I-ulcerative colitis - ukuphuma

Ubukade usesibhedlela ukwelapha i-ulcerative colitis. Lokhu ukuvuvukala (ukuvuvukala) kolwelwesi lwangaphakathi lwekholoni yakho kanye ne-rectum (ebizwa nangokuthi amathumbu akho amakhulu). Le ndatshana ikutshela ukuthi ungazinakekela kanjani lapho ubuyela ekhaya.

Ubusesibhedlela ngoba une-ulcerative colitis. Lokhu ukuvuvukala kolwelwesi lwangaphakathi lwekholoni yakho kanye ne-rectum (ebizwa nangokuthi amathumbu akho amakhulu). Kulimaza ulwelwesi, kuyenze yophe noma ikhiphe amafinyila noma ubomvu.

Cishe uthole uketshezi nge-tube emthanjeni (IV) emthanjeni wakho. Kungenzeka ukuthi uthole ukumpontshelwa igazi, ukondleka ngokusebenzisa ipayipi lokudla noma i-IV, nemithi yokusiza ukunqanda uhudo. Kungenzeka unikezwe imithi yokwehlisa ukuvuvukala, ukuvimbela noma ukulwa nokutheleleka, noma ukusiza amasosha akho omzimba.

Kungenzeka ukuthi uthole i-colonoscopy. Kungenzeka nokuthi uke wahlinzwa. Uma kunjalo, kungenzeka ukuthi uke waba ne-ileostomy noma i-colon resection (colectomy).

Abantu abaningi bazoba namakhefu amade phakathi kokuqhuma kwesifo sabo sezilonda emathunjini uma bethatha imishanguzo yabo ebekiwe.

Uma uqala ukuya ekhaya, uzodinga ukuphuza iziphuzo kuphela noma udle ukudla okwehlukile kulokho ojwayele ukukudla. Buza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ungaqala nini ukudla kwakho okuvamile. Kufanele udle ukudla okunomsoco, okunempilo. Kubalulekile ukuthi uthole ama-calories anele, amaprotheni, kanye nezakhi zomzimba ezivela emaqenjini ahlukahlukene okudla.

Ukudla neziphuzo ezithile kungenza izimpawu zakho zibe zimbi kakhulu. Lokhu kudla kungakudalela izinkinga ngaso sonke isikhathi noma kuphela ngesikhathi sokuqhuma. Gwema ukudla okwenza izimpawu zakho zibe zimbi kakhulu.

• I-fiber eningi ingenza izimpawu zakho zibe zimbi kakhulu. Zama ukubhaka noma ukupheka izithelo nemifino uma ukuzidla kungaluhluphi kukukhathaza.
• Gwema ukudla okwaziwa ngokudala igesi, njengobhontshisi, ukudla okubabayo, iklabishi, i-broccoli, ukholifulawa, amajusi wezithelo ezingavuthiwe, nezithelo (ikakhulukazi izithelo ezisawolintshi). Gwema noma ulinganisele utshwala ne-caffeine. Bangase benze isifo sohudo sakho sibe sibi kakhulu.

Yidla ukudla okuncane, futhi udle kaningi. Phuza iziphuzo eziningi.

Buza umhlinzeki wakho ngamavithamini namaminerali engeziwe ongawadinga, kufaka phakathi:

• Izithako zensimbi (uma une-anemic)
• Izithako zokudla okunomsoco
• Izithako ze-calcium nevithamini D ukusiza ukugcina amathambo akho eqinile

Khuluma nesazi sokudla, ikakhulukazi uma ulahlekelwa isisindo noma ukudla kwakho kuncipha kakhulu.

Ungazizwa ukhathazekile ngokuthola ingozi yamathumbu, ukuphoxeka, noma uzizwe udabukile noma ucindezelekile. Ezinye izehlakalo ezicindezelayo empilweni yakho, njengokuhamba, ukulahleka kwemisebenzi, noma ukulahlekelwa othandekayo, zingadala izinkinga ngokugaya ukudla kwakho.

Lezi zeluleko zingakusiza ukuphatha i-ulcerative colitis yakho:

• Joyina iqembu lokusekela. Buza umhlinzeki wakho ngamaqembu asendaweni yangakini.
• Ukuzivocavoca umzimba. Khuluma nomhlinzeki wakho ngohlelo lokuzivocavoca olulungele wena.
• Zama i-biofeedback ukunciphisa ukungezwani kwemisipha futhi wehlise izinga lokushaya kwenhliziyo yakho, izivivinyo zokuphefumula, i-hypnosis, noma ezinye izindlela zokuphumula. Izibonelo zifaka phakathi ukwenza i-yoga, ukulalela umculo, ukufunda noma ukungena emanzini okugeza afudumele.
• Bheka umhlinzeki wokunakekelwa kwezempilo yengqondo ukuze uthole usizo.

Umhlinzeki wakho angakunika eminye imithi ukusiza ukukhulula izimpawu zakho. Ngokuya ngokuthi isifo sakho sezilonda emathunjini sinzima kangakanani nokuthi uphendula kanjani ekwelashweni, kungadingeka ukuthi uthathe eyodwa noma ngaphezulu yale mithi:

• Imithi elwa nohudo ingasiza uma unesifo sohudo esibi kakhulu. Ungathenga i-loperamide (Imodium) ngaphandle kwemithi kadokotela. Hlala ukhuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi.
• Izithako ze-fiber zingasiza izimpawu zakho. Ungathenga i-psyllium powder (Metamucil) noma i-methylcellulose (i-Citrucel) ngaphandle kwemithi kadokotela.
• Njalo khuluma nomhlinzeki wakho ngaphambi kokusebenzisa noma yimiphi imithi yokuthambisa.
• Ungasebenzisa i-acetaminophen (iTylenol) ngobuhlungu obuncane. Izidakamizwa ezifana ne-aspirin, ibuprofen (Advil, Motrin), noma naproxen (Aleve, Naprosyn) zingenza izimpawu zakho zibe zimbi kakhulu. Khuluma nomhlinzeki wakho ngaphambi kokuthatha le mithi. Ungadinga futhi incwadi kadokotela yemithi yezinhlungu enamandla.

Kunezinhlobo eziningi zemithi umhlinzeki wakho angazisebenzisa ukuvimbela noma ukwelapha ukuhlaselwa i-ulcerative colitis yakho.

Ukunakekelwa kwakho okuqhubekayo kuzoxhomeka ezidingweni zakho. Umhlinzeki wakho uzokutshela ukuthi uzobuya nini ukuze kuhlolwe ingaphakathi lengxenyeni yakho nekholomu ngokusebenzisa ithubhu eliguquguqukayo (sigmoidoscopy noma colonoscopy).

Shayela umhlinzeki wakho uma une:

• Amajaqamba noma ubuhlungu endaweni yakho yesisu engezansi
• Uhudo olunegazi, imvamisa lunamafinyila noma ubomvu
• Uhudo olungalawulwa ngezinguquko zokudla nezidakamizwa
• Ukopha okungatheni, amanzi, noma izilonda
• Imfiva ehlala izinsuku ezingaphezu kwezingu-2 noma ezi-3, noma umkhuhlane ongaphezu kuka-100.4 ° F (38 ° C) ngaphandle kwencazelo
• Isicanucanu nokuhlanza okuhlala isikhathi esingaphezu kosuku
• Izilonda zesikhumba noma izilonda ezingapholi
• Ubuhlungu obuhlangene obukugcina ungenzi imisebenzi yakho yansuku zonke
• Umuzwa wokuba nesixwayiso esincane ngaphambi kokudinga ukunyakaza kwamathumbu
• Isidingo sokuvuka ekulaleni ukuze ube nokunyakaza kwamathumbu
• Ukwehluleka ukuthola isisindo, ukukhathalela usana olukhulayo noma ingane
• Imiphumela emibi evela kunoma imiphi imithi enqunyelwe isimo sakho

Izifo ezivuthayo zamathumbu - ukukhishwa; I-ulcerative proctitis - ukukhishwa; Colitis - ukukhishwa

• Isifo samathumbu esivuthayo

U-Atallah CI, u-Efron JE, uFang SH. Ukuphathwa kwe-ulcerative colitis engapheli. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 154-161.

UDassopoulos T, uSultan S, uFalck-Ytter YT, u-Inadomi JM, uHanauer SB. I-American Gastroenterological Association Institute ukubuyekeza kobuchwepheshe ngokusetshenziswa kwe-thiopurines, methotrexate, kanye ne-anti-tnf-a biologic drug yokwenziwa nokugcinwa kokuxolelwa kwisifo sikaCrohn esivuthayo. I-Gastroenterology. 2013; 145 (6): 1464-1478. I-PMID: 24267475 www.ncbi.nlm.nih.gov/pubmed/24267475.

UKornbluth A, uSachar DB; Prakthiza Amapharamitha Ikomidi le-American College of Gastroenterology. Imihlahlandlela yokuzijwayeza i-ulcerative colitis kubantu abadala: American College Of Gastroenterology, Practice Parameters Committee. NginguJ Gastroenterol. 2010; 105 (3): 501-523. PMID: 20068560 www.ncbi.nlm.nih.gov/pubmed/20068560.

I-Osterman MT, iLichtenstein GR. I-ulcerative colitis. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 116.

I-Swaroop PP. Isifo samathumbu esivuthayo: Isifo seCrohn kanye nesilonda esilimaza izilonda Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 224-230.

• Izitulo ezimnyama noma ezilindile
• Ukuhlolwa komdlavuza wamakholoni
• Ileostomy
• Ukuthengiswa kabusha kwamathumbu amancane
• Ingqikithi yesisu se-colectomy
• Ingqikithi yesikhwama se-proctocolectomy ne-ileal-anal
• I-ulcerative colitis

• Uhudo - yini ongayibuza udokotela - ingane yakho
• Uhudo - yini ongayibuza umhlinzeki wakho wezokunakekelwa kwempilo - umuntu omdala
• Ukudla okunomsoco - izinkinga zokuphatha izingane
• Ishubhu yokudla ye-Gastrostomy - bolus
• Ileostomy nengane yakho
• Ileostomy nokudla kwakho
• Ileostomy - ukunakekela i-stoma yakho
• Ileostomy - ukukhishwa
• Ishubhu yokudla yeJejunostomy
• Ukuphila ne-ileostomy yakho
• Ukudla okuphansi kwe-fiber

• I-Ulcerative Colitis