Ingabe nawe unesifo sohudo esivame ukuba namanzi? Kungaba yi-Microscopic Colitis!

Ingabe uvame ukuhamba ngamathumbu? Ingabe kufanele uye endlini yangasese izikhathi ezinhlanu noma eziyisithupha ngosuku, ngezinye izikhathi ngisho nangaphezulu? Lesi simo, esihambisana nobuhlungu besisu nokungakhululeki, kungenzeka ukuthi senze kwaba nzima ngawe ukwenza imisebenzi yakho yansuku zonke ngendlela efanele. Kungenzeka ukuthi uke wabona udokotela ngalokhu, futhi kungenzeka ukuthi uke wahlolwa futhi wahlolwa. Kodwa konke lokhu kubuye "njengokujwayelekile." Ngakho-ke ungase ucabange, "Pho yini inkinga ngami?" Uma uke waba nokuhlangenwe nakho okufanayo, kuzobaluleka kakhulu kuwe ukwazi ngesifo esikhuluma ngaso namuhla, okuyi -Microscopic Colitis (MC) .

Kalula nje, iyini i-Microscopic Colitis?

Leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa ake silichaze kahle futhi siliqonde kalula.

• I-Colitis: Lokhu kusho ukuvuvukala noma ukuvuvukala kolwelwesi lwamathumbu akho amakhulu (ikholoni). Njengalapho isikhumba sethu siba bomvu futhi sivuvukala lapho sinesilonda, sikubiza ngokuthi 'i-colitis' ngoba kwenzeka into efanayo ngaphakathi kwamathumbu.
• I-Microscopic: Leli gama lisho ukuthi 'i-microscopic'. Lokhu kusho ukuthi ukuvuvukala kuncane kakhulu kangangokuthi akukwazi ukubonwa ngamehlo enyama, ikhamera esetshenziswa ngesikhathi sokuhlolwa kwe-endoscopy, noma ukuskena. Kungabonakala ngokucacile kuphela uma ingxenye encane kakhulu yezicubu ithathwa emathunjini akho amakhulu bese ibhekwa ngaphansi kwe-microscope.

Kalula nje, i-Microscopic Colitis yisimo sokuvuvukala kwamathumbu amakhulu esingatholakali ngokuhlolwa okuvamile futhi singatholakala kuphela nge-microscope. Lokhu kungenxa yokuthi amangqamuzana asemathunjini akho ahlala "ethukuthele." Ngenxa yalokho, uvame ukuba nokunyakaza kwamathumbu okufana namanzi.

Lesi simo singaba yinkinga kancane. Singavela ngokuzumayo, siphele sodwa ngemva kwesikhashana, bese sibuya futhi. Kodwa izindaba ezinhle ukuthi nakuba kuyisimo sokuphila konke, sivame ukuphathwa kahle . Sidinga imithi efanele kanye nokushintsha ukudla.

Kunezinhlobo ezimbili eziyinhloko ze-Microscopic Colitis:

Uma udokotela ebheka isampula yezicubu ezivela emathunjini akho ngaphansi kwe-microscope, bahlukanisa lesi sifo sibe izinhlobo ezimbili eziyinhloko ngokusekelwe ezinguqukweni abazibonayo. Kodwa akudingeki ukhathazeke kakhulu ngalokhu, ngoba izimpawu kanye nokwelashwa kwazo zombili izinhlobo kufana kakhulu. Umehluko usemazingeni amancane kuphela.

Yiziphi izimpawu ezivame kakhulu zalesi sifo?

Uphawu oluyinhloko nolucasulayo kakhulu lwe-Microscopic Colitis ukunyakaza kwamathumbu njalo okunamanzi (uhudo) . Lokhu kungenzeka izikhathi ezinhlanu kuya kweziyishumi ngosuku, ngezinye izikhathi ngisho nangaphezulu. Cabanga ukuthi wesaba kangakanani ukuphuma endlini, ukuya emsebenzini, noma ukuhamba.

Ngaphezu kwalokho, ezinye izici eziningana zingabonakala:

• Ubuhlungu besisu nokuxhuga: Ungase uzwe ubuhlungu bokucindezela esiswini sakho.
• Ukuqunjelwa kanye nokuqunjelwa: Umuzwa sengathi isisu sigcwele igesi.
• Ukuzizwa unesidingo esiphuthumayo sokuya endlini yangasese futhi unenkinga yokuyilawula: Ukugijima ngokushesha nje lapho uzizwa unesidingo sokuya endlini yangasese.
• Imisindo yokubhonga evela ngaphakathi esiswini: Imisindo engavamile ezwakala ngesikhathi sokugaya ukudla.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Ososayensi abakakatholi imbangela eyodwa eqinisekile yalokhu, kodwa kunezici eziningana okusolwa ukuthi zingaba nomthelela kukho.

• Amagciwane, amagciwane, noma amabhaktheriya: Lesi simo singase senzeke ngoba kungenzeka ukuthi wake waba nokutheleleka kwamathumbu esikhathini esidlule, okushintshe ukusebenza kwesimiso sakho somzimba sokuzivikela.
• Isifo Sokuzivikela Ezifweni: Lokhu kwenzeka lapho amasosha omzimba wethu eziphatha kabi futhi ehlasela amangqamuzana ethu aphilile. Abanye abantu abane-colitis encane bangase babe nezinye izifo zokuzivikela ezifweni (isib. i-rheumatoid arthritis, isifo se-thyroid).
• Izakhi zofuzo:Uma othile emndenini wakho enalesi sifo noma ezinye izifo zamathumbu, ungase ube sengozini yokuba naso.
• Imithi ethile: Ucwaningo oluthile luthole ukuthi imithi ethile esiyithatha isikhathi eside ingabangela noma ibe yimbi kakhulu lesi simo.

Imithi edinga ukunakwa okukhethekile

Uma uthatha noma yimuphi wale mithi elandelayo isikhathi eside, kubalulekile ukukhuluma nodokotela wakho ngakho. Ungalokothi uyeke ukuthatha le mithi ngaphandle kokubonisana nodokotela wakho.

Ingabe ukucindezeleka kuyakuthinta lokhu?

Yebo, impela. Kukhona ukuxhumana okukhulu phakathi kobuchopho bethu namathumbu ethu kunalokho ongakucabanga. Ngezinye izikhathi sithi, "Amathumbu ubuchopho besibili." Kuyiqiniso. Uma singaphansi kokucindezeleka okukhulu nokukhathazeka, amazinga ama-hormone emzimbeni wethu ayashintsha. Lokhu kungathinta ngqo uhlelo lwethu lokugaya ukudla. Ngakho-ke, kufanelekile ukuthatha isikhashana ucabange ngendlela isimo sakho sengqondo esasiyiyo ezinsukwini lapho unalezi zimpawu.

Ubani osengozini enkulu yokuthola lesi sifo?

Nakuba lesi simo singakhula kunoma ubani, abanye abantu basengozini enkulu.

• Abesifazane abaneminyaka engaphezu kwengu-60 ubudala: Nakuba imbangela eqondile ingaziwa, lesi sifo sivame kakhulu kwabesifazane abakuleli qembu leminyaka.
• Abantu abanezinye izifo (ezivikela umzimba): Le ngozi iphezulu kakhulu kubantu abanesifo se-Celiac (ukungezwani komzimba neprotheni i-gluten etholakala kufulawa kakolweni).
• Ababhemayo: Ukubhema kuyimbangela yalesi sifo futhi kungenza izimpawu zibe zimbi kakhulu.

Ungasithola kanjani lesi sifo ngendlela efanele?

Njengoba ngishilo ekuqaleni, lokhu kunzima ukukubona ngezivivinyo ezijwayelekile, ngakho-ke uma unalezi zimpawu, cishe uzothunyelwa kudokotela wezifo zamathumbu .

Ukuhlolwa okuyinhloko kokuqinisekisa ukuxilongwa yi -colonoscopy kanye ne-biopsy .

• I-Colonoscopy: Lokhu kuhilela ukufaka ipayipi eliguquguqukayo elinekhamera encane nge-rectum yakho ukuze kuhlolwe wonke amathumbu akho amakhulu. Uzonikezwa umuthi wokubulala izinzwa ojwayelekile ngaphambi kwenqubo, ngakho ngeke uzizwe ubuhlungu ngokuvamile.
• I-Biopsy: Ngesikhathi se-colonoscopy, udokotela wakho uzothatha isampula encane yezicubu olwelwesini lwamathumbu akho amakhulu. Lokhu kubizwa ngokuthi i-biopsy. Izicubu zibe sezihlolwa ngaphansi kwe-microscope ukuze kutholakale ukuthi une-colitis encane yini nokuthi, uma kunjalo, hlobo luni.

Ngaphezu kwalokho, ukuhlolwa kwegazi kanye nendle kungenziwa ukuze kutholakale ezinye izimo zezokwelapha.

Indlela yokwelapha nokuphatha?

Izinketho zokwelapha ziyahlukahluka kuye ngohlobo kanye nobukhali bezimpawu zakho. Ngezinye izikhathi, izinguquko ezincane ekudleni zingenza umehluko omkhulu. Abanye abantu bangadinga nemithi.

1. Izinguquko zokudla kanye nendlela yokuphila

Lesi isinyathelo sokuqala nesibaluleke kakhulu. Okudingeka ukwenze lapha ukuthola ukuthi yikuphi ukudla "okubangela" izimpawu zakho. Lokhu kuhlukile kumuntu ngamunye.

• Ukugwema izinto ezibangela ukungezwani komzimba ezivamile:Kunokudla okuningana okungakhulisa izimpawu kubantu abaningi. Utshwala, i-caffeine (ikhofi, itiye), ubisi nemikhiqizo yobisi, i-gluten (ukolweni, ibhali), kanye nokudla okunoshukela omningi kuphakathi kwezinto ezivame kakhulu.
• Ukudla okunamafutha amancane kanye ne-fiber: Uma izimpawu zinzima, ukudla ukudla okulula ukugayeka okunamafutha amancane kanye ne-fiber kunganciphisa umthwalo emathunjini. (isib. ilayisi elimhlophe, amazambane abilisiwe, amasobho, ubhanana).
• Ukudla Kokuqeda: Lokhu kuhilela ukususa ngokuphelele ukudla okusolakala ukuthi kuyakubangela ukungakhululeki isikhathi esithile, bese ukuphinda ukufake ngakunye ukuze ubone ukuthi yikuphi ukudla okubangela izimpawu zakho. Lokhu kungcono kakhulu kwenziwe ngaphansi kwesiqondiso sikadokotela noma isazi sokudla okunempilo.
• Ukudla okulwa nokuvuvukala: Okunye ukudla kunamandla okunciphisa ukuvuvukala emzimbeni. Ukudla okufana nemifino emisha, izithelo, inhlanzi (ikakhulukazi izinhlanzi ezinamafutha njenge-salmon ne-mackerel), kanye namafutha omnqumo kuyasiza kulokhu.

2. Ukwelashwa ngezidakamizwa

Uma kunzima ukulawula ukudla kuphela, udokotela wakho uzokunikeza imithi.

• Imithi yokulawula uhudo: Imithi efana neLoperamide inganciphisa ukuvama kokuhamba kwamathumbu.
• I-Bismuth subsalicylate: Lona futhi umuthi ovamile wohudo.
• I-Budesonide: Lolu uhlobo olukhethekile lwe -corticosteroid . Isebenza ngqo emathunjini ukunciphisa ukuvuvukala, ngakho-ke inemiphumela emibi embalwa kunezinye i-steroids. Lolu uhlobo lokwelapha olusebenza kahle kakhulu lwe-Microscopic Colitis.

Ngaphezu kwakho konke lokhu, kubaluleke kakhulu ukukhuluma nodokotela wakho ngeminye imithi oyithathayo (isib. imithi yokubulala izinhlungu) bese uthatha izinyathelo zokuyishintsha uma kudingeka, kanye nokuyeka ukubhema uma ubhema.

Ingabe lesi sifo sizophulukiswa ngokuphelele?

Ngeke kuphele ngokuphelele. Kodwa-ke, kungalawulwa kahle futhi ungaphila impilo evamile ngaphandle kwezimpawu. Lesi sikhathi esingenazo izimpawu sibizwa ngokuthi ukuthethelelwa . Lesi sikhathi singahlala izinyanga, ngisho neminyaka. Kodwa-ke, uma udla ukudla okubi, ungaphansi kokucindezeleka okukhulu, noma ngezinye izizathu, izimpawu zakho zingase ziphinde zivele (ukuqubuka).

Into ebaluleke kakhulu uma uphila nalesi sifo ukulalela umzimba wakho. Ukwelashwa okungcono kakhulu ukuthola ukuthi yini ebangela izimpawu zakho.

Nakuba i-Microscopic Colitis ingaziwa njengezinye izifo zamathumbu, lokho akusho ukuthi ayinakulawuleka. Uma udokotela ekutshela ukuthi unalesi sifo, ngakolunye uhlangothi ungase uzizwe udangele, "O, kwenzekeni kimi?" Kodwa ngakolunye uhlangothi, ungase uzizwe ukhululekile, "Ekugcineni sengiyazi imbangela yenkinga engibe nayo iminyaka eminingi."

Ngomzamo omncane, ukudla okunempilo, futhi mhlawumbe nemithi, ungaphatha lesi simo futhi uhlale uphilile. Vula futhi uthembeke kudokotela wakho mayelana nezimpawu zakho nokuthi zithinta kanjani impilo yakho. Uzokwazi ukukusiza ukuthi uthole ikhambi elingcono kakhulu kuwe.