Kuchotsa Matenda Ochepera Matenda a Crohn

Zamkati

• Kuchotsa matumbo pang'ono
• Kubwereza pambuyo pobwezeretsa pang'ono
• Kusiya kusuta pambuyo pochita opaleshoni yotsalira pang'ono
• Mankhwala atachitidwa opaleshoni pang'ono
• Maantibayotiki
• Aminosalicylates
• Ma Immunomodulators
• Zomwe muyenera kuyembekezera mukamachita opaleshoni
• Funso:
• Yankho:

Chidule

Matenda a Crohn ndi matenda otupa am'mimba omwe amachititsa kutupa kwa akalowa m'mimba. Kutupa uku kumatha kuchitika mbali iliyonse yam'mimba, koma kumakhudza m'matumbo komanso m'matumbo ang'onoang'ono.

Anthu ambiri omwe ali ndi matenda a Crohn amatha zaka akuyesera mankhwala osiyanasiyana. Pamene mankhwala sakugwira ntchito kapena zovuta zimayamba, nthawi zina opaleshoni ndichotheka.

Akuti pafupifupi 75 peresenti ya anthu omwe ali ndi matenda a Crohn pamapeto pake amafunika kuchitidwa opaleshoni kuti athetse matenda awo. Ena adzakhala ndi mwayi wochitidwa opaleshoni, pomwe ena adzafunika chifukwa cha zovuta zamatenda awo.

Mtundu umodzi wa opareshoni ya Crohn's umaphatikizapo kuchotsa gawo lotupa la m'matumbo kapena m'matumbo ang'onoang'ono. Njirayi ingathandize ndi zizindikilo, koma si mankhwala.

Pambuyo pochotsa matumbo omwe akhudzidwa, matendawo amatha kuyamba kukhudza gawo lina lam'mimba, ndikupangitsa kuti zizindikilo zizibukanso.

Kuchotsa matumbo pang'ono

Kuchotsa gawo la m'matumbo kumatchedwa kubwereketsa pang'ono kapena kutulutsa matumbo pang'ono. Kuchita opaleshoniyi kumalimbikitsa anthu omwe ali ndi chotupa chimodzi kapena zingapo, kapena malo odwala, omwe amakhala pafupi gawo lina la m'matumbo.

Opaleshoni yapadera ingalimbikitsidwenso kwa odwala omwe ali ndi zovuta zina kuchokera ku matenda a Crohn, monga kutuluka magazi kapena kutsekula m'matumbo. Kuchotsa pang'ono kumaphatikizapo kuchotsa madera owonongeka m'matumbo kenako ndikumanganso magawo athanzi.

Kuchita opaleshoni kumachitidwa pansi pa anesthesia, zomwe zikutanthauza kuti anthu amagona nthawi yonseyi. Opaleshoni nthawi zambiri imatenga ola limodzi mpaka anayi.

Kubwereza pambuyo pobwezeretsa pang'ono

Kutulutsa pang'ono kungachepetse zizindikiro za matenda a Crohn kwa zaka zambiri. Ndikofunika kuzindikira, komabe, kuti mpumulo nthawi zambiri umakhala wakanthawi.

Pafupifupi anthu 50 pa anthu 100 alionse adzayambiranso kuzindikiranso pakadutsa zaka zisanu atachotsedwa pang'ono. Matendawa amabwereranso pamalo pomwe matumbo amalumikizidwanso.

Anthu ena amathanso kukhala ndi vuto la kuperewera kwa zakudya pambuyo pa opaleshoni.

Anthu akachotsedwa gawo la matumbo awo, amakhala ndi matumbo ochepa otsala kuti atenge zakudya m'chakudya. Zotsatira zake, anthu omwe adachitidwenso pang'ono angafunike kumwa zowonjezera kuti atsimikizire kuti akupeza zomwe amafunikira kuti akhale athanzi.

Kusiya kusuta pambuyo pochita opaleshoni yotsalira pang'ono

Anthu ambiri omwe amachitidwa opaleshoni ya matenda a Crohn azidzayambiranso kuzindikiritsa. Mutha kupewa kapena kuchedwetsa kubwereza mwa kusintha zina ndi zina pamoyo wanu.Chimodzi mwa zinthu zofunika kusintha ndi kusiya kusuta.

Kuwonjezera pa kukhala chiopsezo cha matenda a Crohn, kusuta kungapangitse chiopsezo chobwereranso pakati pa anthu omwe akukhululukidwa. Anthu ambiri omwe ali ndi matenda a Crohn amaonanso kusintha kwa thanzi lawo akasiya kusuta.

Malinga ndi bungwe la Crohn's and Colitis Foundation of America, anthu omwe amasuta fodya chifukwa chotsitsidwa ndi matenda a Crohn amakhala ndi mwayi wochulukirapo kuwirikiza kawiri kuposa omwe samasuta omwe amatha kuyambiranso zizindikiro zawo.

Mankhwala atachitidwa opaleshoni pang'ono

Madokotala nthawi zambiri amapereka mankhwala othandizira kuti muchepetse chiopsezo chobwereranso pambuyo poti achotseredwe pang'ono.

Maantibayotiki

Maantibayotiki nthawi zambiri amakhala yankho lothandiza popewa kapena kuchedwetsa kubwereranso kwa anthu omwe achita opaleshoni.

Metronidazole (Flagyl) ndi maantibayotiki omwe amafunsidwa kwa miyezi ingapo atachitidwa opaleshoni. Metronidazole amachepetsa matenda opatsirana ndi mabakiteriya m'matumbo, omwe amathandiza kuchepetsa zizindikilo za matenda a Crohn.

Monga maantibayotiki ena, metronidazole imatha kuchepa pakapita nthawi pamene thupi limazolowera mankhwalawo.

Aminosalicylates

Aminosalicylates, omwe amadziwikanso kuti mankhwala a 5-ASA, ndi gulu la mankhwala omwe nthawi zina amaperekedwa kwa anthu omwe achita opaleshoni. Amaganiziridwa kuti amachepetsa zizindikiritso komanso kuwotcha, koma sizothandiza kwambiri popewa kubwereranso kwa matenda a Crohn.

Aminosalicylates atha kulimbikitsidwa kwa anthu omwe ali pachiwopsezo chobwereza, kapena omwe sangamwe mankhwala ena, othandiza kwambiri. Zotsatira zoyipa zimaphatikizapo:

• kupweteka mutu
• kutsegula m'mimba
• nseru kapena kusanza
• totupa
• kusowa chilakolako
• kupweteka m'mimba kapena kupweteka
• malungo

Kumwa mankhwala ndi chakudya kungachepetse zotsatirazi. Ma aminosalicylates ena amathanso kukhala ndi zovuta kwa anthu omwe sagwirizana ndi mankhwala a sulfa. Onetsetsani kuti dokotala akudziwa za chifuwa chilichonse chomwe muli nacho musanayambe mankhwala.

Ma Immunomodulators

Mankhwala omwe amasintha chitetezo chanu cha mthupi, monga azathioprine kapena TNF-blockers, nthawi zina amapatsidwa pambuyo poti achotseredwe pang'ono. Mankhwalawa atha kuthandiza kuti matenda a Crohn asadzachitikenso mpaka zaka ziwiri atachitidwa opaleshoni.

Ma immunomodulators amayambitsanso anthu ena ndipo mwina sangakhale oyenera aliyense. Dokotala wanu adzawona kuopsa kwa matenda anu, chiopsezo chanu chobwereranso, ndi thanzi lanu lonse musanaganize ngati imodzi mwa mankhwalawa ndi yoyenera kwa inu.

Zomwe muyenera kuyembekezera mukamachita opaleshoni

Funso:

Kodi ndingayembekezere chiyani ndikachira kuchokeranso pang'ono?

Yankho:

Pali mfundo zofunika kuziganizira mukamachira. Kupweteka pang'ono mpaka pang'ono pompopompo kumapezeka nthawi zambiri, ndipo adotolo azikupatsani mankhwala opweteka.

Zamadzimadzi ndi ma electrolyte amalowetsedwa m'mitsempha mpaka chakudya cha wodwalayo chitha kuyambiranso pang'onopang'ono, kuyambira ndi zakumwa ndikupita kuchakudya chokhazikika monga chimaloledwa. Odwala amatha kuyembekezera kuti atagona pakadutsa maola 8 mpaka 24 atachitidwa opaleshoni.

Odwala nthawi zambiri amayesedwa kuti azitsatiridwa pakatha milungu iwiri atachitidwa opaleshoni. M'masiku ochepa oyamba atachitidwa opareshoni, masewera olimbitsa thupi amaletsa.