Umahluko phakathi kweCrohn's, UC, kunye ne-IBD

Umxholo

• Ukudumba kwesifo
• Isifo sikaCrohn
• Ukudumba okwenziwa sisilonda sikabhobhosi
• Ukuchonga i-IBD

Ushwankathelo

Abantu abaninzi bayabhideka xa kufikwa kumahluko phakathi kwesifo sokukrala kwamathumbu (IBD), isifo sikaCrohn, kunye ne-ulcerative colitis (UC). Inkcazo emfutshane kukuba i-IBD ligama lesambrela kwimeko apho isifo seCrohn kunye ne-UC siwela khona. Kodwa kukho, ewe, okuninzi ebalini.

Zombini iiCrohn's kunye ne-UC ziphawulwe ngempendulo engaqhelekanga ngamajoni omzimba, kwaye banokwabelana ngeempawu ezithile.

Nangona kunjalo, kukho umahluko obalulekileyo ngokunjalo. Oku kwahluka ikakhulu kubandakanya indawo yokugula kwi-gastrointestinal (GI) kunye nendlela isifo ngasinye esisabela ngayo kunyango. Ukuqonda ezi mpawu kubalulekile ekufumaneni isifo esifanelekileyo kwi-gastroenterologist.

Ukudumba kwesifo

I-IBD yayingabonakali ngaphambi kokunyuka kococeko oluphuculweyo kunye nokuhlala kwabantu ezidolophini ekuqaleni kwekhulu lama-20.

Namhlanje, isafunyanwa ikakhulu kumazwe ahambele phambili afana ne-United States. Njengezinye izifo ezizimeleyo kunye nokuphazamiseka komzimba, kukholelwa ukuba ukungabikho kwentsholongwane yokuphuhliswa kwegciwane kuye kwaba negalelo kwizifo ezifana ne-IBD.

Kubantu abane-IBD, amajoni omzimba enza iimpazamo ekutyeni, kwiibhaktheriya, okanye kwezinye izinto kwiteknoloji ye-GI yezinto zangaphandle kwaye iphendula ngokuthumela iiseli ezimhlophe zegazi kulusu lwamathumbu. Isiphumo sokuhlaselwa kwamajoni omzimba kukudumba okungapheliyo. Igama elithi "ukudumba" ngokwalo livela kwigama lesiGrike elithetha "idangatye." Lithetha “ukutshiswa ngomlilo.”

I-Crohn's kunye ne-UC zezona ntlobo zixhaphakileyo ze-IBD. I-IBD eziqhelekileyo ziquka:

• ngemicroscopic colitis
• i-colitis ehambelana ne-diverticulosis
• collagenous colitis
• lymphocytic ukudumba
• Isifo sika-Behçet

I-IBD inokubetha nakweyiphi na iminyaka. Uninzi lwe-IBD lufunyaniswa ngaphambi kweminyaka engama-30, kodwa lunokufunyanwa kamva ebomini. Kuqheleke ngakumbi:

• abantu abakwiibakaki eziphezulu kwezoqoqosho
• abantu abamhlophe
• abantu abatya ukutya okunamafutha aphezulu

Kuqheleke ngakumbi kwezi meko zilandelayo:

• amazwe ahambele phambili
• Imozulu esemantla
• kwiindawo ezisezidolophini

Ngaphandle kwezinto zokusingqongileyo, izinto zemfuza zikholelwa ukuba zidlala indima ebalulekileyo kuphuhliso lwe-IBD. Ke ngoko, ithathwa ngokuba "sisifo esiyinkimbinkimbi."

Kwiindlela ezininzi ze-IBD, akukho lunyango. Unyango lujolise kulawulo lweempawu kunye nokuxolelwa njengenjongo. Kwabaninzi, sisifo sobomi bonke, namaxesha atshintshanayo oxolelo kunye nokuqaqanjelwa. Unyango lwale mihla, nangona kunjalo, luvumela abantu ukuba baphile ubomi obuqhelekileyo kunye nemveliso.

I-IBD ayifanele idideke kunye nesifo sengqondo sesibindi (IBS). Ngelixa ezinye iimpawu zinokufana ngamanye amaxesha, umthombo kunye nenkqubela yeemeko zahluka kakhulu.

Isifo sikaCrohn

Isifo sikaCrohn sinokuchaphazela nayiphi na indawo yephecana le-GI ukusuka emlonyeni ukuya kwi-anus, nangona ihlala ifunyanwa esiphelweni samathumbu amancinci (amancinci amancinci) kunye nokuqala kwekholoni (amathumbu amakhulu).

Iimpawu zesifo sikaCrohn zinokubandakanya:

• urhudo rhoqo
• ukuqhina ngamanye amaxesha
• intlungu zesisu
• ifiva
• igazi esitulweni
• ukudinwa
• iimeko zolusu
• intlungu edibeneyo
• ukungondleki
• ukuhla ukusinda
• fistula

Ngokungafaniyo ne-UC, iCrohn's ayikhawulelwanga kwiphecana le-GI. Inokuchaphazela ulusu, amehlo, amalungu kunye nesibindi. Kuba iimpawu zihlala zisiba mbi emva kwesidlo, abantu abaneCrohn's bahlala befumana ilahleko ngenxa yokuphepha ukutya.

Isifo sikaCrohn sinokubangela ukuvaleka kwamathumbu ukusuka ekuqobekeni nasekudumbeni. Izilonda (izilonda) kwindawo yamathumbu zinokukhula zibe ngamaphecana awo, abizwa ngokuba ziifistula. Isifo sikaCrohn sinokunyusa nomngcipheko womhlaza wekolon, yiyo loo nto abantu abaphila nale meko kufuneka babe neekolonoscopies rhoqo.

Amayeza yeyona ndlela ixhaphakileyo yokunyanga isifo sikaCrohn. Iintlobo ezintlanu zamachiza zezi:

• ii-steroids
• i-antibiotics (ukuba izifo okanye i-fistula zibangela amathumba)
• iinguqulelo zomzimba, ezinje nge-azathioprine kunye ne-6-MP
• ii-aminosalicylates, ezinje nge-5-ASA
• unyango lwebhayoloji

Ezinye iimeko zisenokufuna utyando, nangona utyando lungasinyangi isifo sikaCrohn.

Ukudumba okwenziwa sisilonda sikabhobhosi

Ngokungafaniyo neCrohn's, i-ulcerative colitis ivalwe kwikholoni (enkulu yamathumbu) kwaye ichaphazela kuphela amanqwanqwa aphezulu kusasazo olulinganayo. Iimpawu ze-UC zibandakanya:

• intlungu zesisu
• izitulo ezikhululekileyo
• Isitulo segazi
• ukungxamiseka kokuhamba kwamathumbu
• ukudinwa
• Ukuphelelwa ngumdla wokutya
• ukuhla ukusinda
• ukungondleki

Iimpawu ze-UC zinokwahluka ngohlobo. Ngokutsho kwekliniki yaseMayo, kukho iintlobo ezintlanu ze-UC ngokusekwe kwindawo:

• Ubunzima be-UC. Olu luhlobo olunqabileyo lwe-UC oluchaphazela yonke ikholoni kwaye lubangele ubunzima bokutya.
• I-colitis esekhohlo. Olu hlobo luchaphazela ukwehla kwekholoni kunye ne-rectum.
• Ipancolitis. I-Pancolitis ichaphazela ikholoni yonke kwaye ibangela urhudo olunegazi oluqhubekayo.
• Iproctosigmoiditis. Oku kuchaphazela ikholoni esezantsi kunye ne-rectum.
• Ulcerative proctitis. Eyona fomu ye-UC inobulali, ichaphazela kuphela i-rectum.

Onke amayeza asetyenziselwa iCrohn ahlala esetyenziselwa i-UC ngokunjalo. Ugqirha, nangona kunjalo, lisetyenziswa rhoqo kwi-UC kwaye ithathwa njengeyeza kunyango. Kungenxa yokuba i-UC inikwe umda kuphela kwikholoni, kwaye ukuba ikholoni iyasuswa, kunjalo nesifo.

Ikholon ibaluleke kakhulu nangona kunjalo utyando lusathathelwa ingqalelo njengecebo lokugqibela. Kuqwalaselwa kuphela xa uxolelo kunzima ukufikelela kulo kwaye ezinye iindlela zonyango aziphumelelanga.

Xa iingxaki zenzeka, zinokuba nzima. Ukushiya kunganyangwa, i-UC inokukhokelela ku:

• ukugqobhoza (imingxunya kwikholoni)
• umhlaza wamathumbu
• isifo sesibindi
• osteoporosis
• ianemia

Ukuchonga i-IBD

Akungabazeki ukuba i-IBD inokunciphisa kakhulu umgangatho wobomi, phakathi kweempawu ezingathandekiyo kunye nokutyelela rhoqo kwiindawo zokuhlambela. I-IBD inokukhokelela nakwizicubu ezibomvu kwaye inyuse umngcipheko womhlaza wekolon.

Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, kubalulekile ukubiza ugqirha. Unokubhekiswa kwi-gastroenterologist yokuvavanya i-IBD, njenge-colonoscopy okanye i-CT scan. Ukuchonga ifom efanelekileyo ye-IBD kuya kukhokelela kunyango olusebenzayo.

Ukuzibophelela kunyango lwemihla ngemihla kunye notshintsho kwindlela yokuphila kunokunceda ukunciphisa iimpawu, ukufezekisa ukuxolelwa, kunye nokuphepha iingxaki.

Nokuba uthini na ukuxilongwa kwakho, i-app yasimahla yeHealthline, IBD Healthline, inxibelelana nabantu abaqondayo. Dibana nabanye abahlala neCrohn's kunye ne-ulcerative colitis ngokuthumela imiyalezo ngomntu ngamnye kunye neengxoxo zeqela eliphilayo. Ngaphezulu, uya kuba nolwazi oluvunyiweyo lweengcali ekulawuleni i-IBD kwizandla zakho. Khuphela usetyenziso lwe-iPhone okanye i-Android.