Iyini i-Ulcerative Colitis engakwesokunxele?

-Delile

• Izimpawu ze-ulcerative colitis engakwesokunxele
• Izimbangela nezici zobungozi
• Ukuhlonza i-ulcerative colitis engakwesokunxele
• Ukwelashwa kwe-ulcerative colitis kwesokunxele
• Imithi ye-5-ASA
• Ama-corticosteroids omlomo
• Ama-biologics kanye nama-immunomodulators
• Ukulaliswa esibhedlela
• Ukwelashwa kwemvelo ukusiza ukuphatha izimpawu ze-UC

I-ulcerative colitis yisimo esidala ukuthi ikholoni yakho noma izingxenye zayo zivuthe. Kuma-ulcerative colitis angakwesokunxele, ukuvuvukala kwenzeka kuphela ohlangothini lwesobunxele lekholoni yakho. Kuyaziwa nangokuthi i-distal ulcerative colitis.

Ngale ndlela ye-ulcerative colitis, ukuvuvukala kusuka ku-rectum yakho kuya ku-flexion yakho ye-splenic. Ukuguquguquka kwe-splenic igama lokugoba kukholoni, eduze kobende bakho. Itholakala ohlangothini lwesobunxele esiswini.

Ezinye izinhlobo ze-ulcerative colitis zifaka:

• i-proctitis, lapho ukuvuvukala kunqunyelwe kwi-rectum
• i-pancolitis, ebangela ukuvuvukala kulo lonke ikholoni

Ngokuvamile, lapho kuthinteka kakhudlwana ikholoni lakho, uba nezimpawu eziningi.

Izimpawu ze-ulcerative colitis engakwesokunxele

Uhudo uphawu oluvame kakhulu lwe-ulcerative colitis. Ngezinye izikhathi, isitulo sakho singase sibe nemifudlana yegazi.

Ukulimala nokucasuka ku-rectum yakho kungadala ukuthi uzizwe sengathi uhlala udinga ukunyakaza kwamathumbu. Kodwa-ke, lapho uya endlini yangasese, inani lesitokisi ngokuvamile lincane.

Ezinye izimpawu ze-ulcerative colitis zifaka:

• ubuhlungu besisu noma ubuhlungu be-rectal
• imfiva
• ukuncipha komzimba
• ukuqunjelwa
• ama-rectal spasms

Izitulo ezinegazi zingaba uphawu lomonakalo omkhulu kukholoni. Igazi esitokisini sakho lingase likhanyise noma libomvu.

Uma ubona igazi esitokisini sakho, shayela udokotela wakho. Uma kunegazi elingaphezu kwesilinganiso esincane, funa usizo oluphuthumayo lwezokwelapha.

Izimbangela nezici zobungozi

Odokotela abazi ukuthi yini ngempela ebangela i-ulcerative colitis. Omunye umbono ukuthi kungenxa yesifo sokuzilimaza esibangela ukuvuvukala kukholoni yakho.

Kunezici ezithile zobungozi ezihambisana ne-ulcerative colitis. Lokhu kufaka phakathi:

• umlando womndeni we-ulcerative colitis
• umlando wokutheleleka nge-salmonella noma i-campylobacter
• ukuhlala endaweni ephakeme (kude ne-equator)
• ukuhlala esizweni saseNtshonalanga noma esithuthukile

Ukuba nalezi zinto ezinobungozi akusho ukuthi uzothola i-ulcerative colitis. Kepha kusho ukuthi unengozi eyengeziwe yokuthola lesi sifo.

Ukuhlonza i-ulcerative colitis engakwesokunxele

Udokotela wakho angakhomba uhlobo lwe-colitis onayo ngenqubo eyaziwa njenge-endoscopy. Ku-endoscopy, basebenzisa amakhamera akhanyisiwe ukubuka ulwelwesi lwangaphakathi kwikholoni yakho.

Udokotela wakho angabona izinga lokuvuvukala ngokufuna:

• ububomvu
• i-edema
• okunye okungajwayelekile emgqeni wekholoni

Uma une-colitis engakwesokunxele, ulwelwesi lwekholoni yakho luzoqala ukubukeka lujwayelekile futhi lapho udokotela wakho eye wadlula ngokudlula kwe-splenic flexure.

Ukwelashwa kwe-ulcerative colitis kwesokunxele

Izincomo zokwelashwa kwe-ulcerative colitis zingashintsha kuye ngokuthi ikoloni lakho lithinteka kangakanani. Kodwa-ke, udokotela wakho angakunikeza izindlela ezilandelayo zokwelapha:

Imithi ye-5-ASA

Umuthi owaziwa nge-5-aminosalicylic acid, noma i-5-ASA, uyindlela ejwayelekile yokwelapha i-ulcerative colitis. Imithi ye-5-ASA ingathathwa ngomlomo noma ifakwe phezulu. Banganciphisa izehlakalo zokuvuvukala emathunjini akho.

I-topical mesalamine, ukulungiswa kwe-5-ASA, itholakale ukuthi ibangele ukuxolelwa kwabantu abangamaphesenti angama-72 abantu abane-colitis engakwesokunxele ngaphakathi kwamasonto amane.

I-5-ASA iyatholakala njenge-suppository noma i-enema. Uma une-ulcerative colitis engakwesokunxele, udokotela wakho kungenzeka anikeze i-enema. I-suppository ngeke ifinyelele ngokwanele endaweni ethintekile.

Ama-corticosteroids omlomo

Uma izimpawu zakho zingaphenduli ku-5-ASA, udokotela wakho angase anikeze i-corticosteroids yomlomo. Ama-corticosteroids omlomo anganciphisa ukuvuvukala. Zivame ukuphumelela lapho zithathwa ngemithi engu-5-ASA.

Ama-biologics kanye nama-immunomodulators

Uma izimpawu zakho zilinganiselwa kokubi, udokotela wakho angakunikeza umuthi we-biologic. Lawa amasosha omzimba ahlose ukungasebenzi kwamaprotheni omzimba omzimba aziwa ngokubangela ukuvuvukala kwe-ulcerative colitis.

Kuyindlela yokwelashwa yesikhathi eside engasiza ukuvimbela ama-flareups.

Imihlahlandlela yamanje iphakamisa ukuthi izinketho ezilandelayo zingasebenza kahle kakhulu:

• infliximab (i-Remicade)
• i-vedolizumab (Entyvio)
• ustekinumab (Stelara)

Olunye uhlobo lomuthi, olwaziwa ngama-immunomodulators, nalo lungasiza. Udokotela anganquma lokhu kanye nezinye izinketho. Kubandakanya:

• imethotrexate
• 5-ASA
• thiopurine

Ukwelashwa kwesikhathi eside kunganciphisa ingozi yokuqhuma futhi kunciphise isidingo semithi ye-steroid, engaba nemiphumela emibi.

Ukulaliswa esibhedlela

Ezimweni ezinzima, ezingavamile, ungadinga ukulaliswa esibhedlela ukuze welaphe izimpawu zakho. Uma ungeniswe esibhedlela, ungathola i-intravenous (IV) steroids noma eminye imishanguzo ye-IV engakusiza ukuzinzisa isimo sakho.

Kwesinye isikhathi, udokotela wakho angancoma ukuthi ususe ingxenye ethintekile yekoloni yakho. Lokhu kuvame ukunconywa kuphela uma wopha kakhulu noma ukuvuvukala kubangele imbobo encane kukholoni yakho.

Ukwelashwa kwemvelo ukusiza ukuphatha izimpawu ze-UC

Ucwaningo oluningi ludinga ukwenziwa ezinzuzweni zokwelashwa kwemvelo namakhambi we-ulcerative colitis. Kepha kukhona ezinye izinketho ezingakusiza ukuphatha isimo.

Lokhu kufaka phakathi:

• ama-probiotic
• ukutshopa
• i-turmeric
• izithako ze-wheatgrass

Khuluma nodokotela wakho ngaphambi kokuqala noma iyiphi yalezi zindlela zokwelapha ukuze uqiniseke ukuthi ziphephile futhi zikulungele.