Ukukhulelwa kunye neSifo sikaCrohn

Umxholo

• Ngaba ufanele ukhulelwe?
• Ukukhulelwa kunye nokunakekelwa kwezempilo kukaCrohn
• Ukukhulelwa kunye nonyango lukaCrohn
• Imfuza yeCrohn's

Isifo sikaCrohn sihlala sifunyaniswa phakathi kweminyaka eyi-15 ukuya kwengama-25 - incopho yokuzala komfazi.

Ukuba uneminyaka yobudala bokuzala kwaye unayo iCrohn, unokuzibuza ukuba ukukhulelwa kuyindlela yokukhetha. Abasetyhini abaneCrohn's kunokwenzeka ukuba bakhulelwe njengabo bangenayo iCrohn's.

Nangona kunjalo, ukunqatyulwa sisisu kunye notyando lwe-pelvic kungathintela ukuzala. Oku kuyinyani ngokukodwa kwimeko yeenkqubo zotyando ezinje ngenxalenye okanye iyonke i-colectomy -susa inxenye okanye onke amathumbu amakhulu.

Ngaba ufanele ukhulelwe?

Kungcono ukukhulelwa xa iimpawu zakho zeCrohn ziphantsi kolawulo. Kuya kufuneka ukhululeke kwi-flares kwiinyanga ezi-3 ukuya kwezi-6 ezidlulileyo kwaye awuthathi i-corticosteroids. Kuya kufuneka unike ingqalelo ekhethekileyo kunyango lweziyobisi zeCrohn xa ufuna ukukhulelwa. Thetha nogqirha wakho malunga neenzuzo kunye neengozi zokuqhubeka kwamayeza ngexesha lokukhulelwa kunye nokuncancisa. Ukuvutha kukaCrohn ngexesha lokukhulelwa kunokunyusa umngcipheko wokuqalwa kwabasebenzi kunye neentsana ezinobunzima obuphantsi.

Yitya ukutya okunesondlo, okune-vitamin-rich. Folic acid kubaluleke kakhulu kwabasetyhini abakhulelweyo. Yindlela yokwenziwa kwe folate, i-vitamin B efumaneka ngokwendalo kwiziqhamo nemifuno emininzi.

I-Folate inceda ukwakha iDNA kunye neRNA. Oku kuyenza ibaluleke kakhulu kwinqanaba lokwahlulahlula iseli ngokukhawuleza. Ikhusela i-anemia kwaye ikhusela i-DNA kutshintsho olunokuthi lube ngumhlaza.

Ukutya okuqulethe umxholo kubandakanya:

• iimbotyi
• ibrokholi
• ispinatshi
• ibrussels sprouts
• iziqhamo zesitrasi
• amandongomane

Eminye imithombo yokutya ye-folate ingaba nzima kwindlela yokugaya ukutya ukuba unayo iCrohn's. Ugqirha wakho uya kuncomela ukongezwa kwe-folic acid ngaphambi nangexesha lokukhulelwa.

Ukukhulelwa kunye nokunakekelwa kwezempilo kukaCrohn

Iqela lakho lonyango liya kubandakanya ugqirha wamazinyo, ugqirha obelekisayo, ugqirha wezondlo, kunye noogqirha jikelele. Baza kuyilandela inkqubela yakho njengesigulana esisesichengeni sokubeleka. Ukuba nesifo sikaCrohn kwandisa ithuba lakho lokufumana iingxaki njengokuphuphuma kwesisu kunye nokuhanjiswa kwangaphambi kwexesha.

Ingcali yakho yokubelekisa ingacebisa ukuyeka amayeza kaCrohn ngempilo yosana olungekazalwa. Kodwa, ukutshintsha irejimeni yakho yeziyobisi ngexesha lokukhulelwa kunokuchaphazela iimpawu zesifo sakho. I-gastroenterologist yakho inokukucebisa kwirejimeni yeziyobisi esekwe kubukhali besifo sakho sikaCrohn.

Sebenza ne-gastroenterologist yakho kunye nengcali yokubelekisa ngaphambi kokuba ukhulelwe. Banokukunceda wenze isicwangciso sokulawula esi sifo ngexesha lokukhulelwa kwakho.

Kubalulekile ukuba ufunde malunga nokukhulelwa kunye nesifo sikaCrohn. Iqela lakho lokhathalelo lwempilo kufuneka likwazi ukubonelela ngezixhobo kunye nolwazi malunga nokulindelweyo. Ukusuka e-United Kingdom kubonise ukuba sisiqingatha kuphela sabasetyhini abakhulelweyo abanokuqonda okuhle konxibelelwano phakathi kokukhulelwa kunye nesifo sikaCrohn.

Ukukhulelwa kunye nonyango lukaCrohn

Uninzi lwamayeza onyango lukaCrohn lubonakaliswe lukhuselekile kubafazi abakhulelweyo. Nangona kunjalo, ezinye zinokubangela iziphene zokuzalwa. Kwakhona, amayeza athile alawula ukudumba kwesifo sikaCrohn (njenge-sulfasalazine) angathoba amanqanaba e-folate.

Ukungabikho komzimba kungakhokelela kwisisindo sokuzalwa esisezantsi, ukuhanjiswa kwangaphambi kwexesha, kwaye kunokunciphisa ukukhula komntwana. Ukusilela komntu kunokubangela iziphene zokuzalwa kwetyhubhu ye-neural. Ezi ziphene zinokukhokelela kukungalungi kwenkqubo yeemvakalelo, ezinje nge-spina bifida (ingxaki yomqolo) kunye ne-anencephaly (ukwakheka kwengqondo okungaqhelekanga). Thetha nogqirha wakho malunga nokufumana idosi elungileyo yomntu.

Abasetyhini abaneCrohn's banokuhambisa ubufazi. Kodwa bahlangabezana neempawu zesifo seperianal, ukuhanjiswa kwe-cesarean kuyacetyiswa.

Ukuhanjiswa kwe-cearean lolona khetho lufanelekileyo kwabasetyhini abane-ileal pouch-anal anastomosis (J pouch) okanye ukuthengiswa kwamathumbu. Kuya kunceda ukunciphisa imiba yokungahambelani kwexesha elizayo kunye nokukhusela ukusebenza kwakho kwe-sphincter.

Imfuza yeCrohn's

Imfuza ibonakala ngathi idlala indima ekuphuhliseni isifo sikaCrohn. Abemi baseAshkenazi abangamaJuda banamaxesha ama-3 ukuya kwayi-8 ngaphezulu kunabantu abangengomaYuda ukuphuhlisa iCrohn's. Kodwa ukuza kuthi ga ngoku, alukho uvavanyo olunokuqikelela ukuba ngubani oza kuyifumana.

Iziganeko eziphezulu zeCrohn's zichazwe eYurophu, eMntla Melika, e-Australia, eJapan, nakwincam yomzantsi Melika. Kukho iziganeko eziphezulu zesifo sikaCrohn kwiindawo zasezidolophini kunabantu basemaphandleni. Oku kuphakamisa ikhonkco lendalo esingqongileyo.

Ukutshaya icuba kukwadityaniswa ne-Crohn's flare-ups. Ukutshaya kunokusenza mandundu esi sifo de kufuneke kwenziwe utyando. Abafazi abakhulelweyo abaneCrohn's abatshayayo kufuneka bayeke kwangoko. Oku kuyakunceda ngeCrohn's kunye nokuphucula ikhosi yokukhulelwa.