Ingabe nawe uzwa ubuhlungu besisu njalo? Ingabe unegazi esitulweni sakho? Ingabe kungaba yi-Ulcerative Colitis? Ake sixoxe ngalokhu!

Ingabe uvame ukuzizwa ungakhululekile esiswini sakho, njengesisu esigcwele kanye nomuzwa wokushisa? Uma ngezinye izikhathi ukhipha igazi elincane ngendle yakho, kufanele ukhathazeke kancane ngakho. Lokhu kungaba uphawu lwesimo esibizwa ngokuthi `(Ulcerative Colitis - UC)`. Ungakhathazeki, sizoxoxa ngalokhu kalula, ngendlela ongayiqonda.

Kuyini `(Ulcerative Colitis - UC)`? Kalula nje...

Kalula nje, i-Ulcerative Colitis yisimo esihlala isikhathi eside esibangela ukuvuvukala kanye nezilonda emathunjini akho kanye nase-rectum. Siyingxenye yeqembu elikhulu lezifo ezibizwa ngokuthi i-Inflammatory Bowel Disease (IBD). Kungenzeka ukuthi uke wezwa ngesifo sikaCrohn, akunjalo? Naso siwela esigabeni esifanayo ne-IBD.

Uma une-UC, ungase ubhekane nezinto ezifana nendle enegazi, izinhlungu zesisu, kanye nokuchama njalo . Khumbula, kunezikhathi lapho lezi zimpawu ziba zimbi khona, esizibiza ngokuthi "ama-flare-ups." Bese kuba nezinye izikhathi lapho ungaba ungenazo nhlobo izimpawu, esizibiza ngokuthi "ukuxolelwa."

Ingabe kukhona izinhlobo ze-`(UC)`?

Yebo, kunezinhlobo eziningana ze-UC. Lezi zihlukaniswa ngokusekelwe ekutheni kukuphi ukuvuvukala nezilonda emathunjini akho . Ngokuvamile, kuqala engxenyeni yokugcina ye-rectum yakho, eseduze kakhulu ne-anus yakho. Ingaqala lapho futhi isakazeke emathunjini. Nazi izinhlobo:

• I-Ulcerative proctitis: Kulokhu, ukuvuvukala kusengxenyeni yokugcina ye-rectum yakho.
• (I-Proctosigmoiditis): Lapha, ukuvuvukala kusengxenyeni yokugcina yendunu (i-rectum) kanye nengxenye engezansi, enobunjwa buka-'S' yamathumbu amakhulu (i-sigmoid colon).
• (I-left-sided colitis): Njengoba igama lisho, lokhu kuthinta uhlangothi lwesobunxele lwekholoni.
• (I-Pancolitis): Kulesi simo, ukuvuvukala kanye nezilonda kungasakazeka kulo lonke ikholoni .

Lesi simo (UC) singaba sincane, silinganisele, noma sibe sibi kakhulu , kuye ngezimpawu zakho. Kukhona futhi uhlobo olubi kakhulu, kodwa olungavamile kakhulu, olubizwa ngokuthi "i-fulminant ulcerative colitis". Ngezinye izikhathi lungaba yingozi empilweni futhi ludinga ukunakekelwa kwezokwelapha okusheshayo.

Sivame kangakanani lesi simo esibizwa ngokuthi `(Ulcerative Colitis)`?

Uma kuhlanganiswa nesifo sikaCrohn, kulinganiselwa ukuthi cishe umuntu oyedwa kwabangu-250 eNyakatho Melika naseYurophu unesinye salezi zimo. E-United States kuphela, kulinganiselwa ukuthi abantu ababalelwa ku-900,000 bahlala ne-UC. Lesi simo sibonakala kakhulu naseSri Lanka.

Ziyini izimpawu ze-Ulcerative Colitis?

Izimpawu ze-UC zivame ukuba zimbi kakhulu ngokuhamba kwesikhathi.Yebo. Ekuqaleni, ungase uqaphele izimpawu ezincane nezincane njengalezi:

• Ukukhukhumala kwesisu: Lokhu kungenzeka noma kungenzeki ngegazi.
• Ukwanda kokuchama kaningi: Lokhu kungaba kane ngosuku noma ngaphansi.
• Ukufisa ukuya endlini yangasese: Isidingo esiphuthumayo okunzima ukusilawula.
• (Tenesmus): Leli igama elingajwayelekile, akunjalo? Kalula nje, umuzwa wokuthi kufanele uye endlini yangasese kodwa ungakwazi, umuzwa wokuthi ubhajwe esiswini sakho.
• Ubuhlungu obuncane besisu noma ukuqina.

Kamuva, njengoba isifo siqhubeka, izimpawu ezilinganiselwe noma ezinzima njengalezi zingase zivele:

• Ukuya endlini yangasese njalo, izikhathi ezingaphezu kwezine ngosuku.
• Igazi, uketshezi, noma ubomvu esitulweni. Lokhu ngokuqinisekile kuyisibonakaliso okufanele sikhathazeke ngaso.
• Ubuhlungu obukhulu besisu.
• Ukuzizwa ukhathele kakhulu (ukukhathala). Ukuzizwa ukhathele kakhulu ukuba ungenza noma yini.
• Ukwehla kwesisindo ngokuzumayo.
• Ukuzizwa unesicanucanu.
• Imfiva.

Eqinisweni, cishe ingxenye yabantu abane-UC banezimpawu ezincane ngesikhathi sokuqubuka kwamathumbu. Kodwa abanye bangase babe nomkhuhlane ovamile, uhudo olunegazi, isicanucanu, kanye nobuhlungu obukhulu esiswini.

Zikhona yini ezinye izimpawu ngaphandle kwekholoni?

Yebo, ungamangali, cishe abantu abangu-25% abane-UC bangaba nezimpawu ngaphandle kwekholoni, kwezinye izingxenye zomzimba . Lokhu kungenxa yokuthi ukuvuvukala kwekholoni ngezinye izikhathi kungasakazekela kwezinye izingxenye zomzimba, njengamathambo, amalunga, amehlo, isikhumba nesibindi.

• Ubuhlungu nokuvuvukala kwamalunga.
• Ukubomvu, ukuvuvukala, ukulunywa kwamehlo.
• Amaqhubu abuhlungu, izilonda, noma izilonda esikhumbeni.

Kungani lokhu `(Ulcerative Colitis)` kuvela? Iyini imbangela?

Imbangela eqondile yalesi simo ayaziwa okwamanje. Kodwa-ke, odokotela nabacwaningi bakholelwa ukuthi kuyisimo esiyinkimbinkimbi, esinezici eziningi eziyingozi ezihlanganayo . Iningi liyavuma ukuthi sihlobene nokusebenza kabi kwamasosha omzimba wethu.

Cabanga ngakho, umsebenzi oyinhloko wesimiso sethu sokuzivikela komzimba ukuvikela imizimba yethu kumagciwane nezinye izinto eziyingozi ezivela ngaphandle. Kodwa ngezinye izikhathi, lesi simiso sokuzivikela komzimba siqala ngephutha ukuhlasela izicubu zethu ezinempilo. Yilapho lolu hlobo lokuvuvukala kanye nomonakalo wezicubu kwenzeka khona. Ku-`(UC)`, lokhu kuhlasela kwenzeka olwelwesini lwangaphakathi lwekholoni.

Yiziphi izinto ezibangela ingozi? Ubani onamathuba amaningi okuba nayo?

Nakuba noma ubani engaba ne-Ulcerative Colitis, abanye abantu basengozini enkulu. Bheka ukuthi la maqiniso ayasebenza yini kuwe:

• Ubudala: Lesi sifo sivame ukutholakala kubantu abasha abaneminyaka ephakathi kwengu-15 nengu-30, noma kubantu asebekhulile ngemva kweminyaka engu-60 .
• Uhlanga kanye nobuzwe: Ezinye izifundo zibonise ukuthi abantu abamhlophe, ikakhulukazi amaJuda angama-Ashkenazi, basengozini enkulu. Kodwa-ke, kudingeka ucwaningo olwengeziwe ukuze kutholakale ukuthi lokhu kuthinta kangakanani izwe elifana neSri Lanka.
• Izakhi zofuzo: Lokhu nakho kuyisici esibalulekile. Uma othile emndenini wakho oseduze (okungukuthi, abazali, izingane zakini, izingane) enesifo i-UC noma i-Crohn's, kungenzeka kakhulu ukuthi ube nalesi simo. Cishe abantu abangu-20% abane-UC banelungu lomndeni elinalesi simo.
• I-gut microbiome: Uhlelo lwethu lokugaya ukudla, ikakhulukazi amathumbu amakhulu, luyikhaya lezigidi zamagciwane (amabhaktheriya, amagciwane, isikhunta). Leli qoqo libizwa ngokuthi "i-gut microbiome". Kufana nendawo encane ezungezile emathunjini ethu. Ucwaningo lukhombisile ukuthi kunomehluko omkhulu kule ndawo yamagciwane kubantu abane-"UC" uma kuqhathaniswa nabantu abangenayo leso simo. Nakuba imbangela eqondile ingakaziwa okwamanje, kucatshangwa ukuthi lokhu kunegalelo ekuthuthukisweni kwe-"UC".

Into eyodwa okufanele uyikhumbule ukuthi ukucindezeleka kwakho kanye nokudla kwakho akukubangeli ngqo i-UC yakho. Kodwa-ke, uma usunayo kakade i-UC, lezi zinto zingabangela izimpawu zakho zivele. Ngakho-ke, uma utholakale une-UC, into engcono kakhulu ongayenza ukuqaphela izimbangela zakho futhi uzigweme ngangokunokwenzeka.

Yiziphi ezinye izinkinga ezingase zivele ngenxa ye-Ulcerative Colitis?

Ukuba ne-Ulcerative Colitis kwandisa ingozi yakho yokuthola ezinye izinkinga zempilo eziningana. Lokhu kungadinga ukubhekwa okwengeziwe kwezokwelapha kanye nokwelashwa.

• I-anemia: Ukopha okuqhubekayo, okuhamba kancane, futhi ngezinye izikhathi okungazelelwe, okunamandla ngenxa yokulimala kwamathumbu kungaholela ekunciphiseni inani legazi emzimbeni, okuholela ekulahlekelweni kwegazi, ukwehla kwamangqamuzana egazi abomvu.
• Umdlavuza wamathumbu amakhulu: Abantu abane-UC, ikakhulukazi labo asebenalesi simo iminyaka eminingi, basengozini enkulu yokuthola umdlavuza wamathumbu amakhulu kunabanye. Ingozi yakho incike ekutheni ukuvuvukala kukuphi emathunjini akho amakhulu nokuthi usunesikhathi eside kangakanani une-UC. Kubalulekile ukukhuluma nodokotela wakho ngalokhu futhi uthole ukuhlolwa njalo.
• I-Osteoporosis: Ukuvuvukala ku-colon ngezinye izikhathi kungathinta amathambo namalunga, okubangela ubuthakathaka bamathambo, isimo esibizwa ngokuthi i-osteoporosis.
• I-cholangitis eyinhloko ye-sclerosing:Leli igama eliyinkimbinkimbi kancane. Kalula nje, uma ukuvuvukala emathunjini kusakazekela esibindini, kungabangela ukuvuvukala kanye nezibazi zemibhobho yenyongo esibindini. Lesi zicubu ezonakele zingaphazamisa ukusebenza kwesibindi.
• Izinkinga zokukhula nokukhula ezinganeni: Uma ingane encane ine-UC, umsebenzi wamathumbu amakhulu ungase ulinganiselwe, okunciphisa ikhono lomzimba lokumunca izakhamzimba ezibalulekile ekukhuleni nasekukhuleni. Ngesikhathi uthatha imithi ye-UC, kungadingeka ukuthi unike ingane yakho amavithamini ngaphezu kwezinye izithasiselo.

Izinkinga ezidinga ukwelashwa okuphuthumayo

Lezi zinkinga ziyingozi kancane, futhi uma kwenzeka into efana nale , kufanele ulaliswe esibhedlela ngokushesha futhi uthole ukwelashwa okuphuthumayo (ukwelashwa kwe-ER).

• Ukuphelelwa amanzi emzimbeni Okukhulu: Ukuhamba njalo kwamathumbu kungabangela ukuthi umzimba wakho ulahlekelwe uketshezi oluningi, okungaholela ekuphelelweni amanzi emzimbeni okukhulu. Uma lokhu kwenzeka, kungadingeka ukuthi unikezwe uketshezi lwe-IV esibhedlela.
• Ukubhoboka Kwamathumbu Amakhulu: Lesi yisimo esiyingozi kakhulu. Imbobo odongeni lwemathumbu amakhulu iyinkinga yezokwelapha futhi idinga ukuhlinzwa okusheshayo.
• Ukopha okukhulu: Uma kukhona ukopha okuningi okuvela enxebeni, kungadingeka ukumpontshelwa igazi.
• I-megacolon enobuthi: Lesi futhi yisimo esingavamile kodwa esingasongela impilo. Ukuvuvukala okukhulu kubangela ukuthi ikholoni iyeke ukusebenza ngokuphelele, okubangela ukuthi ikholoni ikhule (i-megacolon), okubangela ukuthi ubuthi bungene egazini.
• Amahlule egazi: I-UC yandisa ingozi yokwakheka kwamahlule egazi emithanjeni yegazi yomzimba ( imithambo yegazi , imithambo yegazi , kanye nama-capillaries). Kuye ngokuthi la mahlule ayenzeka kuphi, angaba yingozi empilweni.

Itholakala kanjani i-Ulcerative Colitis? Yiziphi izivivinyo ezenziwayo?

Uma usola ukuthi une-UC, udokotela wakho uzoqala akubuze ngezimpawu zakho, enze ukuhlolwa ngokomzimba, bese ebuza ukuthi kukhona yini emndenini wakho one-IBD. Ngemuva kwalokho, bangase bacele ukuhlolwa okuningana ukuze banqume ezinye izimo ezinezimpawu ezifanayo ne-UC nokuqinisekisa i-UC.

• Ukuhlolwa kwegazi: Kungathathwa isampula yegazi lakho ukuze kuhlolwe i-anemia. I-anemia ingasho ukuthi kukhona ukopha emathunjini noma emathunjini. Lokhu kuhlolwa kwegazi kungabheka nezinye izimbangela, njengokutheleleka.
• Amasampula endle: Isampula yendle yakho izohlolwa ukuze kubonakale ukuthi kukhona yini izimpawu zokutheleleka, izimuncagazi, noma ukuvuvukala.
• Ukuhlolwa kwezithombe: Izithombe zingathathwa ukuze kubhekwe ingaphakathi le-colon kanye ne-rectum.
• (I-enema ye-Barium)Luhlobo olukhethekile lwe-X-ray. Lungabona izinto ezifana nokuvuvukala emathunjini.
• I -CT scan (i-Computed Tomography scan) kanye ne -MRI (i-Magnetic Resonance Imaging) zingabonisa ngokusobala ukuvuvukala emathunjini, ikakhulukazi ezimweni eziphakathi nendawo nezinzima ze-UC.
• I-X-ray ejwayelekile ingahlola futhi izinkinga eziyingozi njenge-megacolon noma ukubhoboka kwekholoni.
• Ukuhlolwa kwe-Endoscopic: Lokhu ukuhlolwa okuyinhloko nokucacile kakhulu kokuxilonga i-UC. I-endoscope iyipayipi elincane, eliguquguqukayo elinekhamera encane ngakolunye uhlangothi. Leli payipi lifakwa nge-anus yakho futhi udokotela angabona ingaphakathi le-colon yakho. Bangathatha futhi ucezu oluncane lwezicubu (i-biopsy) ezindaweni ezisolisayo bese beluthumela elabhorethri ukuqinisekisa ukuxilongwa. Ukuhlolwa okuyinhloko kwe-endoscopic ukuxilonga i-UC yi -colonoscopy kanye ne -sigmoidoscopy .

Iphathwa kanjani i-Ulcerative Colitis?

Kunemigomo emibili eyinhloko yokwelapha i-UC. Eyokuqala ukunciphisa izimpawu zakho (ukuqubuka) nokukufaka esimweni sokuphumula. Enye inhloso ukugcina isimo sakho sokuphumula uma usuvele usesimweni sokuphumula. Lokhu kwenziwa ngokuyinhloko ngemithi futhi ngezinye izikhathi ngokuhlinzwa .

Imithi

Odokotela basebenzisa imithi ehlukahlukene (yodwa noma ehlanganisiwe) ukunciphisa ukuvuvukala nokuphulukisa amanxeba emathunjini. Uma ukuvuvukala nokuvuvukala kuncipha, izicubu ziba nethuba lokuphola. Lokhu kunciphisa nezimpawu zakho, futhi ubuhlungu bakho kanye nokuhamba kwamathumbu kuyalawulwa.

• (Ama-Aminosalicylates): I-Sulfasalazine (i-Azulfidine®) ivame ukunikezwa i-UC encane kuya kwephakathi. Kodwa-ke, uma une-allergy ku-sulfa, tshela udokotela wakho. Udokotela wakho angase akunikeze i-non-sulfa aminosalicylate, njenge-mesalamine (Canasa®, Delzicol®, Asacol® HD, Pentasa®, Lialda®, Apriso®).
• Ama-Corticosteroids: Uma une-UC enzima kakhulu, unganikwa i-corticosteroid, njenge-prednisone (Deltasone®) noma i-budesonide (Entocort® EC, Uceris®). Kodwa-ke, ngenxa yokuthi la ma-corticosteroids anemiphumela emibi ebalulekile, odokotela bawancoma isikhathi esifushane kuphela.
• Ama-immunosuppressants: Le mithi inikezwa ukulawula amasosha omzimba wakho ekubeni asebenze ngokweqile futhi ahlasele umzimba wakho, okungukuthi, ukuzola amasosha omzimba. `(6-mercaptopurine (Purixan®, Purinethol®))`, `(azathioprine (Azasan® kanye ne-Imuran®))` noma `(methotrexate (Trexall®))` yimithi enjalo.
• (Isayensi yezinto eziphilayo):Le mithi emisha kakhulu, futhi ephumelela kakhulu. Isetshenziselwa ukwelapha izimo eziphakathi kuya kwezinzima ze-UC. Le mithi isebenza ngokulawula umsebenzi wezingxenye ezithile zesimiso somzimba ezihilelekile ekuvuvukeni. Imithi yebhayoloji ihlanganisa i-infliximab (Remicade®), i-adalimumab (Humira®), i-golimumab (Simponi®), i-vedolizumab (Entyvio®), kanye ne-ustekinumab (Stelara®).
• (Izithibi zeJanus kinase (JAK) - izidakamizwa zama-molecule amancane): Izidakamizwa ezifana ne-`(Tofacitinib (Xeljanz®))` zisebenza ngokuvimbela isenzo se-enzyme ethile emzimbeni ebangela ukuvuvukala. `(Upadacitinib (RinvoQ®))` olunye uhlobo lwe-`(JAK inhibitor).`

Ukuhlinzwa

Uma izimpawu zingalawulwa naphezu kokwelashwa, noma uma i-UC ibangele izinkinga ezinkulu, ukuhlinzwa kungaba yindlela yokugcina. Cishe abantu abangu-30% abane-UC bazodinga ukuhlinzwa ngesikhathi esithile empilweni yabo. Futhi, cishe izingane ezingu-20% ezine-UC zingadinga ukuhlinzwa.

Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa kwe-UC. Zombili zihilela inqubo ebizwa ngokuthi i-proctocolectomy , ehilela ukususa yonke noma ingxenye yekholoni lakho kanye ne-rectum.

1. (I-Proctocolectomy kanye nesikhwama se-ileal): Lena inqubo yokuhlinzwa evame kakhulu futhi ekhethwayo ye-UC. Kule nqubo, udokotela ohlinzayo ususa ikholoni lakho kanye nengxenye yokugcina ye-rectum yakho, kodwa ashiye i-anus yakho. Bese, ingxenye yamathumbu akho amancane isetshenziselwa ukudala isikhwama esincane (isikhwama se-ileal) bese siyixhuma ku-rectum yakho. Ngemva kokululama kusukela ekuhlinzeni, leli thumba elincane lisebenza njenge-rectum entsha, okukuvumela ukuthi ube nokunyakaza okuvamile kwamathumbu.

2. (I-Proctocolectomy kanye ne-ileostomy): Ngezinye izikhathi, kungase kungenzeki ukudala "isikhwama se-ileal". Uma kunjalo, ithimba lakho lezokwelapha lingancoma i -ileostomy ehlala njalo (i-ileostomy) (ngaphandle kwesikhwama se-ileal). Kulokhu, udokotela ohlinzayo ususa lonke ikholoni lakho, ingxenye yokugcina ye-rectum yakho, kanye ne-anus yakho. Ngemuva kwalokho, kwenziwa imbobo encane esiswini sakho (esiswini) bese kufakwa isikhwama (i-ileal stoma) ngaphandle komzimba wakho ukuze kuqoqwe indle. Kuzodingeka ukhiphe lesi sikhwama njalo.

Ungakuvimbela kanjani ukuqubuka kwezimpawu ze-Ulcerative Colitis?

Uma une-UC, kubalulekile ukuzama ukunciphisa ukuqubuka kwesifo sakho. Indlela engcono kakhulu yokwenza lokhu ukuhlonza izimbangela zakho bese uzigwema ngangokunokwenzeka. Nanka amanye amathiphu angakusiza ugweme izimbangela ezivamile:

• Ukulawula ukucindezeleka:Ukucindezeleka kungaba yimbangela enkulu yokushaqeka kwe-UC. Ngakho-ke, lala kahle okungenani amahora angu-7 ebusuku, uvivinye umzimba njalo , futhi wenze izinto ezizolisa ingqondo yakho, njengokuzindla.
• Gwema ama-NSAID: Uma unomkhuhlane noma ubuhlungu bomzimba, thatha umuthi ofana ne-acetaminophen (Tylenol®). Imithi elwa nokuvuvukala engeyona eye-steroidal (NSAIDs) efana ne-ibuprofen (Motrin®, Advil®) ingenza izimpawu ze-UC zibe zimbi kakhulu.
• Gwema ukudla okwenza izimpawu zakho zibe zimbi kakhulu: Akuwona wonke umuntu othintwa ukudla okufanayo. Okwenza izimpawu zakho zibe zimbi kakhulu kuwe kungase kungafani nakomunye umuntu. Kodwa-ke, abantu abaningi abane-UC bathole ukuthi imikhiqizo yobisi nokudla okune-fiber ephezulu kubangela ukuqubuka. Khuluma nodokotela wakho noma isazi sokudla ukuze udale uhlelo lokudla olukusebenzelayo futhi olungakuncishi izakhamzimba umzimba wakho ozidingayo.

Kungumqondo omuhle ukugcina idayari encane yezinto ezenza izimpawu zakho zibe zimbi kakhulu, njengokudla nezimo. Uma wabelana ngayo nodokotela wakho, ninganquma ndawonye ukuthi yiziphi izindlela ezingcono kakhulu zokugwema lezo zinto nokuphatha isimo sakho.

Uma ngine-Ulcerative Colitis, yini okufanele ngiyilindele?

Lesi simo (UC) siyahlukahluka kakhulu kumuntu nomuntu. Abanye abantu bangase babe nokuqhuma okukodwa empilweni yabo futhi bangalokothi babe nokuqhuma okunye. Abanye bangase babe nezimpawu ezingamahlalakhona okunzima ukuzilawula.

Kodwa-ke, kubantu abaningi, izimpawu ziyafika zidlule. Okusho ukuthi, ziyashintshashintsha phakathi kwezikhathi zezimpawu ezikhulayo (ukuqubuka) kanye nezikhathi ezinde, ezingenazo izimpawu (ukuhoxiswa). Cishe kubantu abangu-30% abane-UC, izimpawu ziya ngokuya ziba zimbi ngokuhamba kwesikhathi, ziba ziningi, futhi ekugcineni zidinga ukuhlinzwa.

Iningi labantu liphatha i-UC yabo ngokugwema izinto ezibangela umdlavuza kanye nokuphuza imithi yabo njengoba kuyalelwe. Kufanele futhi ubone udokotela wakho njalo ukuze aqaphe impilo yakho. Isibonelo, udokotela wakho angase ancome ama-colonoscopy avamile ukuze ahlole umdlavuza wamathumbu amakhulu, kuye ngengozi yakho. Udokotela wakho uzokuchazela konke lokhu.

Ingabe i-Ulcerative Colitis iyoke yelapheke ngokuphelele?

Ukuphela "kokwelapha" kwalesi simo ukuhlinzwa ukuze kususwe ikholoni lakho kanye ne-rectum. Kodwa-ke, njengoba kushiwo ngaphambili, abantu abaningi bangaphatha lesi simo kahle ngemithi, futhi uma kudingeka, bahlinzwe, futhi baphile impilo evamile. Umgomo oyinhloko wokwelashwa kwe-UC ukufeza ukuphulukiswa nokuyigcina isikhathi eside ngangokunokwenzeka. Ithimba lakho lezokwelapha lizokusiza ngalokhu.

Kufanele ngishayele nini udokotela wami ucingo?

Uma une-`(UC)`, shayela udokotela wakho ngokushesha noma uye esibhedlela esiseduze uma uhlangabezana nanoma yiziphi zalezi zimpawu:

• Uma ukhipha indle ngokweqile, ngaphandle kokuma.
• Uma kukhona ukuphuma kwegazi endunu, noma uma kukhona amahlule egazi esitulweni.
• Uma uzwa ubuhlungu obukhulu njalo kanye nomkhuhlane omkhulu.

Izimpawu ezinjengalezi zibonisa ukuthi isimo sakho singase sibe sibi kakhulu, ngakho-ke kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Yini okufanele ngiyibuze udokotela wami?

Uma une-UC, ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo. Uma wazi okwengeziwe ngesimo sakho, kuzoba lula kuwe ukusiphatha. Nansi eminye imibuzo ongayibuza:

• Uhlobo lwe-UC enginalo luyithinta kanjani impilo yami yesikhathi esizayo (isibikezelo)?
• Iyini ingozi yami yokuthola ezinye izinkinga ezivela ku-UC?
• Yikuphi ukwelashwa ongincomayo?
• Yiziphi izingozi noma imiphumela emibi engingayilindela kulezi zindlela zokwelapha?
• Ngingayishintsha kanjani indlela yami yokuphila ukuze ngivimbele ukuqubuka kwemizwa? (Mayelana nezinto ezifana nokudla, ukuzivocavoca, ukulawula ukucindezeleka, njll.)
• Uma izimpawu ziba zimbi kakhulu, yini engingayenza ekhaya ukuze ngizilawule?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Ulcerative Colitis yisimo esihlala isikhathi eside, esiqeda amandla ngandlela thile. Kodwa-ke, ngokwelashwa okufanele kanye neseluleko, kanye nokwenza izinguquko ezidingekayo endleleni yakho yokuphila, ungasiphatha kahle lesi simo futhi uphile impilo enempilo.

Kubaluleke kakhulu ukusebenzisana eduze nethimba lakho lezokwelapha. Thatha imithi yakho njengoba uyalelwe udokotela wakho, futhi ngesikhathi. Ungayeki ukuthatha imithi yakho noma ngabe awunazo izimpawu, ngoba lokhu kungabangela ukuthi izimpawu zakho ziphinde zivele futhi futhi kwenze kube nzima ukulawula isimo sakho.

Qonda ingozi yakho yezinkinga nokuthi lokho kuzothinta kanjani uhlelo lwakho lokunakekelwa. Isibonelo, ungadinga ukuhlolwa kwegazi njalo noma ama-colonoscopy kunomuntu ongenawo i-UC. Khuluma nodokotela wakho ngezindlela ezinhle kakhulu zokugcina ukululama kwakho nokugcina impilo yakho iyonke. Awuwedwa, futhi kukhona odokotela, abahlengikazi, kanye nabathandekayo abangakusiza kulolu hambo.

I- Ulcerative Colitis, Izilonda Zamathumbu Amakhulu, Ubuhlungu Besisu, I-IBD, Isifo SikaCrohn, Uhudo, Igazi Esithweni Sokugaywa Kwendle, Uhlelo Lokugaya Ukudla