Uluhlupho lukaCrohn yini? Izimpawu, Izimbangela, & Ukwelashwa

Uluhlupho lukaCrohn uhlobo lwesifo sokuvuvukala kwamathumbu (IBD) oluholela ekubuvakaleni okungapheli emgqeni wakho wokugaya. Lesi simo esingapheli singathinta noma iyiphi ingxenye yesistimu yakho yokugaya, kusukela emlonyeni wakho kuya esikhundleni sakho, kodwa ngokuvamile sithinta isisu esincane nokuqala kwesisu esikhulu.

Ngokungafani nezinye izinkinga zokugaya eziza futhi zihambe ngokushesha, Uluhlupho lukaCrohn luhilela izikhathi zokukhukhumela lapho izimpawu zisebenza khona, kulandele izikhathi zokubuyela esimweni esijwayelekile lapho uzizwa ukhulu kangcono. Ukuvuvukala kuya kude ezinqenqemeni zethusi lakho lomathumbu, okulihlukanisa kwezinye izimo zokuvuvukala kwamathumbu.

Ziyini izimpawu zoluhlupho lukaCrohn?

Izimpawu zoluhlupho lukaCrohn zingase zihluke kakhulu kumuntu nomuntu, futhi zivame ukuthuthuka kancane ngokuhamba kwesikhathi. Abanye abantu baba nezimpawu ezilula, kanti abanye babhekene nezinselele ezinzima kakhulu ezingathinta impilo yansuku zonke kakhulu.

Izimpawu ezivame kakhulu ongaziqaphela zihlanganisa ukweluka okungapheli, ubuhlungu besisu nokuqina, igazi emathunjini akho, ukukhathala, nokulahlekelwa isisindo okungahloseki. Lezi zimpawu zivame ukuza ngamaza, ngezikhathi zezimpawu ezinzima kulandele izikhathi lapho uzizwa uqondile.

Nawa amaphuzu aphambili ezimpawu abantu abane-Crohn's disease abavame ukuhlangabezana nawo:

• Ukukhuluphala okuqhubekayo: Ngokuvamile kuyamanzi futhi kungaba negazi noma ukhuluphala
• Ubuhlungu besisu nokuqina: Ngokuvamile kwenzeka ngakwesokudla phansi kwesisu sakho
• Igazi emathunjini: Lingaba yizingxenye ezincane noma ukuphuza kwegazi okubonakalayo
• Ukukhathala nobuthakathaka: Ngokuvamile kuhlobene nokuvuvukala nokungeniswa okubi kwezondlo
• Ukulahlekelwa isisindo okungahloseki: Ngenxa yokunciphisa ukulangazelela ukudla nokungaqabuli kahle
• Ukunciphisa ukulangazelela ukudla: Abantu abaningi bathola ukuthi ukudla kuyahlala kuba yingcindezi
• Ukuvuvukala: Ukuvuvukala okuncane phakathi nezikhathi zokukhuluphala kuyinto evamile

Abanye abantu nabo baye baba nezimpawu ngaphandle kwesistimu yabo yokugaya. Lezi zingafaka ubuhlungu bezingqondo, izinkinga zesikhumba, ukuvuvukala kwamehlo, namaqhubu emlonyeni. Nakuba lezi zimpawu ezengeziwe zingabonakala zingahlobene, empeleni zihlangene nokuvuvukala kwe-Crohn's disease.

Ezimweni ezingavamile, izinkinga ezinzima zingathuthuka, njengokuphahlazeka kwamathumbu, izihlambi ezinzima ezenza imisele phakathi kwamalungu (okubizwa ngokuthi ama-fistulas), noma ukungondli kahle okukhulu. Lezi zimo zidinga ukunakekelwa kwangaphambi kwesikhathi kwezokwelapha nokunakekelwa okukhethekile.

Imiphi imikhakha ye-Crohn's disease?

I-Crohn's disease ihlelwe ngokusekelwe engxenyeni yesistimu yakho yokugaya eithintekayo. Ukuqonda uhlobo lwakho oluthile kusiza udokotela wakho ukuba enze uhlelo lokwelapha oluphumelelayo esimweni sakho.

Uhlobo oluvamile kakhulu yi-ileocolitis, oluthinta ukuphela kwamathumbu akho amancane (ileum) nokuqala kwamathumbu akho amakhulu (ikholoni). Lolu hlobo luhlanganisa cishe u-40% wazo zonke izimo ze-Crohn's disease futhi ngokuvamile lubangela ubuhlungu ngakwesokudla phansi kwesisu sakho.

Nawa amaqembu ayinhloko e-Crohn's disease:

• Ileocolitis: Ithonya ileum nekoloni, ibangela ubuhlungu ngezansi kwesokudla sesisu
• Ileitis: Ikhona kuphela ku-ileum, ngokuvamile ibangela izimo ezifanayo zobuhlungu
• Isifo sikaCrohn's esisengathwini nesesiswini: Sithonya isisu kanye neqopha lokuqala lomthambo omncane
• Jejunoileitis: Ihilela ingxenye ephakathi yomthambo omncane (jejunum)
• Isifo sikaCrohn's sikoloni: Sikoloni kuphela

Uhlobo ngalunye lungabonisa izimpawu ezihlukile kancane futhi lungadinga izindlela zokwelapha ezilungisiwe. Iqembu lakho lokunakekelwa kwezempilo lizocacisa uhlobo lwakho oluthile ngokuhlolwa okuhlukahlukene nokucubungula, okusiza ukuqondisa uhlelo lwakho lokunakekelwa oluqondene nawe.

Yini ebangela isifo sikaCrohn's?

Imbangela eqondile yesifo sikaCrohn's ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ivela ekubeni izinto eziningi zisebenza ndawonye. Akubangelwa ukucindezeleka noma ukudla okudlayo, nakuba lezi zinto zingathinta izimpawu zakho.

Isimumo sakho sokuvikela umzimba sidlala indima ebalulekile ekuthuthukiseni isifo sikaCrohn's. Ngokuvamile, isimo sakho sokuvikela umzimba sikuvimbela kubhaktheriya nezinambuzane eziyingozi. Kodwa-ke, esifweni sikaCrohn's, isimo sakho sokuvikela umzimba sihlasele ngephutha ibhaktheriya enempilo esiswini sakho, sibangela ukuvuvukala okuqhubekayo.

Izinto eziningi zingase zifake isandla ekuthuthukiseni isifo sikaCrohn's:

• I-Genetics: Ukuba namalungu omndeni ane-IBD kukwandisa ingozi yakho nge-10-15%
• Ukusebenza okungalungile kwesistimu yokuvikela umzimba: Isistimu yakho yokuvikela umzimba ihlasela izingqimba ezempilo zesisu
• Izici zezimo ezingqongile: Ukutheleleka okukhethekile noma ukudalulwa kungase kubangele lesimo
• Ukungahluzeki kwe-gut bacteria: Ukushintsha kubhaktheriya yakho evamile yesisu kungase kudlale indima
• Ukubhema: Kukhuphula kakhulu ingozi futhi kwenza izimpawu zibe zimbi

Nakuba igenetics ibalulekile, ukuba nomuntu wendlu yakini onesi-Crohn akusho ukuthi uzoyithola ngokuqinisekile. Abantu abaningi abanengozini ye-genetics abayitholi le methi, kanti abanye abangenayo umlando womndeni bayithola.

Abacwaningi baqhubeka becwaninga izimbangela ezingaba khona zezimo ezingqongile, kufaka phakathi imithi ethile, ukutheleleka, nezinto zokudla. Kodwa-ke, akukho sizathu esisodwa sezimo ezingqongile esiqinisekiswe.

Kufanele ubone nini udokotela ngesifo se-Crohn?

Kufanele uxhumane nodokotela wakho uma uhlushwa yizimpawu zokugaya ukudla ezihlala isikhathi eside kunamazinsuku ambalwa noma ekuthinta kakhulu imisebenzi yakho yansuku zonke. Ukuxilongwa kwasekuqaleni nokuphathwa kungasiza ukuvimbela izinkinga nokuthuthukisa ikhwalithi yokuphila kwakho.

Funani ukunakekelwa kwezokwelapha uma uqaphela ukweluka okungapheli, ubuhlungu obuhlala njalo esiswini, igazi emathunjini akho, noma ukulahlekelwa isisindo okungachazwanga. Lezi zimpawu zidinga ukuhlolwa, ikakhulukazi uma zivela ndawonye noma zihlala isikhathi esingaphezu kweviki.

Xhumana nodokotela wakho ngokushesha uma uhlushwa yilokhu:

• Ukweluka okungapheli: Okuhlala isikhathi esingaphezu kwamazinsuku ambalwa noma okuphindaphinda njalo
• Igazi emathunjini: Noma iyiphi inani legazi lidinga ukuhlolwa kwezokwelapha
• Ubuhlungu obukhulu esiswini: Ikakhulukazi uma bukhubaza imisebenzi yansuku zonke
• Ukulahlekelwa isisindo okungachazwanga: Ukulahlekelwa isisindo ngaphandle kokuzimisela
• Ukuvuvukala okungapheli: Ukuvuvukala okuncane okuqhubeka izinsuku eziningi
• Izimpawu zokulahlekelwa amanzi emzimbeni: Ukukhathala, umlomo owomile, noma ukunciphisa ukuya esithunzini

Funani ukunakekelwa okusheshayo kwezimo eziphuthumayo uma uthola ubuhlungu obukhulu esiswini, ukuvuvukala okuphezulu, izimpawu zokulahlekelwa amanzi emzimbeni okukhulu, noma uma ungakwazi ukugcina izinto ezinzima phansi. Lezi zimpawu zingabonisa izinkinga ezinzima ezidinga ukwelashwa ngokushesha.

Ziyini izimbangela zengozi yesifo se-Crohn?

Izimbangela eziningi zingakwandisa amathuba akho okuba ne-Crohn's disease, nakuba ukuba nezimbangela zingozi akusho ukuthi uzoba naleyo gciwane. Ukuqonda lezi zimbangela kungakusiza wena nodokotela wakho ukuthi nihlolwe ingozi enkulu.

Ubudala nomlando womndeni yizimbangela ezimbili ezinkulu zengozi. Abantu abaningi bathola ukuxilongwa ngaphambi kweminyaka engama-30, nakuba i-Crohn's ingaba khona kunoma yiliphi iminyaka. Ukuba nomzali, umfowethu, noma ingane enesifo se-IBD kukwandisa ingozi yakho kakhulu.

Izimbangela eziyinhloko zengozi ye-Crohn's disease zifaka:

• Umlando womndeni: Ukuba nohlobo oluthile olune-IBD kukwandisa ingozi ngokuphindwe ka-10-15
• Ubudala: Kuvamile phakathi kweminyaka engama-15-35, ngenani elincane eliphakeme ngemuva kweminyaka engama-50
• Ukubhema: Kuphinda ingozi yakho kabili futhi kukubi kakhulu ukwanda kwesifo
• Ubuzwe: Amanani aphezulu kubantu abavela ebuJudeni nabaseCaucasians
• Indawo yomhlaba: Kuvamile emazweni athuthukile nasemadolobheni
• Imithi ethile: Ukusetshenziswa isikhathi eside kwe-NSAIDs kungakwandisa ingozi

Ezinye izimbangela zengozi ezingavamile zifaka ukuba nezinye izimo ze-autoimmune, ukutheleleka okukhulu ngaphambili, kanye mhlawumbe ukucindezeleka noma izinto zokudla, nakuba ubufakazi balokhu bungacaci.

Kubalulekile ukukhumbula ukuthi abantu abaningi abanengxaki eziningi zengozi abazange babe ne-Crohn's disease, kanti abanye abangenazo izimbangela ezibonakalayo zengozi bayithola. Lezi zimbangela zisiza odokotela ukuthi baqonde izindlela, kodwa abakwazi ukubikezela imiphumela yomuntu.

Ziyini izinkinga ezingaba khona ze-Crohn's disease?

Nakuba abantu abaningi abane-Crohn's disease baphatha isimo sabo ngempumelelo, ukuvuvukala okuqhubekayo ngezinye izikhathi kungabangela izinkinga. Ukuqonda lezi zinto ezingaba khona kukusiza ukuthi uqaphele izimpawu zokuqala futhi usebenze neqembu lakho lokunakekelwa kwezempilo ukuvimbela izinkinga.

Izinkinga eziningi zithuthuka kancane kancane futhi zivame kakhulu phakathi nezinkathi zokuvuvukala okukhulu noma uma isifo singaphathwa isikhathi eside. Ngokunakekelwa komtholampilo okufanele nokulandelela, izinkinga eziningi zingavikeleka noma ziphathwe kahle.

Izinkinga ezivamile ezingase zivele zihlanganisa:

• Ukuvimbela kwamathumbu: Ukuncika kwamathumbu ngenxa yethumbu elikhulu noma ukuvuvukala
• I-Fistulas: Ukuhlangana okungavamile phakathi kwamalungu noma ohlangothini lwesi khumba
• Ama-Abscesses: Izikhwama zokutheleleka ezidinga ukususwa
• Ukondleka okungalungile: Ukungaphathwa kahle kwezondlo okuholela ekusweleni
• I-Anemia: Inani eliphansi lamaseli ebomvu egazi ngenxa yokopha okungapheli noma ukungaphathwa kahle
• Ukulahlekelwa ngamathambo: Ubungozi obukhulu be-osteoporosis ngenxa yokuvuvukala nemithi

Izinkinga ezingavamile kodwa ezingathi sína zihlanganisa ukuphuza igazi okukhulu, ukuqhekeka kudonga lomthambo, ne-toxic megacolon (ukuvuvukala okukhulu kwamathumbu). Lezi zinkinga ezingavamile zidinga ukwelashwa okusheshayo kwezimo eziphuthumayo.

Abantu abane-Crohn's disease banebanga elincane elikhulayo lokuhlaselwa yi-colon cancer, ikakhulukazi uma isifo sithinta amathumbu iminyaka eminingi. Ukulandelela njalo nokukhomba kusiza ekutholeni noma yiziphi izinguquko ekuqaleni lapho ukwelashwa kuphumelela kakhulu.

Ukuvimbela i-Crohn's disease kungenzeka kanjani?

Ngeshwa, ayikho indlela ebonakaliswe yokuvimbela i-Crohn's disease ngoba izimbangela ezithile aziqondakali ngokuphelele. Noma kunjalo, izinqumo ezithile zokuphila zingasiza ekuthuthukiseni ubungozi bakho noma ukulibazisa ukuqala kwezimpawu uma ukhonjwa ngokuzalwa.

Isinyathelo esibaluleke kakhulu ongasithatha ukugwema ukubhema noma ukuyeka uma ubhema njengamanje. Ukubhema akuthuthukisi ubungozi bakho bokuthola i-Crohn's disease kuphela, kodwa futhi kwenza izimpawu zibe zimbi futhi kunciphisa ukusebenza kahle kokwelashwa.

Nakuba ungakwazi ukuvimbela i-Crohn's disease ngokuphelele, lezi zindlela zingasiza ekuthuthukiseni ubungozi bakho:

• Ungaphuli: Ukubhema yisici esikhulu kunazo zonke esinguyingozi esingashintshwa
• Gcina ukudla okunempilo: Gxila ekudleni okuphelele futhi ubeke imikhawulo ekudleni okucutshunguliwe
• Lawula ukucindezeleka: Ukucindezeleka okuqhubekayo kungase kube nomthelela ekwakhekeni
• Zivocavoca njalo: Ukuzivocavoca kuwusekela impilo yonke yemizimba
• Thola ubuthongo obanele: Ukulala okungalungi kungathinta ukusebenza kwesistimu yemizimba
• Beka imikhawulo ekusetshenzisweni kwe-NSAID: Sebenzisa le miyekezo kuphela uma kudingeka

Uma unezihlobo ezina-IBD, xoxa ngengozi yakho nodokotela wakho. Bangakusiza ukuthi uqonde izimpawu zokuqapha nokuncoma ukuhlolwa okufanele uma izimpawu zivele.

I-Crohn's disease ihlonishwa kanjani?

Ukuhlola i-Crohn's disease kuhilela izinyathelo eziningi ngoba akukho ukuhlolwa olulodwa oluqinisekisa ngokuqinisekile isimo. Udokotela wakho uzohlanganisa umlando wakho wezokwelapha, ukuhlolwa komzimba, kanye nokuhlolwa okuhlukahlukene ukuze enze ukuxilongwa okuchaneka.

Inqubo yokuxilongwa iqala ngokuxoxisana ngemininingwane ngezimpawu zakho, umlando womndeni, kanye nokuhlolwa komzimba. Udokotela wakho uzokubuza ngesikhathi nobunzima bezimpawu zakho futhi ahlole izimpawu zokuvuvukala noma izinkinga.

Izivivinyo ezivamile ezisetshenziswa ukuhlola i-Crohn's disease zihlanganisa:

• Izivivinyo zegazi: Hlola izimpawu zokuvuvukala, ukushoda kwegazi, kanye nokungahlangabezeki kokudla
• Izivivinyo zesitsha: Khipha ukutheleleka futhi uhlole igazi noma izimpawu zokuvuvukala
• Iskena se-CT noma i-MRI: Dala izithombe ezinemininingwane yesisu sakho
• I-Colonoscopy: Ukubona ngqo ikholoni ne-ileum yokugcina
• I-Upper endoscopy: Hlola isisu esiphezulu uma kudingeka
• I-Capsule endoscopy: Ikhamera ehlanzwe ethatha izithombe zesisu esincane

I-colonoscopy ivame ngokuvamile uvivinyo oluqakathekile kakhulu ngoba ivumela udokotela wakho ukuba abone ukuvuvukala ngokuqondile futhi athathe amasampula ezinhlangothini (ama-biopsies) ukuze kwenziwe ukuhlaziywa kwelabhori. Iphethini ebonakalayo yokuvuvukala esifo se-Crohn sisiza ukuhlukanisa kusuka kwezinye izimo.

Ngezinye izikhathi inqubo yokuxilonga ithatha isikhathi, ikakhulukazi uma izimpawu zibuthakathaka noma zivela ngezikhathi ezithile. Udokotela wakho angase adingeke ukuphinda avimbe ukuhlolwa okuthile noma azame izindlela ezahlukene ukuze afinyelele ekuxilongeni okuqinisekile.

Iyini impilo yesifo se-Crohn?

Ukuphathwa kwesifo se-Crohn kugxile ekunciphiseni ukuvuvukala, ukuphatha izimpawu, nokuvimbela izinkinga. Nakuba kungekho ukwelashwa, izindlela zokwelapha eziningi eziphumelelayo zingakusiza ukufeza ukuthula nokulondoloza ikhwalithi enhle yokuphila.

Uhlelo lwakho lokwelapha luzokwenziwa ngokwezifiso ngokususelwa ebukhali bezimpawu zakho, ukuthi yiziphi izingxenye zesisu sakho ezihlaselekile, nokuthi uyaphendula kanjani ezindleleni zokwelapha ezahlukene. Umgomo ukufumana ukuxuba okulungile kwezindlela zokwelapha ezisebenza kangcono kulesimo sakho esithile.

Izinketho zokwelapha ngokuvamile zihlanganisa:

• Imithi yokulwa nokuvuvukala: Ama-aminosalicylates nama-corticosteroids ukuze kunciphwe ukuvuvukala
• Abaphuli besistimu yokuvimbela umzimba: Imithi efana ne-methotrexate noma i-azathioprine
• Izindlela zokwelapha eziphilayo: Imithi ephambili ehlose izindlela ezithile zokuvuvukala
• Ama-antibiotics: Asetshenziswa ngezifo noma ezinye izinkinga
• Imithi ekhethekile yezimpawu: Imithi yokulwa nokugabha, imithi yokunciphisa ubuhlungu, izithasiselo
• Ukuphathwa kokudla: Ukudla okukhethekile noma izithasiselo zokudla

Abantu abaningi baqala ngemithi yokulwa nokuvuvukala bese beqhubekela ezindleleni zokwelapha ezinamandla uma kudingeka. Izindlela zokwelapha eziphilayo ziguqule ukwelashwa kwe-Crohn futhi zingaba nemiphumela emihle kakhulu yesifo esiphakathi nendawo.

Ukuhlinzwa kungase kudingeke uma imithi ingasebenzi kahle noma uma kunezinhlungu ezivela. Izindlela ezivamile zokwelapha zihlanganisa ukususa izingxenye zethumbu ezonakele noma ukulungisa amafistula. Abantu abaningi abadinga ukuhlinzwa baqhubeka bephilile ngokwelashwa okuqhubekayo kwezokwelapha.

Ungayiphatha kanjani i-Crohn's disease ekhaya?

Ukuphatha i-Crohn's disease ekhaya kuhilela ukwenza izinguquko zendlela yokuphila ezisekela ukwelashwa kwakho futhi kukusize uzizwe ukhulu. Lezi zindlela zisebenza kanye nokwelashwa kwakho kwezokwelapha ukuze kunciphise izimpawu futhi kuthuthukise impilo yakho yonke.

Ukudla kudlala indima ebalulekile ekuphatheni izimpawu, nakuba ukudla okubangela izinkinga kuyahlukahluka kumuntu ngamunye. Ukugcina idayari yokudla kungakusiza ukuthi ubone ukuthi yikuphi ukudla okubangela izimpawu zakho futhi yikuphi okukuthola ukukubekezelela kahle.

Izindlela eziwusizo zokuphatha ekhaya zihlanganisa:

• Qapha ukudla kwakho: Thola futhi ugweme ukudla okubangela izimpawu ezimbi
• Dla ukudla okuncane, okuvamile: Lokhu kuvame ukuba lula ohlelweni lwakho lokugaya ukudla
• Hlala uthambile: Phuza amanzi amaningi, ikakhulukazi ngesikhathi se-flare-ups
• Thatha izithasiselo: Buyisela izondlo ongasenakuziqeda kahle
• Phatha ukucindezeleka: Zama izindlela zokupumula, ukucamngca, noma ukuzivocavoca okuthambile
• Thola ukuphumula okwanele: Ukukhathala kuyinto evamile, ngakho-ke qiniseka ukuthi uthola amakhambi okuphumula okuhle
• Gwema ukubhema: Lokhu kubalulekile ekuphatheni i-Crohn's disease ngempumelelo

Abanye abantu bathola ukuthi ukudla okuthile njengokudla okunefayibha eningi, ukudla okunoshushu, noma imikhiqizo yobisi kubangela izimpawu, kanti abanye bayakubekezelela kahle lokhu kudla. Sebenza nodokotela wezondlo obhalisiwe oqonda i-IBD ukuze uthuthukise uhlelo lokudla olufanele wena.

Ukuzivocavoca okuthambile njalo kungasiza ekuqedeni ukucindezeleka, ukuthuthukisa isimo sengqondo, nokuthuthukisa impilo yonke. Khetha imisebenzi ozizwa ukhulu ngayo, futhi ungaphuli ukukhathala okukhulu ngesikhathi se-flare-ups.

Kufanele ulungiselele kanjani isikhathi sakho sokubona udokotela?

Ukulungiselela isikhathi sakho sokubona udokotela kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi kunikeza iqembu lakho lokunakekelwa kwezempilo ulwazi olulodwa ukuze likusize ngokuphumelelayo. Ukulungiselela okuhle kungasindisa isikhathi futhi kuholele ezinqumweni ezingcono zokunakekelwa.

Ngaphambi kokubona udokotela, buza ulwazi mayelana nezimpawu zakho, kufaka phakathi ukuthi zaqala nini, zingakanani, nokuthi yini ezenza zibe ngcono noma zimbi. Gcina umbhalo wezinyathelo zakho zesisu, amazinga obuhlungu, nanoma yikuphi ukudla okubonakala kuqalisa izimpawu.

Ukulungiselela isikhathi sakho sokubona udokotela:

• Bhala izimpawu zakho: Qaphela ukuqina, ubukhulu, nezici okungenani isonto elilodwa
• Bhala wonke amaphilisi: Faka amaphilisi, amaphilisi angaphezu kokukhawulelwa, kanye nezinye izinto
• Lungiselela umlando wakho wezokwelapha: Faka izinkinga zesisu zangaphambili nomlando womndeni
• Bhala imibuzo: Lungiselela imibuzo ethile mayelana nesimo sakho nokwelashwa
• Letha imiphumela yokuhlola: Faka noma yiluphi uvivinyo lwaselebhu lwakamuva noma izifundo zokwenza izithombe
• Cabanga ukuletha usizo: Ilungu lomndeni lingakusiza ukukhumbula ulwazi olubalulekile

Ungangabazi ukubuza imibuzo mayelana nokuxilongwa kwakho, izinketho zokwelashwa, imiphumela emibi, nokuthi yini okulindelekile kusukela manje. Iqembu lakho lokunakekelwa kwezempilo lifuna ukukusiza ukuthi uqonde isimo sakho futhi uzizwe ukhululekile ngecebo lakho lokunakekelwa.

Uma ubona uchwepheshe okokuqala, cela udokotela wakho oyinhloko incwadi yokudlulisela ehlanganisa icala lakho. Lokhu kusiza uchwepheshe ukuthi aqonde isimo sakho ngokushesha futhi agxile ezintweni ezibaluleke kakhulu zokunakekelwa kwakho.

Iyini into ebalulekile mayelana nesifo sikaCrohn?

I-Crohn's disease yisimo esingamahlalakhona esilawulekayo esithinta wonke umuntu ngendlela ehlukile. Nakuba sidinga ukunakekelwa nokwelashwa okuqhubekayo, abantu abaningi abane-Crohn's disease baphila impilo egcwele, esebenzayo ngokunakekelwa okufanele kwezokwelapha nokwenza izinguquko ekuphileni kwabo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuxilongwa kwasekuqaleni nokuphathwa okuqhubekayo kwenza umehluko omkhulu emiphumeleni yakho yesikhathi eside. Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo, ukuhlala unolwazi ngesimo sakho, nokudlala indima ephambili ekunakekelweni kwakho kukusiza ukufeza imiphumela engcono kakhulu.

Ngezinketho zokwelapha zanamuhla, kufaka phakathi izindlela zokwelapha eziphambili ze-biologic, ithemba labantu abane-Crohn's disease liyaqhubeka liluthuthuka. Abantu abaningi bafinyelela ezikhathini ezinde zokukhululeka futhi bagcina ikhwalithi enhle yempilo ngokuphathwa okuhle.

Imibuzo evame ukubuzwa mayelana ne-Crohn's disease

Q1: Ingabe i-Crohn's disease iyadluliseka?

Cha, i-Crohn's disease ayidluliseki. Awukwazi ukuyithola komunye umuntu noma uyidlulisele kwabanye. Yisimo sezempilo sokuzimela komzimba esikhula ngenxa yokuxubana kwezinto ezivela ezifundweni, isimiso somzimba, nezimo zokuphila.

Q2: Ingabe ukudla kungayelapha i-Crohn's disease?

Nakuba ukudla kungayelaphi i-Crohn's disease, kungasiza kakhulu ekulawuleni izimpawu nasekusekeleni uhlelo lwakho lokwelapha oluphelele. Ukudla okuthile kungabangela ukubhebhetheka kwabanye abantu, kanti abanye bangasiza ekunciphiseni ukuvuvukala. Ukusebenzisana nodokotela wezondlo olujwayelene ne-IBD kungakusiza ukuba uthuthukise uhlelo lokudla olufanele wena.

Q3: Ingabe ngizodinga ukuhlinzwa ngenxa ye-Crohn's disease?

Akuwona wonke umuntu one-Crohn's disease odinga ukuhlinzwa. Noma kunjalo, cishe amaphesenti angu-70 abantu abane-Crohn's bangadinga ukuhlinzwa ngesinye isikhathi. Ukuhlinzwa kuvame ukucatshangelwa lapho imithi ingasebenzi, lapho kuvela izinkinga, noma lapho ikhwalithi yempilo ithinteka kakhulu. Abantu abaningi bayaphila kahle ngemva kokuhlinzwa futhi baqhubeka nokwelashwa kwezokwelapha.

Q4: Ingabe abesifazane abane-Crohn's disease bangaba nabantwana?

Yebo, abesifazane abaningi abane-Crohn's disease bangaba ne mimiswako enempilo nezingane. Ikhona into yokuhlela kusengaphambili nokusebenzisana eduze nodokotela wakho we-gastroenterologist nodokotela wakho we-obstetrician. Ngokuvamile kungcono ukuqala ukukhulelwa uma i-Crohn's yakho isekuphumuleni, futhi ezinye izidakamizwa kungadingeka zilungiswe ngesikhathi sokukhulelwa.

U-Q5: I-Crohn's disease iyithinta kanjani isikhathi sokuphila?

Abantu abane-Crohn's disease ngokuvamile banesikhathi sokuphila esijwayelekile noma esiseduze nokujwayelekile, ikakhulukazi ngokunakekelwa komtholampilo okufanele. Nakuba lesi simo singesikhathi eside futhi sidinga ukuphathwa okuqhubekayo, ukuthuthuka ekwelapheni kuye kwathuthukisa kakhulu imiphumela yesikhathi eside. Ikhona into yokunakekelwa komtholampilo okuqhubekayo, ukunamathela ekwelapheni, kanye nokuzithiba impilo enempilo.