Imisebe enteritis

Imisebe enteritis ukulimala kolwelwesi lwamathumbu (amathumbu) okubangelwa ukwelashwa ngemisebe, okusetshenziselwa ezinye izinhlobo zokwelashwa komdlavuza.

Ukwelashwa ngemisebe isebenzisa ama-x-reyi anamandla amakhulu, izinhlayiya, noma imbewu enomsakazo ukubulala amangqamuzana omdlavuza. Ukwelashwa kungalimaza namaseli aphilile kulwelwesi lwamathumbu.

Abantu abanokwelashwa ngemisebe esiswini noma endaweni ye-pelvic basengozini. Lokhu kungabandakanya abantu abanomdlavuza wesibeletho, i-pancreatic, i-prostate, i-uterine, noma i-colon kanye ne-rectal.

Izimpawu zingahluka, kuya ngokuthi iyiphi ingxenye yamathumbu ethola imisebe. Izimpawu zingaba zimbi kakhulu uma:

• Unokwelashwa ngamakhemikhali ngasikhathi sinye nemisebe.
• Uthola imithamo enamandla kakhulu yemisebe.
• Indawo enkulu yamathumbu akho ithola imisebe.

Izimpawu zingenzeka ngesikhathi noma ngemuva nje noma ngemuva kokulashwa ngemisebe.

Izinguquko ekuhambeni kwamathumbu zingafaka:

• Ukopha noma amafinyila avela engxenyeni
• Uhudo noma indle enamanzi
• Ukuzwa isidingo sokuba nokunyakaza kwamathumbu kakhulu noma ngaso sonke isikhathi
• Ubuhlungu endaweni engunxande, ikakhulukazi ngesikhathi sokuhamba kwamathumbu

Ezinye izimpawu zingabandakanya:

• Ukuphelelwa isifiso sokudla
• Isicanucanu nokuhlanza

Isikhathi esiningi, lezi zimpawu ziba ngcono ezinyangeni ezimbili kuya kwezingu-3 ngemuva kokuphela kokwelashwa ngemisebe. Kodwa-ke, lesi simo singenzeka izinyanga noma iminyaka ngemuva kokwelashwa ngemisebe.

Lapho izimpawu ziba isikhathi eside (ezingapheli), ezinye izinkinga zingafaka:

• Ubuhlungu besisu
• Uhudo olunegazi
• Indle enamafutha noma enamafutha
• Ukwehla kwesisindo

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba abuze ngomlando wakho wezokwelapha.

Ukuhlolwa kungafaka:

• I-Sigmoidoscopy noma i-colonoscopy
• I-endoscopy ephezulu

Ukuqala ukudla okuphansi kwe-fiber ngosuku lokuqala lokwelashwa ngemisebe kungakusiza ukuthi ugweme izinkinga. Ukukhetha okuhle kakhulu kokudla kuya ngezimpawu zakho.

Ezinye izinto zingenza izimpawu zibe zimbi kakhulu, futhi kufanele zigwenywe. Lokhu kufaka phakathi:

• Utshwala nogwayi
• Cishe yonke imikhiqizo yobisi
• Ikhofi, itiye, ushokoledi namasoda ane-caffeine
• Ukudla okuqukethe i-bran ephelele
• Izithelo ezintsha nezomisiwe
• Ukudla okuthosiwe, okunamafutha, noma okunamafutha
• Amantongomane nembewu
• Ama-popcorn, ama-chips amazambane, nama-pretzels
• Imifino eluhlaza
• Amakhekhe acebile nezimpahla ezibhakiwe
• Amanye amajusi wezithelo
• Izinongo ezinamandla

Ukudla neziphuzo okuyizinqumo ezingcono kufaka phakathi:

• I-apula noma ijusi lamagilebhisi
• Ama-Applesauce, ama-apula ahlutshiwe nobhanana
• Amaqanda, ubisi lwebhotela, neyogathi
• Inhlanzi, inyama yenkukhu nenyama ebilisiwe noma yosiwe
• Imifino emnene, ephekiwe, njengezeluleko ze-asparagus, ubhontshisi obuluhlaza noma omnyama, izaqathe, isipinashi nesikwashi
• Amazambane abhakwe, abilisiwe noma acubuziwe
• Ushizi olwenziwe, njengoshizi waseMelika
• Smooth ibhotela lamantongomane
• Isinkwa esimhlophe, ama-macaroni, noma ama-noodle

Umhlinzeki wakho kungenzeka ukuthi usebenzise imithi ethile efana nale:

• Izidakamizwa ezisiza ukunciphisa isifo sohudo, njenge-loperamide
• Imithi yezinhlungu
• Igwebu le-steroid eligqoka ulwelwesi lwe-rectum
• Ama-enzyme akhethekile okumiselela ama-enzyme avela kumanyikwe
• I-Oral 5-aminosalicylates noma i-metronidazole
• Ukufakwa kabusha kwe-hydrocortisone, sucralfate, 5-aminosalicylates

Ezinye izinto ongazenza zifaka:

• Yidla ukudla ekamelweni lokushisa.
• Yidla ukudla okuncane kaningi.
• Phuza uketshezi oluningi, kuze kufike ezingilazini eziyi-12 8-ounce (240 milliter) nsuku zonke uma uhudo. Abanye abantu bazodinga uketshezi olunikezwa ngomthambo (uketshezi olufakwa emithanjeni).

Umhlinzeki wakho angakhetha ukunciphisa imisebe yakho isikhathi esifushane.

Imvamisa azikho izindlela zokwelashwa ezifanele ze-enteritis engapheli enzima kakhulu.

• Imithi efana ne-cholestyramine, i-diphenoxylate-atropine, i-loperamide, noma i-sucralfate ingasiza.
• Ukwelashwa okushisayo (i-argon laser probe, i-plasma coagulation, i-heater probe).
• Ungadinga ukuthi ucabangele ukuhlinzwa ukuze ususe noma uzungeze (ngokudlula) ingxenye yamathumbu alimele.

Lapho isisu sithola imisebe, kuhlale kunesicanucanu, ukuhlanza nokuhuda. Ezimweni eziningi, izimpawu ziba ngcono ezinyangeni ezimbili kuya kwezingu-3 ngemuva kokuphela kokwelashwa.

Kodwa-ke, lapho lesi simo sikhula, izimpawu zingahlala isikhathi eside. I-enteritis yesikhathi eside (esingapheli) ayelapheki.

Izinkinga zingafaka:

• Ukopha nokushoda kwegazi
• Ukuphela kwamanzi emzimbeni
• Ukushoda kwe-Iron
• I-Malabsorption
• Ukungondleki
• Ukwehla kwesisindo

Shayela umhlinzeki wakho uma uthola ukwelashwa ngemisebe noma ubukade unakho esikhathini esedlule futhi unesifo sohudo esiningi noma ubuhlungu besisu nokuqaqamba.

Radiation enteropathy; Ukulimala kwamathumbu amancane okubangelwa imisebe; I-post-radiation enteritis

• Uhlelo lokugaya ukudla
• Izitho zohlelo lokugaya ukudla

I-Kuemmerle JF. Izifo zokuvuvukala kanye ne-anatomic zamathumbu, i-peritoneum, i-mesentery, ne-omentum. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 133.

Iwebhusayithi yeNational Cancer Institute. Izinkinga zesisu PDQ. www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-pdq. Kubuyekezwe ngoMashi 7, 2019. Kufinyelelwe ngo-Agasti 5, 2020.

I-Tanksley JP, i-Willett CG, i-Czito BG, i-Palta M. Imiphumela emibi futhi engapheli yamathumbu emithi yokwelashwa kwemisebe. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 41.