Ischemic Colitis

-Delile

• Yini ebangela ischemic colitis?
• Yiziphi izici eziyingozi zeschemic colitis?
• Ziyini izimpawu ze-ischemic colitis?
• Sitholakala kanjani ischemic colitis?
• Selashwa kanjani ischemic colitis?
• Yiziphi izinkinga ezingaba khona ze-ischemic colitis?
• Uyini umbono wabantu abane-IC?
• Ngingasivimbela kanjani ischemic colitis?

Yini i-ischemic colitis?

Ischemic colitis (IC) yisimo sokuvuvukala kwamathumbu amakhulu, noma ikholoni. Ikhula lapho kungekho ukugeleza kwegazi okwanele kukholoni. I-IC ingenzeka nganoma yisiphi isikhathi, kodwa ivame kakhulu kulabo abaneminyaka engaphezu kwengu-60.

I-plaque eyakhiwe ngaphakathi kwemithambo yegazi (i-atherosclerosis) ingadala i-IC engapheli noma yesikhathi eside. Lesi simo singabuye siphume nokwelashwa okuncane, njengokudla oketshezi okwesikhashana kanye nama-antibiotic.

Yini ebangela ischemic colitis?

I-IC yenzeka lapho kunokuntuleka kokugeleza kwegazi kukholoni yakho. Ukuqina komunye noma ngaphezulu kwemithambo ye-mesenteric kungadala ukwehla okungazelelwe kokugeleza kwegazi, okubizwa nangokuthi i-infarction. Le yimithambo ehambisa igazi emathunjini akho. Imithambo ingaqina lapho kunenqwaba yamadiphozithi anamafutha abizwa ngokuthi i-plaque ngaphakathi kwezindonga zakho zomthambo. Lesi simo saziwa ngokuthi i-atherosclerosis. Kuyimbangela evamile ye-IC phakathi kwabantu abanomlando wesifo se-coronary artery noma i-peripheral vascular disease.

Ukuqina kwegazi kungavimba nemithambo ye-mesenteric futhi kumise noma kunciphise ukuhamba kwegazi. Izindwangu zivame kakhulu kubantu abanenhliziyo engashayi kahle, noma i-arrhythmia.

Yiziphi izici eziyingozi zeschemic colitis?

I-IC ivame ukwenzeka kubantu abaneminyaka engaphezu kwengu-60 ubudala. Lokhu kungenxa yokuthi imithambo yegazi ivame ukuqina njengoba ukhula. Njengoba ukhula, inhliziyo yakho nemithambo yegazi kufanele isebenze kanzima ukupompa nokwamukela igazi. Lokhu kudala ukuthi imithambo yegazi yakho ibe buthakathaka, ibenze bathambekele kakhulu ekwakhiweni kocwecwe.

Futhi unengozi enkulu yokuthuthukisa i-IC uma:

• babe nokuhluleka kwenhliziyo okuxinekile
• unesifo sikashukela
• ube nomfutho wegazi ophansi
• Unomlando wezinqubo zokuhlinza kwi-aorta
• thatha imithi engadala ukuqunjelwa

Ziyini izimpawu ze-ischemic colitis?

Iningi labantu abane-IC lizwa ubuhlungu besisu obumaphakathi kuya kokulingene. Lobu buhlungu buvame ukuvela ngokuzuma futhi buzwakale njengesigaxa esiswini. Elinye igazi lingase libe khona nasesitulweni, kodwa ukuphuma kwegazi akufanele kube nzima. Igazi eleqile esitokisini lingaba uphawu lwenkinga ehlukile, njengomdlavuza wekoloni, noma isifo sokuvuvukala kwamathumbu njengesifo sikaCrohn.

Ezinye izimpawu zifaka:

• ubuhlungu esiswini sakho ngemuva kokudla
• isidingo esiphuthumayo sokuba nokunyakaza kwamathumbu
• isifo sohudo
• ukuhlanza
• ubumnene esiswini

Sitholakala kanjani ischemic colitis?

IC kungaba nzima ukuxilonga. Kungaphutha kalula ngesifo samathumbu esivuthayo, iqembu lezifo ezibandakanya isifo sikaCrohn nesifo sezilonda emathunjini.

Udokotela wakho uzokubuza ngomlando wakho wezokwelapha futhi a-oda izivivinyo eziningi zokuxilonga. Lezi zivivinyo zingafaka okulandelayo:

• I-ultrasound noma i-CT scan ingakha izithombe zemithambo yegazi namathumbu akho.
• I-mesenteric angiogram ukuhlolwa kwe-imaging okusebenzisa i-X-ray ukubona ngaphakathi kwemithambo yakho futhi kunqume indawo yokuvaleka.
• Ukuhlolwa kwegazi kungabheka ukubalwa kwamaseli amhlophe egazi. Uma isibalo sakho samaseli amhlophe siphezulu, singakhombisa i-IC ebukhali.

Selashwa kanjani ischemic colitis?

Amacala amancane we-IC avame ukuphathwa nge:

• ama-antibiotic (ukuvikela ukutheleleka)
• ukudla oketshezi
• uketshezi lwe-intravenous (IV) (lwe-hydration)
• imithi yezinhlungu

I-Acute IC iyisimo esiphuthumayo sezokwelapha. Kungadinga:

• i-thrombolytics, okuyimithi eqeda amahlule
• ama-vasodilator, okuyimithi enganweba imithambo yakho ye-mesenteric
• ukuhlinzwa ukuze ususe ukuvinjelwa emithanjeni yakho

Abantu abane-IC engalapheki ngokuvamile badinga ukuhlinzwa kuphela uma ezinye izindlela zokwelapha zehluleka.

Yiziphi izinkinga ezingaba khona ze-ischemic colitis?

Inkinga eyingozi kakhulu ye-IC yisilonda esibolile, noma ukufa kwezicubu. Lapho ukugeleza kwegazi kukholoni lakho kunqunyelwe, izicubu zingafa. Uma lokhu kwenzeka, ungadinga ukuhlinzwa ukuze ususe izicubu ezifile.

Ezinye izinkinga ezihambisana ne-IC zifaka:

• umgodi, noma imbobo, emathunjini akho
• i-peritonitis, okuwukuvuvukala kwezicubu ezigcwele isisu sakho
• sepsis, okuyisifo esibi kakhulu futhi esasakazeka kakhulu esibangelwa amagciwane

Uyini umbono wabantu abane-IC?

Abantu abaningi abane-IC engalapheki bangelashwa ngempumelelo ngemithi nangokuhlinzwa. Kodwa-ke, inkinga ingabuya uma ungayigcini impilo enempilo. Imithambo yakho yemithambo izoqhubeka nokuqina uma kungenziwa ushintsho oluthile lwendlela yokuphila. Lezi zinguquko zingafaka ukuvivinya umzimba kaningi noma ukuyeka ukubhema.

Umbono wabantu abane-IC ebucayi uvame ukuba mubi ngoba ukufa kwezicubu emathunjini kwenzeka kaningi ngaphambi kokuhlinzwa. Umbono ungcono kakhulu uma uthola ukuxilongwa bese uqala ukwelashwa khona manjalo.

Ngingasivimbela kanjani ischemic colitis?

Indlela yokuphila enempilo inganciphisa ingozi yokuba nemithambo eqinile. Izisekelo zendlela yokuphila enempilo zifaka:

• ukuzivocavoca umzimba njalo
• ukudla ukudla okunempilo
• ukwelapha izimo zenhliziyo ezingaholela kumahlule egazi, njengokushaya kwenhliziyo okungajwayelekile
• ukuqapha i-cholesterol yakho yegazi nomfutho wegazi
• ukungabhemi