Ukususwa Okuncane Kwamathumbu Esifo SeCrohn

-Delile

• Ukususwa okuncane kwamathumbu
• Ukuphinda kwenzeke ngemuva kokuthengiswa okuyingxenye
• Ukuyeka ukubhema ngemuva kokuhlinzwa okwesikhashana
• Imithi ngemuva kokuhlinzwa okuncane kokuhlinzwa
• Imithi elwa namagciwane
• Ama-Aminosalicylates
• Ama-immunomodulators
• Yini ongayilindela ngemuva kokuhlinzwa
• Q:
• A:

Ukubuka konke

Isifo sikaCrohn yisifo samathumbu esivuthayo esidala ukuvuvukala kolwelwesi lwengxenye yamathumbu. Lokhu kuvuvukala kungenzeka kunoma iyiphi ingxenye yomgudu wamathumbu, kepha kuvame ukuthinta ikoloni namathumbu amancane.

Abantu abaningi abanesifo sikaCrohn bachitha iminyaka bezama imishanguzo ehlukahlukene. Lapho imithi ingasebenzi noma kuvela izinkinga, kwesinye isikhathi ukuhlinzwa kuyindlela.

Kulinganiselwa ukuthi abantu abangamaphesenti angama-75 abanesifo sikaCrohn bagcina bedinga ukuhlinzwa ukuze belaphe izimpawu zabo. Abanye bazoba nenketho yokuhlinzwa, kanti abanye bazoyidinga ngenxa yezinkinga zesifo sabo.

Olunye uhlobo lokuhlinzwa kweCrohn's lubandakanya ukukhipha ingxenye evuthayo yethumbu noma ithumbu elincane. Le nqubo ingasiza ngezimpawu, kepha akuyona ikhambi.

Ngemuva kokususwa kwendawo ethintekile yamathumbu, lesi sifo singagcina siqale ukuthinta ingxenye entsha yomgudu wamathumbu, sibangele ukuphindeka kwezimpawu.

Ukususwa okuncane kwamathumbu

Ukususwa kwengxenye yamathumbu kubizwa ngokuthi ukuthengiswa okuyingxenye noma ukuthengiswa kwamathumbu okuyingxenye. Lokhu kuhlinzwa kuvame ukunconywa kubantu abanesimo esisodwa noma ngaphezulu, noma izindawo ezinesifo, abasondelene engxenyeni ethile yamathumbu.

Ukuhlinzekwa okuncane kokuhlinzwa kungabuye kunconywe ezigulini ezinezinye izinkinga ezivela kwisifo sikaCrohn, njengokuphuma kwegazi noma ukuvinjelwa kwamathumbu. Ukuthengiswa okuyingxenye kubandakanya ukususa izindawo ezilimele zamathumbu bese uxhuma kabusha izingxenye ezinempilo.

Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi abantu balele kuyo yonke inqubo. Ukuhlinzwa ngokuvamile kuthatha ihora elilodwa kuya kwamane.

Ukuphinda kwenzeke ngemuva kokuthengiswa okuyingxenye

Ukuthengiswa kabusha okuncane kunganciphisa izimpawu zesifo sikaCrohn iminyaka eminingi. Kubalulekile ukuthi uqaphele, noma kunjalo, ukuthi ukukhululeka kuvame ukuba kwesikhashana.

Cishe amaphesenti ama-50 wabantu azothola ukuphindaphindeka kwezimpawu kungakapheli iminyaka emihlanu ngemuva kokuthola ukuthengiswa okuyingxenye. Lesi sifo sijwayele ukubuyela endaweni lapho amathumbu abuye axhunywa khona.

Abanye abantu bangaphinde bahlakulele ukushoda kokudla okunempilo ngemuva kokuhlinzwa.

Lapho abantu kukhishwa ingxenye yamathumbu abo, basala namathumbu amancane ukuze bamunce izakhamzimba ekudleni. Ngenxa yalokhu, abantu abathole ukuthengiswa okuyingxenye bangadinga ukuthatha izithasiselo ukuqinisekisa ukuthi bathola abakudingayo ukuze bahlale bephilile.

Ukuyeka ukubhema ngemuva kokuhlinzwa okwesikhashana

Abantu abaningi abahlinzwa ngenxa yesifo sikaCrohn bazoba nokuphindaphinda kwezimpawu. Ungavimbela noma ubambezele ukuphindaphinda ngokwenza izinguquko ezithile zendlela yokuphila. Olunye lwezinguquko ezibaluleke kakhulu ukwenziwa ukuyeka ukubhema.

Ngaphandle kokuba yingozi engaba khona yesifo sikaCrohn, ukubhema kungakhuphula ubungozi bokuphindeka phakathi kwabantu abathethelelwe. Iningi labantu abanesifo sikaCrohn babona nokuthuthuka empilweni yabo uma beyeka ukubhema.

Ngokwe-Crohn's and Colitis Foundation of America, ababhemayo abathethelelwa yisifo sikaCrohn banamathuba angaphezu kokuphindwe kabili kunalawo angabhemi okuba nezimpawu eziphindayo.

Imithi ngemuva kokuhlinzwa okuncane kokuhlinzwa

Odokotela bavame ukunikela ngemithi yokusiza ukunciphisa ubungozi bokuphindaphinda ngemuva kokuphinda kutholakale ingxenye ethile.

Imithi elwa namagciwane

Imithi elwa namagciwane ivame ukuba yisixazululo esisebenzayo sokuvimbela noma sokubambezela ukuphindeka kubantu asebeke bahlinzwa.

I-Metronidazole (i-Flagyl) iyimithi elwa namagciwane evame ukubekwa izinyanga ezimbalwa ngemuva kokuhlinzwa. I-Metronidazole inciphisa ukutheleleka kwamagciwane emgodini wamathumbu, okusiza ukugcina izimpawu zesifo sikaCrohn zisenkingeni.

Njengamanye ama-antibiotic, i-metronidazole ingahle ingasebenzi ngokuhamba kwesikhathi njengoba umzimba ulungisa umuthi.

Ama-Aminosalicylates

Ama-Aminosalicylates, aziwa nangokuthi yimithi engu-5-ASA, ayiqembu lemithi kwesinye isikhathi enqunyelwe abantu asebeke bahlinzwa. Kucatshangwa ukuthi zinciphisa izimpawu nokuqhuma, kepha azisebenzi kakhulu ekuvimbeleni ukuphindeka kwesifo sikaCrohn.

Ama-aminosalicylates anganconywa kubantu abasengozini ephansi yokuphindeka, noma abangakwazi ukuthatha eminye, imishanguzo esebenza kahle kakhulu. Imiphumela emibi ejwayelekile ifaka phakathi:

• ikhanda
• isifo sohudo
• isicanucanu noma ukuhlanza
• ukuqubuka
• ukulahlekelwa isifiso sokudla
• ubuhlungu besisu noma ukuqunjelwa
• imfiva

Ukuthatha umuthi ngokudla kunganciphisa le miphumela emibi. Amanye ama-aminosalicylate nawo angaba nemiphumela emibi kubantu abaphikisana nezidakamizwa ze-sulfa. Qinisekisa ukuthi udokotela wakho uyazi nganoma yikuphi ukungezwani komzimba onakho ngaphambi kokuqala ukwelashwa.

Ama-immunomodulators

Imithi eguqula amasosha akho omzimba, njenge-azathioprine noma i-TNF-blockers, kwesinye isikhathi inikezwa ngemuva kokuphinda kutholakale ingxenye ethile. Le mithi ingasiza ekuvimbeleni ukuphindeka kwesifo sikaCrohn kuze kube yiminyaka emibili ngemuva kokuhlinzwa.

Ama-immunomodulators abangela imiphumela emibi kwabanye abantu futhi kungenzeka angalungeli wonke umuntu. Udokotela wakho uzobheka ubukhulu besifo sakho, ubungozi bakho bokuphindaphinda, kanye nempilo yakho yonke ngaphambi kokuthatha isinqumo sokuthi ngabe enye yalezi zokwelashwa ikulungele yini.

Yini ongayilindela ngemuva kokuhlinzwa

Q:

Yini engingalindela ukuyithola ngesikhathi ngilulama kusuka ekuthengisweni kabusha okuyingxenye?

A:

Kunamaphuzu abalulekile okufanele awacabangele phakathi nesikhathi sokululama. Ubuhlungu obumaphakathi kuya obulinganiselayo esizeni sokusikwa buvame ukuzwa, futhi udokotela owelaphayo uzonikeza umuthi wezinhlungu.

Okuwuketshezi nama-electrolyte kufakwa ngemithambo kuze kube yilapho ukudla kwesiguli kungaqala kabusha kancane kancane, kuqala ngeziphuzo nokuqhubekela ekudleni okuvamile njengokuvunyelwa. Iziguli zingalindela ukuphuma embhedeni cishe amahora angama-8 kuye kwangama-24 ngemuva kokuhlinzwa.

Iziguli zivame ukuhlelelwa ukuhlolwa kokulandelwa kungakapheli amasonto amabili ngemuva kokuhlinzwa. Phakathi nezinsuku ezimbalwa zokuqala ngemuva kokuhlinzwa, ukuvivinya umzimba kuvinjelwe.