Matenda a Crohn - ana - kutulutsa

Mwana wanu adathandizidwa kuchipatala chifukwa cha matenda a Crohn. Nkhaniyi ikufotokoza momwe mungasamalire mwana wanu kunyumba pambuyo pake.

Mwana wanu anali mchipatala chifukwa cha matenda a Crohn. Uku ndikutupa kwakumtunda ndikutuluka kwa m'mimba, matumbo akulu, kapena onse awiri.

Matendawa atha kukhala ofatsa kapena owopsa. Mwana wanu mwina anali ndi mayeso, mayeso a labu, ndi ma x-ray. Wopereka chithandizo chamankhwala atha kukhala kuti adasanthula mkati mwa rectum ndi colon ya mwana wanu pogwiritsa ntchito chubu chosinthika (colonoscopy). Chitsanzo cha minofu (biopsy) chikhoza kutengedwa.

Mwana wanu atha kufunsidwa kuti asadye kapena kumwa chilichonse ndipo adadyetsedwa kudzera mu IV (intravenousous line). Atha kukhala kuti alandila michere yapadera kudzera pach chubu chodyetsera.

Mwana wanu ayenera kuti anayamba kumwa mankhwala ochizira matenda a Crohn.

Mwana wanu amafunikiranso imodzi mwanjira izi:

• Kukonzekera kwa fistula
• Kutulutsa pang'ono matumbo
• Ileostomy
• Tsankho kapena colectomy yathunthu

Pambuyo pa matenda a Crohn, mwana wanu atha kukhala wotopa komanso kukhala ndi mphamvu zochepa kuposa kale. Izi zikuyenera kukhala bwino. Funsani wothandizira mwana wanu za zovuta zilizonse kuchokera ku mankhwala atsopano. Muyenera kuwona omwe amakupatsani mwana wanu pafupipafupi. Mwana wanu amafunikanso kuyesedwa magazi pafupipafupi, makamaka ngati ali ndi mankhwala atsopano.

Ngati mwana wanu adapita kunyumba ndi chubu chodyetsera, muyenera kuphunzira momwe mungagwiritsire ntchito ndi kuyeretsa chubu ndi malo omwe chubu chimalowera m'thupi la mwana wanu. Ngati mwana wanu wakula mokwanira, mutha kuwathandiza kuphunzira za matendawa komanso momwe angadzisamalire nawonso.

Mwana wanu akangopita kunyumba, amatha kumwa zakumwa. Kapenanso, angafunike kudya zakudya zosiyanasiyana ndi zomwe amadya. Funsani wothandizirayo nthawi yomwe mwana wanu angayambe kudya zakudya zawo.

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:

• Ngati sangathe kugaya zakudya za mkaka bwino, muchepetse mkaka. Yesani tchizi tating'onoting'ono ta lactose, monga Swiss ndi cheddar, kapena mankhwala a enzyme, monga Lactaid, kuti athandizire kuphwanya lactose. Ngati mwana wanu ayenera kusiya kudya mkaka, lankhulani ndi katswiri wazakudya kuti awonetsetse kuti apeza calcium ndi vitamini D wokwanira.
• Zida zambiri zimatha kukulitsa zizindikilo. Ngati kudya zipatso zosaphika kapena ndiwo zamasamba zimawasokoneza, yesani kuphika kapena kuwaphika. Ngati izi sizikuthandizani mokwanira, apatseni zakudya zochepa.
• 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 kapena kuchepetsa caffeine. Ikhoza kukulitsa kutsegula m'mimba. Kumbukirani kuti ma soda, zakumwa zamagetsi, tiyi, ndi chokoleti zonse zimakhala ndi caffeine.

Funsani omwe amakupatsani mwana wanu za mavitamini ndi michere yowonjezera yomwe mwana wanu angafunike:

• Mavitamini a iron (ngati ali ndi magazi ochepa)
• Zakudya zopatsa thanzi
• Calcium ndi vitamini D zimathandizira kuti mafupa awo akhale olimba
• Kuwombera kwa Vitamini B-12, kupewa magazi m'thupi

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 zakumana ndi vuto la m'mimba, manyazi, kapena kukhumudwa kapena kukhumudwa chifukwa chokhala ndi vutoli. Mwana wanu mwina zimawavuta kuchita nawo zinthu kusukulu. Mutha kuthandiza mwana wanu ndikuwathandiza kumvetsetsa momwe angakhalire ndi matendawa.

Malangizo awa atha kukuthandizani kuthana ndi matenda a Crohn a mwana wanu:

• Lankhulani momasuka ndi mwana wanu ndikuyankha mafunso ake onse okhudzana ndi vutoli.
• Thandizani mwana wanu kukhala wokangalika. Lankhulani ndi omwe amakupatsani mwana wanu zinthu zomwe mwana wanu angachite.
• Zinthu zosavuta monga yoga kapena tai chi, kumvera nyimbo, kuchita masewera olimbitsa thupi, kusinkhasinkha, kuwerenga, kapena kulowa osamba ofunda kumatha kumasula mwana wanu ndikuthandizira kuchepetsa nkhawa.
• Muuzeni mwana wanu kuti awone aphungu omwe angawathandize kukhala olimba mtima.
• 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.

Wopereka mwana wanu atha kupatsa mwana wanu mankhwala kuti athandizire kuthetsa zizindikilo. Wothandizirayo atha kupereka mankhwala amodzi kapena angapo otsatirawa kutengera kuopsa kwa matenda a Crohn a mwana wanu komanso momwe mwana wanu amamvera akamalandira chithandizo:

• Mankhwala oletsa kutsegula m'mimba angathandize mwana wanu akakhala ndi matenda otsekula m'mimba. Loperamide (Imodium) itha kugulidwa popanda mankhwala. Nthawi zonse lankhulani ndi omwe amapereka kwa mwana wanu musanagwiritse ntchito mankhwalawa.
• Zowonjezera zamagetsi zimatha kuthandiza zizindikiritso za mwana wanu. 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 kupatsa mwana wanu acetaminophen kupweteka pang'ono. Mankhwala monga aspirin, ibuprofen, kapena naproxen amatha kukulitsa zizindikilo. Lankhulani ndi omwe amakupatsani mwana wanu za mankhwala omwe mungagwiritse ntchito. Mungafunike mankhwala oti mumve kupweteka kwambiri.

Pali mitundu yambiri ya mankhwala omwe angakuthandizeni kupewa kapena kuchiza matenda anu a Crohn. Ena atha kukhala ndi zovuta zoyipa kwambiri. Mwana wanu adzapatsidwa imodzi mwa mankhwalawa akadzachira opaleshoni.

Muthanso kuchita izi kuti muthandize mwana wanu:

• Lankhulani ndi mwana wanu zamankhwala. Thandizani mwana wanu kumvetsetsa kugwiritsa ntchito mankhwala omwe amamwa komanso momwe angawathandizire kumva bwino. Izi zithandiza mwana wanu kumvetsetsa chifukwa chake ndikofunikira kumwa mankhwalawa monga momwe adanenera.
• Ngati mwana wanu wakula mokwanira, phunzitsani mwana wanu momwe angamwere yekha mankhwalawo.

Mankhwala omwe amapondereza chitetezo cha mthupi ali ndi chiopsezo chazovuta. Ngati mwana wanu amamwa mankhwalawa, wothandizirayo angafune kumuwona mwana wanu miyezi itatu iliyonse kuti aone ngati ali ndi mavuto.

Muyenera kuyimbira wothandizirayo ngati mwana wanu ali ndi:

• Kupweteka kapena kupweteka m'munsi mwa m'mimba
• Kutsekula m'mimba, nthawi zambiri kumakhala ntchofu kapena mafinya
• Kutsekula m'mimba komwe sikutha kulamulidwa ndikusintha kwa zakudya ndi mankhwala
• Mavuto onenepa
• Kutuluka magazi, zotupa, kapena zilonda
• Malungo omwe amatha masiku opitilira awiri 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 umamulepheretsa mwana wanu kuchita zochitika za tsiku ndi tsiku
• Zotsatira zoyipa za mankhwala aliwonse omwe mwana wanu amamwa

Matenda otupa m'matumbo mwa ana - Matenda a Crohn; IBD mwa ana - matenda a Crohn; Chigawo cha enteritis - ana; Ileitis - ana; Granulomatous ileocolitis - ana; Colitis mwa ana; CD - ana

Dotson JL, matenda a Boyle B. Crohn. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds. Matenda a m'mimba ndi Matenda a Chiwindi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2021: mutu 42.

Nguyen GC, Loftus EV Jr, Hirano I, et al. Malangizo a American Gastroenterological Association Institute onena za kasamalidwe ka matenda a Crohn atachita opaleshoni. Gastroenterology. 2017; 152 (1): 271-275. PMID: 27840074 pubed.ncbi.nlm.nih.gov/27840074/.

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.

Stewart C, Kocoshis SA. Kusokonezeka ndi matenda am'mimba ndi chiwindi. Mu: Fuhrman BP, Zimmerman JJ, olemba.Chisamaliro Chachikulu cha Ana. 5th ed. Philadelphia, PA: Elsevier; 2017: mutu 97.

Velazco CS, McMahon L, Ostlie DJ. Matenda otupa. Mu: Holcomb GW, Murphy JP, St. Peter SD, olemba.Opaleshoni ya Ana ya Holcomb ndi Ashcraft. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2020: mutu 41.

• Matenda a Crohn