Ingabe uvame ukuba nobuhlungu besisu, ikakhulukazi ubuhlungu besisu esingezansi? Ingabe kufanele ugijimele endlini yangasese izikhathi eziningana ngosuku? Wake waphawula ukuthi ngezinye izikhathi kuba negazi elincane esitulweni sakho? Ingabe lezi zinto ziyaba ngcono ngemva kwezinsuku ezimbalwa, bese uqala futhi ngemva kwesikhashana? Ungakhohliswa ucabange ukuthi lokhu kumane kuyisifo sesisu esivamile. Kunethuba elikhulu lokuthi lokhu kuyi -Inflammatory Bowel Disease , noma i-IBD ngamafuphi. Ungesabi uma uzwa leli gama. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane oseduze.
Kalula nje, iyini i-IBD?
I-IBD ukuvuvukala okungapheli kohlelo lwakho lokugaya ukudla, noma umgudu wokugaya ukudla. Cabanga uma ubunesilonda sesikhumba esiphenduke saba bomvu, savuvukala, futhi saba buhlungu, akunjalo? Yilokho okwenzeka ngaphakathi kwamathumbu akho. Lokhu kuvuvukala kungalimaza amathumbu akho.
Okukhethekile ngalokhu ukuthi izimpawu azifani ngaso sonke isikhathi.
- Ukuvuvukala: Lesi yisikhathi lapho izimpawu ziba zimbi kakhulu. Ubuhlungu besisu kanye nesifo sohudo kungaba nzima kakhulu ngalesi sikhathi.
- Ukuxolelwa: Lesi yisikhathi lapho izimpawu sezinciphile noma sezinyamalele. Phakathi nalesi sikhathi, ungaphila impilo evamile ngaphandle kwezinkinga.
Into ebaluleke kakhulu ukuthi i-IBD iyisimo sokuphila konke. Okwamanje asikho ikhambi layo. Kodwa, ungesabi uma uzwa lokho. Uma uyiphatha kahle futhi usebenzisa imithi, ungasilawula lesi sifo futhi uphile impilo evamile.
Yiziphi izinhlobo ezimbili eziyinhloko ze-IBD?
Nakuba i-IBD ibizwa kanjalo, kunezinhlobo ezimbili eziyinhloko ngaphakathi kwayo. Kunomehluko omncane phakathi kwalezi ezimbili. Ake sibone ukuthi ziyini.
| Igama lesifo | Izindawo eziyinhloko zethonya | Kalula nje... |
|---|---|---|
| Isifo sikaCrohn | Kungavela noma kuphi ohlelweni lokugaya ukudla (kusukela emlonyeni kuya endunu), kodwa ngokuvamile kuthinta amathumbu amancane kanye nokuqala kwamathumbu amakhulu. | Ukuvuvukala kungangena shí odongeni lwamathumbu, kanti izindawo ezinezifo zingatholakala phakathi kwezindawo ezinempilo. |
| I-Ulcerative Colitis (UC) | Kukhawulelwe ku-colon kanye ne-rectum. | Kulesi simo, ukuvuvukala kwenzeka kuphela engxenyeni engaphakathi yamathumbu. Ukuvuvukala kuqala e-rectum futhi kusakazeke njalo kuwo wonke amathumbu amakhulu. |
Yiziphi izimpawu ezivamile ze-IBD?
Umuntu one-IBD angase abe nezimpawu eyodwa noma ngaphezulu. Kodwa khumbula, lezi zimpawu azibonakali ngendlela efanayo kuwo wonke umuntu. Abanye abantu bangase babe nezimpawu ezinzima kakhulu, kanti abanye bangase babe nezimpawu ezincane kakhulu.
- Ubuhlungu besisu: Ubuhlungu obuzwakala sengathi kukhona okusontayo esiswini.
- Uhudo Olungapheli: Ukuchitha indle ekhululekile, enamanzi izikhathi eziningana ngosuku.
- Igazi esitulweni: Igazi lingase livele njengemicu esitulweni noma lixubane negazi esitulweni.
- Ukwehlisa isisindo ngaphandle kwesizathu: Ngisho noma udla kahle, uyancipha isisindo.
- Ukukhathala: Ukuzizwa ukhathele kakhulu ukuba ungenza noma yini .
- Ukudla akunambitheki.
- Imfiva.
Kungani sithola i-IBD ngempela? Iyini imbangela?
Akukho imbangela eyodwa etholakele okwamanje, kodwa odokotela bakholelwa ukuthi ibangelwa yinhlanganisela yezici.
Kalula nje, isimiso somzimba sokuzivikela, esivikela imizimba yethu ezifweni, senza iphutha elincane . Sicabanga ukuthi amangqamuzana aphilile emathunjini ethu "ayizitha" bese siqala ukuwahlasela. Lokhu kuhlasela kubangela ukuvuvukala emathunjini.
Izinto ezilandelayo zingaba nomthelela kulolu hlobo lwephutha:
1. Ufuzo: Uma ilungu lomndeni eliseduze (umama, ubaba, umfowabo noma udadewabo) line-IBD, nawe usengozini encane yokuba nayo. Kodwa akusho ukuthi nakanjani uzoyithola.
2. Izici zemvelo: Izici ezithile zingakhuthaza lokhu kungasebenzi kahle kwesistimu yomzimba. Lokhu sikubiza ngokuthi "Izisusa" .
Izinto Ezivame Ukubangela
Lezi zinto azibangeli i-IBD, kodwa uma une-IBD, zingabangela izimpawu zibe zimbi kakhulu (ukuqubuka) .
- Ezinye izidakamizwa zokuqeda ubuhlungu: Ikakhulukazi ama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala). Isibonelo, izidakamizwa ezifana ne-Aspirin, i-Ibuprofen, ne-Diclofenac.
- Ezinye izinhlobo zama-antibiotic .
- Ukubhema: Isifo sikaCrohn singaba sibi kakhulu kubantu ababhemayo.
- Ukucindezeleka: Nakuba ukucindezeleka kungasibangeli lesi sifo, kungaba nomthelela omkhulu ezimpawu eziya ziba zimbi kakhulu.
Ingabe ukudla nokuphuza kuyandisa izimpawu ze-IBD?
Lona umbuzo abantu abaningi abawubuzayo. Ukudla akubanga i-IBD. Khumbula lokho.
Kodwa-ke, okunye ukudla neziphuzo kungenza izimpawu zakho zibe zimbi kakhulu. Lokhu akufani kuwo wonke umuntu, futhi kuyahlukahluka kuye ngomuntu nomuntu. Udinga ukwenza ucwaningo oluthile ukuze uthole ukuthi yikuphi ukudla okukukhathazayo. Nazi ezinye zokudla ezingenza izimpawu zakho zibe zimbi kakhulu:
- Ubisi nokudla kobisi
- Ukudla okunamafutha amaningi (ukudla okuthosiwe)
- Iziphuzo ezine-carbon (iziphuzo ezibandayo)
- Iziphuzo ezine-caffeine (ikhofi, itiye)
- Utshwala
- Eminye imifino nezithelo ezicebile ku-fiber (i-Fiber)
Kubalulekile ukukhuluma nodokotela wakho noma isazi sokudla ngaphambi kokususa ngokuphelele lokhu kudla ekudleni kwakho, njengoba kubalulekile nokuthola ukudla okudingwa ngumzimba wakho.
Yiziphi ezinye izinkinga ezingase zivele ngenxa ye-IBD?
Uma i-IBD ingalawulwa kahle, ezinye izinkinga zempilo zingavela ngokuhamba kwesikhathi. Ungesabi, into ebaluleke kakhulu ukuqaphela lezi.
- Umdlavuza Wamathumbu Amakhulu: Abantu abane-IBD yesikhathi eside basengozini enkulu yokuba nomdlavuza wamathumbu amakhulu kunabantu abaningi. Yingakho kubalulekile ukuhlolwa njalo, njengoba udokotela wakho encoma.
- Amathumbu Abhobozekile: Ukuvuvukala kungenza buthaka udonga lwamathumbu futhi kubangele ukwakheka kwembobo.
- I-Megacolon Enobuthi: Lesi yisimo esiphuthumayo. Ikholoni iyavuvukala kakhulu futhi ikhule.
- I-anemia: Ukopha okuvela emathunjini kanye nokumuncwa kabi kwezakhamzimba kungabangela ukwehla komthamo wegazi emzimbeni.
- I-Osteoporosis: Eminye imithi kanye nokuntuleka kokudla okunempilo kungabangela ukuba amathambo abe buthakathaka.
- Ezinye izingxenye zomzimba nazo zingathinteka, njengobuhlungu bamalunga, izinkinga zesikhumba, kanye nokuvuvukala kwamehlo .
Udokotela uhlonza kanjani i-IBD?
Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho ngokuningiliziwe. Bese bezohlola umzimba wakho. Ukuze baqinisekise ukuthi une-IBD, bangase bakucele ukuhlolwa okukodwa noma ngaphezulu kwalokhu okulandelayo:
- Ukuhlolwa Kwegazi: Hlola ukuthi awunayo yini i-anemia noma ukuvuvukala.
- Ukuhlolwa Kwendle: Hlola ukuthi akukho yini ukutheleleka noma igazi esitulweni.
- I-Endoscopy / I-Colonoscopy: Lolu vivinyo olubaluleke kakhulu. Ithubhu elincane elifakwe ikhamera lifakwa ngomlomo noma e-rectum bese ingaphakathi le-colon libukwa esikrinini. Ingcezu encane yezicubu (i-biopsy) nayo ingathathwa ukuze ihlolwe.
- I-CT Scan / I-MRI Scan: Lezi ziskeni zisiza ukuthola izithombe ezinemininingwane zamathumbu nezitho ezizungezile.
Yiziphi izindlela zokwelapha i-IBD?
Kunezinhloso ezimbili eziyinhloko zokwelashwa kwe-IBD.
1. Ukunciphisa ukuvuvukala emathunjini nokulawula izimpawu (ukukwenza kube ngcono).
2. Ukuvimba ukuqubuka kwesimo sezulu.
Lokhu kwenziwa kakhulu kusetshenziswa imithi futhi kwezinye izimo ukuhlinzwa.
Imithi
Uhlobo lomuthi owunikezwayo luncike ekutheni une-Crohn's noma i-UC, ubukhulu besifo, kanye nengxenye yamathumbu ethintekile.
- Imithi yokulwa nokuvuvukala: Lena imithi enikezwa ezigabeni zokuqala.
- Ama-Corticosteroids: Lawa ama-steroid anamandla alawula ukuvuvukala. Kodwa-ke, awasetshenziswa isikhathi eside.
- Ama-immunosuppressants: Lawa asiza ukulawula ukusebenza ngokweqile kwesimiso somzimba sokuzivikela.
- I-Biologics: Lezi izinhlobo ezintsha zemithi ezihlose futhi zivale amaprotheni ohlelweni lokuzivikela komzimba abangela ukuvuvukala.
- Ama-antibiotic : Lawa anikezwa uma kwenzeka ukutheleleka.
Ukuhlinzwa
Uma imithi inganele ukulawula lesi sifo, noma uma kuvela izinkinga ezinkulu, udokotela wakho angase ancome ukuhlinzwa, okuhilela ukususa ingxenye yamathumbu eyonakele.
Ungaphila kanjani ne-IBD? Yini ongayenza
Ukuphila ne-IBD kungaba yinselele ngezinye izikhathi. Izinto ezifana nobuhlungu besisu nokugijimela endlini yangasese kungaba yinto engakhululekile, ehlazisayo, futhi ecindezelayo. Kodwa-ke, kunezinto eziningi ongazenza ukusiza ekuphatheni lesi simo.
- Naka ukudla kwakho: Gcina irekhodi lalokho okudlayo nokuthi izimpawu zakho ziya ziba zimbi yini ngemva kokukudla. Lokhu kubizwa ngokuthi 'Idayari Yokudla'.
- Lawula ukucindezeleka: Ukucindezeleka kungenza izimpawu zibe zimbi kakhulu. Unganciphisa ukucindezeleka ngokwenza izinto ezifana nokuzindla, i-yoga, noma ukuzibandakanya nokuzijabulisa okuthandayo.
- Lungela izimo eziphuthumayo: Uma uphuma, gcina izingubo zangaphansi ezengeziwe, amathishu, kanye nezingubo zokugqoka zezingane esikhwameni sakho. Kuzokunikeza ukuthula kwengqondo okukhulu.
- Tshela umuntu omethembayo:Kubalulekile ukutshela umndeni wakho noma umngane wakho omkhulu ngesimo sakho. Kungaba usizo olukhulu ngezikhathi ezinzima.
- Yeka ukubhema ngokuphelele: Lokhu kubaluleke kakhulu. Ukubhema kuyabhebhethekisa lesi sifo.
- Thola ukwesekwa kwengqondo: I-IBD ngezinye izikhathi ingabangela izimo ezifana nokucindezeleka. Akukho lutho okufanele ube namahloni ngalo, futhi ukukhuluma nodokotela wezifo zengqondo noma umeluleki kungaba umthombo omkhulu wamandla.
- Bona udokotela wakho njalo: Ngisho noma ungenazo izimpawu, hamba uyohlolwa ngezinsuku udokotela wakho akutshele zona.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
I-IBD ivame ukuphathwa ngemithi kanye nezinguquko zendlela yokuphila, kodwa kwezinye izimo, ukunakekelwa kwezokwelapha okusheshayo kubalulekile.
| Ithuba | Okufanele ngikwenze |
|---|---|
| Uma izimpawu zakho (ukuqubuka kwesikhumba) ziba zimbi kakhulu futhi zingenakukwazi ukulawulwa ngemithi yakho evamile. | Bona udokotela wakho ojwayelekile. |
| Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha! | |
| |
I-IBD ne-IBS yizimo ezimbili ezihlukene. Ku-IBD, kukhona ukuvuvukala emathunjini, kodwa ku-IBS (Irritable Bowel Syndrome), akukho ukuvuvukala okunjalo. Nakuba izimpawu zalezi zibili zifana, izimbangela kanye nokwelashwa kuhlukile ngokuphelele. Ngakho-ke, kubaluleke kakhulu ukubona udokotela kunokuzihlola.
Umlayezo Wokuya Nawe Ekhaya
- I-IBD yisimo esihlala isikhathi eside esibangela ukuvuvukala kwamathumbu. Kodwa-ke, singalawulwa ngempumelelo futhi ungaphila impilo enhle.
- Thola izinto ezibangela izimpawu zakho. Lokhu kungaba ukudla noma ukucindezeleka.
- Ungalokothi uzishaye indiva izimpawu. Khuluma nodokotela wakho ngokukhululekile ngakho konke.
- Ngisho nangezikhathi zokuphumula okungenazo izimpawu, qiniseka ukuthi uyaya kohlolwa nokuhlolwa okunqunywe udokotela wakho.
- Awuwedwa kulolu hambo. Umndeni wakho, abangani, nodokotela bakhona ukukusiza. Unganqikazi ukufuna usizo lwengqondo uma uludinga.
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