Isifo seCrohn - abantwana - ukukhutshwa

Umntwana wakho wanyangwa esibhedlele ngenxa yesifo sikaCrohn. Eli nqaku likuxelela ukuba ungamgcina njani umntwana ekhaya emva koko.

Umntwana wakho wayesesibhedlele ngenxa yesifo sikaCrohn. Oku kukudumba komphezulu kunye nobunzulu bamathumbu amancinci, amathumbu amakhulu, okanye zombini.

Esi sifo sinokuba mncinci okanye siqine. Umntwana wakho unokuthi abe neemviwo, iimvavanyo zebhu kunye ne-x-ray. Umboneleli wokhathalelo lwempilo usenokuba ukhe wavavanya ngaphakathi kwethanga lomntwana wakho kunye nekholoni esebenzisa ityhubhu eguqukayo (colonoscopy). Isampulu yethishu (i-biopsy) inokuthi ithathwe.

Umntwana wakho usenokucelwa ukuba angatyi okanye asele nantoni na kwaye wondliwe kuphela nge-IV (intambo efakwa ngaphakathi). Basenokuba bafumana izondlo ezizodwa ngombhobho wokutya.

Umntwana wakho usenokuba uqalile ukuthatha amayeza ukunyanga isifo seCrohn.

Umntwana wakho unokufuna enye yezi ntlobo zotyando:

• Ukulungiswa kwefistula
• Ukuthengiswa kwakhona kwamathumbu amancinci
• Ileostomy
• Inxalenye okanye iyonke i-colectomy

Emva kokuqhambuka kwesifo sikaCrohn, umntwana wakho unokudinwa ngakumbi kwaye abe namandla amancinci kunangaphambili. Oku kufanele ukuba ngcono. Buza umboneleli womntwana wakho malunga naziphi na iziphumo ebezingalindelekanga ezivela kuwo nawaphi na amayeza amatsha. Kufuneka ubone umboneleli womntwana wakho rhoqo. Umntwana wakho unokufuna uvavanyo lwegazi rhoqo, ngakumbi ukuba ukwamayeza amatsha.

Ukuba umntwana wakho uye ekhaya ephethe ityhubhu yokondla, kuyakufuneka ufunde indlela yokusebenzisa nokucoca ityhubhu kunye nendawo apho ityhubhu ingena khona emzimbeni womntwana wakho. Ukuba umntwana wakho mdala ngokwaneleyo, ungamnceda ukuba afunde ngesi sifo nendlela yokuzikhathalela ngokunjalo.

Xa umntwana wakho eqala ukugoduka, banako ukusela kuphela ulwelo. Okanye, kusenokufuneka batye ukutya okwahlukileyo koko baqhele ukukutya. Buza umboneleli xa umntwana wakho eqala ukutya ukutya kwabo rhoqo.

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:

• Ukuba abakwazi ukucola 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 umntwana wakho kufuneka ayeke ukutya iimveliso zobisi, thetha nomntu otya ukutya malunga nokuqinisekisa ukuba ufumana i-calcium kunye ne-vitamin D.
• Ifayibha eninzi inokwenza ukuba iimpawu zibe mbi. Ukuba ukutya iziqhamo okanye imifuno eluhlaza kuyabakhathaza, zama ukubhaka okanye ukuwosa. Ukuba oko akuncedi ngokwaneleyo, banike ukutya okunefayibha ephantsi.
• 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 unciphise i-caffeine. Inokusenza urhudo lube mandundu. Khumbula ukuba ezinye iisoda, iziselo zamandla, iti, kunye netshokholethi zonke zine-caffeine.

Buza umboneleli womntwana wakho malunga neevithamini ezongezelelweyo kunye neeminerals umntwana wakho anokuzidinga:

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

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 unokuba nexhala lokufumana ingozi yamathumbu, iintloni, okanye nokuba lusizi okanye adandatheke ngenxa yokuba unale meko. Umntwana wakho usenokukufumanisa kunzima ukuthatha inxaxheba kwizinto ezenziwa esikolweni. Ungamxhasa umntwana wakho umncede aqonde indlela yokuphila nesi sifo.

Ezi ngcebiso zinokukunceda ulawule isifo seCrohn somntwana wakho:

• Thetha ngokukhululekileyo nomntwana wakho kwaye uphendule yonke imibuzo yakhe malunga nale meko.
• Nceda umntwana wakho asebenze. Thetha nomboneleli wakho womntwana malunga nemisebenzi kunye nokuzivocavoca umntwana wakho onokuyenza.
• Izinto ezilula ezinje ngokwenza iyoga okanye i-tai chi, ukumamela umculo, ukuzilolonga, ukucamngca, ukufunda, okanye ukuntywila kwindawo yokuhlambela efudumeleyo kunokuphumla umntwana wakho kwaye kuncede ukunciphisa uxinzelelo.
• Cela umntwana wakho ukuba abone umcebisi onokubanceda bazithembe.
• 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 unokunika amayeza emntwaneni wakho ukunceda ukunciphisa iimpawu. Umboneleli unokunika elinye okanye angaphezulu ala mayeza alandelayo ngokusekwe kubukrakra besifo seCrohn somntwana wakho kunye nendlela asabela ngayo kunyango:

• Amachiza okuthintela urhudo anokunceda xa umntwana wakho enesifo sorhudo olubi. Loperamide (Imodium) zingathengwa ngaphandle kagqirha. Soloko uthetha nomboneleli womntwana wakho ngaphambi kokusebenzisa la machiza.
• Izibonelelo zefiber zinokunceda iimpawu zomntwana wakho. Ungathenga i-psyllium powder (Metamucil) okanye i-methylcellulose (iCitrucel) ngaphandle kommiselo.
• Soloko uthetha nomboneleli womntwana wakho ngaphambi kokusebenzisa nawaphi na amayeza e-laxative.
• Unokunika umntwana wakho i-acetaminophen ngentlungu encinci. Iziyobisi ezinje ngeasprini, ibuprofen, okanye naproxen zinokuzenza mandundu iimpawu. Thetha nomboneleli womntwana wakho malunga nawaphi amayeza onokuwasebenzisa. Unokufuna iyeza lokunyanga amayeza eentlungu.

Zininzi iintlobo zamachiza ezinokukunceda ukunqanda okanye ukunyanga ukuhlaselwa sisifo sakho seCrohn. Ezinye zinokuba neziphumo ebezingalindelekanga ezibi kakhulu. Umntwana wakho uya kunikwa elinye lala mayeza xa sele ebuyile kuqhaqho.

Unokwenza oku kulandelayo ukunceda umntwana wakho:

• Thetha nomntwana wakho malunga neyeza. Nceda umntwana wakho aqonde ukusetyenziswa kweyeza abaza kulithatha nokuba liza kubanceda njani ukuba bazive bhetele. Oku kuya kunceda umntwana wakho aqonde ukuba kutheni kubalulekile ukuthatha amayeza njengoko kuyalelwe.
• Ukuba umntwana wakho mdala ngokwaneleyo, fundisa umntwana wakho ukuba angalizisela njani iyeza.

Amayeza athintela amajoni omzimba abenomngcipheko weengxaki. Ukuba umntwana wakho uthatha la mayeza, umboneleli unokufuna ukubona umntwana wakho rhoqo kwiinyanga ezi-3 ukukhangela naziphi na iingxaki ezinokubakho.

Kuya kufuneka ubize umnikezeli ukuba umntwana wakho:

• Iintlanzi okanye iintlungu emazantsi esisu
• Urhudo olunegazi, uhlala ene-mucus okanye ubofu
• Urhudo olungenakulawulwa ngokutshintsha kokutya kunye neziyobisi
• Iingxaki zokufumana ubunzima
• 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 egcina umntwana wakho ekwenzeni imisebenzi yemihla ngemihla
• Iziphumo ebezingalindelekanga ezivela kuwo nawaphi na amayeza asetyenziswa ngumntwana wakho

Ukudumba kwesifo ebantwaneni - isifo seCrohn; IBD ebantwaneni - isifo seCrohn; I-enteritis yengingqi - abantwana; Ileitis - abantwana; Ileyolitis enganyangekiyo - abantwana; Colitis ebantwaneni; CD - abantwana

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Nguyen GC, Loftus EV Jr, Hirano I, et al. Isikhokelo se-American Gastroenterological Association Institute isikhokelo kulawulo lwesifo sikaCrohn emva kokwenziwa kotyando. Gastroenterology. Ngo-2017; 152 (1): 271-275. IINKCUKACHA: 27840074 pubmed.ncbi.nlm.nih.gov/27840074/.

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UStewart C, uKocoshis SA. Ukuphazamiseka kunye nezifo zendlela yamathumbu kunye nesibindi. Ku: UFuhrman BP, uZimmerman JJ, ii-eds.Inkathalo yabantwana. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 97.

UVelazco CS, uMcMahon L, u-Ostlie DJ. Ukudumba kwesifo. Ku: Holcomb GW, Murphy JP, St Peter SD, ii-eds.Uqhaqho lwabantwana lweHolcomb kunye neAshcraft. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 41.

• Isifo sikaCrohn