Ukuqonda Ubuhlungu Besilonda Se-Ulcerative Colitis: Ungakuthola Kanjani Ukukhululeka Ngesikhathi Sokuqhuma

-Delile

• Imithi yamakhasimende
• Izinguquko zokudla
• Amasu okunciphisa ingcindezi
• Imithi elwa nokuvuvukala
• Imithi ye-Immunosuppressant
• I-Biologics
• Ukuhlinzwa
• Amakhambi ahambisanayo nawezinye izindlela

Ubuhlungu be-ulcerative colitis

I-Ulcerative colitis (UC) wuhlobo lwesifo samathumbu esivuthayo esingadala amazinga ehlukene obuhlungu.

I-UC idalwa ukuvuvukala okungapheli, okuhlala isikhathi eside okuholela ezilondeni ezivulekile ezaziwa njengezilonda ngaphakathi kolwelwesi lwangaphakathi, noma amathumbu amakhulu, ne-rectum. Ukuba nezinga eliphakeme lobuhlungu kungaba uphawu lokuthi lesi sifo siyaqhuma noma siba sibi nakakhulu.

Kungakanani ukuvuvukala onakho kukholoni lakho futhi lapho lokhu kuvutha kutholakala khona ngokuvamile kunquma lapho okungenzeka ukuthi uzwe khona ubuhlungu. Ukucinana kwesisu kanye nobuhlungu obuphansi kuya kabuhlungu esiswini nasesixukwini kuvamile. Ubuhlungu bungahlala isikhathi eside, noma bungaphela lapho ukuvuvukala kwehla.

Izikhathi ezinde zokuxolelwa phakathi kwama-flare-ups zivamile. Ngesikhathi sokuxolelwa, izimpawu zakho zingancipha noma zinyamalale ngokuphelele.

Abantu abane-UC emnene bangathola ingcindezi nokucinana kuphela. Njengoba lesi sifo siqhubeka nokuvuvukala okwengeziwe nezilonda kukholoni yakho, ubuhlungu bungabonakala njengemizwa yokubamba noma ingcindezi eyedlulele eqinayo futhi ikhiphe kaninginingi.

Ubuhlungu begesi nokuqhuma nakho kungenzeka, okwenza ukuzwa kube kubi kakhulu.

Uma unohlobo lwe-UC olwaziwa njenge-ulcerative colitis engakwesokunxele, uhlangothi lwakho lwesobunxele nalo lungazizwa luthambile kulokho okuthintwayo.

Uma kushiywe kungalashwa, ubuhlungu obuhambisana ne-UC bungakwenza kube nzima ukusebenza, ukuzivocavoca umzimba noma ukujabulela imisebenzi yansuku zonke. Ukugcina lesi sifo silawulwa ngemithi, ukunciphisa ukucindezeleka, nokudla kungasiza ekulawuleni nasekunciphiseni ubuhlungu.

Ubuhlungu obuhambisana ne-UC bunganciphisa ikhwalithi yakho yonke yokuphila. Uma unezinhlungu ezingapheli, ezingalawuleki kunoma yiliphi izinga, kunezindlela eziningi zokwelashwa ongaxoxa ngazo nodokotela wakho ezingakusiza uzizwe ungcono.

Lezi zindlela zokwelapha zingakubuyisela emuva ekuguqukeni kwemisebenzi yakho yansuku zonke. Udokotela wakho angancoma ukuhlanganiswa kwemithi, izinguquko zokudla, nezinye izindlela zokwelapha ezihambisanayo ukusiza ukuphatha ubuhlungu bakho be-UC.

Imithi yamakhasimende

Uma unezinhlungu ezincane, imithi efana ne-acetaminophen (iTylenol) inganele ukwenza ubuqili.

Kepha ungaphendukeli kweminye imishanguzo yezinhlungu yasesitolo (OTC) ethandwayo esikhundleni salokho. Izidakamizwa ezilandelayo ze-OTC akufanele zithathelwe ubuhlungu be-UC, ngoba zingadala ukuqhuma futhi zenze ezinye izimpawu, ezifana nohudo, zibe zimbi kakhulu:

• ibuprofen (Motrin IB, Advil)
• i-aspirin (iBufferin)
• I-naproxen (Aleve, Naprosyn)

Izinguquko zokudla

Okudlayo ngeke kubangele i-UC, kepha ukudla okuthile kungabhebhethekisa izimpawu zakho futhi kungadala ukuqumba nobuhlungu obengeziwe. Ukugcina idayari yokudla kungakusiza ukuthi ubone noma yiziphi izimbangela zokudla ongahle ube nazo.

Ukudla okuvamile okufanele kugwenywe kufaka phakathi:

• imikhiqizo yobisi ene-lactose eningi, njengobisi
• ukudla okunamafutha amaningi, njengezinto ezinamafutha noma ezithosiwe, inyama yenkomo, noshukela, uphudingi onamafutha amaningi
• ukudla okucutshunguliwe, okufana namadina afriziwe nelayisi elibhokisiwe
• ukudla okunefayibha ephezulu, okufana nezinhlamvu ezigcwele
• imifino ekhiqiza igesi, njengamahlumela eBrussels nokholifulawa
• ukudla okubabayo
• iziphuzo ezidakayo
• iziphuzo ezine-caffeine, njengekhofi, itiye, ne-cola

Kungasiza ukudla ukudla okuncane okuningana ngosuku kunokudla ezintathu ezinkulu. Kufanele futhi uphuze amanzi amaningi - okungenani izingilazi eziyisishiyagalombili zama-ounce ngosuku. Lokhu kungabeka ubunzima obuncane ohlelweni lwakho lokugaya ukudla, kukhiqize igesi encane, futhi kusize ukunyakaza kwamathumbu kudlule ohlelweni lwakho ngokushelela.

Amasu okunciphisa ingcindezi

Uma sekucatshangwe ukuthi kubangele i-UC, ukucindezeleka manje sekubhekwa njengembangela yokuqhamuka kwe-UC kwabanye abantu. Ukuphatha nokunciphisa ukucindezeleka kungasiza ekunciphiseni izimpawu ze-UC, njengokuvuvukala, nobuhlungu.

Izindlela ezahlukahlukene zokucindezela ukucindezela zisebenza kubantu abehlukene, futhi ungathola ukuthi ukuhamba okulula ehlathini nokuphefumula okujulile yilokho okukuzuzisa kakhulu. I-Yoga, ukuzindla ngokwengqondo, nokuzivocavoca nakho kungasiza ekunciphiseni ukucindezeleka kubantu abane-UC.

Imithi elwa nokuvuvukala

Ukuvuvukala kuyimbangela yezinhlungu eziningi ezihlobene ne-UC. Imithi eminingi ingasiza ukunciphisa ukuvuvukala kukholoni yakho. Udokotela wakho angakusiza unqume ukuthi yiluphi uhlobo olulungele wena ngokuya ngokuthi iyiphi ingxenye yekholoni yakho ethintekayo kanye nezinga lakho lobuhlungu.

Imithi elwa nokuvuvukala engasiza ukufaka i-corticosteroids, efana ne-prednisone ne-hydrocortisone.

Ama-amino salicylate angesinye isigaba semithi elwa nokuvuvukala. Lokhu kwesinye isikhathi kunqunyelwe ubuhlungu be-UC. Kunezinhlobo eziningi, kufaka phakathi:

• i-mesalamine (Asacol, Lialda, Canasa)
• i-sulfasalazine (i-Azulfidine)
• i-balsalazide (Colazal, Giazo)
• i-olsalazine (Dipentum)

Izidakamizwa ezilwa nokuvuvukala zingathathwa ngomlomo njengamaphilisi noma amaphilisi noma zinikezwe ngama-suppositories noma ama-enemas. Zinganikezwa futhi ngemithambo yegazi. Imithi eminingi elwa nokuvuvukala ingadala imiphumela emibi yezinhlobo ezahlukahlukene.

Kungase kudingeke uzame izinhlobo ezingaphezu kweyodwa ngaphambi kokuba uthole okungcono kakhulu kwezimpawu zakho. Umuthi ngamunye uthengiswa ngaphansi kwamagama amaningi emikhiqizo.

Imithi ye-Immunosuppressant

Izidakamizwa ze-immunosuppressant zingabekwa zodwa noma ngaphezu kwemithi elwa nokuvuvukala. Zinciphisa izinhlungu ngokusebenza ukumisa amasosha omzimba wakho ekubangeleni ukuvuvukala. Kunezinhlobo ezahlukahlukene, kufaka phakathi:

• i-azathioprine (Azasan, Imuran)
• i-mercaptopurine (Purixan)
• i-cyclosporine (iSandimmune)

Imithi ye-immunosuppressant ijwayele ukusetshenziswa kubantu abangaphenduli kahle kwezinye izinhlobo zemithi futhi yenzelwe ukusetshenziswa kwesikhashana. Zingalimaza isibindi namanyikwe.

Kungadala imiphumela emibi kakhulu, kufaka phakathi ikhono elehlisiwe lokulwa nezifo ezimbi, neminye imidlavuza, njengomdlavuza wesikhumba. ICyclosporine ixhunyaniswe nezifo ezibulalayo, ukuquleka, nokulimala kwezinso.

I-Biologics

I-Biologics olunye uhlobo lwemithi yokuzivikela emzimbeni. Uhlobo olulodwa lwe-biologic yi-tumor necrosis factor alpha inhibitors (i-TNF-alpha).

Imithi ye-TNF-alpha yenzelwe ukuthi isetshenziswe kubantu abane-UC emaphakathi kuya enzima abangaphendulanga kahle kwezinye izinhlobo zokwelashwa. Zisiza ukunqanda ubuhlungu ngokuqeda iprotheni ekhiqizwa amasosha omzimba. Uhlobo olulodwa lwemithi ye-TNF-alpha yi-infliximab (Remicade).

Abaphikisi be-Integrin receptor ngenye indlela ye-biologics. Lokhu kufaka phakathi i-vedolizumab (Entyvio), evunyelwe ukwelapha i-UC kubantu abadala.

I-biologics ixhunyaniswe nezinhlobo ezimbi zokutheleleka nesifo sofuba.

Ukuhlinzwa

Ezimweni ezimbi kakhulu, ukuhlinzwa kungaba yindlela engcono kakhulu yokuqeda i-UC nobuhlungu bayo. Ukuhlinzwa okusetshenziswa kakhulu kubizwa ngokuthi yi-proctocolectomy. Kudinga ukususwa kwayo yonke i-colon ne-rectum yakho.

Ngesikhathi sokuhlinzwa, isikhwama esakhiwe kusukela ekugcineni kwamathumbu akho amancane sinamathiselwe endunu yakho. Lokhu kuvumela ukuqedwa kwemfucuza okujwayelekile ukwenzeka, okusho ukuthi ngeke kudingeke ukuthi ugqoke isikhwama sangaphandle.

Amakhambi ahambisanayo nawezinye izindlela

Ezinye izindlela zokwelapha ezinjengokulashwa kwesikhumba kungasiza ekwehliseni nasekulawuleni ukuvuvukala kwamathumbu, kunciphise ubuhlungu be-UC.

Enye indlela yokwelashwa okunye okubizwa nge- moxibustion nayo ingaba nomthelela omuhle ezimpawu ze-UC. I-Moxibustion uhlobo lokwelashwa kokushisa. Isebenzisa izinto zezitshalo ezomile ezishiswe ngepayipi ukufudumeza isikhumba, imvamisa ezindaweni ezifanayo ezibhekiswe ekuthonyeni.

Okubonisiwe ukuthi ukukhishwa kwesikhumba kanye ne-moxibustion kungasebenza uma kusetshenziswa wedwa, ndawonye, ​​noma njengokugcwaliseka kwemithi. Kepha ababuyekezi bakhombise ukuthi kudingeka olunye ucwaningo ngaphambi kokuba lezi zindlela zibhekwe njengezokwelapha ezifakazelwe zezimpawu ze-UC nobuhlungu.