Ulcerative Colitis Iimeko zikaxakeka kunye nento ekufuneka uyenzile

Umxholo

• 1. Ikholoni eguqulweyo
• 2. I-Fulminant colitis
• 3. Megacolon enetyhefu
• 4. Ukuphelelwa ngamandla emzimbeni
• 5. Isifo sesibindi
• 6. Umhlaza wamathumbu
• Yise kude

Ushwankathelo

Njengomntu ophila nesifo se-ulcerative colitis (UC), awungomntu ongaziwayo kwizinto ezinokubangela iimpawu ezinjengorhudo, ukuxinana esiswini, ukudinwa, kunye nokugcina igazi. Ngokuhamba kwexesha, unokufunda indlela yokujongana ne-flares yakho kwaye uzive ungcono. Kodwa oko akuthethi ukuba kufuneka uthathe zonke iimpawu ngokungxama.

Ngelixa unokufumana kuphela iimpawu ezinobulali okanye ezilinganiselweyo, iingxaki ezisongela ubomi zisenokwenzeka. Kubalulekile ukuba uqaphele iimeko ezingxamisekileyo kwaye ufumane uncedo kwangoko. Nazi iingxaki ezimbalwa ze-UC ezifuna ukutyelelwa kwangoko kugqirha wakho okanye kwigumbi elingxamisekileyo.

1. Ikholoni eguqulweyo

Amachiza okuchasana nokudumba kunye ne-immunosuppressant ahlala enyango ugqirha wakho aya kukuyalela. Oku kusebenza ukuyeka ukudumba kunye nokuphilisa izilonda ezinxulumene ne-UC. Kodwa ngamanye amaxesha, la mayeza awasebenzi.

Oku kunokukhokelela kukukrala okungalawulwayo okwenzakalisayo okanye kokwenza buthathaka umbane wekholoni. Oku kukubeka emngciphekweni wokugcotshwa kwamathumbu, kulapho umngxunya ukhula eludongeni lwekholoni.

Ukugqitywa kwamathumbu yimeko engxamisekileyo. Umngxunya eludongeni lwamathumbu uvumela iintsholongwane ukuba zichitheke esiswini sakho. Oku kunokubangela usulelo olusongela ubomi njenge-sepsis okanye i-peritonitis.

Iintlungu zesisu kunye nokuphuma kwegazi ziimpawu eziqhelekileyo ze-UC. Kodwa iimpawu zokugcwala kwamathumbu zibandakanya iintlungu zesisu esibuhlungu, umkhuhlane omkhulu, kunye nokuphuma kwegazi elinzima. Ezinye iimpawu ezihamba nazo zinokubandakanya ukugodola komzimba, ukugabha, kunye nesicaphucaphu.

Ukuba ukrokrela ukugqobhoza, tsalela umnxeba ku-911 okanye uye kwigumbi likaxakeka. Olu ngxamiseko lonyango olufuna utyando ukulungisa umngxunya kudonga lwakho lwekholoni.

2. I-Fulminant colitis

Le ngxaki ichaphazela ikholoni yonke kwaye iyenzeka ngenxa yokuvuvukala okungalawulekiyo. Ukuvuvukala kubangela ukuba ikholon idumbise ukuya kuthi ga kwindawo yokugcina isisu, kwaye iimpawu zakho ze-UC ziya kuba mbi ekuhambeni kwexesha.

Iimpawu ze-fulminant colitis zibandakanya iintlungu ezinzima zesisu, ukuba nokuhamba okungaphezulu kweshumi ngosuku, ukuphuma kwegazi elinzima, kunye nomkhuhlane omkhulu.

Abanye abantu bafumana i-anemia kunye nokulahleka kwesisindo ngokukhawuleza. Ukuba ishiywe inganyangeki, i-colitis epheleleyo inokuqhubela phambili kwaye ibe yingozi ebomini, ngoko jonga ugqirha ukuba iimpawu zakho ze-UC ziba nzima.

Unyango lubandakanya ukulaliswa esibhedlele kunye nedosi ephezulu ye-corticosteroids. Ngokusekwe kubukhali bemeko yakho, unokufuna ukufumana ezi unyango lwe-intravenous (IV).

3. Megacolon enetyhefu

Ukungafunyanwa kwesifo se-fulminant colitis kunokuqhubela phambili kwi-megacolon enetyhefu, enye ingxaki enzulu ye-UC. Kule meko, ikholoni iyaqhubeka nokudumba okanye ukunaba, kukhokelela kwisisu esiswini esibi.

Irhasi kunye nelindle zinokuqokelelana kwikholoni. Ukuba ishiywe inganyangwa, ikholoni inokuqhekeka. Le ngxakeko esongela ubomi.

Megacolon enetyhefu ifuna unyango esibhedlele. Oogqirha banokuzama ukususa irhasi okanye ilindle elingaphezulu kwikholoni. Ukuba oku akusebenzi, utyando lunokuthintela ikholon eqhekekileyo.

Iimpawu zemegacolon enetyhefu zibandakanya iintlungu zesisu kunye nokudumba, isisu, ukuthamba kwamathumbu, kunye nefiva ephezulu.

4. Ukuphelelwa ngamandla emzimbeni

Ukuphelelwa ngamandla emzimbeni kungxamiseko olunokubakho kuhudo oluqhubekayo, ngakumbi ukuba awuseli manzi aneleyo.

Ukuphelelwa ngamanzi emzimbeni yinkxalabo enkulu kubantu abane-UC kuba umzimba wakho unokulahlekelwa ngamanzi amaninzi ngokuhamba kwamathumbu. Unyange iimeko ezinqabileyo zokuphelelwa ngamanzi ekhaya ngamanzi okusela okanye ngesisombululo sokubuyisela amanzi emzimbeni.

Ukuphelelwa ngamanzi emzimbeni yingxakeko yezonyango. Unokufuna ukulaliswa esibhedlele ukuze ufumane izondlo ze-IV kunye namanzi.

Iimpawu zokuphelelwa ngamandla emzimbeni zibandakanya uxinzelelo lwegazi oluyingozi, ukuba nesiyezi, ukubetha ngamandla, ukuphelelwa ngamandla, ukuba necramp kwezihlunu, kunye namehlo atshonile.

5. Isifo sesibindi

Isifo sesibindi sinokuvela ne-UC. I-Primary sclerosing cholangitis (PSC) sisifo sesibindi esidla ngokudityaniswa ne-UC.

Ukuba ishiywe inganyangwa, oku kunokukhokelela ekuqhekekeni kwesibindi (i-cirrhosis) okanye ukonakala kwesibindi ngokusisigxina.

Kwakhona, amayeza e-steroid asetyenziselwa ukunyanga ukudumba anokubangela amanqatha ukuba afake isibindi. Oku kwaziwa ngokuba sisifo sesibindi esinamafutha. Isibindi esinamafutha asifuni unyango okanye sibangele naziphi na iimpawu, kodwa ukunciphisa umzimba kunokubuyisa umva.

Ukuba unayo i-UC, ugqirha wakho unokugqibezela uvavanyo lomsebenzi wesibindi ukujonga impilo yesibindi sakho. Iimpawu zobunzima besibindi zingabandakanya ulusu olurhawuzayo kunye nejundice, etyheli kolusu okanye abamhlophe bamehlo. Unokuba nazo iintlungu okanye uvakalelo lokugcwala kwicala lasekunene lesisu sakho.

Cwangcisa ukuqeshwa nogqirha wakho ukuba ukrokrela iingxaki zesibindi.

6. Umhlaza wamathumbu

Umngcipheko wokunyuka komhlaza wekolon ngokusekwe kubukrakra be-UC yakho. Ngokwe-American Cancer Society (ACS), umhlaza wombala wesithathu ngumhlaza wesithathu oqhelekileyo ufunyanwa emadodeni nakwabasetyhini eUnited States.

I-colonoscopy inokubona ubukho bamathumba kwikholoni yakho. Le nkqubo ibandakanya ukufakwa kwetyhubhu eguqukayo kwi-rectum yakho ukuvavanya ikholoni.

Iimpawu zomhlaza wekolon ziyafana neempawu ze-UC. Ngenxa yoku, kunokuba nzima ukwahlula imeko enye kwenye.

Yiya kugqirha ukuba ubona mnyama, ilindle, okanye utshintsho kwimisebenzi yamathumbu. Jonga ugqirha ukuba unentlungu ebuhlungu esiswini, ukwehla kobunzima obungachazwanga, okanye ukudinwa kakhulu. Umhlaza wekolon unokubangela isitulo esincinci kwaye sinegazi elingaphezulu kunesiqhelo, naso.

Yise kude

I-UC yimeko engapheliyo kwaye ngamanye amaxesha iyadodobalisa. Amayeza kunye notshintsho kwindlela yokuphila kunokukunceda ukulawula isifo.

Thetha nogqirha wakho ukuba uziva ukuba unyango lwakho lwangoku lwe-UC alusebenzi. Ukulungisa idosi okanye amayeza akho kunokubangela iziphumo ezingcono kwaye kukuncede ufezekise ukuxolelwa.

Iimeko ezisongela ubomi zinokuphuhla xa ungakwazi ukulawula ukudumba kunye nezilonda kwikholoni yakho. Funa unyango ngokukhawuleza ukuba ufumana iimpawu ezimbi. Ezinye zeempawu zibandakanya iintlungu zesisu esibuhlungu, umkhuhlane omkhulu, isifo sorhudo, okanye ukopha ngamandla.