Izizathu ze-8 Unyango lwe-Ulcerative Colitis Unokuthi lutshintshe ngokuhamba kwexesha

Umxholo

• Oogqirha banyanga njani i-ulcerative colitis
• 1. Unyango lokuqala owaluzama aluzange luncede
• 2. Isifo sakho siye sanda kakhulu
• 3. Ukwi-flare esebenzayo
• 4. Unezinye iimpawu
• 5. Uneziphumo ebezingalindelekanga
• 6. Ukwi-steroids yomlomo ixesha elide
• 7. Amayeza akasilawuli isifo sakho
• 8. Uxolelwe
• Yise kude

Xa une-ulcerative colitis (UC), amajoni omzimba abangela ukuba ukhuseleko lomzimba wakho luhlasele ulusu lwamathumbu akho amakhulu (ikholoni). Umbilini wamathumbu uyavutha kwaye wenze izilonda ezibizwa ngokuba zizilonda, ezinokukhokelela kwiimpawu ezinjengorhudo olunegazi kunye nemfuno engxamisekileyo yokuhamba.

I-UC ayibonisi ngendlela efanayo kumntu ngamnye. Ayikhe ihlale injalo ngokuhamba kwexesha. Iimpawu zakho zinokubonisa okwethutyana, zilunge, kwaye uphinde ubuye kwakhona.

Oogqirha banyanga njani i-ulcerative colitis

Injongo yakho yonyango ekunyangeni kukugcina iimpawu zakho zikhona. La maxesha angenazimpawu abizwa ngokuba kukuxolelwa.

Leliphi ichiza olithathayo kuqala kuxhomekeke kubuzaza beempawu zakho.

• Ubumnene: Unezitulo ezine ukuya kuthi ga ngosuku kunye nentlungu esiswini. Ilindle linokuba ligazi.
• Iphakathi: Unezihlalo ezine ukuya kwezintandathu ezikhululekileyo ngemini, ezinokuba ligazi. Unokuba ne-anemia, ukunqongophala kweeseli ezibomvu zegazi.
• Kakhulu: Unendawo engaphezu kwegazi ezintandathu enegazi kunye nezihlalo ezikhululekileyo ngosuku, kunye neempawu ezinjenge-anemia kunye nokubetha kwentliziyo ngokukhawuleza.

Uninzi lwabantu abane-UC banesifo esimnene ukuya kumodareyitha kunye neempawu ezithile ezibizwa ngokuba zii-flares, kunye noxolelo. Ukukufaka kuxolelo yinjongo yonyango. Njengoko isifo sakho siba sibi ngakumbi okanye singcono, ugqirha wakho unokufuna uhlengahlengiso kunyango lwakho.

Nazi izizathu ezisibhozo zokuba kutheni unyango lwakho lwe-UC lunokutshintsha ekuhambeni kwexesha.

1. Unyango lokuqala owaluzama aluzange luncede

Unyango lokuqala abantu abaninzi abane-UC yokuzama ukumodareyitha ichiza elichasayo elibizwa ngokuba yi-aminosalicylate. Olu didi lweziyobisi lubandakanya:

• sulfasalazine (Azulfidine)
• i-mesalamine (i-Asacol HD, iDelzicol)
• balsalazide (iColazal)
• i-olsalazine (iDipentum)

Ukuba uthathe elinye lala machiza okwethutyana kwaye khange liphucule iimpawu zakho, ugqirha wakho unokukutshintshela kwelinye ichiza kwiklasi enye. Olunye ukhetho lweempawu eziqaqadekileyo kukongeza elinye ichiza, njenge-corticosteroid.

2. Isifo sakho siye sanda kakhulu

I-UC inokuba mandundu ngokuhamba kwexesha. Ukuba uqale ngefom ethambileyo, kodwa ngoku iimpawu zakho zinzima, ugqirha wakho uya kulungelelanisa amayeza akho.

Oku kunokuthetha ukumisela elinye ichiza, njenge-corticosteroid. Okanye, ungaqala kwichiza elichasene ne-TNF. Oku kubandakanya adalimumab (Humira), golimumab (Simponi), kunye ne-infliximab (Remicade). Iziyobisi ezichasene ne-TNF zivimba iprotein yenkqubo yomzimba yokuzikhusela ekhuthaza ukudumba kwithumbu lakho (GI).

3. Ukwi-flare esebenzayo

Iimpawu ze-UC ziza kwaye zihambe ngokuhamba kwexesha. Xa uneempawu ezinje ngesifo sorhudo, iintlungu zesisu, kunye nokungxamiseka, oko kuthetha ukuba uhlangabezana ne-flare. Ngexesha lokuvutha, kuya kufuneka uhlengahlengise idosi yakho okanye utshintshe uhlobo lwamayeza owathathayo ukulawula iimpawu zakho.

4. Unezinye iimpawu

Ukuthatha amayeza e-UC kuya kunceda ukulawula isifo sakho kunye nokuthintela ii-flares. Kuya kufuneka uyongeze ngamanye amayeza ukunyanga iimpawu ezithile ezinje:

• ifiva: iyeza lokubulala iintsholongwane
• intlungu edibeneyo okanye umkhuhlane: iziyobisi ezichasayo (ii-NSAID) ezinjenge-aspirin, ibuprofen (Advil, Motrin), okanye naproxen (Aleve)
• ianemia: izongezo zentsimbi

Amanye ala machiza anokucaphukisa iphecana lakho le-GI kwaye wenze i-UC yakho ibe mandundu. Kungenxa yoko le nto kubalulekile ukuba ubuze kugqirha wakho ngaphambi kokuba uthathe naliphi na iyeza elitsha-nokuba lithengwa kwindawo ekuthengiswa kuyo amayeza ngaphandle kommiselo.

5. Uneziphumo ebezingalindelekanga

Naliphi na ichiza linokubangela iziphumo ebezingalindelekanga, kwaye unyango lwe-UC alufani. Abanye abantu abathatha la machiza banokuba namava:

• isicaphucaphu
• intloko ebuhlungu
• ifiva
• irhashalala
• iingxaki zezintso

Ngamanye amaxesha iziphumo ebezingalindelekanga zinokukhathaza ngokwaneleyo ukuba uyeke ukuthatha iyeza. Ukuba oku kuyenzeka, ugqirha wakho uya kukutshintshela kwelinye iyeza.

6. Ukwi-steroids yomlomo ixesha elide

Iipilisi zeCorticosteroid zilungile ukunyanga ii-flares okanye ukulawula i-UC ngokuphakathi, kodwa ayenzelwanga ukusetyenziswa kwexesha elide. Ugqirha wakho kufuneka akufake kwii-corticosteroids kuphela ukulawula iimpawu zakho, emva koko akubuyise kubo.

Ukusetyenziswa kwexesha elide kwe-steroid kunokubangela iziphumo ebezingalindelekanga ezinje:

• amathambo athathaka (i-osteoporosis)
• ukutyeba kwakho
• umngcipheko okhulayo wee-cataract
• usulelo

Ukukugcina uxolelwe ngaphandle komngcipheko weziphumo ebezingalindelekanga ze-steroid, ugqirha wakho angakutshintshela kwichiza elichasene ne-TNF okanye uhlobo oluthile lwamayeza.

7. Amayeza akasilawuli isifo sakho

Amayeza anokugcina iimpawu zakho ze-UC zibekho okwexeshana, kodwa ngamanye amaxesha inokuyeka ukusebenza kamva. Okanye, unokuzama iziyobisi ezimbalwa ezahlukeneyo ngethamsanqa. Ngelo xesha, kunokuba lixesha lokujonga utyando.

Uhlobo lotyando olusetyenziselwa ukunyanga i-UC lubizwa ngokuba yi-proctocolectomy. Ngexesha lale nkqubo, zombini ikholoni kunye ne-rectum ziyasuswa. Ugqirha emva koko wenza isingxobo-nokuba ngaphakathi okanye ngaphandle komzimba wakho -ukugcina nokususa inkunkuma. Utyando linyathelo elikhulu, kodwa linokunciphisa iimpawu ze-UC ngokusisigxina kunonyango.

8. Uxolelwe

Ukuba uxolelwe, Siyavuyisana nawe! Uyifezekisile injongo yakho yonyango.

Ukuxolelwa akuthethi ukuba uyeke ukuthatha amayeza akho. Nangona kunjalo, inokukuvumela ukuba wehlise idosi yakho, okanye uphume kwi-steroids. Ugqirha wakho unokukugcina kuhlobo oluthile lonyango ixesha elide ukunqanda ii-flares ezintsha kwaye uqiniseke ukuba uhlala uxolelwe.

Yise kude

I-UC inokutshintsha ngokuhamba kwexesha. Ngokudibanisa nokutshintsha kwemililo kunye nokuxolelwa, isifo sakho sinokuya sisiba mandundu. Ukubona ugqirha wakho ukujonga rhoqo kunokuqinisekisa ukuba uyabamba kwaye uphathe naziphi na iimpawu ezintsha okanye eziya zisanda kwangoko.

Ukuba unamayeza kwaye awukaziva kakuhle, yazisa ugqirha wakho. Akunyanzelekanga ukuba uphile kurhudo olungonwabisiyo, iicramps, kunye nezinye iimpawu.

Ngokudibanisa iyeza elitsha kunyango lwakho lwangoku okanye ngokutshintsha amayeza, ugqirha wakho kufuneka akwazi ukufumana into esebenza ngcono kuwe. Ukuba uzame unyango oluninzi ngaphandle kwempumelelo, utyando lunokukunika isisombululo esisigxina ngakumbi kwiimpawu zakho.