Yini Ebangela I-Colitis Yami futhi Ngiyiphatha Kanjani?

-Delile

• Ukuvuvukala kwamakholoni
• Ukutheleleka
• Izifo zamathumbu ezivuthayo (IBD)
• Ischemic colitis
• Ukusabela okweqile
• I-Microscopic colitis
• I-colitis ebangelwa izidakamizwa
• Izimpawu ezivuthayo zekoloni
• Ukwelashwa kwekoloni evuthayo
• Ukubonana nodokotela nini
• Ukudla okudlela endlini

Ukuvuvukala koloni

I-Colitis yigama elijwayelekile lokuvuvukala kwendwangu yangaphakathi yekoloni, okuyisisu sakho esikhulu. Kunezinhlobo ezahlukahlukene ze-colitis ezihlukaniswe ngesizathu. Ukutheleleka, ukungatholakali kahle kwegazi, kanye nezinambuzane konke kungadala ikholoni elishayo.

Uma une-colon evuthayo, cishe uzoba nobuhlungu besisu, ukuqunjelwa, nohudo.

Ukuvuvukala kwamakholoni

Kunezinhlobo ezimbalwa ezahlukahlukene ze-colitis nezinye izimo ezingadala ukuvuvukala kwamakholoni.

Ukutheleleka

I-colitis ethathelwanayo ingabangelwa amagciwane, amabhaktheriya nezinambuzane. Umuntu one-colitis esithathelwanayo uzoba nohudo nomkhuhlane, kanye nesampula lesitokisi esivivinya okuhle kuma-enteropathogens afana nalokhu:

• salmonella
• umagazine
• Escherichia coli (E. coli)

Ngokuya ngesizathu sokutheleleka, isifo sofuba esithathelwanayo singathathelwa emanzini angcolile, izifo ezitholakala ekudleni, noma inhlanzeko embi.

I-Pseudomembranous colitis ingenye uhlobo lwesifo sofuba esithathelwanayo. Iphinde ibhekiswe njenge-colitis ehambisana namagciwane noma C. okuhlukile colitis ngoba kubangelwa ukugcwala kwamagciwane IClostridium difficile. Ngokuvamile kubangelwa ukusetshenziswa kwama-antibiotic okuphazamisa ibhalansi yamagciwane aphilile kukholoni.

Izifo zamathumbu ezivuthayo (IBD)

Ngokusho kwe-, cishe abantu abadala abayizigidi ezintathu base-U.S. Babene-IBD kusukela ngonyaka ka-2015. IBD iyiqembu lezifo ezingamahlalakhona ezibangela ukuvuvukala emgudwini wokugaya ukudla. Kunezimo eziningi eziwela ngaphansi kwesambulela se-IBD, kepha izinhlobo ezimbili eziyinhloko yilezi:

• Isifo sikaCrohn. Lesi simo sidala ukuvuvukala kolwelwesi lwendlela yokugaya ukudla. Noma iyiphi ingxenye yomgudu wokugaya ukudla ingathinteka, kepha ivame ukukhula ku-ileum, okuyingxenye yokugcina yamathumbu amancane.
• I-ulcerative colitis. Lokhu kubangela ukuvuvukala okungapheli nezilonda ngaphakathi kolwelwesi lwangaphakathi lwekholoni kanye ne-rectum. Abantu abane-ulcerative colitis banengozi eyengeziwe yomdlavuza wekoloni.

Ischemic colitis

Ischemic colitis kwenzeka lapho kuncipha ukugeleza kwegazi engxenyeni yekoloni. Lokhu kumisa amaseli ohlelweni lwakho lokugaya ukudla ekutholeni i-oxygen ayidingayo.

Ngokuvamile kubangelwa imithambo emincane noma evinjiwe. Abantu abaneminyaka engama-60 noma ngaphezulu, bane-cholesterol ephezulu, noma i-clotting disorder banengozi eyengeziwe ye-ischemic colitis.

Ischemic colitis ingathinta noma iyiphi ingxenye yekholoni yakho kepha uvame ukuzwa ubuhlungu ohlangothini lwesobunxele besisu. Kungenzeka kancane kancane noma ngokuzumayo.

[FAKA IBHODI LOKUVIMBELA: Uma uzwa ubuhlungu obukhulu ohlangothini lwesokunene sesisu sakho, thola usizo oluphuthumayo lwezempilo.]

Izimpawu ohlangothini lwakho lwesokudla zingabonisa imithambo evinjiwe emathunjini akho amancane angadala i-necrosis yezicubu zamathumbu ngokushesha. Lokhu kusongela impilo futhi kudinga ukuhlinzwa okuphuthumayo ukusula ukuvinjelwa nokususa ingxenye eyonakele.

Ukusabela okweqile

I-Allergic colitis ivame kakhulu ezinganeni kunabantu abadala, ethinta amaphesenti aphakathi kuka-2 no-3 wezinsana. Ukuvuvukala kuyindlela yokungezwani komzimba namaprotheni atholakala obisini lwenkomo. Ingane enekholoni evuthayo ingahle icasuke, igcwale igazi, futhi ibe negazi noma amafinyila ezitokisini zazo. I-anemia nokungondleki nakho kungenzeka.

I-Eosinophilic colitis ifana ne-allergen colitis. Uma kwenzeka enganeni, kuvame ukuxazulula ebuntwaneni obusencane. Kubantu abasha nasebekhulile, lesi simo sihlala singamahlalakhona. Imbangela ngqo ye-eosinophilic colitis ayaziwa njalo, yize amaprotheni obisi lwenkomo avame ukwenza izimpawu zibe zimbi kakhulu. Abantu abanomlando womuntu siqu noma womndeni wokungezwani komzimba nesifuba somoya babonakala benengozi enkulu.

I-Microscopic colitis

I-microscopic colitis ingabonakala kuphela ngemicroscope. Kubonakala ngokwanda kwama-lymphocyte, okuluhlobo lweseli elimhlophe, kulwelwesi lwekholoni.

Kunezinhlobo ezimbili ze-colitis microscopic futhi yize zombili zibonisa ukwanda kwama-lymphocyte, uhlobo ngalunye luthinta izicubu zekholoni lakho ngendlela ehlukile.

• I-lymphocytic colitis inenani eliphakeme lama-lymphocyte, futhi izicubu nolwelwesi lwekholoni kukhulu okujwayelekile.
• Ku-collagenous colitis, ungqimba lwe-collagen ngaphansi kolwelwesi lwekholoni lukhulu ngaphezu kokujwayelekile.

Isizathu se-microscopic colitis asaziwa, kepha abacwaningi bakholelwa ukuthi kungaxhunyaniswa ne:

• izifo ezizimele
• imithi ethile
• izifo
• izakhi zofuzo

Izimpawu zalolu hlobo lwe-colitis zivame ukufika zidlule, kwesinye isikhathi zinyamalale ngaphandle kokwelashwa.

I-colitis ebangelwa izidakamizwa

Imithi ethile, ikakhulukazi izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ziye zaxhunyaniswa nekholoni elivuvukala kwabanye abantu. Abantu asebekhulile nabantu abanomlando wokusetshenziswa kwesikhathi eside kwama-NSAID babonakala besengozini enkulu yokuthuthukisa lolu hlobo lwe-colitis.

Izimpawu ezivuthayo zekoloni

Noma kunezinhlobo ezahlukahlukene ze-colitis ezinezimbangela ezahlukahlukene, iningi lezimpawu ziyefana:

• uhudo noma ngaphandle kwegazi
• ubuhlungu besisu nokuqaqamba
• imfiva
• ukuphuthuma ukuba nokunyakaza kwamathumbu
• isicanucanu
• ukuqunjelwa
• ukuncipha komzimba
• ukukhathala

Ukwelashwa kwekoloni evuthayo

Ukwelashwa kwe-colitis kungahluka kuye ngesizathu. Uma kubangelwa ukungezwani komzimba nokudla okuthile noma umphumela ohlangothini kumuthi othile, udokotela wakho uzoncoma ukuthi ususe ukudla ekudleni kwakho noma ushintshe umuthi.

Izinhlobo eziningi ze-colitis ziphathwa kusetshenziswa imithi kanye nezinguquko ekudleni kwakho. Umgomo wokwelashwa kokuvuvukala kwamakholoni ukunciphisa ukuvuvukala okubangela izimpawu zakho.

Imithi esetshenziselwa ukwelapha i-colitis ingafaka:

• izidakamizwa ezilwa nokuvuvukala, njenge-corticosteroids nama-aminosalicylates
• ama-immunosuppressants
• ama-antibiotic
• imithi elwa nohudo
• izithasiselo, njenge-iron, calcium ne-vitamin D

Lezi zinguquko ezilandelayo zokuphila zingasiza ekunciphiseni izimpawu zakho:

• Gcina umbhalo walokho futhi ugweme ukudla okubangela noma okwenze izimpawu zakho zibe zimbi kakhulu
• udle ukudla okuncane, okuvame kakhulu usuku lonke
• gwema ukudla okwandisa ukuphuma kwendle, njenge-caffeine nezithelo nemifino eluhlaza
• nciphisa ukusetshenziswa kotshwala
• yeka ukubhema; lokhu kungaba nzima, kepha udokotela angakusiza ukuthi wakhe uhlelo olulungele wena

Ukuhlinzwa kunganconywa uma ezinye izindlela zokwelapha zingakwazi ukuqeda izimpawu zakho noma uma unomonakalo omkhulu kukholoni yakho.

Ukubonana nodokotela nini

Isifo sohudo esingapheli, ubuhlungu besisu obukhulu, noma igazi esitokisini sakho kufanele kuhlolwe ngudokotela. Ubuhlungu obukhulu besisu obuza kungazelelwe futhi obwenza kube nzima kuwe ukuthi unethezeke kungaba uphawu lwesimo esibi esidinga ukwelashwa okuphuthumayo.

Ukudla okudlela endlini

Izimpawu zekolon evuthayo, eyaziwa ngokuthi i-colitis, zingadala ukungaphatheki kahle okuthinta ikhwalithi yakho yokuphila. Kunezinketho zokwelashwa ezingasiza. Khuluma nodokotela ukuze uthole indlela engcono yokwelapha izimpawu zakho.