Mankhwala ndi Chithandizo cha Matenda a Crohn

Zamkati

• Mankhwala ochizira matenda a Crohn
• Corticosteroids
• Aminosalicylates
• Mankhwala a Immunomodulator
• Zamoyo
• Mankhwala ena
• Opaleshoni
• Mankhwala achilengedwe
• Zosintha m'moyo
• Sinthani nkhawa zanu
• Tengani acetaminophen kupweteka
• Lekani kusuta
• Sungani magazini yazakudya
• Malire a caffeine ndi mowa
• Kutenga

Matenda a Crohn ndimatenda amthupi omwe amakhudza thirakiti la m'mimba (GI). Malinga ndi Crohn's and Colitis Foundation, ndichimodzi mwazinthu zomwe zimayambitsa matenda amatumbo, kapena IBD, zovuta zomwe zimakhudza anthu aku America okwana 3 miliyoni.

Madokotala sanadziwebe bwinobwino zomwe zimayambitsa Crohn's, koma akuganiza kuti ndikuchulukitsa chitetezo cha mthupi mu kapepala ka GI.

Matenda a Crohn amatha kukhudza gawo lililonse la thirakiti la GI, koma nthawi zambiri limakhudza matumbo ang'onoang'ono komanso kuyamba kwa colon. Pali mitundu yosiyanasiyana yama Crohn's yomwe idakhazikitsidwa pomwe matendawa amakhudza munthu m'matrakiti awo a GI.

Chifukwa pali mitundu yosiyanasiyana ya Crohn's, zizindikirazo zimasiyananso, koma zimaphatikizaponso:

• kupweteka m'mimba
• kutsegula m'mimba
• nseru ndi kusanza
• kuonda
• ziphuphu

Ngakhale kulibe mankhwala a matenda a Crohn, mankhwala ndi njira zina zamankhwala, kuphatikiza zakudya ndi kusintha kwa moyo, zitha kuthandiza kuthana ndi zizindikilo.

Chithandizo cha Crohn's ndichabwino kwambiri, chifukwa chake zomwe zimagwirira ntchito munthu m'modzi sizingakugwireni.

Matenda a Crohn nthawi zambiri amachitika pakukhululuka komanso kuphulika, chifukwa chake mapulani azithandizo adzafunika kuwunikanso ndikuwunika.

Gwirani ntchito ndi dokotala wanu kuti mupeze njira yothandizira kuti muchepetse zizindikiritso za Crohn.

Mankhwala ochizira matenda a Crohn

Njira imodzi yayikulu yothanirana ndi matenda a Crohn ndi kudzera m'mankhwala omwe amaletsa chitetezo chanu chamthupi ndikuchepetsa kutupa kwa tsamba lanu la GI.

Mukakhala ndi matenda a Crohn kapena a IBD, chitetezo cha mthupi chimakhala ndi mayankho achilendo omwe angayambitse matenda anu.

Cholinga chakumwa mankhwala kuti muchepetse kuyankha kwanu ndikuthandizira zizindikiritso zanu ndikupatsa mwayi wanu wa GI mpumulo ndikupeza bwino.

Otsatirawa ndi mankhwala omwe angaperekedwe okha kapena kuphatikiza kuphatikiza matenda a Crohn's:

Corticosteroids

Malinga ndi National Institute for Diabetes and Digestive and Impso Diseases (NIDDKD), corticosteroids ndi ma steroids omwe amathandiza kuchepetsa kutupa komanso chitetezo chamthupi. Nthawi zambiri amagwiritsidwa ntchito ngati chithandizo chanthawi yochepa.

Ma corticosteroids omwe amagwiritsidwa ntchito poyang'anira ma Crohn ndi awa:

• mphukira
• hydrocortisone
• methylprednisolone
• mbalambanda

Zotsatira zoyipa za corticosteroids zitha kuphatikiza:

• glaucoma kapena kupanikizika kowonjezereka m'maso mwanu
• kutupa
• kuthamanga kwa magazi
• kunenepa
• chiopsezo chachikulu chotenga matenda
• ziphuphu
• zosintha

Zotsatira zoyipa, monga kutayika kwa mafupa (kufooka kwa mafupa) kapena zovuta za chiwindi, zitha kuchitika mukatenga corticosteroids kwa miyezi yopitilira 3.

Chifukwa cha izi, dokotala wanu atha kukutengani ndi corticosteroids kwakanthawi kochepa chabe.

Aminosalicylates

Aminosalicylates nthawi zambiri amagwiritsidwa ntchito pochiza ulcerative colitis, koma atha kuperekedwanso kwa a Crohn's. Mankhwalawa amaganiziridwa kuti amachepetsa kutupa m'matumbo kuti muchepetse zizindikiro.

Mankhwalawa amatha kumwa ngati suppository, pakamwa, kapena kuphatikiza zonse ziwiri. Momwe mumamwa mankhwalawa zimadalira komwe matendawa amakhudzira thupi lanu.

Zotsatira zoyipa za aminosalicylates ndi monga:

• nseru
• kusanza
• kutentha pa chifuwa
• kutsegula m'mimba
• mutu

Mukamamwa mankhwalawa, dokotala wanu amatha kuwona momwe impso zanu zimagwirira ntchito. Angathenso kuyitanitsa kuyezetsa magazi kuti awonetsetse kuti kuchuluka kwanu kwama cell oyera sikutsika kwambiri.

Adziwitseni dokotala ngati muli ndi vuto la mankhwala a sulfa musanamwe mankhwala aminosalicylate.

Mankhwala a Immunomodulator

Ochita kafukufuku amakhulupirira kuti matenda a Crohn amayamba chifukwa cha vuto la chitetezo cha mthupi. Maselo omwe nthawi zambiri amateteza thupi lanu amalimbana ndi tsamba la GI.

Chifukwa cha izi, mankhwala omwe amaletsa kapena kuwongolera chitetezo chamthupi anu amatha kuthandizira a Crohn's.

Komabe, mankhwalawa amatha miyezi itatu asanayambe kugwira ntchito, chifukwa chake muyenera kudikirira kwakanthawi musanadziwe ngati angakuthandizeni.

Madokotala amatha kupereka mankhwala amtunduwu ngati aminosalicylates ndi corticosteroids sizigwira ntchito kapena ngati mwayamba fistula. Mankhwalawa atha kukuthandizani kuti musavutike mtima. Akhozanso kuchiritsa fistula.

Mankhwala ena omwe amadziwika kuti immunosuppressive ndi awa:

• azathioprine (Imuran)
• mercaptopurine (Purinethol)
• cyclosporine (Gengraf, Neoral, Sandimmune)
• methotrexate

Zotsatira za mankhwalawa zingaphatikizepo:

• mutu
• nseru
• kusanza
• kutsegula m'mimba
• chiopsezo chachikulu chotenga matenda

Zina mwazovuta zoyambilira ndi kapamba (kutupa kwa kapamba), mavuto a chiwindi, komanso kupsinjika kwa myelosuppression. Myelosuppression ndi kuchepa kwa mafupa omwe mumapanga.

Zamoyo

Biologics ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito kwa anthu omwe ali ndi Crohn's ovuta kapena omwe ali ndi Crohn's. Amagwira ntchito kuti achepetse kutupa m'malo ena, monga gawo la matumbo anu. Samapondereza chitetezo chanu chonse chamthupi.

Dokotala wanu akhoza kukupatsani biologics ngati muli ndi zizindikiro zochepa kapena zoopsa kapena ngati mankhwala ena sakugwira ntchito. Angathenso kuwapatsa mankhwala ngati muli ndi fistula mu thirakiti lanu la GI.

Biologics itha kuthandiziranso kugwiritsira ntchito mankhwala a steroid.

Mankhwalawa nthawi zambiri amaperekedwa ndi jakisoni kuchipatala kapena kuchipatala kwa milungu isanu ndi umodzi kapena isanu ndi umodzi.

Mankhwala omwe amapezeka kwambiri ndi awa:

• anti-tumor necrosis factor-alpha othandizira
• mankhwala odana ndi kuphatikiza
• anti-interleukin-12
• mankhwala a interleukin-23

Mutha kukhala ndi redness, kutupa, kapena kukwiya komwe mumalandira jakisoni. Muthanso kumva:

• kupweteka mutu
• malungo
• kuzizira
• kuthamanga kwa magazi

Nthawi zambiri, anthu ena amamwa mankhwala owopsa kapena amakhala pachiwopsezo chachikulu chotenga matenda, makamaka chifuwa chachikulu (TB).

Mankhwala ena

Madokotala amatha kupereka mankhwala owonjezera othandizira ndi zizindikilo zina za Crohn's.

Maantibayotiki amatha kupewa zotupa komanso kuchuluka kwa mabakiteriya m'matumbo.

Dokotala wanu amathanso kukupatsani mankhwala ochepetsa matenda otsekula m'mimba otchedwa loperamide omwe angatenge nthawi yayitali ngati muli ndi matenda otsekula m'mimba kwambiri.

Anthu ena omwe ali ndi Crohn's nawonso ali pachiwopsezo chotenga magazi oundana, chifukwa kutengera chiwopsezo chanu, dokotala wanu amathanso kukupatsani magazi ochepera kuti muchepetse ziwopsezo zamagulu.

Dokotala wanu angakulimbikitseni mankhwala acetaminophen kuti muchepetse ululu. Pewani kugwiritsa ntchito ibuprofen (Advil), naproxen (Aleve), ndi aspirin kuti muchepetse ululu, chifukwa izi zitha kukulitsa zizindikilo.

Opaleshoni

Ngakhale madokotala ayesa koyamba kuthana ndi matenda a Crohn ndi mankhwala, chifukwa ndimatenda amoyo wonse, anthu ambiri omwe ali ndi Crohn pamapeto pake adzafunika kuchitidwa opaleshoni.

Pali mitundu yosiyanasiyana ya maopaleshoni kwa anthu omwe ali ndi matenda a Crohn. Mtundu weniweni wa opareshoni udalira mtundu wa ma Crohn omwe muli nawo, zizindikiritso zomwe mukukumana nazo, komanso momwe zizindikirazo zilili zovuta.

Opaleshoni ya Crohn ndi awa:

• Mukuluwu. Kuchita opaleshoniyi kumakulitsa gawo la m'matumbo mwanu lomwe lachepa pakapita nthawi chifukwa cha kutupa.
• Proctocolectomy. Ndi opareshoni iyi yamilandu yayikulu, matumbo onse ndi rectum amachotsedwa kwathunthu.
• Colectomy. Mu colectomy, khololo limachotsedwa, koma thumbo limasiyidwa.
• Kuchotsa kwa fistula ndi ngalande ya abscess.
• Matumbo ang'onoang'ono ndi akulu. Opaleshoni imachitidwa kuti ichotse matumbo omwe awonongeka ndikulumikizanso malo athanzi, osakhudzidwa ndi matumbo.

Mankhwala achilengedwe

Kuphatikiza pa mankhwala ndi opaleshoni, palinso njira zina zowonjezera zachilengedwe zomwe mungakambirane ndi dokotala wanu.

Izi zikuphatikiza:

• Zowonjezera. Mavitamini a calcium ndi vitamini D amatha kuthandizira kupewa kutayika kwa mafupa ngati mwakhala mukutenga corticosteroid kwanthawi yayitali.
• Omega-3 mafuta acids. Omega-3 fatty acids, monga mafuta a nsomba, amadziwika kuti ali ndi zida zotsutsana ndi zotupa, chifukwa chake amaphunzitsidwa kuti awone ngati ali othandiza ku Crohn's. Mutha kupeza omega-3 fatty acids mu zowonjezera kapena zakudya monga saumoni, sardini, mtedza, mbewu ya fulakesi, mafuta azomera, ndi zakudya zina zotetezedwa.
• Mphepo yamkuntho. Turmeric ikuwerengedwanso kuti iwone ngati ikupindulira Crohn chifukwa cha zotsutsana ndi zotupa. Komabe, turmeric imatha kupatulira magazi, chifukwa chake fufuzani ndi dokotala musanakuwonjezereni pazakudya zanu kapena kuwatenga ngati chowonjezera.
• Mankhwala osokoneza bongo. Malinga ndi a Crohn's & Colitis Foundation, kafukufuku wocheperako awonetsa kuti mankhwala azachipatala atha kuthandizira pazizindikiro zina za IBD, koma palibe umboni wowonekeratu woti zingaperekedwe ku Crohn's.

Zosintha m'moyo

Pali zosintha zofunika pamoyo zomwe mungachite kuti muthane ndi zizindikilo zanu, zomwe zinalembedwa apa:

Sinthani nkhawa zanu

Kuthetsa kupsinjika ndi gawo lofunikira pamoyo uliwonse wathanzi, koma kuthana ndi kupsinjika ndikofunikira makamaka ndi matenda opatsirana otupa. Izi ndichifukwa choti, zomwe zimapangitsa kuti zizindikilo zanu ziwonjezeke.

Mutha kuyesa njira zanu zothanirana ndi nkhawa, monga mapulogalamu osinkhasinkha kapena makanema, kupuma kozama, kapena yoga.

Ndibwinonso kuyankhula ndi othandizira kuti mupezenso zida zina zatsopano zokuthandizani kupsinjika, makamaka ngati muli ndi nkhawa zambiri.

Tengani acetaminophen kupweteka

Pazovuta zochepa komanso zowawa (monga nthawi yomwe mumadwala mutu kapena kupweteka kwa minofu), tikulimbikitsidwa kuti mutenge acetaminophen (Tylenol). Pewani ibuprofen (Advil), naproxen (Aleve), ndi aspirin, chifukwa izi zimatha kuyambitsa mkwiyo.

Lekani kusuta

Kusuta kumatha kukulitsa zizindikilo, kuyambitsa moto, ndikupangitsa kuti mankhwala anu asamagwire bwino ntchito.

Kusiya kusuta, ngakhale munthu wakhala akusuta nthawi yayitali bwanji ndipo wakhala ndi Crohn's, wapezeka kuti amathandizira kuthana ndi zizindikilo.

Sungani magazini yazakudya

Kafukufuku sanapeze kuti chakudya chimodzi kapena chakudya chimodzi chimathandiza a Crohn's, koma chifukwa ndimatenda amunthu payekha, pakhoza kukhala zakudya zina zomwe zimayambitsa zizindikiro kwa inu.

Kusunga magazini yazakudya ndi kudya chakudya chopatsa thanzi, kumatha kukuthandizani kupeza michere yomwe mukufunikira ndikuzindikira zakudya zilizonse zomwe zingawonjezere matenda anu.

Malire a caffeine ndi mowa

Kumwa mopitirira muyeso ndi mowa kumatha kukulitsa zizindikilo, makamaka panthawi yamoto.

Kutenga

Matenda a Crohn ndi mtundu wa IBD womwe umakhudza aliyense mosiyanasiyana.

Pali mitundu yosiyanasiyana ya Crohn's yomwe ingakhudze magawo osiyanasiyana amachitidwe a GI. Zizindikiro zimasiyanasiyana kutengera gawo lomwe limakhudza GI ndikulimba kwake.

Chifukwa Crohn's ndimatenda amoyo omwe samakhudza aliyense mofananamo, mudzafunika kugwira ntchito ndi dokotala kuti mupange dongosolo lamankhwala lomwe lingaphatikizepo mankhwala, kusintha kwa moyo, kapena opaleshoni.