Iimpawu eziphambili ze-8 zesifo sikaCrohn
Umxholo
Iimpawu zokuqala zesifo sikaCrohn zingathatha iinyanga okanye iminyaka ukuba ivele, kuba ixhomekeke kubungakanani bokudumba. Ukongeza, abanye abantu banokufumana uphawu olunye okanye nangaphezulu kwaye abayikrokreli iCrohn's, njengoko iimpawu zinokudideka nezinye iingxaki zesisu.
Nangona iimpawu zingahluka ngokubanzi kumntu kumntu, eziqhelekileyo ziquka:
- Uhudo olunzulu nolungapheliyo;
- Ubuhlungu kwindawo yesisu;
- Ubukho begazi okanye i-mucus esitulweni;
- Ukukrala rhoqo esiswini;
- Umnqweno okhawulezileyo wokuzikhupha;
- Ukudinwa okugqithisileyo rhoqo;
- Umkhuhlane oqhubekayo phakathi kwama-37.5º ukuya kuma-38º;
- Ukwehla kwesisindo ngaphandle kwesizathu.
Ezi mpawu zihlala zibonakala kangangezihlandlo, ezaziwa ngokuba "kukuxhuzula", zize ke zithambekele zinyamalale ngokupheleleyo, de kuvele ukuxhuzula okusha.
Ukongeza, kwezinye iimeko, esi sifo sinokuchaphazela namehlo, siwashiye edumbile, ebomvu kwaye enovakalelo ekukhanyeni, kwaye sinokwandisa nomngcipheko womhlaza wekolon.
Uvavanyo lweMpawu zikaCrohn
Ukuba ucinga ukuba unokuba nesifo sikaCrohn, khetha iimpawu zakho kwaye ufumanise ukuba ngawaphi amathuba:
- 1. Amaxesha orhudo oluqatha nge-mucus okanye ngegazi
- 2. Umnqweno ongxamisekileyo wokuzikhupha, ngakumbi emva kokutya
- 3. Ukuqaqanjelwa sisisu rhoqo
- 4. Isicaphucaphu okanye ukugabha
- 5. Ukuphelelwa ngumdla wokutya kunye nokwehla kobunzima
- 6. Umkhuhlane ophantsi oqhubekayo (phakathi kwama-37.5º nama-38º)
- 7. Izilonda kwindawo ezimpundu, ezinje ngeemvumba okanye iintambo
- 8. Ukudinwa rhoqo okanye iintlungu zemisipha
Indlela yokuqinisekisa ukuxilongwa
Ukuxilongwa kokuqala kwesifo sikaCrohn kufuneka kwenziwe ngugqirha wesisu okanye ugqirha ngokubanzi ngokuhlalutya iimpawu kunye neempawu ezivezwe ngumntu, ukongeza kuvavanyo lwembali yezempilo kunye neyosapho. Ukongeza, ngexesha lothethathethwano, uvavanyo lomzimba lunokwenziwa kwaye uvavanyo lwebhoratri lunokucelwa.
Ukuqinisekisa ukuxilongwa kokuqinisekisa ubuzaza besifo, iimvavanyo zokucinga zinokucelwa, kunye nekholososcopy eboniswa ikakhulu, eluvavanyo oluvumela ukubonwa kweendonga zamathumbu, ezichonga iimpawu zokudumba. Ngexesha le-colonoscopy, kuqhelekile ukuba ugqirha athathe isampulu encinci eludongeni lwamathumbu ukuze afumane i-biopsy kwaye isifo sinokuqinisekiswa. Qonda ukuba yenziwa njani icolonoscopy.
Ukongeza kwi-colonoscopy, i-endoscopy ephezulu inokwenziwa, xa kukho iimpawu kunye neempawu ezibonisa ukudumba kwenxalenye ephezulu yamathumbu, i-X-ray, isisu se-ultrasound, iMRI kunye nekhompyuter yecomputer, eboniswa ikakhulu ukunceda ekuchongeni i-fistula kunye Olunye utshintsho lwamathumbu.
Unyango lwenziwa njani
Isifo sikaCrohn asinonyango, kungoko utshintsho kwindlela otya ngayo lubaluleke kakhulu ukunciphisa iimpawu zokutya, njengoko ukutya okuthile kunokubangela okanye kusiqaqambise ngakumbi esi sifo. Ke, kuyacetyiswa ukulawula ubungakanani befayibha engenisiweyo, ukunciphisa inani lamafutha kunye nokunciphisa ukusetyenziswa kweziveliso zobisi. Ukongeza, kubaluleke kakhulu ukubheja kwi-hydration yemihla ngemihla ukuthintela ukomisa. Jonga indlela yokutshintsha ukutya kwakho ukuze unciphise iimpawu.
Ngexesha leengxaki, ugqirha unokucebisa ngokuthatha amachiza okuthomalalisa ukunciphisa iintlungu kunye nokudumba, kunye namayeza anceda ukulawula urhudo. Kwiimeko ezinzima kakhulu zesifo, ukungenelela kokuhlinzwa kungaboniswa ukuze kususwe iindawo ezichaphazelekayo nezonakalisiweyo zesisu ezinokubangela iimpawu.