Ukukhululwa Kwe-Ulcerative Colitis (UC): Okufanele Ukwazi

-Delile

• Imithi yokuthethelelwa
• Izinguquko zendlela yokuphila yokugcina ukuxolelwa
• Lawula ukucindezeleka kwakho
• Yeka ukubhema
• Thatha imithi yakho njengoba kunqunyiwe
• Thola ukuhlolwa njalo
• Ukuzivocavoca umzimba
• Gcina ukudla okunempilo
• Gcina idayari yama-flare-ups
• Ukudla kanye ne-ulcerative colitis
• Umbono
• Amathiphu okuhlala uphilile
  

Ukubuka konke

I-ulcerative colitis (UC) isifo sokuvuvukala kwamathumbu (IBD). Kubangela ukuvuvukala okuhlala isikhathi eside nezilonda emgudwini wokugaya ukudla.

Abantu abane-UC bazobhekana nama-flare-ups, lapho izimpawu zalesi simo ziba zimbi kakhulu, nezikhathi zokuxolelwa, okuyizikhathi lapho izimpawu ziphela khona.

Inhloso yokwelashwa ukuxolelwa kanye nekhwalithi yokuphila ethuthukisiwe. Kungenzeka kudlule iminyaka ngaphandle kwama-flare-ups.

Imithi yokuthethelelwa

Uma ufaka isimo sokuxolelwa, izimpawu zakho ze-UC ziyathuthuka. Ukukhululwa ngokuvamile kuwuphawu lokuthi uhlelo lwakho lokwelashwa luyasebenza. Kungenzeka ukuthi usebenzise umuthi ukukuletha esimeni sokuthethelelwa.

Imithi yokwelashwa kwe-UC nokuxolelwa ingafaka:

• Ama-5-aminosalicylates (ama-5-ASAs), afana ne-mesalamine (Canasa, Lialda, Pentasa) ne-sulfasalazine (Azulfidine)
• i-biologics, efana ne-infliximab (Remicade), i-golimumab (iSimponi), ne-adalimumab (Humira)
• ama-corticosteroids
• izivikeli mzimba

Ngokweziqondiso zakamuva zomtholampilo, imishanguzo oyibekiwe izoncika ezintweni ezifana nalezi:

• noma ngabe i-UC yakho ibimnene, ilingene, noma inzima
• ngabe kudingeka yini ukwelashwa ukunxenxa noma ukugcina ukuxolelwa
• indlela umzimba wakho ophendule ngayo, esikhathini esedlule, ekwelashweni kwe-UC njengokulashwa kwe-5-ASA

Izinguquko zendlela yokuphila yokugcina ukuxolelwa

Qhubeka nokuphuza imishanguzo yakho ngenkathi ukhululekile. Izimpawu zakho zingabuya uma uyeka. Uma ufuna ukuyeka ukwelashwa, xoxa ngakho nodokotela wakho ngaphambi kwesikhathi.

Izinguquko zokuphila, njengokulandelayo, nazo ziyingxenye ebalulekile yohlelo lwakho lokwelashwa oluqhubekayo:

Lawula ukucindezeleka kwakho

Okunye ukucindezeleka akunakugwenywa, kodwa zama ukugwema izimo ezicindezelayo lapho ungakwazi. Cela usizo olwengeziwe endlini, futhi ungathathi okungaphezu kwamandla akho.

Zama ukudala indlela yokuphila enengcindezi encane ngangokunokwenzeka. Thola amathiphu ayi-16 okususa ukucindezeleka lapha.

Yeka ukubhema

Ukubhema kungaholela ekuqhumeni. Khuluma nodokotela wakho mayelana nezinhlelo zokuyeka ukubhema.

Uma abanye abantu ekhaya lakho bebhema, hlela ukuyeka ukubhema ndawonye. Ngeke nje kuphela lokhu kususe isilingo sokuba nogwayi, kodwa futhi nizokwazi ukulekelelana.

Thola ezinye izinto ongazenza ngesikhathi lapho uyobe ubhema ngokujwayelekile. Thatha uhambo lwemizuzu eyi-10 uzungeze ibhulokhi, noma zama ukuhlafuna ushingamu noma ukumunca aminti. Ukuyeka ukubhema kuzothatha umsebenzi nokuzibophezela, kodwa kuyisinyathelo esibalulekile esiya ekuxolelweni.

Thatha imithi yakho njengoba kunqunyiwe

Eminye imithi ingayithinta kabi imishanguzo yakho ye-UC. Lokhu kufaka amavithamini nezithako.

Tshela udokotela wakho ngakho konke okutholayo, bese ubuza nganoma yikuphi ukuhlangana kokudla okungenza umuthi wakho ungasebenzi kahle.

Thola ukuhlolwa njalo

Udokotela wakho kungenzeka ancoma ukuhlolwa njalo.

Namathela esimisweni. Uma usola ukuqhuma noma uma uqala ukuhlangabezana nanoma imiphi imiphumela emibi evela emithini yakho, xhumana nodokotela wakho.

Ukuzivocavoca umzimba

Hlela ukuvivinya umzimba okungenani imizuzu engama-30 kahlanu ngesonto. Lesi isincomo sokuvivinya umzimba kubantu abadala yi-American Heart Association (AHA).

Ukuvivinya umzimba kungafaka noma yini ukusuka ekukhuphukeni izitebhisi kuya ekuhambenihamba ngokushesha uzungeze ibhulokhi.

Gcina ukudla okunempilo

Okunye ukudla, okufana ne-fiber ephezulu, kungakhuphula ubungozi bakho bokuqhamuka noma kube nzima kuwe ukugaya. Buza udokotela wakho mayelana nokudla okufanele ukugweme nokudla ongafuna ukukufaka ekudleni kwakho.

Gcina idayari yama-flare-ups

Uma uhlangabezana nokuqubuka, zama ukubhala phansi:

• okudlile
• uphuze imishanguzo engakanani ngalolo suku
• eminye imisebenzi obukade ubambe iqhaza kuyo

Lokhu kuzosiza udokotela wakho ukuthi alungise isilinganiso semithi yakho.

Ukudla kanye ne-ulcerative colitis

Ukudla kungadlala indima ku-UC flare-ups, kepha ukudla kwendawo yonke ukusiza ukuvimbela lokhu kuqhuma akukho. Esikhundleni salokho, kuzodingeka usebenze nodokotela wakho we-gastroenterologist futhi mhlawumbe nochwepheshe wezokudla ukudala uhlelo lokudla oluzokusebenzela.

Ngenkathi wonke umuntu esabela ngokuhlukile ekudleni, okunye ukudla ongakudinga ukukugwema noma ukukudla ngamanani amancane. Lokhu kufaka ukudla oku:

• okubabayo
• usawoti
• okunamafutha
• okunamafutha
• eyenziwe ngobisi
• ifayibha ephezulu

Ungadinga futhi ukugwema utshwala.

Sebenzisa idayari yokudla ukukusiza ukuthi ubone ukudla kwakho okuqala. Ungase futhi ufune ukudla ukudla okuncane usuku lonke ukugwema ukungakhululeki okwengeziwe ekuvukeleni.

Khuluma ne-gastroenterologist yakho uma uzizwa ukuthi kukhona ukubuyela emuva ukuze nisebenze ngokulungiswa kokudla ndawonye.

Umbono

Usengaphila impilo enempilo uma une-UC. Ungaqhubeka nokudla ukudla okumnandi futhi uhlale uxolekile uma ulandela uhlelo lwakho lokwelashwa futhi wazise udokotela wakho nganoma yiziphi izinguquko empilweni yakho.

Abantu baseMelika abacishe babe yizigidi eziyi-1,6 banehlobo oluthile lwe-IBD. Kunamaqembu amaningi asekelwa online noma ngabantu abakhona. Ungajoyina eyodwa noma eziningi zazo ukuthola ukwesekwa okwengeziwe kokuphatha isimo sakho.

I-UC ayelapheki, kodwa ungenza izinto ukusiza ukugcina isimo sakho sithethelele. Landela lezi zeluleko:

Amathiphu okuhlala uphilile

• Zama ukuqeda noma ukunciphisa ukucindezeleka.
• Uma ubhema, sebenza nodokotela wakho noma ujoyine iqembu lokukusiza ukukusiza uyeke ukubhema.
• Landela uhlelo lwakho lokwelashwa, bese uphuza yonke imithi yakho njengoba kunqunyiwe.
• Bheka udokotela wakho ukuze akuhlole njalo.
• Vocavoca umzimba njalo.
• Yidla ukudla okunomsoco.
• Gcina idayari yokudla ejwayelekile. Lokhu kuzokwenza kube lula ukuthola izimbangela zokuqhuma.