Anam`peza Colitis - ana - kumaliseche

Mwana wanu anali mchipatala chifukwa ali ndi ulcerative colitis (UC). Uku ndikutupa kwa mkatikati mwa kholoni ndi m'matumbo (matumbo akulu). Imawononga akalowa, kuwapangitsa kuti atuluke magazi kapena kutuluka ntchofu kapena mafinya.

Mwana wanu mwina adalandira zamadzimadzi kudzera mu chubu lamitsempha (IV) mumitsempha yake. Atha kukhala kuti alandila:

• Kuikidwa magazi
• Chakudya chopatsa thanzi kudzera mu chubu kapena IV
• Mankhwala othandiza kutsekula m'mimba

Mwana wanu atha kupatsidwa mankhwala ochepetsa kutupa, kupewa kapena kulimbana ndi matenda, kapena kuthandizira chitetezo chamthupi.

Mwana wanu ayenera kuti anachitidwa opaleshoni, monga:

• Kuchotsa koloni (colectomy)
• Kuchotsa m'matumbo akulu ndi rectum yambiri
• Kuyika kwa ileostomy
• Kuchotsa gawo la colon

Mwana wanu amakhala ndi nthawi yayitali pakati pazilonda zam'mimba.

Mwana wanu akangopita kunyumba, ayenera kumamwa zakumwa zokha kapena kudya zakudya zosiyana ndi zomwe amadya. Tsatirani malangizo operekedwa ndi wothandizira zaumoyo wa mwana wanu. Funsani wothandizirayo nthawi yomwe mungayambitse chakudya chokhazikika cha mwana wanu.

Muyenera kupereka mwana wanu:

• Chakudya chopatsa thanzi, chopatsa thanzi. Ndikofunika kuti mwana wanu azikhala ndi zopatsa mphamvu, zomanga thupi, komanso zomanga thupi m'magulu osiyanasiyana azakudya.
• Zakudya zopanda mafuta ambiri komanso shuga.
• Zakudya zazing'ono, pafupipafupi komanso zakumwa zambiri.

Zakudya ndi zakumwa zina zimatha kukulitsa zizindikiro za mwana wanu. Zakudya izi zitha kuwabweretsera mavuto nthawi zonse kapena pakangoyaka.

Yesetsani kupewa zakudya zotsatirazi zomwe zingawonjezere zizindikiro za mwana wanu:

• Zida zambiri zimatha kukulitsa zizindikilo. Yesani kuphika kapena kuphika zipatso ndi ndiwo zamasamba ngati kuzidya zosaphika zimawasokoneza.
• Pewani kupatsa zakudya zomwe zimadziwika kuti zimayambitsa gasi, monga nyemba, zakudya zokometsera zokometsera, kabichi, broccoli, kolifulawa, timadziti ta zipatso zosaphika, ndi zipatso, makamaka zipatso za zipatso.
• Pewani kapena kuchepetsa caffeine, chifukwa imatha kukulitsa kutsekula m'mimba. Zakudya monga ma soda, zakumwa zamagetsi, tiyi, ndi chokoleti zimatha kukhala ndi caffeine.

Funsani wothandizira za mavitamini ndi michere yowonjezera yomwe mwana wanu angafunike, kuphatikiza:

• Mavitamini a iron (ngati ali ndi magazi ochepa)
• Zakudya zopatsa thanzi
• Calcium ndi vitamini D zimathandizira kuti mafupa awo akhale olimba

Lankhulani ndi katswiri wazakudya kuti muwonetsetse kuti mwana wanu akupeza chakudya choyenera. Onetsetsani kuti muchite izi ngati mwana wanu wachepetsa thupi kapena ngati chakudya chikuchepa.

Mwana wanu atha kukhala ndi nkhawa zakukumana ndi vuto la m'mimba, manyazi, kapena kudzimvera chisoni kapena kukhumudwa. Amakhala ovuta kutenga nawo mbali pazochitika kusukulu. Mutha kuthandiza mwana wanu ndikuwathandiza kumvetsetsa momwe angakhalire ndi matendawa.

Malangizo awa atha kukuthandizani kuthana ndi zilonda zam'mimba za mwana wanu:

• Yesetsani kulankhula momasuka ndi mwana wanu. Yankhani mafunso awo okhudza momwe aliri.
• Thandizani mwana wanu kukhala wokangalika. Lankhulani ndi wothandizira mwana wanu za masewera olimbitsa thupi ndi ntchito zomwe angathe kuchita.
• Zinthu zosavuta monga kuchita yoga kapena tai chi, kumvera nyimbo, kuwerenga, kusinkhasinkha, kapena kulowa osamba ofunda kumatha kumasula mwana wanu ndikuthandizira kuchepetsa nkhawa.
• Khalani atcheru ngati mwana wanu akutaya chidwi chake ndi sukulu, abwenzi, komanso zochita. Ngati mukuganiza kuti mwana wanu akhoza kukhala wopsinjika, lankhulani ndi mlangizi wamaganizidwe.

Mungafune kulowa nawo gulu lothandizira kuti likuthandizeni inu ndi mwana wanu kuthana ndi matendawa. Crohn's & Colitis Foundation of America (CCFA) ndi amodzi mwamagulu amenewa. CCFA imapereka mndandanda wazida, nkhokwe ya madotolo omwe amathandizira kuchiza matenda a Crohn, zambiri zamagulu othandizira anzawo, ndi tsamba la achinyamata - www.crohnscolitisfoundation.org.

Wosamalira mwana wanu atha kuwapatsa mankhwala kuti athandize kuthetsa zizindikilo zawo. Kutengera kukula kwa ulcerative colitis ndi momwe amayankhira atalandira chithandizo, angafunike kumwa mankhwala amodzi kapena angapo:

• Mankhwala oletsa kutsegula m'mimba amatha kuthandiza akakhala ndi matenda otsekula m'mimba. Mutha kugula loperamide (Imodium) popanda mankhwala. Nthawi zonse lankhulani ndi omwe amawapatsa mankhwala musanagwiritse ntchito mankhwalawa.
• Mavitamini othandizira mavitamini angathandize zizindikiro zawo. Mutha kugula psyllium powder (Metamucil) kapena methylcellulose (Citrucel) popanda mankhwala.
• Nthawi zonse lankhulani ndi omwe amapereka kwa mwana wanu musanagwiritse ntchito mankhwala aliwonse otsitsimula.
• Mutha kugwiritsa ntchito acetaminophen kupweteka pang'ono. Mankhwala monga aspirin, ibuprofen, kapena naproxen amatha kukulitsa zizindikilo zawo. Lankhulani ndi omwe amawapatsa musanamwe mankhwalawa. Mwana wanu angafunikirenso mankhwala a mankhwala opweteka kwambiri.

Pali mitundu yambiri ya mankhwala omwe amapezeka kuti ateteze kapena kuchiza zilonda zam'mimba za mwana wanu.

Chisamaliro chopitilira cha mwana wanu chidzakhazikitsidwa ndi zosowa zawo. Wothandizirayo angakuuzeni nthawi yomwe mwana wanu abwerere kukayezetsa mkatikati mwa rectum ndi colon kudzera pa chubu chosinthika (sigmoidoscopy kapena colonoscopy).

Itanani omwe akukuthandizani ngati mwana wanu ali:

• Zokokana kapena kupweteka m'munsi mwa m'mimba zomwe sizimatha
• Kutsekula m'mimba, nthawi zambiri kumakhala ntchofu kapena mafinya
• Kutsekula m'mimba komwe sikutha kulamulidwa ndikusintha kwa zakudya ndi mankhwala
• Kutuluka magazi, zotupa, kapena zilonda
• Kupweteka kwatsopano
• Malungo omwe amatha masiku opitilira awiri kapena atatu kapena malungo opitilira 100.4 ° F (38 ° C) popanda kufotokozera
• Mseru ndi kusanza komwe kumatenga nthawi yopitilira tsiku kusanza kumakhala ndi chikasu / mtundu wobiriwira
• Zilonda zapakhungu kapena zotupa zomwe sizichira
• Ululu wophatikizika womwe umamulepheretsa mwana wanu kuchita zochitika za tsiku ndi tsiku
• Kudzimva kopanda chenjezo pang'ono musanafunike kuyenda
• Kufunika kodzuka kutulo ndikuyenda matumbo
• Kulephera kunenepa, nkhawa za mwana wanu akukula kapena mwana
• Zotsatira zoyipa kuchokera ku mankhwala aliwonse omwe angaperekedwe kwa mwana wanu

UC - ana; Matenda otupa m'matumbo mwa ana - UC; Ulcerative proctitis - ana; Colitis mwa ana - UC

Bitton S, Markowitz JF. Zilonda zam'mimba mwa ana ndi achinyamata. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds. Matenda a m'mimba ndi Matenda a Chiwindi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2021: chaputala 43.

Stein RE, Baldassano RN. Matenda otupa. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 362.

• Zilonda zam'mimba