Matenda a Crohn and Pain Joint: Ndi Mgwirizano Wotani?

Zamkati

• Matenda a Crohn ndikumva kupweteka
• Nyamakazi
• Matenda a nyamakazi
• Matenda ofanana
• Matenda a nyamakazi
• Ankylosing spondylitis
• Matenda a Arthralgia
• Kuzindikira kupweteka kwamalumikizidwe
• Chithandizo
• Zosintha m'moyo
• Mankhwala achilengedwe
• Nthawi yoti muwonane ndi dokotala
• Maonekedwe a ululu wolumikizana

Anthu omwe ali ndi matenda a Crohn ali ndi kutupa kosalekeza m'mbali zamagawo awo am'mimba.

Zomwe zimayambitsa matenda a Crohn sizikudziwika, koma kutupa kumeneku kumakhudzana ndi chitetezo cha mthupi cholakwika ndi zinthu zopanda vuto, monga chakudya, mabakiteriya opindulitsa, kapena matumbo am'mimba momwemo. Kenako imachita mopambanitsa ndikuwaukira.

Popita nthawi, izi zimabweretsa kutupa kosatha. Nthawi zina kuchita izi mopitirira muyeso kumatha kubweretsa mavuto m'malo ena amthupi kunja kwa thirakiti. Chofala kwambiri ndi m'malo olumikizirana mafupa.

Matenda a Crohn amakhalanso ndi chibadwa. Mwanjira ina, anthu omwe ali ndi masinthidwe amtundu wina ali pachiwopsezo chotenga matenda a Crohn.

Kafukufuku apeza kuti kusintha komweku kwa jeni kumalumikizananso ndi mitundu ina ya zotupa, monga psoriasis, nyamakazi, ndi ankylosing spondylitis.

Matenda a Crohn ndikumva kupweteka

Ngati muli ndi matenda a Crohn, mutha kukhala pachiwopsezo chachikulu cha mitundu iwiri yolumikizana:

• nyamakazi: kupweteka ndi kutupa
• arthralgia: ululu wopanda kutupa

Zinthu ziwirizi zimatha kukhudza anthu omwe ali ndi matenda opatsirana am'mimba (IBDs) ngati matenda a Crohn.

Nyamakazi

Kutupa kwa nyamakazi kumapangitsa mafupa kukhala opweteka komanso kutupa. Matenda a nyamakazi angakhudze omwe ali ndi matenda a Crohn.

Matenda a nyamakazi omwe amapezeka ndi matenda a Crohn ndi osiyana pang'ono ndi nyamakazi yanthawi zonse chifukwa amayamba akadali aang'ono.

Zotsatirazi ndi mitundu ya nyamakazi yomwe imatha kupezeka kwa anthu omwe ali ndi matenda a Crohn:

Matenda a nyamakazi

Matenda ambiri omwe amapezeka mwa anthu omwe ali ndi matenda a Crohn amatchedwa peripheral arthritis. Matenda amtunduwu amakhudza zimfundo zazikulu, monga maondo anu, akakolo, zigongono, maloko, ndi chiuno.

Kupweteka kumalumikizana kumachitika nthawi imodzimodzi m'mimba ndi m'mimba. Matenda amtunduwu samakhala ndi kukokoloka kulikonse kapena kuwonongeka kwakanthawi kwamalumikizidwe.

Matenda ofanana

Anthu ochepa omwe ali ndi matenda a Crohn ali ndi nyamakazi yotchedwa symmetrical polyarthritis. Symmetrical polyarthritis imatha kubweretsa kutupa m'magulu anu aliwonse, koma imapweteka m'magulu amanja anu.

Matenda a nyamakazi

Izi zimabweretsa kuuma ndi kupweteka mozungulira msana, ndipo kumatha kubweretsa kuchepa komanso kuyenda komanso kuwonongeka kosatha.

Ankylosing spondylitis

Pomaliza, anthu ochepa omwe ali ndi matenda a Crohn adzadwala matenda otchedwa ankylosing spondylitis (AS). Izi zotupa pang'onopang'ono zimakhudza ziwalo zanu za sacroiliac ndi msana.

Zizindikiro zake zimaphatikizapo kupweteka komanso kuuma pamsana panu komanso pansi pamsana panu pamagulu a sacroiliac.

Anthu ena amatha kukhala ndi zizindikilo za miyezi AS kapena zaka AS matenda awo a Crohn asanawonekere. Matenda amtunduwu amatha kuwonongeka kosatha.

Matenda a Arthralgia

Ngati mukumva kupweteka m'malo anu osatupa, ndiye kuti muli ndi arthralgia. Pafupifupi anthu omwe ali ndi IBD amakhala ndi arthralgia nthawi ina m'miyoyo yawo.

Arthralgia imatha kupezeka m'magulu osiyanasiyana mthupi lanu lonse. Malo ofala kwambiri ndi maondo anu, akakolo, ndi manja. Arthralgia ikayambitsidwa ndi Crohn's, siyimayambitsa ziwalo zanu.

Kuzindikira kupweteka kwamalumikizidwe

Kungakhale kovuta kudziwa ngati ululu wanu wophatikizika ndi chifukwa cha matumbo ngati matenda a Crohn. Palibe mayeso amodzi omwe anganene motsimikiza, koma pali zizindikilo zina.

Kusiyanitsa kumodzi ndi nyamakazi yanthawi zonse ndikuti kutupa kumakhudza kwambiri ziwalo zazikulu, ndipo sizingakhudze mbali zonse ziwiri za thupi lanu mofanana. Izi zikutanthauza, mwachitsanzo, kuti bondo lanu lamanzere kapena phewa lanu limatha kukhala loyipa kuposa lomwe lamanja.

Matenda a nyamakazi, mosiyana, amathandizanso kuti ziwalo zing'onozing'ono, monga zomwe zili m'manja ndi dzanja.

Mavuto am'mimba omwe amabwera ndi matenda a Crohn atha kukhala vuto nthawi yayitali matenda asanakumane ndi zowawa zamagulu.

Chithandizo

Nthawi zambiri, madotolo amalimbikitsa kugwiritsa ntchito mankhwala osagwiritsa ntchito zotupa (NSAIDs), monga aspirin (Bufferin) kapena ibuprofen (Motrin IB, Aleve), kuti athetse ululu wam'mimba ndi kutupa.

Komabe, ma NSAID sakulimbikitsidwa kwa anthu omwe ali ndi matenda a Crohn. Amatha kukwiyitsa matumbo anu ndikukulitsa zizindikiritso zanu. Kwa zopweteka zazing'ono, dokotala wanu angakulimbikitseni kugwiritsa ntchito acetaminophen (Tylenol).

Mankhwala angapo akuchokera akupezeka kuti athandizire kuphatikizana. Ambiri mwa mankhwalawa amapezeka ndi mankhwala a matenda a Crohn:

• sulfasalazine (Azulfidine)
• corticosteroids
• methotrexate
• zatsopano za biologic monga infliximab (Remicade), adalimumab (Humira), ndi certolizumab pegol (Cimzia)

Kuphatikiza pa mankhwala, njira zotsatirazi zapakhomo zitha kuthandiza:

• kupumula olowa omwe akhudzidwa
• icing ndikukweza cholumikizira
• kuchita masewera olimbitsa thupi kuti muchepetse kuuma komanso kulimbitsa minofu yolumikizana ndi mafupa yomwe ingaperekedwe ndi wochita masewera olimbitsa thupi kapena pantchito

Zosintha m'moyo

Kuchita masewera olimbitsa thupi kumathandizira kusintha kosunthika m'magulu anu komanso kumathandizanso kuthana ndi nkhawa. Kuchita masewera olimbitsa thupi otsika kwambiri monga kusambira, kuyendetsa njinga, yoga, ndi tai komanso kulimbitsa mphamvu kumatha kuthandizira.

Kusintha zakudya zanu kumathandizanso kuchepetsa zizindikilo za matenda a Crohn, makamaka mothandizidwa ndi zakudya zomwe zitha kusintha mabakiteriya m'matumbo mwanu.

Izi zimaphatikizapo ma prebiotic monga uchi, nthochi, anyezi, adyo, komanso maantibiotiki monga kimchi, kefir, ndi kombucha.

Yogurt imakhalanso ndi maantibiotiki, koma anthu ambiri omwe ali ndi matenda a Crohn amazindikira zakudya zamkaka ndipo angafune kuzipewa.

Mankhwala achilengedwe

Kuphatikiza pa maantibiotiki ndi ma prebiotic, mungapindule ndi kumwa mafuta owonjezera a nsomba. Awa ali ndi omega-3 fatty acids ambiri, omwe amachepetsa kutupa komanso kulimba kwamalumikizidwe.

Kutema mphini kumathandizanso kuzizindikiro za matenda onse a Crohn ndi nyamakazi.

Nthawi yoti muwonane ndi dokotala

Ngati mukumva kupweteka kwa mafupa, onani dokotala wanu. Angafune kuyesa mayeso kuti athetse zina zomwe zimakupweteketsani.

Dokotala wanu angafunenso kusintha mankhwala anu a matenda a Crohn. Nthawi zina, kupweteka kwamalumikizidwe kumatha kukhala kokhudzana ndi zovuta zamankhwala anu.

Dokotala wanu angakulimbikitseni wothandizira zakuthupi kuti akuthandizeni kupanga pulogalamu yochitira masewera olimbitsa thupi.

Maonekedwe a ululu wolumikizana

Kupweteka pamodzi kwa anthu omwe ali ndi matenda a Crohn nthawi zambiri kumakhala kanthawi kochepa ndipo nthawi zambiri sikumabweretsa kuwonongeka kwamuyaya. Kupweteka kwanu kophatikizana kumatha kusintha pamene matumbo anu akusintha.

Ndi zizindikilo za m'mimba zomwe zimachepetsa kudzera mumankhwala komanso zakudya, mawonekedwe amalo anu amakhala abwino.

Komabe, ngati mwalandiliranso matenda a AS, malingaliro ake amakhala osinthika. Anthu ena amasintha pakapita nthawi, pomwe ena amapita patsogolo pang'onopang'ono. Ndi mankhwala amakono, chiyembekezo cha moyo kwa anthu omwe ali ndi AS nthawi zambiri sichimakhudzidwa.