Isifo seCrohn - ukukhipha

Isifo seCrohn yisifo lapho izingxenye zomgudu wokugaya zivuvuka. Luhlobo lwesifo samathumbu esivuthayo.

Ubusesibhedlela ngoba unesifo seCrohn. Lokhu ukuvuvukala kobuso kanye nezendlalelo ezijulile zamathumbu amancane, amathumbu amakhulu, noma zombili.

Kungenzeka ukuthi uke waba nezivivinyo, ukuhlolwa kwelebhu, nama-x-ray. Ingaphakathi le-rectum yakho nekholoni kungenzeka lihlolwe kusetshenziswa ithubhu eliguqukayo (i-colonoscopy). Isampula lezicubu zakho (i-biopsy) kungenzeka ukuthi lathathwa.

Kungenzeka ucelwe ukuthi ungadli noma uphuze noma yini futhi wondliwe kuphela ngomugqa ofaka imithambo. Kungenzeka ukuthi uthole izakhi zomzimba ezikhethekile ngepayipi lokudla.

Kungenzeka futhi ukuthi uqale ukuthatha imithi emisha yokwelapha isifo sakho seCrohn.

Ukuhlinzwa okungenzeka ukuthi unakho kufaka ukulungiswa kwe-fistula, ukuvuselelwa kwamathumbu amancane, noma i-ileostomy.

Ngemuva kokuqhuma kwesifo sakho seCrohn, ungahle ukhathele futhi ube namandla amancane kunakuqala. Lokhu kufanele kube ngcono. Buza umhlinzeki wakho wezempilo nganoma yimiphi imiphumela emibi evela emithini yakho emisha. Kufanele ubone umhlinzeki wakho njalo. Ungadinga futhi ukuhlolwa kwegazi njalo, ikakhulukazi uma unemithi emisha.

Uma ubuyele ekhaya nepayipi lokuphakela, kuzodingeka ufunde ukuthi uyisebenzisa kanjani futhi uyihlanze kanjani ithubhu nesikhumba sakho lapho ishubhu lingena khona emzimbeni wakho.

Lapho uqala ukuya ekhaya, ungacelwa ukuthi uphuze iziphuzo kuphela noma udle ukudla okwehlukile kulokho ojwayele ukukudla. Buza umhlinzeki wakho ukuthi ungaqala nini ukudla kwakho okuvamile.

Kufanele udle ukudla okunomsoco, okunempilo. Kubalulekile ukuthi uthole ama-calories anele, amaprotheni, kanye nezakhamzimba ezibalulekile ezivela emaqenjini ahlukahlukene okudla.

Ukudla neziphuzo ezithile kungenza izimpawu zakho zibe zimbi kakhulu. Lokhu kudla kungakudalela izinkinga ngaso sonke isikhathi noma kuphela ngesikhathi sokuqhuma. Zama ukugwema ukudla okwenza izimpawu zakho zibe zimbi kakhulu.

• Uma umzimba wakho ungakugayi kahle ukudla okobisi, nciphisa imikhiqizo yobisi. Zama ushizi we-lactose ephansi, njengeSwitzerland ne-cheddar, noma umkhiqizo we-enzyme, njengeLactaid, ukusiza ukudiliza i-lactose. Uma kufanele uyeke ukudla imikhiqizo yobisi, khuluma nesazi sokudla mayelana nokuthola i-calcium eyanele. Abanye ochwepheshe bakholelwa ukuthi kufanele ugweme imikhiqizo yobisi ngokuphelele uze ubekezelele indlela odla ngayo njalo.
• I-fiber eningi ingenza izimpawu zakho zibe zimbi kakhulu. Zama ukubhaka noma ukupheka izithelo nemifino uma ukuzidla kungaluhluphi kukukhathaza. Yidla ukudla okune-fiber encane uma lokho kungakusizi ngokwanele.
• Gwema ukudla okwaziwa njengokubangela igesi, njengobhontshisi, ukudla okubabayo, iklabishi, i-broccoli, ukholifulawa, amajusi wezithelo ezingavuthiwe, nezithelo, ikakhulukazi izithelo ezisawolintshi.
• Gwema noma ulinganisele utshwala ne-caffeine. Bangase benze isifo sohudo sakho sibe sibi kakhulu.

Yidla ukudla okuncane, futhi udle kaningi. Phuza iziphuzo eziningi.

Buza umhlinzeki wakho ngamavithamini namaminerali engeziwe ongawadinga:

• Izithako zensimbi (uma une-anemia)
• Izithako zokudla okunempilo
• Izithako ze-calcium nevithamini D ukusiza ukugcina amathambo akho eqinile
• Amavithamini B-12 adubula, ukuvimbela i-anemia.

Khuluma nesazi sokudla, ikakhulukazi uma ulahlekelwa isisindo noma ukudla kwakho kuncipha kakhulu.

Ungazizwa ukhathazekile ngokuthola ingozi yamathumbu, ukuphoxeka, noma uzizwe udabukile noma ucindezelekile. Ezinye izehlakalo ezicindezelayo empilweni yakho, njengokuhamba, ukulahleka kwemisebenzi, noma ukulahlekelwa othandekayo, zingadala izinkinga ngokugaya ukudla kwakho.

Lezi zeluleko zikusiza ukuphatha isifo sakho seCrohn:

• Joyina iqembu lokusekela. Buza umhlinzeki wakho ngamaqembu asendaweni yangakini.
• Ukuzivocavoca umzimba. Khuluma nomhlinzeki wakho ngohlelo lokuzivocavoca olulungele wena.
• Zama i-biofeedback ukunciphisa ukungezwani kwemisipha futhi wehlise izinga lokushaya kwenhliziyo yakho, izivivinyo zokuphefumula, i-hypnosis, noma ezinye izindlela zokuphumula. Izibonelo zifaka phakathi ukwenza i-yoga, ukulalela umculo, ukufunda noma ukungena emanzini okugeza afudumele.
• Bheka uchwepheshe wezempilo yengqondo ukuze uthole usizo uma kunesidingo.

Umhlinzeki wakho angakunika ezinye izidakamizwa ukusiza ukukhulula izimpawu zakho. Ngokuya ngokuthi isifo sakho seCrohn sibi kangakanani nokuthi uphendula kanjani ekwelashweni, umhlinzeki wakho angancoma eyodwa noma ngaphezulu yale mithi:

• Imithi elwa nohudo ingasiza uma unesifo sohudo esibi kakhulu. I-Loperamide (Imodium) ingathengwa ngaphandle kwemithi kadokotela. Hlala ukhuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi.
• Izithako ze-fiber zingasiza izimpawu zakho. Ungathenga i-psyllium powder (Metamucil) noma i-methylcellulose (i-Citrucel) ngaphandle kwemithi kadokotela. Buza umhlinzeki wakho mayelana nalokhu.
• Njalo khuluma nomhlinzeki wakho ngaphambi kokusebenzisa noma yimiphi imithi yokuthambisa.
• Ungasebenzisa i-acetaminophen (iTylenol) ngobuhlungu obuncane. Izidakamizwa ezifana ne-aspirin, ibuprofen (Advil, Motrin), noma naproxen (Aleve, Naprosyn) zingenza izimpawu zakho zibe zimbi kakhulu. Khuluma nomhlinzeki wakho ngemithi ongayisebenzisa. Ungadinga incwadi kadokotela yemithi yezinhlungu enamandla.

Kunezinhlobo eziningi zezidakamizwa ezingasiza ukuvimbela noma ukwelapha ukuhlaselwa yisifo sakho seCrohn.

Shayela umhlinzeki wakho uma une:

• Amajaqamba noma ubuhlungu endaweni yakho yesisu engezansi
• Uhudo olunegazi, imvamisa lunamafinyila noma ubomvu
• Uhudo olungalawulwa ngezinguquko zokudla nezidakamizwa
• Ukwehla kwesisindo (kuwo wonke umuntu) nokwehluleka ukuthola isisindo (ezinganeni)
• Ukopha okungatheni, amanzi, noma izilonda
• Imfiva ehlala izinsuku ezingaphezu kwezingu-2 noma ezi-3, noma umkhuhlane ongaphezu kuka-100.4 ° F (38 ° C) ngaphandle kwencazelo
• Isicanucanu nokuhlanza okuhlala isikhathi esingaphezu kosuku
• Izilonda zesikhumba noma izilonda ezingapholi
• Ubuhlungu obuhlangene obukugcina ungenzi imisebenzi yakho yansuku zonke
• Imiphumela emibi evela kunoma imiphi imithi enqunyelwe isimo sakho

Isifo samathumbu esivuthayo - isifo sikaCrohn - ukukhipha; Ukungena kwesifunda - ukukhishwa; Ileitis - ukukhishwa; Ileocolitis enobuthi - ukukhishwa; Colitis - ukukhishwa

• Isifo samathumbu esivuthayo

USandborn WJ. Ukuhlolwa nokwelashwa kwesifo sikaCrohn: ithuluzi lesinqumo lomtholampilo. I-Gastroenterology. 2014; 147 (3): 702-705. I-PMID: 25046160 www.ncbi.nlm.nih.gov/pubmed/25046160.

Isihlabathi BE, Siegel CA. Isifo sikaCrohn.Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 115.

I-Swaroop PP. Isifo samathumbu esivuthayo: Isifo seCrohn kanye nesilonda esilimaza izilonda Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 224-230.

• Isifo seCrohn
• Ileostomy
• Ukuthengiswa kabusha kwamathumbu amancane

• Uhudo - yini ongayibuza udokotela - ingane yakho
• Uhudo - yini ongayibuza umhlinzeki wakho wezokunakekelwa kwempilo - umuntu omdala
• Ukudla okunomsoco - izinkinga zokuphatha izingane
• Ishubhu yokudla ye-Gastrostomy - bolus
• Ileostomy nengane yakho
• Ileostomy nokudla kwakho
• Ileostomy - ukunakekela i-stoma yakho
• Ileostomy - ukukhishwa
• Ishubhu yokudla yeJejunostomy
• Ukuphila ne-ileostomy yakho
• Ukudla okuphansi kwe-fiber
• Nasogastric yokudla tube
• Ukukhishwa kwamathumbu amancane - ukukhishwa

• Izifo zikaCrohn