Ngaba uneempawu ezifana nokuphazamiseka kwesisu rhoqo, ukudumba okuhlala iintsuku, okanye iintlungu zesisu mhlawumbi negazi eliphuma esitulweni sakho? Ngamanye amaxesha sicinga ukuba ezi ziintlungu zesisu eziqhelekileyo, kodwa ukuba ezi zinto ziyaqhubeka, inokuba luphawu lwesifo esibizwa ngokuba sisifo samathumbu esivuthayo ( IBD ) . Musa ukoyika xa usiva eli gama. Namhlanje, siza kuthetha ngokuba yintoni i-IBD, kutheni isenzeka, zithini iimpawu, indlela esijongana ngayo nayo, kunye nendlela esinokuphila ngayo kakuhle nale meko ngendlela elula onokuyiqonda.

Yintoni kanye kanye (IBD)?

Ngamafutshane, i-IBD kukudumba okungapheliyo kwenkqubo yakho yokugaya ukutya, ingakumbi amathumbu akho. Igama elithi "chronic" lithetha ukuba yimeko ehlala ixesha elide, ayisosifo esiphela emva kwexesha elithile. Xa usiva igama elithi " ukudumba, " kufuneka ukhumbule ukuba njengokuba sifumana isilonda eluswini lwethu, siba bomvu, sidumbe, kwaye sibe buhlungu, kwenzeka into efanayo namathumbu.

I-IBD inokubangela iimpawu ezingxamisekileyo nezinzima njengeentlungu zesisu kunye norhudo. Ezi sizibiza ngokuba “ziiflares.” Kodwa i-IBD ayichaphazeli amathumbu akho kuphela. Ingachaphazela impilo yakho iyonke, impilo-ntle yakho yengqondo, kunye nobomi bakho bemihla ngemihla.

Xa usiva ukuba i-IBD yimeko yobomi bonke engenanyango okwangoku, ungaziva ulusizi kwaye woyika. Oko kuyaqondakala. Kodwa into ebalulekileyo kukuba kukho unyango olusebenzayo lokulawula ezi mpawu. Kwaye zininzi izinto onokuzenza ukunceda ubomi bakho bube yinto eqhelekileyo kangangoko kunokwenzeka ngaphandle kokuvumela i-IBD iphazamise ubomi bakho.

Ziziphi iintlobo eziphambili ze-IBD?

Phantsi kwe-(IBD) sithetha kakhulu ngeentlobo ezimbini zezifo:

Isifo	Inkcazo
Isifo sikaCrohn	Izilonda ezinzulu zinokwenzeka naphi na kwindlela yokugaya ukutya (ukusuka emlonyeni ukuya empundu), zichaphazela kakhulu amathumbu amancinci namakhulu.
I-ulcerative colitis (UC)	Ukudumba okuqhubekayo kunye nezilonda kwenzeka kuphela kumaleko wangaphakathi wekholoni nakwi-rectum esezantsi.

Ixhaphake kangakanani i-IBD?

Izigidi zabantu kwihlabathi liphela zinesifo sokudumba kwamathumbu (IBD). Esi sifo sinokuchaphazela nabani na, ukususela kubantwana abancinci ukuya kubantu abadala abaneminyaka engaphezu kwama-65. Nangona kunjalo, sixhaphake kakhulu kubantu abancinci abaneminyaka eli-15 ukuya kwengama-35 ubudala.

Zithini iimpawu ze-(IBD)?

Iimpawu ze-IBD zinokuba buthathaka kwabanye abantu, kwaye zibe nzima kwabanye. Ezi mpawu azisoloko zisenzeka, ziyafika zidlule. Xa kuvela iimpawu, oogqirha baya kuthi une-"IBD flare" okanye "flare-up." Xa iimpawu ziphela emva konyango, zibizwa ngokuba yi-"remission."

Iimpawu eziqhelekileyo:

Intlungu ezantsi kwesisu, ngokungathi isisu sibuhlungu xa sichukunyiswa ( intlungu yesisu).
Igazi elikwisitulo. Oku kungaba yinto encinci okanye ecacileyo.
Urhudo olungapheliyo: Kufuneka uye kwindlu yangasese izihlandlo ezininzi ngemini.
Ukuziva udiniwe kakhulu ( Ukudinwa ). Umzimba uyadinwa kangangokuba awukwazi ukwenza nto.
Ukwehla kobunzima obungalindelekanga: Ukwehla kobunzima kwenzeka xa unciphisa ubunzima ngaphandle kokuzama ukulawula ukutya kwakho.

Zithini izizathu ze-IBD? Kutheni oku kusenzeka?

Abaphandi abakayazi kakuhle into ebangela i-IBD. Kodwa siyazi ukuba kwenzeka xa amajoni ethu omzimba ehlasela ngempazamo izicwili ezisempilweni kwinkqubo yethu yokugaya ukutya. Kufana nomkhosi okhusela ilizwe lethu ngempazamo uhlasela abantu bawo. Olu hlaselo lubangela ukudumba, ukudumba, kunye nezilonda esizikhankanyileyo ngaphambili.

Abaphandi bafunda ii-genes ezithile ezithile ekucingelwa ukuba zidlala indima koku. Xa utshintsho oluthile (utshintsho) lwenzeka kwezi genes, umngcipheko wokuba ne-IBD uyanda. Ezi zibizwa ngokuba “zii-genes zokuchaphazeleka.” Ukuba uzizuza njengelifa ezi genes, izinto ezithile zemihla ngemihla zinokubangela iimpawu ze-IBD. Kodwa khumbula, ezi zinto azibangeli isifo, zenza isifo sibe sibi kakhulu kwaye iimpawu zibe zimbi kakhulu.

Izinto eziqhelekileyo ezibangela iimpawu ze-IBD ziquka:

Amanye amayeza okubulala iintsholongwane .
Ezinye iintlungu, umzekelo "ii-NSAIDS - amayeza angengowe-steroidal anti-inflammatory" (umz. i-Ibuprofen, i-Diclofenac).
Ukutshaya .
Uxinzelelo.

Ziziphi iingxaki ezinokubakho ze-IBD?

Xa une-IBD, ayinakuchaphazela kuphela inkqubo yakho yokugaya ukutya, kodwa nezinye iindawo zomzimba wakho, nto leyo ebangela ezinye iingxaki zempilo. Ezinye zazo zinokuba nzima ngokwaneleyo ukuba zifune unyango olungxamisekileyo.

Iingxaki ezinzulu ezinokubakho ezinxulumene nenkqubo yokugaya ukutya:

Umhlaza wekholoni: Abantu abane-IBD banomngcipheko ophezulu wokufumana umhlaza wekholoni kunabantu ngokubanzi.
Amathumbu agqobhokileyo: Le yimeko ebonakaliswa ziintlungu zesisu eziqatha, ukudumba, kunye nokuthamba. Le yimeko engxamisekileyo.
I-megacolon enetyhefu: Yimeko eyingozi apho amathumbu amakhulu avuvukala kakhulu aze aphelelwe ngumsebenzi wawo. Iimpawu ziquka igazi elikwindle kunye nentlungu eqatha yesisu. Oku kukwayinto engxamisekileyo.

Iingxaki ezichaphazela amanye amalungu omzimba:

I-anemia ( ukungabikho kwegazi).
Amahlwili egazi.
Iintlungu zamehlo kunye nosulelo.
Amatye ezintso.
Izilonda zomlomo.
Izifo zesibindi (umz. isifo sesibindi).
Ukungafunxwa kokutya kunye nokungondleki kakuhle .
Ukudumba kunye nentlungu yamalungu (Amalungu avuvukileyo).
Izilonda zesikhumba kunye namaqhuqhuva.
Ubuthathaka bamathambo (i-osteoporosis).

Oogqirha bafumanisa njani i-IBD?

Xa ubona ugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko, baza kwenza uvavanyo lomzimba. Ukongeza, banokwenza iimvavanyo ezininzi ukuze bafumane ukuba unayo na i-IBD:

Ubalo lwegazi olupheleleyo (CBC).
I-endoscopy yeCapsule.
I-Colonoscopy.
I-CT scan (I-computed tomography – I-CT scan).
I-ultrasound ye-Endoscopic (EUS – i-ultrasound ye-endoscopic).
I-sigmoidoscopy eguquguqukayo.
Iskeni ye-MRI (i-Magnetic resonance imaging – i-MRI scan).
I-endoscopy ephezulu.

Iphathwa njani (IBD)?

Unyango lwe-IBD lunokwahluka kancinci ngokuxhomekeke kuhlobo lwe-IBD onalo (i-Crohn's okanye i-ulcerative colitis). Nangona kunjalo , injongo ephambili yazo zonke iindlela zonyango kukulawula iimpawu, ukubeka isifo kwimeko yokuphumla, kunye nokugcina olo xolo.

Ugqirha wakho uza kukunika amayeza okunceda ukunciphisa iimpawu zakho. Kwezinye iimeko, ukuba amayeza odwa awanelanga, utyando lunokufuneka.

Okokugqibela, izinto ekufuneka uzikhumbule

Xa ufunyaniswa ukuba une-Inflammatory Bowel Disease (IBD), ungaziva ukhululekile xa usazi unobangela weentsuku zakho zentlungu yesisu kunye norhudo. Kungakunceda nokwazi ukuba iimpawu zinokulawulwa ngonyango.

Nangona kunjalo, usenokuba nexhala lokuphila nesifo esinganyangekiyo esinokuvela ngaphandle kwesilumkiso, kwaye ngamanye amaxesha sibe neempawu ezingathandekiyo. Yinto eqhelekileyo leyo. Ugqirha wakho uyazi ukuba i-IBD inokuchaphazela njani ubomi bakho bemihla ngemihla. Banokukunika iingcebiso malunga nendlela yokulawula iimpawu zakho kunye nokuphila kakuhle ne-IBD.

Eyona nto ibalulekileyo kukukhumbula ukuba awuwedwa kwaye ulandele iingcebiso ezifanelekileyo zonyango. Nokuba une-IBD, ungaphila ubomi obonwabisayo nobukhutheleyo. Unamandla nolwazi lokwenza njalo!