Ukuqhekeka kolusu kunxulunyaniswa ne-Ulcerative Colitis

Umxholo

• Ushwankathelo
• Imifanekiso ye-UC yesikhumba
• Imiba eli-10 yesikhumba ehambelana ne-UC
• 1. I-Erythema nodosum
• 2. IPyoderma gangrenosum
• 3. Iswekile ’entle
• 4. I-dermatosis-arthritis syndrome ehambelana nesisu
• 5. ukhwekhwe
• 6. IVitiligo
• Yintoni omele uyenze ngexesha lokuphakama

Ushwankathelo

I-ulcerative colitis (UC) sisifo esingapheliyo sokudumba kwamathumbu (IBD) esichaphazela amathumbu amakhulu, kodwa sinokubangela nemicimbi yolusu. Oku kunokubandakanya irhashalala ebuhlungu.

Imiba yesikhumba ichaphazela malunga nabo bonke abantu abaneentlobo ezahlukeneyo ze-IBD.

Olunye ulusu lolusu lunokuza njengesiphumo sokudumba emzimbeni wakho. Eminye imiba yolusu edityaniswe ne-UC inokubangelwa ngamayeza owathathayo ukunyanga i-UC.

Inani leentlobo ezahlukeneyo zemicimbi yolusu kunokubangelwa yi-UC, ngakumbi ngexesha lokuphakama kwemeko.

Imifanekiso ye-UC yesikhumba

Imiba eli-10 yesikhumba ehambelana ne-UC

1. I-Erythema nodosum

I-Erythema nodosum yeyona nto ixhaphakileyo kulusu lwabantu abane-IBD. I-Erythema nodosum ngamaqhuqhuva abomvu athambileyo ahlala evela kulusu lwemilenze yakho okanye iingalo. Amaqhuqhuva anokubonakala ngathi kukugruzuka kulusu lwakho.

I-Erythema nodosum ichaphazela naphi na kubantu abane-UC. Kubonakala ngakumbi kubafazi kunamadoda.

Le meko ithambekele ekuhambisaneni ne-flare-ups, ngamanye amaxesha isenzeka ngaphambi nje kokuba kuqhume i-flare. Nje ukuba i-UC yakho iphantsi kolawulo kwakhona, i-erythema nodosum iya kudlula.

2. IPyoderma gangrenosum

I-Pyoderma gangrenosum yinkinga yesikhumba kubantu abane-IBD. Omnye wabantu abadala abangama-950 abane-IBD bafumanisa ukuba i-pyoderma gangrenosum yathintela iipesenti ezi-2 zabantu abane-UC.

IPyoderma gangrenosum iqala njengeqoqo lamadyungudyungu amancinci anokusasazeka kwaye adibane enze izilonda ezinzulu. Ihlala ibonwa kwi-shins yakho kunye namaqatha, kodwa inokubonakala nakwiingalo zakho. Inokuba buhlungu kakhulu kwaye ibangele amanxeba. Izilonda zinokosulelwa ukuba azigcinwanga zicocekile.

I-Pyoderma gangrenosum icingelwa ukuba ibangelwa kukuphazamiseka kwenkqubo yomzimba yokuzikhusela, enokuthi ibe negalelo kwi-UC. Unyango lubandakanya iidosi eziphezulu ze-corticosteroids kunye neziyobisi ezicinezela amajoni akho omzimba. Ukuba amanxeba abanzima, ugqirha wakho unokukunika amayeza eentlungu ukuba uwathathe.

3. Iswekile ’entle

I-Sweet's syndrome yimeko enqabileyo yolusu ebonakaliswa kukulimala kolusu. Ezi zilonda ziqala njengamaqhuma amancinci, athambile ebomvu okanye omfusa athi asasazeke abe ngamaqela abuhlungu. Zihlala zifunyenwe ebusweni bakho, entanyeni, okanye kwimilenze ephezulu. I-Sweet's syndrome idibene ne-flare-ups esebenzayo ye-UC.

I-Sweet's syndrome ihlala iphathwa nge-corticosteroids nokuba yeyiphi na ipilisi okanye ifom yenaliti. Izilonda zinokuhamba zodwa, kodwa ukuphindaphinda kuqhelekile, kwaye kunokubangela amanxeba.

4. I-dermatosis-arthritis syndrome ehambelana nesisu

I-bowel-associated dermatosis-arthritis syndrome (i-BADAS) ikwabizwa ngokuba yi-bowel bypass syndrome okanye i-blind loop syndrome. Abantu abalandelayo basemngciphekweni:

• utyando lwamathumbu lwamva nje
• ukuphambuka
• isihlomelo
• IBD

Oogqirha bacinga ukuba inokubangelwa ziintsholongwane ezigqithileyo, nto leyo ekhokelela kukudumba.

I-BADAS ibangela amaqhuma amancinci, abuhlungu anokuthi enze i-pustules kwisithuba sosuku olunye ukuya kwiintsuku ezimbini. Ezi zilonda zihlala zifumaneka kwisifuba sakho esingaphezulu kunye neengalo. Inokubangela nezilonda ezibonakala ngathi kukugruzuka kwimilenze yakho, ngokufana ne-erythema nodosum.

Izilonda zihlala zihamba zodwa kodwa zinokubuya zibuye kwakhona ukuba i-UC yakho iphinde ivele. Unyango lunokubandakanya i-corticosteroids kunye ne-antibiotics.

5. ukhwekhwe

I-Psoriasis, isifo sokuzikhusela komzimba, sikwanxulunyaniswa ne-IBD. Ukusuka ngo-1982, iipesenti ezi-5.7 zabantu abane-UC nabo banayo i-psoriasis.

I-Psoriasis ikhokelela ekwakhiweni kweeseli zolusu ezenza izikali ezimhlophe okanye ezijongeka njengesilivere kwizikhumba eziphakanyisiweyo, ezibomvu zolusu. Unyango lunokubandakanya ii-corticosteroids okanye ii-retinoids.

6. IVitiligo

IVitiligo yenzeka kubantu abane-UC kunye neCrohn kunabemi bebonke. Kwi-vitiligo, iiseli ezinoxanduva lokuvelisa ibala lolusu lwakho ziyatshatyalaliswa, zikhokelela kumabala amhlophe esikhumba. Ezi patches zimhlophe zolusu zinokuphuhla naphi na emzimbeni wakho.

Abaphandi bacinga ukuba i-vitiligo ikwanokuphazamiseka komzimba. Uqikelelo lwabantu abane-vitiligo banenye ingxaki yokuzivikela komzimba, njenge-UC.

Unyango lunokubandakanya ii-corticosteroids zentloko okanye ipilisi yokudibanisa kunye nonyango olulula olubizwa ngokuba yi-psoralen kunye ne-ultraviolet A (PUVA).

Yintoni omele uyenze ngexesha lokuphakama

Uninzi lwemicimbi yolusu enxulunyaniswa ne-UC inyangwa ngokulawula i-UC kangangoko kunokwenzeka, uninzi lwezi rashes zinokuhambelana ne-UC flare-ups. Abanye banokuba luphawu lokuqala lwe-UC kumntu ongafumaniswanga okwangoku.

ICorticosteroids inokunceda ngokudumba okuhlala kubangela imiba yolusu ehambelana ne-UC. Ukutya ukutya okunokulinganisela kunokunceda ukukhuthaza impilo yonke kwaye kunokunceda ekukhuseleni imiba yesikhumba.

Xa ufumana ukuvutha kolusu lwe-UC, kukho izinto ezininzi onokuzama ngazo:

• Gcina izilonda zicocekile ukuthintela usulelo.
• Jonga ugqirha wakho ukufumana amayeza okubulala iintsholongwane okanye amayeza eentlungu xa kufuneka njalo.
• Gcina izilonda ezigqunywe ngebhanti efumileyo ukukhuthaza ukuphilisa.