Isifo sikaCrohn: yintoni, iimpawu, izizathu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• 1. Ukusetyenziswa kwamayeza
• 2. Ukutya okwaneleyo
• 3. Utyando
• Iingxaki ezinokwenzeka

Isifo sikaCrohn sisifo kwinkqubo yokwetyisa, ebangela ukudumba okungapheliyo kwamathumbu emathunjini kwaye kunokubangelwa zizinto zofuzo okanye ukungasebenzi kakuhle kwamajoni omzimba, umzekelo.

Esi sifo sinokubangela iimpawu ezinjengokucaphuka kwamathumbu, ukopha, ubuntununtunu kukutya okuthile, urhudo okanye iintlungu zamathumbu, ezinokuthatha iinyanga ukuya kwiminyaka ukuvela. Ngesi sizathu, ngesiqhelo sisifo ekunzima ukusixilonga.

Isifo sikaCrohn asinalo unyango, nangona kunjalo, unyango luvumela ukukhupha iimpawu kunye nokukhuthaza umgangatho wobomi, kwaye kufuneka lwenziwe ngokukhokelwa yingcali yesondlo kunye / okanye ugqirha wesisu.

Iimpawu eziphambili

Iimpawu eziqhelekileyo zesifo sikaCrohn zezi:

• Urhudo rhoqo;
• Intlungu zesisu;
• Ubukho begazi esitulweni;
• Ukudinwa kakhulu;
• Ukuphelelwa ngumdla wokutya kunye nobunzima.

Ukongeza, abanye abantu banokuba nezinye iimpawu ezingabonakali zihambelana ngokuthe ngqo nokudumba kwamathumbu, ezinje ngerhash rhoqo, amalungu abuhlungu, ukubila ebusuku okanye utshintsho lolusu, umzekelo.

Nantsi indlela yokuchonga iimpawu eziphambili zesifo sikaCrohn.

Indlela yokuqinisekisa ukuxilongwa

Akukho luvavanyo okanye luvavanyo ukuqinisekisa isifo sikaCrohn, ke yinto eqhelekileyo ukuba uvavanyo luqale nge-gastroenterologist ngokweempawu ezichaziweyo.

Ukususela kuloo mzuzu, ezinye iimvavanyo, ezifana ne-colonoscopy, i-endoscopy okanye i-stool examination, inokuyalelwa ukuba ikhuphe ezinye iingcamango zokuxilongwa, ezifana nokusuleleka emathunjini, umzekelo, onokubonisa iimpawu ezifanayo.

Izizathu ezinokubangela

Isifo sikaCrohn asikacacisanga unobangela, nangona kunjalo kukholelwa ukuba ezinye izinto ezinokuthi zibe nefuthe ekuqaleni kwazo zibandakanya:

• Izinto zofuzo banokuthi bahambelane nokuphuhliswa kwesifo sikaCrohn, ukuba kuxhaphake kakhulu kubantu abanesalamane esisondeleyo nesi sifo;
• Utshintsho kwinkqubo yomzimba yokuzikhusela ekhokelela ekuphenduleni okubaxekileyo komzimba ngexesha losulelo, kubangele uhlaselo kwiiseli zenkqubo yokwetyisa;
• Utshintsho kwi-microbiota yamathumbu, ezinokubangela ukungalingani kwinani leebhaktiriya ezikhoyo emathunjini;
• Ukutshaya rhoqo, kuba imidiza iqulethe izinto ezinje nge-nicotine, i-carbon monoxide kunye ne-free radicals ezinokuthi ziguqule indlela igazi elihamba ngayo liye emathunjini kwaye ke yonyuse umngcipheko wokukhula kwesi sifo okanye igalelo ekwandeni kweengxaki zesifo sikaCrohn.

Esi sifo sinokuzibonakalisa kulo naliphi na inqanaba lobomi, kodwa kuqhelekile ukuvela emva kwamaxesha oxinzelelo olukhulu okanye inkxalabo. Isifo sikaCrohn sinokuchaphazela amadoda kunye nabasetyhini, kwaye ukubonakala kwaso kunokunxulunyaniswa nokusetyenziswa kwamayeza anje ngomlomo, izithinteli okanye iziyobisi ezichasayo ezinje nge-ibuprofen okanye i-diclofenac, umzekelo.

Unyango lwenziwa njani

Unyango lwesifo sikaCrohn kufuneka luhlale lusenziwa ngokwesikhokelo se-gastroenterologist kunye nesondlo kwaye ijonge ukunciphisa ukudumba kwamathumbu okubangela iimpawu, ukuphucula umgangatho wobomi okanye ukunciphisa umngcipheko weengxaki.

Ukongeza, kuya kufuneka utye ukutya okunesondlo ngokutya okusempilweni kunye nokulinganisela.

Unyango oluphambili lwesifo sikaCrohn zezi:

1. Ukusetyenziswa kwamayeza

Amayeza asetyenziselwa ukunyanga isifo sikaCrohn kufuneka asoloko ekhuthazwa yigastroenterologist kwaye abonakalisiwe ukunciphisa iimpawu okanye ukuthintela uhlaselo kwaye kubandakanya:

• ICorticosteroids njenge-prednisone okanye i-budesonide ukunceda ukunciphisa ukudumba kwamathumbu;
• Aminosalicylates njenge-sulfasalazine okanye i-mesalazine esebenza ngokunciphisa ukudumba ukuthintela kunye nokunciphisa ukuxhuzula;
• Amajoni omzimba ezifana ne-azathioprine, i-mercaptopurine okanye i-methotrexate enceda ukunciphisa ukusebenza kwamajoni omzimba kwaye inokusetyenziswa kwiimeko apho kungekho kuphucuka nokusetyenziswa kwamanye amayeza;
• Amayeza eBhayiloji ezinjenge-infliximab, adalimumab, i-certolizumab pegol okanye i-vedolizumab enceda ukumodareyitha iintshukumo zamajoni omzimba;
• Amayeza okubulala iintsholongwane ezinje nge-ciprofloxacin okanye i-metronidazole inokusetyenziswa kwimeko yeengxaki kusulelo, ukwanda kwebacteria okanye isifo se-perianal.

Ukongeza, amanye amayeza okususa iimpawu anokusetyenziswa njengamayeza orhudo, iintlungu okanye izongezo zevithamini kwimeko yokunqongophala kwesondlo ngenxa yokutya okungafunekiyo.

2. Ukutya okwaneleyo

Ukudumba emathunjini okubangelwe sisifo sikaCrohn kunokuphazamisa ukwetyiswa kunye nokufunxwa kokutya, okunokubangela urhudo, iintlungu zesisu okanye ukudodobala kokukhula ebantwaneni, ke ngoko kubalulekile ukuba utye ukutya okunezondlo, ukhokelwe sisondlo okanye isondlo, kwaye ukunqande ukutya ukutya okunokuthi mandundu iimpawu ezinje ngekofu, itshokholethi okanye imifuno eluhlaza, umzekelo. Yazi ukuba ungatya ntoni kwisifo sikaCrohn.

Ukongeza, ukuba nokuba kukutya okufanelekileyo, akukho phuculo ekufunxweni kwezakhamzimba okanye ukunciphisa iimpawu, ukutya okuthile okwenziwe nge-enteral okanye nge-parenteral isondlo kungaboniswa ngugqirha.

Bukela ividiyo nge-Nutritionist uTatiana Zanin malunga nokutya kwisifo sikaCrohn:

3. Utyando

Utyando lunokuboniswa ngugqirha ukuba utshintsho kwindlela otya ngayo okanye unyango ngamayeza alusebenzi ekuphuculeni iimpawu zesifo sikaCrohn okanye ukuba kuvela iingxaki ezinje ngefistula okanye ukunciphisa amathumbu.

Ngexesha lotyando, ugqirha ususa iindawo ezonakeleyo zamathumbu kwaye uphinde uqhagamshele amalungu aphilileyo.

Iingxaki ezinokwenzeka

Isifo sikaCrohn sinokubangela iingxaki ezithile emathunjini okanye kwamanye amalungu omzimba njengesikhumba okanye amathambo, umzekelo. Ezinye iingxaki ezinokubakho kwesi sifo zibandakanya:

• Ukunciphisa amathumbu oko kunokukhokelela kuthintelo kunye nemfuno yotyando;
• Ukuqhekeka kwamathumbu;
• Ukwenziwa kwezilonda emathunjini, emlonyeni, kwi-anus okanye kummandla wesini;
• Ukuqulunqwa kweefistula emathunjini Unxibelelwano olungaqhelekanga phakathi kwamalungu ahlukeneyo omzimba, umzekelo phakathi kwamathumbu nolusu okanye phakathi kwamathumbu nelinye ilungu;
• Ukuqhekeka kwe-anal okuqhekeka kancinci kwi-anus;
• Ukungondleki oko kunokukhokelela kwi-anemia okanye i-osteoporosis;
• Ukudumba ezandleni nasemilenzeni ngamaqhuma avela phantsi kolusu;
• Ukonyuka kokubumba kwegazi oko kunokubangela ukuphazamiseka kwemithambo kunye nemithambo.

Ukongeza, isifo sikaCrohn sonyusa umngcipheko wokuba nomhlaza wamathumbu, kunye novavanyo rhoqo lokunyanga kunye novavanyo lwe-colonoscopy luyacetyiswa, njengoko kubonisiwe ngugqirha. Fumanisa ukuba yenziwa njani i-colonoscopy.