Izizathu Ezi-8 Ukwelashwa Kwakho Kwe-Ulcerative Colitis Kungashintsha Ngokuhamba kwesikhathi

-Delile

• Odokotela balapha kanjani i-ulcerative colitis
• 1. Ukwelashwa kokuqala ozamile akusizanga
• 2. Isifo sakho sesibe sibi kakhulu
• 3. Ukuvutha okusebenzayo
• 4. Unezinye izimpawu
• 5. Unemiphumela engemihle
• 6. Uke waba kuma-steroids omlomo isikhathi eside
• 7. Imithi ayisiphathi isifo sakho
• 8. Usuthethelelweni
• Ukudla okudlela endlini

Uma une-ulcerative colitis (UC), amasosha omzimba abulala kabi izivikelo zomzimba wakho ukuthi zihlasele ulwelwesi lwamathumbu akho amakhulu (ikholoni). Ulwelwesi lwamathumbu luyavutha bese lwakha izilonda ezibizwa ngokuthi izilonda, okungaholela ezimpawu ezifana nohudo olunegazi kanye nesidingo esiphuthumayo sokuhamba.

I-UC ayibonisi ngendlela efanayo kumuntu ngamunye. Akuhlali futhi ngokufana ngokuhamba kwesikhathi. Izimpawu zakho zingabonakala isikhashana, zibe ngcono, bese ubuya futhi.

Odokotela balapha kanjani i-ulcerative colitis

Inhloso kadokotela wakho ekwelapheni ukugcina izimpawu zakho zikhona. Lezi zikhathi ezingenazo izimpawu zibizwa ngokuthi ama-remissions.

Yimuphi umuthi owuthatha kuqala kuya ngokuthi izimpawu zakho zinzima kangakanani.

• Maphakathi: Unezihlalo ezine ezingafinyeleleki ngosuku nobuhlungu besisu obumnene. Izindle zingase zibe negazi.
• Maphakathi: Unezihlalo ezine kuya kweziyisithupha ezikhululekile ngosuku, ezingaba negazi. Ungase futhi ube ne-anemia, ukushoda kwamaseli abomvu egazi anempilo.
• Kunzima: Unezihlalo ezingaphezu kwegazi eziyisithupha ezinegazi nezikhululekile ngosuku, kanye nezimpawu ezinjenge-anemia kanye nokushaya kwenhliziyo okusheshayo.

Iningi labantu abane-UC banesifo esiphansi ukuya kokulingene ngezikhathi ezithile zezimpawu, ezibizwa ngama-flares, kanye nokuxolelwa. Ukukufaka ekuxolelweni kuyinjongo yokwelashwa. Njengoba isifo sakho siba sibi noma singcono, udokotela wakho angadinga ukulungisa imithi yakho.

Nazi izizathu eziyisishiyagalombili zokuthi kungani ukwelashwa kwakho kwe-UC kungashintsha ngokuhamba kwesikhathi.

1. Ukwelashwa kokuqala ozamile akusizanga

Ukwelashwa kokuqala abantu abaningi abane-UC yokuzama ukumnene kuya kokulingene umuthi olwa nokuvuvukala obizwa nge-aminosalicylate. Lesi sigaba semithi sihlanganisa:

• i-sulfasalazine (i-Azulfidine)
• i-mesalamine (Asacol HD, Delzicol)
• i-balsalazide (Colazal)
• i-olsalazine (Dipentum)

Uma uthathe omunye wale mithi isikhashana futhi ungazithuthukisi izimpawu zakho, udokotela wakho angakushintshela komunye umuthi ekilasini elifanayo. Enye inketho yezimpawu zenkani ukufaka esinye isidakamizwa, njenge-corticosteroid.

2. Isifo sakho sesibe sibi kakhulu

I-UC ingaba yimbi ngokuhamba kwesikhathi. Uma uqale ngefomu elincane, kepha manje izimpawu zakho zinzima, udokotela wakho uzolungisa imithi yakho.

Lokhu kungasho ukukunika omunye umuthi, njenge-corticosteroid. Noma, ungaqala ngomuthi olwa ne-TNF. Lokhu kufaka phakathi i-adalimumab (Humira), i-golimumab (iSimponi), ne-infliximab (i-Remicade). Izidakamizwa ze-Anti-TNF zivimba amaprotheni omzimba okhuthaza ukuvuvukala kumgudu wakho wamathumbu (GI).

3. Ukuvutha okusebenzayo

Izimpawu ze-UC ziza zidlule ngokuhamba kwesikhathi. Uma unezimpawu ezifana nohudo, ubuhlungu besisu, nokuphuthuma, kusho ukuthi uhlangabezana nokuqubuka. Ngesikhathi sokuqhuma, kungadingeka ukuthi ulungise umthamo wakho noma ushintshe uhlobo lomuthi owuthathayo ukuphatha izimpawu zakho.

4. Unezinye izimpawu

Ukuthatha umuthi we-UC kuzosiza ukuphatha isifo sakho nokuvikela ukuqhuma. Ungadinga ukuyengeza ngeminye imithi yokwelapha izimpawu ezithile ezinjengalezi:

• imfiva: ama-antibiotic
• ubuhlungu obuhlangene noma umkhuhlane: izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-aspirin, ibuprofen (Advil, Motrin), noma naproxen (Aleve)
• i-anemia: izithako zensimbi

Eminye yale mithi ingacasula ipheshana lakho le-GI futhi yenze i-UC yakho ibe yimbi kakhulu. Yingakho kubalulekile ukuthi ubuze nodokotela wakho ngaphambi kokuthatha noma imuphi umuthi omusha - ngisho nowodwa owuthenga esitolo sakho sendawo ngaphandle kwencwadi kadokotela.

5. Unemiphumela engemihle

Noma imuphi umuthi ungadala imiphumela emibi, kanti ukwelashwa kwe-UC akufani. Abanye abantu abathatha le mithi bangathola:

• isicanucanu
• ikhanda
• imfiva
• ukuqubuka
• Izinkinga zezinso

Kwesinye isikhathi imiphumela emibi ingakhathaza ngokwanele ukuthi uyeke ukuthatha umuthi. Uma lokhu kwenzeka, udokotela wakho uzokushintshela komunye umuthi.

6. Uke waba kuma-steroids omlomo isikhathi eside

Amaphilisi e-Corticosteroid muhle ekwelapheni ama-flares noma alawula i-UC ephakathi nendawo, kepha hhayi eyokusetshenziswa isikhathi eside. Udokotela wakho kufanele akufake kuma-corticosteroids kuphela ukulawula izimpawu zakho, bese ekubuyisela emuva.

Ukusetshenziswa kwe-steroid yesikhathi eside kungadala imiphumela emibi efana nale:

• amathambo abuthakathaka (i-osteoporosis)
• ukuzuza kwesisindo
• ingozi eyengeziwe yokuba nesifo sokukhubazeka komzimba
• izifo

Ukukugcina ukhululekile ngaphandle kwengozi yemiphumela emibi ye-steroid, udokotela wakho angakushintshela kumuthi olwa ne-TNF noma uhlobo oluthile lomuthi.

7. Imithi ayisiphathi isifo sakho

Imithi ingagcina izimpawu zakho ze-UC zikhona isikhashana, kepha kwesinye isikhathi zingayeka ukusebenza ngokuhamba kwesikhathi. Noma, ungazama imithi embalwa ehlukile ngaphandle kwenhlanhla. Ngaleso sikhathi, kungaba yisikhathi sokucabanga ngokuhlinzwa.

Uhlobo lokuhlinzwa olusetshenziselwa ukwelapha i-UC lubizwa nge-proctocolectomy. Ngesikhathi sale nqubo, kukhishwa ikholoni yakho kanye nengxenyeni yakho. Udokotela ohlinzayo ube esesakha isikhwama - kungaba ngaphakathi noma ngaphandle komzimba wakho - ukugcina nokususa imfucuza. Ukuhlinzwa kuyisinyathelo esikhulu, kepha kungakhulula izimpawu ze-UC unomphela kunemithi.

8. Usuthethelelweni

Uma ukhululekile, siyakuhalalisela! Uwufinyelele umgomo wakho wokwelashwa.

Ukuba sesixolelweni akusho ukuthi uzoyeka ukuthatha imishanguzo yakho. Kodwa-ke, kungakuvumela ukuthi wehlise umthamo wakho, noma uphume kuma-steroids. Udokotela wakho angakugcina kuhlobo oluthile lwezokwelapha isikhathi eside ukuvimbela ama-flare amasha futhi uqiniseke ukuthi uhlala uxolelwe.

Ukudla okudlela endlini

I-UC ingashintsha ngokuhamba kwesikhathi. Kanye nokushintshana kwama-flares nokuncishiswa, isifo sakho singakhula kancane kancane. Ukubona udokotela wakho ukuze ahlolwe njalo kungaqinisekisa ukuthi uyabamba futhi welaphe noma yiziphi izimpawu ezintsha noma eziya ziba zimbi kusenesikhathi.

Uma usebenzisa umuthi futhi ungazizwa kahle, yazisa udokotela wakho. Awudingi ukuhlala nohudo olungakhululekile, amajaqamba, nezinye izimpawu.

Ngokwengeza umuthi omusha ekwelashweni kwakho kwamanje noma ngokushintsha imithi yakho, udokotela wakho kufanele akwazi ukuthola okuthile okukusebenzela kangcono. Uma uzame ukwelashwa okuningana ngaphandle kwempumelelo, ukuhlinzwa kungakunika ikhambi elihlala njalo lezimpawu zakho.