Kuyini iProctosigmoiditis?

-Delile

• Izimpawu ze-proctosigmoiditis
• Izimbangela zeproctosigmoiditis nezici zobungozi
• Ukwelashwa kwe-proctosigmoiditis
• Imithi
• Ukuhlinzwa
• Ukuhlonza i-proctosigmoiditis
• Izinkinga ze-proctosigmoiditis
• Umbono we-proctosigmoiditis

Ukubuka konke

I-Proctosigmoiditis iyindlela yesilonda esilimaza ulcerative esithinta i-rectum ne-sigmoid colon. Ikholoni ye-sigmoid ixhuma lonke ikholoni lakho, noma amathumbu amakhulu, ku-rectum. I-rectum yilapho isitokisi sixoshwa khona emzimbeni.

Yize leli fomu le-ulcerative colitis lifaka indawo encane kakhulu yekoloni yakho, lisengadala izimpawu ezinkulu.

Ezinye izinhlobo ze-ulcerative colitis zifaka:

• i-colitis engakwesokunxele (i-distal colitis): kuthinta ikholoni kusuka esigabeni esehlayo kuye kunxande
• i-pancolitis: kufaka ukuvuvukala kulo lonke ikholoni

Ukwazi ukuthi hlobo luni lwe-ulcerative colitis onalo kungasiza ekunqumeni ukuthi yiluphi uhlobo lwezokwelapha oluzosebenza kakhulu.

Cishe amaphesenti angama-50 abo bonke abantu abatholakala ukuthi bane-ulcerative colitis bane-proctosigmoiditis.

Izimpawu ze-proctosigmoiditis

Uhudo luvame ukuba luphawu olubaluleke kakhulu kuzo zonke izinhlobo zesilonda esilimaza ulcerative. Kwesinye isikhathi isifo sohudo sivela ngaphezu kwezikhathi ezine ngosuku.

Uhudo futhi uphawu oluvame kakhulu. Indle yakho ingaba nemichilo yegazi ngenxa yokuvuvukala kukholoni.

Ukulimala nokucasuka kwi-rectum kungabangela ukuthi uzizwe sengathi udinga njalo ukunyakaza kwamathumbu. Kodwa-ke, lapho uya endlini yangasese, inani lesitokisi ngokuvamile lincane.

Ezinye izimpawu ezihambisana ne-ulcerative colitis zifaka:

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

Akufanele ungakunaki ukuphuma kwegazi okuhlala njalo noma okubomvu ngokukhanyayo ngokubukeka. Ngezinye izikhathi igazi lingase libukeke lilindile esitokisini sakho. Kufanele ufune usizo oluphuthumayo lwezokwelapha uma uhlangabezana nalezi zimpawu.

Izimbangela zeproctosigmoiditis nezici zobungozi

I-Proctosigmoiditis ingumphumela wokuvuvukala okungapheli kukholoni, njengazo zonke izinhlobo ze-ulcerative colitis. Lokhu kuvuvukala kungumphumela wokuphendula komzimba. Odokotela abazi ukuthi yini ebangela lokhu kuphendula komzimba.

Abanye abantu banamathuba amaningi kunabanye okuthuthukisa i-ulcerative colitis. Izici ezinobungozi kuzo zonke izinhlobo zesifo sokulonda ulcerative ziyafana. Kubandakanya:

• ukuba nomlando womndeni we-ulcerative colitis
• ukuba nomlando wokutheleleka nge Salmonella noma I-Campylobacter amagciwane
• ukuhlala endaweni ephakeme
• ukuhlala esizweni esithuthukile

Lezi zinto zandisa kuphela ubungozi besifo sokulonda ulcerative. Ukuba nesici esisodwa noma eziningi zalezi zingozi akusho ukuthi uzothola isimo.

Ukwelashwa kwe-proctosigmoiditis

Imithi

I-Proctosigmoiditis ayibandakanyi ingxenye enkulu yekoloni. Ngakho-ke, inketho yokuqala yokwelashwa yi-5-aminosalicylic acid (5-ASA). Odokotela bangayinikeza ngesimo se-mesalamine, umuthi olwa nokuvuvukala.

I-Mesalamine iyatholakala ngezindlela eziningi, kufaka phakathi i-oral, suppository, foam ne-enema. Kuthengiswa ngaphansi kwamagama emikhiqizo afana nalokhu:

• Lialda
• I-Asacol
• IPentasa
• U-Apriso
• I-Delzicol

Imihlahlandlela yakamuva yomtholampilo incoma i-mesalamine enemas nama-suppositories ngaphezulu kwe-mesalamine yomlomo kubantu abane-proctosigmoiditis.

Ngoba i-proctosigmoiditis ithinta kuphela ingxenye engezansi yekoloni, ungasebenzisa ama-suppositories esikhundleni se-enemas. Ungathatha i-mesalamine yomlomo uma ungakwazi ukubekezelela noma ukuphatha ama-enemas.

Uma ungaphenduli i-mesalamine, kunezinye izindlela zokwelapha ezitholakalayo. Lokhu kufaka phakathi:

• amagwebu angama-rectal corticosteroid
• i-corticosteroids yomlomo
• infliximab (Remicade), enciphisa ukuphendula kwamasosha omzimba okubangela ukuvuvukala

Ukuhlinzwa

Uma unesifo sohudo noma ukopha kakhulu, kungadingeka ukuthi ulaliswe esibhedlela. Esibhedlela, ungalashwa nge-steroid emithanjeni. Amacala abucayi kakhulu angadinga ukuhlinzwa ukuze kususwe ingxenye ethintekile yekoloni.

Ukuhlonza i-proctosigmoiditis

Ukuthola i-ulcerative colitis, udokotela wakho angenza isivivinyo esaziwa njenge-colonoscopy. Lokhu kufaka ukusebenzisa i-endoscope, okuyinsimbi ekhethekile enekhamera ekhanyisiwe ekugcineni. Udokotela wakho uzokufaka lokhu ku-rectum bese evumela ukuthi ubukhulu buhambele phezulu, ubuke ulayini wekholoni.

Lokhu kuhlolwa kuzosiza udokotela wakho abone izindawo zokuvuvukala, ukubomvu, nemithambo yegazi evuthayo emathunjini akho. Uma une-proctosigmoiditis, lezi zimpawu zezifo ngeke zedlulele ngale kwe-sigmoid colon.

Izinkinga ze-proctosigmoiditis

Njengazo zonke izinhlobo ze-ulcerative colitis, ezinye izinkinga ze-proctosigmoiditis zifaka:

• i-anemia
• ingozi eyengeziwe yomdlavuza wekoloni
• ukoma komzimba
• ukopha kukholoni
• imbobo kukholoni (ukugcotshwa)
• i-megacolon enobuthi (lesi yisimo esiphuthumayo sezokwelapha)

Umbono we-proctosigmoiditis

Ngenkathi abantu abane-ulcerative colitis ngokuvamile besengozini yomdlavuza omnyama, labo abane-proctosigmoiditis mhlawumbe abekho. Kodwa-ke, kubantu abaningi abane-ulcerative colitis, ukuvuvukala kuyakhula futhi kuthinte okungaphezulu kwekholoni labo kungakapheli iminyaka emihlanu betholakele.

I-Proctosigmoiditis ayinakulapheka, kepha izimpawu ngokuvamile zingaphathwa ngokwelashwa nangezinguquko zendlela yokuphila.