Kodi Ndi Crohn's kapena Just a Upset Stomach?

Zamkati

• Mimba
• Nchiyani chimayambitsa m'mimba kukwiya?
• Kodi matenda a Crohn ndi ati?
• Zizindikiro zomwe zimakhudzana ndi vuto lakumimba
• Kuchiza m'mimba
• Chotsani zamadzimadzi
• Chakudya
• Mankhwala
• Nthawi yakudera nkhawa za m'mimba
• Chiwonetsero
• Funso:
• Yankho:

Chidule

Gastroenteritis (matenda opatsirana m'mimba kapena chimfine cham'mimba) amatha kugawana zizindikiro zambiri ndi matenda a Crohn. Zambiri zimatha kuyambitsa matenda am'mimba, kuphatikiza:

• matenda obwera chifukwa cha chakudya
• ziwengo zokhudzana ndi chakudya
• kutupa matumbo
• tiziromboti
• mabakiteriya
• mavairasi

Dokotala wanu adzakupatsani matenda a Crohn atatha kuchotsa zina zomwe zingayambitse matenda anu. Ndikofunika kuti mumvetsetse zomwe zimakhumudwitsa m'mimba musanaganize kuti mukudwala kwambiri.

Mimba

Mimba ndi chiwalo chomwe chili pamimba chapakati pakati pammero ndi m'matumbo ang'ono. Mimba imagwira ntchito zotsatirazi:

• amadya ndikuphwanya chakudya
• amawononga othandizira akunja
• zothandiza pakudya
• amatumiza zizindikiro ku ubongo mukakhuta

Mimba imathandiza kupewa matenda ndikubisa asidi m'kati mwake omwe amayambitsa mabakiteriya owopsa ndi mavairasi omwe mumadya.

Matumbo ang'onoang'ono amatenga zakudya zambiri zomwe mumadya. Ndipo m'mimba mumathandizira kuwononga ma amino acid komanso kuyamwa shuga wosavuta, monga shuga. Mmimba umaphwanyanso mankhwala ena, monga aspirin. Sphincter, kapena valavu, pansi pamimba imayang'anira kuchuluka kwa chakudya chomwe chimalowa m'matumbo ang'onoang'ono.

Nchiyani chimayambitsa m'mimba kukwiya?

Kutupa (kutupa) kwa m'mimba ndikumatumbo ndizomwe zimawoneka ngati wakwiya m'mimba. Nthawi zina imayambitsidwa ndi kachilombo, ngakhale itha kukhalanso chifukwa cha tiziromboti, kapena chifukwa cha mabakiteriya monga salmonella kapena E. coli.

Nthawi zina, kusokonezeka ndi mtundu wina wa chakudya kapena kukwiya kumayambitsa kukhumudwa m'mimba. Izi zitha kuchitika chifukwa chomwa mowa kwambiri kapena caffeine. Kudya zakudya zamafuta zambiri - kapena chakudya chochuluka - kumathanso kukhumudwitsa m'mimba.

Kodi matenda a Crohn ndi ati?

Matenda a Crohn ndichinthu chokhazikika (chosatha) chomwe chimapangitsa kuti thirakiti la m'mimba (GI) liziwayaka. Ngakhale kuti m'mimba mungakhudzidwe, a Crohn amapitilira gawo ili la thirakiti la GI. Kutupa kumathanso kuchitika mu:

• matumbo ang'onoang'ono
• pakamwa
• kum'mero
• m'matumbo
• chotulukira

Matenda a Crohn amatha kupweteketsa m'mimba, koma mumakhalanso ndi zizindikiro zina kuphatikizapo:

• kutsegula m'mimba
• kuonda
• kutopa
• kuchepa kwa magazi m'thupi
• kupweteka pamodzi

Zizindikiro zomwe zimakhudzana ndi vuto lakumimba

Zizindikiro zodziwika zakukhumudwa m'mimba zimaphatikizaponso:

• kupweteka m'mimba
• kukokana
• nseru (kapena popanda kusanza)
• kuwonjezeka kwa matumbo
• chopondapo kapena kutsegula m'mimba
• mutu
• kupweteka kwa thupi
• kuzizira (popanda kapena kutentha thupi)

Kuchiza m'mimba

Mwamwayi, nthawi zambiri kukhumudwa m'mimba kumatha kuchiritsidwa popanda kupita kwa dokotala. Chithandizo chikuyenera kuyang'ana pakudzaza madzi ndi kasamalidwe kazakudya. Mungafunenso maantibayotiki, koma pokhapokha ngati m'mimba mwayamba chifukwa cha mabakiteriya ena.

Chotsani zamadzimadzi

Kwa achikulire, University of Wisconsin-Madison amalimbikitsa kuti azidya zakudya zamadzi momveka bwino kwa maola 24 mpaka 36 oyamba m'mimba mwakwiya ndi nseru, kusanza, kapena kutsekula m'mimba. Onetsetsani kuti mumamwa madzi ambiri, zakumwa zamasewera, kapena zakumwa zina zomveka bwino (2 mpaka 3 malita patsiku). Muyeneranso kupewa zakudya zolimba, caffeine, ndi mowa.

Yembekezani ola limodzi kapena awiri musanayese kumwa madzi pang'ono ngati mukusanzanso. Mutha kuyamwa tchipisi kapena madzi oundana. Ngati mumalekerera izi, mutha kupita kuzakumwa zina zomveka bwino, kuphatikizapo zakumwa zopanda khofi, monga:

• ginger ale
• 7-Up
• tiyi wopanda mchere
• msuzi woyera
• timadziti tosungunuka (msuzi wa apulo ndiye wabwino kwambiri)

Pewani timadziti ta zipatso monga madzi a lalanje.

Chakudya

Mutha kuyesa kudya zakudya zopanda pake ngati mukulekerera zakumwa zomveka bwino. Izi zikuphatikiza:

• opanga mchere
• mkate wofiira wofufumitsa
• mbatata yophika
• mpunga woyera
• maapulosi
• nthochi
• yogurt wokhala ndi ma probiotic achikhalidwe
• tchizi cha koteji
• nyama yowonda, ngati nkhuku yopanda khungu

Asayansi akuwunika kugwiritsa ntchito maantibiotiki popewa komanso kuchiza zomwe zimayambitsa matenda am'mimba. Mitundu yabwino ya mabakiteriya yabwino ngati Lactobacillus ndipo Bifidobacteriumawonetsedwa kuti amachepetsa kutalika ndi kuwopsa kwa matenda otsekula m'mimba okhudzana ndi matenda a rotavirus. Ochita kafukufuku akupitilizabe kuwunika nthawi, kutalika kwa momwe amagwiritsira ntchito, komanso kuchuluka kwa maantibiotiki ofunikira kuti athe kulandira chithandizo choyenera.

American Academy of Family Physicians yati akuluakulu amatha kuyambiranso kudya zakudya zabwinobwino ngati zizindikiro zikuyenda bwino patadutsa maola 24 mpaka 48. Komabe, pewani zakudya zina mpaka m'mimba mwanu mutapola. Izi zitha kutenga sabata limodzi kapena awiri. Zakudya izi ndi izi:

• zakudya zokometsera
• mkaka wopanda mkaka (monga mkaka ndi tchizi)
• mbewu zonse ndi zakudya zina zamtundu wapamwamba
• ndiwo zamasamba zosaphika
• zakudya zonenepetsa kapena zonenepa
• Kafeini ndi mowa

Mankhwala

Acetaminophen imatha kuletsa zizindikilo monga kutentha thupi, kupweteka mutu, komanso kupweteka kwa thupi. Pewani aspirin ndi ibuprofen chifukwa zimatha kukhumudwitsa m'mimba.

Kwa achikulire, bismuth subsalicylate (monga Pepto-Bismol) kapena loperamide hydrochloride (monga Imodium) imatha kuthandiza kutsekula m'mimba ndi chopondapo.

Nthawi yakudera nkhawa za m'mimba

Zizindikiro zambiri zam'mimba zokhumudwa zimayenera kuchepa mkati mwa maola 48 ngati mutatsata mankhwala omwe ali pamwambapa. Ngati simukuyamba kumva bwino, matenda a Crohn ndichomwe chimayambitsa matenda anu.

Muyenera kufunsa adotolo ngati muli ndi izi:

• kupweteka m'mimba komwe sikusintha pambuyo poyenda kapena kusanza
• kutsegula m'mimba kapena kusanza komwe kumakhalapo kwa maola opitilira 24
• kutsegula m'mimba kapena kusanza pamlingo wopitilira katatu pa ola limodzi
• malungo opitilira 101 ° F (38 ° C) omwe samasintha ndi acetaminophen
• magazi mu mpando kapena masanzi
• osakodza kwa maola asanu ndi limodzi kapena kupitilira apo
• mutu wopepuka
• kugunda kwamtima mwachangu
• kulephera kupititsa mpweya kapena kumaliza matumbo
• mafinya ngalande kuchokera ku anus

Chiwonetsero

Ngakhale zomwe zingayambitse vuto lakumimba, zizindikilo zimayenera kutha pakanthawi kochepa komanso chisamaliro choyenera. Kusiyanitsa ndi matenda a Crohn ndikuti zizindikilo zimangobwerabe kapena kupitilira popanda chenjezo. Kuchepetsa thupi, kutsegula m'mimba, ndi kukokana m'mimba kumatha kuchitika ku Crohn's. Ngati mukumane ndi zizindikiro zosalekeza, pitani kuchipatala. Musadziwonetsere nokha matenda osatha. Palibe mankhwala a matenda a Crohn, koma mutha kuthana ndi vutoli ndi mankhwala komanso kusintha kwa moyo.

Kulankhula ndi ena omwe akumvetsetsa zomwe mukukumana nako kungathandizenso. IBD Healthline ndi pulogalamu yaulere yomwe imakulumikizani ndi ena omwe mukukhala nawo ndi a Crohn kudzera pamauthenga am'modzi ndi m'modzi ndikukambirana pagulu. Komanso, pezani chidziwitso chovomerezedwa ndi akatswiri pakuwongolera matenda a Crohn mosavuta. Tsitsani pulogalamu ya iPhone kapena Android.

Funso:

Kodi anthu omwe ali ndi Crohn nthawi zambiri amamva kuwawa?

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Yankho:

Matenda a Crohn amakhudza m'mimba monse, kuyambira mkamwa mpaka kumatako. Komabe, kupweteka kopweteka komwe kumalumikizidwa ndi Crohn's, kuyambira pang'ono mpaka kwakukulu, kumakhala gawo lomaliza la m'matumbo ang'ono ndi colon yayikulu.

A Mark R. LaFlamme, a MDAma mayankho akuimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.