Ngaba nawe usoloko ushukuma amathumbu? Masifunde ngale colitis ingabonakaliyo!

Ngaba ngamanye amaxesha ukhe ube nesisu esimanzi esihlala iintsuku ezininzi? Kunye noko, uziva ungonwabanga kwaye uneentlungu esiswini sakho, akunjalo? Le yimeko esingathethi kakhulu ngayo, kodwa inokuchaphazela abantu abaninzi. Yiyo loo nto i-microscopic colitis. Namhlanje, siza kuthetha ngayo ngokweenkcukacha nangokulula.

Yintoni iMicroscopic Colitis?

Ngamafutshane, i-microscopic colitis kukudumba okungapheliyo (okuthatha ixesha elide) kwengqiniba yamathumbu akho amakhulu (ekwaziwa ngokuba yi-colon yakho). Igama elithi "colitis" lithetha ukudumba kwamathumbu amakhulu. Libizwa ngokuba yi-"microscopic" kuba ukudumba akubonakali ngeliso lenyama. Kunokubonwa ngokucacileyo kuphela nge-microscope.

Olu lukwaluhlobo lwesifo samathumbu esibangelwa kukudumba (i-IBD). Kodwa lwahlukile kancinci kwezinye iintlobo ze-IBD. Iiseli zamathumbu akho zihlala zivutha . Uphawu oluphambili lurhudo oluhlala lukho rhoqo. Njengezinye izifo ezingapheliyo, lunokuza luhambe, luze luhambe, luze lubuye. Oko kukuthi, izinto ezithile (esizibiza ngokuba "zii-"triggers") zinokwenza isifo sibe sibi ngakumbi, ngamanye amaxesha siphele sodwa, size sibuye emva kwexesha elithile. Nangona inokuba yimeko yobomi bonke, idla ngokulawulwa kakuhle ngonyango .

Ngubani onokuthi afumane oku?

Le meko inokukhula nakubani na, kodwa abanye abantu banokuba nayo.

• Oku kubonakala kakhulu kubantu abadala .
• Kukwafunyaniswe ukuba abafazi bayikhula kancinci kunamadoda.
• Lo mngcipheko uphezulu nakubantu abatshayayo .
• Inokwenzeka nakubantu abanezifo ezithile zokuzikhusela komzimba, ingakumbi isifo se-celiac (i-gluten allergy).

I-microscopic colitis yayisoloko icingelwa ukuba ayixhaphakanga kangako kunezinye izifo zamathumbu ezivuvukalayo. Nangona kunjalo, ekubeni kufuneka i-biopsy yekholoni ukuze ixilongwe ngokuchanekileyo, ngoku kukholelwa ukuba abantu abaninzi banokuba nale meko kunokuba besicinga .

Ingaba esi sisifo esiyingozi?

Hayi, xa kuthelekiswa nezinye iintlobo ze-IBD ezinzima, i-microscopic colitis ayithathwa njengesifo esibi nesisongela ubomi. Nangona kunjalo, urhudo oluhlala luhleli lunokubangela ukuphelelwa ngamanzi emzimbeni, ukwehla kobunzima, kwaye mhlawumbi nokungondleki kakuhle. Nangona kunjalo, aluqhelekanga ukuba lube nzima kangako.

Le yimeko efika idlule kwaye inokulawulwa ngamayeza, ngoko ke akukho mfuneko yokoyika. Nangona kunjalo, ukuhlala unengxaki yesisu emva kokutya ngakunye kunokuba nefuthe kumgangatho wobomi bakho . Ke ngoko, kubalulekile ukuqaphela oku.

Ziziphi iintlobo eziphambili ze-microscopic colitis?

Oogqirha banokuqinisekisa esi sifo kuphela ngokujonga isampuli yezicubu ezivela kulwelo lwamathumbu akho (i-intestinal mucosa) phantsi kwe-microscope. Banokuchonga iimpawu ezithile zezo seli. Ezi mpawu zisetyenziselwa ukuchonga iintlobo ezahlukeneyo zesifo. Okwangoku kukho iintlobo ezimbini eziphambili ezichongiweyo. Ezinye ezininzi nazo ziyaxoxwa ngazo.

• I-Collagenous colitis: Izicubu ezidityanisiweyo ezingaphakathi kwekholoni yakho zenziwe yi-collagen kunye ne-elastin. Kolu hlobo, iibhanti ze-collagen ezikwindawo yekholoni yakho ziba nkulu ngendlela engaqhelekanga. Oku kufana nendlela i-collagen kunye ne-elastin ezidumba ngayo kwezinye izifo zezicubu ezidityanisiweyo, ezifana ne-rheumatoid arthritis. Ezi meko zokuzikhusela komzimba zikwabonakala nakubantu abane-microscopic colitis.

• I-Lymphocytic colitis: Kolu hlobo, kukho ukwanda okungaqhelekanga kwenani lee-lymphocytes, uhlobo lweseli kulwelo lwekholoni (i-epithelium). Ii-lymphocytes luhlobo lweeseli ezimhlophe zegazi. Ziyinxalenye yenkqubo yethu yokuzikhusela komzimba kwaye zisikhusela kwiintsholongwane. Kuqhelekile ukuba inani leeseli ezimhlophe zegazi linyuke xa kukho ukudumba okunxulumene nenkqubo yokuzikhusela komzimba.

Eyona nto ingcono kukuba iimpawu zazo zombini ezi ntlobo ziyafana. Kwaye unyango luyafana. Umahluko kuphela kukuba xa uzijonga phantsi kwe-microscope. Ezinye izazinzulu zicinga ukuba ezi ziimeko ezimbini zesimo esifanayo. Ngamanye amaxesha, unokubona neempawu zazo zombini ezi ntlobo kumntu omnye. Oku kubizwa ngokuba yi-"incomplete microscopic colitis."

Ukongeza, abanye abantu bacinga ukuba imeko ebizwa ngokuba yi-mastocytic enterocolitis nayo kufuneka ithathwe njengohlobo lwe-microscopic colitis. Ineempawu ezininzi ezifanayo. Nangona kunjalo, "i-enterocolitis" ithetha ukuba ayichaphazeli kuphela amathumbu amakhulu, kodwa namathumbu amancinci. "I-Mastocytic" ithetha ukuba kukho ukwanda okungaqhelekanga kolunye uhlobo lweseli yomzimba olubizwa ngokuba zii-mast cells kulwelo lwamathumbu.

Zithini iimpawu zoku?

Uphawu oluphambili nolubalaseleyo lwe-microscopic colitis kukuhamba kwamathumbu okungapheliyo, okumanzi.Ngokwesiqhelo, ungenza iintshukumo zamathumbu ezintlanu ukuya kwezilishumi ngosuku. Abanye abantu banokuba ne-colitis engaphezulu okanye ngaphantsi koku. Kunqabile kakhulu ukuba kubekho i-microscopic colitis eyenzeka ngaphandle kweentshukumo zamathumbu okanye ngokuqhinwa. Kwiimeko ezinjalo, ifunyanwa ngengozi xa ufuna enye into.

Ukongeza kwiimpawu eziphambili, kukho iziphumo ebezingalindelekanga ezininzi eziqhelekileyo ezinokubonwa:

• Intlungu yesisu kunye nokuqaqamba.
• Ukudumba kwesisu kunye nokudumba.
• Isidingo esingxamisekileyo sokuya kwigumbi lokuhlambela kunye nobunzima bokugcina isitulo ngomqolo.
• Ukuva izandi zamathumbu (njengokugquma kwesisu).
• Abanye abantu banobunzima bokutya ukutya okunegluten (njengesonka kunye neenoodles).
• Ukuziva udiniwe ngalo lonke ixesha (Ukudinwa).

Ukuba imeko inzima kakhulu, iimpawu ezifana nezi:

• Ukuphelelwa ngamanzi emzimbeni.
• Isicaphucaphu nokuhlanza.
• Ukuhla ukusinda.

Ukongeza koku, abanye abantu bakhankanya ezinye iimpawu:

• Ukuqaqamba kwemisipha okanye iintlungu zemisipha.
• Intlungu kunye nokuqina kwamalungu.
• Intloko ebuhlungu okanye iintloko ezibuhlungu.
• Izilonda zomlomo.
• Iimpundu zesikhumba.
• Isitshiso sentliziyo, i-acid reflux.
• Ii-lymph nodes ezivuvukileyo.
• Iingxaki ze-thyroid.
• Iingxaki zenkqubo yemithambo-luvo (umz., ubunzima bokuhamba - `(ataxia)`).

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, akuthethi ukuba unesifo se-microscopic colitis. Nangona kunjalo, kungcono ukufuna ingcebiso kagqirha, ingakumbi ukuba unesifo sorhudo esingapheliyo.

Zithini izizathu zoku?

Izazinzulu azikafumani sizathu esicacileyo soku, kodwa zicinga ukuba zininzi izinto ezinokubangela oku:

• Ukuchanabeka kwiibhaktheriya ezithile, iityhefu zebhaktheriya, kunye neentsholongwane.
• Impendulo yokuzikhusela komzimba yimpendulo eyenzeka ngenxa yempazamo kwinkqubo yomzimba yethu yokuzikhusela. Oko kukuthi, inkqubo yomzimba yokuzikhusela isebenza ngokuchasene neeseli zethu.
• Imfuza. Oko kuthetha ukuba inokuba yinto evela kwizizukulwana ngezizukulwana.

Olunye uphando lubonisa ukuba amanye amayeza esiwasebenzisayo nawo anokuba negalelo kule ngxaki. Umzekelo:

• Amayeza angengowe-steroidal alwa nokuvuvukala (ii-NSAID) - umzekelo, amayeza okudambisa iintlungu afana ne-ibuprofen kunye ne-diclofenac.
• Izithinteli zeProton pump (PPIs) - amayeza afana ne-Omeprazole, asetyenziselwa ukunyanga isifo segastritis.
• Ii-Selective serotonin reuptake inhibitors (SSRIs) - amayeza asetyenziselwa ukunyanga izifo zengqondo ezifana nokudakumba.
• Unyango lokutshintshwa kwamahomoni (HRT).
• Ii-Beta blockers - amanye amayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu.
• IiStatins - Amayeza okunciphisa i-cholesterol.

Akuyena wonke umntu othatha la mayeza oza kuba nale meko. Nangona kunjalo, kucingelwa ukuba ezi zisenokuba zezinye zezizathu. Ukuba uthatha la mayeza, ungayeki ukuwathatha ngaphandle kokuthetha nogqirha wakho.

Indlela yokuxilonga ngokuchanekileyo esi sifo? (Ukuxilongwa)

I-Microscopic colitis idla ngokuchongwa yingcali ye-gastroenterologist. Uza kuqala akubuze ngembali yakho yezonyango kunye namayeza owasebenzisayo ngoku. Emva koko, banokwenza uvavanyo olwahlukeneyo ukuze babone ukuba kukho ezinye izinto ezinokubangela imeko yakho.

• Uvavanyo lwegazi
• Uvavanyo lwesitulo
• Mhlawumbi uvavanyo lokufota

Ukuba ezi mvavanyo azifumani sizathu sicacileyo, ugqirha uya kucebisa ukuba kwenziwe i-colonoscopy kunye ne-biopsy . Le yindlela ephambili yokuqinisekisa i-microscopic colitis.

Ngexesha le-colonoscopy, ugqirha wakho uza kufaka isixhobo eside nesiguquguqukayo (esibizwa ngokuba yi-colonoscope) nge-rectum yakho nakwi-large intestine yakho. Uza kulaliswa ngeli xesha lenkqubo, ukuze ungaziva ntlungu. Isixhobo esincinci siza kufakwa ngesixhobo kwaye iqhekeza elincinci lezicubu (i-biopsy) liza kuthathwa kwi-lapse ye-colon yakho lize lihlolwe phantsi kwe-microscope. Le yindlela ekuphela kwayo yokwazi ukuba une-microscopic colitis.

Iphathwa njani?

Unyango lunokwahluka ngokuxhomekeke kwiimpawu zakho kunye nobunzima bazo. Abanye abantu banokufuna ukwenza utshintsho oluncinci kwindlela abatya ngayo kunye nendlela abaphila ngayo. Abanye banokufuna amayeza athengiswa ngaphandle kwemvume kagqirha (OTC) okanye amayeza abhalwe ngugqirha.

Khawucinge nje, kwabanye abantu, iimpawu zivele ngequbuliso zize ziphele zodwa. Kwabanye, ukulawula ukutya kwabo kunokubanceda kakhulu. Kwabanye, banokufuna kuphela ukuthatha amayeza ngexesha lokuqhuma kwesifo, okanye banokufuna ukuwathatha rhoqo.

Amanye amayeza asetyenziswa rhoqo:

• Amayeza aqinisa indle aze anciphise ukuphindaphindeka kokuhamba kwamathumbu (`Iiarhente ezikhupha isisu`): Umzekelo, izinto ezifana ne-Isabgol `(psyllium).`
• Amayeza okulwa norhudo: Amayeza anciphisa isantya sokuxinana kwamathumbu kwaye alawule urhudo : Umzekelo, i-loperamide okanye i-diphenoxylate.
• I-Bismuth subsalicylate (njengePepto Bismol®): Yesifo sorhudo, isitshiso sentliziyo, isicaphucaphu, kunye nokungagaywa kakuhle kokutya.
• I-Budesonide:Olu luhlobo lwe-corticosteroid. Lufunxwa emzimbeni emathunjini amakhulu, apho lunciphisa ukudumba.
• I-Mesalamine: Eli liyeza le-ulcerative colitis, esinye isifo samathumbu esidumbayo. Kodwa likwasetyenziselwa ukunciphisa ukudumba kunye nentlungu.
• Ii-Bile acid sequestrants (umz., i-colesevelam, i-colestipol): Ezi zinikwa ukuba unengxaki apho umzimba wakho ungayifunxi kakuhle i-bile (i-bile acid malabsorption).

Ukuba la mayeza angasentla awancedi kangako, kwaye ugqirha wakho ecinga ukuba kungenxa yesizathu sokuzikhusela komzimba, ngoko ke amanye amayeza ajolise kwinkqubo yomzimba yokuzikhusela angacetyiswa:

• Izinto ezithintela amajoni omzimba.
• Izithinteli ze-TNF (umz. i-adalimumab, i-infliximab).
• I-Cromolyn sodium (ijolise kwiiseli zemast, ingakumbi kwi-mastocytic enterocolitis).
• Idosi ephantsi ye-naltrexone.

Ingcebiso eyongezelelweyo onokuyifumana kugqirha wakho:

• Ukuba okwangoku usebenzisa amanye amayeza, cinga ngokutshintsha idosi yawo okanye ukutshintsha amayeza.
• Ukuyeka ukutshaya ngokupheleleyo.
• Uzama ukufumanisa ukuba zeziphi ukutya onee-allergy kuzo kunye nokuba zeziphi ezibangela iimpawu zakho zibe zimbi ngakumbi.

Ngaba esi sifo siya kunyangwa ngokupheleleyo?

Hayi ngonaphakade. Kodwa, ungahlala ungenazo iimpawu ixesha elide . Oku sikubiza ngokuba "kukuxolelwa" kwesi sifo. Olu xolelo lunokuhlala iinyanga, kwaneminyaka. Kodwa, njengaso nasiphi na isifo esingapheliyo, lunokubuya ngenxa "yezinto ezibangela isifo". Ukuba uyazibona izinto ezibangela isifo sakho, unganciphisa ukuqhambuka kwaso.

Ihlala ixesha elingakanani i-flare-up?

Oku kuyahluka kumntu nomntu. Nangona kunjalo, ixesha eliqhelekileyo lokudumba lingathatha iintsuku ezimbalwa ukuya kwiiveki ezimbalwa. Abantu abaninzi baye bakwazi ukunciphisa ixesha kunye nobunzima bokudumba ngokuphepha ukutya kunye neekhemikhali ezibacaphukisayo, nangokuthatha amayeza xa kufuneka. Qiniseka ukuba uthetha nogqirha wakho ukuba iimpawu zakho ziya zisiba mandundu.

Ziziphi ukutya neziselo ezilungileyo kumntu one-microscopic colitis?

Akukho "kutya kwe-microscopic colitis" okuthe ngqo kwi-microscopic colitis. Nangona kunjalo, kunokunceda ukulawula iimpawu zakho ngokunciphisa ukutya okuzenza zibe mandundu nokongeza ukutya okuncinci okunciphisa ukudumba. Ukutya kwakho kuya kwahluka kuwe. Kuya kuthatha ukuziqhelanisa ukufumanisa ukuba yintoni ekusebenzelayo. Ugqirha wakho unokucebisa izinto ezifana nezi:

Ukususa ukutya okubangela ukuba umntu angabi na-allergies

Nazi ezinye zokutya eziye zachongwa njengezinokunyusa iimpawu ze-microscopic colitis:

• Utywala.
• I-Caffeine (efumaneka kwikofu, iti, nakwezinye iziselo ezibandayo).
• I-gluten (iproteni efumaneka kwiinkozo ezifana nengqolowa, irhasi, kunye ne-rye - kwizinto ezifana nesonka, ipasta, kunye neekeyiki).
• Ubisi kunye neemveliso zobisi.
• Iswekile.
• Izithambisi zokwenziwa.

Ukutya okunamafutha aphantsi kunye nefayibha ephantsi

Ngexesha lokudumba kwesisu, abanye oogqirha bacebisa "ukutya okuthambileyo kwesisu." Oku kuquka ukutya ukutya okunamafutha aphantsi kunye nefayibha encinci. Oku kunciphisa umthwalo womsebenzi kwinkqubo yakho yokugaya ukutya. Nangona kunjalo, ezinye ukutya okukule ndlela yokutya zisenokungakukhathazi.

Ukutya kokususa ukutya

Enye indlela yokufumanisa ukuba zeziphi kanye kanye iintlobo zokutya onokuba ne-allergy kuzo kukuzizama ukutya okungenazo ezinye iintlobo zokutya. Umzekelo, ukutya okungena-FODMAP ininzi. Le yindlela yexesha elifutshane. Kule ndlela, ususa ngokupheleleyo amaqela athile okutya uze uwaqalise kwakhona kancinci kancinci ukuze ubone ukuba zeziphi onokuba ne-allergy kuzo. Kubalulekile ukufuna ulwalathiso lwengcali yokutya ebhalisiweyo xa usenza oku.

Ukutya okulwa nokuvuvukala

Ukutya okuthile, okufana nokutya okunamafutha amaninzi angenamafutha, kufunyenwe kunciphisa ukudumba emzimbeni. Ukutya kweMeditera ngumzekelo omhle wokutya okuchasene nokudumba. I-Turmeric ikwayongezo elungileyo ekutyeni kwakho, njengoko ineempawu zokulwa nokudumba.

Ngaba iiprobiotics zilungile koku?

Iiprobiotics zazinconywa ngaphambili njengonyango lwe-microscopic colitis. Nangona kunjalo, izikhokelo zangoku azizikhuthazi kuba kufuneka uphando olongezelelekileyo. Ke ngoko, musa ukuthatha iiprobiotics ngaphandle kwengcebiso kagqirha wakho.

I-Microscopic colitis yimeko engaqondakali kakuhle. Kwezinye izifo zamathumbu ezivuthayo, yeyona ingaziwayo kangako. Nangona kunjalo, izazinzulu ngoku zicinga ukuba isenokuba ixhaphake njengezinye. Akukho phando lucacileyo ngayo, kwaye okwangoku akukho mayeza ajoliswe kuyo. Ngethamsanqa, idla ngokulawulwa ngonyango lwangoku. Ngomzamo omncinci, ukufumana amayeza afanelekileyo kunye nokutya, unokulawula iimpawu zakho kakuhle xa zivela.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

• I-Microscopic Colitis yimeko elawulekayo , ngoko ke musa ukoyika.
• Ukuze kuchongwe ngokuchanekileyo oku, kufuneka i-colonoscopy kunye ne-biopsy.
• Sebenzisana nogqirha wakho ukuze ufumane unyango olukulungeleyo.
• Kubaluleke kakhulu ukuchonga ukutya, iziselo, kunye nezinye izinto ezikugulisayo (ezibangela ukugula).
• Ukuba uneempawu, musa ukuzifihla uze ubandezeleke, kodwa funa ingcebiso kagqirha. Awuwedwa!

I-Microscopic Colitis, Urhudo, Intlungu yesisu, Ukudumba kwamathumbu, I-Colitis, Ukunganyamezelani nokutya, I-Gastroenterology