I-Ulcerative Colitis - izingane - ukukhipha

Ingane yakho ibisesibhedlela ngoba ine-ulcerative colitis (UC). Lokhu ukuvuvukala kwendwangu yangaphakathi yekoloni ne-rectum (amathumbu amakhulu). Kulimaza ulwelwesi, kuyenze yophe noma ikhiphe amafinyila noma ubomvu.

Ingane yakho kungenzeka ukuthi ithole uketshezi nge-intravenous (IV) tube emthanjeni wayo. Kungenzeka ukuthi bathole:

• Ukumpontshelwa igazi
• Ukudla okunomsoco ngokusebenzisa ithubhu yokudla noma i-IV
• Imithi yokusiza ekunqandeni isifo sohudo

Ingane yakho kungenzeka inikezwe imithi yokwehlisa ukuvuvukala, ukuvimbela noma ukulwa nokutheleleka, noma ukusiza amasosha omzimba.

Ingane yakho kungenzeka ukuthi yahlinzwa, njenge:

• Ukususwa kwekholoni (i-colectomy)
• Ukususwa kwamathumbu amakhulu kanye ne-rectum eningi
• Ukubekwa kwe-ileostomy
• Ukususwa kwengxenye yekholoni

Ingane yakho kungenzeka ibe namakhefu amade phakathi kwe-flare-ups ye-ulcerative colitis.

Lapho ingane yakho iqala ukuya ekhaya, izodinga ukuphuza iziphuzo kuphela noma idle ukudla okwehlukile kulokho ejwayele ukukudla. Landela imiyalo enikezwa ngumhlinzeki wezokunakekelwa kwempilo yengane yakho. Buza umhlinzeki ukuthi ungaqala nini ukudla okuvamile kwengane yakho.

Kufanele unikeze ingane yakho:

• Ukudla okunomsoco, okunempilo. Kubalulekile ukuthi ingane yakho ithole amakhalori anele, amaprotheni, kanye nezakhi zomzimba ezivela emaqenjini ahlukahlukene okudla.
• Ukudla okungenawo amafutha amaningi noshukela.
• Ukudla okuncane, okuvamile kanye noketshezi oluningi.

Ukudla neziphuzo ezithile kungenza izimpawu zengane yakho zibe zimbi kakhulu. Lokhu kudla kungadala izinkinga kubo ngaso sonke isikhathi noma kuphela ngesikhathi sokuqhuma.

Zama ukugwema ukudla okulandelayo okungenza izimpawu zengane yakho zibe zimbi kakhulu:

• I-fiber eningi ingenza izimpawu zibe zimbi kakhulu. Zama ukubhaka noma ukupheka izithelo nemifino uma ukuzidla kungaluhluphi kubakhathaza.
• Gwema ukunikeza ukudla okwaziwa njengokubangela igesi, njengobhontshisi, ukudla okubabayo, iklabishi, i-broccoli, ukholifulawa, amajusi wezithelo ezingavuthiwe, nezithelo, ikakhulukazi izithelo ezisawolintshi.
• Gwema noma ulinganisele i-caffeine, ngoba ingenza uhudo lube lubi kakhulu. Ukudla okufana namanye ama-soda, iziphuzo zamandla, itiye noshokoledi kungaqukatha i-caffeine.

Buza umhlinzeki ngamavithamini namaminerali engeziwe ingane yakho engadinga, kufaka phakathi:

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

Khuluma nodokotela wezokudla ukuze uqiniseke ukuthi ingane yakho ithola umsoco ofanele. Qiniseka ukuthi ukwenza lokhu uma ingane yakho yehlise isisindo noma ukudla kwayo kuncipha kakhulu.

Ingane yakho ingazizwa ikhathazekile ngokuthola ingozi yamathumbu, ihlazeke, noma izizwe idabukile noma icindezelekile. Bangakuthola kunzima ukubamba iqhaza emisebenzini esikoleni. Ungayondla ingane yakho futhi uyisize iqonde ukuthi ingaphila kanjani nalesi sifo.

Lezi zeluleko zingakusiza ukuphatha i-ulcerative colitis yengane yakho:

• Zama ukukhuluma ngokukhululekile nengane yakho. Phendula imibuzo yabo ngesimo sabo.
• Siza ingane yakho isebenze. Khuluma nomhlinzeki wengane yakho ngokuzivocavoca nemisebenzi abangayenza.
• Izinto ezilula ezifana nokwenza i-yoga noma i-tai chi, ukulalela umculo, ukufunda, ukuzindla, noma ukungena ebhavini efudumele kungayiphumuza ingane yakho futhi kukusize ekunciphiseni ukucindezeleka.
• Qaphela uma ingane yakho ilahlekelwa intshisakalo esikoleni, kubangani nakwimisebenzi. Uma ucabanga ukuthi ingane yakho ingahle icindezeleke, khuluma nomeluleki wezempilo yengqondo.

Ungahle ufune ukujoyina iqembu losizo ukukusiza wena nengane yakho ukuphatha lesi sifo. ICrohn's & Colitis Foundation of America (CCFA) ingelinye lala maqembu. I-CCFA inikezela ngohlu lwezinsizakusebenza, i-database yodokotela abagxile ekwelapheni isifo seCrohn, imininingwane ngamaqembu osizo endawo, kanye newebhusayithi yentsha - www.crohnscolitisfoundation.org.

Umhlinzeki wengane yakho angayinika imithi ethile yokusiza ukukhulula izimpawu zayo. Ngokuya ngokuthi i-ulcerative colitis yabo inzima kangakanani nokuthi basabela kanjani ekwelashweni, kungadingeka ukuthi bathathe eyodwa noma ngaphezulu yale mithi:

• Imithi elwa nohudo ingasiza uma inesifo sohudo esibi. Ungathenga i-loperamide (Imodium) ngaphandle kwemithi kadokotela. Njalo khuluma nomhlinzeki wabo ngaphambi kokusebenzisa le mithi.
• Izithako ze-fiber zingasiza izimpawu zabo. Ungathenga i-psyllium powder (Metamucil) noma i-methylcellulose (i-Citrucel) ngaphandle kwemithi kadokotela.
• Hlala ukhuluma nomhlinzeki wengane yakho ngaphambi kokusebenzisa noma yimiphi imithi yokuthambisa.
• Ungasebenzisa i-acetaminophen ngobuhlungu obuncane. Izidakamizwa ezifana ne-aspirin, ibuprofen, noma i-naproxen zingenza izimpawu zazo zibe zimbi kakhulu. Khuluma nomhlinzeki wabo ngaphambi kokuthatha le mithi. Ingane yakho nayo ingadinga incwadi kadokotela yemithi yezinhlungu enamandla.

Kunezinhlobo eziningi zemithi etholakalayo ukuvimbela noma ukwelapha ukuhlaselwa i-ulcerative colitis yengane yakho.

Ukunakekelwa okuqhubekayo kwengane yakho kuzosuselwa ezidingweni zayo. Umhlinzeki uzokutshela ukuthi ingane yakho kufanele ibuye nini ukuzohlola ingaphakathi le-rectum nekholoni ngokusebenzisa ithubhu eliguquguqukayo (sigmoidoscopy noma colonoscopy).

Shayela umhlinzeki wakho uma ingane yakho ine:

• Amajaqamba noma ubuhlungu endaweni engezansi kwesisu okungapheli
• Uhudo olunegazi, imvamisa lunamafinyila noma ubomvu
• Uhudo olungalawulwa ngezinguquko zokudla nezidakamizwa
• Ukopha okungatheni, amanzi, noma izilonda
• Ubuhlungu obusha bomzimba
• 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 kuhlanza kunombala ophuzi / oluhlaza okotshani
• Izilonda zesikhumba noma izilonda ezingapholi
• Ubuhlungu obuhlangene obugcina ingane yakho ekwenzeni imisebenzi yansuku zonke
• Umuzwa wokuba nesixwayiso esincane ngaphambi kokudinga ukunyakaza kwamathumbu
• Isidingo sokuvuka ekulaleni ukuze ube nokunyakaza kwamathumbu
• Ukwehluleka ukuthola isisindo, ukukhathazeka ngengane yakho ekhulayo noma ingane
• Imiphumela emibi evela kunoma imiphi imithi enqunyelwe isimo sengane yakho

UC - izingane; Izifo ezivuthayo zamathumbu ezinganeni - UC; I-proctitis enezilonda - izingane; I-Colitis ezinganeni - UC

UBitton S, uMarkowitz JF. I-ulcerative colitis ezinganeni nasebusheni. Ku: Wyllie R, Hyams JS, Kay M, eds. Izifo Zamathumbu Emathunjini Nesibindi. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2021: isahluko 43.

UStein RE, uBaldassano RN. Isifo samathumbu esivuthayo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 362.

• I-Ulcerative Colitis