Isifo samathumbu esivuthayo (IBD): yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• Yintoni oza kuyitya kwimeko ye-IBD
• 1. Ukutya okuvunyelweyo
• 2. Ukutya ekufuneka sikuphephe

Ukudumba kwesifo kubhekisa kuseto lwezifo ezingapheliyo ezibangela ukudumba kwamathumbu, isifo sikaCrohn kunye nesilonda esibuhlungu, esinempawu ezifanayo, ezinje ngesisu, urhudo, umkhuhlane, ukwehla kobunzima, i-anemia okanye ukunganyamezelani ukutya, umzekelo, kodwa zithathwa njengezifo ezahlukileyo.

Unyango luquka ukuhambisa amayeza, ukwamkela ukutya okuthile kunye nokongeza iivithamini kunye neeminerali. Ngamanye amaxesha, kusenokufuneka kwenziwe utyando.

Iimpawu eziphambili

Isifo samathumbu esivuthayo sinokuzibonakalisa ngeempawu kwinqanaba lesisu okanye kweminye imimandla yomzimba, ezi zinto zilandelayo zixhaphake kakhulu:

Iimpawu zesifo sikaCrohn ziyafana kakhulu nezo zesisu, kodwa ezinye zazo zinokwahluka kuba isifo sikaCrohn sinokuchaphazela lonke ugcino lwesisu, ukusuka emlonyeni ukuya kwi-anus, ngelixa iindawo ezichaphazelekayo zesifo sezilonda esibuhlungu sisisisu kunye nekholoni. Yenza uvavanyo kwaye wazi ukuba usichonga njani isifo sikaCrohn.

Indlela yokuqinisekisa ukuxilongwa

Ngokubanzi, ukuxilongwa kuqukethe uvavanyo lweklinikhi, i-endoscopy, iimviwo ze-histological kunye ne-radiological kunye nophando lwe-biochemical.

Izizathu ezinokubangela

Izizathu ezithile zesifo sokudumba asikaziwa, kodwa kucingelwa ukuba inokunxulunyaniswa nemfuza, i-immunological, i-microbiota yamathumbu kunye nezinto zokutya.

Ke, kubantu abanesifo sokudumba, abanikwa ukutya okuthile okanye ii-microorganisms, kukho ukusebenza okungaqhelekanga kwempendulo yokuvuvukala, ebangela ukonakala kwiiseli zamathumbu, ezikhokelela ekubonakaleni kweempawu zesifo.

Izifo zesisu ezivuthayo nazo zinokuchaphazeleka bubudala kunye nohlanga, kwaye umngcipheko wokuziphuhlisa unokwanda ngokusetyenziswa kwecuba, ukusetyenziswa kwezicwangcisi zehomoni, ukusetyenziswa kwezibulala-ntsholongwane kunyaka wokuqala wobomi, isisu, ukutya okunotyebileyo kwiprotheni yezilwanyana, iswekile , iioyile, amafutha awaneleyo.

Unyango lwenziwa njani

Unyango lujolise ekuphembeleleni nasekugcineni ukuxolelwa kwesi sifo, ukuphucula imeko yesondlo somntu kunye nokunciphisa iimpawu.

Ngokubanzi, amayeza amiselwe ngugqirha anokubandakanya iziyobisi ezichasayo, ezinje nge-corticosteroids kunye ne-aminosalicylates ezinje nge-mesalazine okanye i-sulfasalazine, umzekelo, ii-immunosuppressants ezinje nge-cyclosporine, azathioprine okanye i-mercaptopurine, ii-antibiotics ezinje nge-ciprofloxacin okanye i-metronidazole kunye / okanye ii-antibodies ze-monoclonal, ezinjengee-antibodies ze-monoclonal kunye / okanye ii-antibodies ze-monoclonal, ezinje nge-infliximab okanye i-adalimumab, umzekelo.

Ngamanye amaxesha, kwisifo sikaCrohn, kunokuba yimfuneko ukwenza utyando ukulungisa ukungqinwa okanye ukususwa kwamathumbu xa unyango ngamachiza lungasebenzi.

Abantu abanesifo sokudumba samathumbu banomngcipheko ophezulu wokuba neengxaki zesondlo ngenxa yokugula kunye nonyango, ukuze kugcinwe imeko yesondlo kwezi meko, kunokuba yimfuneko ukulandela ukutya okukhethekileyo kwaye uthathe izongezo zokutya nge-folic acid, ivithamin D, iivithamini I-B6, i-B12 kunye neeminerali kunye nezinto ezilandelwayo, ezinje ngecalcium kunye ne-zinc, umzekelo. Ukongeza, ukusetyenziswa kweeprobiotic kunye ne-glutamine kunokunceda ukuphucula ukusebenza kwamathumbu.

Yintoni oza kuyitya kwimeko ye-IBD

Eyona njongo iphambili yokutya kwesifo sokukrala kwamathumbu kukunciphisa ukudumba kwamathumbu kunye nokuphucula ukufunxeka, ukunciphisa iimpawu kunye nokuthintela ukuvela kweengxaki ezintsha. Ukutya kufanele ukuba kube kukodwa kwaye kubhekiswe kumntu ngamnye, kodwa kukho ukutya okunyamezelwayo ngokubanzi kunye nokunye ekufuneka kuthintelwe, ngakumbi ngexesha leengxaki:

1. Ukutya okuvunyelweyo

Okunye ukutya okuvunyelweyo ekutyeni zezi:

• Irayisi, i-purees, ipasta kunye neetapile;
• Iinyama ezityebileyo, ezifana nenyama yenkukhu;
• Iqanda elibilisiweyo;
• Iintlanzi ezifana nesardadi, ityhuna okanye isalmon;
• Imifuno ephekiweyo, njengeminqathe, i-asparagus kunye namathanga;
• Iziqhamo eziphekiweyo nezixobukile, ezifana neebhanana kunye nama-apile;
• Ukotapeya kunye neoyile ye-olive.

2. Ukutya ekufuneka sikuphephe

Ukutya ekufuneka kuthintelwe, njengoko benomngcipheko omkhulu wokubangela ukudumba kwamathumbu, zezi:

• Ikofu, iti emnyama, iziselo ezihlwahlwazayo ezine-caffeine kunye neziselo ezinxilisayo;
• Imbewu;
• Imifuno eluhlaza kunye neziqhamo ezingafakwanga;
• Ipapaya, iorenji kunye neplam;
• Ubisi, iyogathi, itshizi, ukhilimu omuncu kunye nebhotolo;
• Ubusi, iswekile, i-sorbitol okanye i-mannitol;
• Iziqhamo ezomileyo ezinje ngamandongomane, iialnuts kunye neeamangile;
• Oat;
• Itshokholethi;
• Ihagu kunye nezinye iinyama ezinamafutha;
• Isonka esifutshane kunye necookie eziswiti kunye ne-puff pastry, ukutya okuthosiweyo, i-gratin, imayonnaise kunye nokutya okunefriji okukhuselekileyo.

Oku kutya yimizekelo ethile ekufuneka ithintelwe ngokubanzi, nangona kunjalo, eyona nto ibalulekileyo kukubonisana nengcali yesondlo ukulungelelanisa ukutya nomzimba womntu ngamnye, kuba kusenokubakho okunye ukutya okonyusa iimpawu.