Ulcerative Colitis (UC) Uxolelo: Into ekufuneka uyazi

Umxholo

• Amayeza oxolelo
• Utshintsho kwindlela yokuphila yokugcina uxolelo
• Lawula uxinzelelo lwakho
• Yeka ukutshaya
• Thatha amayeza akho njengoko kumiselwe
• Fumana uvavanyo rhoqo
• Zilolonge
• Gcina ukutya okusempilweni
• Gcina idayari ye-flare-ups
• Ukutya kunye ne-ulcerative colitis
• Imbonakalo
• Iingcebiso zokuhlala usempilweni
  

Ushwankathelo

I-ulcerative colitis (i-UC) sisifo samathumbu esivuthayo (IBD). Kubangela ukudumba okungapheliyo kunye nezilonda kwindawo yakho yokugaya ukutya.

Abantu abane-UC baya kufumana ama-flare-ups, apho iimpawu zeemeko ziba zibi kakhulu, kunye namaxesha okuxolelwa, ngamaxesha apho iimpawu zihamba khona.

Injongo yonyango ukuxolelwa kunye nokuphuculwa komgangatho wobomi. Kuyenzeka ukuba uhambe iminyaka ngaphandle kokuphazamiseka.

Amayeza oxolelo

Xa ufaka imeko yoxolelo, iimpawu zakho ze-UC ziyaphucuka. Ukuxolelwa kuhlala kungumqondiso wokuba isicwangciso sakho sonyango siyasebenza. Kusenokwenzeka ukuba uya kusebenzisa amayeza ukukuzisa kwimeko yoxolelo.

Amayeza onyango lwe-UC kunye nokuxolelwa kunokubandakanya:

• I-5-aminosalicylates (5-ASAs), efana ne-mesalamine (Canasa, Lialda, Pentasa) kunye ne-sulfasalazine (Azulfidine)
• i-biologics, efana ne-infliximab (Remicade), i-golimumab (iSimponi), kunye ne-adalimumab (Humira)
• icorticosteroids
• izixhobo zokuzikhusela emzimbeni

Ngokwezikhokelo zeklinikhi zamva nje, amayeza owamiselweyo aya kuxhomekeka kwizinto ezinje:

• nokuba i-UC yakho ibimnene, imodareyitha, okanye inzima
• ingaba unyango luyafuneka ukunyusa okanye ukugcina uxolelo
• umzimba wakho uphendule njani, kwixa elidlulileyo, kunyango lwe-UC olufana nonyango lwe-5-ASA

Utshintsho kwindlela yokuphila yokugcina uxolelo

Qhubeka uthatha amayeza akho ngelixa uxolelwe. Iimpawu zakho zingabuya xa uyeka. Ukuba ufuna ukuyeka unyango, xoxa ngalo nogqirha wakho kwangaphambili.

Utshintsho kwindlela yokuphila, ngolu hlobo lulandelayo, lukwayinxalenye ebalulekileyo yesicwangciso sonyango oluqhubekayo:

Lawula uxinzelelo lwakho

Olunye uxinzelelo alunakuphepheka, kodwa zama ukuthintela iimeko zoxinzelelo xa unakho. Cela uncedo olungaphezulu kwindlu, kwaye ungathathi ngaphezulu koko unokukwazi ukukulawula.

Zama ukwenza indlela yokuphila ngoxinzelelo oluncinci kangangoko kunokwenzeka. Fumana iingcebiso ezili-16 zokunciphisa uxinzelelo apha.

Yeka ukutshaya

Ukutshaya kungakhokelela kukuqhambuka. Thetha nogqirha wakho malunga neenkqubo zokuyeka ukutshaya.

Ukuba abanye abantu kwikhaya lakho batshaya, cwangcisa ukuyeka ukutshaya kunye. Ayizukuphelisa kuphela isilingo sokutshaya, kodwa uya kuba nakho ukuxhasana.

Fumana ezinye izinto onokuzenza ngexesha apho ubuya kutshaya ngesiqhelo. Thatha uhambo lwemizuzu eli-10 ujikeleze ibhloko, okanye uzame itshungama okanye ukuncanca iiminti. Ukuyeka ukutshaya kuya kuthatha umsebenzi kunye nokuzibophelela, kodwa linyathelo elibalulekileyo eliya kukuhlala uxolelwe.

Thatha amayeza akho njengoko kumiselwe

Amanye amayeza anokuchaphazela kakubi amayeza akho e-UC. Oku kubandakanya iivithamini kunye nezongezo.

Tshela ugqirha wakho ngayo yonke into oyithathayo, kwaye ubuze malunga naluphi na unxibelelwano lokutya olunokwenza ukuba iyeza lakho lingasebenzi kakuhle.

Fumana uvavanyo rhoqo

Ugqirha wakho unokucebisa ukuba uhlolwe rhoqo.

Gcina ishedyuli. Ukuba ukrokrela i-flare-up okanye ukuba uqala ukufumana naziphi na iziphumo ebezingalindelekanga kunyango lwakho, nxibelelana nogqirha wakho.

Zilolonge

Nenjongo yokuzilolonga ubuncinci imizuzu engama-30 amaxesha amahlanu ngeveki. Esi siphakamiso sokwenza umsebenzi womzimba kubantu abadala yi-American Heart Association (AHA).

Ukuzivocavoca kunokubandakanya nantoni na ukusuka kwizinyuko ukuya ekuhambeni ngokukhawuleza kwibhloko.

Gcina ukutya okusempilweni

Okunye ukutya, okunje ngefayibha ephezulu, kunokunyusa umngcipheko wokutsha okanye kunokuba nzima ngakumbi ukuba ukwetyise. Buza ugqirha wakho malunga nokutya ekufuneka ukuphephe kunye nokutya onokufuna ukukubandakanya ekutyeni kwakho.

Gcina idayari ye-flare-ups

Xa ufumana i-flare-up, zama ukubhala phantsi:

• utye ntoni
• ungakanani amayeza owathathileyo ngala mhla
• eminye imisebenzi obubandakanyeka kuyo

Oku kuya kunceda ugqirha wakho ukuba ahlengahlengise amayeza akho.

Ukutya kunye ne-ulcerative colitis

Ukutya kungadlala indima kwi-UC flare-ups, kodwa ukutya kwindalo iphela ukunceda ukuthintela oku kungabikho. Endaweni yoko, kuyakufuneka usebenze kunye ne-gastroenterologist yakho kwaye mhlawumbi nesondlo ukwenza isicwangciso sokutya esiya kukusebenzela.

Ngelixa wonke umntu ephendula ngokwahlukileyo kukutya, okunye ukutya unokufuna ukunqanda okanye ukutya kancinci. Oku kubandakanya ukutya oku:

• iziqholo
• ityuwa
• ezityebileyo
• ngamafutha
• yenziwe ngobisi
• ephezulu kwifayibha

Kuya kufuneka uphephe notywala.

Sebenzisa idayari yokutya ukukunceda uqaphele ukutya kwakho okubangela intsholongwane. Unokufuna nokutya ukutya okuncinci ngalo lonke usuku ukuthintela ukungonwabi okungaphezulu kokudumba.

Thetha ne-gastroenterologist yakho ukuba uziva unokubuyela kwakhona ukuze usebenze kulungelelwaniso lokutya kunye.

Imbonakalo

Usenokuphila ubomi obusempilweni ukuba une-UC. Ungaqhubeka nokutya ukutya okumnandi kwaye uhlale uxolelwe ukuba ulandela isicwangciso sakho sonyango kwaye wazise ugqirha wakho ngalo naluphi na utshintsho kwimpilo yakho.

Ngokujikeleze i-1.6 yezigidi zaseMelika zinohlobo oluthile lwe-IBD. Inani lamaqela enkxaso kwi-Intanethi okanye ngaphakathi kwabantu ayafumaneka. Unokujoyina enye okanye ezininzi kubo ukufumana inkxaso eyongezelelweyo yokulawula imeko yakho.

I-UC ayinyangeki, kodwa unokwenza izinto ukunceda ukugcina imeko yakho uxolelo. Landela ezi ngcebiso:

Iingcebiso zokuhlala usempilweni

• Zama ukuphelisa okanye ukunciphisa uxinzelelo.
• Ukuba uyatshaya, sebenza nogqirha wakho okanye uzimanye neqela lenkxaso ukukunceda uyeke ukutshaya.
• Landela isicwangciso sakho sonyango, kwaye uthathe onke amayeza akho njengoko kumiselweyo.
• Yiya kugqirha wakho ukuze akuhlole rhoqo.
• Zilolonge rhoqo.
• Yitya ukutya okunezondlo.
• Gcina idayari yokutya rhoqo. Oku kuyakwenza kube lula ukuchonga izizathu ezinokubangela ukuvutha.