I-IBD noma I-Inflammatory Bowel Disease Emakatini: Izimpawu Nokwelashwa

Uma isilwane sigula, sihlanza, udokotela angakwazi ukuxilonga i-colitis emakati. Lena inkinga evamile, futhi uma isilwane sihlushwa isifo sohudo esingapheli kanye / noma ukuhlanza, isifo sofuba esivuthayo, noma i-IBD, emakati kungase kube imbangela.

I-IBD, echazwa njengokuvuvukala okungapheli kwamathumbu emakati, ingenye yezimbangela ze-colitis. I-IBD ingathinta izingxenye ezahlukene zepheshana lamathumbu, futhi igama lesifo lincike lapho inkinga yenzeka khona. 

Uma lesi sifo sithinta isisu, sibizwa ngokuthi i-gastritis, uma amathumbu amancane e-enteritis, futhi uma amathumbu amakhulu abizwa ngokuthi i-colitis. Ku-IBD, amangqamuzana okuvuvukala ahlasela udonga lwamathumbu, aphazamise inqubo evamile yokugaya. Imbangela ye-IBD emakati ayikabonakali, kodwa kucatshangwa ukuthi ibangelwa ukusebenzisana kwezici eziningana - ukudla, ukusebenza kwamasosha omzimba, kanye nesimo se-microbiome, okuyisibalo samagciwane emathunjini.

Ihluke kanjani i-IBD emakati kune-irritable bowel syndrome (IBS)?

I-IBD ibhekwa njengesifo esizimele futhi ihlukile kune-feline stress colitis, ngezinye izikhathi ebizwa ngokuthi i-irritable bowel syndrome, noma i-IBS. Isifo samathumbu emakati sibangelwa ukuvuvukala futhi singase sihlotshaniswe nezinkinga ze-autoimmune. Ngokuphambene nalokho, i-IBS yenzeka ngenxa yokucindezeleka futhi ngokuvamile iphumela ku-colon spasm, okubangela isifo sohudo. I-IBS ilawulwa ngokulawulwa kokucindezeleka, futhi i-IBD ilawulwa ngokudla nemithi.

Isifo samathumbu emakati: izimpawu

Izimpawu ze-IBD ezilwaneni ezihambisana nazo zihlanganisa isifo sohudo, ukuncipha kwesisindo, ukuhlanza, ukukhathala, kanye/noma ukushintsha kwesifiso sokudla. Izimpawu ze-colitis emakati zivame ukubonakaliswa ngokukhula kwesifiso sokudla kanye nesifo sohudo esivamile. Kodwa-ke, ikati lingase libe nesifiso sokunciphisa ukudla, lapho ukuncipha kwesisindo kuvamile.

Ukuvuvukala kwamathumbu ekati: indlela yokuxilonga

Ukuxilongwa kwe-IBD kwenziwa ngokukhipha ezinye izimbangela zokuhlanza nesifo sohudo. Udokotela wezilwane cishe uzokwenza izivivinyo zaselabhorethri nophenyo, okuhlanganisa igazi, umchamo, indle, nokuhlolwa kwamathumbu. Lokhu kungukukhipha izifo eziningi ezingase zibe nezimpawu ezifanayo njenge-IBD. Lokhu kufaka phakathi i-pancreatitis engapheli, ama-parasites amathumbu, ukungena kokudla, i-dysbacteriosis yamathumbu, njll.

Uma zonke lezi zivivinyo zingalungile, udokotela wakho angase ancome i-ultrasound yesisu kanye/noma i-biopsy yamathumbu amancane. I-biopsy iwukuphela kwendlela yokuxilonga ngokuqinisekile i-IBD. Landela iseluleko sikadokotela wakho wezilwane ukuze uthole ukuhlolwa okwengeziwe.

Ukwelashwa kwe-IBD emakati

Ukwelashwa kokuvuvukala kwamathumbu emakatini kwenziwa ngendlela ehlangene: imithi kanye nokwelashwa kokudla. Ngokusho kukachwepheshe wezokwelapha zangaphakathi wezilwane uCraig Rouault, BVSc, cum laude, PhD, Ilungu le-Australian College of Veterinary Specialists (MACVSc), Diplomate of the American College of Veterinary Internal Medicine in Small Animals (DACVIM- SA), ama-60% amakati ngezifo ezingapheli zesisu esithuthukisiwe ngemuva kokwelashwa kokudla ngaphandle kwama-steroid. 

Uhlelo lokwelapha lokudla okunempilo nokudla kwamakati ane-colitis enqunywe udokotela wezilwane okhona luwusizo ngempela kumakati ane-IBD. Futhi ukudla kwansuku zonke kwalesi sifo akufanelekile.

Ikati lakho lingase linconywe ukudla okunamafutha aphansi angajwayelekile, amaprotheni e-hydrolyzed, noma i-fiber ekhethekile yokudla. Ingathengwa ekhemisi lezilwane noma esitolo se-inthanethi njengoba kunqunywe udokotela wakho wezilwane. Okunye ukudla kudayiswa ngqo emtholampilo. Hlola nodokotela wakho wezilwane ukuze ubone ukuthi okunye kokudla kwe-Hill's® Prescription Diet® kulungele yini isilwane sakho esifuywayo. Uma uhlelo lokudla kokwelapha lutuswa ikati, akufanele adle okunye ukudla. Akufanele ikakhulukazi ukuhlola ngesikhathi sokushintshela ekudleni okusha ukuze udokotela wezilwane akwazi ukuhlola impumelelo yalolu hlelo ekwelapheni izimpawu ze-IBD.

Uma ikati litholakala lintula ku-cobalamin, i-vitamin B12 kanye/noma i-folic acid, enye i-vitamin B, evamile kumakati amaningi ane-IBD, kuzobekwa izithasiselo zamavithamini ezifanele. 

I-IBD ivame ukuhambisana nezinguquko ezilimazayo ku-gut microbiome, okuholela empilweni embi yamathumbu, njengokwanda kwamagciwane amabi abangela izifo. Uma kungekho amagciwane e-symbiotic anenzuzo eyanele ukusiza ukugaya, udokotela wakho uzoncoma i-probiotic kanye/noma ukudla okukhethekile okuqukethe imicu ye-prebiotic. Ezimweni ezimbi kakhulu, noma izimo ezingaphenduli ekudleni kuphela, ama-steroids noma ezinye izidakamizwa ze-immunosuppressive zingase zibekwe ekati.

Ingabe i-colitis emakati ingalapheka? Izifo eziningi ezingapheli zesisu emakati, kuhlanganise ne-IBD, azikwazi ukuphulukiswa kodwa zingaphathwa. 

Ukuxilongwa nokwelashwa kwe-IBD emakatini kungaba inqubo yesilingo nephutha, ikakhulukazi kumakati anenkinga yamathumbu angaphezu kweyodwa. Ukuhlonza imbangela eyisisekelo kuthatha isikhathi kanye nokuxilongwa okufanele, ngakho-ke kubalulekile ukugcina ukuxhumana njalo nodokotela wezilwane, ikakhulukazi uma ukwelashwa kungasizi. Kanye nodokotela bezilwane, kungenzeka ukunciphisa umthelela wesifo hhayi kuphela izinga lempilo yekati, kodwa futhi nasezingeni lempilo yomndeni.

Bona futhi:

Ikati linezinkinga zokugaya ukudla: kungani kwenzeka nokuthi yini okufanele yenziwe

Amathiphu okusiza ikati lakho ngesisu esithukuthele

Ezinye izizathu zokuthi kungani ikati lingase lizizwe ligula ngemva kokudla

Wazi kanjani ukuthi ikati libuhlungu? Izimpawu nezimpawu zezifo