I-ulcerative colitis - ukukhutshwa

Ubusesibhedlele ukunyanga i-ulcerative colitis. Oku kukukrala (ukudumba) komgca wangaphakathi wekholoni kunye ne-rectum (ekwabizwa ngokuba ngamathumbu akho amakhulu). Eli nqaku likuxelela ngendlela onokuzikhathalela ngayo xa ubuyela ekhaya.

Ubusesibhedlele kuba unesifo sokukrala kwezilonda. Oku kukukrala komda wangaphakathi wekholoni kunye ne-rectum (ekwabizwa ngokuba ngamathumbu akho amakhulu). Konakalisa umgca, ubangele ukuba wophe okanye ukhuphe amafinyila okanye ubofu.

Mhlawumbi ufumene ulwelo ngombhobho we-intravenous (IV) kwimithambo yakho. Kusenokwenzeka ukuba uye watofelwa igazi, wondliwa ngetyhubhu yokondla okanye nge-IV, kunye namayeza okunceda ukunqanda urhudo. Usenokuba unikwe amayeza okunciphisa ukudumba, ukuthintela okanye ukulwa nosulelo, okanye ukunceda amajoni akho omzimba.

Usenokuba uye wafumana ikholonoscopy. Kananjalo usenokuba utyandiwe. Ukuba kunjalo, usenokuba une-ileostomy okanye i-colon resection (colectomy).

Uninzi lwabantu luya kuba nekhefu elide phakathi kokuqhambuka kwesifo sokudumba okwenziwa sisilonda sikabhobhosi ukuba bathatha amayeza abawanikiweyo.

Xa uqala ukugoduka, kuyakufuneka usele ulwelo kuphela okanye utye ukutya okwahlukileyo kule nto uqhele ukuyitya. Buza umboneleli wakho wezempilo xa uqala ukutya ukutya rhoqo. Kuya kufuneka utye ukutya okusempilweni okunesondlo. Kubalulekile ukuba ufumane iikhalori ezaneleyo, iiprotein, kunye nezakha mzimba kumaqela okutya ahlukeneyo.

Ukutya kunye nokusela okuthile kunokwenza ukuba iimpawu zakho zibe mandundu. Oku kutya kunokubangela iingxaki kuwe ngalo lonke ixesha okanye kuphela ngexesha lokutsha. Gwema ukutya okwenza iimpawu zakho zibe zibi nakakhulu.

• Ifayibha eninzi inokwenza ukuba iimpawu zakho zibe mandundu. Zama ukubhaka okanye ukugcoba iziqhamo kunye nemifuno ukuba uyitya ikrwada iyakukhathaza.
• Kunqande ukutya okwaziwayo ukuba kubangela irhasi, efana neembotyi, ukutya okune-spices, ikhaphetshu, i-broccoli, i-cauliflower, iijusi zeziqhamo ezingavuthi, kunye neziqhamo (ngakumbi iziqhamo ze-citrus). Gwema okanye ulinganisele utywala kunye ne-caffeine. Basenokwenza urhudo lwakho lube mandundu.

Yitya ukutya okuncinci, kwaye utye rhoqo. Sela ulwelo oluninzi.

Buza umboneleli wakho malunga neevithamini ezongezelelweyo kunye neeminerals onokuzifuna, kubandakanya:

• Izongezo zentsimbi (ukuba une-anemic)
• Izongezo zesondlo
• I-calcium ne-vitamin D yongeza ukunceda ukugcina amathambo akho omelele

Thetha nengcali yokutya, ngakumbi ukuba unciphisa umzimba okanye ukutya kwakho kuncipha kakhulu.

Unokuziva ukhathazekile malunga nengozi yamathumbu, uneentloni, okanye uzive ukhathazekile okanye udandathekile. Ezinye izinto ezixinzelelekileyo ebomini bakho, ezinje ngokuhamba, ukuphulukana nomsebenzi, okanye ukuphulukana nomntu omthandayo, kunokubangela iingxaki ekucoleni ukutya kwakho.

Ezi ngcebiso zinokukunceda ulawule i-ulcerative colitis yakho:

• Joyina iqela lenkxaso. Buza umboneleli wakho malunga namaqela kwindawo yakho.
• Zilolonge. Thetha nomboneleli wakho malunga nesicwangciso somsebenzi esikulungele.
• Zama i-biofeedback ukunciphisa uxinzelelo lwemisipha kunye nokucothisa ukubetha kwentliziyo yakho, imithambo yokuphefumla ngokunzulu, i-hypnosis, okanye ezinye iindlela zokuphumla. Imizekelo ibandakanya ukwenza iyoga, ukumamela umculo, ukufunda, okanye ukuntywila emanzini ashushu.
• Jonga umboneleli wezempilo yengqondo ngoncedo.

Umboneleli wakho unokukunika amayeza ukunceda ukunciphisa iimpawu zakho. Ngokusekwe kubukhali besifo sakho sokudumba okwenziwa sisilonda sikabhobhosi kunye nendlela osabela ngayo kunyango, kusenokufuneka ukuba uthathe elinye okanye ngaphezulu kula mayeza:

• Amachiza okuthintela urhudo anokunceda xa unorhudo olubi kakhulu. Ungathenga i-loperamide (Imodium) ngaphandle kommiselo. Soloko uthetha nomboneleli wakho ngaphambi kokusebenzisa la machiza.
• Izongezo zefiber zinokunceda iimpawu zakho. Ungathenga i-psyllium powder (Metamucil) okanye i-methylcellulose (iCitrucel) ngaphandle kommiselo.
• Soloko uthetha nomboneleli wakho ngaphambi kokusebenzisa nawaphi na amayeza e-laxative.
• Unokusebenzisa i-acetaminophen (iTylenol) yentlungu encinci. Iziyobisi ezinje nge-aspirin, ibuprofen (Advil, Motrin), okanye naproxen (Aleve, Naprosyn) zinokwenza iimpawu zakho zibe mandundu. Thetha nomboneleli wakho ngaphambi kokuba uthathe la mayeza. Unokufuna kwakhona amayeza amayeza eentlungu aqine.

Zininzi iintlobo zamachiza umboneleli wakho anokuzisebenzisa ukunqanda okanye ukunyanga uhlaselo lwesifo sakho sokudumba okwenziwa sisilonda sikabhobhosi.

Inkathalo yakho eqhubekayo iya kusekelwa kwiimfuno zakho. Umboneleli wakho uya kukuxelela ukuba ubuyela nini kuvavanyo lwangaphakathi kwirecu kunye nekholoni ngombhobho oguqukayo (sigmoidoscopy okanye colonoscopy).

Fowunela umnikezeli wakho ukuba unayo:

• Iintlanzi okanye iintlungu kwindawo yakho esezantsi esiswini
• Urhudo olunegazi, uhlala ene-mucus okanye ubofu
• Urhudo olungenakulawulwa ngokutshintsha kokutya kunye neziyobisi
• Ukopha okungafunekiyo, umjelo wamanzi, okanye izilonda
• Umkhuhlane ohlala ngaphezulu kweentsuku ezi-2 okanye ezi-3, okanye umkhuhlane ongaphezulu kwe-100.4 ° F (38 ° C) ngaphandle kwengcaciso
• Isihlunu kunye nokuhlanza okuhlala ngaphezu komhla
• Izilonda zolusu okanye izilonda ezingapholiyo
• Intlungu edibeneyo ekugcina ungenzi imisebenzi yakho yemihla ngemihla
• Imvakalelo yokuba nesilumkiso esincinci ngaphambi kokuba ufumane intshukumo yamathumbu
• Isidingo sokuvuka ebuthongweni ukuze ube nokuhamba kwamathumbu
• Ukusilela ukutyeba, ukukhathalela usana okanye umntwana okhulayo
• Iziphumo ebezingalindelekanga ezivela kuwo nawaphi na amayeza amiselweyo kwimeko yakho

Ukudumba kwesisu - ukukhutshwa; Ulcerative proctitis - ukubhobhoza; Colitis - ukubhobhoza

• Ukudumba kwesifo

UAtallah CI, u-Efron JE, uFang SH. Ulawulo lwe-ulcerative colitis engapheliyo. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 154-161.

UDassopoulos T, uSultan S, uFalck-Ytter YT, u-Inadomi JM, uHanauer SB. American Gastroenterological Association Institute uphononongo lobuchwephesha ekusebenziseni i-thiopurines, methotrexate, kunye ne-anti-tnf-a iziyobisi zebhayoloji zokungenisa kunye nokugcina ukuxolelwa kwisifo sikaCrohn esidumbisayo. Gastroenterology. Ngo-2013; 145 (6): 1464-1478. IINKCUKACHA: 24267475 www.ncbi.nlm.nih.gov/pubmed/24267475.

IKornbluth A, iSachar DB; Ziqhelanise neparameters Committee yeAmerican College of Gastroenterology. Izikhokelo zokuziqhelanisa nesilonda kubola kubantu abadala: Ikholeji yaseMelika yeGastroenterology, iKomiti yeeParameter yokuziQhelanisa. NdinguJ Gastroenterol. Ngo-2010; 105 (3): 501-523. IINKCUKACHA: I-20068560 www.ncbi.nlm.nih.gov/pubmed/20068560.

I-Osterman MT, iLichtenstein GR. Ukudumba okwenziwa sisilonda sikabhobhosi. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 116.

I-Swaroop PP. Isifo samathumbu esivuthayo: Isifo seCrohn kunye nesilonda esibuhlungu. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 224-230.

• Izitulo ezimnyama okanye ezilindileyo
• Ukuvavanywa komhlaza wekolon
• Ileostomy
• Ukuthengiswa kwakhona kwamathumbu amancinci
• I-colectomy yesisu sisonke
• Iproctocolectomy iyonke kunye nengxowa ye-ileal-anal
• Ukudumba okwenziwa sisilonda sikabhobhosi

• Urhudo-yintoni oza kuyibuza ugqirha-umntwana wakho
• Urhudo-yintoni oza kuyibuza umboneleli wakho wezempilo-umntu omdala
• Isondlo sangaphakathi-iingxaki zokulawula umntwana
• Ityhubhu yokondla isisu - i-bolus
• Ileostomy nomntwana wakho
• Ileostomy kunye nokutya kwakho
• Ileostomy - ukukhathalela i-stoma yakho
• Ileostomy - ukukhutshwa
• Ityhubhu yokondla iJejunostomy
• Ukuhlala neileostomy yakho
• Ukutya okune-fiber encinci

• Ulcerative Colitis