Yintoni ebangela iColitis yam kwaye ndiyinyanga njani?
Umxholo
- Ukudumba kwamathumbu kubangela
- Usulelo
- Isifo sesibindi sokuvuvukala (IBD)
- Ischemic colitis
- Ukunyanga komzimba
- Isifo sokudumba okwenziwe ngemicroscopic colitis
- Ukudumba okwenziwa ngamachiza
- Iimpawu ezivuthayo zekolon
- Unyango lwekholoni edumbileyo
- Nini ukubona ugqirha
- Yise kude
Ukudumba koloni
IColitis ligama eliqhelekileyo lokudumba kwenwebu yangaphakathi yekolon, esisisu sakho esikhulu. Kukho iintlobo ezahlukeneyo ze-colitis ezahlulwe ngunobangela. Usulelo, ukungabikho kwegazi gwenxa, kunye neeparasites konke kunokubangela ikholoni edlamkileyo.
Ukuba unekolon etshisayo, uya kuba neentlungu esiswini, ukubamba, kunye nokuhambisa.
Ukudumba kwamathumbu kubangela
Kukho iintlobo ezahlukeneyo ze-colitis kunye nezinye iimeko ezinokubangela ukuvuvukala kwekholoni.
Usulelo
Isifo esosulelayo sinokubangelwa ziintsholongwane, iintsholongwane kunye nezidleleli. Umntu onesifo sokudumba esosulelayo uya kuba nohudo kunye nomkhuhlane, kunye nesampulu yestool evavanya i-enteropathogens enje:
- isalmonella
- inkampu
- Escherichia coli (E. coli)
Kuxhomekeke kwisizathu sosuleleko, isifo sokudumba esosulelayo sinokungenwa ngamanzi angcolileyo, kwizifo ezibangelwa kukutya, okanye kwezempilo.
I-Pseudomembranous colitis lolunye uhlobo lwesifo esosulelayo. Ikwabizwa ngokuba yi-antibiotic-colitis-associated colitis okanye C. eyahlukileyo colitis kuba ibangelwa kukugqithisa kwebhakteria IClostridium difficile. Ngokuqhelekileyo kubangelwa ukusetyenziswa kwe-antibiotic ephazamisa ibhalansi yeebhaktheriya ezinempilo kwi-colon.
Isifo sesibindi sokuvuvukala (IBD)
Ngokutsho kwe, malunga ne-3 yezigidi zabantu abadala base-US babene-IBD ngo-2015. IBD liqela lezifo ezingapheliyo ezibangela ukudumba kwindawo yokugaya ukutya. Kukho iimeko ezininzi eziwela phantsi kwesambulela se-IBD, kodwa ezi ntlobo zimbini ziphambili zezi:
- Isifo sikaCrohn. Le meko ibangela ukudumba kwenxalenye yendlela yokugaya ukutya. Naliphi na icandelo lokugaya linokuchaphazeleka, kodwa ihlala ikhula kwi-ileum, eyinxalenye yokugqibela yamathumbu amancinci.
- Ukudumba okwenziwa sisilonda sikabhobhosi. Oku kubangela ukudumba okungapheliyo kunye nezilonda ngaphakathi ngaphakathi kumbindi wekholoni kunye ne-rectum. Abantu abane-ulcerative colitis banomngcipheko okhulayo womhlaza wekolon.
Ischemic colitis
Ischemic colitis yenzeka xa kuncitshiswe ukuhamba kwegazi kwinxalenye yekholoni. Oku kumisa iiseli kwinkqubo yakho yokwetyisa ekufumaneni ioksijini abayifunayo.
Ngokuqhelekileyo kubangelwa yimithambo encinci okanye evaliweyo. Abantu abaneminyaka engama-60 okanye ngaphezulu, bane-cholesterol ephezulu, okanye i-clotting disorder banomngcipheko okhulayo we-ischemic colitis.
Ischemic colitis inokuchaphazela naliphi na icandelo lekholoni kodwa uhlala uziva iintlungu kwicala lasekhohlo lesisu. Inokwenzeka ngokuthe chu okanye ngesiquphe.
[FAKA IBHOLA KUNYE NEXABISO: Ukuba uziva iintlungu kakhulu kwicala lasekunene lesisu sakho, fumana unyango olungxamisekileyo.]
Iimpawu kwicala lakho lasekunene zinokubonisa imithambo evaliweyo emathunjini akho amancinci anokubangela ngokukhawuleza i-necrosis yethishu yamathumbu. Oku kuyasongela ubomi kwaye kufuna utyando olukhawulezileyo ukucima ukucinywa kunye nokususa icandelo elonakeleyo.
Ukunyanga komzimba
I-Allergic colitis ixhaphake kakhulu kwiintsana kunabantu abadala, ichaphazela phakathi kwe-2 kunye ne-3 yepesenti yeentsana. Ukudumba kukungabikho komzimba kwiiprotheni ezifumaneka kubisi lwenkomo. Usana olunekolon edlamkileyo lunokuba nomsindo, lube ne-gassy, kwaye lube negazi okanye i-mucus kwizitulo zazo. I-anemia kunye nokungondleki kunokwenzeka.
I-Eosinophilic colitis iyafana ne-allergen colitis. Xa isenzeka kusana, ihlala isombulula ebuntwaneni. Kubantu abakwishumi elivisayo nakubantu abadala, imeko ihlala ihlala inganyangeki. Isizathu esona ngqo se-eosinophilic colitis asihlali saziwa, nangona iiprotein zobisi lweenkomo zihlala zenza ukuba iimpawu zibe mandundu. Abantu abanembali yobuqu okanye yosapho ye-allergies kunye ne-asthma babonakala benomngcipheko ophezulu.
Isifo sokudumba okwenziwe ngemicroscopic colitis
Imicroscopic colitis inokubonwa kuphela ngemicroscope. Kubonakaliswa ngokunyuka kwee-lymphocyte, ezihlobo lweeseli ezimhlophe zegazi, kwi-lining of colon.
Zimbini iintlobo ze-microscopic colitis kwaye nangona zombini zibonisa ukwanda kwee-lymphocyte, uhlobo ngalunye luchaphazela izicwili zekholoni ngendlela eyahlukileyo.
- I-lymphocytic colitis inenani eliphezulu lee-lymphocyte, kwaye izicubu kunye nelining ye-colon zi-thickness eziqhelekileyo.
- Kwi-collagenous colitis, umaleko we-collagen phantsi komngxunya wekholoni utyebile kunesiqhelo.
Isizathu se-microscopic colitis asaziwa, kodwa abaphandi bakholelwa ekubeni sinokudityaniswa:
- izifo ezizimeleyo
- amayeza athile
- usulelo
- yemfuza
Iimpawu zolu hlobo lwe-colitis zihlala ziza kwaye zihambe, ngamanye amaxesha zinyamalale ngaphandle kwonyango.
Ukudumba okwenziwa ngamachiza
Amachiza athile, ikakhulu amachiza angasebenziyo okulwa nokudumba (i-NSAIDs) adityaniswa nekholon edlamkileyo kwabanye abantu. Abantu abadala kunye nabantu abanembali yokusetyenziswa kwexesha elide kwee-NSAID kubonakala ngathi basemngciphekweni omkhulu wokuphuhlisa olu hlobo lwe-colitis.
Iimpawu ezivuthayo zekolon
Nangona kukho iintlobo ezahlukeneyo zecolitis enezizathu ezahlukeneyo, uninzi lweempawu ziyafana:
- urhudo kunye okanye ngaphandle kwegazi
- iintlungu esiswini kunye necramping
- ifiva
- ukungxamiseka kokuba nentshukumo yamathumbu
- isicaphucaphu
- ukudumba
- ukuhla ukusinda
- ukudinwa
Unyango lwekholoni edumbileyo
Unyango lwe-colitis lungahluka ngokuxhomekeke kwisizathu. Ukuba kubangelwa kukungavisisani nokutya okuthile okanye isiphumo esivela kwicala leziyobisi, ugqirha wakho uya kuncomela ukuba ususe ukutya ekutyeni okanye utshintshe amayeza.
Uninzi lweentlobo ze-colitis zinyangwa kusetyenziswa amayeza kunye notshintsho kwindlela otya ngayo. Injongo yokunyanga kwamathumbu kukunciphisa ukudumba okubangela iimpawu zakho.
Amayeza asetyenziselwa ukunyanga i-colitis angabandakanya:
- iziyobisi ezichasayo, ezinje nge-corticosteroids kunye ne-aminosalicylates
- imichiza yokucinezeleka komzimba
- iyeza lokubulala iintsholongwane
- amayeza anti-urhudo
- izongezo, ezinje nge-iron, calcium, kunye ne-vitamin D
Olu tshintsho lulandelayo kwindlela yokuphila lunokunceda ekunciphiseni iimpawu zakho:
- Gcina umkhondo kunye nokuthintela ukutya okubangela okanye okuqaqambisa iimpawu zakho
- yitya ukutya okuncinci, okuxhaphakileyo rhoqo imini yonke
- kuthintele ukutya okunyusa ukuphuma kwesitulo, njengecaffeine kunye neziqhamo nemifuno eluhlaza
- Nciphisa ukusetyenziswa kotywala
- yeka ukutshaya; oku kunokuba nzima, kodwa ugqirha unokukunceda wenze isicwangciso esifanelekileyo kuwe
Utyando lunokucetyiswa ukuba olunye unyango alunako ukukhulula iimpawu zakho okanye ukuba wonakele kakhulu kwikholoni yakho.
Nini ukubona ugqirha
Urhudo olungapheliyo, iintlungu zesisu esibuhlungu, okanye igazi kwisitulo sakho kufuneka kuvavanywe ngugqirha. Iintlungu ezibuhlungu zesisu eziza ngesiquphe kwaye zenze kube nzima kuwe ukuba ukhululeke kunokuba ngumqondiso wesimo esibi esifuna unyango olukhawulezileyo.
Yise kude
Iimpawu zekolon etshisiweyo, eyaziwa ngokuba yi-colitis, inokubangela ukungonwabi okunokuchaphazela umgangatho wobomi bakho. Kukho iindlela zonyango ezinokunceda. Thetha nogqirha ukuze ufumane eyona ndlela yokunyanga iimpawu zakho.