Yintoni i-Left-Side Ulcerative Colitis?

Umxholo

• Iimpawu zecalcer colitis yasekhohlo
• Oonobangela kunye nemingcipheko
• Ukuchonga ulcerative colitis ngasekhohlo
• Unyango lwe-ulcerative colitis lasekhohlo
• Amayeza e-5-ASA
• I-corticosteroids yomlomo
• I-Biologics kunye ne-immunomodulators
• Isibhedlele
• Unyango lwendalo ukunceda ukulawula iimpawu ze-UC

I-ulcerative colitis yimeko ebangela ikholoni okanye iinxalenye zayo ukuba zitshise. Kwi-ulcerative colitis yasekhohlo, ukudumba kwenzeka kuphela kwicala lasekhohlo lekholoni yakho. Kukwaziwa njenge-distal ulcerative colitis.

Kule fomu ye-ulcerative colitis, ukudumba kusolula ukusuka kwi-rectum yakho ukuya kwi-splenic flexure yakho. I-splenic flexure ligama lokugoba kwikholoni, kufutshane nepeni yakho. Itholakala kwicala lasekhohlo lesisu.

Ezinye iintlobo ze-ulcerative colitis zibandakanya:

• iproctitis, apho ukudumba kunqunyelwe kwi-rectum
• i-pancolitis, ebangela ukudumba kuyo yonke ikholoni

Ngokubanzi, kokukhona ikoloniyali yakho ichaphazelekile, kokukhona kuya kubakho iimpawu.

Iimpawu zecalcer colitis yasekhohlo

Urhudo lolona phawu luqhelekileyo lwe-ulcerative colitis. Ngamanye amaxesha, isitulo sakho sinokufumana igazi.

Umonakalo kunye nokucaphuka kwi-rectum yakho kunokubangela ukuba uzive ngathi uhlala ufuna ukunyakaza isisu. Nangona kunjalo, xa usiya kwigumbi lokuhlambela, isixa sesitulo sihlala sincinci.

Ezinye iimpawu ze-ulcerative colitis zibandakanya:

• iintlungu zesisu okanye iintlungu zangasese
• ifiva
• ukuhla ukusinda
• ukuqhina
• ii-rectal spasms

Izitulo ezinegazi zinokuba luphawu lomonakalo omkhulu kwikholoni. Igazi kwisitulo sakho linokuqaqamba okanye libomvu.

Ukuba ubona igazi kwisitulo sakho, tsalela ugqirha wakho. Ukuba kukho ngaphezu kwegazi elincinci, funa unyango lwengxamiseko.

Oonobangela kunye nemingcipheko

Oogqirha abazi ukuba yintoni kanye kanye ebangela ulcerative colitis. Enye ithiyori kukuba kungenxa yokuphazamiseka komzimba okubangela ukudumba kwikholoni yakho.

Kukho izinto ezinobungozi ezinxulumene ne-ulcerative colitis. Oku kubandakanya:

• Imbali yosapho ye-ulcerative colitis
• Imbali yosulelo nge-salmonella okanye i-campylobacter
• ukuhlala kwindawo ephezulu (kude lee neikhweyitha)
• Ukuhlala kwilizwe laseNtshona okanye eliphuhlileyo

Ukuba nezi zinto zobungozi akuthethi ukuba uyakufumana ulcerative colitis. Kodwa oko kuthetha ukuba unengozi yokwanda kwesi sifo.

Ukuchonga ulcerative colitis ngasekhohlo

Ugqirha wakho unokuchonga uhlobo lwe-colitis onayo ngenkqubo eyaziwa njenge-endoscopy. Kwi-endoscopy, basebenzisa iikhamera ezikhanyisiweyo ukujonga ulungelelwaniso lwangaphakathi lwekholoni yakho.

Ugqirha wakho unokuchonga inqanaba lokudumba ngokujonga:

• bomvu
• ukudumba
• ezinye izitenxo kuludwe lwekholoni

Ukuba une-colitis esecaleni, ulwelwesi lwekholoni yakho luza kuqala ukujonga oluqhelekileyo kwakhona xa ugqirha wakho eye wagqitha kwi-splenic flexure.

Unyango lwe-ulcerative colitis lasekhohlo

Iingcebiso zonyango kwi-ulcerative colitis zingatshintsha kuxhomekeke kubungakanani bekholoni yakho echaphazelekayo. Nangona kunjalo, ugqirha wakho unokumisela unyango olulandelayo:

Amayeza e-5-ASA

Iyeza elaziwa ngokuba yi-5-aminosalicylic acid, okanye i-5-ASA, lunyango oluqhelekileyo lwesifo sezilonda. Amayeza e-5-ASA anokuthathwa ngomlomo okanye asetyenziswe ngokwasentloko. Bangakwazi ukunciphisa imeko yokuvuvukala kwisisu sakho.

Isihloko se-mesalamine, ukulungiswa kwe-5-ASA, kuye kwafunyanwa ukuba kuxolelwe malunga neepesenti ezingama-72 zabantu abane-colitis esekhohlo ngaphakathi kwiiveki ezi-4.

I-5-ASA ikwafumaneka njenge-suppository okanye i-enema. Ukuba une-ulcerative colitis esekhohlo, ugqirha wakho uya kuthi anike i-enema. Indawo yokugcina izinto ayinakufikelela ngokwaneleyo kwindawo echaphazelekayo.

I-corticosteroids yomlomo

Ukuba iimpawu zakho aziphenduli kwi-5-ASA, ugqirha wakho unokumisela i-corticosteroids yomlomo. I-corticosteroids yomlomo inokunciphisa ukudumba. Bahlala bephumelela xa bethathwa ngamayeza e-5-ASA.

I-Biologics kunye ne-immunomodulators

Ukuba iimpawu zakho zimodareyitha ukuya kubunzima, ugqirha wakho unokumisela ichiza lebhayoloji. Ezi zintsholongwane ezijolise ekungasebenzi kweeproteni zomzimba ezaziwa ukuba zibangele ukudumba kwesilonda esibuhlungu.

Lunyango lwexesha elide olunokunceda ukuthintela ii-flareups.

Izikhokelo ezikhoyo zibonisa ukuba ezi ndlela zilandelayo zinokuba zezona zinempumelelo:

• infliximab (I-Remicade)
• vedolizumab (Entyvio)
• ustekinumab (uStelara)

Olunye uhlobo lweziyobisi, olubizwa ngokuba zii-immunomodulators, lunokunceda. Ugqirha unokuyalela oku kunye nezinye iindlela. Ziquka:

• imethotrexate
• 5-ASA
• thiopurini

Unyango lwexesha elide lunokunciphisa umngcipheko we-flare kunye nokunciphisa isidingo samayeza e-steroid, anokuba neziphumo ezibi.

Isibhedlele

Kwiimeko ezinzima, ezinqabileyo, unokufuna ukulaliswa esibhedlele ukuze unyange iimpawu zakho. Ukuba ulele esibhedlele, unokufumana i-intravenous (IV) steroids okanye amanye amayeza e-IV anokunceda ukuzinzisa imeko yakho.

Ngamanye amaxesha, ugqirha wakho unokucebisa ukuba ususe isahlulo esichaphazelekayo kwikholoni yakho. Oku kuhlala kunconyelwa kuphela ukuba wopha kakhulu okanye ukudumba kubangele umngxunya omncinci kwikholoni yakho.

Unyango lwendalo ukunceda ukulawula iimpawu ze-UC

Uphando oluthe kratya kufuneka lwenziwe ngezibonelelo zonyango lwendalo kunye namayeza e-ulcerative colitis. Kodwa kukho ezinye iindlela ezinokukunceda ukulawula imeko.

Oku kubandakanya:

• Iiprobiotic
• ukutshiza
• I-turmeric
• izongezo zengqolowa

Thetha nogqirha wakho ngaphambi kokuqala naluphi na unyango ukuze uqiniseke ukuba zikhuselekile kwaye zikulungele.