Amachiza kunye noNyango lwezifo zikaCrohn

Umxholo

• Amayeza ukunyanga isifo sikaCrohn
• ICorticosteroids
• Aminosalicylates
• Amayeza e-Immunomodulator
• Ibhayoloji
• Amanye amayeza
• Ugqirha
• Unyango lwendalo
• Utshintsho kwindlela yokuphila
• Lawula uxinzelelo lwakho
• Thatha i-acetaminophen yeentlungu
• Yeka ukutshaya
• Gcina iphepha lokutya
• Nciphisa icaffeine kunye notywala
• Ukuthatha

Isifo sikaCrohn sisifo sokuzimela komzimba esichaphazela isisu se-gastrointestinal (GI). Ngokwe-Crohn's kunye neColitis Foundation, yenye yeemeko ezenza izifo zamathumbu ezikruqulayo, okanye ii-IBD, ukuphazamiseka okuchaphazela uninzi lwezigidi ezi-3 zaseMelika.

Oogqirha abakakaqiniseki ngokupheleleyo ukuba yintoni ebangela iCrohn's, kodwa kucingelwa ukuba kukugqithisa kwamajoni omzimba kwiphecana le-GI.

Isifo sikaCrohn sinokuchaphazela nayiphi na indawo yephecana le-GI, kodwa ihlala ichaphazela amathumbu amancinci kunye nokuqala kwekholoni. Kukho udidi olwahlukileyo lweCrohn's esekwe apho ukuphazamiseka kuchaphazela umntu okwiphepha labo le-GI.

Ngenxa yokuba kukho iintlobo ezahlukeneyo zeCrohn's, iimpawu ziya kwahluka, kodwa zinokubandakanya:

• isisu esibuhlungu
• urhudo
• isicaphucaphu nokugabha
• ukuhla ukusinda
• fistula

Nangona kungekho nonyango yesifo sikaCrohn, amayeza kunye nezinye iindlela zokonyango, kuquka ukutya kunye nokutshintsha indlela yokuphila, kunokunceda ukulawula iimpawu.

Unyango lweCrohn's lubaluleke kakhulu kuwe, ke into esebenzela umntu omnye inokungasebenzi kuwe.

Isifo sikaCrohn sihlala senzeka kwimijikelezo yoxolelo kunye ne-flare-ups, ke izicwangciso zonyango ziya kufuna ukuphononongwa ngokutsha kunye nokubeka iliso.

Sebenza nodokotela wakho ukuza nesicwangciso sonyango ukulawula iimpawu zakho ezithile zeCrohn.

Amayeza ukunyanga isifo sikaCrohn

Enye yeendlela eziphambili zokulawula isifo sikaCrohn kukusebenzisa amayeza acinezela amajoni akho omzimba kunye nokunciphisa ukudumba kwitrakta yakho ye-GI.

Xa uneCrohn's okanye ezinye iingxaki ze-IBD, amajoni omzimba anempendulo yokuvuvukala engaqhelekanga eya kuthi ibangele iimpawu zakho.

Injongo yokuthatha amayeza ukunciphisa impendulo yakho yomzimba kukunceda iimpawu zakho kunye nokunika iphecana lakho le-GI ithuba lokuphumla nokuphilisa.

Ezi zilandelayo zonyango ezinokumiselwa zodwa okanye ngokudibeneyo ukukunceda ukulawula isifo sakho seCrohn:

ICorticosteroids

Ngokutsho kweZiko leSizwe leSwekile kunye neDigestive kunye neZifo zeZintso (i-NIDDKD), ii-corticosteroids zii-steroids ezinceda ukunciphisa ukudumba kunye nokuphendula komzimba wakho. Zihlala zisetyenziswa njengonyango lwexesha elifutshane.

Iicorticosteroids eziqhelekileyo ezisetyenziselwa ukulawula iiCrohn's zibandakanya:

• mfumomfi
• hydrocortisone
• imethylprednisolone
• ubume

Iziphumo zecorticosteroids zinokubandakanya:

• iglaucoma okanye uxinzelelo olwandileyo emehlweni akho
• ukudumba
• igazi elonyukayo
• ukutyeba kwakho
• umngcipheko ophezulu wokufumana usulelo
• induna
• utshintsho lweemvakalelo

Iziphumo ebezingalindelekanga ezimandundu, njengokulahleka kweethambo (i-osteoporosis) okanye imiba yesibindi, inokwenzeka ukuba uthatha i-corticosteroids ngaphezulu kweenyanga ezintathu.

Ngenxa yoku, ugqirha wakho unokuthatha i-corticosteroids ixesha elithile kuphela.

Aminosalicylates

Ii-Aminosalicylates zihlala zisetyenziselwa ukunyanga isifo se-ulcerative colitis, kodwa zinokumiselwa iCrohn's ngokunjalo. La machiza acingelwa ukuba anciphisa ukudumba emathunjini ukuze anciphise iimpawu.

La mayeza anokuthathwa njenge-suppository, ngomlomo, okanye ngokudibanisa zombini. Indlela olithatha ngayo eli chiza ixhomekeke ekubeni isifo sichaphazela njani na emzimbeni wakho.

Iziphumo ezinokubakho ze-aminosalicylates zibandakanya:

• isicaphucaphu
• ukugabha
• isilungulela
• urhudo
• intloko ebuhlungu

Ngelixa uthatha eli yeza, ugqirha wakho unokujonga umsebenzi wakho wezintso. Banokuyalela ukuvavanywa kwegazi ukuze kuqinisekiswe ukuba inqanaba lakho leeseli ezimhlophe alikho sezantsi kakhulu.

Yazisa ugqirha wakho ukuba ngaba uxabana neziyobisi ze-sulfa ngaphambi kokuba uthathe naliphi na ichiza le-aminosalicylate.

Amayeza e-Immunomodulator

Abaphandi bakholelwa ukuba isifo sikaCrohn sibangelwa yingxaki yamajoni omzimba. Iiseli ezikhusela umzimba wakho kuhlaselo lwe-GI.

Ngenxa yoku, amayeza acinezela okanye alawula amajoni akho anokunceda ukunyanga iCrohn's.

Nangona kunjalo, la machiza angathatha ukuya kwiinyanga ezi-3 ngaphambi kokuba aqale ukusebenza, ke kuyakufuneka ulinde ixesha elithile ngaphambi kokuba wazi ukuba angakunceda na.

Oogqirha banokumisela ezi ndidi zamayeza ukuba ii-aminosalicylates kunye ne-corticosteroids azisebenzi okanye ukuba uphuhlisa i-fistula. La mayeza anokukunceda uhlale uxolelwe. Banokuphilisa nefistula.

Ezinye zeyeza eziqhelekileyo zokunyanga ziquka:

• azathioprine (Imuran)
• i-mercaptopurine (iPurinethol)
• I-cyclosporine (iGengraf, iNeoral, iSandimmune)
• imethotrexate

Iziphumo zala mayeza zingabandakanya:

• intloko ebuhlungu
• isicaphucaphu
• ukugabha
• urhudo
• umngcipheko ophezulu wokufumana usulelo

Ezinye iziphumo ebezingalindelekanga yi-pancreatitis (ukudumba kwepancreas), iingxaki zesibindi kunye nokunyibilika kwengqondo. Ukunyanzeliswa kwe-Myelosuppression kukuhla kwenani lomongo wethambo owenzayo.

Ibhayoloji

I-Biologics luhlobo lweziyobisi ezisetyenziselwa abantu abane-Crohn's okanye i-Crohn esebenzayo. Basebenza ukunciphisa ukudumba kwiindawo ezithile, ezinje ngethumbu lamathumbu akho. Abayicinezeli yonke inkqubo yomzimba yokuzikhusela.

Ugqirha wakho unokumisela i-biologics ukuba uneempawu ezilinganiselweyo okanye ezinzima okanye ukuba ezinye iziyobisi azisebenzi. Banokubamisela kwakhona ukuba unefistula kwitrakthi yakho ye-GI.

I-Biologics inokunceda ukubamba (ngokuthe ngcembe ukunciphisa) ukusetyenziswa kwamayeza e-steroid.

La mayeza ahlala enikwa ngenaliti esibhedlele okanye kwiziko lokunyanga ngaphandle qho kwiiveki ezi-6 ukuya kwezi-8.

Amachiza aqhelekileyo e-biologic abandakanya:

• Unyango lwe-anti-tumor necrosis factor-alpha
• Unyango olunxamnye nokudibanisa
• anti-interleukin-12
• Unyango lwe-interleukin-23

Unokuba nobomvu, ukudumba, okanye ukucaphuka apho ufumana khona inaliti. Unokuba namava:

• intloko ebuhlungu
• ifiva
• Ukugodola
• uxinzelelo lwegazi oluphantsi

Kwiimeko ezinqabileyo, abanye abantu baye basabela ngendlela eyityhefu kunyango okanye banomngcipheko ophezulu wosulelo, ngakumbi isifo sephepha (TB).

Amanye amayeza

Oogqirha banokuyalela amayeza ongezelelweyo ukunceda ngezinye iimpawu zeCrohn's.

I-Antibiotic inokuthintela amathumba kunye nokukhula kweentsholongwane emathunjini.

Ugqirha wakho unokumisela iyeza elichasene nesifo sorhudo esibizwa ngokuba yi-loperamide ukuba sithathwe ixesha elifutshane ukuba unorhudo oluqatha.

Abanye abantu abaneCrohn's basemngciphekweni wokuphuhliswa kwegazi, ke ngokuxhomekeke kumngcipheko wakho, ugqirha wakho unokumisela igazi elincinci ukuze anciphise umngcipheko weengxaki kwigazi.

Ugqirha wakho unokucebisa amandla-e-acetaminophen okuphelisa iintlungu. Gwema ukusebenzisa ibuprofen (Advil), naproxen (Aleve), kunye neasprini yokuphelisa iintlungu, njengoko ezi zinokuzenza mandundu iimpawu.

Ugqirha

Nangona oogqirha bezakuqala bazame ukulawula isifo sikaCrohn ngamayeza, kuba sisifo esingapheliyo, abantu abaninzi abaneCrohn's ekugqibeleni bayakudinga utyando.

Kukho iintlobo ezahlukeneyo zokuhlinzwa kubantu abanesifo sikaCrohn. Uhlobo oluchanekileyo lotyando luya kuxhomekeka kuhlobo luni lweCrohn onayo, zeziphi iimpawu ohlangabezana nazo, kunye nokuba zinzima kangakanani iimpawu.

Utyando lweCrohn lubandakanya:

• Ingqameko. Olu tyando lwandisa indawo yamathumbu akho ethe yancitshiswa ngokuhamba kwexesha ngenxa yokukrala.
• Iproctocolectomy. Ngolu tyando lwamatyala amabi, zombini ikholoni kunye ne-rectum zisuswe ngokupheleleyo.
• Colectomy. Kwi-colectomy, ikholoni iyasuswa, kodwa i-rectum ishiyekile.
• Ukususwa kwefistula kunye nomjelo wamathumba.
• Ukuthengiswa kwamathumbu amancinci kunye amakhulu. Utyando lwenziwa ukususa indawo eyonakalisiweyo yamathumbu kunye nokuphinda uqhagamshele indawo esempilweni, engafakwanga kwisisu.

Unyango lwendalo

Kunye nerejimeni yonyango kunye notyando, kukho ezinye iindlela zoncedo zendalo onokuxoxa ngazo nogqirha wakho.

Oku kubandakanya:

• Izibonelelo. I-calcium kunye ne-vitamin D izongezo zinokukunceda ukukhusela ukulahleka kwethambo ukuba uthathe i-corticosteroid ixesha elide.
• I-Omega-3 fatty acids. I-Omega-3 fatty acids, ezinje nge-oyile yentlanzi, zaziwa njengezinto ezichasayo, ngoko ke ziyafundwa ukubona ukuba ziyanceda na eCrohn's. Unokufumana i-omega-3 fatty acids kwizongezo okanye kukutya okufana nesalmon, isardadi, amandongomane, imbewu yeflakisi, iioyile zezityalo, kunye nokunye ukutya okuqinileyo.
• Isithsaba. I-Turmeric nayo iyafundwa ukuze ibone ukuba iyanceda na iCrohn ngenxa yeempawu zayo ezichasayo. Nangona kunjalo, i-turmeric inayo iipropathi zokucoca igazi, ke jonga ugqirha wakho ngaphambi kokuyongeza kwisidlo sakho okanye uthathe njengesongezelelo.
• I-cannabis yonyango. Ngokwe-Crohn's & Colitis Foundation, izifundo ezimbalwa ezincinci ziphakamise ukuba i-cannabis yonyango inokunceda kwiimpawu ezithile ze-IBD, kodwa abukho ubungqina obucacileyo bokuyincomela iCrohn's.

Utshintsho kwindlela yokuphila

Kukho utshintsho kwindlela yokuphila onokuyithatha ukukunceda ukulawula iimpawu zakho, ezinye zazo zidweliswe apha:

Lawula uxinzelelo lwakho

Ukulawula uxinzelelo yinxalenye ebalulekileyo yayo nayiphi na indlela yokuphila esempilweni, kodwa ulawulo loxinzelelo lubaluleke ngokukodwa kwisifo esinganyangekiyo esidumbisayo. Kungenxa yokuba, ethi yona ibangele ukuba iimpawu zakho zibe mandundu.

Unokuzama iindlela zolawulo loxinzelelo ngokwakho, ezinje ngokukhangela iinkqubo zokucamngca okanye iividiyo, imithambo yokuphefumla ngokunzulu, okanye iyoga.

Ikwangumbono olungileyo ukuthetha nonyango ukuze ufumane izixhobo ezitsha zokulawula uxinzelelo, ngakumbi ukuba unamanqanaba aphezulu oxinzelelo.

Thatha i-acetaminophen yeentlungu

Ukungonwabi kangako kunye nentlungu (njengaxa unentloko ebuhlungu okanye umsipha obuhlungu), kuyacetyiswa ukuba uthathe i-acetaminophen (iTylenol). Gwema ibuprofen (Advil), naproxen (Aleve), kunye neasprini, kuba ezi zinokubangela ukuvutha.

Yeka ukutshaya

Ukutshaya kunokwenza iimpawu zibe mbi ngakumbi, kubangele ukutsha, kwaye wenze amayeza akho angasebenzi kakuhle.

Ukuyeka ukutshaya, nokuba umntu kudala kangakanani ukutshaya kwaye une-Crohn's, kuye kwafunyanwa ukunceda ukulawula iimpawu.

Gcina iphepha lokutya

Izifundo azifumananga ukuba ukutya okukodwa okanye ukutya kunceda iCrohn's, kodwa ngenxa yokuba sisifo esithile, kunokubakho ukutya okuthile okubangela iimpawu kuwe.

Ukugcina iphepha lokutya kunye nokutya ukutya okunempilo, okunokulinganisela kunokukunceda ufumane izondlo ozifunayo kwaye uchonge nakuphi na ukutya okunokwenza iimpawu zakho zibe mandundu.

Nciphisa icaffeine kunye notywala

Ukugqithisa kunye notywala kunokubangela ukuba iimpawu zibe zibi ngakumbi, ngakumbi ngexesha lokuvutha.

Ukuthatha

Isifo sikaCrohn luhlobo lwe-IBD oluchaphazela wonke umntu ngokwahlukileyo.

Kukho iintlobo ezahlukeneyo zeCrohn's ezinokuthi zichaphazele iindawo ezahlukeneyo zenkqubo ye-GI. Iimpawu ziya kwahluka ngokuxhomekeke ekubeni leliphi icandelo lephepha le-GI elichaphazelayo kunye nokuba linzima kangakanani.

Ngenxa yokuba isifo sikaCrohn sisifo esingapheliyo esichaphazela wonke umntu ngendlela efanayo, uya kufuna ukusebenzisana nogqirha wakho ukwenza isicwangciso sonyango ngasinye esinokubandakanya amayeza, utshintsho kwindlela yokuphila, okanye utyando.