6 Mafunso Aliyense wa Crohnie Amafunsa Gastro Wawo

Zamkati

• 1. Kodi njira zanga zochiritsira ndi ziti?
• Mankhwala
• Zakudya
• Opaleshoni
• 2. Mungandiuze chiyani za biologics?
• 3. Kodi ndi njira ziti zamankhwala zolimbikitsira matenda omwe ndili nawo?
• 4. Mumatha bwanji kukhululuka?
• 5. Kodi chithandizo chamankhwala chamtundu wina chingathandize?
• 6. Kodi muli ndi upangiri wotani wamakhalidwe abwino?
• Kutenga

Crohn ndi chikhalidwe cha moyo wonse chomwe chimafuna kupitiliza kuwongolera ndikuwunika. Ndikofunika kuti muzimasuka kulankhula ndi gastroenterologist wanu. Ndinu gulu la omwe mumawasamalira, ndipo maimidwe anu akuyenera kukuchititsani kumva kuti muli ndi mphamvu.

Kupeza dokotala woyenera kwa inu ndi gawo lofunikira pakusamalira bwino matenda. Khalani ndi zolemba polemba mafunso a dokotala wanu akamadzuka ndikubwera nawo nthawi iliyonse. Mungayambe ndi mafunso asanu ndi limodzi pansipa.

Mukakhala ndi chidziwitso chochuluka, mudzakhala okonzeka bwino kuthana ndi vuto lanu, komanso kuzindikira komwe mungapezere chithandizo cha dokotala wanu.

1. Kodi njira zanga zochiritsira ndi ziti?

Dokotala wanu ayenera kuti akupatseni inu chidziwitso cha njira zamankhwala zomwe zingapezeke ndi matenda a Crohn. Crohn's siyichiritsika, chifukwa chake cholinga cha chithandizo ndikuyika vutoli pakukhululuka pochepetsa kutupa. Izi zitha kuchitika m'njira zingapo:

Mankhwala

Pali mankhwala omwe mungamwe kuti muchiritse a Crohn's:

• Aminosalicylates (5-ASA) amachepetsa kutupa m'mbali mwa kholingo.
• Corticosteroids kupondereza chitetezo chonse cha mthupi.
• Ma Immunomodulators kuchepetsa kutupa mwa kupondereza chitetezo cha mthupi.
• Maantibayotiki thandizani matenda monga zilonda.
• Mankhwala ochiritsira chandamale ndikuchepetsa kuyankha kwamatenda.

Mankhwala aliwonse ali ndi zabwino komanso zoyipa zomwe dokotala angafotokozere.

Zakudya

Chakudya ndi matenda a Crohn ali ndi ubale wovuta. Zakudya zina zimatha kuyambitsa moto, kuzipangitsa kuti zizipewa. Zitsanzo zimaphatikizapo mkaka, mafuta, ndi ulusi. Pazovuta zazikulu, chithandizo chitha kuphatikizira kupumula kwakanthawi m'matumbo.

Njirayi imafuna kupuma pang'ono kuchokera ku zakudya zina kapena zakudya zonse ndikulandila michere kudzera m'madzi olowa mkati.

Kutupa kwamatumbo kumatha kusokoneza kuyamwa kwa michere. Ndicho chifukwa chake kusowa kwa zakudya m'thupi kumakhala kovuta kwa Crohn's. Dokotala wanu angakupatseni njira zothanirana ndi vuto lazakudya za Crohn.

Opaleshoni

Nthawi zina opaleshoni imafunika kuchiza ma Crohn's. Izi zimachitika kuti akonze kapena kuchotsa magawo omwe ali ndi matenda am'mimba, kapena kuti athetse vuto ladzidzidzi monga kutsekeka kwa matumbo. Funsani dokotala wanu za zomwe muyenera kukwaniritsa musanachite opaleshoni.

2. Mungandiuze chiyani za biologics?

Biologics ndi njira zatsopano zamankhwala zothandizira Crohn's. Ndiwo mankhwala opangidwa kuchokera m'maselo amoyo, ndipo amagwira ntchito molunjika pakatupa.

Ena mwa iwo amalimbana ndi chotupa chotchedwa necrosis factor (TNF) kuti muchepetse kutupa komwe kumayambitsa. Ena amaletsa kusuntha kwa tinthu tating'onoting'ono tomwe timatupa mthupi, monga m'matumbo, ndikupatsa maderawa nthawi yopuma ndi kuchira.

Biologics imabwera ndi zovuta, makamaka zokhudzana ndi chitetezo chokwanira. Funsani dokotala wanu za ubwino ndi kuipa kwa njirayi kuti muwone ngati ili yoyenera kwa inu.

3. Kodi ndi njira ziti zamankhwala zolimbikitsira matenda omwe ndili nawo?

Malangizo othandizira kuchiza matenda a Crohn adakhazikitsidwa ndi zizindikiritso za munthu komanso mawonekedwe ake. Dokotala wanu adzaganiziranso zotsatira za mayeso anu azachipatala. Mankhwala omwe angakuthandizeni kwambiri amatsimikiziridwa ndi izi.

Malingana ndi kuopsa kwa matenda anu a Crohn, dokotala wanu angakulimbikitseni biologic nthawi yomweyo. Pazigawo zochepa za Crohn's, ma steroids atha kukhala mankhwala oyamba omwe dokotala amakupatsani.

Khalani okonzeka kukambirana za matenda anu onse a Crohn ndi dokotala kuti athe kukuthandizani kupeza chithandizo chabwino kwambiri.

4. Mumatha bwanji kukhululuka?

Kusamalira kukhululukidwa kumaphatikizapo kuyang'anira momwe muliri komanso kukutetezani ku moto watsopano. Funsani dokotala kuti mupeze mayeso otani pafupipafupi, kuyambira pakuyang'ana kuchipatala mpaka kuyezetsa magazi ndi chopondapo.

Pachikhalidwe, madotolo amadalira zizindikilo zokha kuti anene ngati mukukhululukidwa. Nthawi zina zizindikiro sizikugwirizana ndi momwe Crohn amagwirira ntchito, ndipo kuyesa kwambiri kumapereka chidziwitso chabwinoko.

Funsani dokotala wanu za kupitiliza kumwa mankhwala mukakhululukidwa. Iyi ndiyo njira yolimbikitsidwa kawirikawiri. Cholinga ndikutetezani kuti musatenge moto watsopano.

Nthawi zambiri, dokotala wanu amakulangizani kuti mukhalebe pamankhwala omwewo omwe amakupatsani chikhululukiro, ndikupitiliza kuwamwa bola ngati alibe zovuta zilizonse.

Ngati mutagwiritsa ntchito steroid kuti mukwaniritse chikhululukiro, dokotala wanu atha kukuchotsani pa steroid ndikuyamba immunomodulator kapena biologic m'malo mwake.

5. Kodi chithandizo chamankhwala chamtundu wina chingathandize?

Kafukufuku akuwonetsabe kuti njira zochiritsira zosagwiritsa ntchito njira zina zingalowe m'malo mwa mankhwala ochiritsira. Ngati mwasankha kuyesa zinthu monga mafuta a nsomba, maantibiotiki, kapena mankhwala azitsamba, funsani dokotala wanu koyamba kuti awonetsetse kuti sizikusokonezani mankhwala anu.

Komanso, njira zowonjezera siziyenera kulowa m'malo mwa mankhwala anu.

6. Kodi muli ndi upangiri wotani wamakhalidwe abwino?

Moyo wamoyo umakhala ndi gawo logwirika pamtundu uliwonse, ndipo a Crohn ndichonso. Funsani dokotala wanu za kuchepetsa nkhawa, kuchita masewera olimbitsa thupi, ndi zina zomwe mungachite monga kusiya kusuta.

Kutenga

Kupambana kwa chithandizo chanu kumadalira kutengapo gawo kwanu komanso ubale womwe muli nawo ndi dokotala wanu. Funsani mafunso ndipo yesetsani kuphunzira zambiri momwe mungathere. Mukamadziwa zambiri, mudzakwanitsa kuthana ndi matenda anu.