Izimpawu eziyisishiyagalombili zesifo sikaCrohn
-Delile
Izimpawu zokuqala zesifo sikaCrohn kungathatha izinyanga noma iminyaka ukuvela, ngoba kuya ngobukhulu bokuvuvukala. Ngaphezu kwalokho, abanye abantu bangathola isibonakaliso esisodwa noma eziningi futhi abasoli i-Crohn's, njengoba izimpawu zingadidaniswa nezinye izinkinga zamathumbu.
Yize izimpawu zingahluka kakhulu kuye ngomuntu, okuvame kakhulu kufaka:
- Uhudo olunamandla noluphikelelayo;
- Ubuhlungu endaweni yesisu;
- Ukuba khona kwegazi noma i-mucus esitokisini;
- Amajaqamba njalo esiswini;
- Isifiso esingazelelwe sokuzikhulula;
- Ukukhathala ngokweqile njalo;
- Umkhuhlane oqhubekayo phakathi kuka-37.5º kuya ku-38º;
- Ukwehla kwesisindo ngaphandle kwesizathu.
Lezi zimpawu zivame ukuvela ngezikhathi ezithile, ezaziwa ngokuthi "ukuxhuzula", bese zivame ukunyamalala ngokuphelele, kuze kube yilapho sekuvele ukubanjwa okusha.
Ngaphezu kwalokho, kwezinye izimo, lesi sifo singathinta namehlo, siwashiye evuvukala, ebomvu futhi ezwela ekukhanyeni, futhi singandisa nengozi yomdlavuza wamathumbu.
Ukuhlolwa Kwezimpawu ze-Crohn Online
Uma ucabanga ukuthi ungaba nesifo sikaCrohn, khetha izimpawu zakho bese uthola ukuthi ayini amathuba:
- 1. Izikhathi zohudo olunzima olunamafinyila noma igazi
- 2. Isifiso esiphuthumayo sokuzikhulula, ikakhulukazi ngemuva kokudla
- 3. Amajaqamba esiswini njalo
- 4. Isicanucanu noma ukuhlanza
- 5. Ukwehla kwesifiso sokudla nokuncipha
- 6. Imfiva ephansi eqhubekayo (phakathi kuka-37.5º no-38º)
- 7. Izilonda endaweni eyindunu, njengama-hemorrhoids noma ama-fissures
- 8. Ukukhathala njalo noma ubuhlungu bemisipha
Ungakuqinisekisa kanjani ukuxilongwa
Ukuxilongwa kokuqala kwesifo sikaCrohn kufanele kwenziwe ngudokotela wezifo zesisu noma udokotela ojwayelekile ngokuhlaziya izimpawu nezimpawu ezivezwa ngumuntu lowo, ngaphezu kokuhlolwa komlando wezempilo nowomndeni. Ngaphezu kwalokho, ngesikhathi sokubonisana, ukuhlolwa komzimba nakho kungenziwa futhi kungacelwa izivivinyo zelabhoratri.
Ukuqinisekisa ukuxilongwa kokuqinisekisa ubukhulu besifo, kungacelwa ukuhlolwa kwe-imaging, kukhonjiswa ikakhulukazi i-colonoscopy, okuwukuhlolwa okuvumela ukubonwa kwezindonga zamathumbu, ukukhomba izimpawu zokuvuvukala. Ngesikhathi se-colonoscopy, kujwayelekile ukuthi udokotela athathe isampula elincane odongeni lwamathumbu ukuze enze i-biopsy futhi ukuxilongwa kungaqinisekiswa. Qonda ukuthi i-colonoscopy yenziwa kanjani.
Ngaphezu kwe-colonoscopy, i-endoscopy ephezulu nayo ingenziwa, lapho kunezibonakaliso nezimpawu ezibonisa ukuvuvukala kwengxenye ephezulu yamathumbu, i-X-ray, i-ultrasound yesisu, i-MRI kanye ne-computed tomography, ekhonjiswa kakhulu ukusiza ukukhomba i-fistula kanye ezinye izinguquko zamathumbu.
Yelashwa kanjani
Isifo sikaCrohn asinalo ikhambi, ngakho-ke ushintsho emikhubeni yokudla lubaluleke kakhulu ukunciphisa izimpawu, njengoba ukudla okuthile kungadala noma kubhebhethekise ukuqhuma kwalesi sifo. Ngakho-ke, kunconywa ukulawula inani lefayibha efakiwe, ukunciphisa inani lamafutha nokunciphisa ukusetshenziswa kwezithako zobisi. Ngaphezu kwalokho, kubaluleke kakhulu ukubheja ku-hydration yansuku zonke ukuze ugweme ukuphelelwa amandla. Bona ukuthi ungakuvumelanisa kanjani nokudla kwakho ukuze unciphise izimpawu.
Ngesikhathi sezinkinga, udokotela futhi angancoma ukuthatha ezinye izidakamizwa ezilwa nokuvuvukala ukunciphisa izinhlungu nokuvuvukala, kanye nemithi esiza ukulawula isifo sohudo. Ezimweni ezimbi kakhulu zesifo, ukungenelela kokuhlinzwa kungakhonjiswa ukuze kususwe izingxenye ezithintekile nezonakalisiwe zamathumbu ezingadala izimpawu.