Yintoni iProctosigmoiditis?

Umxholo

• Iimpawu zeproctosigmoiditis
• Iproctosigmoiditis ibangela kunye nemingcipheko
• Unyango lweproctosigmoiditis
• Amayeza
• Ugqirha
• Ukuchonga iproctosigmoiditis
• Iingxaki zeproctosigmoiditis
• Imbonakalo yeproctosigmoiditis

Ushwankathelo

Iproctosigmoiditis luhlobo lwe-ulcerative colitis echaphazela i-rectum kunye ne-sigmoid colon. Ikholoni ye-sigmoid idibanisa yonke ikholoni, okanye amathumbu amakhulu, kwi-rectum. I-rectum kulapho isitulo sigxothwa emzimbeni.

Nangona le fomu ye-ulcerative colitis ibandakanya indawo encinci kakhulu kwikholoni yakho, isenokubangela iimpawu ezibonakalayo.

Ezinye iintlobo ze-ulcerative colitis zibandakanya:

• colitis esekhohlo (distal colitis): ichaphazela ikholoni ukusuka kwicandelo elehlayo liye kwi-rectum
• ipancolitis: kubandakanya ukuvuvukala kuyo yonke inkoloni

Ukwazi ukuba uluphi uhlobo lwe-ulcerative colitis onayo kunokunceda ekuchongeni ukuba loluphi uhlobo lonyango oluza kusebenza kakhulu.

Phantse iipesenti ezingama-50 zabo bonke abantu abafunyaniswa ukuba bane-ulcerative colitis bane-proctosigmoiditis.

Iimpawu zeproctosigmoiditis

Urhudo lolona phawu lubalulekileyo kuzo zonke iintlobo zesifo sokudumba okwenziwa sisilonda sikabhobhosi. Ngamanye amaxesha urhudo lwenzeka ngaphezulu kwamaxesha amane ngosuku.

Urhudo lolona phawu luqhelekileyo. Isitulo sakho sinokuba nemithambo yegazi ngenxa yokuvuvukala kwikholoni.

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

Ezinye iimpawu ezinxulunyaniswa ne-ulcerative colitis zibandakanya:

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

Akufanele ukungahoyi ukuphuma kwegazi elihlala lihleli okanye libomvu ngokubonakalayo. Ngamanye amaxesha igazi linokubonakala lihleli kwisitulo sakho. Kuya kufuneka ufune unyango olukhawulezileyo xa ufumana ezi mpawu.

Iproctosigmoiditis ibangela kunye nemingcipheko

Iproctosigmoiditis sisiphumo sokudumba okungapheliyo kwikholoni, njengazo zonke iintlobo zesifo sokudumba okwenziwa sisilonda sikabhobhosi. Oku kudumba sisiphumo sempendulo yomzimba. Oogqirha abazi ukuba yintoni ebangela le mpendulo yomzimba.

Abanye abantu banokwenzeka ngakumbi kunabanye ukuphuhlisa i-ulcerative colitis. Imingcipheko yazo zonke iintlobo zesifo sokukrala kwezilonda ziyafana. Ziquka:

• ukuba nembali yosapho ye-ulcerative colitis
• ukuba nembali yosulelo kunye Salmonella okanye Ubunjani benkampu iintsholongwane
• uhlala kwindawo ephezulu
• ukuhlala kwisizwe esiphuhlileyo

Ezi zinto zonyusa kuphela umngcipheko wesifo sezilonda. Ukuba nenye okanye ezingaphezulu kwezi zinto zobungozi akuthethi ukuba uyakufumana imeko.

Unyango lweproctosigmoiditis

Amayeza

Iproctosigmoiditis ayibandakanyi icandelo elikhulu lekholoni. Ke ngoko, ukhetho lokuqala kunyango yi-5-aminosalicylic acid (5-ASA). Oogqirha banokumisela ngohlobo lwe-mesalamine, iyeza lokuthintela ukudumba.

I-Mesalamine ifumaneka ngeendlela ezininzi, kubandakanya umlomo, i-suppository, i-foam kunye ne-enema. Ithengiswa phantsi kwamagama eempawu ezinje:

• Lialda
• I-Asacol
• IPentasa
• UApriso
• Delzicol

Izikhokelo zamva nje zeklinikhi zincomela i-mesalamine enemas kunye ne-suppositories ngaphezulu komlomo we-mesalamine kubantu abane-proctosigmoiditis.

Kuba iproctosigmoiditis ichaphazela kuphela indawo esezantsi yekholoni, unokuhlala usebenzisa i-suppositories endaweni ye-enemas. Unokuthatha i-mesalamine yomlomo ukuba awukwazi ukunyamezela okanye ukulawula ii-enemas.

Ukuba awuphenduli kwi-mesalamine, kukho ezinye iindlela zonyango ezikhoyo. Oku kubandakanya:

• i-rectal corticosteroid foam
• ngomlomo corticosteroids
• infliximab (Remicade), enciphisa ukuphendula kwamajoni omzimba okubangela ukudumba

Ugqirha

Ukuba unesifo sohudo okanye ukopha kakhulu, unokufuna ukuba ulaliswe esibhedlele. Esibhedlele, unokunyangwa nge-steroids efakwa ngaphakathi. Amatyala anzima kakhulu anokufuna utyando ukususa isahlulo esichaphazelekayo kwikholoni.

Ukuchonga iproctosigmoiditis

Ukufumanisa i-ulcerative colitis, ugqirha wakho angenza uvavanyo olwaziwa ngokuba yi-colonoscopy. Oku kubandakanya ukusebenzisa i-endoscope, esisixhobo esikhethekileyo esinekhamera ekhanyisiweyo ekugqibeleni. Ugqirha wakho uya kufaka oku kwi-rectum kwaye uvumele ubungakanani ukuba buhambe benyuka, bujonga umgca wekholoni.

Olu vavanyo luya kunceda ugqirha wakho abone iindawo zokudumba, ubomvu, kunye nemithambo yegazi etshisayo kwisisu sakho. Ukuba une-proctosigmoiditis, le miqondiso yesifo ayiyi kudlulela ngaphaya kwekolon sigmoid.

Iingxaki zeproctosigmoiditis

Njengazo zonke iintlobo ze-ulcerative colitis, ezinye iingxaki zeproctosigmoiditis zibandakanya:

• ianemia
• ukwanda komngcipheko womhlaza wekolon
• ukuphelelwa ngamanzi emzimbeni
• ukopha kwikholoni
• umngxunya kwikholoni (ukugqobhoza)
• ityhefu enkulu (le yimeko yongxamiseko kwezonyango)

Imbonakalo yeproctosigmoiditis

Ngelixa abantu abane-ulcerative colitis ngokubanzi besemngciphekweni womhlaza obomvu, abo bane-proctosigmoiditis mhlawumbi abekho. Nangona kunjalo, kubantu abaninzi abane-ulcerative colitis, ukudumba kuyakhula kwaye kuchaphazele ngakumbi ikholon yabo kwisithuba seminyaka emihlanu yokuchongwa kwabo.

Iproctosigmoiditis ayinakunyangeka, kodwa iimpawu zihlala zilawulwa ngonyango kunye notshintsho kwindlela yokuphila.