Kuyini i-Pancolitis?

-Delile

• Izimpawu zepancolitis
• Izimbangela zepancolitis
• Ukuhlonza i-pancolitis
• Ukwelashwa
• Imithi
• Ukuhlinzwa
• Izinguquko zendlela yokuphila
• Umbono

Ukubuka konke

I-Pancolitis ukuvuvukala kwekoloni lonke. Isizathu esivame kakhulu yi-ulcerative colitis (UC). I-Pancolitis nayo ingabangelwa izifo ezinjenge C. difficile, noma ingahlotshaniswa nokuphazamiseka kokuvuvukala njenge-rheumatoid arthritis (RA).

I-UC yisimo esingelapheki esithinta ulwelwesi lwamathumbu akho amakhulu, noma ikholoni yakho. I-UC ibangelwa ukuvuvukala okuholela ezilondeni, noma izilonda, kukholoni yakho. Ku-pancolitis, ukuvuvukala nezilonda kuye kwasakazeka ukumboza ikholoni yakho yonke.

Ezinye izinhlobo ze-ulcerative colitis zifaka:

• i-proctosigmoiditis, lapho i-rectum nengxenye yekholoni yakho eyaziwa njenge-sigmoid colon inokuvuvukala nezilonda
• i-proctitis, ethinta i-rectum yakho kuphela
• i-ulcerative colitis engakwesokunxele, noma i-distal, lapho ukuvuvukala kusuka ku-rectum yakho kuya ejikeni lekholoni lakho elitholakala eduze kwesipeni sakho, ohlangothini lwesobunxele lomzimba wakho

I-UC ibangela izimpawu ezingakhululeki noma ezibuhlungu. Lapho ikoloni lakho lithinteka ngokwengeziwe, izimpawu zakho ziba zimbi nakakhulu. Ngoba i-pancolitis ithinta ikholoni yakho yonke, izimpawu zayo zingaba zimbi kakhulu kunezimpawu zezinye izinhlobo ze-UC.

Izimpawu zepancolitis

Izimpawu ezivamile ezimnene nezilinganiselayo ze-pancolitis zifaka:

• ngizizwe ngikhathele
• ukulahleka kwesisindo okungavamile (ngaphandle kokuzivocavoca umzimba noma ukudla ngokweqile)
• ubuhlungu kanye namajaqamba endaweni yesisu nesisu sakho
• ukuzwa umfutho oqinile, ovame ukunyakaza wamathumbu, kepha hhayi njalo ukukwazi ukulawula ukunyakaza kwamathumbu

Njengoba i-pancolitis yakho iba yimbi, cishe uzoba nezimpawu ezinzima kakhulu. Lokhu kungafaka:

• ubuhlungu nokopha endaweni yakho engunxande kanye nangendunu
• umkhuhlane ongachazeki
• uhudo olunegazi
• isifo sohudo esigcwele ubomvu

Izingane ezine-pancolitis kungenzeka zingakhuli kahle. Thatha ingane yakho ukuthi iye kudokotela ngokushesha uma inezinye zezimpawu ezingenhla.

Ezinye zalezi zimpawu kungenzeka zingabi umphumela we-pancolitis. Ubuhlungu, ukuqunjelwa, nesifiso esinamandla sokudlulisa imfucuza kungabangelwa igesi, ukuqunjelwa, noma ukudla okunobuthi. Kulezi zimo, izimpawu zizophela ngemuva kwesikhathi esifushane sokungahambi kahle.

Kepha uma unezimpawu ezilandelayo, kufanele ubone udokotela wakho ngokushesha:

• igazi noma ubomvu kuhudo lwakho
• imfiva
• isifo sohudo esihlala isikhathi esingaphezu kwezinsuku ezimbili ngaphandle kokuphendula kumuthi
• indle eyisithupha noma ngaphezulu evulekile kumahora angama-24
• ubuhlungu obukhulu esiswini noma engxenyeni

Izimbangela zepancolitis

Akwaziwa ukuthi yini ngempela ebangela i-pancolitis noma ezinye izinhlobo ze-UC. Njengezinye izifo zamathumbu ezivuthayo (IBDs), i-pancolitis ingabangelwa izakhi zakho zofuzo. Omunye umbono ukuthi izakhi zofuzo okucatshangwa ukuthi zibanga isifo sikaCrohn, olunye uhlobo lwe-IBD, nazo zingadala i-UC.

ICrohn’s & Colitis Foundation of America iphawula ukuthi kukhona ucwaningo lokuthi izakhi zofuzo zingadala kanjani i-UC namanye ama-IBD. Lolu cwaningo lubandakanya ukuthi izakhi zofuzo zakho zisebenzisana kanjani namagciwane asepheshaneni lakho le-GI.

Kucatshangwa ukuthi amasosha omzimba angakhomba ngephutha ikholoni yakho ngenkathi ehlasela amabhaktheriya noma amagciwane abangela ukutheleleka kukholoni yakho. Lokhu kungadala ukuvuvukala nokonakala kukholoni yakho, okungaholela ezilondeni. Kungenza futhi ukuthi kube nzima ngomzimba wakho ukwamukela izakhamzimba ezithile.

Imvelo ingadlala indima. Ukuthatha izinhlobo ezithile zemithi, njengezidakamizwa ezingezona ukuvuvukala noma ama-antibiotic, kungakhuphula ubungozi. Ukudla okunamafutha amaningi nakho kungaba yisici.

Kwezinye izimo, uma ungatholi ukwelashwa kwezinhlobo ze-UC ezimnene noma ezilinganiselayo, isimo sakho singaba sibi kakhulu futhi sibe yindaba ye-pancolitis.

Abanye abantu bakholelwa ukuthi ukucindezeleka nokukhathazeka kungaholela ku-UC naku-pancolitis. Ukucindezeleka nokukhathazeka kungadala izilonda futhi kubangele ubuhlungu nokungahambi kahle, kodwa lezi zinto empeleni azibangeli i-pancolitis noma amanye ama-IBD.

Ukuhlonza i-pancolitis

Udokotela wakho angafuna ukwenza ukuhlolwa komzimba ukuze athole umbono ngempilo yakho yonke. Ngemuva kwalokho, bangakucela isampula lesitulo noma bahlole igazi ukuze kukhishwe ezinye izimbangela zezimpawu zakho, njengokutheleleka ngamagciwane noma igciwane.

Udokotela wakho futhi uzokucela ukuthi ube ne-colonoscopy. Kule nqubo, udokotela wakho ufaka ithubhu ende, ezacile enokukhanya nekhamera ekugcineni ku-anus, rectum kanye ne-colon yakho ekugcineni. Udokotela wakho angabe esehlola ulwelwesi lwamathumbu akho amakhulu ukuze afune izilonda kanye nanoma yiziphi ezinye izicubu ezingavamile.

Ngesikhathi se-colonoscopy, udokotela wakho angathatha isampula lesishubhu kukholoni yakho ukulihlolela noma yiziphi ezinye izifo noma izifo. Lokhu kwaziwa njenge-biopsy.

I-colonoscopy nayo ingavumela udokotela wakho ukuthi athole futhi asuse noma yimaphi ama-polyps angaba kukholoni yakho. Amasampula amathishu nokususwa kwe-polyp kungadingeka uma udokotela wakho ekholelwa ukuthi izicubu kukholoni yakho zingaba nomdlavuza.

Ukwelashwa

Ukwelashwa kwe-pancolitis nezinye izinhlobo ze-UC kuncike ekutheni zilonda kangakanani kukholoni yakho. Ukwelashwa kungahluka futhi uma unezimo ezingaphansi ezibangele i-pancolitis noma uma i-pancolitis engalashwa ibangele izimo ezinzima kakhulu.

Imithi

Ukwelashwa okuvame kakhulu kwe-pancolitis nezinye izinhlobo ze-UC yizidakamizwa ezilwa nokuvuvukala. Lokhu kusiza ukwelapha ukuvuvukala kukholoni yakho. Lokhu kufaka phakathi imithi efana ne-oral 5-aminosalicylates (5-ASAs) kanye ne-corticosteroids.

Ungathola ama-corticosteroids, njenge-prednisone, njengemijovo noma njengama-suppositories angama-rectal. Lezi zinhlobo zokwelashwa zingaba nemiphumela emibi, kufaka phakathi:

• isicanucanu
• isilungulela
• ingozi eyengeziwe yesifo sikashukela
• ingozi eyengeziwe yomfutho wegazi ophakeme
• ukukhumuzeka kwamathambo
• ukuzuza kwesisindo

Ama-suppressors e-immune system nawo ayindlela yokwelapha ejwayelekile ye-pancolitis ne-UC. Lokhu kusiza ukugcina amasosha akho omzimba ekuhlaseleni ikholoni yakho ukuze anciphise ukuvuvukala. Ama-suppressors system we-pancolitis afaka:

• i-azathioprine (Imuran)
• i-adalimumab (Humira)
• i-vedolizumab (Entyvio)
• i-tofacitnib (Xeljanz)

Lokhu kungaba nemiphumela emibi kakhulu, njengokutheleleka kanye nengozi eyengeziwe yomdlavuza. Kungadingeka ukuthi ulandele udokotela wakho kaningi ukuze uqiniseke ukuthi ukwelashwa kuyasebenza.

Ukuhlinzwa

Ezimweni ezimbi kakhulu, udokotela ohlinzayo angasusa ikholoni yakho ekuhlinzweni okwaziwa njenge-colectomy. Kule nqubo, udokotela wakho ohlinzayo uzokwakha indlela entsha yokungcola komzimba wakho ukuphuma emzimbeni wakho.

Lokhu kuhlinzwa kungukuphela kokwelapha i-UC, futhi imvamisa kuyindlela yokugcina kuphela. Iningi labantu liphatha i-UC ngokusebenzisa inhlanganisela yezinguquko zokuphila nemithi.

Izinguquko zendlela yokuphila

Lezi zinguquko ezilandelayo zendlela yokuphila zingasiza ekunciphiseni izimpawu zakho, zigweme izimbangela, futhi ziqiniseke ukuthi uthola izakhamzimba ezanele:

• Gcina idayari yokudla ukusiza ukukhomba ukudla okufanele ukukugweme.
• Yidla ubisi oluncane.
• Gwema iziphuzo ezine-carbonated.
• Yehlisa ukungena kwakho kwe-fiber okungancibiliki.
• Gwema iziphuzo ezine-caffeine njengekhofi notshwala.
• Phuza amanzi amaningi ngosuku (cishe ama-ounces angama-64, noma izingilazi zamanzi eziyi-8-ounce).
• Thatha ama-multivitamin.

Umbono

Alikho ikhambi lanoma yiluphi uhlobo lwe-UC ngaphandle kokuhlinzwa ukuze ususe ikholoni yakho. I-Pancolitis nezinye izinhlobo ze-UC yizimo ezingalapheki, yize iningi labantu lihlangabezana nezimpawu eziphakeme neziphansi.

Ungahle uhlangane nokuqhamuka kwezimpawu kanye nezikhathi ezingenazimpawu ezaziwa njengokuxolelwa. Ama-flare-ups ku-pancolitis angaba nzima kakhulu kunezinye izinhlobo ze-UC, ngoba iningi lekholoni liyathinteka ku-pancolitis.

Uma i-UC ishiywa ingalashwa, izinkinga ezingaba khona zifaka:

• umdlavuza obomvu
• ukugcotshwa kwamathumbu, noma imbobo kukholoni yakho
• megacolon enobuthi

Ungathuthukisa umbono wakho futhi usize ekunciphiseni ubunzima ngokulandela uhlelo lwakho lokwelashwa, ngokugwema izinto ezingakudala, nokuhlolwa njalo.