Ischemic Colitis

Umxholo

• Yintoni ebangela ischemic colitis?
• Zeziphi izinto ezinobungozi kwi-ischemic colitis?
• Zithini iimpawu zeschemic colitis?
• Ischemic colitis ifunyaniswa njani?
• I-ischemic colitis inyangwa njani?
• Zeziphi iingxaki ezinokubakho kwi-ischemic colitis?
• Bazijonga njani abantu abane-IC?
• Ndingasithintela njani isifo seschemic colitis?

Yintoni ischemic colitis?

Ischemic colitis (IC) yimeko yokudumba yamathumbu amakhulu, okanye ikholoni. Ikhula xa kungekho gazi laneleyo kwi-colon. I-IC inokwenzeka nanini na, kodwa ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-60.

Iplani eyakhiwe ngaphakathi kwimithambo (i-atherosclerosis) inokubangela i-IC engapheliyo, okanye yexesha elide. Le meko inokuthi ihambe nonyango oluncinci, njengokutya okungamanzi okufutshane kunye neyeza lokubulala iintsholongwane.

Yintoni ebangela ischemic colitis?

I-IC yenzeka xa kukho ukungabikho kokuhamba kwegazi kwikholoni yakho. Ukuqina kwento enye okanye nangaphezulu kwimithambo ye-mesenteric kunokubangela ukuncipha ngesiquphe kokuhamba kwegazi, ekwabizwa ngokuba kukungabonakali. Le yimithambo ebonelela ngegazi emathunjini akho. Imithambo inokuba lukhuni xa kukho inqwaba yeedipozithi ezinamafutha ezibizwa ngokuba liplaque ngaphakathi kweendonga zakho zomthambo. Le meko yaziwa ngokuba yi-atherosclerosis. Ingunobangela oqhelekileyo we-IC phakathi kwabantu abanembali yesifo se-coronary disease okanye isifo se-vascular peripheral.

Ihlwili legazi linokuthintela imithambo ye-mesenteric kunye nokuyeka okanye ukunciphisa ukuhamba kwegazi. Amahlwili aqheleke kakhulu kubantu abanesifo sokubetha kwentliziyo, okanye i-arrhythmia.

Zeziphi izinto ezinobungozi kwi-ischemic colitis?

IC ihlala ixhaphakile kubantu abaneminyaka engaphezulu kwama-60 ubudala. Oku kusenokubangelwa kukuba imithambo yegazi ithanda ukuqina njengokuba usiba mdala. Njengoko uneminyaka yobudala, intliziyo yakho kunye nemithambo yegazi kufuneka isebenze kanzima ukupompa nokufumana igazi. Oku kubangela ukuba imithambo yakho ibuthathaka, ibenze bathambekele ngakumbi ekwakhiweni kwamatye.

Unomngcipheko ophezulu wokuphuhlisa i-IC ukuba:

• ukusilela kwentliziyo
• unesifo seswekile
• ukuba noxinzelelo lwegazi olusezantsi
• Unembali yeenkqubo zotyando kwi-aorta
• thatha amayeza anokubangela ukuqhina

Zithini iimpawu zeschemic colitis?

Uninzi lwabantu abane-IC baziva bephakathi ukuya kwiintlungu zesisu. Le ntlungu ihlala ivela ngesiquphe kwaye ivakalelwa njengesisu esiswini. Elinye igazi linokubakho esihlalweni, kodwa ukopha akufuneki kube nzima. Igazi eligqithisileyo kwisitulo linokuba luphawu lwengxaki eyahlukileyo, njengomhlaza wekolon, okanye isifo sesisu esifana nesifo sikaCrohn.

Ezinye iimpawu zibandakanya:

• iintlungu esiswini sakho emva kokutya
• Imfuno engxamisekileyo yokuhamba kwamathumbu
• urhudo
• ukugabha
• ukuthamba kwisisu

Ischemic colitis ifunyaniswa njani?

IC kunokuba nzima ukufumanisa isifo. Kungaphazanyiswa ngokulula sisifo sokukrala kwamathumbu, iqela lezifo ezibandakanya isifo sikaCrohn kunye nesifo sokukrala kwezilonda.

Ugqirha wakho uya kukubuza malunga nembali yakho yezonyango kwaye u-odole uvavanyo lokuqonda isifo. Olu vavanyo lunokubandakanya oku kulandelayo:

• Iskena se-ultrasound okanye se-CT singenza imifanekiso yemithambo yegazi kunye namathumbu.
• I-angiogram ye-mesenteric luvavanyo lokucinga olusebenzisa ii-X-reyi ukubona ngaphakathi kwimithambo yakho kunye nokuchonga indawo yokuvalelwa.
• Uvavanyo lwegazi lunokujonga ubalo lweeseli ezimhlophe. Ukuba inani lakho leeseli ezimhlophe liphezulu, linokubonisa i-IC ebukhali.

I-ischemic colitis inyangwa njani?

Amatyala amancinci e-IC ahlala ephathwa nge:

• Iintsholongwane (ukuthintela usulelo)
• ukutya okungamanzi
• i-intravenous (IV) ulwelo (lokuhambisa amanzi)
• amayeza entlungu

I-Acute IC ngxamisekileyo kwezonyango. Isenokufuna:

• i-thrombolytics, engamayeza anyibilikisa amabala
• ii-vasodilators, ezingamayeza anokuyandisa imithambo yakho ye-mesenteric
• utyando ukususa ukucinywa kwemithambo yakho

Abantu abane-IC enganyangekiyo bahlala befuna kuphela utyando ukuba ezinye iindlela zonyango aziphumeleli.

Zeziphi iingxaki ezinokubakho kwi-ischemic colitis?

Eyona nto iyingozi kwi-IC kukuqunjelwa, okanye kukufa kwezicubu. Xa ukuhamba kwegazi kwikholoni yakho kunqunyelwe, izicubu zinokufa. Ukuba oku kuyenzeka, unokufuna utyando ukususa izicwili ezifileyo.

Ezinye iingxaki ezinxulumene ne-IC zibandakanya:

• ukugqobhoza, okanye umngxuma, emathunjini akho
• i-peritonitis, kukudumba kwethishu ebambe isisu sakho
• sepsis, esisifo esibi kakhulu kwaye sisasazeke kakhulu kubhaktheriya

Bazijonga njani abantu abane-IC?

Uninzi lwabantu abane-IC enganyangekiyo banokunyangwa ngempumelelo ngamayeza notyando. Nangona kunjalo, ingxaki ingabuya xa ungagcini indlela yokuphila esempilweni. Imithambo yakho iya kuqhubeka iqina ukuba utshintsho oluthile lwendlela yokuphila alwenziwa. Olu tshintsho lunokubandakanya ukwenza umthambo rhoqo okanye ukuyeka ukutshaya.

Imbonakalo yabantu abane-IC ebukhali ihlala ihlwempuzekile kuba ukusweleka kwamathumbu emathunjini kwenzeka rhoqo ngaphambi kotyando. Umbono ungcono ngakumbi ukuba ufumana isifo kwaye uqala unyango kwangoko.

Ndingasithintela njani isifo seschemic colitis?

Indlela yokuphila esempilweni inokuwunciphisa umngcipheko wokuvela kwemithambo eqinileyo. Iziseko zendlela yokuphila esempilweni zibandakanya:

• ukuzilolonga rhoqo
• ukutya ukutya okusempilweni
• Ukunyanga iimeko zentliziyo ezinokukhokelela kumahlwili egazi, anjengokubetha kwentliziyo okungaqhelekanga
• ukubeka iliso kwi-cholesterol yakho yegazi kunye noxinzelelo lwegazi
• engatshayi