Ngaba unesifo sokudumba kwamathumbu amakhulu? Makhe sithethe ngesifo sokudumba kwamathumbu amakhulu!

Ngaba uhlala unentlungu esiswini, ukudumba, okanye urhudo olunzima? Usenokuba uqaphele ukuba ngamanye amaxesha unezinto ezifana ne-mucus okanye igazi elincinci kwi-stool yakho. Nangona usenokucinga ukuba ezi zizinto nje ezibangela ukuvuvukala kwesisu, zinokuba ziimpawu zesifo esibizwa ngokuba yi-colitis . Ngoko masithethe ngale nto ngokweenkcukacha namhlanje, akunjalo?

Yintoni i-colitis? Ngamafutshane...

Ngamafutshane, i-colitis kukudumba kwekholoni yakho, eyona ndawo iphambili yamathumbu akho amakhulu. Cinga ngayo, ikholoni yinxalenye yokugqibela yokutya esikutyayo ehamba emzimbeni wethu. Ngoko ke, xa unesifo sokudumba kwekholoni, oko kuthetha ukudumba, ukuba bomvu, okanye intlungu, inxalenye yokugqibela yolo hambo lokutya iyaphazamiseka kancinci. Kulapho ufumana khona iintlungu zesisu, urhudo, kwaye ngamanye amaxesha igazi kwindle yakho. Ukudumba ngokwenene yindlela umzimba wethu osabela ngayo kwingozi okanye usulelo emzimbeni wethu.

Ngaba i-colitis sisifo esinzulu?

Kukho iintlobo ezahlukeneyo ze-colitis, kwaye izizathu zazo nazo zahlukile. Ezinye zazo, umzekelo, i-colitis eyenzeka xa une-bacterial sulelo efana ne-food poisoning, iyaphola kwiintsuku ezimbalwa, kwaye kulula ukuyinyanga. Nangona kunjalo, kukwakho ne- chronic colitis, oko kuthetha ukuba iyaqhubeka kwaye kunzima ukuyinyanga. Siyibiza ngokuba yi- (Inflammatory Bowel Diseases - IBD) . I-Colitis iba yingozi ngakumbi ukuba ayinyangwa kwaye iyaqhubeka. Ukuba oko kuyenzeka, inokubangela umonakalo omkhulu kwi-colon yakho ngokuhamba kwexesha. Inokuba nefuthe elikhulu kubomi bakho bemihla ngemihla.

Ziziphi iimpawu ze-colitis?

Ezi ziimpawu eziqhelekileyo kubantu abaninzi:

• Intlungu zesisu
• Isisu esidumbileyo
• Urhudo olukhawulezileyo (urhudo olukhawulezileyo nolunganyangekiyo)
• I-mucus okanye igazi kwindle yakho
• Ukulahlekelwa ngumdla wokutya
• Ukuhla ukusinda

Kwiimeko ezibukhali, oku kulandelayo kunokubonwa:

• Isicaphucaphu nokuhlanza
• Ifiva

Kwiimeko ezingapheliyo, ezi mpawu zilandelayo zinokwenzeka:

• Ukudinwa/ukudinwa kakhulu
• I-anemia (ukungabikho kwegazi)
• Ukuphelelwa ngamanzi emzimbeni (ukugcinwa kwamanzi)
• Ukungafunxwa kokutya kunye nokungondleki kakuhle

Umntu ufumana njani i-colitis?

Kukho iintlobo ezahlukeneyo ze-colitis, nganye inesizathu esahlukileyo. Makhe sijonge ukuba zeziphi.

1. Isifo Sokudumba Kwemiphunga Esisulelayo

Oku kubangelwa lusulelo olubangelwa yintsholongwane, yiparasite, okanye yibhaktiriya. Umzekelo , iibhaktiriya ezibizwa ngokuba yiSalmonella kunye ne-E. coli zezona zizathu ziphambili. Idla ngokubangelwa kukutya ukutya okungcolileyo okanye amanzi angcolileyo. Uninzi lwexesha, luba lolwexeshana kwaye luyaphola kwiintsuku ezimbalwa. Nangona kunjalo, ezinye izifo zifuna amayeza okubulala iintsholongwane . Khawuthelekelele ukuba ubuseluhambeni kwaye uneentlungu zesisu.

2. I-Pseudomembrane Colitis

Olu hlobo lwe-colitis lubangelwa kakhulu yibhaktiriya ebizwa ngokuba yi- (C. diff) okanye (Clostridioides difficile) . Okumangalisayo kukuba, idla ngokuvela emva kokusebenzisa ii-antibiotics. Iibhaktiriya (C. diff) zihlala zikhona emathunjini ethu, kodwa ezinye ii-antibiotics zibulala ezinye iibhaktiriya ezilungileyo ezizinceda ukuba zingangeni. Iibhaktiriya (C. diff) emva koko zanda ngokukhawuleza kwaye zibangele le meko.

3. I-Allergic Colitis

Oku kuyinyani ngakumbi kwiintsana ezincanciswayo . Oku kungenxa yokunganyamezelani nokutya. Ngokuqhelekileyo, oku kunganyamezelani kubangelwa lubisi lwenkomo (olubizwa ngokuba kukunganyamezelani ne-lactose ) okanye ubisi lwesoya (olubizwa ngokuba yi-soy allergy). Ezinye iiproteni ekutyeni okutyiwa ngoomama abancancisayo zidlulela eluswini ngobisi lwebele, nto leyo ebangela le meko.

4. I-Ischemic Colitis

Esi sisiphumo esibi semeko ebizwa ngokuba yi -intestinal ischemic syndrome . Oku kwenzeka xa amathumbu akho engafumani igazi elaneleyo. Le ischemia , okanye ukuncipha kokunikezelwa kwegazi, ibangelwa kukuvaleka kwemithambo yegazi yakho. Umzekelo, inokubangelwa kukuvaleka kwegazi , i-aneurysm (umthambo wegazi ovuthuzayo), okanye i-atherosclerosis (ukuqokelelwa kwe-fatty plaque eludongeni lwemithambo yakho yegazi, okwenza ibe ncinci/iqine ngakumbi).

5. Izifo Zamathumbu Ezibangelwa Kukudumba (IBD)

Eli liqela lezifo ezibangela ukudumba okungapheliyo kumathumbu akho. Liquka iimeko ezifana ne -ulcerative colitis , i-microscopic colitis, kunye nesifo sikaCrohn . Kunzima ukukhomba unobangela omnye. Oogqirha bakholelwa ukuba ezi zizifo ezizikhusela ngokwasemzimbeni . Oko kuthetha ukuba inkqubo yakho yomzimba ihlasela ngempazamo izicubu zomzimba wakho. Ezi zifo kucingelwa ukuba zineempawu zemfuza kunye nezokusingqongileyo .

6. I-Radiation Colitis

Unyango lwemitha kwiintlobo ezithile zomhlazaOku kunokwenzeka njengesiphumo esingesosiqhelo. Uninzi lwexesha oku kwenzeka okwethutyana, kodwa abanye abantu banokuba neempawu eziqhubekayo.

7. I-Diversion Colitis

Esi sisiphumo esingesiso esinokwenzeka kubantu abaye batyandwa i- colostomy (inkqubo yotyando apho kususwa inxalenye yamathumbu amakhulu kwaye kwenziwe isikhwama sokugcina indle). Sivela kwinxalenye yamathumbu amakhulu engasasetyenziswayo. Oogqirha bacinga ukuba ngenxa yokuba indle ingadluli kuloo nxalenye, ayifumani ezinye zezondlo ezifunekayo ukugcina izicubu ziphilile. Nangona kunjalo, oku kubangela iimpawu kuphela kubantu abambalwa kakhulu.

Ziziphi iingxaki ezinokubakho ze-colitis?

Iingxaki zihlala zibangelwa yi-colitis enzima, ehlala ixesha elide, nengapheliyo. Ezinye zazo zezi:

• Ukugqobhoka: Iindonga zekholoni yakho ziba buthathaka ngenxa yokuvuvukala okuqhubekayo, nto leyo eyenza ukuba zibe sengozini yokuqhekeka. Isilonda kwikholoni yakho sinokuqhekeka ngokupheleleyo. Ukuba oku kuyenzeka, iintsholongwane ezivela kwikholoni yakho zinokungena kwisisu sakho zize zibangele usulelo ( peritonitis ). Akunjalo kuphela, kodwa iintsholongwane zinokungena nakwigazi lakho zize zibangele ubuthi egazini ( septicemia ). Oku kuyingozi kakhulu, njengoko i-septicemia inokukhokelela kwimeko esongela ubomi ebizwa ngokuba yi-sepsis .
• I-Megacolon Enobuthi: Ukudumba okukhulu kunokubangela ukuba iindonga zamathumbu amakhulu zivuleke, nto leyo ephazamisa ukushwabana kwemisipha eqhelekileyo (i-peristalsis, intshukumo eqhelekileyo etyhala ukutya emathunjini). Oku kunokubangela ukuba ukutya nomoya kubanjwe emathunjini amakhulu, okubangela ukuvaleka kwamathumbu amakhulu . Oku kunokubangela ukudumba okukhulu kwesisu kunye nentlungu, kwaye kunokunyusa umngcipheko wokugqobhoka kwamathumbu.
• Umngcipheko okhulayo womhlaza wamathumbu amakhulu: Ukudumba kwexesha elide kubangela utshintsho kwiiseli eludongeni lwamathumbu amakhulu, olunokuthi ngamanye amaxesha lube ziiseli zomhlaza. Le ngozi iyanda ngokukhawuleza emva kweminyaka elishumi yokuqala yesifo sentliziyo esingapheliyo.
• Umngcipheko okhulayo wezinye izifo zokudumba: Abantu abanesifo sokudumba kwamathumbu (IBD) banamathuba amaninzi okufumana izifo zokudumba kwezinye iindawo zomzimba. Umzekelo, i-osteoarthritis (ukudumba kwamalungu) kunye ne -primary sclerosing cholangitis (ukudumba kwesibindi kunye ne-bile ducts). Kubonakala ngathi ukudumba okungalawulekiyo kwindawo enye kunokubangela iingxaki ezifanayo nakwezinye iindawo.

Ifunyanwa njani i-colitis?

Ugqirha wakho uza kuqala akubuze ngeempawu zakho, ukuba zaqala nini, ukuba wawutya ntoni kwaye wawusela ntoni ngelo xesha, kunye nawaphi na amayeza owasebenzisayo okwangoku kunye nazo naziphi na iimeko zempilo osandul’ ukunyangwa kuzo. Emva koko uza kwenza uvavanyo lomzimba aze a-odole uvavanyo. Oku kungabandakanya uvavanyo lwegazi, uvavanyo lwesitulo , kunye novavanyo lwemifanekiso (njengokuskena) ukujonga ikholoni yakho.

Ngokukodwa, iimvavanyo ze-endoscopic (umz., i-colonoscopy , i-flexible sigmoidoscopy ) ezisebenzisa ikhamera ukujonga ngaphakathi kwikholoni zinokuba luncedo kakhulu ekuqinisekiseni ukuba loluphi uhlobo lwe-colitis onayo. Ngexesha lezi vavanyo, oogqirha banokuthatha isampuli encinci yezicubu ngaphakathi kwikholoni. Oku kubizwa ngokuba yi-biopsy . Ezi sampuli zezicubu zinokuhlolwa kwilebhu ukuze kufundwe ulwazi oluninzi olubalulekileyo.

Inyangwa njani i-colitis?

Unyango lwe-colitis luxhomekeke kuhlobo kunye nesizathu. Oku kungabandakanya:

• Amayeza: Ugqirha wakho unokukunika amayeza afana namayeza okubulala iintsholongwane, ii-corticosteroids zokunciphisa ukuvuvukala, ii-immune modifiers zokuthintela impendulo yakho yokuzikhusela komzimba, kunye nee-aminosalicylates zonyango lwe-IBD.
• Ukutya: Ukuba une-colitis yexeshana, ngequbuliso, ukutya okune-fiber encinci , okulula ukugaywa kungafanelekile. Ukuba une-colitis engapheliyo, kuya kufuneka ube nesicwangciso sokutya esenziwe ngokwezifiso. Kusenokufuneka uyeke ukutya okubangela ukuba i-colitis yakho ibe mandundu kwaye wongeze okunye ukutya okanye izongezo ukuqinisekisa ukuba ufumana izondlo ozifunayo.
• Utyando: Abantu abaneentlobo ezithile ze-colitis, ezifana ne -necrotizing enterocolitis , i-ischemic colitis, kunye nesifo samathumbu esivuthayo (IBD), banokufuna utyando ukuze kunyangwe iingxaki. Utyando alusoloko lunyanga ngokupheleleyo ezi meko, kodwa kunokufuneka kumiswe ukopha, kulungiswe umngxuma, okanye kususwe indawo evalekileyo.

Ngaba i-colitis iyaphola?

I-colitis ebukhali ebangelwa lusulelo lwexeshana, ukunganyamezelani nokutya, okanye ukuvezwa kwimitha kudla ngokuziphelela. Ezinye izifo, ingakumbi izifo ezibangelwa ziintsholongwane, zinokufuna unyango. Uninzi lwezifo luphela kwiveki, kodwa i-colitis ebangelwa yimitha ingathatha iinyanga ezininzi ukuba iphele. I-colitis ye-allergy iyaphela xa umntwana wakho ekhululekile ngokupheleleyo kwi-allergen.

I-Colitis eyenzeka njengempendulo engxamisekileyo kwimeko engapheliyo ifuna unyango. I-Ischemic colitis ebangelwa yi-intestinal ischemic syndrome inokunyangeka kuphela ngokubuyisela ukuhanjiswa kwegazi kwi-colon. I-Diversion colitis kubantu abaye baxilongwa nge-colostomy inokunyangeka kuphela ngokususa i-colostomy nokubuyisela ukusetyenziswa ngokupheleleyo kwe-colon (oku kubizwa ngokuba lutyando lwe-anastomosis - oko kukuthi, ukuxhuma kwakhona iindawo ze-colon). Abanye abantu basenokungakwazi ukwenza ezi zisombululo.

I-colitis engapheliyo ebangelwa sisifo samathumbu esivuthayo (IBD) yimeko ehlala ubomi bonke. Ayipheli ngokupheleleyo, kodwa usenokuba ungenazo iimpawu okwethutyana. Oku kubizwa ngokuba kukukhululwa . Ingqwalasela yonyango lwe-IBD kukunciphisa iimpawu zakho nokwandisa olu kukhululwa kangangoko kunokwenzeka. Oku kunjalo ukuba i-colitis yakho ibangelwa sisifo esinye esingenakunyangwa. Kwezinye iimeko, utyando lunokusetyenziswa ukuyinyanga.

Luhlobo luni lokutya oluncedayo xa uphila ne-colitis?

Ugqirha wakho angacebisa enye okanye ngaphezulu kwezi ndlela zokutya, kuxhomekeke kuhlobo lwe-colitis onayo:

• Ukutya okunentsalela encinci: Olu hlobo lokutya kulula ukulucoca, ingakumbi xa iimpawu zakho zisiba mandundu okanye zisiba mandundu. Lunciphisa ifayibha namafutha kwaye lugxila ekutyeni okungemnandi nokuphekiweyo kakuhle. Ukuba unentsholongwane yexeshana okanye i-radiation colitis, ugqirha wakho unokucebisa ukutya okunentsalela encinci .
• Ukutya okulwa nokudumba: Ukuze ukudumba okungapheliyo kuhlale kusezantsi, ugqirha wakho unokucebisa ukuba uphephe ukutya okwandisa ukudumba, ingakumbi ukutya okukhawulezileyo nokucutshungulwayo okuneswekile eninzi namafutha. Endaweni yoko, unokucetyiswa ukuba utye amafutha asempilweni, angagcwaliyo (umz., ioyile yomnquma , iiavokhado , amantongomane , intlanzi enamafutha ) anciphisa ukudumba. Ukutya kwaseMedithera kukutya okunciphisa ukudumba ngokwendalo.
• Ukutya okususa iimpawu: Ukuba unesifo sokudumba kwamathumbu (IBD), ugqirha wakho uhlala ecebisa ukutya okususa iimpawu ukuze abone ukutya okubangela iimpawu zakho. Ngale ndlela, uyeka ukutya ukutya okuthile okwethutyana, uze uqalise ukutya okunye kancinci kancinci ukuze ubone ukuba amathumbu akho asabela njani. Emva kokutya okususa iimpawu okwexeshana, ungasebenzisa oko ukufundileyo ukwenza ukutya okulondolozayo okusebenzayo kuwe ixesha elide.

Kubalulekile:Nangona unobangela ochanekileyo we-colitis engapheliyo ungaziwa, le meko iya isiba yinto eqhelekileyo kumazwe aseNtshona. Nangona singazi kakuhle ukuba kutheni, oogqirha bacinga ukuba ukutya kwanamhlanje kwaseNtshona kusenokuba kubandakanyeka. Olu hlobo lokutya, oluneentlobo ngeentlobo zokutya ezicutshungulwayo kunye namafutha agcweleyo, okwandisa ukudumba, lunokuba negalelo ekudumbeni okungapheliyo, okuphantsi kwamathumbu. Ukongeza ukutya okupheleleyo kunye namafutha angenawo agcweleyo ekutyeni kwakho, okunciphisa ukudumba, kunokunceda ukukhusela amathumbu akho.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-Colitis ayisiyonto yokoyika, kodwa kubalulekile ukuyiqaphela. Ukuba uneempawu ezinje ngeentlungu zesisu ezingapheliyo, urhudo, okanye igazi esitulweni sakho, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha . Ukuxilongwa kwangoko kunye nonyango olufanelekileyo kunokunceda ukuthintela iingxaki ezininzi ze-colitis. Kwakhona, ukugcina ukutya okunempilo kunye nendlela yokuphila enempilo kunokunceda kakhulu ekuzikhuseleni kwezi meko. Awuwedwa, kwaye baninzi abantu onokuthetha nabo kwaye ufumane uncedo kubo.

I- Colitis, ukudumba kwamathumbu amakhulu, urhudo, iintlungu zesisu, i-IBD, inkqubo yokwetyisa, impilo