Imibuzo ephezulu yokubuza i-Gastroenterologist malunga ne-Ulcerative Colitis

Umxholo

• 1. Yintoni ebangela UC?
• 2. Zeziphi iindlela zonyango endizikhethayo?
• 3. Ngaba kufuneka nditshintshe indlela enditya ngayo?
• 4. Ndingayiphucula njani imeko yam?
• 5. Kwenzeka ntoni xa iimpawu zam zibuyile?
• 6. Zeziphi iingxaki ze-UC kwaye uzijonga njani?
• 7. Ngaba ikhona into enxulumene ne-UC yam esongela ubomi?
• 8. Ngaba zikhona iinkqubo zonyango ze-UC?
• 9. Ndingakhulelwa i-UC?
• Ukuthatha

Ngenxa yokuba i-ulcerative colitis (i-UC) yimeko engapheliyo efuna unyango oluqhubekayo, uya kuthi umisele ubudlelwane bexesha elide kunye nesisu sakho se-gastroenterologist.

Nokuba ungaphi kuhambo lwakho lwe-UC, uya kudibana nogqirha wakho amaxesha ngamaxesha ukuze uxoxe ngonyango lwakho kunye nempilo iyonke. Ngesithuba ngasinye, kubalulekile ukuba ubuze ugqirha wakho imibuzo kwaye ufumane ukuqonda okungcono ngemeko yakho.

Esi sifo sinokuchaphazela umgangatho wobomi bakho, kodwa uncedo lunokwenzeka. Okukhona uyazi malunga ne-UC, kuya kuba lula ukujongana nayo. Nayi imibuzo elithoba ephezulu yokuxoxa nge-gastroenterologist yakho malunga ne-UC.

1. Yintoni ebangela UC?

Ukubuza lo mbuzo kugqirha wakho kunokubonakala kungeyomfuneko-ngakumbi ukuba sele uzenzele uphando lwakho okanye ubuphila nesi sifo ixesha elithile. Kodwa kuseluncedo ukubona ukuba akukho nto ithile ikhokelele ekuchongeni isifo. Ngelixa oyena nobangela we-UC ungaziwa, ezinye iingcali zikholelwa ukuba zibangelwa yingxaki yamajoni omzimba. Amajoni omzimba enza iimpazamo kwiibacteria kumathumbu akho njengomhlaseli kwaye ahlasele isifo sakho samathumbu. Le mpendulo ibangela ukudumba okungapheliyo kunye neempawu. Ezinye izinto ezinokubangela i-UC zibandakanya i-genetics kunye nokusingqongileyo.

2. Zeziphi iindlela zonyango endizikhethayo?

Ukuxolelwa kunokwenzeka ngonyango. Ugqirha wakho uya kuncoma unyango olusekelwe kubunzima beempawu zakho.

Abantu abane-UC emnene banokufezekisa ukuxolelwa kunye neyeza elichasayo elaziwa njengeaminosalicylates.

Ukumodareyitha ukuya kwi-UC enzima kunokufuna i-corticosteroid kunye / okanye ichiza le-immunosuppressant. La mayeza anciphisa ukuvuvukala ngokucinezela amajoni omzimba.

Unyango lwe-Biologics luyacetyiswa kubantu abangaphenduliyo kunyango lwesintu. Olu nyango lujolise kwiiproteni ezijongene nokudumba, ukuze zinciphise.

Olona khetho lutsha tofacitinib (Xeljanz). Isebenza ngendlela eyahlukileyo yokunciphisa ukudumba kubantu abane-ulcerative colitis ephakathi.

Abantu abahlakulela iingxaki ezisongela ubomi kwi-UC banokufuna utyando ukususa ikholoni kunye ne-rectum. Olu tyando lukwabandakanya ukwakhiwa kwakhona ukuvumela ukususwa kwenkunkuma emzimbeni.

3. Ngaba kufuneka nditshintshe indlela enditya ngayo?

I-UC ichaphazela indawo yesisu kwaye ibangela ukungonwabi esiswini, kodwa ukutya akubangeli sifo.

Olunye uhlobo lokutya lunokuba mandundu ngakumbi, ke ugqirha unokucebisa ukuba ugcine idayari yokutya kunye nokususa nakuphi na ukutya kunye neziselo ezenza nzima iimpawu zakho. Oku kunokubandakanya imifuno ebangela irhasi efana ne-broccoli kunye nekholifulawa, kunye nokunye ukutya okunesinga eliphezulu.

Ugqirha wakho unokucebisa nokutya ukutya okuncinci kunye nokutya okuseleyo. Oku kubandakanya isonka esimhlophe, irayisi emhlophe, ipasta ecoliweyo, imifuno ephekiweyo kunye nenyama engenamafutha.

I-caffeine kunye notywala zinokuzonakalisa ngakumbi iimpawu.

4. Ndingayiphucula njani imeko yam?

Kunye nokususa ukutya okuthile kwindlela otya ngayo kunye nokuthatha amayeza akho njengoko kuyalelwe, utshintsho oluthile kwindlela yokuphila lunokuphucula iimpawu.

Ukutshaya kunokunyusa ukuvuvukala emzimbeni wakho, ngoko ugqirha unokucebisa ukuba uyeke.

Ngenxa yokuba uxinzelelo lunokuzenza mandundu iimpawu ze-UC, ugqirha wakho unokucebisa amanyathelo okunciphisa inqanaba loxinzelelo lwakho. Oku kubandakanya iindlela zokuphumla, unyango lokuthambisa, kunye nokwenza umthambo.

5. Kwenzeka ntoni xa iimpawu zam zibuyile?

Kungathatha iiveki ezininzi ukuba iimpawu zinyamalale emva kokuqala unyango. Nokuba emva kokunyamalala kweempawu zakho, ugqirha wakho unokucebisa unyango lwesondlo ukugcina isifo sakho sixolelwe. Ukuba iimpawu zakho zibuya ngelixa unyango lokugcina, qhagamshelana nogqirha wakho. Ubunzima be-UC bunokutshintsha kule minyaka idlulileyo. Ukuba oku kuyenzeka, ugqirha wakho unokufuna uhlengahlengiso kunyango lwakho okanye acebise uhlobo oluthile lonyango.

6. Zeziphi iingxaki ze-UC kwaye uzijonga njani?

I-UC yimeko yobomi bonke, ke uya kuba nokuqeshwa rhoqo kokulandela kunye nesifo sakho senzonzobila. I-UC inokuwonyusa umngcipheko womhlaza wekolon, ke ugqirha unokucwangcisa ama-colonoscopy amaxesha ngamaxesha ukujonga iiseli ezinomhlaza kunye nezikhawulezayo kwikholoni yakho. Ukuba ugqirha wakho ufumanisa ubunzima okanye i-tumor, i-biopsy inokumisela ukuba ubunzima bububi okanye buhle.

Amayeza e-Immunosuppressant athathwe e-UC anokuwenza buthathaka amajoni akho omzimba kwaye akwenze ube sengozini yosulelo. Ukuba unempawu zosulelo, ugqirha unokuyalela isitulo, igazi okanye isampulu yokuchama ukuchonga usulelo, kwaye unike i-antibiotic xa kukho imfuneko. Uninzi ufuna kwakhona i-X-ray okanye i-CT scan. Kukho umngcipheko wokuphuma kwamathumbu emathunjini, ngoko ugqirha wakho unokukubeka iliso kwi-anemia yokunqongophala kwe-iron kunye nezinye iziphene zesondlo. Imultivitamin inokunceda ekubuyiseleni ukusilela.

7. Ngaba ikhona into enxulumene ne-UC yam esongela ubomi?

I-UC ngokwayo ayisongeli ubomi, kodwa ezinye iingxaki zinokuba njalo. Kungenxa yoko le nto kubalulekile ukuba uthathe amayeza akho njengoko kuyalelwe, ngenjongo yokufumana uxolelo. Ukutya ukutya okusempilweni, ukuzilolonga rhoqo, kunye nokugcina ubunzima obunempilo kunokunciphisa umngcipheko womhlaza wekolon.

Megacolon enetyhefu yenye ingxaki enzulu ye-UC. Oku kwenzeka xa ukudumba kubangela ukugcwala okugqithisileyo. Irhasi ebanjiweyo inokubangela ukwandiswa kwekolon ukuze ingakwazi ukusebenza. Ikholoni ephukileyo inokukhokelela kusulelo lwegazi. Iimpawu zemegacolon enetyhefu zibandakanya iintlungu zesisu, umkhuhlane kunye nentliziyo ebetha ngokukhawuleza.

8. Ngaba zikhona iinkqubo zonyango ze-UC?

Utyando luyacetyiswa kwi-UC ebukhali engaphenduliyo kunyango okanye abo baneengxaki ezisongela ubomi. Ukuba wenza utyando ukulungisa i-UC, zimbini iindlela onokukhetha kuzo zokuvumela inkunkuma emzimbeni wakho. Nge-ileostomy, ugqirha wotyando wenza ukuvula eludongeni lwesisu sakho kwaye uhambisa amathumbu amancinci ngalo mngxunya. Ingxowa yangaphandle eqhotyoshelwe ngaphandle kwesisu sakho iqokelela inkunkuma. Isingxobo se-ileo-anal sinokuthi senziwe ngotyando ekupheleni kwamathumbu akho amancinci kwaye siqhotyoshelwe kwi-anus yakho, ukuvumela ukuba kususwe inkunkuma yendalo.

9. Ndingakhulelwa i-UC?

I-UC ayihlali ichaphazela ukuzala, kwaye uninzi lwabasetyhini abakhulelweyo banokukhulelwa okusempilweni. Kodwa ukufumana i-flare-up ngelixa ukhulelwe kunokunyusa umngcipheko wokuzalwa ngaphambi kwexesha. Ukunciphisa umngcipheko, ugqirha wakho unokucebisa ukuba ufezekise ukuxolelwa ngaphambi kokukhulelwa. Kuya kufuneka uphephe amayeza athile ngaphambi kokuba ukhulelwe. Ezinye ii-immunosuppressants zonyusa umngcipheko wokukhubazeka kokuzalwa. Kuya kufuneka ukuba uhlengahlengise amayeza akho ngexesha lokukhulelwa.

Ukuthatha

Ukuhlala ne-UC kunokuchaphazela ukubanakho kwakho ukusebenza, ukuhamba, okanye ukwenza umthambo, kodwa ukuseka ubudlelwane obulungileyo nogqirha kunokukunceda uphile ubomi obugcweleyo. Isitshixo kukuthatha amayeza akho njengoko kuyalelwe kwaye udibane nogqirha wakho ukuba unemibuzo okanye inkxalabo malunga nempilo yakho. Imfundo nokwazi ukuba ulindele ntoni kule meko kunokukunceda ujongane nako.