Ngaba uhlala uneentlungu zesisu, ingakumbi iintlungu zesisu esisezantsi? Ngaba kufuneka ubalekele kwindlu yangasese izihlandlo ezininzi ngemini? Ngaba wakha waphawula ukuba ngamanye amaxesha kukho igazi elincinci kwindle yakho? Ngaba ezi zinto ziyaphucuka emva kweentsuku ezimbalwa, uze uqale kwakhona emva kwexesha elithile? Musa ukukhohliswa ucinge ukuba oku kubuhlungu nje kwesisu okuqhelekileyo. Kukho ithuba elikhulu lokuba oku yi -Inflammatory Bowel Disease , okanye i-IBD ngamafutshane. Musa ukoyika xa usiva eli gama. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda, ngokungathi uthetha nomhlobo osenyongweni.
Ngamafutshane, yintoni i-IBD?
I-IBD kukudumba okungapheliyo kwenkqubo yakho yokugaya ukutya, okanye indlela yokugaya ukutya. Khawuthelekelele ukuba ubunesilonda esikhumbeni esijike saba bomvu, sadumba, saza sabuhlungu, akunjalo? Yiloo nto eyenzekayo ngaphakathi kwamathumbu akho. Oku kudumba kunokonakalisa amathumbu akho.
Okumangalisayo ngale nto kukuba iimpawu azifani rhoqo.
- Ukuqhambuka kwesifo: Eli lixesha apho iimpawu ziba nzima ngakumbi. Intlungu yesisu kunye norhudo kunokuba nzima kakhulu ngeli xesha.
- Uxolelo: Eli lixesha apho iimpawu ziye zancipha okanye zanyamalala. Ngeli xesha, ungaphila ubomi obuqhelekileyo ngaphandle kweengxaki.
Eyona nto ibalulekileyo kukuba i-IBD yimeko yobomi bonke. Akukho nyango lwayo okwangoku. Kodwa, musa ukoyika xa usiva loo nto. Ukuba uyilawula kakuhle kwaye usebenzisa amayeza, ngokuqinisekileyo ungasilawula esi sifo kwaye uphile ubomi obuqhelekileyo.
Ziziphi iintlobo ezimbini eziphambili ze-IBD?
Nangona i-IBD ibizwa ngolo hlobo, kukho iintlobo ezimbini eziphambili kuyo. Kukho umahluko omncinci phakathi kwezi zimbini. Masibone ukuba ziyintoni.
| Igama lesifo | Iindawo eziphambili zempembelelo | Kalula nje... |
|---|---|---|
| Isifo sikaCrohn | Inokwenzeka naphi na kwinkqubo yokugaya ukutya (ukusuka emlonyeni ukuya kwi-anus), kodwa idla ngokuchaphazela amathumbu amancinci kunye nokuqala kwamathumbu amakhulu. | Ukuvuvukala kunokungena nzulu eludongeni lwamathumbu, kwaye iindawo ezinezifo zinokufumaneka phakathi kweendawo eziphilileyo. |
| I-Ulcerative Colitis (UC) | Ilinganiselwe kumathumbu amakhulu nakwi-rectum. | Kule meko, ukudumba kwenzeka kuphela ngaphakathi emathunjini. Ukudumba kuqala kwi-rectum kwaye kusasazeka rhoqo kuwo wonke amathumbu amakhulu. |
Ziziphi iimpawu eziqhelekileyo ze-IBD?
Umntu one-IBD unokufumana enye okanye ngaphezulu kwezi mpawu. Kodwa khumbula, ezi mpawu azibonakali ngendlela efanayo kuye wonke umntu. Abanye abantu banokufumana iimpawu ezinzima kakhulu, ngelixa abanye banokufumana iimpawu ezingephi.
- Intlungu yesisu: Intlungu evakala ngathi kukho into ejijekayo esiswini.
- Urhudo Olungapheliyo: Ukuchitha indle ekhululekileyo nenamanzi izihlandlo ezininzi ngemini.
- Igazi elikwisitulo: Igazi lisenokubonakala njengemicu esituloni okanye lixutywe negazi elikwisitulo.
- Ukunciphisa umzimba ngaphandle kwesizathu: Nangona utya kakuhle, uyancipha umzimba.
- Ukudinwa: Ukuziva udiniwe kakhulu ukuba ungenza nantoni na .
- Ukutya akunancasa.
- Ifiva.
Kutheni sifumana i-IBD ngokwenene? Yintoni unobangela?
Akukho sizathu sithile sifunyenweyo okwangoku, kodwa oogqirha bakholelwa ukuba sibangelwa zizinto ezahlukeneyo.
Ngamafutshane, inkqubo yomzimba yokuzikhusela, ekhusela imizimba yethu kwizifo, yenza impazamo encinci . Icinga ukuba iiseli eziphilileyo emathunjini ethu "ziintshaba" kwaye iqala ukuzihlasela. Olu hlaselo lubangela ukudumba emathunjini.
Ezi zinto zilandelayo zinokuba negalelo kolu hlobo lwempazamo:
1. I-genetics: Ukuba ilungu losapho elisondeleyo (umama, utata, umntakwenu) linesifo se-IBD, nawe usemngciphekweni omncinci wokuba naso. Kodwa oko akuthethi ukuba ngokuqinisekileyo uza kuba naso.
2. Izinto ezisingqongileyo: Izinto ezithile zinokukhuthaza ukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela. Ezi sizibiza ngokuba "ziiTriggers" .
Izinto Ezixhaphakileyo
Ezi zinto azibangeli i-IBD, kodwa ukuba une-IBD, zinokubangela ukuba iimpawu zibe zimbi kakhulu (ukuqhambuka kwesifo) .
- Ezinye iintlungu: Ingakumbi ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal). Umzekelo, iziyobisi ezifana ne-Aspirin, i-Ibuprofen, kunye ne-Diclofenac.
- Ezinye iintlobo zee -antibiotics .
- Ukutshaya: Isifo sikaCrohn sinokuba nzima kakhulu kubantu abatshayayo.
- Uxinzelelo: Nangona uxinzelelo lungabangeli esi sifo, lunokuba nefuthe elikhulu kwiimpawu eziya zisiba mandundu.
Ngaba ukutya nokusela kuya kuyenza mandundu iimpawu ze-IBD?
Lo ngumbuzo obuzwa ngabantu abaninzi. Ukutya akubanga yi-IBD. Gcina loo nto engqondweni.
Nangona kunjalo, ezinye ukutya neziselo zingenza iimpawu zakho zibe zimbi kakhulu. Oku akufani kuye wonke umntu, kwaye kuyahluka kumntu nomntu. Kufuneka wenze uphando ukuze ufumane ukuba zeziphi ukutya ezikukhathazayo. Nazi ezinye zokutya ezinokwenza iimpawu zakho zibe zimbi ngakumbi:
- Ubisi kunye nokutya kobisi
- Ukutya okunamafutha amaninzi (ukutya okuthosiweyo)
- Iziselo ezinekhabhoni (iziselo ezibandayo)
- Iziselo ezine-caffeine (ikofu, iti)
- Utywala
- Eminye imifuno neziqhamo ezinefayibha eninzi (iFayibha)
Kubalulekile ukuthetha nogqirha wakho okanye ingcali yesondlo ngaphambi kokuba uzisuse ngokupheleleyo ezi zinto zokutya ekutyeni kwakho, kuba kubalulekile nokuba ufumane izondlo ezifunekayo emzimbeni wakho.
Ziziphi ezinye iingxaki ezinokwenzeka ngenxa ye-IBD?
Ukuba i-IBD ayilawulwa kakuhle, ezinye iingxaki zempilo zinokuvela ngokuhamba kwexesha. Musa ukoyika, eyona nto ibalulekileyo kukwazi ezi zinto.
- Umhlaza Wamathumbu Amancinci: Abantu abane-IBD ehlala ixesha elide banomngcipheko ophezulu kancinci wokuba nomhlaza wamathumbu amakhulu kunabo bonke abantu. Yiyo loo nto kubalulekile ukuba uhlolwe rhoqo, njengoko ugqirha wakho ecebisa.
- Amathumbu Agqobhokileyo: Ukudumba kunokwenza buthathaka udonga lwamathumbu kwaye kubangele ukuba kubekho umngxuma.
- I-Megacolon Enobuthi: Le yimeko engxamisekileyo. Ikholoni iyadumba kakhulu ize ikhule.
- I-Anemia: Ukopha emathunjini kunye nokufunxwa okungafanelekanga kwezondlo kunokubangela ukwehla komthamo wegazi emzimbeni.
- I-Osteoporosis: Amanye amayeza kunye nokungabikho kokutya okunempilo kunokubangela ukuba amathambo abe buthathaka.
- Amanye amalungu omzimba anokuchaphazeleka, njengeentlungu zamalungu, iingxaki zolusu, kunye nokudumba kwamehlo .
Ugqirha ufumanisa njani i-IBD?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho ngokweenkcukacha. Emva koko baza kuhlola umzimba wakho. Ukuqinisekisa ukuba unayo na i-IBD, banokuyalela olunye okanye ngaphezulu kwezi vavanyo zilandelayo:
- Uvavanyo lweGazi: Jonga ukuba akukho anemia okanye ukudumba.
- Uvavanyo lweSitulo: Jonga ukuba akukho zifo okanye igazi elikwisitulo.
- I-Endoscopy / I-Colonoscopy: Olu lolona vavanyo lubalulekileyo. Ityhubhu encinci efakwe ikhamera ifakwa ngomlomo okanye kwi-rectum kwaye ingaphakathi le-colon lijongwa kwiscreen. Inxalenye encinci yethishu (i-biopsy) nayo ingathathwa ukuze ihlolwe.
- I-CT Scan / I-MRI Scan: Ezi scan zinceda ekufumaneni imifanekiso eneenkcukacha zamathumbu kunye nezitho ezingqongileyo.
Ziziphi iindlela zonyango ze-IBD?
Kukho iinjongo ezimbini eziphambili zonyango lwe-IBD.
1. Ukunciphisa ukudumba emathunjini nokulawula iimpawu (ukuzisa ekuphumleni).
2. Ukuthintela ukuqhambuka kwengxolo.
Oku kwenziwa kakhulu kusetyenziswa amayeza, kwaye kwezinye iimeko, utyando.
Amayeza
Uhlobo lwamayeza owanikwayo luxhomekeke ekubeni uneCrohn's okanye i-UC, ubunzima besifo, kunye nenxalenye yamathumbu echaphazelekileyo.
- Amayeza okulwa nokuvuvukala: La ngamayeza anikwa kwizigaba zokuqala.
- IiCorticosteroids: Ezi zii-steroids ezinamandla ezilawula ukudumba. Nangona kunjalo, azisetyenziswa ixesha elide.
- Ii-immunosuppressants: Ezi zinceda ukulawula ukusebenza ngokugqithisileyo kwenkqubo yomzimba yokuzikhusela.
- I-Biologics: Ezi ziintlobo ezintsha zamayeza ajolise kwaye avale iiproteni kwinkqubo yomzimba yokuzikhusela ezibangela ukudumba.
- Ii-antibiotics : Ezi zinikwa xa kukho usulelo.
Utyando
Ukuba amayeza awanelanga ukulawula isifo, okanye ukuba kuvela iingxaki ezinkulu, ugqirha wakho unokucebisa utyando, olubandakanya ukususa inxalenye yamathumbu eyonakeleyo.
Ungaphila njani ne-IBD? Yintoni onokuyenza
Ukuphila ne-IBD kunokuba nzima ngamanye amaxesha. Izinto ezifana nokuqaqamba kwesisu nokubaleka uye kwigumbi lokuhlambela zinokuba yinto engathandekiyo, ebangela iintloni, kwaye edandathekisayo. Nangona kunjalo, zininzi izinto onokuzenza ukunceda ukulawula le meko.
- Nika ingqalelo kwindlela otya ngayo: Gcina ingxelo yoko ukutyayo kunye nokuba iimpawu zakho ziya zisiba mandundu na emva kokukutya. Oku kubizwa ngokuba yi-'Food Daary'.
- Lawula uxinzelelo: Uxinzelelo lunokwenza iimpawu zibe mandundu. Unganciphisa uxinzelelo ngokwenza izinto ezinje ngokucamngca, i-yoga, okanye ukwenza into oyithandayo.
- Lungela iimeko ezingxamisekileyo: Xa uphuma, gcina impahla yangaphantsi eyongezelelweyo, iithishu, kunye neengubo zomntwana ebhegini yakho. Oku kuya kukunika uxolo lwengqondo oluninzi.
- Xelela umntu omthembayo:Kubalulekile ukuxelela usapho lwakho okanye umhlobo osenyongweni ngemeko yakho. Ingaluncedo kakhulu ngamaxesha obunzima.
- Yeka ukutshaya ngokupheleleyo: Oku kubaluleke kakhulu. Ukutshaya kuyasenza sibe mandundu esi sifo.
- Fumana inkxaso yengqondo: I-IBD ngamanye amaxesha inokubangela iimeko ezifana nokudakumba. Akukho nto unokuba neentloni ngayo, kwaye ukuthetha nogqirha wengqondo okanye umcebisi kunokuba ngumthombo omkhulu wamandla.
- Bona ugqirha wakho rhoqo: Nokuba awunazo iimpawu, yiya kuhlolwa kwiintsuku ugqirha wakho akuxelele zona.
Ixesha lokufuna ingcebiso yezonyango ngokukhawuleza
I-IBD idla ngokulawulwa ngamayeza kunye notshintsho kwindlela yokuphila, kodwa kwezinye iimeko, unyango olukhawulezileyo lubalulekile.
| Amathuba | Kwenziwe ntoni |
|---|---|
| Ukuba iimpawu zakho (ukudumba) ziya zisiba mandundu kwaye azinakulawulwa ngamayeza akho aqhelekileyo. | Bona ugqirha wakho oqhelekileyo. |
| Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko! | |
| |
I-IBD kunye ne-IBS ziimeko ezimbini ezahlukeneyo. Kwi-IBD, kukho ukudumba emathunjini, kodwa kwi-IBS (Irritable Bowel Syndrome), akukho ukudumba okunjalo. Nangona iimpawu zezi zimbini zifana, izizathu kunye nonyango zahlukile ngokupheleleyo. Ke ngoko, kubaluleke kakhulu ukubona ugqirha kunokuba uzixilonge.
Umyalezo Wokuya Ekhaya
- I-IBD yimeko ehlala ubomi bonke ebangela ukudumba kwamathumbu. Nangona kunjalo, inokulawulwa ngempumelelo kwaye ungaphila ubomi obuhle.
- Chonga izinto ezibangela iimpawu zakho zibe zizinto ezibangela ukuba ube nengxaki. Ezi zinokuba kukutya okanye uxinzelelo.
- Ungaze ungazihoyi iimpawu. Thetha ngokukhululekileyo nogqirha wakho ngayo yonke into.
- Nokuba ngamaxesha okuphela kwesifo, qiniseka ukuba uya kuvavanyo nokuhlolwa okumiselwe ngugqirha wakho.
- Awuwedwa kolu hambo. Usapho lwakho, abahlobo, kunye noogqirha bakho ukukunceda. Musa ukuthandabuza ukufuna inkxaso yengqondo ukuba uyayidinga.
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