Ingabe kuzodingeka futhi uhlinzwe isisu ngenxa yesifo sikaCrohn? Ake sithole imininingwane!

Uma unesifo sikaCrohn, cishe uyazi ukuthi izimpawu zakho zingalawulwa kakhulu ngemithi kanye nokushintsha ukudla. Kodwa-ke, cishe abantu abangu-80% abanalesi sifo bazodinga ukuhlinzwa ekugcineni. Ngakho-ke, uhlobo lokuhlinzwa oludingayo luzoncika ezimpawini zakho.

Kunini lapho kudingeka khona ukuhlinzwa ngesifo sikaCrohn?

Udokotela wakho angase akuncomele ukuhlinzwa kwesifo sikaCrohn uma uba nezinkinga noma uma ukwelashwa okungekhona ukuhlinzwa kungasebenzi kahle.

Izizathu eziyinhloko zokuhlinzwa kwesifo sikaCrohn yilezi:

• Ukuqina kwamathumbu: Lokhu kuwukuncipha kwamathumbu akho. Lesi yisona sizathu esiyinhloko esenza abantu abaningi abanesifo sikaCrohn bahlinzwe.
• Ama-Fistula nama-abscesses esiswini: Ama-Fistula ayizimbobo ezingavamile phakathi kwezingxenye ezimbili zomzimba. Ama-abscesses yiqoqo lobomvu olwenzeka ngaphakathi esiswini.
• Isifo esiphindaphindayo: Lokhu kusho ukuthi izimpawu ziyabuya ngemva kokwelashwa kwangaphambilini.

Kunezinye izizathu ezingavamile, kodwa ezingadinga ukuhlinzwa:

• Ukopha kwamathumbu (GI).
• Ukubhoboka kwamathumbu.
• I-Peritonitis: Lokhu ukuvuvukala kwe-membrane okumboze ingaphakathi lesisu sakho.
• Izilonda zomdlavuza noma ezingaphambi komdlavuza. Ngoba isifo sikaCrohn siyisici esiyingozi sokuthola umdlavuza we-colonectal.
• I-megacolon enobuthi: Yilapho isakhiwo sekholoni yakho siwohloka ngenxa yokuvuvukala.

Isifo sikaCrohn singaba ubuhlungu bangempela. Ngezinye izikhathi izimpawu ziyavela bese ziphela ngaphandle kwesizathu esibonakalayo. Ukungaqiniseki kungaba nzima ngezinye izikhathi. Kodwa-ke, nakuba ukuhlinzwa kungeke kuphulukise ngokuphelele isifo sikaCrohn, kungasiza ekunciphiseni izimpawu zakho ezingakhululekile futhi kukuvumele ukuthi uqhubeke nokwenza izinto ozithandayo.

Yiziphi izinhlobo zokuhlinzwa ezenziwayo zesifo sikaCrohn?

Kunezinhlobo eziningana eziyinhloko zokuhlinzwa kwesifo sikaCrohn. Ake sibheke ukuthi ziyini.

Ukugeleza kwamanzi ethumba

Lokhu kwenzelwa ukususa ubomvu obuye bavela ngenxa yokutheleleka ngaphakathi esiswini.

Ukususwa kwamathumbu

Lokhu kuhlinzwa kuhilela ukususa ingxenye yamathumbu akho amancane noma ikholoni. Ungase ucelwe ukuba wenze lokhu kuhlinzwa uma unezicubu eziningi zesilonda emathunjini akho, noma uma udokotela wakho ebona amangqamuzana anomdlavuza noma angaphambi komdlavuza.

Ukususwa/ukulungiswa kwe-Fistula

I-fistula imbobo engavamile phakathi kwezingxenye ezimbili zomzimba. Lokhu kungabangela izinkinga. Ngakho-ke, lokhu kuhlinzwa kuhilela ukususa noma ukulungisa imbobo.

Ukuhlinzwa kwe-Ostomy

Lokhu kuhlinzwa kudala imbobo (stoma) esiswini sakho. Lokhu kusho ukuthi esikhundleni sokuthi indle yakho iphume ngendunu, kwakhiwa indlela entsha yokuthi iphume ngembobo (stoma). Ukuhlinzwa okuvamile kwe-ostomy yi-colostomy kanye ne-ileostomy.

Ukuhlinzwa kwe-Proctocolectomy

Lokhu kuhlinzwa kwesifo sikaCrohn kususa ingxenye noma yonke ikholoni lakho kanye ne-rectum.

I-Strictureplasty

Lokhu kuhlinzwa kwenzelwa ukwandisa izindawo ezinciphile futhi eziqinile ngenxa yezibazi, okuvumela indle ukuthi idlule kalula.

Kuthatha isikhathi esingakanani ukuhlinzwa kukaCrohn?

Kuya ngokuthi uhlobo lokuhlinzwa olutholayo lunjani, ukuthi isimo sakho sibucayi kangakanani, kanye nezingxenye zesimiso sakho sokugaya ukudla ezithintekile. Udokotela wakho uzokutshela ukuthi yini ongayilindela kuye ngesimo sakho.

Yiziphi izinzuzo zokuhlinzwa kwesifo sikaCrohn?

Ezimweni eziningi, ukuhlinzwa kwesifo sikaCrohn kungenziwa nge-laparoscopically noma nge-robotically. Lokhu kusho ukuthi unezimbobo ezimbalwa, izithungo ezimbalwa, kanye nobuhlungu obuncane ngemva kokuhlinzwa.

Ngaphezu kwalokho, ukuhlinzwa kwesifo sikaCrohn kungabangela:

• Ukunciphisa ubuhlungu besisu.
• Ukwehla kwezimpawu. (Izimpawu ezivamile zesifo sikaCrohn ukukhathala, uhudo kanye nokuhlanza.)
• Isidingo semithi esinciphile.
• Ukwanda kwesifiso sokudla.
• Amandla akhuphukile emzimbeni.
• Ukukwazi ukuphuma uyosebenza futhi.
• Ukuthuthukisa ikhwalithi yokuphila.

Kodwa into eyodwa okufanele uyikhumbule: Ukuhlinzwa kwesifo sikaCrohn akuqinisekisi ukuthi izimpawu ngeke zibuye. Cishe abantu abangu-20% abahlinzwa bangadinga ukuhlinzwa okunye kungakapheli iminyaka emihlanu behlinzwe okokuqala.

Ingabe zikhona izingozi zokuhlinzwa kukaCrohn?

Njenganoma yikuphi ukuhlinzwa, ukuhlinzwa kwesifo sikaCrohn kunezingozi ezithile. Izinkinga ezingaba khona zifaka:

• Ukuvuza kwe-anastomotic (Lokhu kungenzeka uma izingxenye ezimbili zamathumbu akho zingaxhumani kahle.)
• Ukutheleleka ngamagciwane.
• Ukuvaleka kwamathumbu.
• Ukopha ngokweqile.
• Izinkinga nge-stoma yakho (isibonelo, isikhwama sakho se-ostomy esingalingani kahle).
• Izibazi. Lokhu kungabangela ukuthi izindonga zamathumbu akho zibe zincane.
• Ukuntuleka kwe-Vitamin B12. (Lokhu kungenzeka uma udokotela wakho ohlinzayo kudingeka asuse ingxenye yamathumbu akho ukuze amunce i-vitamin B12.)

Uma unezinkinga ngemva kokuhlinzwa kwesifo sikaCrohn, udokotela wakho uzokusiza ukuthi wakhe uhlelo lokwelashwa. Lokhu kungafaka phakathi imithi, ukwelashwa okungekona ukuhlinzwa, noma ngisho nokunye ukuhlinzwa.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwesifo sikaCrohn?

Kungathatha cishe amasonto amane kuya kwayishumi nambili (4-12) ukululama ngokuphelele. Iningi labantu liyakwazi ukubuyela emsebenzini cishe amasonto ayisithupha.

Isikhathi esithathayo ukuze ululame sincike kwezinye izici eziningana. Lezi yizi:

• Uhlobo lokuhlinzwa owake wakwenza.
• Zingaki ukuhlinzwa oke wakwenza ngaphambili?
• Inani lamathumbu akho okwakufanele asuswe.
• Amandla omzimba wakho okuphulukisa amanxeba.
• iminyaka yakho.
• Ezinye izimo zezokwelapha osuvele unazo.

Udokotela wakho uhlala ekhona ukukusiza. Uma unemibuzo ethile mayelana nokwelashwa kwakho noma isikhathi sokululama, khuluma naye.

Kuzodingeka ngihlale isikhathi esingakanani esibhedlela?

Iningi labantu abahlinzwa isifo sikaCrohn bahlala esibhedlela cishe isonto lonke. (Abanye bahamba kusenesikhathi, abanye bahlala isikhathi eside.)

Ngemva kokuhlinzwa kwakho, ithimba lakho lezokwelapha lizokwenza okulandelayo:

• Qaphela indlela amanxeba akho aphola ngayo.
• Uma ungasakwazi ukudla noma ukuphuza ngokuzumayo, uzonikezwa usawoti (i-IV fluids) ngomthambo osengalweni yakho.
• Ngesikhathi esifanele, uzoqala ukudla ukudla okuhlanzekile okune-liquid.
• Uma usukulungele, uzoshintshelwa ekudleni okuthambile.

Uma uke wahlinzwa i-ostomy, udokotela noma umhlengikazi uzokukhombisa ukuthi ungayisebenzisa kanjani futhi uyihlanze kanjani isikhwama sakho esisha se-ostomy. Bazoqinisekisa ukuthi ukhululekile ngaso ngaphambi kokuba uphume esibhedlela.

Ingabe isifo sikaCrohn singelapheka ngokuhlinzwa?

Cha, ukuhlinzwa akukwazi ukwelapha ngokuphelele isifo sikaCrohn. Ngisho nangemva kokuhlinzwa, izimpawu zakho zingase zibuye.

Noma kunjalo, ukwelashwa kungalawula noma kunciphise izimpawu zakho. Ezimweni eziningi, kungathuthukisa kakhulu ikhwalithi yempilo yakho.

Udokotela wakho uzosebenza nawe isinyathelo ngasinye. Noma nini lapho izimpawu zakho ziba zimbi kakhulu, uzoxoxa nawe ngezindlela zokwelapha futhi adale uhlelo oluzokusebenzela.

Uma ukuhlinzwa kungeke kuphulukise isifo sikaCrohn, kungani kufanele ngihlinzwe?

Uma unesifo sikaCrohn, ungase uzibuze ngale mibuzo. Izingozi zokungahlinzwa ziyahlukahluka kuye ngesimo sakho. Kodwa-ke, uma isifo sikaCrohn singelashwa, singaholela ku:

• Ubuhlungu besisu.
• Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo ngendlela engachazeki.
• I-anemia.
• Izinga lempilo elibi.
• Izimpawu eziya ziba zimbi kakhulu.
• Izinguquko ezingaphambi komdlavuza noma umdlavuza emathunjini akho.
• Ingozi eyengeziwe yemiphumela emibi yemithi.
• Ukuhlinzwa okuphuthumayo.

Abanye abantu abadingi nhlobo ukuhlinzwa ngenxa yesifo sikaCrohn. Eqinisweni, bambalwa abantu abadinga ukuhlinzwa manje kunaseminyakeni engamashumi amabili edlule. Lokhu kungenzeka ngenxa yemithi emisha nethuthukisiwe kanye nokuhlolwa okusiza ekutholeni lesi sifo kusenesikhathi.

Njengamanje, cishe umuntu oyedwa kwabahlanu uzodinga ukuhlinzwa eminyakeni emihlanu yokuqala ngemva kokuxilongwa. Udokotela wakho kuphela ongakutshela ukuthi yini ekufanele.

Kunini lapho ngidinga ukubona udokotela ngemva kokuhlinzwa?

Ngemva kokuhlinzwa kwesifo sikaCrohn, kufanele ukhulume nodokotela wakho uma kwenzeka noma yikuphi kwalokhu okulandelayo:

• Uma ungenaso isisu izinsuku ezimbalwa ngemva kokuphuma esibhedlela.
• Uma uzwa isicanucanu nokuhlanza.
• Uma ubuhlungu buqhubeka buba bubi kakhulu.
• Uma ubona igazi esitulweni sakho noma esimnyama, thatha indle ephuzile.
• Uma uba nezimpawu zokuqhekeka kwegazi (isibonelo, ubuhlungu noma ukuvuvukala emilenzeni).

Uma uke wahlinzwa i-ostomy, tshela udokotela wakho uma ungazange uphume isisu sakho esisuka e-stoma isikhathi esingaphezu kwamahora angu-24. Lokhu kungasho ukuthi uvalekile.

Kungenzeka ukuthi usanda kutholakala unesifo sikaCrohn. Noma kungenzeka ukuthi ubulokhu ubhekene naso iminyaka eminingi. Kodwa-ke, umcabango wokuhlinzwa ungaba nzima - ikakhulukazi uma uke waba nalesi simo ngaphambili. Ukukhuluma nabanye abanesimo esifanayo nawe kungasiza. Cabanga ngokuthola iqembu lokusekelana, kungaba endaweni noma ku-inthanethi, bese wabelana ngolwazi lwakho nezigidi zabantu abaphila nesifo sikaCrohn nsuku zonke.

Ngakho-ke, yiziphi izinto okufanele sizikhumbule kule ndaba?

Ukuhlinzwa kwesifo sikaCrohn akukwazi ukwelapha ngokuphelele isimo sakho. Kodwa-ke, kuvame ukunciphisa izimpawu ezifana nobuhlungu, isicanucanu, nokukhathala, futhi kuthuthukise ikhwalithi yokuphila kwakho. Udokotela wakho uzokusiza ukuthi unqume ukuthi yini engcono kakhulu ngesimo sakho. Ungesabi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo onayo.

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