Yintoni iSifo sikaCrohn? Masifunde yonke into ngaso ngokulula

Iintlungu zesisu ezihlala zihleli, ukudumba okuhlala iintsuku, ukungabi namdla wokutya, ukuziva udiniwe... Ngaba ubusoloko uhlupheka zezi zinto ixesha elide? Ngamanye amaxesha sicinga ngezi zinto njengentlungu yesisu nje, kodwa zinokuba yingxaki yempilo enzulu, yexesha elide. Namhlanje siza kuthetha ngeSifo sikaCrohn, imeko yobomi bonke kodwa elawulwa kakuhle.

Yintoni kanye kanye iSifo sikaCrohn?

Ngamafutshane, isifo sikaCrohn kukudumba okungapheliyo kwendlela yokugaya ukutya (amathumbu). Yimeko yokuzikhusela komzimba . Oku kuthetha ukuba inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela, ihlasela ngempazamo iiseli zayo ezisempilweni, ingakumbi ezo zisemathunjini. Khawuthelekelele ukuba endaweni yokuhlasela iintshaba zasemzini, umkhosi welizwe lethu uhlasela abantu bethu. Esi sifo, kunye nesinye isifo esifanayo, i-Ulcerative Colitis, sikweqela lezifo ezibizwa ngokuba yi-Inflammatory Bowel Disease (IBD). Amathumbu amancinci kunye namathumbu amakhulu achaphazeleka kakhulu kwisifo sikaCrohn.

Ngaba kukho iintlobo zesifo sikaCrohn?

Ewe, esi sifo sinokuchaphazela nayiphi na inxalenye yenkqubo yethu yokugaya ukutya, ukusuka emlonyeni ukuya kwi-anus. Nangona kunjalo, sahlulwe saba ziintlobo ezahlukeneyo ngokuxhomekeke kwindawo echaphazelekileyo. Ukuze kube lula, masijonge ngale ndlela.

Zithini iimpawu zesi sifo?

Iimpawu ziqala ngequbuliso okanye zikhule kancinci kancinci. Abanye abantu banezi mpawu ngalo lonke ixesha, ngelixa abanye besenokuziva ngathi ziyafika zidlule. Ixesha apho iimpawu zibonakala libizwa ngokuba yi- "flare-up."

Iimpawu eziphambili ezinxulumene nenkqubo yokugaya ukutya

• Iintlungu zesisu okanye iintlungu ezihlala zikho.
• Urhudo oluhlala luhleli (urhudo).
• Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba .
• Igazi elikwisitulo xa usiya kwindlu yangasese (ukopha emqolo).
• Izilonda zomlomo okanye iintlungu zeentsini.
• Umkhuhlane kunye nokudinwa okungachazekiyo.
• Iintsholongwane okanye amathumba ajikeleze i-anus.

Iimpawu ezichaphazela ezinye iindawo zomzimba

Isifo sikaCrohn asipheleli nje emathunjini. Ngamanye amaxesha iimpawu zinokuvela nakwezinye iindawo zomzimba.

• Intlungu yamalungu (iArthritis).
• Iimpundu zesikhumba.
• Ukudumba kwamehlo (umz. ` Uveitis` , `Episcleritis`).
• Amatye ezintso .
• Ukubuthathaka kwamathambo (` Osteoporosis` ).
• Amaqhuma amancinci ajingayo eluswini olujikeleze i-anus (` iithegi zesikhumba` ).

Ziziphi iingxaki ezinokubakho zesifo sikaCrohn?

Ukuba esi sifo asilawulwa kakuhle, ezinye iingxaki zinokuvela, ezinokufuna unyango olongezelelweyo okanye notyando. Ukongeza, isifo sikaCrohn sinokunyusa kancinci umngcipheko womhlaza wamathumbu amakhulu kunye nokuqhekeka kwegazi.

Ugqirha uxilonga njani esi sifo?

Ukuba unentlungu engapheliyo esiswini, ukudumba, okanye ukwehla kobunzima, kufuneka uqale ubonane nogqirha wosapho lwakho.Ewe. Ukuba kuyimfuneko, uza kukuthumela kwi-gastroenterologist. Ugqirha uza kukubuza ngeempawu zakho, imbali yezonyango zosapho, aze enze uvavanyo lomzimba. Emva koko, unokuyalela iimvavanyo ezininzi ukuqinisekisa ukuxilongwa.

• Uvavanyo lwegazi: Jonga ukudumba okanye usulelo emzimbeni, okanye i-anemia.
• Uvavanyo lwesitulo: Jonga ezinye izifo uze ulinganise izinga lokudumba kwamathumbu (Calprotectin test).
• Ukufota: I-CT okanye i-MRI scan inokunceda ekufumaneni ubungakanani bokudumba kunye nokuba kukho naziphi na iingxaki.
• I-Endoscopy: Ityhubhu encinci enekhamera eqhotyoshelweyo idluliselwa emzimbeni ukuze ihlole ingaphakathi lamathumbu.
• I-Colonoscopy: Uvavanyo lwamathumbu amakhulu ngokufaka ityhubhu edlula kwi-rectum.
• I-Upper endoscopy: Uvavanyo lwesisu kunye nenxalenye ephezulu yamathumbu amancinci ngokufaka ityhubhu emlonyeni.
• Ngexesha lezi zilingo, iqhekeza elincinci lesicwili (i-'biopsy') linokuthathwa ukuze livavanywe.

Ziziphi iindlela zonyango zesifo sikaCrohn?

Kukho iinjongo ezimbini eziphambili zonyango: enye kukunciphisa ukudumba emathunjini nokuzisa ukuphumla kwesi sifo. Enye kukuthintela ukudumba kwamathumbu.

• Amayeza: Kukho amayeza amaninzi anciphisa ukudumba kwaye alawule ukusebenza kwenkqubo yomzimba yokuzikhusela. Amayeza anamhlanje afana ne-'Corticosteroids', 'Immunomodulators', 'Biologics' kunye ne-'JAK-inhibitors' asetyenziselwa oku. Onke la mayeza kufuneka asetyenziswe kuphela ngokwengcebiso kagqirha wakho .
• Isondlo: Kwezinye iimeko, ukutya okukhethekileyo okanye ukutya okunesondlo esingena emzimbeni kunokunceda ukulawula isifo.
• Utyando: Utyando lunokufuneka xa kukho iingxaki ezifana nokuvaleka kwamathumbu kunye ne-fistula.

Yintoni enokwenziwa ukuthintela ukudumba kwamalungu omzimba?

• Kuphephe ukutshaya ngokupheleleyo: Eyona nto ingcono umntu onesifo sikaCrohn anokuyenza kukuyeka ukutshaya. Ukutshaya kuyasenza sibe sibi kakhulu esi sifo kwaye kwandisa umngcipheko weengxaki.
• Ziphephe ezinye izithomalalisi zentlungu:Ezinye iintlungu, ezifana ne-'NSAIDs' (umz. i-Ibuprofen, i-Diclofenac), zinokwenza imeko ibe mandundu. Buza ugqirha wakho ngaphambi kokuba uthathe naliphi na iyeza.
• Lawula indlela otya ngayo: Ezinye ukutya (umz., ukutya okunamafutha amaninzi, ukutya kobisi, iziselo ezinekhabhoni) zinokwenza iimpawu zibe zimbi ngakumbi. Gcina idayari yokutya ukuze ubone ukuba zeziphi ukutya ezisebenzayo nezingasebenziyo. Kungcono ukutya izidlo ezincinci ezininzi imini yonke endaweni yokutya izidlo ezinkulu.
• Lawula uxinzelelo: Uxinzelelo lunokusenza sibe mandundu esi sifo. Kubalulekile ukuphumla ngokwaneleyo, ukuzilolonga, kunye nokunyamekela impilo yakho yengqondo.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Ukuba unesifo sikaCrohn, bona ugqirha wakho ngoko nangoko ukuba ufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:

• Igazi esitulweni.
• Ukuqaqamba kwesisu okuqatha nokungalawulekiyo.
• Ukudumba okungalawulekiyo.
• Ukuhlanza okungapheliyo.
• Ukunciphisa umzimba kakhulu ngaphandle kwesizathu.
• Umkhuhlane ohlala iintsuku eziliqela.
• Ukungakwazi ukuphuma umoya (kusenokuba luphawu lokuvaleka kwamathumbu).

Kwimeko enjalo, kubalulekile ukuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele esikufutshane ukuba kuyimfuneko.