Iintlobo ezahlukeneyo zokuxolelwa kwi-Ulcerative Colitis kunye ne-Crohn's Disease
Isifo sesibindi esisifo (IBD) sisifo esingapheliyo, oko kuthetha ukuba abantu abahlala nayo bahamba ngexesha lokugula kunye nokuphila kakuhle. Injongo yokonyango kubantu abanesifo sikaCrohn kunye ne-ulcerative colitis (iinjongo eziphambili ze-IBD) ukuxolelwa. Unyango lunokuthatha iifom ezininzi, kuquka imithi, utyando, iindlela zokuncedisa kunye nezinye iindlela zokuphila.
Abantu abaninzi abane-IBD bacinga ukuxolelwa njengexesha lokuziva bebhetele, ngeempawu ezincinane okanye ezingekho nhlobo ze-IBD ezifana nobuhlungu besisu, isifo sohudo okanye igazi kwi-stool. Ngaloo ndlela uhlobo lokuxolelwa ngamanye amaxesha lubizwa ngokuba yi-clinical remission. Nangona kunjalo, kukho inkcazo eyongeziweyo yokuxolelwa okuba kubaluleke kakhulu kwizigulane kunye noogqirha okuthiwa i-endoscopic remission.
Ezinye iintlobo ezahlukeneyo zokuxolelwa
Cinga ukuxolelwa njengexesha elilodwa le-ambulera enkulu, kunye neentlobo ezahlukeneyo zokuxolelwa phantsi kwalo. Oogqirha baya kusebenzisa imiqathango eyahlukeneyo ukuchaza ukuxolelwa ngokusekelwe kwinto eyenziwa yi-IBD. Akunjalo bonke abagastroenterologist baya kwenza oku kumsebenzi wabo wemihla ngemihla, kodwa kwiziko lezodwa ze-IBD okanye kwiimvavanyo zeclini, ezi ntlobo ezahlukeneyo zokuxolelwa zingathethwa kwaye zibonwe njengenjongo yokonyango. Abantu abane-IBD abanemibuzo malunga nenkatho banokufumana ingqiqo malunga ne-IBD yabo ngokubuza ngezi ntlobo ezahlukeneyo zokuxolelwa, kwaye ukuba i-IBD yabo iwela kwiyiphi na iindidi zokuxolelwa:
- Ukuxolelwa kliniki: "Ukuziva ulunge" kunye neempawu ze-IBD zehla okanye zinyamalale.
- Ukuxoshwa kwe-Endoscopic: Ngexesha lobuninzi, njenge- colonoscopy okanye sigmoidoscopy , akukho ukuvuvukala emathunjini.
- Ukuxolelwa kwezinto eziphilayo: Iimvavanyo ezisetyenziselwa ukulinganisa indlela i-IBD echaphazela ngayo igazi okanye isitofu ingabonakalisa ukuba kukho izibonakaliso zokuvuvukala.
- Ukuxolelwa okuphenywayo: Xa utyando lusetyenziswa njengonyango kunye neziphumo kwixesha elincinci okanye ezingekho. Oku ngamanye amaxesha kungasetyenziselwa ukuchaza abantu abaye baqhwala kwaye abangekho naziphi na iimpawu kunye / okanye ukuvuvukala.
- Ukuxolelwa kwe-Histologic: Elinye iqela le-ambulula elibandakanya zombini i-endoscopic kunye neklinikhi yokuxolelwa. Ukongezelela, xa ama-biopsies athatyathwa emathunjini aze ahlolwe, ababonisi naziphi na iimpawu ze-IBD ukuvuvukala.
Endoscopic Remission
Abantu abane-IBD kufuneka babe nokuvavanya rhoqo ukujonga indlela umzimba wawo uphendule ngayo unyango. Phakathi kweemvavanyo ezahlukeneyo ezingasetyenziselwa iinkqubo zokugcina njenge-colonoscopy okanye i-endoscopy ephezulu. Ngethuba le mvavanyo ugqirha uyakwazi ukubona ngaphakathi kwekolon okanye intlungu encinci kwaye abuke iimpawu ze-IBD njengokukhawuliswa, uphawu lwe-cobblestone , ukusila, okanye ukubetha.
Ukuba unyango lusebenza kwaye i-gastroenterologist ayiboni nantoni na emathunjini efana ne-IBD, isigulane sinokuthi sithathwa njengokuphelelwa kwe-endoscopic. Ukuba kwakukho iingxenye zamathumbu amancinci amancinci kunye namanje aphulukileyo, kwaye isigulane sinokuphulukiswa kwe-mucosal, okuyiyo xa ukuvuvukala kwi-mucosal layout yamathumbu kuqala ukuphilisa nokubuyela kwindawo ephilileyo.
Olu hlobo lokuphulukisa lubaluleke kakhulu, kuba kungathetha ukuba kukho umngcipheko omncinci wokuphuhliswa kweengxaki ezinokubakhokelela kwizibhedlele okanye ukunciphisa umgangatho wobomi.
Ngaba Ukubuyiswa Kwe-Endoscopic Akukho Ziimpawu?
Ukuba nokuxolelwa kwe-endoscopic kunokuthi okanye akuthethi ukuba iimpawu ze-IBD nazo ziyahamba. Kufunyenwe ukuba abanye abantu abane-IBD banokuba namathumbu aphilisa, kodwa basenayo impawu. Ukuba iimpawu ziyaqhubeka, i-gastroenterologist ingakhangela esinye isizathu, njengesihlungu sesisu (IBS) , isifo se-celiac , okanye ukunyamezela kwe-lactose . Ukutshintsha kwakhona kuyinyaniso: Abanye abantu banokuba nokuvuvukala okuthe tye kwaye abanakho iimpawu.
Kutheni i-Endoscopic Remission ibalulekile?
Ingabonakala ingabonakaliyo kwizigulane: Yintoni ekugqithiseni ukuphela kwemeko xa kuthetha ukuba kusekho iimpawu ze-IBD? Ukuxoxwa kwe-Endoscopic kubalulekile kuba ukutshaya kwenkqubo yokutya kungakhokelela kwiingxaki ezinkulu phantsi komgca. Ukuba ukuvuvukala kuncitshisiwe okanye kuhamba, kuthetha ukuba ingozi yeengxaki iyancitshiswa. Ukuvuvukala okungahambikiyo kunokukhokelela kumgangatho ophantsi wobomi okanye ubunzulu obukhulu bomathumbu namathumbu amaninzi. Yingakho ukuxolelwa kwe-endoscopic yinto enye ebalulekileyo yokufumana ukuxolelwa kwi-IBD. Thetha ugqirha ukuba unemibuzo malunga nesicwangciso sonyango kunye nendlela uqhubeka ngayo ekufezekiseni iinjongo ekuxoxweni.
Imithombo:
Cellier C, uSahmoud T, uFroguel E, et al. I-Groupe d'Etudes Therapeutiques des Affections Izidumbu zamathambo. Ulungelelaniso phakathi komsebenzi weklinikhi, i-endoscopy, ubuqili, kunye nemilinganiselo ye-biological kwi-colonic ne-ileocolonic isifo sikaCrohn. Ukufundwa kwamatyala angama-121. Gut . 1994; 35: 231-235.
Neurath MF, Travis SP. Ukuphulukiswa kwamathambo kwizifo zesibilini sokuvuvukala: ukuhlolwa okucwangcisiweyo. Gut . 2012; 61: 1619-1635.