Ngaphandle kolunye unyango, yimeko yonke
I-ulcerative colitis yindlela yokuvuvukala kwesifo (IBD) apho okwangoku akukho unyanga owaziwayo . Uphawu oluphambili lwe-ulcerative colitis ukuvuvukala kwi-colon kunye ne-rectum. Nangona kunjalo, eso sifo sidibene neengxaki ezichaphazela ezinye iindawo zomzimba, kubandakanywa amajoyina, isikhumba kunye namehlo. Kwiminyaka yokuqala eyi-10 emva kokuxilongwa, ukuxela abantu abaninzi abane-ulcerative colitis ilungile-izinga le- colectomy liphantsi, kwaye ezininzi izigulane zifumana ukuxolelwa.
Iindaba ezilungileyo kukuba kukho iindlela ezininzi zokwelapha ezikhoyo ngoku kunanini ngaphambili, kwaye ezininzi zihamba endleleni. Kwimashumi eminyaka edlulileyo izigulane zagula kakhulu kwaye zifuna i- ileostomy esisigxina ngenxa yokuba isifo siphume kakhulu, okanye umngcipheko womhlaza wekoloni wawuphezulu kakhulu. Oko kusenzeka kwezinye iimeko, kodwa ukuhlinzwa okutsha, njengokwesikhokhelo se- ileal-anal anastomosis (IPAA ), okanye i-j-poch , ngoku iqhutshwa ngokuqhelekileyo.
I-Flare-Ups kunye ne-Remission
I-ulcerative colitis iyigulo esingapheliyo, oko kuthetha ukuba akayi kuhamba. Inkambo yesifo sezilonda zesilonda ihlala ihamba phakathi kwexesha leentsholongwane zesifo (i- flare-ups ) kunye nexesha lokuxolelwa (apho kukho ezimbalwa okanye akukho mpawu, okanye apho kungekho ukutshaya kwincolon). Abanye abantu abane-ulcerative colitis abanakufumana ukuxolelwa kodwa kunoko baya kuba nezifo eziqhubekayo, ezisebenzayo. Phantse i-10% yabantu banenkxalabo enzulu, efana nokugqithiswa (umgodi kwikolon) okanye ukuphuma kwegazi okukhulu, emva kokuqala kokuqala.
Phantse i-10% yabantu ayifumananga enye emva kokuqala kwayo, enokuthi ukuxilongwa kwe-ulcerative colitis kwakungalunganga.
I-colceritis colitis iqala ukuqala kwi- rectum okanye kwicandelo lokugqibela lekholoni (i- colmo sigimoid ) kwaye isenokusasazeka kuyo yonke ikoloni.
Kulabo bafumene ukuba bane- ulcerative proctitis , apho eso sifo sitholakala kuphela kwi-rectum, ithuba lokusasazeka kwi-colon ngu-10% ukuya ku-30%.
Kufuneka nini i-Colectomy?
Naphi na ukusuka kwi-10% ukuya kwi-40% yezigulane ezinezilonda zesilonda ziza kufuna ukuhlinzwa ukunyanga isifo sabo. Uphando luhlala lubandakanya ukususwa ngokupheleleyo kwekholoni; ukususwa okukodwa akukwenziwanga ngenxa yokuba i-ulcerative colitis iya kuphinda ibuyele kwingxenye yekholoni ehleliyo. Ukhetho olukhethiweyo lotyando emva kokuba u-colectomy yi- j-pouch ukuhlinzwa , apho inxalenye yokugqibela yesisu esincinci (i-ileum) isetyenziselwa ukwenza isikhwama sokubamba isitulo. I-j-poch isebenza njenge-rectum kwaye igxothwe kwi-anus ukwenzela ukuba umntu angakwazi ukuhambisa izibilini zawo phantsi.
Kwezinye iimeko, i-ileostomy ingadinga ukuba yenziwe. I-ileostomy yilapho inxalenye yesibindi iziswa ngesisu (a stoma ), isikhwama sangaphandle sisetyenziselwa ukuqokelela inkunkuma. Oku kwenziwa kwiimeko ezinzima okanye xa utyando lwe-j-pouch luphela. Kule meko, i-ileostomy ingasigxina
Umngcipheko weCaron Cancer
Umdlavuza weColon ukhula malunga nama-5% abantu abane-ulcerative colitis. Umngcipheko womhlaza wekoloni unyuke emva kweminyaka eyi-8 ukuya kwe-10 yesifo esisebenzayo kwaye unezifo ezininzi (ezibizwa ngokuba yi-pan colitis).
Izizathu zokungcipheka komngcipheko womngcipheko womhlaza wekoloni kucatshangelwa ukuba zivela ekuqhubheni okuqhubekayo okuchaphazela i-colon. Kungako kubalulekile ukuba abantu abane-ulcerative colitis babe nolondolozo oluqhelekileyo kwi- gastroenterologist , ukufumana isifo ukuba sixolelwe, kunye nokuba ne-colonoscopy rhoqo ukujonga nayiphi na ingxaki.
Ngaphantsi
Abantu abane-ulcerative colitis bajamelana nemingeni ngenxa yesifo sabo. Ukubona i-gastroenterologist rhoqo kwaye ufumana unyango lokulondoloza, nokuba xa uvakalelwa kakuhle, kuya kubaluleke kakhulu ekukhuseleni ukuphazamiseka.
Ukuphakanyiswa kweentlobo kunye nokuhlawulelwa kunye nokuxolelwa kungaxinwa, oko kutheni ukugcina ukuvuvukala phantsi kolawulo kunye nokujongana nezinye iinkxalabo zempilo njengoko zihlumayo ziya kuba yintsimi yokuba nomgangatho wobomi obuhle.
Imithombo:
Langholz E, Munkholm P, Davidsen M, Binder V. "Inkambo ye-Ulcerative Colitis: Uhlalutyo lweenguqu kwiSifo ngokuSebenza iminyaka." I-Gastroenterology 1994 Jul; 107: 3-11.
Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. "Ulcerative Colitis." I-National Digestive Diseases Information Clearinghouse Septemba 2014.
ISharhar DB, i-Walfish AE. "Ulcerative Colitis." I-Merck Manual ka-2006.
I-Solberg IC, uLygren I, uJahnsen J, uAadland E, et al. "Inkqubo yeeNkliniki phakathi kweNyaka eyi-10 ye-Ulcerative Colitis: Iziphumo ezivela kwisiGqeba sokuQala uLuntu (i-IBSEN Study)." I-Scand J Gastroenterol 2009; 44: 431-440.