I-Ulcerative Colitis - abantwana - ukukhutshwa

Umntwana wakho wayesesibhedlele kuba une-ulcerative colitis (UC). Oku kukudumba kwenwebu yangaphakathi yekolon kunye ne-rectum (amathumbu amakhulu). Konakalisa umgca, ubangele ukuba wophe okanye ukhuphe amafinyila okanye ubofu.

Umntwana wakho mhlawumbi ufumene ulwelo ngombhobho we-intravenous (IV) emthanjeni wakhe. Banokufumana:

• Utofelo-gazi
• Isondlo ngokusebenzisa ityhubhu yokondla okanye i-IV
• Amayeza okunceda ukunqanda urhudo

Umntwana wakho usenokuba unikwe amayeza okunciphisa ukudumba, ukuthintela okanye ukulwa nosulelo, okanye ukunceda amajoni omzimba.

Umntwana wakho unokuhlinzwa, njenge:

• Ukususwa kwekolon (colectomy)
• Ukususwa kwamathumbu amakhulu kunye noninzi lwe-rectum
• Ukubekwa kwe-ileostomy
• Ukususwa kwenxalenye yekholoni

Umntwana wakho uya kuba nekhefu elide phakathi kwe-flare-ups ye-ulcerative colitis.

Xa umntwana wakho eqala ukugoduka, kuya kufuneka ukuba basele kuphela ulwelo okanye batye ukutya okwahlukileyo koko baqhele ukukutya. Landela imiyalelo enikwe ngumboneleli wezempilo yomntwana wakho. Buza umboneleli xa uqala ukutya okuqhelekileyo komntwana wakho.

Kuya kufuneka unike umntwana wakho:

• Ukutya okunesondlo, okunempilo. Kubalulekile ukuba umntwana wakho afumane iikhalori ezaneleyo, iiprotein, kunye nezakha mzimba kumaqela okutya ahlukeneyo.
• Ukutya okuphantsi kumafutha agcweleyo kunye neswekile.
• Incinci, ukutya rhoqo kunye nolwelo oluninzi.

Ukutya okuthile kunye neziselo kunokwenza ukuba iimpawu zomntwana wakho zibe mbi ngakumbi. Oku kutya kunokubangela iingxaki kubo ngalo lonke ixesha okanye kuphela ngexesha lokutsha.

Zama ukunqanda ukutya okulandelayo okunokwenza ukuba iimpawu zomntwana wakho zibe mbi:

• Ifayibha eninzi inokwenza ukuba iimpawu zibe mbi. Zama ukubhaka okanye ukutya iziqhamo kunye nemifuno ukuba ukuzitya ziluhlaza kuyabakhathaza.
• Kuphephe ukunika 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 unciphise i-caffeine, njengoko inokwenza urhudo lubi. Ukutya okunje ngeesoda, iziselo zamandla, iti kunye netshokholethi zinokuqulatha icaffeine.

Buza umboneleli malunga neevithamini ezongezelelweyo kunye neeminerals umntwana wakho anokuzidinga, kubandakanya:

• Izongezo zentsimbi (ukuba zine-anemia)
• Izongezo zesondlo
• I-calcium kunye ne-vitamin D yongeza ukunceda ukugcina amathambo abo omelele

Thetha nengcali yokutya ukuze uqiniseke ukuba umntwana wakho ufumana isondlo esifanelekileyo. Qiniseka ukuba uyakwenza oku ukuba umntwana wakho wehlile emzimbeni okanye ukutya kwabo kuncipha kakhulu.

Umntwana wakho unokuziva exhalabile malunga nengozi yamathumbu, eneentloni, okanye ade azive elusizi okanye edandathekile. Banokukufumanisa kunzima ukuthatha inxaxheba kwizinto ezenziwa esikolweni. Ungamxhasa umntwana wakho umncede aqonde indlela yokuphila nesi sifo.

Ezi ngcebiso zinokukunceda ulawule ulcerative colitis yomntwana wakho:

• Zama ukuthetha ngokukhululekileyo nomntwana wakho. Phendula imibuzo yabo malunga nemeko yabo.
• Nceda umntwana wakho asebenze. Thetha nomboneleli womntwana wakho malunga nokuzilolonga kunye nemisebenzi abanokuyenza.
• Izinto ezilula ezinje ngokwenza iyoga okanye i-tai chi, ukumamela umculo, ukufunda, ukucamngca, okanye ukuntywila kwindawo yokuhlambela efudumeleyo kunokuphumla umntwana wakho kwaye kuncede ukunciphisa uxinzelelo.
• Qaphela ukuba umntwana wakho uphulukana nomdla esikolweni, kubahlobo nakwimisebenzi. Ukuba ucinga ukuba umntwana wakho angadakumba, thetha nomcebisi wezempilo yengqondo.

Unokufuna ukujoyina iqela lenkxaso ukukunceda wena nomntwana wakho ukulawula esi sifo. ICrohn's & Colitis Foundation yaseMelika (CCFA) lelinye lala maqela. I-CCFA ibonelela ngoluhlu lwezixhobo, ugcino lwedatha loogqirha abagxile ekunyangeni isifo seCrohn, ulwazi malunga namaqela enkxaso yendawo, kunye newebhusayithi yolutsha- www.crohnscolitisfoundation.org.

Umboneleli womntwana wakho angabanika amayeza ukunceda ukunciphisa iimpawu zabo. Ngokusekwe kubukrakra besifo sokudumba okwenziwa sisilonda sikabhobhosi kunye nendlela abasabela ngayo kunyango, banokufuna ukuthatha elinye okanye ngaphezulu kula mayeza:

• Amachiza okuthintela urhudo anokunceda xa enorhudo olubi. Ungathenga i-loperamide (Imodium) ngaphandle kommiselo. Soloko uthetha nomboneleli wabo ngaphambi kokusebenzisa la machiza.
• Izongezo zefiber zinokunceda iimpawu zazo. Ungathenga i-psyllium powder (Metamucil) okanye i-methylcellulose (iCitrucel) ngaphandle kommiselo.
• Soloko uthetha nomboneleli womntwana wakho ngaphambi kokusebenzisa nawaphi na amayeza e-laxative.
• Unokusebenzisa i-acetaminophen kwintlungu ethambileyo. Iziyobisi ezinje nge-aspirin, ibuprofen, okanye naproxen zinokwenza iimpawu zazo zibe mandundu. Thetha nomboneleli wabo ngaphambi kokuba uthathe la mayeza. Umntwana wakho usenokufuna amayeza amayeza eentlungu abukhali.

Zininzi iintlobo zamachiza ezikhoyo ukuthintela okanye ukunyanga ukuhlaselwa sisilonda sikabhobhosi somntwana wakho.

Inkathalo eqhubekayo yomntwana wakho iya kusekelwa kwiimfuno zabo. Umboneleli uya kukuxelela xa umntwana wakho efanele ukubuyela kuvavanyo lwangaphakathi lwe-rectum kunye nekholoni ngombhobho oguqukayo (sigmoidoscopy okanye colonoscopy).

Fowunela umboneleli wakho ukuba umntwana wakho:

• Iintlambo okanye iintlungu kwindawo esezantsi esiswini ezingahambiyo
• Urhudo olunegazi, uhlala ene-mucus okanye ubofu
• Urhudo olungenakulawulwa ngokutshintsha kokutya kunye neziyobisi
• Ukopha okungafunekiyo, umjelo wamanzi, okanye izilonda
• Intlungu entsha
• Umkhuhlane ohlala ngaphezulu kweentsuku ezi-2 okanye ezi-3 okanye umkhuhlane ongaphezulu kwe-100.4 ° F (38 ° C) ngaphandle kwengcaciso
• Isicaphucaphu kunye nokugabha okuhlala ngaphezulu komhla wokuhlanza kunombala omthubi / oluhlaza
• Izilonda zolusu okanye izilonda ezingapholiyo
• Intlungu edibeneyo egcina umntwana wakho ekwenzeni imisebenzi yemihla ngemihla
• Imvakalelo yokuba nesilumkiso esincinci ngaphambi kokufuna intshukumo yamathumbu
• Isidingo sokuvuka ebuthongweni ukuze ube nokuhamba kwamathumbu
• Ukusilela ukutyeba, ukukhathalela usana lwakho okanye umntwana okhulayo
• Iziphumo ebezingalindelekanga ezivela kuwo nawaphi na amayeza amiselweyo kwimeko yomntwana wakho

UC - abantwana; Ukudumba kwesifo ebantwaneni - UC; Ulcerative proctitis - abantwana; I-Colitis kubantwana-UC

IBitton S, iMarkowitz JF. I-ulcerative colitis ebantwaneni nakwishumi elivisayo. Ku: Wyllie R, Hyams JS, Kay M, ii-eds. Izifo zesisu esiswini kunye nezifo zesibindi. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2021: isahl. 43.

I-Stein RE, iBaldassano RN. Ukudumba kwesifo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 362.

• Ulcerative Colitis