Isifo seCrohn - izingane - ukukhipha

Ingane yakho yelashelwe esibhedlela isifo seCrohn. Le ndatshana ikutshela ukuthi uyinakekela kanjani ingane yakho ekhaya ngemuva kwalokho.

Ingane yakho ibisesibhedlela ngenxa yesifo i-Crohn. Lokhu ukuvuvukala kobuso kanye nezendlalelo ezijulile zamathumbu amancane, amathumbu amakhulu, noma zombili.

Lesi sifo singaba mnene noma sibe nzima. Ingane yakho kungenzeka ukuthi ibinezivivinyo, izivivinyo zebhu, nama-x-ray. Umhlinzeki wezokunakekelwa kwempilo kungenzeka ukuthi wahlola ingaphakathi lengxenyeni nekholoni yengane yakho esebenzisa ithubhu eliguquguqukayo (colonoscopy). Isampula lesicubu (i-biopsy) kungenzeka ukuthi lathathwa.

Ingane yakho kungenzeka ukuthi icelwe ukuthi ingadli noma ingaphuzi noma yini futhi yondliwe kuphela nge-IV (intambo efakwa emithanjeni). Kungenzeka ukuthi bathole izakhamzimba ezikhethekile ngepayipi lokudla.

Ingane yakho kungenzeka ukuthi isiqalile ukuthatha imithi yokwelapha isifo seCrohn.

Ingane yakho futhi kungenzeka ukuthi ibidinga eyodwa yalezi zinhlobo zokuhlinzwa:

• Ukulungiswa kwefistula
• Ukuthengiswa kabusha kwamathumbu amancane
• Ileostomy
• I-colectomy engaphelele noma ephelele

Ngemuva kokuqubuka kwesifo seCrohn, ingane yakho ingahle ikhathele kakhulu futhi ibe namandla amancane kunakuqala. Lokhu kufanele kube ngcono. Buza umhlinzeki wengane yakho nganoma yimiphi imiphumela emibi evela kunoma yimiphi imithi emisha. Kufanele ubone umhlinzeki wengane yakho njalo. Ingane yakho nayo ingadinga ukuhlolwa kwegazi njalo, ikakhulukazi uma itholakala emithini emisha.

Uma ingane yakho iye ekhaya ne-tube yokuphakela, kuzodingeka ufunde ukuthi uyisebenzisa kanjani futhi uyihlanze kanjani ithubhu nendawo lapho ishubhu lingena khona emzimbeni wengane yakho. Uma ingane yakho ikhule ngokwanele, ungayisiza ukuthi ifunde ngalesi sifo nokuthi ingazinakekela kanjani nayo.

Lapho ingane yakho iqala ukuya ekhaya, ingakwazi kuphela ukuphuza iziphuzo. Noma, kungadingeka badle ukudla okwehlukile kulokho abajwayele ukukudla. Buza umhlinzeki ukuthi ingane yakho ingaqala nini ukudla ukudla okujwayelekile.

Kufanele unikeze ingane yakho:

• Ukudla okunomsoco, okunempilo. Kubalulekile ukuthi ingane yakho ithole amakhalori anele, amaprotheni, kanye nezakhi zomzimba ezivela emaqenjini ahlukahlukene okudla.
• Ukudla okungenawo amafutha amaningi noshukela.
• Ukudla okuncane, okuvamile kanye noketshezi oluningi.

Ukudla neziphuzo ezithile kungenza izimpawu zengane yakho zibe zimbi kakhulu. Lokhu kudla kungadala izinkinga kubo ngaso sonke isikhathi noma kuphela ngesikhathi sokuqhuma.

Zama ukugwema ukudla okulandelayo okungenza izimpawu zengane yakho zibe zimbi kakhulu:

• Uma bengakwazi ukugaya kahle ukudla okobisi, nciphisa imikhiqizo yobisi. Zama ushizi we-lactose ephansi, njengeSwitzerland ne-cheddar, noma umkhiqizo we-enzyme, njengeLactaid, ukusiza ukudiliza i-lactose. Uma ingane yakho kufanele iyeke ukudla imikhiqizo yobisi, khuluma nodokotela wezokudla ngokuqinisekisa ukuthi uthola i-calcium nevithamini D eyanele.
• I-fiber eningi ingenza izimpawu zibe zimbi kakhulu. Uma ukudla izithelo noma imifino eluhlaza kungabakhathaza, zama ukubhaka noma ukuwosa. Uma lokho kungakusizi ngokwanele, banike ukudla okune-fiber eningi.
• Gwema ukudla okwaziwa njengokubangela igesi, njengobhontshisi, ukudla okubabayo, iklabishi, i-broccoli, ukholifulawa, amajusi wezithelo ezingavuthiwe, nezithelo, ikakhulukazi izithelo ezisawolintshi.
• Gwema noma ulinganisele i-caffeine. Kungenza uhudo lube lubi kakhulu. Khumbula ukuthi amanye ama-soda, iziphuzo zamandla, itiye noshokoledi konke kune-caffeine.

Buza umhlinzeki wengane yakho ngamavithamini namaminerali engeziwe ingane yakho engadinga:

• Izithako zensimbi (uma zine-anemic)
• Izithako zokudla okunomsoco
• Izithako ze-calcium nevithamini D ukusiza ukugcina amathambo abo eqinile
• Amavithamini B-12 adubula, ukuvimbela i-anemia

Khuluma nodokotela wezokudla ukuze uqiniseke ukuthi ingane yakho ithola umsoco ofanele. Qiniseka ukuthi ukwenza lokhu uma ingane yakho yehlise isisindo noma ukudla kwayo kuncipha kakhulu.

Ingane yakho ingahle ikhathazeke ngokuthola ingozi yamathumbu, ihlazeke, noma idabuke noma icindezeleke ngokuba nalesi simo. Ingane yakho ingakuthola kunzima ngisho nokuhlanganyela emisebenzini esikoleni. Ungayondla ingane yakho futhi uyisize iqonde ukuthi ingaphila kanjani nalesi sifo.

Lezi zeluleko zingakusiza ukuphatha isifo se-Crohn yengane yakho:

• Khuluma ngokukhululekile nengane yakho bese uphendula yonke imibuzo yakhe mayelana nalesi simo.
• Siza ingane yakho isebenze. Khuluma nomhlinzeki wengane yakho ngemisebenzi nokuzivocavoca ingane yakho engakwenza.
• Izinto ezilula njengokukwenza i-yoga noma i-tai chi, ukulalela umculo, ukuzivocavoca umzimba, ukuzindla, ukufunda noma ukungena ebhavini efudumele kungayiphumuza ingane yakho futhi kukusize ekunciphiseni ukucindezeleka.
• Cela ingane yakho ibone umeluleki ongayisiza ithole ukuzethemba.
• Qaphela uma ingane yakho ilahlekelwa intshisakalo esikoleni, kubangani nakwimisebenzi. Uma ucabanga ukuthi ingane yakho ingahle icindezeleke, khuluma nomeluleki wezempilo yengqondo.

Ungahle ufune ukujoyina iqembu losizo ukukusiza wena nengane yakho ukuphatha lesi sifo. ICrohn's & Colitis Foundation of America (CCFA) ingelinye lala maqembu. I-CCFA inikezela ngohlu lwezinsizakusebenza, i-database yodokotela abagxile ekwelapheni isifo seCrohn, imininingwane ngamaqembu osizo endawo, kanye newebhusayithi yentsha - www.crohnscolitisfoundation.org.

Umhlinzeki wengane yakho anganikeza ingane yakho umuthi wokusiza ukukhulula izimpawu. Umhlinzeki anganikeza umuthi owodwa noma eminingi elandelayo ngokuya ngobukhulu besifo se-Crohn sengane yakho nokuthi ingane yakho isabela kanjani ekwelashweni:

• Imithi elwa nohudo ingasiza lapho ingane yakho inohudo olubi. I-Loperamide (Imodium) ingathengwa ngaphandle kwemithi kadokotela. Hlala ukhuluma nomhlinzeki wengane yakho ngaphambi kokusebenzisa le mithi.
• Izithako ze-fiber zingasiza izimpawu zengane yakho. Ungathenga i-psyllium powder (Metamucil) noma i-methylcellulose (i-Citrucel) ngaphandle kwemithi kadokotela.
• Hlala ukhuluma nomhlinzeki wengane yakho ngaphambi kokusebenzisa noma yimiphi imithi yokuthambisa.
• Unganikeza ingane yakho i-acetaminophen ngobuhlungu obuncane. Izidakamizwa ezifana ne-aspirin, ibuprofen, noma i-naproxen zingenza izimpawu zibe zimbi kakhulu. Khuluma nomhlinzeki wengane yakho mayelana nokuthi imiphi imithi ongayisebenzisa. Ungadinga incwadi kadokotela yemithi yezinhlungu enamandla.

Kunezinhlobo eziningi zezidakamizwa ezingasiza ukuvimbela noma ukwelapha ukuhlaselwa yisifo sakho seCrohn. Eminye ingaba nemiphumela emibi kakhulu. Ingane yakho cishe izonikezwa omunye wale mithi uma nje isilulama ekuhlinzweni.

Ungenza futhi okulandelayo ukusiza ingane yakho:

• Khuluma nengane yakho ngomuthi. Siza ingane yakho ukuthi iqonde ukusetshenziswa kwemithi ezobe iyiphuza nokuthi izoyisiza kanjani ukuthi izizwe ingcono. Lokhu kuzosiza ingane yakho ukuthi iqonde ukuthi kungani kubalulekile ukuthatha umuthi njengokuyalelwa.
• Uma ingane yakho ikhule ngokwanele, fundisa ingane yakho ukuthi ingayiphuza kanjani imithi iyodwa.

Imithi ecindezela amasosha omzimba inengozi yokuba nezinkinga. Uma ingane yakho ithatha le mithi, umhlinzeki angafuna ukubona ingane yakho njalo ezinyangeni ezintathu ukuze ahlole noma yiziphi izinkinga ezingaba khona.

Kufanele ushayele umhlinzeki uma ingane yakho ine:

• Ukuqunjelwa noma ubuhlungu endaweni engezansi yesisu
• Uhudo olunegazi, imvamisa lunamafinyila noma ubomvu
• Uhudo olungalawulwa ngezinguquko zokudla nezidakamizwa
• Izinkinga zokuthola isisindo
• 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 obugcina ingane yakho ekwenzeni imisebenzi yansuku zonke
• Imiphumela emibi evela kunoma imiphi imithi ingane yakho eyiphuzayo

Izifo ezivuthayo zamathumbu ezinganeni - isifo seCrohn; I-IBD ezinganeni - isifo seCrohn; I-enteritis yesifunda - izingane; Ileitis - izingane; Ileroitis yesifo - izingane; I-colitis ezinganeni; CD - izingane

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Nguyen GC, Loftus EV Jr, Hirano I, et al. Umhlahlandlela we-American Gastroenterological Association Institute ekuphathweni kwesifo sikaCrohn ngemuva kokuhlinzwa kabusha. I-Gastroenterology. 2017; 152 (1): 271-275. I-PMID: 27840074 pubmed.ncbi.nlm.nih.gov/27840074/.

UStein RE, uBaldassano RN. Isifo samathumbu esivuthayo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 362.

UStewart C, uKocoshis SA. Ukuphazamiseka nezifo zomgudu wamathumbu nesibindi. Ku: Fuhrman BP, Zimmerman JJ, ama-eds.Ukunakekelwa Okubalulekile Kwezingane. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2017: isahluko 97.

UVelazco CS, McMahon L, Ostlie DJ. Isifo samathumbu esivuthayo. Ku: Holcomb GW, Murphy JP, St Peter SD, ama-eds.Ukuhlinzwa Kwezingane zeHolcomb ne-Ashcraft. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 41.

• Izifo zikaCrohn