Umehluko phakathi kweCrohn's, UC, ne-IBD

-Delile

• Isifo samathumbu esivuthayo
• Isifo sikaCrohn
• I-ulcerative colitis
• Ukuhlonza i-IBD

Ukubuka konke

Abantu abaningi bayadideka uma kukhulunywa ngomehluko phakathi kwesifo samathumbu esivuthayo (IBD), isifo sikaCrohn, nesifo sezilonda emathunjini (UC). Incazelo emfushane ukuthi i-IBD yisikhathi sesambulela sesimo lapho kokubili isifo seCrohn ne-UC siwela ngaphansi kwaso. Kepha, kunjalo, kuningi kakhulu endabeni.

Kokubili uCrohn's no-UC kumakwe yimpendulo engajwayelekile amasosha omzimba, futhi bangabelana ngezimpawu ezithile.

Kodwa-ke, kunomehluko obalulekile futhi. Lokhu kwehlukaniswa ngokuyinhloko kufaka phakathi indawo yezifo ezisemgodini wamathumbu (GI) kanye nendlela isifo ngasinye esisabela ngayo ekwelashweni. Ukuqonda lezi zici kuyisihluthulelo sokuthola ukuxilongwa okufanele kusuka kudokotela we-gastroenterologist.

Isifo samathumbu esivuthayo

I-IBD yayingavamile ukubonwa ngaphambi kokuphakama kwenhlanzeko nokuthuthuka emadolobheni ekuqaleni kwekhulu lama-20.

Namuhla, isatholakala ikakhulukazi emazweni athuthukile njenge-United States. Njengezinye izifo ezizimele kanye ne-allergen, kukholelwa ukuthi ukuntuleka kokuthuthuka kokumelana namagciwane ngokwengxenye kube nomthelela ezifweni ezinjenge-IBD.

Kubantu abane-IBD, amasosha omzimba enza amaphutha ukudla, amabhaktheriya, noma ezinye izinto ezisephepheni le-GI lezinto zangaphandle futhi aphendule ngokuthumela amangqamuzana amhlophe egazi engxenyeni yamathumbu. Umphumela wokuhlaselwa kwamasosha omzimba ukuvuvukala okungapheli. Igama "ukuvuvukala" ngokwalo livela egameni lesiGreki elisho "ilangabi." Ngempela lisho “ukufakwa emlilweni.”

I-Crohn's ne-UC yizinhlobo ezivame kakhulu ze-IBD. Ama-IBD angavamile kakhulu afaka:

• i-microscopic colitis
• i-colitis ehlobene ne-diverticulosis
• i-collagenous colitis
• i-lymphocytic colitis
• Isifo sikaBehçet

I-IBD ingase ishaye nganoma yisiphi isikhathi. Abaningi abane-IBD batholakala ngaphambi kweminyaka engama-30, kodwa bangatholakala kamuva empilweni. Kuvame kakhulu ku:

• abantu abakubakaki bezenhlalo nezomnotho eziphakeme
• abantu abamhlophe
• abantu abadla ukudla okunamafutha aphezulu

Kujwayelekile kakhulu ezindaweni ezilandelayo:

• amazwe athuthukile
• Isimo sezulu sasenyakatho
• izindawo ezisemadolobheni

Ngaphandle kwezici zemvelo, izici zofuzo kukholelwa ukuthi zidlala indima enkulu ekuthuthukiseni i-IBD. Ngakho-ke, kubhekwa "njengesifo esiyinkimbinkimbi."

Ezinhlotsheni eziningi ze-IBD, alikho ikhambi. Ukwelashwa kugxile ekuphathweni kwezimpawu ngokuxolelwa njengenhloso. Kwabaningi, yisifo sempilo yonke, ngezikhathi ezithile zokuxolelwa nokuqhuma. Imithi yesimanje, nokho, ivumela abantu ukuthi baphile impilo ejwayelekile futhi ekhiqizayo.

I-IBD akufanele ididaniswe ne-irritable bowel syndrome (IBS). Ngenkathi ezinye izimpawu zingafana kwesinye isikhathi, umthombo nenkambo yezimo kwehluka kakhulu.

Isifo sikaCrohn

Isifo sikaCrohn singathinta noma iyiphi ingxenye yepheshana le-GI kusuka emlonyeni kuye endunu, yize kuvame ukutholakala ekupheleni kwamathumbu amancane (amathumbu amancane) nokuqala kwekholoni (amathumbu amakhulu).

Izimpawu zesifo sikaCrohn zingafaka:

• isifo sohudo njalo
• ukuqunjelwa ngezikhathi ezithile
• ubuhlungu besisu
• imfiva
• igazi esitokisini
• ukukhathala
• izimo zesikhumba
• ubuhlungu obuhlangene
• ukungondleki
• ukuncipha komzimba
• amafistula

Ngokungafani ne-UC, iCrohn's ayikhawulwanga kupheshana le-GI. Kungathinta futhi isikhumba, amehlo, amalunga nesibindi. Njengoba izimpawu zivame ukuba zimbi kakhulu ngemuva kokudla, abantu abane-Crohn's bayovame ukuzwa ukwehla kwesisindo ngenxa yokugwema ukudla.

Isifo sikaCrohn singadala ukuvaleka kwamathumbu ekuqhamukeni nasezibukweni. Izilonda (izilonda) emgodini wamathumbu zingakhula zibe amapheshana azo, awaziwa ngokuthi ama-fistula. Isifo sikaCrohn singakhuphula nengozi yomdlavuza wamathumbu, yingakho abantu abaphila nalesi simo kumele babe nama-colonoscopy ajwayelekile.

Imithi iyindlela ejwayelekile yokwelapha isifo sikaCrohn. Izinhlobo ezinhlanu zemithi yilezi:

• ama-steroids
• ama-antibiotic (uma ukutheleleka noma i-fistula kubangela amathumba)
• ama-immune modifiers, afana ne-azathioprine ne-6-MP
• ama-aminosalicylates, anjenge-5-ASA
• ukwelashwa kwe-biologic

Ezinye izimo zingadinga nokuhlinzwa, yize ukuhlinzwa kungaselaphi isifo sikaCrohn.

I-ulcerative colitis

Ngokungafani neCrohn's, i-ulcerative colitis ivinjelwe kukholoni (amathumbu amakhulu) futhi kuthinta kuphela izingqimba eziphezulu ekusatshalalisweni okulinganayo. Izimpawu ze-UC zifaka:

• ubuhlungu besisu
• indle evulekile
• indle enegazi
• ukuphuthuma kokuhamba kwamathumbu
• ukukhathala
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• ukungondleki

Izimpawu ze-UC nazo zingahluka ngohlobo. Ngokusho kweMayo Clinic, kunezinhlobo ezinhlanu ze-UC ezisuselwa endaweni:

• I-UC enamandla kakhulu. Le yindlela engajwayelekile ye-UC ethinta lonke ikholoni futhi ibangele ubunzima bokudla.
• I-colitis engakwesokunxele. Lolu hlobo luthinta ukwehla kwekholoni ne-rectum.
• I-Pancolitis. I-Pancolitis ithinta lonke ikholoni futhi ibanga uhudo olunegazi oluqhubekayo.
• I-Proctosigmoiditis. Lokhu kuthinta ikholoni engezansi ne-rectum.
• I-proctitis enezilonda. Indlela emnene ye-UC, ithinta i-rectum kuphela.

Yonke imithi esetshenziselwa amaCrohn's ivame ukusetshenziselwa i-UC futhi. Ukuhlinzwa, noma kunjalo, kusetshenziswa kaningi e-UC futhi kubhekwa njengekhambi lalesi simo. Lokhu kungenxa yokuthi i-UC ikhawulelwe kuphela kukholoni, futhi uma ikholoni isuswa, kanjalo nesifo.

Ikholoni ibaluleke kakhulu kepha, ngakho-ke ukuhlinzwa kusabhekwa njengesixazululo sokugcina. Ngokuvamile kucatshangelwa kuphela lapho ukuxolelwa kunzima ukukufinyelela kanti ezinye izindlela zokwelapha zingaphumelelanga.

Lapho kwenzeka izinkinga, zingaba nzima. Ukushiywa kungalashwa, i-UC ingaholela ku:

• ukugcotshwa (izimbobo kukholoni)
• umdlavuza wamathumbu
• isifo sesibindi
• ukukhumuzeka kwamathambo
• i-anemia

Ukuhlonza i-IBD

Akungabazeki ukuthi i-IBD inganciphisa ngokuphawulekayo izinga lempilo, phakathi kwezimpawu ezingakhululekile nokuvakashelwa kaningi okugeza. I-IBD ingaholela ngisho nasezicutshini ezibomvu futhi inyuse ingozi yomdlavuza wekoloni.

Uma uhlangabezana nezimpawu ezingavamile, kubalulekile ukubiza udokotela. Ungathunyelwa kugastroenterologist wokuhlolwa kwe-IBD, njenge-colonoscopy noma i-CT scan. Ukuhlonza ifomu elifanele le-IBD kuzoholela ekwelashweni okuphumelela kakhulu.

Ukuzibophezela ekwelashweni kwansuku zonke nasekuguqulweni kwendlela yokuphila kungasiza ekunciphiseni izimpawu, ukufeza ukuxolelwa, nokugwema izinkinga.

Ngaphandle kokutholakala kwakho, uhlelo lokusebenza lwamahhala lwe-Healthline, i-IBD Healthline, likuxhumanisa nabantu abaqondayo. Hlangana nabanye abaphila ne-Crohn's and ulcerative colitis ngokuthumela imiyalezo ngomuntu ngamunye nezingxoxo zamaqembu abukhoma. Futhi, uzoba nemininingwane evunyelwe uchwepheshe ekuphatheni i-IBD kutholakale kalula. Landa uhlelo lokusebenza lwe-iPhone noma i-Android.