Ingaba nawe unesifo sorhudo esihlala siphuma emanzini? Isenokuba yiMicroscopic Colitis!

Ngaba usoloko uphuma isisu? Ngaba kufuneka uye kwigumbi lokuhlambela izihlandlo ezihlanu okanye ezithandathu ngemini, ngamanye amaxesha nangaphezulu? Le meko, ehambisana nentlungu yesisu kunye nokungonwabi, isenokuba yenze kwaba nzima kuwe ukwenza imisebenzi yakho yemihla ngemihla ngokufanelekileyo. Usenokuba ukhe wabona ugqirha ngenxa yoku, kwaye usenokuba wenze iiskeni kunye novavanyo. Kodwa zonke zibuye "njengesiqhelo." Ngoko usenokuba ucinga, "Ngoko ke yintoni ingxaki ngam?" Ukuba ukhe waba namava afanayo, kuya kuba baluleke kakhulu kuwe ukuba wazi ngesifo esithetha ngaso namhlanje, esibizwa ngokuba yiMicroscopic Colitis (MC) .

Ngamafutshane, yintoni iMicroscopic Colitis?

Eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masilichaze size siliqonde ngokulula.

• I-Colitis: Oku kuthetha ukudumba okanye ukudumba kolwelo lwamathumbu akho amakhulu (ikholoni). Njengokuba ulusu lwethu luba bomvu kwaye ludumba xa sinenxeba, silibiza ngokuba yi-'colitis' kuba into efanayo yenzeka ngaphakathi kwamathumbu.
• I-Microscopic: Eli gama lithetha 'i-microscopic'. Oku kuthetha ukuba ukudumba kuncinci kangangokuba akunakubonwa ngamehlo enyama, ikhamera esetyenziswa ngexesha le-endoscopy, okanye i-scan. Kungabonakala ngokucacileyo kuphela ukuba iqhekeza elincinci kakhulu lesicwili lithathwe emathunjini akho amakhulu lize lijongwe nge-microscope.

Ngamafutshane, iMicroscopic Colitis yimeko yokudumba kwamathumbu amakhulu engabonwayo ngovavanyo oluqhelekileyo kwaye inokubonwa kuphela ngemakroskopu. Oku kungenxa yokuba iiseli ezikwikholoni yakho zihlala "zinomsindo." Ngenxa yoko, uhlala unentshukumo yamathumbu enamanzi.

Le meko inokuba yingxaki. Ingavela ngequbuliso, iphele yodwa emva kwexesha elithile, ize ibuye kwakhona. Kodwa iindaba ezimnandi zezokuba nangona iyimeko yobomi bonke, inokulawulwa kakuhle . Ifuna amayeza afanelekileyo kunye notshintsho oluthile kwindlela yokutya.

Kukho iintlobo ezimbini eziphambili zeMicroscopic Colitis:

Xa ugqirha ejonga isampuli yezicubu ezivela kumathumbu akho phantsi kwe-microscope, bahlulahlula esi sifo sibe ziintlobo ezimbini eziphambili ngokusekelwe kutshintsho abalubonayo. Kodwa akufuneki ukhathazeke kakhulu ngale nto, kuba iimpawu kunye nonyango lwazo zombini ezi ntlobo ziyafana kakhulu. Umahluko ukwinqanaba le-microscope kuphela.

Ziziphi iimpawu eziqhelekileyo zesi sifo?

Uphawu oluphambili nolucaphukisayo lweMicroscopic Colitis kukuhamba kwamathumbu rhoqo ngamanzi (urhudo) . Oku kunokwenzeka kahlanu ukuya kwelishumi ngemini, ngamanye amaxesha nangaphezulu. Khawucinge ukuba uyoyika kangakanani ukuphuma endlwini, ukuya emsebenzini, okanye ukuhambahamba.

Ukongeza, ezinye iimpawu ezininzi zinokubonwa:

• Intlungu yesisu kunye nokuqhwalela: Usenokuziva intlungu yokuxinana esiswini sakho.
• Ukudumba kunye nokuqunjelwa: Ukuziva ngathi isisu sigcwele igesi.
• Ukuziva ufuna ukuya kwigumbi lokuhlambela ngokukhawuleza kwaye kunzima ukulilawula: Ukubaleka kwangoko xa uziva ufuna ukuya kwigumbi lokuhlambela.
• Izandi ezivakalayo ngaphakathi esiswini: Izandi ezingaqhelekanga ezivakalayo ngexesha lokugaya ukutya.

Kutheni oku kusenzeka? Zithini izizathu?

Izazinzulu azikafumani sizathu siqinisekileyo soku, kodwa kukho izinto ezininzi ezirhanelekayo ezinokuba negalelo kuko.

• Iintsholongwane, iintsholongwane, okanye iibhaktheriya: Le meko inokwenzeka kuba usenokuba une-infection yamathumbu ngaphambili, nto leyo eye yatshintsha ukusebenza kwenkqubo yakho yokuzikhusela komzimba.
• Isifo sokuzikhusela komzimba: Oku kuxa inkqubo yomzimba yethu yomzimba iziphatha kakubi kwaye ihlasela iiseli zethu eziphilileyo. Abanye abantu abane-microscopic colitis banokuba nezinye izifo zokuzikhusela komzimba (umz., isifo samathambo, isifo se-thyroid).
• I-genetics:Ukuba kukho umntu kusapho lwakho onesi sifo okanye ezinye izifo zamathumbu, nawe usenokuba sengozini yokuba naso.
• Amayeza athile: Olunye uphando lufumanise ukuba amanye amayeza esiwasebenzisayo ixesha elide anokubangela okanye enze le meko ibe mandundu.

Amayeza afuna ingqalelo ekhethekileyo

Ukuba uthatha naliphi na kula mayeza alandelayo ixesha elide, kubalulekile ukuthetha nogqirha wakho ngalo mba. Ungaze uyeke ukuwathatha la mayeza ngaphandle kokubonisana nogqirha wakho.

Ngaba uxinzelelo luchaphazela oku?

Ewe, ngokuqinisekileyo. Kukho unxibelelwano olukhulu phakathi kwengqondo yethu kunye namathumbu ethu kunokuba unokucinga. Ngamanye amaxesha sithi, "Amathumbu yingqondo yesibini." Yinyani leyo. Xa siphantsi koxinzelelo olukhulu kunye noxinzelelo, amanqanaba eehomoni emzimbeni wethu ayatshintsha. Oku kunokuchaphazela ngqo inkqubo yethu yokugaya ukutya. Ngoko ke, kufanelekile ukuthatha umzuzwana ucinge ngendlela eyayiyiyo imeko yakho yengqondo kwiintsuku apho wawunezi mpawu.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Nangona le meko inokukhula nakubani na, abanye abantu basengozini enkulu.

• Abafazi abangaphezu kweminyaka engama-60 ubudala: Nangona unobangela ochanekileyo ungaziwa, esi sifo sixhaphake kakhulu phakathi kwabasetyhini abakweli qela leminyaka.
• Abantu abanezinye izifo (ezikhusela umzimba): Lo mngcipheko uphezulu kakhulu kubantu abanesifo seCeliac (ukunganyamezelani neproteni yegluten efumaneka kumgubo wengqolowa).
• Abantu Abatshayayo: Ukutshaya yimbangela yesi sifo kwaye kunokwenza iimpawu zibe zimbi ngakumbi.

Indlela yokuxilonga ngokuchanekileyo isifo?

Njengoko benditshilo ngaphambili, kunzima ukukubona oku ngovavanyo oluqhelekileyo, ngoko ke ukuba unale mpawu, kusenokwenzeka ukuba uthunyelwe kwi -gastroenterologist .

Iimvavanyo eziphambili zokuqinisekisa ukuxilongwa yi -colonoscopy kunye ne-biopsy .

• I-Colonoscopy: Oku kuquka ukufaka ityhubhu eguquguqukayo enekhamera encinci kwi-rectum yakho ukuze kuhlolwe amathumbu akho amakhulu onke. Uza kunikwa i-anesthetic ngokubanzi ngaphambi kwenkqubo, ngoko awuyi kuva ntlungu rhoqo.
• I-Biopsy: Ngexesha le-colonoscopy, ugqirha wakho uza kuthatha isampuli encinci yezicubu ezivela kulwelo lwamathumbu akho amakhulu. Oku kubizwa ngokuba yi-biopsy. Emva koko izicubu zihlolwa phantsi kwe-microscope ukuze kuqinisekiswe ukuba une-microscopic colitis kwaye, ukuba kunjalo, loluphi uhlobo.

Ukongeza, uvavanyo lwegazi kunye nendle lunokwenziwa ukuze kuthintelwe ezinye iimeko zempilo.

Indlela yokunyanga nokulawula?

Iindlela zonyango ziyahluka ngokuxhomekeke kuhlobo kunye nobukhali beempawu zakho. Ngamanye amaxesha, utshintsho oluncinci kwindlela otya ngayo lunokwenza umahluko omkhulu. Abanye abantu banokufuna amayeza.

1. Utshintsho kwindlela yokutya nendlela yokuphila

Eli linyathelo lokuqala nelona libalulekileyo. Okufuneka ukwenze apha kukufumanisa ukuba zeziphi ukutya "ezibangela" iimpawu zakho. Oku kwahlukile kumntu ngamnye.

• Ukuphepha izinto ezibangela i-allergies:Kukho ukutya okuningana okunokwenza iimpawu zibe mandundu kubantu abaninzi. Utywala, i-caffeine (ikofu, iti), ubisi kunye neemveliso zobisi, i-gluten (ingqolowa, irhasi), kunye nokutya okuneswekile eninzi zezinye zezona zixhaphakileyo.
• Ukutya okunamafutha aphantsi kunye nefayibha: Xa iimpawu zinzima, ukutya ukutya okulula ukucolwa okunamafutha aphantsi kunye nefayibha kunokunciphisa umthwalo emathunjini. (umz. irayisi emhlophe, iitapile ezibilisiweyo, iisuphu, iibhanana).
• Ukutya Okungatyiyo: Oku kuquka ukuphelisa ngokupheleleyo ukutya okucinga ukuba kuyakubangela ukungakhululeki kangangexesha elithile, uze uphinde ukungenise nganye nganye ukuze ubone ukuba zeziphi ukutya ezibangela iimpawu zakho. Oku kungcono kwenziwe phantsi kwesikhokelo sikagqirha okanye ingcali yesondlo.
• Ukutya okulwa nokudumba: Ezinye ukutya zinamandla okunciphisa ukudumba emzimbeni. Ukutya okufana nemifuno emitsha, iziqhamo, iintlanzi (ingakumbi iintlanzi ezinamafutha ezifana nesalmon kunye ne-mackerel), kunye neoyile yomnquma kuyanceda koku.

2. Unyango ngamayeza

Ukuba kunzima ukulawula ukutya kuphela, ugqirha wakho uza kukunika amayeza.

• Amayeza okulawula urhudo: Amayeza afana neLoperamide anokunciphisa ukuphindaphindeka kokuhamba kwamathumbu.
• I-Bismuth subsalicylate: Le ikwaliyeza eliqhelekileyo lorhudo.
• I-Budesonide: Olu luhlobo olukhethekileyo lwe -corticosteroid . Isebenza ngqo emathunjini ukunciphisa ukudumba, ngoko ke ineziphumo ebezingalindelekanga ezimbalwa kunezinye ii-steroids. Olu lunyango olusebenzayo kakhulu kwi-Microscopic Colitis.

Ukongeza kuko konke oku, kubaluleke kakhulu ukuthetha nogqirha wakho malunga namanye amayeza owasebenzisayo (umz. amayeza okudambisa iintlungu) kwaye uthathe amanyathelo okuwatshintsha ukuba kuyimfuneko, kwaye uyeke ukutshaya ukuba uyatshaya.

Ngaba esi sifo siya kunyangwa ngokupheleleyo?

Ayiyi kuphela ngokupheleleyo. Nangona kunjalo, ingalawulwa kakuhle kwaye ungaphila ubomi obuqhelekileyo ngaphandle kweempawu. Eli xesha lingenazo iimpawu libizwa ngokuba yi-remission . Eli xesha linokuhlala iinyanga, kwaneminyaka. Nangona kunjalo, ukuba utya ukutya okungafanelekanga, uphantsi koxinzelelo olukhulu, okanye ngenxa yezinye izizathu, iimpawu zakho zingaphinda zivele kwakhona (flare-up).

Eyona nto ibalulekileyo xa uphila nesi sifo kukumamela umzimba wakho. Unyango olungcono kukuchonga into ebangela iimpawu zakho.

Nangona iMicroscopic Colitis ingaziwa njengezinye izifo zamathumbu, oko akuthethi ukuba ayinakulawuleka. Xa ugqirha ekuxelela ukuba unesi sifo, kwelinye icala usenokuziva ulusizi, "Owu, kwenzeke ntoni kum?" Kodwa kwelinye icala, usenokuziva ukhululekile, "Ekugqibeleni ndiyazazi izizathu zengxaki endibe nayo iminyaka."

Ngomzamo omncinci, ukutya okunempilo, mhlawumbi namayeza, unokukwazi ukulawula le meko kwaye uhlale usempilweni. Vula kwaye unyaniseke kugqirha wakho malunga neempawu zakho kunye nendlela ezichaphazela ngayo ubomi bakho. Uya kukwazi ukukunceda ufumane isisombululo esifanelekileyo kuwe.