Ingabe ikholoni yakho ithola ukugeleza kwegazi okuncane? Ingabe lokhu kuyisifo sofuba esibangelwa yi-ischemic colitis?

Wake waba nobuhlungu besisu obungazelelwe, obukhulu, futhi waba negazi elincane esitulweni sakho? Noma ingabe isisu sakho sizizwa sigcwele futhi sibuhlungu uma usithinta? Uma unesinye noma ezimbili zalezi zimpawu, kungenzeka ukuthi kungenxa yesimo esibizwa ngokuthi i-ischemic colitis, esizokhuluma ngaso namuhla. Ungesabi, noma ngabe igama lizwakala liyinkimbinkimbi kancane. Ake sixoxe ngalokhu ngendlela elula wonke umuntu angayiqonda.

Kuyini i-ischemic colitis? Kalula nje...

Kalula nje, i-ischemic colitis ukuvuvukala kwamathumbu akho amakhulu, noma ingxenye esiyibiza ngokuthi ikholoni, ngenxa yokuncipha kokugeleza kwegazi (lokhu kubizwa ngokuthi i-ischemia). Uyazi, wonke amaseli nezicubu emzimbeni wethu zidinga umoya-mpilo ukuze ziphile futhi zisebenze. Lo moya-mpilo uyiswa kubo yigazi. Ngakho-ke, lapho ukugeleza kwegazi emathunjini amakhulu kwehla ngesizathu esithile, alitholi umoya-mpilo owanele. Yilapho izicubu kulawo mathunjini zilimala futhi zivuvukala, okusho ukuthi ziyavuvukala, zibomvu, futhi zibe buhlungu. Kufana nomuthi obunayo uma ungenamanzi anele.

Lokhu kuvuvukala empeleni kuyindlela yomzimba wethu yokuzama ukulungisa umonakalo. Yingakho sithola ukungakhululeki, ubuhlungu besisu, ukuqunjelwa, futhi ngezinye izikhathi ukuphuma kwegazi. I-Ischemic Colitis ithinta kakhulu ulwelwesi oluthambile lwamathumbu akho amakhulu, olubizwa ngokuthi i-mucosa . Njengesikhumba esibucayi ngaphakathi kwemilomo yethu, ingaphakathi lamathumbu nalo limbozwe ulwelwesi. Kodwa-ke, uma lokhu kuntuleka kwegazi (ischemia) kukhulu noma kuhlala isikhathi eside, kungalimaza nezingxenye ezijulile zamathumbu.

Uyini umehluko phakathi kwe-colitis evamile kanye ne-ischemic colitis?

Cishe uke wezwa igama elithi colitis.'' elithi Colitis'' lisho ukuvuvukala kwekholoni. Ischemic colitis'' olunye uhlobo lokuvuvukala, kodwa aluvamile kangako. Lapho abantu abaningi bezwa colitis,'' bacabanga ngezifo zamathumbu ezivuvukalayo zesikhathi eside (IBD) njenge Ulcerative Colitis'' noma Isifo sikaCrohn.'' Lezi zimo ziqala ongqimbeni lwekholoni.

Kodwa, (Ischemic Colitis) kuyinto ehlukile. Empeleni iqala njengenkinga ohlelweni lwakho lokujikeleza kwegazi. Okusho ukuthi, kungaba ngenxa yenkinga yenhliziyo yakho, imithambo yegazi. Kungaba ngenxa yomfutho wegazi ophansi, noma kungaba ngenxa yesifo esithile semithambo yegazi. Lapho ukugeleza kwegazi emithanjeni ehlinzeka ngegazi emathunjini kuncipha, umphumela uba ukuvuvukala kwezicubu zamathunjini. Ngaphandle kwalokho, akusona isifo esithile samathunjini.

Ubani onamathuba amaningi okuthola i-ischemic colitis (Isifo Samathumbu Esibangelwa I-Ischemic)?

Lesi simo sivame kakhulu kubantu abangaphezu kweminyaka engama-60. Futhi,Abantu abanesifo semithambo yegazi nabo basengozini enkulu yokuthola lesi sifo.

Ngaphezu kwalokho, kunezinye izinto eziningana eziyingozi. Ake sibone ukuthi ziyini:

• Isifo Sikashukela Sohlobo 2: Ngoba isifo sikashukela singalimaza imithambo yegazi.
• Ukwehluleka kwezinso kanye nalabo abathola ukwelashwa nge-dialysis: Isifo sezinso sithinta nokujikeleza kwegazi.
• Umfutho wegazi ophansi: Uma umfutho wegazi wehla, inani legazi eligeleza ezithweni zomzimba nalo liyancipha.
• I-Hypoalbuminemia ukwehla kwe-albhamuin yeprotheni egazini.
• Isifo semithambo yegazi engaphandle: Ukuncipha noma ukuvaleka kwemithambo yegazi ehambisa igazi ezithweni.
• I-Ischemic cardiomyopathy: Izifo ezibangelwa ukuncipha kokunikezwa kwegazi emisipheni yenhliziyo.
• Izinkinga zokujiya kwegazi: Ingozi yokujiya kwegazi emithanjeni yegazi iyanda.
• Ukuqunjelwa okungapheli okubangela ukushaywa yindle: Lokhu kungabangela ingcindezi emathunjini futhi kuvimbele ukugeleza kwegazi.
• Ukusetshenziswa kwezidakamizwa ezifana ne-cocaine.
• Ukuba ne-aneurysm ye-aorta yesisu.

Uma unalezi zinto eziyingozi, kungcono ukuqaphela kakhudlwana.

I-ischemic colitis ithinta kanjani umzimba wakho?

Kwabaningi, lokhu kuyinkinga yesikhashana nje. Okusho ukuthi, kuthinta ingxenye encane yekholoni futhi kuyaphola ezinsukwini ezimbalwa. Nakuba ukuvuvukala kungase kubangele ukungakhululeki nobuhlungu besikhashana, uma imbangela yokwehla kokugeleza kwegazi isixazululiwe kahle, lesi simo sizophinde sithuthuke cishe ngokuzenzakalelayo.

Nokho, ngezinye izikhathi lokhu kungaba yinkinga enkulu kakhulu.

• Abanye abantu bangathola iziqephu eziphindaphindwayo ze-"Ischemic Colitis" endaweni efanayo. Uma lokhu kwenzeka, kungaba nezibazi kuleyo ndawo futhi amathumbu angancipha (ukuqina). Lokhu kwenza kube nzima ukuthi ukudla nokuphuza kudlule kalula.
• Ngaphezu kwalokho, uma i-'ischemia', okungukwehla kokugeleza kwegazi, inzima ngokwanele, izicubu zamathumbu zingafa (i-gangrene). Lesi yisimo esiyingozi kakhulu. Uma lokho kwenzeka,
• Kungase kube nembobo (ukubhoboka) emathunjini.
• Izinkinga ezisongela ukuphila ezifana nokutheleleka okukhulu kanye ne-sepsis (ubuthi egazini) zingaba khona.
• Esimweni esinjalo, ukuhlinzwa okuphuthumayo kumele kwenziwe.

Ziyini izimpawu ze-ischemic colitis?

Kulesi simo, ungase ubhekane nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Ubuhlungu besisu kanye nokuqaqamba kwesisu: Lolu uphawu oluyinhloko. Lungaqala ngokuzumayo.
• Ukuvuvukala kwesisu kanye nokuthamba: Ungase uzwe ubuhlungu uma uthinta isisu sakho.
• Uhudo kanye nokuphuthuma kokukhipha indle: Ukudinga ukuya endlini yangasese njalo.
• Indle enegazi: Igazi elisendle, ngezinye izikhathi elibomvu noma elimnyama.
• Umkhuhlane ophansi: Ungase uzizwe umkhuhlane omncane.
• Ukucanuzela noma ukuphelelwa yisifiso sokudla: Umuzwa wokungafuni ukudla noma ukuphuza .

Cabanga nje, uma ngokuzumayo uqala ukuba nezinhlungu zesisu ezinzima futhi uphume igazi, ungacabangi nje ukuthi kuyigciwane lesisu. Bonana nodokotela ngokushesha.

Ziyini izimbangela ze-ischemic colitis?

Eqinisweni, kungaba nezizathu eziningi zokuthi kungani ukugeleza kwegazi emathunjini kunciphisa. Esikhathini esiningi, lokhu kungokwesikhashana. Ngezinye izikhathi, imbangela kungenzeka ukuthi isiphelile ngesikhathi isifo sitholakala. Uma usune-"ischemic colitis" kanye kuphela futhi walulama, udokotela wakho angase angakwazi ukukutshela imbangela eqondile. Kodwa-ke, bangenza ukuqagela ngokusekelwe emlandweni wakho wezokwelapha kanye nezinye izimo zezokwelapha.

Ngokuyinhloko, izifo ezithinta uhlelo lwakho lokujikeleza kwegazi, njengesifo senhliziyo nesifo semithambo yegazi, zinganciphisa ukugeleza kwegazi emithanjeni ehambisa igazi emathunjini. Ngezinye izikhathi ihlule legazi lingavimba umthambo, noma umthambo ungacindezelwa yinto engaphandle.

Kunemithambo emibili eyinhloko ehlinzeka ngegazi emathunjini ethu - imithambo ye-mesenteric ephezulu nengaphansi . Le mithambo ye-mesenteric isheshe izwele kakhulu kunoma yini ebangela ukuba imithambo yegazi iqine (vasoconstriction). Isibonelo, umkhuhlane omkhulu, izifo ezibangela umfutho wegazi ophansi, kanye nemithi ethile (vasoconstrictors) kungathinta lokhu. Le mithambo ye-metal isabela ekucindezelweni kwegazi okuphansi ngokucindezelwa kakhulu. Ososayensi bacabanga ukuthi lokhu kuyindlela yokuzivikela yomzimba wethu. Okusho ukuthi, lapho umzimba ulahlekelwa igazi, kunciphisa inani legazi eliya ezindaweni ezifana namathumbu ukuze liqondise igazi ezithweni ezibalulekile njengobuchopho nenhliziyo. Lapho lokhu "kusabela okuphuthumayo" kuqalwa, amathumbu angalahlekelwa igazi.

Odokotela ngezinye izikhathi bahlukanisa lokhu ngezigaba ezimbili zezimbangela:

1. Izimbangela ezivalekile: Lokhu kusho ukuvaleka ngaphakathi komthambo (isib. ukugoba kwegazi).

2. Izimbangela ezingavali: Lokhu kusho ukuthi ukugeleza kwegazi kwehla ngenxa yesinye isizathu (isib. umfutho wegazi ophansi, ukuncipha kwemithambo yegazi) kunokuba umthambo uvalwe.

Isizathu sesithathu ukulimala ngesikhathi sokuhlinzwa.Nakuba lokhu kuyinto engavamile kakhulu, kunengozi yokulungiswa kwe-AAA ngesikhathi sokuhlinzwa ukuze kulungiswe i-aneurysm yesisu ephukile (AAA). Uma lokhu kwenzeka, kungaba kubi kakhulu kunezinye izimbangela zesikhashana futhi kungaba yingozi empilweni. Lesi simo senzeka cishe ku-2% kuya ku-3% wokuhlinzwa kwe-AAA, futhi cishe ku-50% walezo ziguli ziyafa.

I-ischemic colitis ihlolwa kanjani?

Izimpawu zalesi sifo (njengobuhlungu besisu kanye nesifo sohudo) zivame kakhulu, okusho ukuthi lezi zimpawu zingabangelwa nezinye izifo zesisu. Ngakho-ke, odokotela kudingeka baqinisekise ukuthi azikho ezinye izimo zezokwelapha ngaphambi kokuthi basho ngokuqinisekile ukuthi lokhu "yi-Ischemic Colitis".

• Ungase ube nokuhlolwa kwezithombe (isib., i-CT scan) kwekholoni lakho.
• Ukuhlolwa kwegazi kungenziwa ukuze kuhlolwe izifo nezinye izici. Ngokuvamile, i-colitis ibangela inani eliphezulu lamaseli amhlophe egazi.

Uma udokotela wakho esola ukuthi une-Ischemic Colitis, indlela engcono kakhulu yokuqinisekisa ukuthi unesifo iwukusebenzisa i-colonoscopy. Lokhu kuhilela ukufaka ipayipi elincane, elikhanyisiwe ngendunu yakho ukuze ubheke ngaphakathi kwe-colon yakho. Uma une-Ischemic Colitis, ukuhlolwa kungabheka izimpawu zesimo. Uma kudingeka, ucezu oluncane lwezicubu (i-biopsy) lungathathwa ku-colon yakho ngesikhathi esifanayo bese luthunyelwa elabhorethri ukuze luhlolwe kabanzi.

Iphathwa kanjani i-ischemic colitis?

Ukwelashwa kuncike ebunzimeni besifo nokuthi unezinye izinkinga (isib., ukutheleleka esiswini).

• Ezimweni ezinzima noma eziyinkimbinkimbi, kungase kudingeke ukuhlinzwa okuphuthumayo .
• Kodwa-ke, amacala amaningi angaphathwa ngokwezokwelapha.
• Uzonikezwa uketshezi lwe-IV (njenge-saline) ngomthambo .
• Kuzonikezwa ama-antibiotic e-broad-spectrum ukuvimbela noma ukwelapha izifo.
• Ukwelashwa nge-oxygen nakho kunganikezwa ukuze kwandiswe ukusebenza kwenhliziyo nokugeleza kwegazi.
• Udokotela uzoyeka noma yimiphi imithi acabanga ukuthi inegalelo kulesi simo (i-Ischemic Colitis).
• Into ebaluleke kakhulu "ukuphumula kwamathumbu." Lokhu kusho ukungasebenzisi uhlelo lwakho lokugaya ukudla kuze kube yilapho amathumbu akho ephola. Uzonikezwa ukudla okumanzi noma ukudla okunomsoco nge-IV .

Ezinye izindlela zokwelapha ezingadingeka:

• Ukususwa kwesisu ngepayipi le-nasogastric: Le ndlela isetshenziselwa ukususa umoya, uketshezi, noma ukudla esiswini uma ingxenye yamathumbu ivaliwe ngenxa ye-ischemic colitis.
• Ukwelashwa kwemithambo yegazi:Uma kukhona ukuvaleka kwemithambo yegazi, udokotela kungadingeka ayisuse ngokuhlinzwa, ancibilikise ihlule legazi, noma afake i-stent emthanjeni wegazi onciphile.
• Ukuhlinzwa Kwe-Colectomy: Uma izicubu ze-colon zifile (i-gangrene) noma udonga lwe-colon luqhumile (luqhekekile), ingxenye eyonakele kuzodingeka inqunywe. Lokhu kuhlinzwa kungase kuhilele nokufakwa kwesikhwama se-colostomy okwesikhashana noma unomphela (imbobo ehlukile esikhumbeni sesisu ukuze kudlule indle).

Yini okufanele umuntu one-ischemic colitis ayiqaphele ngokudla?

Uma ululama kwi-Ischemic Colitis, udokotela wakho uzokweluleka ekuqaleni ukuthi uzile ukudla . Ngemva kwalokho, ungashintshela kancane kancane ekudleni okumanzi , bese udla ukudla okuthambile .

Gwema ukudla okune-fiber ephezulu phakathi nalesi sikhathi. Akuyona into enhle ukusebenza kakhulu amathumbu akho aze aphulukiswe. Indawo idinga ukugeleza kwegazi okwengeziwe nomoya-mpilo ukuze igaye ukudla. Ukuphumula amathumbu akho kunikeza umzimba wakho ithuba lokubuyisela lokho kuphakelwa kwegazi.

Uma unesifo sesikhathi eside esibizwa ngokuthi "i-chronic" "Ischemic Colitis", noma uma unesinye isifo esingamahlalakhona esikubangela ukuba ube naso, udokotela wakho uzokunikeza iziqondiso zokudla ezikhethekile okufanele uzilandele isikhathi eside.

Ingabe i-Ischemic Colitis ingavinjelwa?

Njengoba kunezici eziningi ezingaba nomthelela kulesi simo, kungase kungenzeki ukuzigwema ngokuphelele zonke. Kodwa-ke, kubaluleke kakhulu ukuphatha noma yiziphi izimo zezokwelapha osunazo kakade (ikakhulukazi izifo zenhliziyo, zemithambo yegazi kanye nezinso) .

• Ukugwema ukubhema nokusebenzisa izidakamizwa.
• Ukudla ukudla okunempilo kwenhliziyo kungavimbela lezi zimo ukuthi zingabi zimbi noma zibe nezinkinga.
• I-Ischemic Colitis (eyaziwa nangokuthi "i-runner's colitis") ngezinye izikhathi ingabangelwa ukuvivinya umzimba okunzima . Lokhu kungenxa yokuthi inhliziyo ayikwazi ukupompa igazi elanele. Uma ungumsubathi okwaziyo ukukhuthazela, ukuhlala unamanzi anele kungasiza ekuvimbeleni lokhu.

Iyini inhloso ye-ischemic colitis? (Umbono)

Izindaba ezinhle ukuthi abantu abaningi (cishe abangu-75%) abathola i-acute ischemic colitis banesimo esincane, sesikhashana. Sithinta kuphela i-mucosa yengxenye eyodwa yamathumbu futhi siphela ngokuphelele ngokwelashwa okujwayelekile.

Iphesenti elincane kuphela labantu liba nezinkinga ezidinga ukuhlinzwa. Izinkinga ezinjalo zivame ukwenzeka kubantu asebevele benezinye izimo zezokwelapha, njengesifo senhliziyo noma isifo sezinso. Kulaba bantu, ukuhlinzwa kuyingozi futhi ukululama kunzima. Ngokwezibalo, leli qembu linengozi ephezulu yemiphumela emibi nokufa (cishe ama-40%). Kodwa leyo ngozi ayibangelwa nje yisimo (Ischemic Colitis).

Lesi sifo esibizwa ngokuthi (Ischemic Colitis) ngezinye izikhathi singathatha isikhathi ukuthi odokotela basiqaphele, kanye nalabo abasitholayo. Ngoba, uma uthi ubuhlungu besisu, akekho ocabanga ngokushesha ukuthi lokhu kuyinkinga yenhliziyo. Kodwa-ke, uma ukuxilongwa sekwenziwe kahle, ungalindela ukululama okuphelele nokusheshayo, noma ngabe kufanele uhlale esibhedlela isikhashana. Kodwa-ke, (Ischemic Colitis) ngezinye izikhathi ingaba nzima kakhulu, ngakho ungazinaki izimpawu zakho. Uma zingathuthuki, yazisa udokotela wakho ngokushesha.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kule ndaba?

Kulungile, nazi izinto ezimbalwa okufanele uzikhumbule kulokho esikhulume ngakho:

• Ungabunaki ubuhlungu besisu obungazelelwe nobubucayi, ikakhulukazi uma buhambisana nendle enegazi. Kungaba uphawu lwesimo esibizwa ngokuthi "i-Ischemic Colitis".
• Kubaluleke kakhulu ukufuna iseluleko sezokwelapha kusenesikhathi. Uma lesi sifo sitholakala ngokushesha, kuba lula ukwelapha nokuvimbela izinkinga.
• Uma unezici eziyingozi ezifana nesifo sikashukela, isifo senhliziyo, noma umfutho wegazi ophakeme, zilawule kahle.
• Yamukela indlela yokuphila enempilo. Gwema ukubhema nezidakamizwa ezingadingekile. Yidla ukudla okunempilo.
• Ungesabi, kodwa qaphela. I-Ischemic Colitis yisimo esivame ukwelashwa. Kodwa-ke, sidinga ukunakwa okudingekayo.

Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ukhuluma nodokotela womndeni wakho. Angakunikeza iseluleko esingcono kakhulu.

I- Ischemic Colitis, Ukuvuvukala kwekholoni, Ukuncipha kokugeleza kwegazi, Ubuhlungu besisu, Indle enegazi, I-Colonoscopy