Matenda a Crohn - kutulutsa

Matenda a Crohn ndimatenda pomwe magawo am'mimba amatupa. Ndiwo mtundu wamatenda otupa.

Munali mchipatala chifukwa muli ndi matenda a Crohn. Uku ndikutupa kwakumtunda ndikutuluka kwa m'mimba, matumbo akulu, kapena onse awiri.

Mwinanso mudakhala ndi mayeso, mayeso a labu, ndi ma x-ray. Mkati mwanu rectum ndi colon mwina mudayesedwa pogwiritsa ntchito chubu chosinthika (colonoscopy). Chitsanzo cha minofu yanu (biopsy) chingakhale chitatengedwa.

Mutha kufunsidwa kuti musadye kapena kumwa chilichonse ndipo mwadyetsedwa kudzera mu mzere wolowa mkati. Mutha kukhala kuti mwalandira michere yapadera kudzera pach chubu chodyetsera.

Mwinanso mwayamba kumwa mankhwala atsopano kuti muchepetse matenda anu a Crohn.

Maopareshoni omwe mwina mudakhala nawo ndikuphatikizapo kukonzanso fistula, matumbo ang'onoang'ono, kapena ileostomy.

Pambuyo pa matenda anu a Crohn, mutha kukhala otopa kwambiri komanso opanda mphamvu kuposa kale. Izi zikuyenera kukhala bwino. Funsani wothandizira zaumoyo wanu za zovuta zilizonse zochokera ku mankhwala anu atsopano. Muyenera kuwona omwe amakupatsani nthawi zonse. Mungafunenso kuyesa magazi pafupipafupi, makamaka ngati muli ndi mankhwala atsopano.

Ngati munapita kunyumba ndi chubu chodyetsera, muyenera kuphunzira momwe mungagwiritsire ntchito ndi kuyeretsa chubu ndi khungu lanu pomwe chubu chimalowa mthupi lanu.

Mukangopita kwanu, mutha kupemphedwa kuti muzimwa zakumwa zokha kapena kudya zakudya zosiyana ndi zomwe mumadya. Funsani omwe akukuthandizani nthawi yomwe mungayambe kudya zakudya zanu zonse.

Muyenera kudya chakudya chopatsa thanzi, chopatsa thanzi. Ndikofunika kuti mupeze mafuta okwanira, mapuloteni, ndi michere yofunikira kuchokera kumagulu azakudya zosiyanasiyana.

Zakudya ndi zakumwa zina zimatha kukulitsa matenda anu. Zakudya izi zimatha kubweretsa mavuto kwa inu nthawi zonse kapena pakangoyaka. Yesetsani kupewa zakudya zomwe zimawonjezera matenda anu.

• Ngati thupi lanu silidya chakudya cha mkaka bwino, muchepetseko mkaka. Yesani tchizi tating'onoting'ono ta lactose, monga Swiss ndi cheddar, kapena mankhwala a enzyme, monga Lactaid, kuti athandizire kuphwanya lactose. Ngati mukuyenera kusiya kudya mkaka, lankhulani ndi katswiri wazakudya kuti mupeze calcium yokwanira. Akatswiri ena amakhulupirira kuti muyenera kupeŵa mkaka palimodzi mpaka mutalolera kudya zakudya zanu zonse.
• Zida zambiri zimatha kukulitsa matenda anu. Yesani kuphika kapena kuphika zipatso ndi ndiwo zamasamba ngati kudya zosaphika kukuvutitsani. Idyani zakudya zopanda ulusi wochuluka ngati sizikuthandizani mokwanira.
• Pewani zakudya zomwe zimadziwika kuti zimayambitsa gasi, monga nyemba, zakudya zonunkhira, kabichi, broccoli, kolifulawa, timadziti ta zipatso zosaphika, ndi zipatso, makamaka zipatso za zipatso.
• Pewani kumwa mowa kapena khofi. Amatha kukulitsa kutsekula m'mimba.

Idyani chakudya chochepa, ndipo idyani pafupipafupi. Imwani zakumwa zambiri.

Funsani omwe akukuthandizani za mavitamini ndi michere yowonjezera yomwe mungafunike:

• Mavitamini a iron (ngati muli ndi kuchepa kwa magazi m'thupi)
• Zowonjezera zakudya
• Calcium ndi vitamini D zowonjezerapo kuti mafupa anu akhale olimba
• Kuwombera kwa Vitamini B-12, kupewa magazi m'thupi.

Lankhulani ndi katswiri wazakudya, makamaka ngati muchepetsa thupi kapena zakudya zanu zimakhala zochepa.

Mutha kukhala ndi nkhawa zakukumana ndi vuto la m'mimba, manyazi, kapena ngakhale kukhumudwa kapena kukhumudwa. Zochitika zina zovuta pamoyo wanu, monga kusuntha, kuchotsedwa ntchito, kapena kutayika kwa wokondedwa, zitha kuyambitsa mavuto ndi chimbudzi chanu.

Malangizo awa amakuthandizani kusamalira matenda anu a Crohn:

• Lowani nawo gulu lothandizira. Funsani omwe akukuthandizani zamagulu mdera lanu.
• Chitani masewera olimbitsa thupi. Lankhulani ndi omwe amakupatsani mwayi wazomwe mungakwaniritse zolimbitsa thupi.
• Yesani biofeedback kuti muchepetse kusokonezeka kwa minofu ndikuchepetsa kugunda kwa mtima wanu, kupumira mwamphamvu, kutsirikitsa, kapena njira zina zopumira. Zitsanzo zake ndi monga yoga, kumvera nyimbo, kuwerenga, kapena kusambira.
• Onani akatswiri azaumoyo kuti akuthandizeni ngati kuli kofunikira.

Wothandizira anu akhoza kukupatsani mankhwala kuti akuthandizeni kuthetsa zizindikiro zanu. Kutengera momwe matenda anu a Crohn alili oyipa komanso momwe mumayankhira chithandizo, omwe amakupatsirani mankhwalawa angakulimbikitseni chimodzi kapena zingapo za mankhwalawa:

• Mankhwala oletsa kutsegula m'mimba angakuthandizeni mukakhala ndi matenda otsekula m'mimba kwambiri. Loperamide (Imodium) itha kugulidwa popanda mankhwala. Nthawi zonse lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa.
• Zowonjezera zamagetsi zimatha kuthandizira zizindikilo zanu. Mutha kugula psyllium powder (Metamucil) kapena methylcellulose (Citrucel) popanda mankhwala. Funsani omwe akukuthandizani za izi.
• Nthawi zonse lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwala aliwonse otsitsimula.
• Mutha kugwiritsa ntchito acetaminophen (Tylenol) kupweteka pang'ono. Mankhwala monga aspirin, ibuprofen (Advil, Motrin), kapena naproxen (Aleve, Naprosyn) atha kukulitsa zizindikilo zanu. Lankhulani ndi omwe amakupatsani mankhwala omwe mungagwiritse ntchito. Mungafunike mankhwala oti mumve kupweteka kwambiri.

Pali mitundu yambiri ya mankhwala omwe angakuthandizeni kupewa kapena kuchiza matenda anu a Crohn.

Itanani omwe akukuthandizani ngati muli ndi:

• Kupweteka kapena kupweteka m'mimba mwanu
• Kutsekula m'mimba, nthawi zambiri kumakhala ntchofu kapena mafinya
• Kutsekula m'mimba komwe sikutha kulamulidwa ndikusintha kwa zakudya ndi mankhwala
• Kuchepetsa thupi (mwa aliyense) ndikulephera kunenepa (mwa ana)
• Kutuluka magazi, zotupa, kapena zilonda
• Malungo omwe amatha masiku opitilira 2 kapena atatu, kapena malungo opitilira 100.4 ° F (38 ° C) popanda kufotokozera
• Nsautso ndi kusanza zomwe zimatha kuposa tsiku
• Zilonda zapakhungu kapena zotupa zomwe sizichira
• Ululu wophatikizika womwe umakulepheretsani kuchita zochitika zanu za tsiku ndi tsiku
• Zotsatira zoyipa za mankhwala aliwonse omwe akupatsidwa chifukwa cha matenda anu

Matenda otupa - Matenda a Crohn - kutulutsa; Regional enteritis - kumaliseche; Ileitis - kumaliseche; Granulomatous ileocolitis - kumaliseche; Colitis - kumaliseche

• Matenda otupa

Wachinyamata WJ. Kuwunika ndi chithandizo cha matenda a Crohn: chida chogwiritsa ntchito popanga chisankho. Gastroenterology. 2014; 147 (3): 702-705. PMID: 25046160 www.ncbi.nlm.nih.gov/pubmed/25046160. (Adasankhidwa)

Mchenga S, Siegel CA. Matenda a Crohn.Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 115.

Swaroop PP. Matenda otupa: Matenda a Crohn ndi ulcerative colitis. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 224-230.

• Matenda a Crohn
• Ileostomy
• Kutulutsa pang'ono matumbo

• Kutsekula m'mimba - zomwe mungafunse dokotala - mwana
• Kutsekula m'mimba - zomwe mungafunse wothandizira zaumoyo wanu - wamkulu
• Zakudya zolimbitsa thupi - kusamalira ana
• Gastrostomy yodyetsa chubu - bolus
• Ileostomy ndi mwana wanu
• Ileostomy ndi zakudya zanu
• Ileostomy - kusamalira stoma yanu
• Ileostomy - kumaliseche
• Thumba lodyetsera la Jejunostomy
• Kukhala ndi ileostomy yanu
• Zakudya zochepa
• Nasogastric kudyetsa chubu
• Kutulutsa pang'ono matumbo - kutulutsa

• Matenda a Crohn