Ingabe futhi unokuvuvukala okungapheli kanye nobuhlungu emathunjini akho? Ake sixoxe ngalokhu (Isifo Sokuvuvukala Kwamathumbu - IBD)!

Ingabe unezimpawu ezifana nokuphazamiseka kwesisu njalo, ukuqunjelwa okuhlala izinsuku eziningi, noma izinhlungu zesisu kanye negazi esitofini sakho? Ngezinye izikhathi sicabanga ukuthi lokhu kumane kuyizinkinga zesisu ezivamile, kodwa uma lezi zinto ziqhubeka, kungaba uphawu lwesimo esibizwa ngokuthi isifo samathumbu esivuvukalayo ( IBD ) . Ungesabi uma uzwa leli gama. Namuhla, sizoxoxa ngokuthi iyini i-IBD, ukuthi kungani yenzeka, yiziphi izimpawu, ukuthi sibhekana kanjani nayo, nokuthi singaphila kanjani kahle nalesi simo ngendlela elula ongayiqonda.

Kuyini ngempela `(IBD)`?

Kalula nje, i-IBD ukuvuvukala okungapheli kohlelo lwakho lokugaya ukudla, ikakhulukazi amathumbu akho. Igama elithi “chronic” lisho ukuthi kuyisimo sesikhathi eside, hhayi isifo esiphela ngemva kwesikhathi esithile. Uma uzwa igama elithi “ ukuvuvukala, ” kufanele ukhumbule ukuthi njengoba nje lapho sithola isilonda esikhumbeni sethu, siba bomvu, sivuvuke, futhi sibe buhlungu, kwenzeka into efanayo emathunjini.

I-IBD ingadala izimpawu ezisheshayo nezinzima njengobuhlungu besisu kanye nesifo sohudo. Lokhu sikubiza ngokuthi “ama-flares.” Kodwa i-IBD ayithinti nje amathumbu akho kuphela. Ingathinta impilo yakho iyonke, inhlalakahle yakho yengqondo, kanye nempilo yakho yansuku zonke.

Uma uzwa ukuthi i-IBD iyisimo sokuphila konke esingenalo ikhambi okwamanje, ungase uzizwe udangele futhi wesaba. Lokho kuyaqondakala. Kodwa into ebalulekile ukuthi kunezindlela zokwelapha ezisebenzayo zokulawula lezi zimpawu. Futhi kunezinto eziningi ongazenza ukusiza impilo yakho ibe yinto evamile ngangokunokwenzeka ngaphandle kokuvumela i-IBD iphazamise impilo yakho.

Yiziphi izinhlobo eziyinhloko ze-IBD?

Ngaphansi kwe-`(IBD)` sikhuluma kakhulu ngezinhlobo ezimbili zezifo:

Ivame kangakanani i-IBD?

Izigidi zabantu emhlabeni wonke zihlushwa yisifo samathumbu esivuvukalayo (i-IBD). Lesi simo singathinta noma ubani, kusukela ezinganeni ezincane kuya kubantu abadala abaneminyaka engaphezu kwengu-65. Kodwa-ke, sivame ukutholakala kubantu abasha abaneminyaka ephakathi kwengu-15 nengu-35.

Ziyini izimpawu ze-`(IBD)`?

Izimpawu ze-IBD zingaba mnene kwabanye abantu, futhi zibe zimbi kakhulu kwabanye. Lezi zimpawu azihlali zenzeka, ziyafika zidlule. Uma kuvela izimpawu, odokotela bazothi une-"IBD flare" noma "flare-up." Uma izimpawu zihamba ngemva kokwelashwa, zibizwa ngokuthi "remission."

Izimpawu ezivame ukubonakala:

• Ubuhlungu esiswini esingezansi, njengokungathi isisu sibuhlungu uma sithintekile ( ukuqaqamba kwesisu).
• Igazi esitulweni. Lokhu kungaba okuncane noma okusobala.
• Uhudo olungapheli: Ukuya endlini yangasese izikhathi eziningana ngosuku.
• Ukuzizwa ukhathele kakhulu (` Ukukhathala` ). Umzimba ukhathala kakhulu kangangokuthi awukwazi ukwenza lutho.
• Ukwehla kwesisindo okungahlosiwe: Ukwehla kwesisindo kwenzeka uma unciphisa isisindo ngaphandle kokuzama ukulawula ukudla kwakho.

Yiziphi izimbangela ze-IBD? Kungani lokhu kwenzeka?

Abacwaningi abakakazi kahle ukuthi yini ebangela i-IBD. Kodwa siyazi ukuthi kwenzeka lapho amasosha ethu omzimba ehlasela ngephutha izicubu ezinempilo ohlelweni lwethu lokugaya ukudla. Kufana namasosha avikela izwe lethu ngephutha ehlasela abantu bawo. Lokhu kuhlasela kubangela ukuvuvukala, ukuvuvukala, kanye nezilonda esikhulume ngazo ekuqaleni.

Abacwaningi bafunda izakhi zofuzo eziningana okucatshangwa ukuthi zidlala indima kulokhu. Lapho kwenzeka izinguquko ezithile (ukuguqulwa kwezakhi zofuzo) kulezi zakhi zofuzo, ingozi yokuthola i-IBD iyanda. Lezi zibizwa ngokuthi “izakhi zofuzo zokuthambekela.” Uma uzuza lezi zakhi zofuzo njengefa, izinto ezithile zansuku zonke zingabangela izimpawu ze-IBD. Kodwa khumbula, lezi zinto azibangeli lesi sifo, zenza lesi sifo sibe sibi kakhulu futhi izimpawu zibe zimbi kakhulu.

Izimbangela ezivamile zezimpawu ze-IBD zifaka:

• Amanye ama -antibiotic .
• Ezinye izidakamizwa zokunciphisa ubuhlungu, isibonelo "ama-NSAID - izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala" (isib. i-Ibuprofen, i-Diclofenac).
• Ukubhema .
• Ukucindezeleka.

Yiziphi izinkinga ezingaba khona ze-IBD?

Uma une-IBD, ingathinta hhayi nje kuphela uhlelo lwakho lokugaya ukudla, kodwa nezinye izingxenye zomzimba wakho, okubangela ezinye izinkinga zempilo. Ezinye zazo zingaba zimbi ngokwanele ukuthi zidinge ukwelashwa okuphuthumayo.

Izinkinga ezinkulu ezingase zenzeke ezihlobene nohlelo lokugaya ukudla:

• Umdlavuza wekholoni: Abantu abane-IBD basengozini enkulu yokuthola umdlavuza wekholoni kunabantu abaningi.
• Amathumbu anezimbobo: Lesi yisimo esibonakala ngobuhlungu obukhulu besisu, ukuqunjelwa, kanye nobuhlungu. Lesi yisimo esiphuthumayo.
• I-megacolon enobuthi: Isimo esiyingozi lapho amathumbu amakhulu evuvukala kakhulu futhi elahlekelwa ukusebenza kwawo. Izimpawu zifaka phakathi igazi esitulweni kanye nobuhlungu obukhulu besisu. Lokhu nakho kuyisimo esiphuthumayo.

Izinkinga ezithinta ezinye izingxenye zomzimba:

• I-anemia ( ukuntuleka kwegazi).
• Amahlule egazi.
• Ubuhlungu bamehlo kanye nezifo.
• Amatshe ezinso.
• Izilonda zomlomo.
• Izifo zesibindi (isib. i-cirrhosis).
• Ukungamuncwa kahle kanye nokungondleki kahle .
• Ukuvuvukala nobuhlungu bamalunga (`Amalunga avuvukele`).
• Izilonda zesikhumba kanye nokuqubuka.
• Ubuthakathaka bamathambo (i-osteoporosis).

Odokotela baxilonga kanjani i-IBD?

Uma ubona udokotela, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, bangenza nezivivinyo eziningana ukuthola ukuthi une-IBD:

• Inani eliphelele legazi (i-CBC).
• I-endoscopy ye-capsule.
• I-Colonoscopy.
• I-CT scan (`I-computed tomography – I-CT scan`).
• I-ultrasound ye-Endoscopic (`EUS – i-ultrasound ye-endoscopic`).
• I-sigmoidoscopy eguquguqukayo.
• Ukuskena kwe-MRI (i-Magnetic resonance imaging - i-MRI scan).
• I-endoscopy ephezulu.

Iphathwa kanjani i-`(IBD)`?

Ukwelashwa kwe-IBD kungahluka kancane kuye ngohlobo lwe-IBD onalo (i-Crohn's noma i-ulcerative colitis). Kodwa-ke , umgomo oyinhloko wazo zonke izindlela zokwelapha ukulawula izimpawu, ukufaka lesi sifo esimeni sokuphumula, nokugcina lokho kuphumula.

Udokotela wakho uzokunikeza imithi yokusiza ukunciphisa izimpawu zakho. Kwezinye izimo, uma imithi yodwa inganele, kungase kudingeke ukuhlinzwa.