitulo segazi
- Iintlungu zesisu kunye neenkampu
- Uhudo
- Isidingo esiphuthumayo sokuba neentshukumo zokuhamba (tenesmus)
- Fever
- Ukuphelelwa kwesidlo
- Mucus kwisitulo
I-ulcerative colitis yisifo esiqhubekayo. Izilonda ziqala kwingxenyana yokugqibela yamathumbu amakhulu, okubizwa ngokuba yi-sigmoid colon, kwaye isenokusasazeka kuyo yonke ikolon. Iimpawu kunye neempawu ziyahlukahluka ngokusekelwe kwimizimba yamathumbu echaphazelekayo.
Iintlobo ezahlukeneyo zezilonda zesilonda kunye neempawu zabo eziqhelekileyo ziquka:
- I-proctitis ye-Ulcerative: Ukuvuvukala kufakwe kwi-rectum, kubangela isifo sohudo, isitofu esinokugawula igazi, intlungu emzimbeni, kunye nesidingo esiphuthumayo sokuhambisa amathambo (tenesmus).
- Iproctosigmoiditis: Ukuvuvukala kufakwe kwi-rectum kunye ne-sigmoid colon, kubangela uhudo, uhudo olugazini, intlungu, ukuphuthuma kunye nentlungu kwicala lesobunxele besisu.
- I-colitis-side colitis (kunye nokukhawuleza okanye ukusabalalisa i-colitis): Ukuvuvukala kwicala lasekhohlo lekholoni (i-rectum, i-sigmoid colon, ehla i-colon) eyenza uhudo, izitofu zamanzi, ukulahleka kwesisindo, ukulahlekelwa kwesidlo, kwaye ngamanye amaxesha ubuhlungu obukhulu kwicala lasekhohlo .
- I-Pancolitis: Ukuvuvukala kuyo yonke ikoloni, kubangela ukurhoxiswa, iincampu, ukulahleka kwexabiso elikhulu kunye nobuhlungu obukhulu besisu.
Iingxaki
I-ulcerative colitis ihambelana neengxaki phakathi kokutya kwenkqubo yokutya kunye nangaphandle kwenkqubo yokutya (ebizwa ngokuba yimpawu zamathumbu ezongezelelweyo).
Iingxaki zamathumbu zingabandakanya:
- Ubunzima bokuhamba. Umngxuma kwikholoni eyingozi yonyango engabangela ukuphuma kwamanzi kunye nesisu esiswini. Le ngxaki ayiqhelekanga kubantu abane-ulcerative colitis.
- Fissure. I- crack is a tear that occurs in the barn of an anal canal which can cause bleeding and pain but often is therapy home.
- Megacolon. Isimo esingaqhelekanga esibangela ukugqithisa kakhulu kwikholoni, i-megacolon yinto enzima kakhulu efuna unyango lwangxamisekileyo.
Ubunzima beengxaki zamathumbu zingabandakanya:
- Ukukhula kwexesha elide kubantwana. Amanye amayeza asele asele asetyenziswe ukunyanga i-ulcerative colitis kunye nokungondleki kokubangelwa sisifo kunokufaka isandla kwiingxaki zokukhula .
- Izifo zamehlo. Iimeko ezininzi zamehlo, kubandakanywa i- uveitis , i- glaucoma , i-keratopathy, i- episcleritis , kunye namehlo aomileyo, anxulumene ne-ulcerative colitis okanye unyango lwesifo.
- Arthritis. Eyona ndlela ixhaphakileyo yembonakaliso eyongezelelweyo yamathumbu, iintlobo ezahlukeneyo ze- arthritis ziyakwenzeka kubantu abane-ulcerative colitis, kuquka i-arthritis ye-peripheral, i-axial arthritis, i-arthritis ye-rheumatoid, kunye ne- spondylitis engabonakaliyo .
- Iimeko zesikhumba. I-Erythema nodosum kunye ne- pyoderma gangrenosum ziimeko ezingaqhelekanga ezenzeka ngokuphindaphindiweyo kubantu abane-IBD. I-Psoriasis , enye imeko ye-immune-mediated, ixhaphake kakhulu kubantu abane-IBD.
- Izilonda zomlomo. Kwakhona kuthiwa yi- aphthous stomatitis , ezi zilonda emlonyeni womlomo ongenzeka kunye ne-ulcerative colitis.
- Iimpawu ngexesha lokuya esikhathini. Abanye abesifazana abane-IBD bafumana ukuba isifo sokuqala kwesisu (PMS) esenzeka kwiintsuku ezikhokelela kwixesha labo senza i-diarrhea kunye nentlungu.
Nini ukubona iDokotela
Kubantu abane-ulcerative colitis, kunokuba ngumngeni ukwazi ukuba yimaphi iimpawu ezingxamisekileyo, ezifanele zifake umnxeba kwi-gastroenterologist , kwaye ingayilinda.
Emva kokusebenza kakuhle nokuba neempawu ezimbalwa okanye ezingekho mqondiso, xa iimpawu ( iingxaki zokulala , isifo sohudo, izigulana zamanzi, izifo, ukulahleka kwesisindo) siqala kwakhona, sizathu sokubiza ugqirha kwaye sivavanywe ukuba sisenokungena. Kungadingeka ukuba utshintshe unyango okanye ulungelelanise isicwangciso sokunyamekela kwangoku ukuze ufumane ukuvuvukala ngaphantsi kokulawula ngokukhawuleza.
Ngokuqhelekileyo, iimpawu ezinjengeentlungu ezisiswini esiswini, ukuphuma kwegazi ngokugqithiseleyo, kunye nempawu zokudambiswa kwamanzi (umlenze womlenze, ukunciphisa umchamo, ukuhamba ngokukhanya) sisizathu sokufuna unyango ngokukhawuleza. Xa kunokwenzeka, ukubiza i-gastroenterologist ngaphambi kokuya esibhedlele kunokukunceda ekunqumeni ukuba yeyiphi inqanaba lonyango olufunekayo.
Nangona kunjalo, ukuba unyango luyadingeka ngokukhawuleza, ukuya kwisebe eliphuthumayo linokukhetha okulungileyo. Ukuba kukho imeko engathandekiyo imo enesifo esilungileyo okanye i-megacolon enetyhefu, kunokuba kuyimfuneko ukubiza i-911, kuba ezi zizezi zonyango.
> Imithombo:
> Crohn's & Colitis Foundation. "I-Arthritis." I-CrohnsColitisFoundation.org. 2 Meyi 2005.
> Crohn's & Colitis Foundation. "Iingxaki zamehlo kwi-IBD." CrohnsColitisFoundation.org. 1 Meyi 2012.
> Iziko lezoLwazi lezeMpilo. "I-Ulcerative Colitis." Isiko seSizwe soSifo sikashukela kunye neNtsholongwane kunye neZifo zengqondo.