Ukuqonda i-Ulcerative Colitis Pain: Ungakufumana njani ukuNcedo ngexesha loPhuculo

Umxholo

• Amayeza eekhawuntareni
• Utshintsho kwizidlo
• Iindlela zokunciphisa uxinzelelo
• Iyeza ezichasayo
• Amayeza e-Immunosuppressant
• Ibhayoloji
• Ugqirha
• Unyango olongezelelweyo nolunye

Ulcerative colitis iintlungu

I-ulcerative colitis (UC) luhlobo lwesifo sokukrala kwamathumbu esinokubangela amanqanaba ahlukeneyo entlungu.

I-UC ibangelwa kukudumba okungapheliyo, okuhlala ixesha elide okukhokelela kwizilonda ezivulekileyo ezaziwa njengezilonda ngaphakathi ngaphakathi kwithumbu lakho, okanye amathumbu amakhulu, kunye ne-rectum. Ukuba nenqanaba eliphezulu leentlungu kunokuba luphawu lokuba isifo siyaphaphazela okanye siba mandundu.

Ubungakanani ukuvuvukala onakho kwikholoni yakho kwaye apho oku kubakho khona ukuvuvukala kuhlala kumisela apho kunokwenzeka ukuba uve iintlungu. Ukuxinana kwamathumbu kunye nokuthamba kwiintlungu ezinzima esiswini kunye nakwi-rectum ziqhelekile. Intlungu inokuhlala ixesha elide, okanye inokuphela xa ukudumba kudamba.

Ixesha elide lokuxolelwa phakathi kwe-flare-ups liqhelekile. Ngexesha lokuxolelwa, iimpawu zakho zinokuhla okanye zinyamalale ngokupheleleyo.

Abantu abane-UC emnene banokufumana uxinzelelo kunye ne-cramping kuphela. Njengoko isifo siqhubela phambili ngokudumba okungakumbi kunye nezilonda kwikholoni yakho, iintlungu zingabonakalisa njengeemvakalelo zokubamba okanye uxinzelelo olukhulu oluqinisa kwaye lukhuphe kaninzi.

Intlungu yegesi kunye nokuqhekeka nako kunokubakho, okwenza ukuba uvakalelo luzive lubi.

Ukuba unodidi lwe-UC olwaziwa njenge-ulcerative colitis esekhohlo, icala lakho lasekhohlo linokuziva lithenda nakubamba.

Ukuba ishiywe inganyangwa, iintlungu ezinxulumene ne-UC zinokukwenza kube nzima ukusebenza, ukuzilolonga, okanye ukonwabela imisebenzi yemihla ngemihla. Ukugcina isifo phantsi kolawulo ngamayeza, ukunciphisa uxinzelelo, kunye nokutya kunokunceda ukulawula kunye nokunciphisa iintlungu.

Intlungu ehambelana no-UC inokunciphisa umgangatho wobomi bakho bonke. Ukuba unesifo esingapheliyo, esingalawulekiyo kulo naliphi na inqanaba, zininzi iindlela zokhetho onokuthi uxoxe nogqirha wakho ezinokukunceda uzive ungcono.

Olu nyango lunokuphinda lukubuyisele kwimisebenzi yakho yemihla ngemihla. Ugqirha wakho unokucebisa ngokudibanisa amayeza, utshintsho kwindlela otya ngayo, kunye nezinye iindlela zonyango ezincedisayo zokulawula iintlungu zakho ze-UC.

Amayeza eekhawuntareni

Ukuba unentlungu encinci, amayeza afana ne-acetaminophen (iTylenol) anokwanela ukwenza ubuqhetseba.

Kodwa sukuguqukela kwamanye amayeza eentlungu zekhawuntari (OTC) endaweni yoko. La machiza alandelayo e-OTC akufuneki athathwe ngenxa yeentlungu ze-UC, njengoko zinokubangela ukuvutha kunye nokwenza ezinye iimpawu, ezinje ngesifo sorhudo, sibi:

• ibuprofen (Motrin IB, Advil)
• Iasprini (iBufferin)
• I-naproxen (Aleve, uNaprosyn)

Utshintsho kwizidlo

Into oyityayo ayizukubangela i-UC, kodwa ukutya okuthile kunokonyusa iimpawu zakho kwaye kunokubangela ukunyanzeliswa kunye nentlungu. Ukugcina idayari yokutya kunokukunceda uchonge naziphi na izinto ezinokubangela ukutya.

Ukutya okuqhelekileyo ukuthintela kubandakanya:

• iimveliso zobisi eziphezulu kwi-lactose, njengobisi
• ukutya okunamafutha aphezulu, njengezinto ezinamafutha okanye eziqhotsiweyo, inyama yenkomo, kunye neswekile, ii-dessert ezinamafutha aphezulu
• ukutya okwenziwe, njengokutya okubandayo kunye nerayisi ebhokisi
• ukutya okunefayibha ephezulu, okufana neenkozo ezipheleleyo
• imifuno evelisa igesi, efana nehlumelo laseBrussels kunye nekholifulawa
• ukutya okuneziqholo
• iziselo ezinxilisayo
• iziselo ezinecafini, ezinje ngekofu, iti kunye necola

Kunokukunceda ukutya ukutya okuncinci okuncinci ngemini kunokutya ezintathu ezinkulu. Kuya kufuneka usele amanzi amaninzi- ubuncinci iiglasi ezisibhozo ze-ounce ngosuku. Oku kunokubeka ubunzima obuncinci kwinkqubo yakho yokwetyisa, kuvelise igesi encinci, kwaye kuncede ukuhamba kwamathumbu kuhamba kwinkqubo yakho kakuhle.

Iindlela zokunciphisa uxinzelelo

Nje ukuba kucingelwe ukubangela i-UC, uxinzelelo ngoku luthathelwa ingqalelo njengonobangela wokuqhambuka kwe-UC kwabanye abantu. Ukulawula kunye nokunciphisa uxinzelelo kunokunceda ukunciphisa iimpawu ze-UC, ezinje ngokudumba, kunye nentlungu.

Iindlela ezahlukeneyo zokwenza uxinzelelo zisebenza kubantu abohlukeneyo, kwaye unokufumanisa ukuba ukuhamba ngokulula ehlathini kunye nokuphefumla okunzulu zezona zinto ziluncedo kuwe. I-yoga, ukucamngca kwengqondo, kunye nokuzilolonga kunokunceda ukunciphisa uxinzelelo kubantu abane-UC.

Iyeza ezichasayo

Ukuvuvukala kungoyena nobangela weyona ntlungu inxulumene ne-UC. Inani lamayeza anokunceda ukunciphisa ukudumba kwikholoni yakho. Ugqirha wakho unokukunceda uthathe isigqibo sokuba loluphi uhlobo olulungele wena ngokusekwe kwicandelo lekholoni yakho elichaphazelekayo kunye nenqanaba lakho lentlungu.

Iyeza ezichasayo ezinokunceda kunokubandakanya ii-corticosteroids, ezinje nge-prednisone kunye ne-hydrocortisone.

Iialicylates zeAmino lolunye udidi lonyango olunxamnye nokudumba. Ngamanye amaxesha zichazwe ngentlungu ye-UC. Zininzi iintlobo, kubandakanya:

• iMesalamine (Asacol, Lialda, Canasa)
• sulfasalazine (Azulfidine)
• balsalazide (iColazal, iGiazo)
• i-olsalazine (iDipentum)

Amachiza alwa nokudumba anokuthathwa ngomlomo njengeepilisi okanye njengezingxobo okanye angenziwa ngee-suppositories okanye ii-enemas. Banokunikwa ngokufakwa ngaphakathi. Uninzi lwamayeza okuchasana nokudumba kunokubangela iziphumo ebezingalindelekanga zeentlobo ezahlukeneyo.

Kuya kufuneka uzame ngaphezulu kolunye uhlobo ngaphambi kokuba ufumane olona phawu lwakho. Iyeza ngalinye lithengiswa phantsi kwegama lamagama.

Amayeza e-Immunosuppressant

Amachiza e-immunosuppressant anokumiselwa eyedwa okanye ukongeza kumayeza achasene nokuvuvukala. Zinciphisa iintlungu ngokusebenza ukumisa amajoni akho omzimba ekuvuseleleni ukudumba. Kukho inani leentlobo ezahlukeneyo, kubandakanya:

• azathioprine (Azasan, Imuran)
• imercaptopurine (iPurixan)
• icyclosporine (iSandimmune)

Amayeza e-Immunosuppressant aqhelekileyo asetyenziswa kubantu abangaphenduli kakuhle kwezinye iintlobo zamachiza kwaye enzelwe ukusetyenziswa kwexesha elifutshane. Zingonakalisa isibindi kunye ne-pancreas.

Banokubangela iziphumo ebezingalindelekanga ezimandundu, kubandakanya nokuthotywa kwamandla okulwa nosulelo olubi, kunye neminye imihlaza, njengomhlaza wolusu. ICyclosporine inxulunyaniswe nosulelo olubulalayo, ukuxhuzula, kunye nokonakala kwezintso.

Ibhayoloji

I-Biologics lolunye uhlobo lonyango lwe-immunosuppressant. Olunye uhlobo lwe-biologic sisifo se-tumor necrosis factor alpha inhibitors (TNF-alpha).

Amayeza e-TNF-alpha enzelwe ukuba asetyenziswe kubantu abane-mod ukuya kwi-UC ebukhali abangaphendulanga kakuhle kwezinye iintlobo zonyango. Ziyanceda ukumisa iintlungu ngokuphelisa iproteni eveliswa ngamajoni omzimba. Olunye uhlobo lonyango lwe-TNF-alpha luyi-infliximab (Remicade).

I-Integrin receptor antagonists lolunye uhlobo lwebhayoloji. Oku kubandakanya i-vedolizumab (Entyvio), evunyiweyo yokunyanga i-UC kubantu abadala.

I-Biologics inxulunyaniswe neentlobo ezinzulu zosulelo kunye nesifo sephepha.

Ugqirha

Kwiimeko ezimbi kakhulu, utyando kunokuba yeyona ndlela ilungileyo yokuphelisa i-UC kunye nentlungu yayo. Utyando olusetyenziswa kakhulu lubizwa ngokuba yiproctocolectomy. Ifuna ukususwa kwekholoni yakho yonke kunye ne-rectum.

Ngexesha lotyando, isingxobo esakhiwe ukusuka esiphelweni samathumbu akho amancinci siqhotyoshelwe kwi-anus yakho. Oku kuvumela ukupheliswa kwenkunkuma okuqhelekileyo ukuba kwenzeke, okuthetha ukuba awuzukunxiba ibhegi yangaphandle.

Unyango olongezelelweyo nolunye

Olunye unyango olunjenge-acupuncture lunokunceda ukunciphisa kunye nokulawula ukudumba kwamathumbu, ukunciphisa iintlungu ze-UC.

Olunye uhlobo lolunye unyango olubizwa ngokuba yi-moxibustion lunokuba nefuthe elihle kwiimpawu ze-UC. I-Moxibustion luhlobo lonyango lobushushu. Isebenzisa izixhobo zezityalo ezomileyo ezitshisiweyo kumbhobho ukufudumeza ulusu, amaxesha amaninzi kwiindawo ezifanayo ezijolise ekucocweni.

Icacisile ukuba i-acupuncture kunye ne-moxibustion inokusebenza xa isetyenziswa yodwa, kunye, okanye njengezincedisi kunyango. Kodwa ababuyekezi bachaza ukuba uphando olongezelelweyo lufunekayo ngaphambi kokuba ezi ndlela ziqwalaselwe njengonyango oluqinisekisiweyo lweempawu ze-UC kunye nentlungu.