Izimo Eziphuthumayo ze-Ulcerative Colitis nokuthi Yini Okufanele Uyenze

-Delile

• 1. Ikholoni elibunjiwe
• 2. I-Fulminant colitis
• 3. I-megacolon enobuthi
• 4. Ukwehla kwamanzi emzimbeni kakhulu
• 5. Isifo sesibindi
• 6. Umdlavuza wamakholoni
• Ukudla okudlela endlini

Ukubuka konke

Njengomuntu ophila ne-ulcerative colitis (UC), awuyena owaziyo ngama-flare-ups angadala izimpawu ezifana nohudo, ukuqunjelwa esiswini, ukukhathala, kanye nesitokisi esinegazi. Ngokuhamba kwesikhathi, ungafunda ukuthi ungabhekana kanjani nama-flare akho futhi uzizwe ungcono. Kodwa lokho akusho ukuthi kufanele uthathe zonke izimpawu ngokunganaki.

Ngenkathi ungahlangabezana nezimpawu ezimnene noma ezilinganiselayo, izinkinga ezisongela impilo zisengenzeka. Kubalulekile ukuthi ukwazi ukubona izimo eziphuthumayo futhi uthole usizo ngokushesha. Nazi izinkinga ezimbalwa ze-UC ezidinga ukuvakashelwa ngokushesha kudokotela wakho noma igumbi lokuphuthumayo.

1. Ikholoni elibunjiwe

Imithi elwa nokuvuvukala kanye ne-immunosuppressant imvamisa ukwelashwa kokuqala okuzonikezwa ngudokotela wakho. Lokhu kusebenza ukumisa ukuvuvukala futhi kuphulukise izilonda ezihambisana ne-UC. Kodwa kwesinye isikhathi, le mithi ayisebenzi.

Lokhu kungaholela ekuvukeleni okungalawulwa okulimaza noma okwenze buthaka ulwelwesi lwekholoni. Lokhu kukubeka engcupheni yokugcotshwa kwamathumbu, okuyilapho imbobo iba khona odongeni lwekholoni.

Ukugcotshwa kwamathumbu kuyisimo esiphuthumayo. Imbobo odongeni lwamathumbu ivumela amabhaktheriya ukuba achitheke esiswini sakho. Lokhu kungaholela ezifweni ezisongela impilo ezifana ne-sepsis noma i-peritonitis.

Ubuhlungu besisu nokuphuma kwama-rectal yizimpawu ezivamile ze-UC. Kodwa izimpawu zokugcotshwa kwamathumbu zifaka phakathi ubuhlungu obukhulu besisu, umkhuhlane omkhulu, nokopha okunzima okune-rectal. Ezinye izimpawu ezihambisanayo zingabandakanya ukugodola komzimba, ukuhlanza, nesicanucanu.

Uma usola ukugcotshwa, shayela ku-911 noma uye egumbini lezimo eziphuthumayo. Lesi yisimo esiphuthumayo sezokwelapha esidinga ukuhlinzwa ukulungisa imbobo odongeni lwakho lwamakholoni.

2. I-Fulminant colitis

Le nkinga ithinta ikholoni lonke futhi yenzeka futhi ngenxa yokuvuvukala okungalawuleki. Ukuvuvukala kubangela ukuthi ikolon ikhukhumale ize ifike ezinqeni, futhi izimpawu zakho ze-UC zizoba zimbi ngokuhamba kwesikhathi.

Izimpawu ze-fulminant colitis zifaka phakathi ubuhlungu obukhulu besisu, ukuba nokunyakaza kwamathumbu okungaphezulu kweshumi ngosuku, ukuphuma kwegazi okunzima, kanye nomkhuhlane omkhulu.

Abanye abantu babhekana ne-anemia kanye nokwehlisa isisindo ngokushesha. Uma ishiywe ingalashwa, i-fulminant colitis ingathuthuka futhi isongele impilo, ngakho-ke bheka udokotela uma izimpawu zakho ze-UC ziba zimbi.

Ukwelashwa kuhilela ukulaliswa esibhedlela kanye ne-corticosteroids ephezulu. Ngokuya ngobukhulu besimo sakho, kungadingeka ukuthi uthole lezi nge-intravenous (IV) therapy.

3. I-megacolon enobuthi

I-fulminant colitis engalashiwe ingaqhubekela phambili ibe yi-megacolon enobuthi, okunye okuyinkinga enkulu ye-UC. Kulesi simo, ikholoni iyaqhubeka nokuvuvukala noma ukunwebeka, okuholela ekubambeni kanzima kwesisu.

Igesi nendle zinganqwabelana kukholoni. Uma ishiywe ingalashwa, ikholoni lingaqhuma. Lesi yisimo esiphuthumayo esisongela impilo.

I-megacolon enobuthi idinga ukwelashwa esibhedlela. Odokotela bangazama ukususa igesi eyeqile noma indle kukholoni. Uma lokhu kungasebenzi, ukuhlinzwa kungavimbela ikholoni eqhekekile.

Izimpawu ze-megacolon enobuthi zifaka phakathi ubuhlungu obukhulu besisu nokuqunjelwa, ubumnene besisu, ukunyakaza kwamathumbu okumbalwa, nomkhuhlane omkhulu.

4. Ukwehla kwamanzi emzimbeni kakhulu

Ukwehla kwamanzi emzimbeni kakhulu kuyisimo esiphuthumayo esingenzeka kusukela kuhudo oluqhubekayo, ikakhulukazi uma ungaphuzi uketshezi olwanele.

Ukwehla kwamanzi emzimbeni kukhathaza kakhulu abantu abane-UC ngoba umzimba wakho ungalahlekelwa uketshezi oluningi ngokuhamba kwamathumbu ngakunye. Ungalapha amacala amancane okuphela kwamanzi ekhaya ngokuphuza amanzi noma ngesisombululo sokuvuselela amanzi.

Ukuphela kwamanzi emzimbeni kuyisimo esiphuthumayo kwezokwelapha. Ungadinga ukulaliswa esibhedlela ukuthola izakhi zomzimba kanye noketshezi lwe-IV.

Izimpawu zokoma kakhulu emzimbeni zifaka umfutho wegazi ophansi ngendlela eyingozi, isiyezi, ukushaya ngamandla ngokushesha, ukuquleka, amajaqamba abucayi emisipha namehlo acwile.

5. Isifo sesibindi

Isifo sesibindi singenzeka futhi nge-UC. I-primary sclerosing cholangitis (PSC) yisifo sesibindi kwesinye isikhathi esihlotshaniswa ne-UC.

Uma ishiywe ingalashwa, lokhu kungaholela ekulimaleni kwesibindi (i-cirrhosis) noma ekulimaleni unomphela kwesibindi.

Futhi, imishanguzo ye-steroid esetshenziselwa ukwelapha ukuvuvukala ingadala ukuthi amafutha abeke esibindini. Lokhu kwaziwa njengesifo esinamafutha sesibindi. Isibindi esinamafutha asidingi ukwelashwa noma sibangele noma yiziphi izimpawu, kepha ukunciphisa umzimba kungakuhlehlisa.

Uma une-UC, udokotela wakho angagcwalisa ngezikhathi ezithile ukuhlolwa kokusebenza kwesibindi ukuze ahlole impilo yesibindi sakho. Izimpawu zezinkinga zesibindi zingafaka isikhumba esilumayo ne-jaundice, okuphuzi kwesikhumba noma abamhlophe bamehlo. Ungase futhi uthuthukise ubuhlungu noma umuzwa wokugcwala ohlangothini olungakwesokudla esiswini sakho.

Hlela i-aphoyintimenti nodokotela wakho uma usola izinkinga zesibindi.

6. Umdlavuza wamakholoni

Ingozi yomdlavuza wekoloni iyanda ngokuya ngobukhulu be-UC yakho. Ngokusho kwe-American Cancer Society (ACS), umdlavuza obala ibala lesibili ngumdlavuza wesithathu ojwayelekile otholakala kwabesilisa nabesifazane e-United States.

I-colonoscopy ingathola ubukhona bezimila kukholoni yakho. Le nqubo ifaka ukufakwa kweshubhu eliguquguqukayo engxenyeni yakho ukuze kuhlolwe ikholoni.

Izimpawu zomdlavuza wekoloni ziyefana nezimpawu ze-UC. Ngenxa yalokhu, kungaba nzima ukuhlukanisa isimo esisodwa kwesinye.

Bheka udokotela uma ubona okumnyama, izitulo zokulinda, noma ushintsho emisebenzini yamathumbu. Futhi bona udokotela uma unezinhlungu ezinzima zesisu, ukwehla kwesisindo okungaqondakali, noma ukukhathala okukhulu. Umdlavuza wekoloni ungadala indle encane futhi inegazi eliningi kunokujwayelekile, nayo.

Ukudla okudlela endlini

I-UC yisimo esingelapheki futhi kwesinye isikhathi esiqeda amandla. Izinguquko zemithi nezindlela zokuphila zingakusiza ukuphatha lesi sifo.

Khuluma nodokotela wakho uma unomuzwa wokuthi ukwelashwa kwakho kwamanje kwe-UC akusebenzi. Ukulungisa umthamo wakho noma imithi yakho kungahle kube nomphumela ongcono futhi kukusize uzuze ukuxolelwa.

Izimo ezisongela impilo zingakhula lapho ungakwazi ukulawula ukuvuvukala nezilonda kukholoni yakho. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu eziya ziba zimbi. Ezinye zalezi zimpawu zibandakanya ubuhlungu obukhulu besisu, umkhuhlane omkhulu, isifo sohudo esibi, noma ukuphuma kwegazi okunzima.