Isifo sikaCrohn kunye nePain Joint: Luyintoni Unxibelelwano?

Umxholo

• Isifo sikaCrohn kunye nentlungu edibeneyo
• Isifo samathambo
• Iparipheral arthritis
• Symmetrical arthritis
• Isifo samathambo
• I-Ankylosing spondylitis
• IArthralgia
• Ukuchonga iintlungu ezidibeneyo
• Unyango
• Utshintsho kwindlela yokuphila
• Unyango lwendalo
• Nini ukubona ugqirha
• Imbonakalo yeentlungu ezidibeneyo

Abantu abanesifo sikaCrohn banokudumba okungapheliyo kuludwe lwendlela yabo yokwetyisa.

Isizathu ngqo sesifo sikaCrohn asaziwa, kodwa oku kudumba kubandakanya amajoni omzimba aphutha izinto ezingenabungozi, njengokutya, iintsholongwane eziluncedo, okanye izicwili zamathumbu ngokwawo, njengezisongelo. Iyagqithisa kwaye ibahlasele.

Ixesha elingaphezulu, oku kubangela ukudumba okungapheliyo. Ngamanye amaxesha oku kunyanzelwa kunokubangela iingxaki kwezinye iindawo zomzimba ngaphandle kwendlela yesisu. Ezona ziqhelekileyo kumalungu.

Isifo sikaCrohn naso sinendawo yemfuza. Ngamanye amagama, abantu abaneentsholongwane ezithile banokuchaphazeleka sisifo sikaCrohn.

Uphando lufumene ukuba ezi ntlobo zemfuza ziyahambelana nezinye iintlobo zeemeko zokukrala, ezinje nge-psoriasis, i-rheumatoid arthritis, kunye ne-ankylosing spondylitis.

Isifo sikaCrohn kunye nentlungu edibeneyo

Ukuba unesifo sikaCrohn, unokuba semngciphekweni omkhulu weentlobo ezimbini zemeko edibeneyo:

• isifo samathambo: iintlungu ngokudumba
• arthralgia: iintlungu ngaphandle kokudumba

Ezi meko zimbini zinokuchaphazela ukuya kuthi ga kubantu abanezifo zesisu ezivuthayo (IBDs) ezinjengesifo sikaCrohn.

Isifo samathambo

Ukudumba kwesifo samathambo kubangela ukuba amalungu abe buhlungu kwaye adumbe. Isifo samathambo sinokuchaphazela ukuya kwabo banesifo sikaCrohn.

Isifo samathambo esenzeka ngesi sifo sikaCrohn sahlukile kancinci kwisifo samathambo esiqhelekileyo kuba siqala sisebancinci.

Ezi zilandelayo ziintlobo ze-arthritis ezinokuthi zenzeke kubantu abanesifo sikaCrohn:

Iparipheral arthritis

Uninzi lwe-arthritis olwenzeka kubantu abanesifo sikaCrohn lubizwa ngokuba yi-peripheral arthritis. Olu hlobo lwe-arthritis luchaphazela amalungu amakhulu, afana nalawo emadolweni akho, emaqatheni, kwiingqiniba, ezihlahleni nasezinqeni.

Iintlungu ezidibeneyo zihlala zenzeka ngaxeshanye njengesisu kunye nokuqaqamba kwamathumbu. Olu hlobo lwesifo samathambo ngokwesiqhelo alubangeli kukhukuliseka ngokudibeneyo okanye ukonakala okungapheliyo kumalungu.

Symmetrical arthritis

Ipesenti encinci yabo banesifo sikaCrohn banoluhlobo lwesifo samathambo esaziwa njenge symmetrical polyarthritis. I-symmetrical polyarthritis inokukhokelela ekuvukeleni nakweyiphi na indawo, kodwa ibangela iintlungu kumalungu ezandla zakho.

Isifo samathambo

Oku kukhokelela ekuqineni nakwiintlungu ezijikeleze umqolo ongezantsi, kwaye kunokukhokelela kuthintelo kunye nokuhamba kunye nomonakalo osisigxina.

I-Ankylosing spondylitis

Ekugqibeleni, ipesenteji encinci yabantu abanesifo sikaCrohn baya kuphuhlisa imeko enzima eyaziwa njenge-ankylosing spondylitis (AS). Le meko yokuqhubela phambili yokuvuvukala ichaphazela amalungu akho e-sacroiliac kunye nomqolo.

Iimpawu zibandakanya iintlungu kunye nokuqina kumqolo wakho osezantsi kwaye kufutshane nasezantsi komqolo wakho kumalungu e-sacroiliac.

Abanye abantu banokuba neempawu ze-AS iinyanga okanye iminyaka ngaphambi kokubonakala kweempawu zesifo sikaCrohn. Olu hlobo lwe-arthritis lunokukhokelela kumonakalo osisigxina.

IArthralgia

Ukuba unamahlaba anganyangekiyo ngaphandle kokudumba, une-arthralgia. Phantse abantu abane-IBD bane-arthralgia ngaxa lithile ebomini babo.

IArthralgia inokwenzeka kumalungu amaninzi ahlukeneyo emzimbeni wakho. Iindawo eziqhelekileyo ngamadolo akho, amaqatha nezandla. Xa i-arthralgia ibangelwa yiCrohn's, ayibangeli monakalo kumalungu akho.

Ukuchonga iintlungu ezidibeneyo

Kunokuba nzima ukuxelela ukuba intlungu yakho edibeneyo sisiphumo sesifo samathumbu esifana nesifo sikaCrohn. Akukho vavanyo lunye lunokuthi ngokuqinisekileyo, kodwa kukho imiqondiso ethile.

Umahluko omnye kwisifo samathambo esiqhelekileyo kukuba ukudumba kuhlala kuchaphazela amalungu amakhulu, kwaye akunakuwachaphazela omabini amacala omzimba wakho ngokulinganayo. Oku kuthetha, umzekelo, ukuba idolo lakho lasekhohlo okanye igxalaba lingaziva libi kakhulu kunelo lasekunene.

I-rheumatoid arthritis, ngokuchaseneyo, ihlala ichaphazela amalungu amancinci, njengalawo asesandleni nasesihlahleni.

Iingxaki zesisu eziza nesifo sikaCrohn zinokuba yingxaki ixesha elide ngaphambi kokuba esi sifo sikhokelele kwintlungu edibeneyo.

Unyango

Ngokwesiqhelo, oogqirha baya kuncoma ukusebenzisa ii-nonsteroidal anti-inflammatory drugs (NSAIDs), njenge aspirin (Bufferin) okanye ibuprofen (Motrin IB, Aleve), ukukhupha iintlungu nokudumba.

Nangona kunjalo, ii-NSAID azikhuthazwa kubantu abanesifo sikaCrohn. Banokucaphukisa amathumbu akho emathunjini kwaye zenze mandundu iimpawu zakho. Ngeentlungu ezincinci, ugqirha wakho unokucebisa ukusebenzisa i-acetaminophen (iTylenol).

Amachiza aliqela amiselweyo ayafumaneka ukunceda kwiintlungu ezidibeneyo. Uninzi lonyango luhamba kunye namayeza esi sifo sikaCrohn:

• sulfasalazine (Azulfidine)
• icorticosteroids
• imethotrexate
• iiarhente zebhayoloji ezintsha ezinje nge-infliximab (Remicade), adalimumab (Humira), kunye ne-certolizumab pegol (Cimzia)

Ukongeza kunyango, ezi ndlela zilandelayo zasekhaya zinokunceda:

• ukuphumla ngokudibeneyo
• icing kunye nokuphakamisa ukudibana
• ukwenza imithambo ethile yokunciphisa ukuqina kunye nokomeleza izihlunu ezijikeleze amalungu anokuthi amiselwe ngugqirha womzimba okanye osebenzayo

Utshintsho kwindlela yokuphila

Ukuzilolonga kunceda ukuphucula uluhlu lwentshukumo kumalungu akho kunye nokunceda ukunciphisa uxinzelelo. Ukuzivocavoca okunempembelelo ephantsi njengokuqubha, ukuhamba ngeebhayisikile, iyoga, kunye ne-tai chi kunye noqeqesho lwamandla kunokunceda.

Ukulungisa indlela otya ngayo kunokunciphisa iimpawu zesifo sikaCrohn, ngakumbi ngoncedo lokutya okunokutshintsha ukwakheka kweentsholongwane emathunjini akho.

Oku kubandakanya ii-prebiotic ezinje ngobusi, iibhanana, amatswele, kunye negalikhi, kunye neeprobiotic ezinje nge-kimchi, kefir kunye ne-kombucha.

I-yogurt ikwayiprobiotic, kodwa abantu abaninzi abanesifo sikaCrohn banolwazelelelo kukutya okuthathwa ngobisi kwaye banokufuna ukukuthintela.

Unyango lwendalo

Ngaphandle kweprobiotic kunye nee-prebiotic, unokufumana inzuzo ngokuthatha izongezo zeoyile yeentlanzi. Ezi ziphezulu kwi-omega-3 fatty acids, ezinokuthi zinciphise ukudumba kunye nokuqina kwamalungu.

Ukwenza i-acupuncture kunokunceda kwiimpawu zesifo sikaCrohn kunye nesifo samathambo.

Nini ukubona ugqirha

Ukuba ufumana intlungu edibeneyo, jonga ugqirha wakho. Basenokufuna ukwenza iimvavanyo zokuqonda isifo ukuba zikhuphe ezinye izizathu zentlungu yakho.

Ugqirha wakho unokufuna nokuhlengahlengisa amayeza esi sifo sikaCrohn. Ngamaxesha athile, iintlungu ezidibeneyo zinokuhambelana neziphumo ebezingalindelekanga zonyango lwakho.

Ugqirha wakho unokucebisa ugqirha wezonyango ukukunceda ukuba uphuhlise inkqubo yokuzivocavoca kumalungu akho.

Imbonakalo yeentlungu ezidibeneyo

Intlungu edibeneyo yabantu abanesifo sikaCrohn ihlala kuphela ixesha elifutshane kwaye ihlala ingabangeli monakalo osisigxina. Intlungu yakho edibeneyo iya kuphucula njengoko iimpawu zakho zamathumbu ziphucula.

Ngeempawu zesisu zenziwe ngamayeza kunye nokutya, umbono wamalungu akho ulungile ngokubanzi.

Nangona kunjalo, ukuba ufumene uxilongo lwe-AS, imbonakalo iyahluka ngakumbi. Abanye abantu bayaphucuka ngokuhamba kwexesha, ngelixa abanye besiba mandundu. Ngonyango lwangoku, ixesha lokuphila kwabantu abane-AS ngokwesiqhelo alichaphazeleki.