Imibuzo ephezulu yokubuza i-Gastroenterologist yakho mayelana ne-Ulcerative Colitis

-Delile

• 1. Yini ebangela UC?
• 2. Yikuphi ukwelashwa engingakukhetha?
• 3. Ingabe kufanele ngishintshe indlela engidla ngayo?
• 4. Ngingasithuthukisa kanjani isimo sami?
• 5. Kwenzekani uma izimpawu zami zibuya?
• 6. Ziyini izinkinga ze-UC futhi uzihlola kanjani?
• 7. Ngabe kukhona okuhlobene ne-UC yami okusongela impilo?
• 8. Ingabe zikhona izinqubo zokwelashwa ze-UC?
• 9. Ngingakhulelwa i-UC?
• Ukuthatha

Ngoba i-ulcerative colitis (UC) yisimo esingelapheki esidinga ukwelashwa okuqhubekayo, cishe uzosungula ubudlelwano besikhathi eside ne-gastroenterologist yakho.

Akunandaba ukuthi ukuphi ohambweni lwakho lwe-UC, uzohlangana ngezikhathi ezithile nodokotela wakho ukuxoxa ngokwelashwa kwakho nempilo yakho yonke. Ngokuqokwa ngakunye, kubalulekile ukubuza udokotela wakho imibuzo futhi uthole ukuqonda okungcono kwesimo sakho.

Lesi sifo singathinta ikhwalithi yempilo yakho, kepha ukukhululeka kungenzeka. Lapho wazi okwengeziwe nge-UC, kuzoba lula ukubhekana nakho. Nayi imibuzo eyisishiyagalolunye ephezulu ozoxoxa ngayo ne-gastroenterologist yakho mayelana ne-UC.

1. Yini ebangela UC?

Ukubuza lo mbuzo kudokotela wakho kungabonakala kungadingekile - ikakhulukazi uma usuvele uzenzele ucwaningo lwakho noma ubusuhlale nalesi sifo isikhathi esithile. Kodwa kusasiza ukubona ukuthi ngabe kukhona yini okuthile okuholele ekuxilongweni kwakho. Yize imbangela ngqo ye-UC ingaziwa, abanye ochwepheshe bakholelwa ukuthi kubangelwa inkinga yesistimu yomzimba. Amasosha omzimba enza amaphutha amabhaktheriya amahle esiswini sakho njengomhlaseli futhi ahlasela umgudu wakho wamathumbu. Le mpendulo idala ukuvuvukala okungapheli nezimpawu. Ezinye izimbangela ze-UC zifaka ufuzo kanye nemvelo.

2. Yikuphi ukwelashwa engingakukhetha?

Ukuxolelwa kungenzeka ngokwelashwa. Udokotela wakho uzoncoma ukwelashwa okususelwa ebukhulwini bezimpawu zakho.

Abantu abane-UC emnene bangazuza ukuxolelwa ngemithi elwa nokuvuvukala eyaziwa ngokuthi ama-aminosalicylates.

Ukumodareyitha kuya ku-UC onzima kungadinga i-corticosteroid kanye / noma isidakamizwa se-immunosuppressant. Le mithi yehlisa ukuvuvukala ngokucindezela amasosha omzimba.

Ukwelashwa nge-Biologics kunconywa kubantu abangaphenduli ekwelashweni kwendabuko. Lokhu kwelashwa kuhlose amaprotheni abhekele ukuvuvukala, ukuze anciphise.

Inketho entsha i-tofacitinib (Xeljanz). Isebenza ngendlela eyingqayizivele ukunciphisa ukuvuvukala kubantu abane-ulcerative colitis elinganiselayo kuya kwelinzima.

Abantu abahlakulela izinkinga ezisongela impilo ezivela ku-UC bangadinga ukuhlinzwa ukuze kususwe i-colon ne-rectum yabo. Lokhu kuhlinzwa kufaka phakathi ukwakhiwa kabusha ukuvumela ukususwa kukadoti emzimbeni.

3. Ingabe kufanele ngishintshe indlela engidla ngayo?

I-UC ithinta umgudu wamathumbu futhi idala ukungakhululeki esiswini, kepha ukudla akusibangeli isifo.

Okunye ukudla kungabhebhethekisa ama-flare-ups, ngakho-ke udokotela wakho angancoma ukuthi ugcine idayari yokudla futhi ususe noma ikuphi ukudla neziphuzo ezenza kube nzima izimpawu zakho. Lokhu kungafaka imifino edala igesi efana ne-broccoli ne-cauliflower, nokunye ukudla okune-fiber ephezulu.

Udokotela wakho futhi angaphakamisa ukuthi udle ukudla okuncane nokudla okusele okusele. Lokhu kubandakanya isinkwa esimhlophe, ilayisi elimhlophe, ipasta elicwengiweyo, imifino ephekiwe nenyama engenamafutha.

I-caffeine notshwala nakho kungazenza zibe zimbi izimpawu.

4. Ngingasithuthukisa kanjani isimo sami?

Kanye nokususa ukudla okuthile ekudleni kwakho nokuthatha imithi yakho njengokuyalelwa, izinguquko ezithile zendlela yokuphila zingathuthukisa izimpawu.

Ukubhema kungakhuphula ukuvuvukala emzimbeni wakho wonke, ngakho udokotela wakho angancoma ukuyeka.

Ngoba ukucindezela kungazenza zibe zimbi izimpawu ze-UC, udokotela wakho angase asikisele izinyathelo zokunciphisa izinga lakho lokucindezeleka. Lokhu kufaka phakathi amasu okuphumula, ukwelapha ukubhucungwa umzimba, nokwenza umsebenzi womzimba.

5. Kwenzekani uma izimpawu zami zibuya?

Kungathatha amasonto ambalwa ukuthi izimpawu zinyamalale ngemuva kokuqala ukwelashwa. Ngisho nangemva kokunyamalala kwezimpawu zakho, udokotela wakho angancoma ukwelashwa kwesondlo ukugcina isifo sakho sixolelwe. Uma izimpawu zakho zibuya ngenkathi ukwelashwa kwesondlo, xhumana nodokotela wakho. Ubukhulu be-UC bungashintsha ngokuhamba kweminyaka. Uma lokhu kwenzeka, udokotela wakho angadinga ukulungisa imithi yakho noma ancoma uhlobo oluthile lwezokwelapha.

6. Ziyini izinkinga ze-UC futhi uzihlola kanjani?

I-UC yisimo sempilo yonke, ngakho-ke uzoba nama-aphoyintimenti alandelwayo kaningi ne-gastroenterologist yakho. I-UC ingakhuphula ubungozi bomdlavuza wekoloni, ngakho-ke udokotela wakho angahlela ama-colonoscopy ngezikhathi ezithile ukuze ahlole amaseli anomdlavuza naphambi kwekholoni yakho. Uma udokotela wakho ethola isisindo noma isimila, i-biopsy inganquma ukuthi ngabe isisindo sibi noma sinobungozi.

Imithi ye-immunosuppressant ethathelwe i-UC ingenza buthakathaka amasosha akho omzimba futhi ikwenze uthambekele kalula ekuthelelekeni. Uma unezimpawu zokutheleleka, udokotela wakho angalawula isampula, isampula yegazi noma umchamo ukukhomba ukutheleleka, futhi anikeze i-antibiotic uma kudingeka. Baningi futhi abadinga i-X-ray noma i-CT scan. Kukhona nengozi yokuphuma kwamathumbu emathunjini, ngakho-ke udokotela wakho angakuqapha ngokushoda kwe-iron anemia nokunye ukushoda kokudla okunempilo. I-multivitamin ingasiza ukuvala amaphutha.

7. Ngabe kukhona okuhlobene ne-UC yami okusongela impilo?

I-UC uqobo ayisongeli impilo, kepha ezinye izinkinga zingaba njalo. Yingakho kubalulekile ukuthatha imishanguzo yakho njengokuyalelwa, ngenhloso yokuthola ukuxolelwa. Ukudla ukudla okunempilo, ukuzivocavoca umzimba njalo, nokugcina isisindo esinempilo kunganciphisa ingozi yomdlavuza wamathumbu.

I-megacolon enobuthi ingenye inkinga ebucayi ye-UC. Lokhu kwenzeka lapho ukuvuvukala kudala i-gassiness eyeqile. Igesi ebanjiwe ingadala ukukhuliswa kwamakholoni ukuze ingasakwazi ukusebenza. Ikholoni eqhekekile ingaholela ekutheleleni kwegazi. Izimpawu ze-megacolon enobuthi zifaka phakathi ubuhlungu besisu, umkhuhlane, nokushaya kwenhliziyo okusheshayo.

8. Ingabe zikhona izinqubo zokwelashwa ze-UC?

Ukuhlinzwa kunconyelwa i-UC enamandla engaphenduli ekwelashweni noma kulabo abanezinkinga ezisongela impilo. Uma uhlinzwa ukulungisa i-UC, kunezinketho ezimbili zokuvumela ukususwa kukadoti emzimbeni wakho. Nge-ileostomy, udokotela ohlinzayo udala imbobo odongeni lwesisu bese ehambisa amathumbu amancane ngalo mgodi. Isikhwama sangaphandle esifakwe ngaphandle kwesisu sakho siqoqa imfucuza. Isikhwama se-ileo-anal singakhiwa ngokuhlinzwa ekugcineni kwamathumbu akho amancane futhi sinamathiselwe endunu yakho, okuvumela ukususwa kakhudlwana kwemfucuza yemvelo.

9. Ngingakhulelwa i-UC?

I-UC ngokuvamile ayithinti ukuzala, futhi abesifazane abaningi abakhulelwa banokukhulelwa okunempilo. Kepha ukuthola i-flare-up ngenkathi ukhulelwe kungakhuphula ubungozi bokuzalwa ngaphambi kwesikhathi. Ukwehlisa le ngozi, udokotela wakho angancoma ukufezekisa ukuxolelwa ngaphambi kokukhulelwa. Kufanele futhi ugweme imishanguzo ethile ngaphambi kokukhulelwa. Amanye ama-immunosuppressants akhulisa ubungozi bokukhubazeka kokuzalwa. Ungadinga futhi ukulungisa imithi yakho ngesikhathi sokukhulelwa.

Ukuthatha

Ukuhlala ne-UC kungathinta amandla akho okusebenza, ukuhamba, noma ukuzivocavoca umzimba, kepha ukwakha ubuhlobo obuhle nodokotela wakho kungakusiza uphile impilo ephelele. Ukhiye ukuthatha imishanguzo yakho njengokuyalelwa futhi uhlangane nodokotela wakho uma unemibuzo noma okukhathazayo ngempilo yakho. Imfundo nokwazi ukuthi yini ongayilindela kulesi simo kungakusiza ubhekane nakho.