Mimba ndi Matenda a Crohn

Zamkati

• Kodi muyenera kutenga mimba?
• Mimba ndi chithandizo chaumoyo cha Crohn
• Mimba ndi chithandizo cha Crohn
• Chibadwa cha Crohn's

Matenda a Crohn nthawi zambiri amapezeka pakati pa zaka 15 ndi 25 - pachimake pa kubereka kwa amayi.

Ngati ndinu a msinkhu wobereka ndipo muli ndi a Crohn, mungadabwe ngati kutenga pakati ndi njira. Amayi omwe ali ndi Crohn ali ndi mwayi wokhala ndi pakati monga omwe alibe Crohn.

Komabe, zilonda zam'mimba ndi zam'mimba zimatha kulepheretsa chonde. Izi ndizowona makamaka pakuchita opareshoni ngati pang'ono kapena kwathunthu colectomy - kuchotsa gawo kapena matumbo onse akulu.

Kodi muyenera kutenga mimba?

Ndibwino kutenga pakati pamene matenda anu a Crohn akuyang'aniridwa. Muyenera kukhala opanda ziphuphu kwa miyezi itatu kapena isanu ndi umodzi yapitayo ndipo simukumwa ma corticosteroids. Muyenera kusamala kwambiri ndi mankhwala anu a Crohn pomwe mukufuna kukhala ndi pakati. Lankhulani ndi inu dokotala za zabwino ndi zoyipa zopitilira mankhwala panthawi yapakati ndi yoyamwitsa. Kuwotcha kwa Crohn panthawi yomwe ali ndi pakati kumatha kuwonjezera chiopsezo chantchito yoyambirira komanso makanda ochepa.

Idyani chakudya chopatsa thanzi, chopatsa mavitamini. Folic acid ndiyofunikira makamaka kwa amayi apakati. Ndiwo mawonekedwe a folate, vitamini B yomwe imapezeka mwachilengedwe mu zipatso ndi ndiwo zamasamba zambiri.

Mbiri imathandizira kupanga DNA ndi RNA. Izi zimapangitsa kuti pakhale gawo lofunikira kwambiri pagawo loyambirira mwachangu la mimba. Zimatetezeranso kuchepa kwa magazi m'thupi komanso kuteteza DNA kuzosintha zomwe zitha kukhala khansa.

Zakudya zomwe zimakhala ndi zinthu monga:

• nyemba
• burokoli
• sipinachi
• Zipatso za Brussels
• zipatso za citrus
• chiponde

Zakudya zina za folate zimatha kukhala zolimba pakagwiritsidwe ngati muli ndi Crohn's. Dokotala wanu angakulimbikitseni kupatsirana kwa folic acid musanafike komanso mukakhala ndi pakati.

Mimba ndi chithandizo chaumoyo cha Crohn

Gulu lanu lazachipatala liphatikizira gastroenterologist, mayi wobereka, wodyetsa, komanso dokotala wamba. Adzawunika momwe mukuyendera ngati wodwala yemwe ali pachiwopsezo chachikulu. Kukhala ndi matenda a Crohn kumawonjezera mwayi wanu wamavuto monga kuperewera padera komanso kubereka msanga.

Wodwala wanu angakulimbikitseni kusiya mankhwala a Crohn kuti akhale ndi thanzi la mwana wosabadwayo. Koma, kusintha kwa mankhwala omwe muli nawo panthawi yapakati kumatha kukhudza matenda anu. Gastroenterologist wanu amatha kukulangizani zamankhwala osokoneza bongo kutengera kuopsa kwa matenda anu a Crohn.

Gwiritsani ntchito gastroenterologist wanu komanso azachipatala musanatenge mimba. Amatha kukuthandizani kuti mupange njira yothanirana ndi matendawa mukakhala ndi pakati.

Ndikofunika kuphunzira za mimba ndi matenda a Crohn. Gulu lanu lazachipatala liyenera kukuthandizani pazambiri ndi zomwe mungayembekezere. A ochokera ku United Kingdom adawonetsa kuti theka lokha la amayi apakati limamvetsetsa bwino mgwirizano pakati pa pakati ndi matenda a Crohn.

Mimba ndi chithandizo cha Crohn

Mankhwala ambiri ochizira a Crohn's atsimikiziridwa kukhala otetezeka kwa amayi apakati. Komabe, zina zimatha kubweretsa zovuta kubadwa. Komanso, mankhwala ena omwe amaletsa kutupa kuchokera ku matenda a Crohn (monga sulfasalazine) amatha kutsika kwambiri.

Kuperewera kwamankhwala kumatha kubweretsa kunenepa kochepa, kubereka msanga, komanso kumachedwetsa kukula kwa mwana. Kuperewera kwamankhwala kumathanso kuyambitsa zovuta za neural tube kubadwa. Zolakwazo zimatha kubweretsa kusokonezeka kwamanjenje, monga spina bifida (vuto la msana) ndi anencephaly (kapangidwe kabwino kaubongo). Lankhulani ndi dokotala wanu za kupeza mlingo woyenera wa folate.

Amayi omwe ali ndi Crohn amatha kubereka kumaliseche. Koma akukumana ndi zizindikiritso zamatenda a perianal, njira yoberekera ndiyofunika.

Kubereka kwaareya ndiye njira yabwino kwambiri kwa azimayi omwe ali ndi leal pouch-anal anastomosis (J pouch) kapena matumbo resection. Zithandizira kuchepetsa mavuto amtsogolo amtsogolo ndikuteteza magwiridwe antchito a sphincter.

Chibadwa cha Crohn's

Chibadwa chikuwoneka kuti chimagwira nawo ntchito pakukula matenda a Crohn. Anthu achiyuda a Ashkenazi ali ndi mwayi wopitilira 3 mpaka 8 kuposa anthu omwe si achiyuda kuti apange ma Crohn's. Koma pakadali pano, palibe mayeso omwe anganeneratu yemwe angalandire.

Zochitika zazikulu kwambiri za Crohn's zimanenedwa ku Europe, North America, Australia, Japan, ndi kumapeto kwa South America. Pali zochitika zambiri za matenda a Crohn m'mizinda kuposa anthu akumidzi. Izi zikusonyeza kulumikizana kwachilengedwe.

Kusuta ndudu kumalumikizananso ndi ziphuphu za Crohn. Kusuta kumatha kukulitsa matendawa mpaka kufika pochita opaleshoni. Amayi apakati omwe ali ndi Crohn omwe amasuta ayenera kusiya nthawi yomweyo. Izi zithandizira a Crohn's komanso kupititsa patsogolo mimba.