Yintoni iPancolitis?

Umxholo

• Iimpawu zepancolitis
• Iimbangela zepancolitis
• Ukuchonga i-pancolitis
• Unyango
• Amayeza
• Ugqirha
• Utshintsho kwindlela yokuphila
• Imbonakalo

Ushwankathelo

I-Pancolitis kukudumba kwekolon yonke. Esona sizathu siqhelekileyo sisifo sokudumba okwenziwa sisilonda sikabhobhosi (UC). I-Pancolitis inokubangelwa zizifo ezinje C. ezahlukeneyo, okanye inokunxulunyaniswa nokuphazamiseka kokudumba okufana nerheumatoid arthritis (RA).

I-UC yimeko engapheliyo echaphazela ulusu lwamathumbu akho amakhulu, okanye ikholoni yakho. I-UC ibangelwa kukudumba okukhokelela kwizilonda, okanye izilonda, kwikholoni yakho. Kwi-pancolitis, ukudumba kunye nezilonda zisasazekile ukuyogquma yonke ikholoni.

Ezinye iintlobo ze-ulcerative colitis zibandakanya:

• proctosigmoiditis, apho i-rectum kunye necandelo lekholoni yakho eyaziwa ngokuba yi-sigmoid colon inezilonda kunye nezilonda
• proctitis, echaphazela nje i-rectum yakho
• kwicala lasekhohlo, okanye elisecaleni, ulcerative colitis, apho ukudumba kusolula ukusuka kwi-rectum yakho ukuya kwigophe lekholoni yakho efumaneka kufutshane nepeni yakho, kwicala lasekhohlo lomzimba wakho

I-UC ibangela iimpawu ezingenakukhathazeka okanye ezibuhlungu. Ingakumbi ikholoni yakho ichaphazelekayo, kokukhona iimpawu zakho zihlala zibi. Ngenxa yokuba i-pancolitis ichaphazela ikholoni yakho iphela, iimpawu zayo zinokuba mbi kuneempawu zezinye iindlela ze-UC.

Iimpawu zepancolitis

Iimpawu eziqhelekileyo kunye nezimodareyitha zepancolitis zibandakanya:

• ndiziva ndidiniwe
• ukunciphisa umzimba ngokungaqhelekanga (ngaphandle kokuzilolonga ngakumbi okanye ukutya ukutya)
• iintlungu kunye necramp kwindawo yesisu sakho kunye nesisu
• uziva unomdla oqinileyo, oqhelekileyo wokuhamba kwamathumbu, kodwa ungasoloko ukwazi ukulawula ukuhamba kwamathumbu

Njengoko i-pancolitis yakho iya isiba mandundu, uya kuba neempawu ezibi kakhulu. Oku kunokubandakanya:

• Intlungu kunye nokopha kwindawo yakho engqindilili kunye nomva
• Umkhuhlane ongachazwanga
• Urhudo olunegazi
• urhudo luzaliswe bubofu

Abantwana abane-pancolitis abanako ukukhula ngokufanelekileyo. Thatha umntwana wakho aye kugqirha kwangoko ukuba unayo nayiphi na impawu engentla.

Ezinye zeempawu zisenokungabi sisiphumo sepancolitis. Intlungu, ukunyanzeliswa, kunye nomnqweno onamandla wokudlula inkunkuma kunokubangelwa yigesi, ukuqunjelwa, okanye ityhefu yokutya. Kule meko, iimpawu ziya kuhamba emva kwexesha elifutshane lokungahambi kakuhle.

Kodwa ukuba unempawu ezilandelayo, kuya kufuneka ubone ugqirha wakho kwangoko:

• igazi okanye ubofu kurhudo lwakho
• ifiva
• urhudo oluhlala ngaphezulu kweentsuku ezimbini ngaphandle kokuphendula kumayeza
• Izitulo ezintandathu okanye nangaphezulu ezivulekileyo kwiiyure ezingama-24
• iintlungu ezinzima esiswini okanye kwi-rectum

Iimbangela zepancolitis

Ayaziwa ukuba yintoni kanye kanye ebangela i-pancolitis okanye ezinye iindlela ze-UC. Njengezinye izifo zesisu ezivuthayo (IBDs), i-pancolitis inokubangelwa yimfuzo yakho. Enye inkolelo kukuba izakhi zofuzo ezicatshangelwa ukuba zibangele isifo sikaCrohn, olunye uhlobo lwe-IBD, lunokubangela no-UC.

I-Crohn's & Colitis Foundation yaseMelika ithi kukho uphando malunga nendlela i-genetics enokubangela ngayo i-UC kunye nezinye i-IBD. Olu phando lubandakanya indlela ohlangana ngayo neentsholongwane kwitrektara yakho ye-GI.

Kucingelwa ukuba amajoni omzimba anokujolisa ngempazamo kwikholoni yakho ngelixa ehlasela ibacteria okanye intsholongwane ebangela usuleleko kwikholoni yakho. Oku kunokubangela ukudumba kunye nomonakalo kwikholoni yakho, enokuthi ikhokelele kwizilonda. Inokwenza nokuba kube nzima kumzimba wakho ukufunxa izondlo ezithile.

Ubume bendalo bunokudlala indima. Ukuthatha ezinye iintlobo zonyango, ezinje ngamachiza anokuthintela ukudumba okanye i-antibiotics, kunokunyusa umngcipheko. Ukutya okunamafutha aphezulu kunokuba yinto.

Ngamanye amaxesha, ukuba awufumani nyango kwiifom ezinobulali okanye eziphakathi ze-UC, imeko yakho inokuba mandundu kwaye ibe yimeko yepancolitis.

Abanye abantu bakholelwa ukuba uxinzelelo kunye noxinzelelo kunokukhokelela kwi-UC kunye nepancolitis. Uxinzelelo kunye noxinzelelo kunokubangela izilonda kwaye kubangele iintlungu kunye nokuphazamiseka, kodwa ezi zinto azibangeli ukuba yi-pancolitis okanye ezinye ii-IBD.

Ukuchonga i-pancolitis

Ugqirha wakho unokufuna ukwenza uvavanyo lomzimba ukuze afumane umbono wempilo yakho iphela. Emva koko, banokukubuza isampulu yestool okanye benze uvavanyo lwegazi ukuze balawule ezinye izizathu zeempawu zakho, ezinje ngezifo zebacteria okanye ezosulelayo.

Ugqirha wakho uya kucela ukuba ube ne-colonoscopy. Kule nkqubo, ugqirha ufaka ityhubhu ende, ebhityileyo enokukhanya kunye nekhamera ekugqibeleni kwi-anus, rectum nakwikholoni. Ugqirha wakho uya kuthi emva koko ahlolisise ulwelwesi lwamathumbu akho amakhulu ukuze akhangele izilonda kunye nazo naziphi na ezinye izicubu ezingaqhelekanga.

Ngexesha le-colonoscopy, ugqirha wakho unokuthatha isampulu yethishu kwikolon yakho ukuyivavanya nakwezinye izifo okanye izifo. Oku kwaziwa njenge-biopsy.

I-colonoscopy inokuvumela ugqirha wakho ukuba afumane kwaye asuse naziphi na iipolyps ezinokuthi zibe kwikholoni yakho. Iisampuli zeethishu kunye nokususwa kwe-polyp kunokuba yimfuneko ukuba ugqirha wakho ekholelwa ukuba izicwili kwikholoni yakho zinokuba ngumhlaza.

Unyango

Unyango lwepancolitis kunye nezinye iindlela ze-UC zixhomekeke ekubeni zinzima kangakanani izilonda kwikholoni yakho. Unyango lunokwahluka ukuba unayo nayiphi na imeko engunobangela wepancolitis okanye ukuba inyango enganyangekiyo ibangele iimeko ezinzima.

Amayeza

Unyango oluqhelekileyo lwepancolitis kunye nezinye iindlela ze-UC ngamachiza alwa nokudumba. Ezi zinceda ukunyanga ukudumba kwikholoni yakho. Oku kubandakanya amayeza anje ngomlomo nge-5-aminosalicylates (5-ASAs) kunye ne-corticosteroids.

Unokufumana i-corticosteroids, enje nge-prednisone, njengeenaliti okanye njengee-suppositories ezirekhodiweyo. Ezi ntlobo zonyango zinokuba neziphumo ebezingalindelekanga, kubandakanya:

• isicaphucaphu
• isilungulela
• umngcipheko wesifo seswekile
• Umngcipheko wokonyuka koxinzelelo lwegazi
• osteoporosis
• ukutyeba kwakho

Inkqubo yokucinezela amajoni omzimba ikwalunyango oluqhelekileyo lwepancolitis kunye ne-UC. Oku kunceda ukugcina amajoni akho omzimba ekuhlaseleni ikholoni yakho ukunciphisa ukudumba. Inkqubo yokunyanzelwa kwamajoni omzimba kwipancolitis ibandakanya:

• azathioprine (Imuran)
• adalimumab (Humira)
• vedolizumab (Entyvio)
• Tofacitnib (Xeljanz)

Oku kunokuba neziphumo ebezingalindelekanga ezimandundu, ezinjengosulelo kunye nomngcipheko owandayo womhlaza. Kuya kufuneka uphinde ulandele nogqirha wakho rhoqo ukuze uqiniseke ukuba unyango luyasebenza.

Ugqirha

Kwiimeko ezinzima kakhulu, ugqirha wotyando angasusa ikholoni yakho kuqhaqho olubizwa ngokuba yicolectomy. Kule nkqubo, ugqirha wakho uza kwenza indlela entsha yenkunkuma yakho yomzimba ukuze uphume emzimbeni.

Olu tyando lunyango kuphela lwe-UC, kwaye ihlala kuphela sisigqibo sokugqibela. Uninzi lwabantu lulawula i-UC yabo ngokudibanisa utshintsho kwindlela yokuphila kunye namayeza.

Utshintsho kwindlela yokuphila

Olu tshintsho lulandelayo kwindlela yokuphila lunokunceda ekuthomalaliseni iimpawu zakho, kuthintele oonobangela, kwaye uqiniseke ukuba ufumana izondlo ezaneleyo:

• Gcina idayari yokutya ukunceda ekuboneni ukutya okunokuphetshwa.
• Yitya ubisi oluncinci.
• Gwema iziphuzo zekhabhoni.
• Ukunciphisa ukutya okungafunekiyo.
• Gwema iziselo ezine-caffeine ezifana nekhofi kunye notywala.
• Phuza amanzi amaninzi ngemini (malunga nee-ounces ezingama-64, okanye iiglasi zamanzi ezisibhozo).
• Thatha iivithamini.

Imbonakalo

Akukho lunyango lwayo nayiphi na indlela ye-UC ngaphandle kotyando lokususa ikholoni yakho. I-Pancolitis kunye nezinye iindlela ze-UC ziimeko ezingapheliyo, nangona uninzi lwabantu lufumana iimpawu kwiindawo eziphakamileyo nezisezantsi.

Unokufumana ukuphazamiseka kweempawu kunye namaxesha angenazimpawu abizwa ngokuba kukuxolelwa. I-flare-ups kwi-pancolitis inokuba nzima ngakumbi kunezinye iindlela ze-UC, kuba uninzi lwekholoni luyachaphazeleka kwipancolitis.

Ukuba i-UC ishiywe inganyangwa, iingxaki ezinokubakho zibandakanya:

• umhlaza ongathandabuzekiyo
• ukuqaqanjelwa sisisu, okanye umngxunya kwikholoni yakho
• megacolon enetyhefu

Ungayiphucula imbonakalo yakho kwaye uncede ukunciphisa iingxaki ngokulandela isicwangciso sakho sonyango, ukunqanda izinto ezinokubangela, kunye nokuhlolwa rhoqo.