Ingabe unokuvuvukala kwekholoni? Ake sixoxe nge-colitis!

Ingabe uvame ukuba nobuhlungu esiswini, ukuqunjelwa, noma uhudo olunzima? Kungenzeka ukuthi uke waphawula ukuthi ngezinye izikhathi unezinto ezifana namafinyila noma ngisho negazi elincane esitulweni sakho. Nakuba ungase ucabange ukuthi lokhu kumane kuyizinkinga zesisu, kungaba izimpawu zesimo esibizwa ngokuthi i-colitis . Ngakho ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, akunjalo?

Kuyini i-colitis? Kalula nje...

Kalula nje, i-colitis ukuvuvukala kwekholoni yakho, ingxenye eyinhloko yamathumbu akho amakhulu. Cabanga ngakho, ikholoni yingxenye yokugcina yokudla esikudlayo ehamba emzimbeni wethu. Ngakho-ke, uma unokuvuvukala kwekholoni, okusho ukuvuvukala, ukubomvu, noma ubuhlungu, ingxenye yokugcina yalolo hambo lokudla iyaphazamiseka kancane. Yilapho uthola khona ubuhlungu besisu, isifo sohudo, futhi ngezinye izikhathi igazi esitulweni sakho. Ukuvuvukala empeleni kuyindlela umzimba wethu osabela ngayo ekulimaleni noma ekuthelelekeni emzimbeni wethu.

Ingabe i-colitis iyisifo esibi kakhulu?

Kunezinhlobo ezahlukene ze-colitis, futhi izimbangela zazo nazo zihlukile. Ezinye zazo, isibonelo, i-colitis eyenzeka uma unegciwane elibangelwa amagciwane njengokudla okunobuthi, iba ngcono ezinsukwini ezimbalwa, futhi kulula ukuyelapha. Kodwa-ke, kukhona ne-colitis engapheli , okusho ukuthi iyaqhubeka futhi kunzima ukuyiphulukisa. Lokhu sikubiza ngokuthi (Izifo Zamathumbu Ezivuvukalayo - IBD) . I-Colitis iba yingozi kakhulu uma ishiywa ingelashwa futhi iqhubeka. Uma lokho kwenzeka, ingabangela umonakalo omkhulu kumathumbu akho ngokuhamba kwesikhathi. Ingaba nomthelela omkhulu empilweni yakho yansuku zonke.

Ziyini izimpawu ze-colitis?

Lezi yizimpawu ezivame ukubonakala kubantu abaningi:

• Ubuhlungu besisu
• Isisu esivuvukele
• Uhudo oluphuthumayo (uhudo oluphuthumayo nolungalapheki)
• I-mucus noma igazi endle yakho
• Ukulahlekelwa yisifiso sokudla
• Ukwehlisa isisindo

Ezimweni eziphuthumayo, okulandelayo kungabonakala:

• Isicanucanu nokuhlanza
• Imfiva

Ezimweni ezingamahlalakhona, izimpawu ezilandelayo zingase zivele:

• Ukukhathala/ukukhathala okukhulu
• I-anemia (ukuntuleka kwegazi)
• Ukuphelelwa amanzi emzimbeni (ukugcinwa kwamanzi)
• Ukungamuncwa kokudla kanye nokungondleki kahle

Umuntu uthola kanjani i-colitis?

Kunezinhlobo eziningana ze-colitis, ngayinye inembangela ehlukile. Ake sibheke ukuthi ziyini.

1. Isifo Sokuvuvukala Kwesibindi Esithathelwanayo

Lokhu kubangelwa ukutheleleka ngegciwane, okubangelwa yizinambuzane, noma amagciwane. Isibonelo , amagciwane abizwa ngokuthi i-Salmonella kanye ne-E. coli yizona zimbangela eziyinhloko. Ngokuvamile kubangelwa ukudla ukudla noma amanzi angcolile, angcolile. Esikhathini esiningi, kuba okwesikhashana futhi kuyaphola ezinsukwini ezimbalwa. Kodwa-ke, ezinye izifo zidinga ama-antibiotic . Ake sithi ubusohambweni futhi uphethwe yisisu.

2. I-Pseudomembrane Colitis

Lolu hlobo lwe-colitis lubangelwa kakhulu yibhaktheriya ebizwa ngokuthi (C. diff) noma (Clostridioides difficile) . Okumangazayo ukuthi luvame ukuvela ngemva kokusebenzisa ama-antibiotic. Ama-bacteria (C. diff) avame ukuba khona emathunjini ethu, kodwa amanye ama-antibiotic abulala amanye ama-bacteria amahle asiza ukuwagcina elawulwa. Ama-bacteria (C. diff) abe esezalana ngokushesha futhi abangele lesi simo.

3. I-Allergic Colitis

Lokhu kuyiqiniso ikakhulukazi ezinganeni ezinceliswa ubisi lwebele . Lokhu kungenxa yokungabekezelelani nokudla. Ngokuvamile, lokhu kungezwani nokudla kubangelwa ubisi lwenkomo (olubizwa ngokuthi ukungabekezelelani ne-lactose ) noma ubisi lwe-soy (olubizwa ngokuthi ukungezwani no-soy). Amanye amaprotheni ekudleni okudliwa omama abancelisayo adlulela enganeni ngobisi lwebele, okubangela lesi simo.

4. I-Ischemic Colitis

Lokhu kungumphumela wesimo esibizwa ngokuthi i-intestinal ischemic syndrome . Lokhu kwenzeka lapho amathumbu akho engatholi igazi elanele. Lokhu ku-ischemia , noma ukuncipha kokunikezwa kwegazi, kubangelwa ukuvaleka kwemithambo yegazi yakho. Isibonelo, kungabangelwa ukuqhekeka kwegazi , i-aneurysm (ukuvuvukala komthambo wegazi), noma i-atherosclerosis (ukunqwabelana kwe-fatty plaque ezindongeni zemithambo yegazi yakho, okwenza ibe mncane/iqine).

5. Izifo Zamathumbu Ezivuvukalayo (IBD)

Leli yiqembu lezifo ezibangela ukuvuvukala okungapheli kwekholoni lakho. Lihlanganisa izimo ezifana ne -ulcerative colitis , i-microscopic colitis, kanye nesifo sikaCrohn . Kunzima ukukhomba imbangela eyodwa. Odokotela bakholelwa ukuthi lezi yizifo ezizimele . Lokho kusho ukuthi amasosha omzimba wakho ahlasela ngephutha izicubu zomzimba wakho. Lezi zifo kucatshangwa ukuthi zinezici zofuzo kanye nezemvelo .

6. I-Radiation Colitis

Ukwelashwa ngemisebe kwezinhlobo ezithile zomdlavuzaLokhu kungenzeka njengomphumela ongemuhle. Isikhathi esiningi lokhu kungokwesikhashana, kodwa abanye abantu bangase babe nezimpawu eziqhubekayo.

7. I-Diversion Colitis

Lona umphumela ongemuhle ongenzeka kubantu abaye bahlinzwa nge-colostomy (inqubo yokuhlinzwa lapho kukhishwa khona ingxenye yamathumbu amakhulu bese kwenziwa isikhwama sokubamba indle). Kwenzeka engxenyeni yamathumbu amakhulu engasasetshenziswa. Odokotela bacabanga ukuthi ngenxa yokuthi indle ayidluli kuleyo ngxenye, ayitholi ezinye zezakhamzimba ezidingekayo ukugcina izicubu ziphilile. Kodwa-ke, lokhu kubangela izimpawu kuphela enanini elincane kakhulu labantu.

Yiziphi izinkinga ezingaba khona ngenxa ye-colitis?

Izinkinga zivame ukuvela ngenxa yesifo sofuba esibi, esihlala isikhathi eside, esingamahlalakhona. Ezinye zazo yilezi:

• Ukubhoboka: Izindonga zekholoni yakho ziba buthaka ngenxa yokuvuvukala okuqhubekayo, okwenza kube lula ukuthi ziqhume. Isilonda kukholoni yakho singaqhuma ngokuphelele. Uma lokhu kwenzeka, amabhaktheriya avela kukholoni yakho angangena emgodini wesisu sakho futhi abangele ukutheleleka ( i-peritonitis ). Akukhona lokho kuphela, kodwa amabhaktheriya angangena nasegazini lakho futhi abangele ubuthi egazini ( i-septicemia ). Lokhu kuyingozi kakhulu, njengoba i-septicemia ingaholela esimweni esisongela ukuphila esibizwa ngokuthi i-sepsis .
• I-Megacolon Enobuthi: Ukuvuvukala okukhulu kungabangela ukuthi izindonga zamathumbu amakhulu zivuleke, kuphazamise ukufinyela kwemisipha okuvamile (i-peristalsis, ukunyakaza okuvamile okusunduza ukudla emathunjini). Lokhu kungabangela ukuthi ukudla nomoya kubhajwe emathunjini amakhulu, kubangele ukuvaleka kwamathumbu amakhulu . Lokhu kungabangela ukuvuleka okukhulu kwesisu nobuhlungu, futhi kungandisa ingozi yokubhoboka kwamathumbu.
• Ingozi ekhulayo yomdlavuza wamathumbu amakhulu: Ukuvuvukala kwesikhathi eside kubangela izinguquko zamangqamuzana odongeni lwamathumbu amakhulu, ngezinye izikhathi ezingaphenduka amangqamuzana omdlavuza. Le ngozi ikhula ngokushesha ngemva kweminyaka eyishumi yokuqala yesifo sofuba esingamahlalakhona.
• Ingozi eyengeziwe yezinye izifo zokuvuvukala: Abantu abanesifo samathumbu esivuvukalayo (i-IBD) banamathuba amaningi okuthola izifo zokuvuvukala kwezinye izingxenye zomzimba. Isibonelo, i-osteoarthritis (ukuvuvukala kwamalunga) kanye ne-primary sclerosing cholangitis (ukuvuvukala kwesibindi kanye ne-bile ducts). Kubonakala sengathi ukuvuvukala okungalawulwa endaweni eyodwa kungabangela izinkinga ezifanayo kwezinye izindawo.

I-colitis itholakala kanjani?

Udokotela wakho uzoqala akubuze ngezimpawu zakho, ukuthi zaqala nini, ukuthi udleni futhi uphuze ini ngaleso sikhathi, kanye nanoma yimiphi imithi oyiphuzayo njengamanje kanye nanoma yiziphi izimo zezokwelapha zakamuva oselashwe ngazo. Uzobe esekwenza ukuhlolwa ngokomzimba bese e-oda ukuhlolwa. Lokhu kungafaka ukuhlolwa kwegazi, ukuhlolwa kwendle , kanye nokuhlolwa kwezithombe (njengokuskena) ukuze kubhekwe ikholoni lakho.

Ikakhulukazi, ukuhlolwa kwe-endoscopic (isb., i-colonoscopy , i-sigmoidoscopy eguquguqukayo ) okusebenzisa ikhamera ukubheka ngaphakathi kwe-colon kungasiza kakhulu ekunqumeni ukuthi hlobo luni lwe-colitis onayo. Phakathi nalezi zivivinyo, odokotela bangathatha isampula encane yezicubu ngaphakathi kwe-colon. Lokhu kubizwa ngokuthi i-biopsy . Lawa masampula ezicubu angahlolwa elabhorethri ukuze kufundwe ulwazi oluningi olubalulekile.

Iphathwa kanjani i-colitis?

Ukwelashwa kwe-colitis kuncike ohlotsheni kanye nembangela. Lokhu kungafaka:

• Imithi: Udokotela wakho angase akunikeze imithi efana nama-antibiotic ukwelapha izifo, ama-corticosteroids ukunciphisa ukuvuvukala, ama-immune modifiers ukucindezela impendulo yakho yokuzivikela komzimba, kanye nama-aminosalicylates ukwelapha i-IBD.
• Ukudla: Uma unesifo sofuba sesikhashana, esingazelelwe, ukudla okune-fiber encane , okulula ukugayeka kungase kufaneleke. Uma unesifo sofuba esingamahlalakhona, uzodinga uhlelo lokudla oluhlelwe ngokwezifiso. Kungase kudingeke ukuthi uqede ukudla okwandisa isifo sofuba sakho bese wengeza okunye ukudla noma izithasiselo ukuqinisekisa ukuthi uthola izakhamzimba ozidingayo.
• Ukuhlinzwa: Abantu abanezinhlobo ezithile ze-colitis, njenge -necrotizing enterocolitis , i-ischemic colitis, kanye nesifo samathumbu esivuvukalayo (IBD), bangadinga ukuhlinzwa ukuze kwelashwe izinkinga. Ukuhlinzwa akuziqedi ngokuphelele lezi zimo, kodwa kungadingeka ukuvimba ukopha, ukulungisa imbobo, noma ukususa ukuvaleka.

Ingabe i-colitis iba ngcono?

I-colitis ebukhali ebangelwa ukutheleleka kwesikhashana, ukungabekezelelani nokudla, noma ukuchayeka emisebeni ngokuvamile iyaziphelela ngokwayo. Ezinye izifo, ikakhulukazi izifo ezibangelwa amagciwane, zingadinga ukwelashwa. Iningi lezifo liyaziphelela zingakapheli isonto, kodwa i-colitis ebangelwa amagciwane ingathatha izinyanga eziningana ukuze iphele. I-colitis yokungezwani komzimba iyaphela lapho ingane yakho ingenayo nhlobo i-allergen.

I-Colitis eyenzeka njengempendulo ephuthumayo esimweni esingamahlalakhona idinga ukwelashwa. I-Ischemic colitis ebangelwa yi-intestinal ischemic syndrome ingelashwa kuphela ngokubuyisela ukuhlinzekwa kwegazi ku-colon. I-Diversion colitis kubantu abaye bahlinzwa i-colostomy ingelashwa kuphela ngokususa i-colostomy nokubuyisela ukusetshenziswa okugcwele kwe-colon (lokhu kubizwa ngokuthi ukuhlinzwa kwe-anastomosis - okungukuthi, ukuxhumanisa izingxenye ze-colon). Abanye abantu bangase bangakwazi ukwenza lezi zixazululo.

I-colitis engapheli ebangelwa yisifo samathumbu esivuvukalayo (i-IBD) yisimo esihlala isikhathi eside. Ayipheli ngokuphelele, kodwa ungase ungabi nazimpawu isikhashana. Lokhu kubizwa ngokuthi i-remission . Ukugxila kokwelashwa kwe-IBD ukunciphisa izimpawu zakho nokwandisa lokhu kukhululwa ngangokunokwenzeka. Lokhu kunjalo uma i-colitis yakho ibangelwa esinye isifo esingelapheki. Kwezinye izimo, ukuhlinzwa kungasetshenziswa ukuyelapha.

Uhlobo luni lokudla olusizayo uma uphila ne-colitis?

Udokotela wakho angase asikisele okunye noma ngaphezulu kwalokhu kudla, kuye ngohlobo lwe-colitis onayo:

• Ukudla okunezinsalela ezincane: Lolu hlobo lokudla kulula ukulugaya, ikakhulukazi uma izimpawu zakho ziba zimbi ngokuzumayo noma zinzima. Lunciphisa i-fiber namafutha futhi lugxile ekudleni okuthambile nokuphekiwe kahle. Uma unesifo sesikhashana noma i-radiation colitis, udokotela wakho angase asikisele ukudla okunezinsalela ezincane .
• Ukudla okulwa nokuvuvukala: Ukuze ugcine ukuvuvukala okungapheli kusezingeni eliphansi, udokotela wakho angase akuncome ukuthi ugweme ukudla okwandisa ukuvuvukala, ikakhulukazi ukudla okusheshayo nokucutshungulwe okunoshukela namafutha amaningi. Esikhundleni salokho, ungase welulekwe ukuthi udle amafutha anempilo amaningi, angagcwali (isib. amafutha omnqumo , ama-avokhado , amantongomane , inhlanzi enamafutha ) anciphisa ukuvuvukala. Ukudla kwaseMedithera kuyindlela yokudla enciphisa ukuvuvukala ngokwemvelo.
• Ukudla Kokuqeda Ukugula: Uma unesifo Sokuvuvukala Kwamathumbu (IBD), udokotela wakho uvame ukusikisela ukudla kokuqeda ukugula ukuze abone ukudla okubangela izimpawu zakho. Ngale ndlela, uyeka ukudla ukudla okuthile ngokuphelele isikhashana, bese ukuphinda ukubuyisele kancane kancane ukuze ubone ukuthi amathumbu akho asabela kanjani. Ngemva kwalokhu kudla kokuqeda ukugula okwesikhashana, ungasebenzisa lokho okufundile ukudala ukudla kokulondoloza isikhathi eside okukusebenzelayo.

Okubalulekile:Nakuba imbangela eqondile ye-colitis engapheli ingaziwa, lesi simo siya ngokuya sivame emazweni aseNtshonalanga. Nakuba singazi kahle ukuthi kungani, odokotela basola ukuthi ukudla kwaseNtshonalanga kwesimanje kungase kuhileleke. Lokhu kudla, okunokudla okucutshungulwe kakhulu namafutha agcwele, okwandisa ukuvuvukala, kungase kube nomthelela ekuvuvukeni okungapheli, okuphansi emathunjini. Ukwengeza ukudla okuphelele namafutha agcwele ekudleni kwakho, okunciphisa ukuvuvukala, kungasiza ekuvikeleni amathumbu akho.

Into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

I-Colitis akuyona into okufanele uyesabe, kodwa kubalulekile ukuyiqaphela. Uma unezimpawu ezifana nobuhlungu besisu obuqhubekayo, uhudo, noma igazi esitulweni sakho, kufanele nakanjani ufune iseluleko sezokwelapha . Ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele kungasiza ekuvimbeleni izinkinga eziningi ze-colitis. Futhi, ukugcina ukudla okunempilo nokulinganiselayo kungasiza kakhulu ekuzivikeleni kulezi zimo. Awuwedwa, futhi baningi abantu ongakhuluma nabo futhi uthole usizo kubo.

I- Colitis, ukuvuvukala kwamathumbu amakhulu, isifo sohudo, ubuhlungu besisu, i-IBD, uhlelo lokugaya ukudla, impilo