Izinketho zokwelashwa kwe-Ulcerative Colitis

-Delile

• I-ulcerative colitis
• Ukudla nokudla okunomsoco
• Ukuphathwa kwengcindezi
• Imithi
• Ama-Aminosalicylates
• Ama-Corticosteroids
• Ama-immunomodulators
• I-Biologics
• Ukuhlinzwa
• Ukudla okudlela endlini

I-ulcerative colitis

Ukubhekana ne-ulcerative colitis kungaletha izinselelo.

Isifo esingelapheki, esithinta abantu abangaba yisigidi esingu-1 e-United States, sidala ukuvuvukala nezilonda kulwelwesi lwe-colon ne-rectum yakho.

Njengoba ukuvuvukala kuya kuba kubi, amangqamuzana agudle lezi zindawo ayafa, okuholela ekopha, ukutheleleka nohudo.

Isimo singadala:

• imfiva
• i-anemia
• ukukhathala
• ubuhlungu obuhlangene
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• izilonda zesikhumba
• ukuntuleka kokudla okunempilo
• ukukhula okungakhuli ezinganeni

Imbangela ngqo yesifo sezilonda emathunjini ayikacaci. Ochwepheshe abaningi bakholelwa ukuthi kubangelwa ukungajwayelekile kwesistimu yomzimba nokungakwazi ukuphatha amabhaktheriya asemgudwini wokugaya ukudla.

Udokotela wakho angacela ukuhlolwa kwegazi, amasampula endle, i-barium enema, ne-colonoscopy. Lokhu kuhlolwa kwezokwelapha kuzobavumela ukuthi banqume ukuthi ngabe i-ulcerative colitis ibangela izimpawu zakho noma izimpawu zakho zibangelwa esinye isimo esifana nesifo sikaCrohn, isifo se-diverticular, noma umdlavuza.

I-ulcerative colitis kufanele iqinisekiswe yi-biopsy yezicubu ngesikhathi se-colonoscopy.

Uma kutholakala ukuthi une-ulcerative colitis, kubalulekile ukusebenzisana nomhlinzeki wakho wezokunakekelwa kwempilo ukudala uhlelo lokwelashwa olulawula futhi luvimbele ukuhlaselwa ukuze ikoloni lakho liphole.

Ngoba izimpawu nemiphumela yalesi sifo iyahlukahluka, alukho ukwelashwa olulodwa olusebenzela wonke umuntu. Ukwelashwa kuvame ukugxila ku:

• ukudla nokudla okunomsoco
• izinga lokucindezeleka
• imithi

Ukudla nokudla okunomsoco

Kungcono ukudla amanani amancane okudla usuku lonke. Gwema ukudla okuluhlaza okuluhlaza noma okuphezulu uma lokhu kungukudla okunenkinga kuwe. Izibonelo zokudla okufanele zikugweme nge-UC zifaka:

• amantongomane
• imbewu
• ubhontshisi
• okusanhlamvu okuphelele

Ukudla okunamafutha nokunamafutha nakho kunomthelela ekuvukeleni nasezinhlungwini. Ngokuvamile, ukudla okuphephile kufaka:

• okusanhlamvu okuphansi kwe-fiber
• inkukhu ebhakiwe, ingulube nenhlanzi
• izithelo nemifino ebilisiwe

Ukuhambisa amanzi usuku lonke kungasiza ekugayeni futhi kusize ukunciphisa ukuvuvukala. Funda kabanzi mayelana nokudla okungasiza abantu abane-UC.

Ukuphathwa kwengcindezi

Ukukhathazeka nokwesaba kungazenza zibe zimbi izimpawu. Amasu wokuzivocavoca nokuphumula akusiza ukuphatha nokunciphisa amazinga akho okucindezeleka angasiza. Lokhu kufaka phakathi:

• biofeedback
• ukubhucungwa
• ukuzindla
• ukwelashwa

Yini ukuxhumana phakathi kwengcindezi nama-UC flareups?

Imithi

Udokotela wakho angakunikeza imithi yokwengeza noma yokugcina ukuxolelwa. Yize kunezinhlobo eziningana zemithi, umuthi ngamunye uwela ezigabeni ezine eziyinhloko.

Ama-Aminosalicylates

Le mithi iqukethe i-5-aminosalicyclic acid (5-ASA), esiza ukuphatha ukuvuvukala emathunjini.

Ama-aminosalicylates angaphathwa:

• ngomlomo
• ngokusebenzisa i-enema
• ku-suppository

Imvamisa bathatha amasonto amane kuye kwayisithupha ukusebenza. Noma kunjalo, zingadala imiphumela emibi, kufaka phakathi:

• isicanucanu
• ukuhlanza
• isilungulela
• isifo sohudo
• ikhanda

Ama-Corticosteroids

Leli qembu lezidakamizwa ze-steroid - kufaka phakathi i-prednisone, i-budesonide, i-methylprednisolone, ne-hydrocortisone - zisiza ukunciphisa ukuvuvukala.

Zivame ukusetshenziswa uma uhlala ne-ulcerative colitis elinganiselayo kuya kwelinzima, kufaka phakathi uma ungaphendulanga kahle emithini ye-5-ASA.

ICorticosteroids ingalawulwa ngomlomo, ngemithambo yegazi, nge-enema, noma nge-suppository. Imiphumela emibi ifaka phakathi:

• induna
• izinwele zobuso
• umfutho wegazi ophezulu
• isifo sikashukela
• ukuzuza kwesisindo
• ukushintsha kwemizwelo
• ukulahleka kwamathambo
• ingozi eyengeziwe yokutheleleka

Ama-steroid asetshenziswa kahle ngesikhathi esifushane ukunciphisa imiphumela ye-ulcerative colitis flare-up, hhayi njengomuthi wansuku zonke wokuphatha izimpawu.

Lapho i-ulcerative colitis inzima kakhulu, udokotela wakho angakunikeza isilinganiso sansuku zonke se-steroids ukukusiza ugcine impilo ejwayelekile.

Ama-immunomodulators

Le mithi, kufaka phakathi i-azathioprine ne-6-mercapto-purine (6-MP), isiza ekwehliseni ukuvuvukala kwamasosha omzimba - yize kungathatha isikhathi esiyizinyanga eziyisithupha ukusebenza ngempumelelo.

Ama-immunomodulators anikezwa ngomlomo futhi asetshenziswa kakhulu uma ungaphenduli kahle ekuhlanganisweni kwama-5-ASAs kanye ne-corticosteroids. Imiphumela emibi engaba khona ibandakanya:

• isifo sokuqaqamba kwamalunga
• i-hepatitis
• kwehliswe isibalo samaseli amhlophe egazi
• ingozi eyengeziwe yokutheleleka

I-Biologics

Lezi yizigaba ezintsha zemithi esetshenziswa njengenye indlela yama-immunomodulator yokwelapha i-ulcerative colitis kubantu abangaphendulanga kahle kwezinye izindlela zokwelapha.

I-Biologics iyinkimbinkimbi kakhulu futhi ikhomba amaprotheni athile. Zinganikezwa ngokufakwa ngaphakathi noma ngemijovo emithanjeni. Njengamanje, kunemithi eminingana evunyelwe yi-FDA yokwelapha i-ulcerative colitis:

• i-tofacitinib (Xeljanz)
• i-adalimumab (Humira)
• golimumab (Simponi)
• infliximab (i-Remicade)
• i-vedolizumab (Entyvio)

Thola okuningi mayelana nokusebenzisa i-biologics ukwelapha i-UC ngokulingene kuya kokubi.

Ukuhlinzwa

Uma ezinye izindlela zokwelashwa zingasetshenziswanga, ungahle ube yilungele ukuhlinzwa.

Abanye abantu abane-UC ekugcineni banquma ukususwa kwamakholoni abo ngenxa yokopha kakhulu nokugula - noma ukuba nengozi eyengeziwe yomdlavuza.

Izinhlobo ezine zokuhlinzwa zikhona:

• proctocolectomy yokubuyisela esimweni nge-ileal poch-anal anastomosis
• ingqikithi yesisu esiswini nge-ileorectal anastomosis
• i-colectomy yesisu ephelele ene-ileostomy yokuphela
• inani eliphelele le-proctocolectomy nge-ileostomy yokuphela

Uma une-ulcerative colitis, gwema izidakamizwa ezingezona ukuvuvukala (ama-NSAID), ezingenza izimpawu zibe zimbi kakhulu.

Khuluma nodokotela wakho ukwakha isu lokwelashwa elizobhekana kahle nezidingo zakho zokunakekelwa kwezempilo.

Futhi, ngenxa yengozi eyengeziwe yomdlavuza exhunywe ne-ulcerative colitis, hlela ukuhlolwa njalo ngonyaka noma njalo eminyakeni emi-2, ngokwesincomo sikadokotela wakho.

Ngendlela efanele, kungenzeka ukuphatha i-ulcerative colitis yakho futhi uphile impilo ejwayelekile.

Kwenzekani uma ungafuni ukwelashwa kwe-UC?

Ukudla okudlela endlini

I-ulcerative colitis ingaba yinselele ukuyelapha. Kodwa-ke, kunezindlela ezahlukahlukene zokwelashwa ezitholakalayo.

Khuluma nodokotela wakho ngezimpawu zakho. Ngokubambisana ningenza uhlelo lokwelashwa olusebenzela kangcono kakhulu.