Ukuqhuma Kwesikhumba Okuxhunyaniswe Ne-Ulcerative Colitis

-Delile

• Ukubuka konke
• Izithombe zokuqubuka kwesikhumba kwe-UC
• Izinkinga eziyi-10 zesikhumba ezihambisana ne-UC
• 1. I-Erythema nodosum
• 2. IPyoderma gangrenosum
• 3. I-Sweet’s syndrome
• 4. I-dermatosis-arthritis syndrome ehambisana nesisu
• 5. I-Psoriasis
• 6. I-Vitiligo
• Okufanele ukwenze ngesikhathi se-flare-up

Ukubuka konke

I-Ulcerative colitis (UC) isifo esingapheliyo sokuvuvukala kwamathumbu (IBD) esithinta amathumbu amakhulu, kepha futhi singadala nezinkinga zesikhumba. Lokhu kungafaka ukuqubuka okubuhlungu.

Izinkinga zesikhumba zithinta cishe bonke abantu abanezinhlobo ezahlukene ze-IBD.

Okunye ukuqubuka kwesikhumba kungavela njengomphumela wokuvuvukala emzimbeni wakho. Ezinye izinkinga zesikhumba ezixhunywe ku-UC zingabangelwa yimithi oyiphuzayo ukwelapha i-UC.

Izinhlobo eziningi zezinkinga zesikhumba zingabangelwa yi-UC, ikakhulukazi ngesikhathi sokuqhamuka kwalesi simo.

Izithombe zokuqubuka kwesikhumba kwe-UC

Izinkinga eziyi-10 zesikhumba ezihambisana ne-UC

1. I-Erythema nodosum

I-Erythema nodosum yinkinga yesikhumba evame kakhulu kubantu abane-IBD. I-Erythema nodosum yiziqhubu ezibomvu ezithambile ezivame ukuvela esikhunjeni semilenze noma izingalo zakho. Amaqhuqhuva nawo angabukeka njengokulimala esikhunjeni sakho.

I-Erythema nodosum ithinta noma ikuphi kubantu abane-UC. Kubonakala kakhulu kwabesifazane kunabesilisa.

Lesi simo sivame ukuqondana nama-flare-ups, kwesinye isikhathi senzeka ngaphambi nje kokuba kuqhume i-flare. Lapho i-UC yakho isilawulwa futhi, i-erythema nodosum cishe izophela.

2. IPyoderma gangrenosum

I-Pyoderma gangrenosum inkinga yesikhumba kubantu abane-IBD. Omunye wabantu abadala abangama-950 abane-IBD bathole ukuthi i-pyoderma gangrenosum ithinte amaphesenti ama-2 abantu abane-UC.

IPyoderma gangrenosum iqala njengeqoqo lamabhamuza amancane angasabalala futhi ahlangane ukudala izilonda ezijulile. Kuvame ukubonwa ezinhlokweni nasemaqakaleni akho, kodwa futhi kungavela ezingalweni zakho. Kungaba buhlungu kakhulu futhi kudale isibazi. Izilonda zingatheleleka uma zingagcinwa zihlanzekile.

I-Pyoderma gangrenosum kucatshangwa ukuthi ibangelwa ukuphazamiseka kwamasosha omzimba, nakho okungaba nomthelela ku-UC. Ukwelashwa kubandakanya imithamo ephezulu yama-corticosteroids nezidakamizwa ezicindezela amasosha akho omzimba. Uma amanxeba enzima, udokotela wakho futhi angakunikeza imithi yezinhlungu okufanele uyiphuze.

3. I-Sweet’s syndrome

I-Sweet’s syndrome yisimo esingajwayelekile sesikhumba esivezwa izilonda zesikhumba ezibuhlungu. Lezi zilonda ziqala njengamaqhubu amancane, athambile abomvu noma ansomi asabalala abe ngamaqoqo abuhlungu. Ngokuvamile zitholakala ebusweni bakho, entanyeni, noma emilenzeni engenhla. I-Sweet's syndrome ixhunywe nama-flare-ups asebenzayo e-UC.

I-Sweet’s syndrome ivame ukuphathwa ngama-corticosteroids kunoma yiliphi iphilisi noma ifomu lomjovo. Izilonda zingaphela zodwa, kepha ukuphindaphinda kuvamile, futhi kungaholela ezibazi.

4. I-dermatosis-arthritis syndrome ehambisana nesisu

I-bowel-associated dermatosis-arthritis syndrome (i-BADAS) yaziwa nangokuthi yi-bowel bypass syndrome noma i-blind loop syndrome. Abantu abanokulandelayo basengozini:

• ukuhlinzwa kwamathumbu kwakamuva
• ukwelashwa
• i-appendicitis
• IBD

Odokotela bacabanga ukuthi kungabangelwa amagciwane akhule ngokweqile, okuholele ekuvukeleni.

I-BADAS ibangela amaqhuqhuva amancane, abuhlungu angahle abe ngama-pustules phakathi nesikhathi sosuku olulodwa kuya kwezimbili. Lezi zilonda zivame ukutholakala esifubeni sakho nasengalweni. Kungadala nezilonda ezibukeka njengokulimala emilenzeni yakho, okufana ne-erythema nodosum.

Izilonda zivame ukuzihambela zodwa kepha zingabuya uma i-UC yakho ivuka futhi. Ukwelashwa kungafaka i-corticosteroids nama-antibiotics.

5. I-Psoriasis

I-Psoriasis, isifo sokuzivikela komzimba, nayo ihlotshaniswa ne-IBD. Kusuka ngo-1982, amaphesenti angu-5.7 abantu abane-UC nabo babene-psoriasis.

I-Psoriasis iholela ekwakhiweni kwamangqamuzana esikhumba akha izikali ezimhlophe noma ezibukeka njengesiliva ezikhunjeni ezibomvu eziphakanyisiwe, ezibomvu zesikhumba. Ukwelashwa kungafaka i-topical corticosteroids noma i-retinoids.

6. I-Vitiligo

I-Vitiligo ivela kubantu abane-UC neCrohn's kunabantu bonke. Ku-vitiligo, amaseli abhekene nokukhiqiza i-pigment yesikhumba sakho ayabhujiswa, okuholela emapheshini amhlophe esikhumba. Lezi zinhlamvu ezimhlophe zesikhumba zingakhula noma kuphi emzimbeni wakho.

Abaphenyi bacabanga ukuthi i-vitiligo nayo iyinkinga yokuzivikela komzimba. Kulinganiselwa ukuthi abantu abane-vitiligo banenye inkinga yokuzivikela komzimba, njenge-UC.

Ukwelashwa kungafaka i-topical corticosteroids noma iphilisi elihlanganayo nokwelashwa okulula okwaziwa nge-psoralen kanye ne-ultraviolet A (PUVA) therapy.

Okufanele ukwenze ngesikhathi se-flare-up

Izinkinga eziningi zesikhumba ezihlotshaniswa ne-UC ziphathwa kahle ngokuphatha i-UC ngangokunokwenzeka, njengoba eziningi zalezi ziqubu zingahambisana ne-UC flare-ups. Abanye bangaba yisibonakaliso sokuqala se-UC kumuntu ongakatholakali okwamanje.

ICorticosteroids ingasiza ngokuvuvukala okuvame ukudala izingqinamba zesikhumba ezihambisana ne-UC. Ukudla ukudla okulinganisela kahle kungasiza ukukhuthaza impilo yonke futhi kungasiza ekuvimbeleni izingqinamba zesikhumba.

Uma uhlangabezana nokuqubuka kokuqubuka kwesikhumba se-UC, kunezinto eziningana ongazama ngazo:

• Gcina isilonda sihlanzekile ukuvikela izifo.
• Bheka udokotela wakho ngemithi yamafutha elwa namagciwane noma imithi yezinhlungu uma kudingeka.
• Gcina izilonda zimbozwe ngebhandishi elimanzi ukukhuthaza ukwelashwa.