Ngaba yiCrohn's okanye sisisu esisicaphukisayo?

Umxholo

• Isisu
• Yintoni ebangela isisu esibuhlungu?
• Siyintoni isifo sikaCrohn?
• Iimpawu ezinxulunyaniswa nesisu esibuhlungu
• Unyango kwisisu esibuhlungu
• Cacisa ulwelo
• Ukutya
• Amayeza
• Xa kufuneka ukhathazeke ngesisu esibuhlungu
• Imbonakalo
• Q:
• A:

Ushwankathelo

I-Gastroenteritis (usulelo lwamathumbu okanye umkhuhlane wesisu) inokwabelana ngeempawu ezininzi nesifo sikaCrohn. Zininzi izinto ezahlukeneyo ezinokubangela usulelo lwamathumbu, kubandakanya:

• izifo ezibangelwa kukutya
• ukutya okunxulumene nokutya
• ukudumba kwamathumbu
• izifunxi-gazi
• iintsholongwane
• iintsholongwane

Ugqirha wakho uya kwenza isifo sikaCrohn emva kokuba belawula ezinye izizathu ezinokubangela iimpawu zakho. Kubalulekile ukuba uqonde ukuba isisu esibuhlungu sibandakanya ntoni ngaphambi kokucinga ukuba unempilo enzima kakhulu.

Isisu

Isisu lilungu elikwisisu esingaphezulu phakathi komqala kunye namathumbu amancinci. Isisu senza le misebenzi ilandelayo:

• ithatha kwaye iphule ukutya
• utshabalalisa iiarhente zangaphandle
• Uncedo ekwetyisweni
• ithumela imiqondiso kwingqondo xa ugcwele

Isisu sinceda ukuthintela usulelo ngokufihla i-asidi kumngxunya waso osebenza kwintsholongwane eyingozi nakwiintsholongwane ezikhoyo ekutyeni okutyayo.

Amathumbu amancinci afunxa uninzi lwezondlo ozityayo. Kwaye isisu sinceda ukwahlula ii-amino acid kunye nokufunxa iswekile elula, efana neswekile. Isisu sikwaphula amayeza athile, njengeasprini. I-sphincter, okanye ivalve, emazantsi esisu ilawula ukutya okungakanani okungena emathunjini amancinci.

Yintoni ebangela isisu esibuhlungu?

Ukudumba (ukudumba) kwesisu esiswini kunye namathumbu yinto ebonakalisa isisu esibuhlungu. Ngamanye amaxesha ibangelwa yintsholongwane, nangona isenokubangelwa sisidleleli, okanye ngenxa yeentsholongwane ezinjenge salmonella okanye E. coli.

Kwezinye iimeko, ukungaphenduli kwindlela ethile yokutya okanye ukucaphukisa kubangela isisu esibuhlungu. Oku kunokwenzeka ekusebenziseni utywala obuninzi okanye i-caffeine. Ukutya ukutya okunamafutha okuninzi-okanye ukutya okuninzi-kunokubangela isisu esibuhlungu.

Siyintoni isifo sikaCrohn?

Isifo sikaCrohn sisimo esiqhubekayo (esingapheliyo) esenza ukuba iphecana lesisu (GI) litshise. Ngelixa isisu sinokuchaphazeleka, iCrohn's iya ngaphaya kwale ndawo ye-GI tract. Ukudumba kunokubakho kwi:

• amathumbu amancinci
• umlomo
• umqala
• ikholoni
• ezimpundu

Isifo sikaCrohn sinokubangela isisu esibuhlungu, kodwa kunokwenzeka ukuba ufumane ezinye iimpawu ezinxulumene nazo kubandakanya:

• urhudo
• ukuhla ukusinda
• ukudinwa
• ianemia
• intlungu edibeneyo

Iimpawu ezinxulunyaniswa nesisu esibuhlungu

Iimpawu eziqhelekileyo zesisu esibuhlungu zinokubandakanya:

• intlungu zesisu
• iicampu
• isicaphucaphu (kunye okanye ngaphandle kokugabha)
• ukwanda kokuhamba kwamathumbu
• isitulo esivulekileyo okanye urhudo
• intloko ebuhlungu
• iintlungu zomzimba
• Ukugodola (kunye okanye ngaphandle komkhuhlane)

Unyango kwisisu esibuhlungu

Ngethamsanqa, iimeko ezininzi zesisu esibuhlungu zinokunyangwa ngaphandle kohambo kugqirha. Unyango kufuneka lujolise ekugcwaliseni ulwelo kunye nolawulo lokutya. Unokufuna i-antibiotics, kodwa kuphela xa isisu sibangelwa yintsholongwane ethile.

Cacisa ulwelo

Kubantu abadala, iYunivesithi yaseWisconsin-Madison icebisa ukutya okucacileyo okungamanzi kwiiyure zokuqala ezingama-24 ukuya kwezingama-36 zesisu esibuhlungu ngesicaphucaphu, ukugabha okanye urhudo. Qiniseka ukuba usele amanzi amaninzi, iziselo zemidlalo, okanye ezinye izinto ezingamanzi (2 ukuya kwi-3 yeelitha ngosuku). Kuya kufuneka uphephe ukutya okuqinileyo, icaffeine, kunye notywala.

Lindela iyure enye ukuya kwezimbini ngaphambi kokuzama ukusela intwana yamanzi ukuba uyagabha. Unokuncancisa iitshiphusi okanye iipopu. Ukuba uyakunyamezelela oku, ungadlulela kolunye ulwelo olucacileyo, kubandakanya neziselo ezingezozo zine-caffeine, ezinje:

• iginger ale
• 7-phezulu
• iti engenamanzi
• umhluzi ocacileyo
• iincindi ezixutyiweyo (incindi yeapile yeyona ilungileyo)

Gwema iijusi zesitrasi njengejusi yeorenji.

Ukutya

Unokuzama ukutya ukutya kwe-bland ukuba uyanyamezela ulwelo olucacileyo. Oku kubandakanya:

• Abaqhekezi beetyuwa
• isonka esimhlophe esiswitiweyo
• iitapile ezibilisiweyo
• irayisi emhlophe
• iapileuce
• iibhanana
• iyogathi kunye neprobiotic yenkcubeko ephilayo
• isonka samasi se-Cottage
• inyama ecekeceke, njengenkukhu engenalusu

Oososayensi baphonononga ukusetyenziswa kweeprobiotic ekuthinteleni nasekunyangeni izizathu zentsholongwane yosulelo lwamathumbu. ukuba intlobo elungileyo yebacteria njenge ILactobacillus kwaye IBifidobacteriumZiye zaboniswa ukunciphisa ubude kunye nobukrakra besifo sohudo esihambelana nosulelo lwe-rotavirus. Abaphandi bayaqhubeka nokuphonononga ixesha, ubude bokusetyenziswa, kunye nenani leeprobiotic eziyimfuneko kunyango olusebenzayo.

I-American Academy yoGqirha lweeNtsapho ithi abantu abadala banokuphinda baqale ukutya okuqhelekileyo ukuba iimpawu ziyaphucuka emva kwe-24 ukuya kwiiyure ezingama-48. Nangona kunjalo, kunqande ukutya okuthile de kubuye kufumaneke indlela yokucola ukutya. Oku kungathatha iveki enye okanye ezimbini. Oku kutya kubandakanya:

• ukutya okuneziqholo
• iimveliso zobisi ezingalungiswanga (ezifana nobisi kunye noshizi)
• ukutya okuziinkozo kunye nokunye ukutya okunefayibha ephezulu
• imifuno eluhlaza
• ukutya okunamafutha okanye okunamafutha
• icaffeine kunye notywala

Amayeza

I-Acetaminophen inokulawula iimpawu ezinjengomkhuhlane, iintloko, kunye neentlungu zomzimba. Gwema i-aspirin kunye ne-ibuprofen kuba kunokubangela ukucaphuka kwesisu.

Kubantu abadala, i-bismuth subsalicylate (njenge-Pepto-Bismol) okanye i-loperamide hydrochloride (njenge-Imodium) inokunceda ukulawula urhudo kunye nesitulo esivulekileyo.

Xa kufuneka ukhathazeke ngesisu esibuhlungu

Uninzi lweempawu zesisu esibuhlungu kufuneka zihle ngaphakathi kweeyure ezingama-48 ukuba ulandela irejimeni yonyango engentla. Ukuba awuziqali uzive ungcono, isifo sikaCrohn sesinye sezizathu ezinokubangela iimpawu zakho.

Kuya kufuneka ubonane nogqirha ukuba unazo naziphi na kwezi mpawu zilandelayo kunye nesisu esibuhlungu:

• iintlungu zesisu ezingaphuculiyo emva kokuhamba kwamathumbu okanye ukugabha
• urhudo okanye ukugabha okuqhubeka ngaphezulu kweeyure ezingama-24
• urhudo okanye ukugabha kwinqanaba elingaphezulu kwamaxesha amathathu ngeyure
• Umkhuhlane ongaphezulu kwe-101 ° F (38 ° C) ongaphuculiyo nge-acetaminophen
• igazi esitulweni okanye ukugabha
• akukho kuchama iiyure ezintandathu nangaphezulu
• intloko elula
• ukubetha kwentliziyo ngokukhawuleza
• ukungakwazi ukupasa irhasi okanye ukugcwalisa intshukumo
• ubovu bokuhambisa amanzi kwi-anus

Imbonakalo

Ngaphandle kwezizathu ezinokubangela isisu esibuhlungu, iimpawu kufuneka ekugqibeleni zihambe ngexesha elincinci kunye nokhathalelo olufanelekileyo. Umahluko ngesifo sikaCrohn kukuba iimpawu zihlala zibuya okanye ziqhubeka ngaphandle kwesilumkiso. Ukwehla kobunzima, urhudo, kunye neekram zesisu zinokwenzeka nakwiCrohn's. Ukuba ufumana iimpawu ezingapheliyo, jonga ugqirha wakho. Ungaze uzihlolisise iimpawu ezingapheliyo. Akukho lunyango lwesifo sikaCrohn, kodwa ungalawula le meko ngamayeza kunye notshintsho kwindlela ophila ngayo.

Ukuthetha nabanye abayiqondayo into ohamba kuyo kunokwenza umahluko. IBD Healthline sisoftware yasimahla ekunxibelelanisayo nabanye abahlala neCrohn's ngokuthumela imiyalezo ngomntu ngamnye kunye neengxoxo zeqela eliphilayo. Kwaye, fumana ulwazi oluvunyiweyo lobuchwephesha kulawulo lwesifo sikaCrohn ezandleni zakho. Khuphela usetyenziso lwe-iPhone okanye i-Android.

Q:

Baphi abantu abaneCrohn ngokuqhelekileyo beva iintlungu?

Ukusuka kuluntu lwethu kuFacebook

A:

Isifo sikaCrohn sichaphazela wonke umjelo wamathumbu, ukusuka emlonyeni ukuya kwi-anus. Nangona kunjalo, iintlungu ezibuhlungu ezinxulunyaniswa neCrohn's, ezisusela komoya ukuya kwezinzima, ngokubanzi zikwindawo yokugqibela yamathumbu amancinci kunye nekholoni enkulu.

UMark R. LaFlamme, iimpendulo ze-MDA zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.