Isifo seCrohn - ukukhutshwa

Isifo seCrohn sisifo apho iinxalenye zendlela yokwetyisa ziye zitshise. Luhlobo lwesifo sokukrala kwamathumbu.

Ubusesibhedlele kuba unesifo seCrohn. Oku kukudumba komphezulu kunye nobunzulu bamathumbu amancinci, amathumbu amakhulu, okanye zombini.

Unokuba unayo iimviwo, uvavanyo lwelebhu kunye ne-x-ray. Ingaphakathi lekholamu lakho kunye nekholoni kusenokwenzeka ukuba lihlolwe kusetyenziswa ityhubhu eguqukayo (ikholonoscopy). Isampulu yethishu yakho (i-biopsy) inokuthi ithathwe.

Usenokucelwa ukuba ungatyi okanye usele nantoni na kwaye wondliwe kuphela ngomgca wokungena ngaphakathi. Usenokuba ufumene izakha mzimba ezikhethekileyo ngombhobho wokutya.

Usenokuba uqale ukuthatha amayeza amatsha ukunyanga isifo sakho seCrohn.

Utyando onokuthi ubenalo lubandakanya ukulungiswa kwefistula, ukuthengiswa kwamathumbu amancinci, okanye ileostomy.

Emva kokuqhambuka kwesifo sakho seCrohn, usenokudinwa ngakumbi kwaye ube namandla amancinci kunangaphambili. Oku kufanele ukuba ngcono. Buza umboneleli wakho wezempilo malunga naziphi na iziphumo ebezingalindelekanga ezivela kumayeza akho amatsha. Kufuneka ubone umboneleli wakho rhoqo. Unokufuna uvavanyo lwegazi rhoqo, ngakumbi ukuba ukwamayeza amatsha.

Ukuba uye ekhaya unetyhubhu yokondla, kuyakufuneka ufunde ukuba uyisebenzisa kwaye uyicoca njani ityhubhu kunye nesikhumba sakho apho ityhubhu ingena khona emzimbeni wakho.

Xa uqala ukugoduka, usenokucelwa ukuba usele ulwelo kuphela okanye utye ukutya okwahlukileyo kule nto uqhele ukuyitya. Buza umboneleli wakho xa uqala ukutya ukutya rhoqo.

Kuya kufuneka utye ukutya okusempilweni okunesondlo. Kubalulekile ukuba ufumane iikhalori ezaneleyo, iprotein, kunye nezakha mzimba ezibalulekileyo kumaqela okutya ahlukeneyo.

Ukutya kunye nokusela okuthile kunokwenza ukuba iimpawu zakho zibe mandundu. Oku kutya kunokubangela iingxaki kuwe ngalo lonke ixesha okanye kuphela ngexesha lokutsha. Zama ukunqanda ukutya okwenza iimpawu zakho zibe mandundu.

• Ukuba umzimba wakho awukutya ukutya kobisi kakuhle, thintela iimveliso zobisi. Zama i-lactose cheeses ephantsi, njengeSwitzerland kunye ne-cheddar, okanye imveliso ye-enzyme, njengeLactaid, ukunceda ukuphula i-lactose. Ukuba kufuneka uyeke ukutya iimveliso zobisi, thetha nomntu otya ukutya malunga nokufumana ikhalsiyam eyaneleyo. Ezinye iingcali zikholelwa ukuba kuya kufuneka uphephe iimveliso zobisi ngokupheleleyo de unyamezele ukutya okuqhelekileyo.
• Ifayibha eninzi inokwenza ukuba iimpawu zakho zibe mandundu. Zama ukubhaka okanye ukugcoba iziqhamo kunye nemifuno ukuba uyitya ikrwada iyakukhathaza. Yitya ukutya okunesinga eliphantsi xa oko kungancedi ngokwaneleyo.
• Kulumkele ukutya okwaziwayo ukuba kubangela irhasi, efana neembotyi, ukutya okune-spices, ikhaphetshu, i-broccoli, i-cauliflower, iijusi zeziqhamo ezingavuthi, kunye neziqhamo, ngakumbi iziqhamo ze-citrus.
• Gwema okanye ulinganisele utywala kunye ne-caffeine. Basenokwenza urhudo lwakho lube mandundu.

Yitya ukutya okuncinci, kwaye utye rhoqo. Sela ulwelo oluninzi.

Buza umboneleli wakho malunga neevithamini ezongezelelweyo kunye neeminerals onokuzifuna:

• Izongezo zentsimbi (ukuba une-anemia)
• Izongezo zesondlo
• I-calcium ne-vitamin D yongeza ukunceda ukugcina amathambo akho omelele
• I-Vitamin B-12 shots, ukukhusela i-anemia.

Thetha nengcali yokutya, ngakumbi ukuba unciphisa umzimba okanye ukutya kwakho kuncipha kakhulu.

Unokuziva ukhathazekile malunga nengozi yamathumbu, uneentloni, okanye uzive ukhathazekile okanye udandathekile. Ezinye izinto ezixinzelelekileyo ebomini bakho, ezinje ngokuhamba, ukuphulukana nomsebenzi, okanye ukuphulukana nomntu omthandayo, kunokubangela iingxaki ekucoleni ukutya kwakho.

Ezi ngcebiso zikunceda ukulawula isifo sakho seCrohn:

• Joyina iqela lenkxaso. Buza umboneleli wakho malunga namaqela kwindawo yakho.
• Zilolonge. Thetha nomboneleli wakho malunga nesicwangciso somsebenzi esikulungele.
• Zama i-biofeedback ukunciphisa uxinzelelo lwemisipha kunye nokucothisa ukubetha kwentliziyo yakho, imithambo yokuphefumla ngokunzulu, i-hypnosis, okanye ezinye iindlela zokuphumla. Imizekelo ibandakanya ukwenza iyoga, ukumamela umculo, ukufunda, okanye ukuntywila emanzini ashushu.
• Jonga ugqirha wezempilo yengqondo ngoncedo xa kukho imfuneko.

Umboneleli wakho unokukunika amayeza ukunceda ukunciphisa iimpawu zakho. Ngokusekwe kukubi kangakanani isifo sakho seCrohn kunye nendlela osabela ngayo kunyango, umboneleli wakho unokucebisa elinye okanye nangaphezulu kula machiza:

• Amachiza okuthintela urhudo anokunceda xa unorhudo olubi kakhulu. Loperamide (Imodium) zingathengwa ngaphandle kagqirha. Soloko uthetha nomboneleli wakho ngaphambi kokusebenzisa la machiza.
• Izongezo zefiber zinokunceda iimpawu zakho. Ungathenga i-psyllium powder (Metamucil) okanye i-methylcellulose (iCitrucel) ngaphandle kommiselo. Buza umboneleli wakho malunga noku.
• Soloko uthetha nomboneleli wakho ngaphambi kokusebenzisa nawaphi na amayeza e-laxative.
• Unokusebenzisa i-acetaminophen (iTylenol) yentlungu encinci. Iziyobisi ezinje nge-aspirin, ibuprofen (Advil, Motrin), okanye naproxen (Aleve, Naprosyn) zinokwenza iimpawu zakho zibe mandundu. Thetha nomboneleli wakho malunga namayeza onokuwasebenzisa. Unokufuna iyeza lokunyanga amayeza eentlungu.

Zininzi iintlobo zamachiza ezinokukunceda ukunqanda okanye ukunyanga ukuhlaselwa sisifo sakho seCrohn.

Fowunela umnikezeli wakho ukuba unayo:

• Iintlanzi okanye iintlungu kwindawo yakho esezantsi esiswini
• Urhudo olunegazi, uhlala ene-mucus okanye ubofu
• Urhudo olungenakulawulwa ngokutshintsha kokutya kunye neziyobisi
• Ukwehla kobunzima (kuye wonke umntu) kunye nokusilela ukutyeba (ebantwaneni)
• Ukopha okungafunekiyo, umjelo wamanzi, okanye izilonda
• Umkhuhlane ohlala ngaphezulu kweentsuku ezi-2 okanye ezi-3, okanye umkhuhlane ongaphezulu kwe-100.4 ° F (38 ° C) ngaphandle kwengcaciso
• Isihlunu kunye nokuhlanza okuhlala ngaphezu komhla
• Izilonda zolusu okanye izilonda ezingapholiyo
• Intlungu edibeneyo ekugcina ungenzi imisebenzi yakho yemihla ngemihla
• Iziphumo ebezingalindelekanga ezivela kuwo nawaphi na amayeza amiselweyo kwimeko yakho

Ukudumba kwesifo - isifo sikaCrohn - ukukhupha; I-enteritis yengingqi - ukukhutshwa; Ileitis - ukukhutshwa; Ileocolitis enobumba - ukukhutshwa; Colitis - ukubhobhoza

• Ukudumba kwesifo

Isandborn WJ. Ukuvavanywa kwesifo sikaCrohn kunye nonyango: isixhobo sesigqibo seklinikhi. Gastroenterology. Ngo-2014; 147 (3): 702-705. IINKCUKACHA: 25046160 www.ncbi.nlm.nih.gov/pubmed/25046160.

Iisanti BE, Siegel CA. Isifo sikaCrohn.Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 115.

I-Swaroop PP. Isifo samathumbu esivuthayo: Isifo seCrohn kunye nesilonda esibuhlungu. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 224-230.

• Isifo seCrohn
• Ileostomy
• Ukuthengiswa kwakhona kwamathumbu amancinci

• Urhudo-yintoni oza kuyibuza ugqirha-umntwana wakho
• Urhudo-yintoni oza kuyibuza umboneleli wakho wezempilo-umntu omdala
• Isondlo sangaphakathi-iingxaki zokulawula umntwana
• Ityhubhu yokondla isisu - i-bolus
• Ileostomy nomntwana wakho
• Ileostomy kunye nokutya kwakho
• Ileostomy - ukukhathalela i-stoma yakho
• Ileostomy - ukukhutshwa
• Ityhubhu yokondla iJejunostomy
• Ukuhlala neileostomy yakho
• Ukutya okune-fiber encinci
• Ityhubhu yokondla i-Nasogastric
• Ukuthengiswa kwamathumbu amancinci amancinci - ukukhutshwa

• Isifo sikaCrohn