Ukususwa kwamathumbu ngamathumbu eSifo sikaCrohn

Umxholo

• Ukususwa okungaphelelanga kwamathumbu
• Ukuphindaphinda emva kokuphinda kuthengiswe
• Ukuyeka ukutshaya emva koqhaqho lokuhlinzwa kwakhona
• Amayeza emva kotyando lokuthengiswa kwakhona
• Amayeza okubulala iintsholongwane
• Aminosalicylates
• Amagciwane omzimba
• Yintoni onokuyilindela emva kotyando
• Q:
• A:

Ushwankathelo

Isifo sikaCrohn sisifo samathumbu esivuthayo esibangela ukudumba kwenwebu yethumbu. Oku kudumba kunokwenzeka nakweliphi na icandelo lesisu, kodwa ikakhulu ichaphazela ikholoni kunye namathumbu amancinci.

Abantu abaninzi abanesifo sikaCrohn bachitha iminyaka bezama amayeza ahlukeneyo. Xa amayeza engasebenzi okanye iingxaki zikhula, ngamanye amaxesha utyando lukhetho.

Kuqikelelwa ukuba ukuya kuthi ga kwiipesenti ezingama-75 zabantu abanesifo sikaCrohn ekugqibeleni bafuna utyando ukunyanga iimpawu zabo. Abanye baya kuba nenketho yokuhlinzwa, ngelixa abanye baya kuyidinga ngenxa yeengxaki zesifo sabo.

Olunye uhlobo lotyando lweCrohn lubandakanya ukususa icandelo elidlamkileyo lekholon okanye ithumbu elincinci. Le nkqubo inokunceda ngeempawu, kodwa ayisiyonyango.

Emva kokususwa kwendawo echaphazelekayo yamathumbu, esi sifo sinokuthi siqale sichaphazele indawo entsha yesisu, esibangela ukuphindaphinda kweempawu.

Ukususwa okungaphelelanga kwamathumbu

Ukususwa kwenxalenye yamathumbu kubizwa ngokuba kukuthengiswa ngokuthe ngqo okanye ukuthengiswa kwamathumbu ngokuyinxenye. Olu tyando ngokubanzi luyacetyiswa kubantu abanesithintelo esinye okanye nangaphezulu, okanye indawo ezigulayo, abasondeleyo kwinxalenye ethile yamathumbu.

Utyando olukhethekileyo lokuphinda kuthengiswe kwakhona kunokucetyiswa kwizigulana ezinezinye iingxaki ezivela kwisifo sikaCrohn, njengokuphuma kwegazi okanye isisu. Ukuthengiswa ngokuthe ngqo kubandakanya ukususa iindawo ezonakalisiweyo zamathumbu kunye nokudibanisa kwakhona amacandelo asempilweni.

Utyando lwenziwa phantsi kwe-anesthesia ngokubanzi, oko kuthetha ukuba abantu balele kuyo yonke inkqubo. Utyando ngokubanzi lithatha ukusuka kwiyure enye ukuya kwezine.

Ukuphindaphinda emva kokuphinda kuthengiswe

Ukuthengiswa ngokuthe ngqo kunokunciphisa iimpawu zesifo sikaCrohn iminyaka emininzi. Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba isiqabu sihlala sisethutyana.

Phantse iipesenti ezingama-50 zabantu baya kufumana ukuphindaphinda kweempawu kwisithuba seminyaka emihlanu emva kokufumana inxenye. Esi sifo sihlala sibuyelela kwindawo apho amathumbu adityaniswa khona.

Abanye abantu banokuvelisa ukusilela kwesondlo emva kotyando.

Xa abantu benendawo yamathumbu abo isuswe, banamathumbu amancinci aseleyo okufumana izondlo kukutya. Ngenxa yoko, abantu abaye bafumana i-resection ekhethekileyo banokufuna ukuthatha izongezo ukuqinisekisa ukuba bafumana oko bakudingayo ukuze bahlale bephilile.

Ukuyeka ukutshaya emva koqhaqho lokuhlinzwa kwakhona

Abantu abaninzi abenza utyando lwesifo sikaCrohn baya kuba nokuphindaphinda kweempawu. Unokuthintela okanye ukulibazisa ukuphindaphinda ngokwenza utshintsho oluthile kwindlela yokuphila.Olunye lolona tshintsho lubalulekileyo ekufuneka lwenziwe kukuyeka ukutshaya.

Ngaphandle kokuba yinto enokubangela umngcipheko wesifo sikaCrohn, ukutshaya kunokunyusa umngcipheko wokuphindaphinda phakathi kwabantu kuxolelo. Uninzi lwabantu abanesifo sikaCrohn bakwabona ukuphucuka kwempilo yabo xa beyekile ukutshaya.

Ngokutsho kweCrohn's kunye neColitis Foundation yaseMelika, abantu abatshayayo abaxolelwe sisifo sikaCrohn banamathuba aphindwe kabini kunalawo angatshayiyo anokuphinda abe neempawu.

Amayeza emva kotyando lokuthengiswa kwakhona

Oogqirha bahlala beyalela amayeza ukunceda ukunciphisa umngcipheko wokuphindaphindeka emva kokuphinda kuthathwe inxenye.

Amayeza okubulala iintsholongwane

Amayeza okubulala iintsholongwane ahlala esisisombululo esisebenzayo sokuthintela okanye sokulibazisa ukubuyela ebantwini abaye benziwa utyando.

I-Metronidazole (i-Flagyl) yintsholongwane eqhele ukumiselwa iinyanga ezininzi emva kotyando. I-Metronidazole iyanciphisa ukusuleleka kubhaktheriya kwintsholongwane yesisu, esinceda ukugcina iimpawu zesifo sikaCrohn.

Njengamanye amayeza okubulala iintsholongwane, i-metronidazole isenokungasebenzi ngokuhamba kwexesha njengoko umzimba uhlengahlengisa ichiza.

Aminosalicylates

I-Aminosalicylates, ekwabizwa ngokuba ngamayeza e-5-ASA, liqela lamayeza ngamanye amaxesha amiselweyo kubantu abaye benza utyando. Bacingelwa ukuba banciphise iimpawu kunye ne-flare-ups, kodwa ayisebenzi kakhulu ekuthinteleni ukuphindaphinda kwesifo sikaCrohn.

I-Aminosalicylates inokucetyiswa kubantu abasemngciphekweni ophantsi wokuphindaphinda, okanye abangakwaziyo ukuthatha amanye, amayeza asebenzayo. Iziphumo eziqhelekileyo zibandakanya:

• intloko ebuhlungu
• urhudo
• isicaphucaphu okanye ukugabha
• irhashalala
• Ukuphelelwa ngumdla wokutya
• isisu esibuhlungu okanye ukubamba
• ifiva

Ukuthatha amayeza ngokutya kunokunciphisa ezi ziphumo bezingalindelekanga. Ezinye ii-aminosalicylates zinokuba neziphumo ezibi kubantu abalahlekayo kwiziyobisi zesulfa. Qiniseka ukuba ugqirha wakho uyazi malunga naziphi na izinto ezibangela ukwaliwa ngaphambi kokuba uqale unyango.

Amagciwane omzimba

Amayeza aguqula amajoni akho omzimba, anje nge-azathioprine okanye i-TNF-blockers, ngamanye amaxesha amiselweyo emva kokuphinda kuthengiswe. La machiza anokunceda ukuthintela ukuphindaphinda kwesifo sikaCrohn ukuya kuthi ga kwiminyaka emibini emva kotyando.

Ama-Immunomodulators abangela iziphumo ebezingalindelekanga kwabanye abantu kwaye azinakulunga kubo bonke abantu. Ugqirha wakho uya kujonga ubukrakra besifo sakho, umngcipheko wokuphindaphindeka, kunye nempilo yakho yonke ngaphambi kokuba uthathe isigqibo sokuba ngaba olunye lonyango lulungile kuwe.

Yintoni onokuyilindela emva kotyando

Q:

Yintoni endinokuyilindela ngexesha lokubuyela kwimeko yesiqhelo?

A:

Kukho iingongoma ezibalulekileyo ekufuneka ziqwalaselwe ngexesha lesigaba sokubuyisela kwimeko yesiqhelo. Intlungu emnene ukuya kumodareyitha kwindawo yokuqhekeza iqhelekile, kwaye ugqirha onyanga uya kumisela amayeza entlungu.

Iincindi kunye neelectrolyte zifakwa ngaphakathi ngaphakathi de ukutya kwesigulana kunokuthi kwakhona kuqale kwakhona, ukuqala kulwelo kunye nokuqhubela phambili kukutya okuqhelekileyo njengokunyamezelwayo. Izigulana zinokulindela ukuba ziphume ebhedini malunga neeyure eziyi-8 ukuya kwezi-24 emva kotyando.

Izigulana zihlala zicwangciselwe uviwo lokulandela ngaphakathi kweeveki ezimbini emva kotyando. Ngexesha leentsuku zokuqala emva kotyando, umsebenzi womzimba uthintelwe.