Ngaba nawe uneentlungu zesisu rhoqo? Ngaba unegazi kwindle yakho? Ngaba yi-Ulcerative Colitis? Makhe sithethe ngale nto!

Ngaba uhlala uziva ungakhululekanga esiswini sakho, njengesisu esipheleleyo kunye nokutsha? Ukuba ngamanye amaxesha ukhupha igazi elincinci ngendle yakho, kufuneka ukhathazeke kancinci ngayo. Oku kungaba luphawu lwesifo esibizwa ngokuba yi-`(Ulcerative Colitis - UC)`. Ungakhathazeki, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni i-`(Ulcerative Colitis - UC)`? Ngamafutshane...

Ngamafutshane, i-Ulcerative Colitis yimeko ehlala ubomi bonke ebangela ukudumba kunye nezilonda kumathumbu amakhulu nakwi-rectum. Iyinxalenye yeqela elikhulu lezifo ezibizwa ngokuba yi-Inflammatory Bowel Disease (IBD). Usenokuba ukhe weva ngesifo sikaCrohn, akunjalo? Naso siwela kudidi olufanayo ne-IBD.

Xa une-UC, unokufumana izinto ezifana nendle enegazi, iintlungu zesisu, kunye nokuchama rhoqo . Khumbula, kukho amaxesha apho ezi mpawu ziba mandundu, esizibiza ngokuba "zii-flare-ups." Kwaye kukho namanye amaxesha apho ungabi nazimpawu kwaphela, esizibiza ngokuba "kuxolelwa."

Ngaba kukho iintlobo ze-`(UC)`?

Ewe, kukho iintlobo ezahlukeneyo ze-UC. Ezi zahlulwe ngokusekwe kwindawo ekuyo ukudumba kunye nezilonda kwikholoni yakho . Ngokuqhelekileyo, iqala kwinxalenye yokugqibela ye-rectum yakho, ekufutshane ne-anus yakho. Ingaqala apho kwaye isasazeke kwikholoni. Nazi iintlobo:

• I-Ulcerative proctitis: Kule meko, ukudumba kwenzeka kuphela kwinxalenye yokugqibela ye-rectum yakho.
• (Proctosigmoiditis): Apha, ukudumba kukwinxalenye yokugqibela yempundu (i-rectum) kunye nenxalenye engezantsi, efana ne-'S' yamathumbu amakhulu (i-sigmoid colon).
• (Isifo sofuba esisekhohlo): Njengoko igama lisitsho, oku kuchaphazela icala lasekhohlo lekholoni.
• (I-Pancolitis): Kule meko, ukudumba kunye nezilonda zinokusasazeka kulo lonke ikholoni .

Le meko (UC) inokuba buthathaka, ibe phakathi, okanye ibe nzima , kuxhomekeke kwiimpawu zakho. Kukwakho nohlobo olubi kakhulu, kodwa olungaqhelekanga, olubizwa ngokuba yi-"fulminant ulcerative colitis". Ngamanye amaxesha inokuba yingozi ebomini kwaye ifuna unyango olukhawulezileyo.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-`(Ulcerative Colitis)`?

Xa zidityaniswe nesifo sikaCrohn, kuqikelelwa ukuba umntu omnye kubantu abangama-250 eMntla Melika naseYurophu unenye yezi meko. E-United States kuphela, kuqikelelwa ukuba abantu abamalunga nama-900,000 bahlala ne-UC. Le meko ikwabonakala ngakumbi eSri Lanka.

Ziziphi iimpawu ze-Ulcerative Colitis?

Iimpawu ze-UC zihlala ziba mandundu ngokuhamba kwexesha.Ewe. Ekuqaleni, ungabona iimpawu ezincinci nezincinci ezifana nezi:

• Ukudumba kwesisu: Oku kungenzeka okanye kungenzeki xa igazi liphuma.
• Ukwanda kokuhamba kwamathumbu: Oku kungaba kane ngemini okanye ngaphantsi.
• Ukunxusela ukuya kwindlu yangasese: Isidingo esingxamisekileyo ekunzima ukusilawula.
• (Tenesmus): Eli ligama elingaqhelekanga, akunjalo? Ngamafutshane, yimvakalelo yokuba kufuneka uye kwindlu yangasese kodwa ungakwazi, imvakalelo yokuba ubambeke esiswini sakho.
• Intlungu encinci yesisu okanye ukuxinana.

Kamva, njengoko isifo siqhubeka, iimpawu eziphakathi okanye ezinzima ezifana nezi zinokuvela:

• Ukuya kwindlu yangasese rhoqo, ngaphezu kwamaxesha amane ngemini.
• Igazi, umkhwinya, okanye ubomvu esitulweni. Olu luphawu olufanele luxhalatyiswe.
• Intlungu yesisu eqatha.
• Ndiziva ndidiniwe kakhulu (ndidiniwe). Ndiziva ndidiniwe kakhulu ukuba ndingenza nantoni na.
• Ukwehla kobunzima ngequbuliso.
• Ukuziva unesicaphucaphu.
• Ifiva.

Enyanisweni, malunga nesiqingatha sabantu abane-UC baneempawu ezincinci xa bedubula. Kodwa abanye banokuba nomkhuhlane rhoqo, urhudo olunegazi, isicaphucaphu, kunye neentlungu zesisu eziqatha.

Ngaba zikho ezinye iimpawu ngaphandle kwekholoni?

Ewe, ungamangaliswa kukuba malunga nama-25% abantu abane-UC banokuba neempawu ngaphandle kwekholoni, kwezinye iindawo zomzimba . Oku kungenxa yokuba ukudumba kwikholoni ngamanye amaxesha kunokusasazeka kwezinye iindawo zomzimba, njengamathambo, amalungu, amehlo, ulusu, nesibindi.

• Intlungu kunye nokudumba kwamalungu.
• Ububomvu, ukudumba, ukurhawuzelela kwamehlo.
• Amaqhuma abuhlungu, izilonda, okanye izilonda eluswini.

Kutheni le nto yenzeka le `(Ulcerative Colitis)`? Yintoni unobangela?

Isizathu esichanekileyo sale meko asikaziwa okwangoku. Nangona kunjalo, oogqirha nabaphandi bakholelwa ukuba yimeko enzima, enezinto ezininzi ezinobungozi ezidibanayo . Uninzi luyavuma ukuba inxulumene nokusebenza gwenxa kwenkqubo yomzimba yethu yokuzikhusela.

Cinga ngako oku, umsebenzi ophambili wenkqubo yethu yokuzikhusela kukukhusela imizimba yethu kwiintsholongwane nezinye izinto eziyingozi ezivela ngaphandle. Kodwa ngamanye amaxesha, le nkqubo yokuzikhusela iqala ngempazamo ukuhlasela izicubu zethu eziphilileyo. Kulapho olu hlobo lokudumba kunye nomonakalo wezicubu luvela khona. Kwi-`(UC)`, olu hlaselo lwenzeka kwi-inside lining yangaphakathi ye-colon.

Zithini izinto ezibangela umngcipheko? Ngubani onokuba nethuba elikhulu lokufumana esi sifo?

Nangona nabani na enokuba ne-Ulcerative Colitis, abanye abantu basengozini enkulu. Jonga ukuba ezi nyaniso ziyasebenza na kuwe:

• Ubudala: Esi sifo sidla ngokufunyanwa kubantu abancinci abaneminyaka ephakathi kwe-15 ne-30, okanye kubantu abadala emva kweminyaka engama-60 .
• Uhlanga kunye nohlanga: Ezinye izifundo zibonise ukuba abantu abamhlophe, ingakumbi amaJuda angama-Ashkenazi, basemngciphekweni omkhulu. Nangona kunjalo, uphando olongezelelekileyo luyafuneka ukuze kuchongwe ukuba oku kuchaphazela kangakanani ilizwe elifana neSri Lanka.
• I-genetics: Le yinto ebalulekileyo. Ukuba umntu okwintsapho yakho esondeleyo (oko kukuthi, abazali, abantakwenu, abantwana) unesifo se-UC okanye seCrohn, unokuba sengozini enkulu yokuba nale meko. Malunga nama-20% abantu abane-UC banelungu losapho elinale meko.
• I-Gut microbiome: Inkqubo yethu yokugaya ukutya, ingakumbi amathumbu amakhulu, inezigidi zeentsholongwane (iibhaktheriya, iintsholongwane, iifungi). Le ngqokelela ibizwa ngokuba yi-"gut microbiome". Ifana ne-ecosystem encinci emathunjini ethu. Uphando lubonise ukuba kukho umahluko omkhulu kule ndawo yeentsholongwane kubantu abane-"UC" xa kuthelekiswa nabantu abangenayo le meko. Nangona unobangela ochanekileyo ungekaziwa, kucingelwa ukuba oku kukwanegalelo ekuphuhlisweni kwe-"UC".

Into enye ekufuneka uyikhumbule kukuba uxinzelelo lwakho kunye nokutya kwakho akuzibangeli ngqo i-UC yakho. Nangona kunjalo, ukuba sele unayo i-UC, ezi zinto zinokubangela ukuba iimpawu zakho ziphakame. Ngoko ke, ukuba ufunyenwe une-UC, eyona nto ingcono onokuyenza kukujonga ngokusondeleyo izinto ezibangela le ngxaki kwaye uziphephe kangangoko unako.

Ziziphi ezinye iingxaki ezinokwenzeka ngenxa ye-Ulcerative Colitis?

Ukuba ne-Ulcerative Colitis kwandisa umngcipheko wokuba nezinye iingxaki zempilo. Ezi zinokufuna ukubekwa esweni kunye nonyango olongezelelweyo.

• I-anemia: Ukopha okungapheliyo, okucothayo, kwaye ngamanye amaxesha ngequbuliso, okubangelwa kukwenzakala kwamathumbu amakhulu kunokukhokelela ekunciphiseni inani legazi emzimbeni, okukhokelela kwi-anemia, ukwehla kweeseli ezibomvu zegazi.
• Umhlaza wamathumbu amakhulu: Abantu abane-UC, ingakumbi abo bebenale meko kangangeminyaka emininzi, basengozini enkulu yokuba nomhlaza wamathumbu amakhulu kunabanye. Umngcipheko wakho uxhomekeke ekubeni ukudumba kukuphi na kwi-colon yakho kunye nokuba unexesha elingakanani une-UC. Kubalulekile ukuthetha nogqirha wakho ngale nto kwaye ufumane uhlolo rhoqo.
• I-Osteoporosis: Ukudumba kwikholoni ngamanye amaxesha kunokuchaphazela amathambo kunye namalungu, okubangela ubuthathaka bamathambo, imeko ebizwa ngokuba yi-osteoporosis.
• I-cholangitis ephambili ye-sclerosing:Eli ligama elintsonkothileyo. Ngamafutshane, ukuba ukudumba kumathumbu amakhulu kusasazeka esibindini, kunokubangela ukudumba kunye nokuqhekeka kwemibhobho yenyongo esibindini. Le tissue yonakeleyo inokubangela ukungasebenzi kakuhle kwesibindi.
• Iingxaki zokukhula nophuhliso ebantwaneni: Ukuba umntwana omncinci une-UC, umsebenzi wamathumbu amakhulu unokunqongophala, nto leyo enciphisa amandla omzimba okufunxa izondlo ezibalulekileyo ekukhuleni nasekuphuhliseni. Ngelixa usela amayeza e-UC, kunokufuneka unike umntwana wakho iivithamini ukongeza kwezinye izongezo.

Iingxaki ezifuna unyango olungxamisekileyo

Ezi ngxaki ziyingozi kancinci, kwaye ukuba kwenzeka into efana nale , kufuneka ulaliswe esibhedlele ngoko nangoko kwaye ufumane unyango olungxamisekileyo (unyango lwe-ER).

• Ukuphelelwa ngamanzi emzimbeni kakhulu: Ukuhamba rhoqo kwamathumbu kunokubangela ukuba umzimba wakho ulahlekelwe lulwelo oluninzi, nto leyo enokubangela ukuba umzimba uphelelwe ngamanzi emzimbeni kakhulu. Ukuba oku kuyenzeka, unokufuna ukunikwa ulwelo lwe-IV esibhedlele.
• Ukugqobhoka kweColon: Le yimeko eyingozi kakhulu. Umngxuma eludongeni lwecolon yingxaki yezonyango kwaye ufuna utyando olukhawulezileyo.
• Ukopha kakhulu: Ukuba kukho ukopha okuninzi enxebeni, kunokufuneka ukuba utofelwe igazi.
• I-megacolon enetyhefu: Le yimeko engaqhelekanga kodwa enokuba yingozi ebomini. Ukudumba okukhulu kubangela ukuba i-colon iyeke ukusebenza ngokupheleleyo, okubangela ukuba i-colon ikhule (i-megacolon), okubangela ukuba iityhefu zingene egazini.
• Amahlwili egazi: I-UC inyusa umngcipheko wokuba amahlwili egazi akheke kwimithambo yegazi yomzimba ( imithambo yegazi , imithambo yegazi , kunye nee-capillaries). Ngokuxhomekeke ekubeni la mahlwili enzeke phi, anokuba yingozi ebomini.

Ifunyaniswa njani i-Ulcerative Colitis? Zeziphi iimvavanyo ezenziwayo?

Ukuba ukrokrela ukuba une-UC, ugqirha wakho uza kuqala akubuze ngeempawu zakho, enze uvavanyo lomzimba, aze abuze ukuba kukho umntu kusapho lwakho one-IBD na. Emva koko, banokuyalela iimvavanyo ezininzi ukuze bahlule ezinye iimeko ezineempawu ezifanayo neze-UC kunye nokuqinisekisa i-UC.

• Uvavanyo lwegazi: Kunokuthathwa isampulu yegazi lakho ukuze kuhlolwe ukuba akukho anemia na. I-anemia ingathetha ukuba kukho ukopha kumathumbu amakhulu okanye i-rectum. Olu vavanyo lwegazi lunokukhangela nezinye izizathu, ezinje ngezifo.
• Iisampulu zendle: Isampulu yendle yakho iya kuhlolwa ukuze kubonwe ukuba akukho zimpawu zosulelo, iintsholongwane, okanye ukudumba.
• Uvavanyo lwemifanekiso: Imifanekiso ingathathwa ukuze kujongwe ngaphakathi kwekholoni kunye nerectum.
• (I-enema yeBarium)Luhlobo olukhethekileyo lwe-X-ray. Lunokubona izinto ezifana nokudumba kwamathumbu amakhulu.
• I -CT scan (i-Computed Tomography scan) kunye ne-MRI (i-Magnetic Resonance Imaging) zinokubonisa ngokucacileyo ukudumba kwikholoni, ingakumbi kwiimeko eziphakathi nezinzima ze-UC.
• I-X-ray eqhelekileyo inokujonga iingxaki ezinobungozi ezifana ne-megacolon okanye ukugqobhoka kwekholoni.
• Uvavanyo lwe-Endoscopic: Olu lolona vavanyo luphambili nolucacileyo lokufumanisa i-UC. I-endoscope yityhubhu encinci, eguquguqukayo enekhamera encinci kwelinye icala. Le tyhubhu ifakwa nge-anus yakho kwaye ugqirha angabona ngaphakathi kwekholoni yakho. Banokuthabatha neqhekeza elincinci lesicwili (i-biopsy) kwiindawo ezikrokrelekayo baze balithumele kwilebhu ukuqinisekisa ukuxilongwa. Uvavanyo oluphambili lwe-endoscopic lokufumanisa i-UC yi -colonoscopy kunye ne -sigmoidoscopy .

Iphathwa njani i-Ulcerative Colitis?

Kukho iinjongo ezimbini eziphambili zokunyanga i-UC. Enye kukunciphisa iimpawu zakho (ukudumba) nokukufaka kwimeko yokuxola. Enye injongo kukugcina imeko yakho yokuxola ukuba sele uxolile. Oku kwenziwa ikakhulu ngamayeza kwaye ngamanye amaxesha ngotyando .

Amayeza

Oogqirha basebenzisa amayeza ahlukeneyo (ewodwa okanye adibeneyo) ukunciphisa ukudumba nokuphilisa amanxeba kumathumbu amakhulu. Xa ukudumba kunye nokudumba kunciphile, izicubu zinethuba lokuphola. Oku kunciphisa neempawu zakho, kwaye iintlungu kunye nokuhamba kwamathumbu akho kuyalawulwa.

• (Ii-Aminosalicylates): I-Sulfasalazine (i-Azulfidine®) idla ngokunikwa abantu abane-UC encinci ukuya kwephakathi. Nangona kunjalo, ukuba une-allergy kwi-sulfa, xelela ugqirha wakho. Ugqirha wakho angakunika i-non-sulfa aminosalicylate, efana ne-mesalamine (Canasa®, Delzicol®, Asacol® HD, Pentasa®, Lialda®, Apriso®).
• IiCorticosteroids: Ukuba une-UC enzima, unganikwa i-corticosteroid, efana ne-prednisone (Deltasone®) okanye i-budesonide (Entocort® EC, Uceris®). Nangona kunjalo, ngenxa yokuba ezi corticosteroids zinemiphumo emibi ebalulekileyo, oogqirha bazicebisa ixesha elifutshane kuphela.
• Amayeza okunciphisa umzimba: La mayeza anikwa ukulawula amasosha omzimba wakho ekubeni asebenze kakhulu aze ahlasele umzimba wakho, oko kukuthi, ukuzolisa amasosha omzimba. `(6-mercaptopurine (Purixan®, Purinethol®))`, `(azathioprine (Azasan® kunye neImuran®))` okanye `(methotrexate (Trexall®))` zezo ziyobisi.
• (Iibhayoloji):La mayeza matsha kakhulu, kwaye asebenza kakhulu. Asetyenziselwa ukunyanga iimeko eziphakathi ukuya kwezinzima ze-UC. La mayeza asebenza ngokulawula ukusebenza kweendawo ezithile zenkqubo yomzimba yokuzikhusela ezibandakanyeka ekudumbeni. Amayeza ebhayoloji aquka i-infliximab (Remicade®), i-adalimumab (Humira®), i-golimumab (Simponi®), i-vedolizumab (Entyvio®), kunye ne-ustekinumab (Stelara®).
• (Ii-Janus kinase (JAK) inhibitors - amayeza eemolekyuli ezincinci): Iziyobisi ezifana ne-`(Tofacitinib (Xeljanz®))` zisebenza ngokuthintela isenzo se-enzyme ethile emzimbeni ebangela ukudumba. `(Upadacitinib (RinvoQ®))` lolunye uhlobo lwe-`(JAK inhibitor).`

Utyando

Ukuba iimpawu azilawulwa nangona kukho amayeza, okanye ukuba i-UC ibangele iingxaki ezinkulu, utyando lusenokuba lolona khetho lokugqibela. Malunga nama-30% abantu abane-UC baya kufuna utyando ngaxa lithile ebomini babo. Kwakhona, malunga nama-20% abantwana abane-UC banokufuna utyando.

Kukho iintlobo ezimbini eziphambili zotyando lwe-UC. Zombini zibandakanya inkqubo ebizwa ngokuba yi-proctocolectomy , ebandakanya ukususwa kwekholoni yakho kunye ne-rectum yonke okanye inxalenye yayo.

1. (I-Proctocolectomy kunye ne-ileal pouch): Le yeyona nkqubo yotyando ixhaphakileyo nekhethwayo kwi-UC. Kule nkqubo, ugqirha ohlinzayo ususa ikholoni yakho kunye nenxalenye yokugqibela ye-rectum yakho, kodwa ashiye i-anus yakho. Emva koko, inxalenye yamathumbu akho amancinci isetyenziselwa ukwenza i-pouch encinci (i-ileal pouch) kwaye iyidibanise ne-rectum yakho. Emva kokuba uphilile emva kotyando, la mathumbu amancinci asebenza njenge-rectum entsha, ekuvumela ukuba ube neentshukumo eziqhelekileyo zamathumbu.

2. (I-Proctocolectomy kunye ne-ileostomy): Ngamanye amaxesha, kusenokungabi lula ukwenza "isikhwama se-ileal". Ukuba kunjalo, iqela lakho lezonyango linokucebisa ukuba kwenziwe i-ileostomy esisigxina (ngaphandle kwesikhwama se-ileal). Kule meko, ugqirha ususa lonke ikholoni yakho, inxalenye yokugqibela ye-rectum yakho, kunye ne-anus yakho. Emva koko, kwenziwa umngxuma omncinci esiswini sakho (esiswini) kwaye isikhwama (i-ileal stoma) sinamathele ngaphandle komzimba wakho ukuze kuqokelelwe indle. Kuya kufuneka ukhuphe esi sikhwama rhoqo.

Indlela yokuthintela ukuvela kweempawu ze-Ulcerative Colitis?

Ukuba une-UC, kubalulekile ukuzama ukunciphisa ukudumba kwentliziyo. Eyona ndlela ilungileyo yokwenza oku kukuchonga izinto ezibangela ukuba uzive udiniwe kwaye uziphephe kangangoko unako. Nazi ezinye iingcebiso zokukunceda uphephe izinto ezibangela ukuba uzive udiniwe:

• Ukulawula uxinezeleko:Uxinzelelo lunokuba ngunobangela omkhulu wokuqaqamba kwe-UC. Ngoko ke, lala kakuhle ubuncinane iiyure ezisi-7 ngobusuku, yenza umthambo rhoqo , kwaye wenze izinto ezizolisa ingqondo yakho, njengokucamngca.
• Ziphephe ii-NSAID: Ukuba unomkhuhlane okanye iintlungu zomzimba, thatha amayeza afana ne-acetaminophen (Tylenol®). Amayeza angengo-steroidal anti-inflammatory (NSAIDs) afana ne-ibuprofen (Motrin®, Advil®) angenza iimpawu ze-UC zibe zimbi ngakumbi.
• Ziphephe ukutya okwenza iimpawu zakho zibe mandundu: Asinguye wonke umntu ochaphazeleka kukutya okufanayo. Okwenza iimpawu zakho zibe mandundu kuwe kusenokungafani nakomnye umntu. Nangona kunjalo, abantu abaninzi abane-UC bafumanise ukuba iimveliso zobisi kunye nokutya okunefayibha eninzi kubangela ukudumba. Thetha nogqirha wakho okanye ingcali yokutya ukuze wenze isicwangciso sokutya esikusebenzelayo kwaye esingakuthinteli izondlo ezifunekayo emzimbeni wakho.

Kungumbono olungileyo ukugcina idayari encinci yezinto ezenza iimpawu zakho zibe mandundu, njengokutya kunye neemeko. Xa usabelana ngayo nogqirha wakho, ninokugqiba kunye ukuba zeziphi iindlela ezilungileyo zokuphepha ezo zinto kunye nokulawula imeko yakho.

Ukuba ndine-Ulcerative Colitis, ndimele ndilindele ntoni?

Le meko (UC) yahluka kakhulu kumntu nomntu. Abanye abantu banokuba nokuphazamiseka okukodwa ebomini babo kodwa bangaze babe nako okunye. Abanye banokuba neempawu ezingapheliyo ekunzima ukuzilawula.

Nangona kunjalo, kubantu abaninzi, iimpawu ziyafika ziphinde ziphele. Oko kukuthi, ziyatshintshatshintsha phakathi kwamaxesha okwanda kweempawu (ukudumba) kunye namaxesha amade, angenazo iimpawu (ukuxolelwa). Kubantu abamalunga nama-30% abane-UC, iimpawu ziyawohloka kancinci kancinci ngokuhamba kwexesha, ziya ziphindaphindeka, kwaye ekugqibeleni zifuna utyando.

Uninzi lwabantu lulawula i-UC yabo ngokuphepha izinto ezibangela umhlaza kunye nokuthatha amayeza abo njengoko kuyalelwe. Kufuneka ubone ugqirha wakho rhoqo ukuze ajonge impilo yakho. Umzekelo, ugqirha wakho unokucebisa ii-colonoscopy rhoqo ukuze kuhlolwe umhlaza wamathumbu amakhulu, kuxhomekeke kumngcipheko wakho. Ugqirha wakho uza kukuchazela konke oku.

Ngaba i-Ulcerative Colitis iya kuze inyangeke ngokupheleleyo?

"Unyango" olulodwa lwale meko kukuhlinzwa ukususa ikholoni kunye ne-rectum. Nangona kunjalo, njengoko bekutshiwo ngaphambili, uninzi lwabantu lunokuyilawula kakuhle le meko ngamayeza kwaye, ukuba kuyimfuneko, utyando, kwaye baphile ubomi obuqhelekileyo. Injongo ephambili yonyango lwe-UC kukufumana ukuphumla kunye nokuyigcina ixesha elide kangangoko kunokwenzeka. Iqela lakho lezonyango liza kukunceda ngale nto.

Ndifanele ndibize ugqirha wam nini?

Ukuba une `(UC)`, fowunela ugqirha wakho ngoko nangoko okanye uye kwisibhedlele esikufutshane ukuba ufumana naziphi na kwezi mpawu:

• Ukuba uphuma indle kakhulu, ngaphandle kokuma.
• Ukuba kukho ukopha okuphuma kwimpundu, okanye ukuba kukho amahlwili egazi kwindle.
• Ukuba usoloko unentlungu eqatha kunye nomkhuhlane ophezulu.

Iimpawu ezinje ngezi zibonisa ukuba imeko yakho isenokuba mandundu, ngoko ke kubalulekile ukufuna iingcebiso zonyango ngokukhawuleza.

Ndimele ndibuze ntoni kugqirha wam?

Ukuba une-UC, ungoyiki ukubuza ugqirha wakho nayiphi na imibuzo onayo. Okukhona usazi ngakumbi ngemeko yakho, kokukhona kuya kuba lula kuwe ukuyilawula. Nazi ezinye zemibuzo onokuyibuza:

• Uhlobo lwe-UC endinalo luyichaphazela njani impilo yam yexesha elizayo (uqikelelo)?
• Iyintoni ingozi yam yokufumana ezinye iingxaki ezivela kwi-UC?
• Loluphi unyango olundicebisayo?
• Zeziphi iingozi okanye iziphumo ebezingalindelekanga endinokuzilindela kwezi ndlela zonyango?
• Ndingayitshintsha njani indlela endiphila ngayo ukuze ndithintele ukudumba kwentliziyo? (Malunga nezinto ezifana nokutya, ukuzilolonga, ukulawula uxinzelelo, njl.njl.)
• Xa iimpawu zisiba mandundu, ndingenza ntoni ekhaya ukuze ndizilawule?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Ulcerative Colitis yimeko ehlala ixesha elide, ebangela ukuba umntu angakwazi ukunyamezela. Nangona kunjalo, ngonyango olufanelekileyo kunye neengcebiso, kunye nokwenza utshintsho olufunekayo kwindlela ophila ngayo, ungayilawula kakuhle le meko kwaye uphile ubomi obusempilweni.

Kubaluleke kakhulu ukusebenzisana ngokusondeleyo neqela lakho lezonyango. Sela amayeza akho njengoko uyalelwe ngugqirha wakho, kwaye ngexesha elifanelekileyo. Musa ukuyeka ukuwasela amayeza akho nokuba awunazo iimpawu, kuba oku kunokubangela ukuba iimpawu zakho ziphinde zivele kwaye kube nzima ukulawula imeko yakho.

Qonda umngcipheko wakho weengxaki kunye nendlela oko okuya kuyichaphazela ngayo isicwangciso sakho sokhathalelo. Umzekelo, unokufuna uvavanyo lwegazi oluqhelekileyo okanye ii-colonoscopy kunomntu ongenazo i-UC. Thetha nogqirha wakho ngeendlela ezilungileyo zokugcina ukuphumla kwakho kunye nokugcina impilo yakho iyonke. Awuwedwa, kwaye kukho oogqirha, abahlengikazi, kunye nabantu obathandayo abanokukunceda kolu hambo.

I- Ulcerative Colitis, Izilonda Zamathumbu Amancinci, Intlungu Yesisu, I-IBD, Isifo SikaCrohn, Urhudo, Igazi Elisesitulweni, Inkqubo Yokugaya Ukutya