Imibuzo emi-6 Yonke iCrohnie ifuna ukubuza iGastro yabo
Umxholo
- 1. Zithini iindlela zonyango endinokuzikhetha?
- Amayeza
- Ukutya
- Ugqirha
- 2. Ungandixelela ntoni ngebhayoloji?
- 3. Luluphi unyango olucetyiswayo ngeempawu endinazo?
- Ulawula njani uxolelo?
- 5. Ngaba ezinye iindlela zonyango zinganceda?
- 6. Lithini icebiso lokuphila onalo?
- Ukuthatha
ICrohn yimeko yobomi bonke efuna ulawulo oluqhubekayo kunye nokubeka iliso. Kubalulekile ukuba uzive ukhululekile ukuthetha ne-gastroenterologist yakho. Uyinxalenye yeqela lakho lokhathalelo, kwaye amadinga akho kufuneka akushiye uzive unamandla.
Ukufumana ugqirha okulungeleyo linyathelo elibalulekileyo kulawulo lwezifo olunempumelelo. Gcina incwadi yokubhala phantsi imibuzo ugqirha wakho njengoko evela kwaye ayizise kulonyulo ngalunye. Ungaqala ngale mibuzo mithandathu ingezantsi.
Ulwazi oluthe kratya onalo, kokukhona uya kube uxhobele ngakumbi ukulawula imeko yakho, kunye nokuqonda ngakumbi oya kukufumana kwindlela yonyango kagqirha wakho.
1. Zithini iindlela zonyango endinokuzikhetha?
Ugqirha wakho kufuneka akwazi ukukunika ulwazi malunga neendlela zonyango ezikhoyo kwisifo sikaCrohn. I-Crohn's ayinyangeki, ke injongo yonyango kukubeka imeko kuxolelo ngokunciphisa ukudumba. Oku kunokwenziwa ngeendlela ezininzi:
Amayeza
Kukho amayeza onokuwathatha ukunyanga iCrohn's:
- Aminosalicylates (5-ASA) ukunciphisa ukuvuvukala kwimigca yekholoni.
- ICorticosteroids ukucinezela amajoni omzimba.
- Amagciwane omzimba ukunciphisa ukudumba ngokucinezela amajoni omzimba.
- Amayeza okubulala iintsholongwane nyanga izifo ezifana namathumba.
- Unyango lwebhayoloji kujolise kwaye kunciphise impendulo yokuvuvukala.
Iyeza ngalinye linezinto ezilungileyo kunye neziphumo ezibi ugqirha wakho anokuzichaza.
Ukutya
Ukutya kunye nesifo sikaCrohn sinobudlelwane obunzima. Izinto ezithile zokutya zinokubangela ii-flares, zibenze ukuba baziphephe. Imizekelo ibandakanya ubisi, amafutha kunye nefayibha. Kwiimeko ezinzima, unyango lunokubandakanya ukuphumla kwamathumbu okwethutyana.
Le ndlela ngokubanzi ifuna ukuthatha ikhefu kokunye okanye kuko konke ukutya kunye nokufumana izakha mzimba kulwelo olungena ngaphakathi.
Ukudumba kwamathumbu kungaphazamisa ukufakwa kwezondlo. Kungenxa yoko le nto ukungondleki kuyingxaki yeCrohn's. Ugqirha wakho unokukunika izicwangciso zokujongana nepuzzle yokutya yeCrohn.
Ugqirha
Ngamanye amaxesha utyando luyafuneka ukunyanga iCrohn's. Oku kwenzelwa ukulungisa okanye ukususa amacandelo esigulo esiswini, okanye ukunyanga imeko engxamisekileyo njengokuphazamiseka kwamathumbu. Buza ugqirha wakho malunga neenqobo zokugweba ekufuneka uhlangane nazo ngaphambi kotyando.
2. Ungandixelela ntoni ngebhayoloji?
I-Biologics yonyango lwamva nje lweCrohn's. Ngamayeza enziwe kwiiseli eziphilayo, kwaye ayasebenza ngokujolisa kwinkqubo yokuvuvukala.
Ezinye zazo zijolise kwi-tumor necrosis factor (TNF) ukunciphisa ukudumba okudala. Abanye bathintela ukuhamba kwamasuntswana okudumba ukuya kwiindawo ezinomzimba omdaka, njengamathumbu, kunika ezi ndawo ixesha lokuphumla nokubuyela kwimeko yesiqhelo.
I-Biologics iza neziphumo ebezingalindelekanga, ikakhulu ezinxulumene nokhuselo lokucinezelwa. Buza ugqirha wakho malunga nokulunga kunye nengxaki yale ndlela yonyango ukuze ubone ukuba ikulungele na.
3. Luluphi unyango olucetyiswayo ngeempawu endinazo?
Iingcebiso zokunyanga isifo sikaCrohn zisekwe kwiimpawu zomntu nakwimbonakalo ngokubanzi yemeko yabo. Ugqirha wakho uyakuthathela ingqalelo iziphumo zovavanyo lwakho lonyango. Amayeza aya kusebenza kakuhle kuwe anqunywe yiyo yonke le nto.
Ngokuxhomekeke kubukhulu besifo sakho seCrohn, ugqirha wakho unokuncoma i-biologic kwangoko. Kwiimeko ezinobulali zeCrohn's, i-steroids isenokuba lunyango lokuqala amiselweyo ugqirha wakho.
Zilungiselele ukuxoxa ngazo zonke iimpawu zakho zeCrohn nogqirha wakho ukuze bakwazi ukunceda ekufumaneni olona nyango lulungileyo kuwe.
Ulawula njani uxolelo?
Ukulawula ukuxolelwa kubandakanya ukujonga imeko yakho kunye nokukhusela kwiimpawu ezintsha. Buza ugqirha wakho ukuba loluphi uhlobo lovavanyo oluqhelekileyo oza kuba nalo, ukusukela ekuqwalaselweni kweklinikhi ukuya kuvavanyo lwegazi kunye nolwelo.
Ngokwesiko, oogqirha baxhomekeke kwiimpawu zodwa ukuxelela ukuba ukhululekile. Ngamanye amaxesha iimpawu azihambelani nenqanaba lomsebenzi kaCrohn, kwaye kuvavanyo oluninzi kunika ulwazi olungcono.
Buza ugqirha wakho malunga nokuqhubeka nonyango ngexesha lokuxolelwa. Le yeyona ndlela iphakanyisiweyo icetyiswayo. Injongo kukukukhusela kumava amatsha.
Kwiimeko ezininzi, ugqirha wakho uya kukucebisa ukuba uhlale kumayeza afanayo akubeka kuxolelo, kwaye uqhubeke nokuwuthatha ukuba awunaziphumo zibi.
Ukuba usebenzise i-steroid ukufezekisa ukuxolelwa, ugqirha wakho uya kukususa kwi-steroid kwaye aqale i-immunomodulator okanye i-biologic endaweni yoko.
5. Ngaba ezinye iindlela zonyango zinganceda?
Uphando alukabonisi ukuba ezinye iindlela zonyango zinokutshintsha ngokufanelekileyo unyango oluqhelekileyo. Ukuba uthatha isigqibo sokuzama izinto ezifana neoyile yentlanzi, iprobiotic, okanye izongezo zemifuno, jonga kugqirha wakho kuqala ukuze uqiniseke ukuba awaphazamisani nonyango lwakho.
Kwakhona, iindlela ezincedisayo akufuneki zithathe indawo yamayeza akho.
6. Lithini icebiso lokuphila onalo?
Indlela yokuphila inefuthe elibonakalayo nakweyiphi na imeko, kwaye iCrohn's ayinjalo. Buza ugqirha wakho malunga nokunciphisa uxinzelelo, ukuzivocavoca, kunye nolunye utshintsho oluncedo onokulenza njengokuyeka ukutshaya.
Ukuthatha
Impumelelo yonyango lwakho inokuxhomekeka ekuthatheni inxaxheba kwakho kunye nolwalamano onalo nogqirha wakho. Buza imibuzo kwaye uzame ukufunda kangangoko unako. Okukhona usazi, kokukhona uya kuba nakho ukulawula isifo sakho.