Ingaba ikholoni yakho ayifumani manzi aneleyo? Ngaba le yi-ischemic colitis?

Ngaba wakha waneentlungu zesisu eziqatha ngequbuliso, waza wanegazi elincinci esitulweni sakho? Okanye ngaba isisu sakho sivakala sigcwele kwaye sibuhlungu xa usichukumisa? Ukuba unempawu enye okanye ezimbini kwezi, kusenokwenzeka ukuba kungenxa yemeko ebizwa ngokuba yi -ischemic colitis, esiza kuthetha ngayo namhlanje. Musa ukoyika, nokuba igama livakala liyinkimbinkimbi kancinci. Masithethe ngale nto ngendlela elula enokuqondwa ngumntu wonke.

Yintoni i-ischemic colitis? Ngamafutshane...

Ngamafutshane, i-ischemic colitis kukudumba kwamathumbu akho amakhulu, okanye inxalenye esiyibiza ngokuba yi-colon, ngenxa yokuncipha kokuhamba kwegazi (oku kubizwa ngokuba yi-ischemia). Uyazi, yonke iseli kunye nezicubu emzimbeni wethu zifuna ioksijini ukuze ziphile kwaye zisebenze. Le oksijini ithwalwa yigazi. Ngoko ke, xa ukuhamba kwegazi ukuya emathunjini amakhulu kuncipha ngesizathu esithile, ayifumani oksijini eyaneleyo. Kulapho izicubu ezikuloo mathunjini zonakala kwaye zivuvukala, oko kuthetha ukuba ziyadumba, zibomvu, kwaye zibuhlungu. Kufana nomthi obolileyo xa ungenamanzi aneleyo.

Oku kuvutha yindlela yomzimba wethu yokuzama ukulungisa umonakalo. Yiyo loo nto sifumana ukungakhululeki, iintlungu zesisu, ukudumba, kwaye ngamanye amaxesha siphuma igazi. I-Ischemic Colitis ichaphazela kakhulu ulwelo oluthambileyo lwamathumbu akho amakhulu, olubizwa ngokuba yi-mucosa . Njengolusu oluthambileyo ngaphakathi emilonyeni yethu, ingaphakathi lamathumbu nalo ligutyungelwe lulwelo. Nangona kunjalo, ukuba oku kungabikho kokuhamba kwegazi (ischemia) kukhulu okanye kuhlala ixesha elide, kunokonakalisa iindawo ezinzulu zamathumbu.

Yintoni umahluko phakathi kwe-colitis eqhelekileyo kunye ne-ischemic colitis?

Mhlawumbi ukhe waliva igama elithi ``colitis.'' ``Colitis'' libhekisa nje ekuvuvukeni kwekholoni. ``Ischemic colitis'' lolunye uhlobo lokuvuvuka, kodwa aluxhaphakanga kangako. Xa abantu abaninzi besiva ``colitis,'' bacinga ngezifo zamathumbu ezihlala ixesha elide (IBDs) ezifana ne ``Ulcerative Colitis'' okanye ``Crohn's Disease.'' Ezi meko ziqala kulwelo lwekholoni.

Kodwa, `(Ischemic Colitis)` yinto eyahlukileyo. Iqala njengengxaki kwinkqubo yakho yokujikeleza kwegazi. Oko kukuthi, isenokuba ngenxa yengxaki yentliziyo yakho, imithambo yegazi. Isenokuba ngenxa yoxinzelelo lwegazi oluphantsi, okanye inokuba ngenxa yesifo esithile semithambo yegazi. Xa ukuhamba kwegazi kwimithambo yegazi ehambisa igazi kwikholoni kuncipha, isiphumo kukudumba kwezicubu zekholoni. Ngaphandle koko, ayisosifo sithile sekholoni.

Ngubani onokuba nethuba elikhulu lokufumana i-ischemic colitis (i-Ischemic Bowel Disease)?

Le meko ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-60 ubudala. Kwakhona,Abantu abanesifo semithambo yegazi nabo basengozini enkulu yokuhlaselwa sesi sifo.

Ukongeza, kukho nezinye izinto ezininzi ezibangela umngcipheko. Masibone ukuba zithini:

• Uhlobo lwesibini lwesifo seswekile: Kuba isifo seswekile singonakalisa imithambo yegazi.
• Ukungasebenzi kakuhle kwezintso kunye nabo banyangwa nge-dialysis: Isifo sezintso sichaphazela nokuhamba kwegazi.
• Uxinzelelo lwegazi oluphantsi: Xa uxinzelelo lwegazi lusehla, umlinganiselo wegazi oluya kwizitho zomzimba nawo uyancipha.
• I-Hypoalbuminemia kukuncipha kwe-albhamuin yeproteni egazini.
• Isifo semithambo yegazi ejikeleze umzimba: Ukuncitshiswa okanye ukuvaleka kwemithambo yegazi ehambisa igazi emilenzeni.
• I-Ischemic cardiomyopathy: Izifo ezibangelwa kukuncipha kokunikezelwa kwegazi kwimisipha yentliziyo.
• Iingxaki zokujiya kwegazi: Umngcipheko wokuba igazi lijiye ngaphakathi emithanjeni yegazi uyanda.
• Ukuqunjelwa okungapheliyo okubangela ukubetheka kwindle: Oku kunokubangela uxinzelelo emathunjini kwaye kuthintele ukuhamba kwegazi.
• Ukusetyenziswa kweziyobisi ezifana ne-cocaine.
• Ukuba ne-aneurysm ye-aorta yesisu.

Ukuba unale mingcipheko, kungcono ukuba ulumke kancinci.

I-ischemic colitis ichaphazela njani umzimba wakho?

Kubantu abaninzi, le yingxaki yexeshana nje. Oko kukuthi, ichaphazela kuphela inxalenye encinci yekholoni kwaye iphola kwiintsuku ezimbalwa. Nangona ukudumba kunokubangela ukungonwabi okwethutyana kunye nentlungu, xa unobangela wokuncipha kokuhamba kwegazi ulungisiwe ngokufanelekileyo, le meko iya kuphucuka phantse ngokuzenzekelayo.

Nangona kunjalo, ngamanye amaxesha oku kunokuba yingxaki enkulu ngakumbi.

• Abanye abantu banokufumana iziqendu eziphindaphindiweyo ze-"Ischemic Colitis" kwindawo enye. Xa oku kusenzeka, amanxeba anokubakho kuloo ndawo kwaye amathumbu anokuncitshiswa (ukuqina). Oku kwenza kube nzima ukuba ukutya nokusela kudlule ngokulula.
• Ngaphezu koko, ukuba i-'ischemia', ethetha ukwehla kokuhamba kwegazi, imbi ngokwaneleyo, izicwili zamathumbu zinokufa (i-gangrene). Le yimeko eyingozi kakhulu. Ukuba oko kuyenzeka,
• Kunokwenzeka umngxuma (ukugqobhoka) emathunjini.
• Iingxaki ezisongela ubomi ezifana nosulelo oluqatha kunye ne-sepsis (ityhefu yegazi) zinokwenzeka.
• Kwimeko enjalo, kufuneka kwenziwe utyando olungxamisekileyo .

Ziziphi iimpawu ze-ischemic colitis?

Kule meko, unokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:

• Intlungu yesisu kunye nokuqaqamba kwesisu: Olu luphawu oluphambili. Lunokuqala ngequbuliso.
• Ukudumba kunye nokuthamba kwesisu: Usenokuziva iintlungu xa uchukumisa isisu sakho.
• Urhudo kunye nokungxamiseka kokulahla indle: Ukufuna ukuya kwindlu yangasese rhoqo.
• Indle enegazi: Igazi elikwisitulo, ngamanye amaxesha libomvu okanye limnyama.
• Umkhuhlane ophantsi: Usenokuziva unomkhuhlane omncinci.
• Isicaphucaphu okanye ukungabi namdla wokutya: Ukuziva ungafuni ukutya okanye ukusela .

Khawucinge nje, ukuba ngequbuliso uqala ukuba neentlungu zesisu eziqatha kwaye uphume igazi, musa ukucinga nje ukuba yintsholongwane yesisu. Yiya kugqirha ngoko nangoko.

Zithini izizathu ze-ischemic colitis?

Enyanisweni, zininzi izizathu zokuba ukuhamba kwegazi kwikholoni kunciphe. Uninzi lwexesha, oku kwenzeka okwexeshana. Ngamanye amaxesha, unobangela usenokuba uphelile ngexesha isifo sifunyenwe. Ukuba ubune "ischemic colitis" kanye kuphela waza waphila, ugqirha wakho usenokungakwazi ukukuxelela unobangela ochanekileyo. Nangona kunjalo, banokuqikelela ngokusekelwe kwimbali yakho yezonyango kunye nezinye iimeko zonyango.

Ngokuyintloko, izifo ezichaphazela inkqubo yakho yokujikeleza kwegazi, ezifana nesifo sentliziyo kunye nesifo semithambo yegazi, zinokunciphisa ukuhamba kwegazi kwimithambo yegazi ehambisa igazi emathunjini. Ngamanye amaxesha ihlwili legazi linokuvala umthambo, okanye umthambo unokucinezelwa yinto engaphandle.

Kukho imithambo emibini ephambili ehambisa igazi emathunjini ethu - imithambo ye-mesenteric ephezulu nengaphantsi . Le mithambo inovelwano kakhulu kuyo nayiphi na into ebangela ukuba imithambo yegazi inciphe (vasoconstriction). Umzekelo, umkhuhlane omkhulu, izifo ezibangela uxinzelelo lwegazi oluphantsi, kunye namayeza athile (vasoconstrictors) zinokuchaphazela oku. Le mithambo iphendula kuxinzelelo lwegazi oluphantsi ngokuncipha ngokukhawuleza. Izazinzulu zicinga ukuba le yindlela yokuzikhusela yomzimba wethu. Oko kukuthi, xa umzimba ulahlekelwa ligazi, kunciphisa inani legazi eliya kwiindawo ezifana namathumbu ukuze lijike igazi liye kwizitho ezibalulekileyo ezifana nengqondo nentliziyo. Xa le "mpendulo ingxamisekileyo" iqaliswa, amathumbu anokulahlekelwa ligazi.

Ngamanye amaxesha oogqirha bayahlula oku kube ziintlobo ezimbini zezizathu:

1. Izizathu ezifihlakeleyo: Oku kuthetha ukuvaleka ngaphakathi komthambo (umz. ihlwili legazi).

2. Izizathu ezingabandakanyi imithambo yegazi: Oku kuthetha ukuba ukuhamba kwegazi kwehla ngenxa yesinye isizathu (umz. uxinzelelo lwegazi oluphantsi, ukuncitshiswa kwemithambo yegazi) endaweni yokuba umthambo uvalwe.

Isizathu sesithathu kukwenzakala ngexesha lotyando.Nangona oku kungaqhelekanga, kukho umngcipheko wokulungiswa kwe-AAA ngexesha lotyando lokulungisa i-aneurysm yesisu ephukileyo (AAA). Ukuba oku kuyenzeka, kunokuba yingozi kakhulu kunezinye izizathu zexeshana kwaye kunokuba yingozi ebomini. Le meko yenzeka malunga ne-2% ukuya kwi-3% yotyando lwe-AAA, kwaye malunga ne-50% yabo baguli bayafa.

Ifunyanwa njani i-ischemic colitis?

Iimpawu zesi sifo (ezifana neentlungu zesisu kunye norhudo) ziqhelekile kakhulu, nto leyo ethetha ukuba ezi mpawu zinokubangelwa zezinye izifo zesisu. Ke ngoko, oogqirha kufuneka baqinisekise ukuba akukho ezinye izifo ngaphambi kokuba bathi ngokuqinisekileyo le yi-"Ischemic Colitis".

• Usenokuba neemvavanyo zomfanekiso (umz., i-CT scan) yekholoni yakho.
• Uvavanyo lwegazi lunokwenziwa ukujonga usulelo kunye nezinye izinto. Ngokwesiqhelo, i-colitis ibangela ukuba inani leeseli ezimhlophe zegazi linyuke.

Ukuba ugqirha wakho ukrokrela ukuba une-Ischemic Colitis, eyona ndlela ilungileyo yokuqinisekisa ukuxilongwa kukusebenzisa i-colonoscopy. Oku kubandakanya ukufaka ityhubhu encinci, ekhanyisiweyo nge-anus yakho ukuze ijonge ngaphakathi kwikholoni yakho. Ukuba une-Ischemic Colitis, uvavanyo lunokujonga iimpawu zemeko. Ukuba kuyimfuneko, iqhekeza elincinci lesicwili (i-biopsy) linokuthathwa kwikholoni yakho ngaxeshanye lize lithunyelwe kwilebhu ukuze livavanywe ngakumbi.

Iphathwa njani i-ischemic colitis?

Unyango luxhomekeke kubukhulu besifo kunye nokuba unezinye iingxaki na (umz., usulelo esiswini).

• Kwiimeko ezinzima okanye ezinzima, kunokufuneka utyando olungxamisekileyo .
• Nangona kunjalo, amatyala amaninzi anokulawulwa ngokwezonyango.
• Uza kunikwa ulwelo lwe-IV (njenge-saline) ngomthambo .
• Kuza kunikwa amayeza okubulala iintsholongwane asebenzisa i-broad-spectrum ukuthintela okanye ukunyanga izifo.
• Unyango lweoksijini lunokunikwa ukuphucula ukusebenza kwentliziyo kunye nokuhamba kwegazi.
• Ugqirha uza kuyeka naliphi na iyeza acinga ukuba linegalelo kule meko (i-Ischemic Colitis).
• Eyona nto ibalulekileyo "kukuphumla kwamathumbu." Oku kuthetha ukungasebenzisi inkqubo yakho yokwetyisa de amathumbu akho aphole. Uza kunikwa ukutya okumanzi okanye isondlo se-IV .

Ezinye iindlela zonyango ezinokuthi zifuneke:

• Ukunciphisa isisu ngetyhubhu ye-nasogastric: Le ndlela isetyenziselwa ukususa umoya, ulwelo, okanye ukutya esiswini ukuba inxalenye yamathumbu ivalekile ngenxa ye-ischemic colitis.
• Unyango lwemithambo yegazi:Ukuba kukho ukuvaleka komthambo wegazi, ugqirha unokufuna ukuwususa ngotyando, anyibilikise ihlwili legazi, okanye abeke i-stent kumthambo wegazi oxineneyo.
• Utyando lweColectomy: Ukuba izicubu zamathumbu zifile (zibolile) okanye udonga lwamathumbu luqhekekile (luqhekekile), inxalenye eyonakeleyo kuya kufuneka inqunyulwe. Olu tyando lunokubandakanya ukufakwa kwengxowa ye -colostomy okwethutyana okanye ngokusisigxina (umngxuma owahlukileyo eluswini lwesisu ukuze kudlule isitulo).

Yintoni ekufuneka umntu one-ischemic colitis ayilumkele ngokutya?

Ukuba uyaphola kwi-Ischemic Colitis, ugqirha wakho uya kuqala akucebise ukuba uzile ukutya . Emva koko, ungatshintshela kancinci kancinci kwisidlo esilula , uze emva koko utye ukutya okuthambileyo .

Kuphephe ukutya okunefayibha eninzi ngeli xesha. Akulunganga ukusebenza kakhulu kwamathumbu akho de aphile. Le ndawo ifuna ukuhamba kwegazi okungakumbi kunye neoksijini ukuze ikwazi ukugaya ukutya. Ukuphumla kwamathumbu akho kunika umzimba wakho ithuba lokubuyisela unikezelo lwegazi.

Ukuba unesifo esihlala ixesha elide esibizwa ngokuba yi-"chronic" ``Ischemic Colitis'', okanye ukuba unesifo esingapheliyo esikubangela ukuba ube naso, ugqirha wakho uya kukunika izikhokelo ezikhethekileyo zokutya omawuzilandele ixesha elide.

Ngaba i-ischemic colitis ingathintelwa?

Ekubeni zininzi izinto ezinokubangela le meko, kusenokungabi lula ukuziphepha ngokupheleleyo. Nangona kunjalo, kubaluleke kakhulu ukulawula naziphi na izifo osele unazo (ingakumbi izifo zentliziyo, zemithambo yegazi, nezezintso) .

• Ukuphepha ukutshaya nokusebenzisa iziyobisi.
• Ukutya ukutya okunempilo kwentliziyo kunokuthintela ezi meko ukuba zingabi mandundu okanye zibe neengxaki.
• I-Ischemic Colitis (ekwaziwa ngokuba yi-"runner's colitis") ngamanye amaxesha inokubangelwa kukuzilolonga okunzima . Oku kungenxa yokuba intliziyo ayikwazi ukupompa igazi elaneleyo. Ukuba ungumdlali wezemidlalo onyamezelayo, ukuhlala unamanzi aneleyo kunokunceda ekuthinteleni oku.

Iyintoni imbonakalo ye-ischemic colitis? (Imbono)

Iindaba ezimnandi zezokuba uninzi lwabantu (malunga nama-75%) abafumana i-acute ischemic colitis banemeko encinci, yexeshana. Ichaphazela kuphela i-mucosa yenxalenye enye yamathumbu kwaye iyaphela ngokupheleleyo ngonyango oluqhelekileyo.

Lipesenti elincinci kuphela labantu abafumana iingxaki ezifuna utyando. Ezi ngxaki zihlala zenzeka kubantu abasele benezinye izifo, ezifana nesifo sentliziyo okanye isifo sezintso. Kwaba bantu, utyando luyingozi kwaye kunzima ukululama. Ngokwezibalo, eli qela linomngcipheko ophezulu weziphumo ezibi kunye nokufa (malunga nama-40%). Kodwa loo mngcipheko awubangelwa yimeko `(Ischemic Colitis)` kuphela.

Esi sifo sibizwa ngokuba yi-`(Ischemic Colitis)` ngamanye amaxesha singathatha ixesha ukuba oogqirha basiqaphele, kunye nabo bahlangabezana naso. Kuba, xa usithi intlungu yesisu, akukho mntu ucinga kwangoko ukuba le yingxaki yentliziyo. Nangona kunjalo, xa uxilongo lwenziwe ngokuchanekileyo, ungalindela ukuchacha ngokupheleleyo nangokukhawuleza, nokuba kufuneka uhlale esibhedlele okwethutyana. Nangona kunjalo, i-`(Ischemic Colitis)` ngamanye amaxesha inokuba nzima kakhulu, ngoko ke musa ukuyityeshela iimpawu zakho. Ukuba aziphucuki, yazisa ugqirha wakho ngoko nangoko.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule kweli bali?

Kulungile, nazi izinto ezimbalwa ekufuneka uzikhumbule koko sithethe ngako:

• Musa ukuyityeshela intlungu yesisu ekhawulezileyo neqatha, ingakumbi ukuba ihamba nendle enegazi. Isenokuba luphawu lwemeko ebizwa ngokuba yi-"Ischemic Colitis".
• Kubaluleke kakhulu ukufuna iingcebiso zonyango kwangethuba. Okukhona isifo sifunyanwa ngokukhawuleza, kokukhona kulula ukunyanga nokuthintela iingxaki.
• Ukuba unezinto ezinobungozi ezifana nesifo seswekile, isifo sentliziyo, okanye uxinzelelo lwegazi oluphezulu, zilawule kakuhle.
• Yamkela indlela yokuphila enempilo. Kuphephe ukutshaya neziyobisi ezingeyomfuneko. Yitya ukutya okunempilo.
• Musa ukoyika, kodwa lumka. I-Ischemic Colitis yimeko enokuphiliswa rhoqo. Nangona kunjalo, kufuneka inikwe ingqalelo efanelekileyo.

Ukuba unemibuzo engaphezulu malunga noku, qiniseka ukuba uthetha nogqirha wakho wosapho. Yena angakunika icebiso elifanelekileyo.

I- Ischemic Colitis, Ukudumba kwamathumbu amakhulu, Ukuncipha kokuhamba kwegazi, Iintlungu zesisu, Indle enegazi, I-Colonoscopy