Izifo zikaCrohn nobuhlungu obuhlangene: Kuyini ukuxhumana?

-Delile

• Isifo sikaCrohn nobuhlungu obuhlangene
• Isifo samathambo
• I-Peripheral arthritis
• I-arthritis ehambisanayo
• I-axial arthritis
• I-Ankylosing spondylitis
• I-Arthralgia
• Ukuhlonza ubuhlungu obuhlangene
• Ukwelashwa
• Izinguquko zendlela yokuphila
• Amakhambi emvelo
• Ukubonana nodokotela nini
• Umbono wezinhlungu ezihlangene

Abantu abanesifo sikaCrohn banokuvuvukala okungapheli kulwelwesi lokugaya kwabo.

Imbangela ngqo yesifo sikaCrohn ayisaziwa, kepha lokhu kuvuvukala kubandakanya amasosha omzimba enza izinto ezingenabungozi, njengokudla, amabhaktheriya alusizo, noma izicubu zamathumbu uqobo, njengezinsongo. Ibe isithatha ngokweqile futhi ibahlasele.

Ngokuhamba kwesikhathi, lokhu kubangela ukuvuvukala okungapheli. Kwesinye isikhathi lokhu kusabela ngokweqile kungadala izinkinga kwezinye izindawo zomzimba ngaphandle kwendlela yamathumbu. Okuvame kakhulu kumalunga.

Isifo sikaCrohn naso sinezakhi zofuzo. Ngamanye amagama, abantu abanezinguquko ezithile zofuzo basengozini enkulu yesifo sikaCrohn.

Ucwaningo luthole ukuthi lezi zinguquko ezifanayo zofuzo nazo zihlobene nezinye izinhlobo zezimo zokuvuvukala, njenge-psoriasis, isifo samathambo, kanye ne-ankylosing spondylitis.

Isifo sikaCrohn nobuhlungu obuhlangene

Uma unesifo sikaCrohn, ungahle ube sengcupheni eyengeziwe yezinhlobo ezimbili zesimo sokuhlanganyela:

• isifo samathambo: ubuhlungu ngokuvuvukala
• i-arthralgia: ubuhlungu ngaphandle kokuvuvukala

Lezi zimo ezimbili zingathinta abantu abanezifo ezivuthayo zamathumbu (IBDs) njengesifo sikaCrohn.

Isifo samathambo

Ukuvuvukala kwesifo samathambo kubangela ukuba amalunga ebuhlungu futhi avuvuke. I-arthritis ingathinta kuze kufike kulabo abanesifo sikaCrohn.

I-Arthritis eyenzeka ngesifo sikaCrohn ihluke kancane kwi-arthritis ejwayelekile ngoba iqala esemncane.

Okulandelayo yizinhlobo ze-arthritis ezingenzeka kubantu abanesifo sikaCrohn:

I-Peripheral arthritis

Iningi le-arthritis elenzeka kubantu abanesifo sikaCrohn libizwa nge-peripheral arthritis. Lolu hlobo lwe-arthritis luthinta amalunga amakhulu, njengalawo asemadolweni akho, emaqakaleni, endololwaneni, ezihlakaleni nasezinqeni.

Ubuhlungu obuhlangene buvame ukwenzeka ngasikhathi sinye njengokuqubuka kwesisu namathumbu. Lolu hlobo lwe-arthritis ngokuvamile alubangeli noma yikuphi ukuguguleka okuhlangene noma ukulimala okungapheli kwamalunga.

I-arthritis ehambisanayo

Amaphesenti amancane alabo abanesifo sikaCrohn anesifo samathambo esaziwa njenge-symmetrical polyarthritis. I-symmetrical polyarthritis ingaholela ekuvukeleni kunoma yimaphi amalunga akho, kepha imvamisa ibangela ubuhlungu emajoyintini wezandla zakho.

I-axial arthritis

Lokhu kuholela ekuqineni nasezinhlungwini ezizungeze umgogodla ongezansi, futhi kungaholela ekulinganisweni nasekunyakazeni nasekulimaleni okungapheli.

I-Ankylosing spondylitis

Ekugcineni, iphesenti elincane labantu abanesifo sikaCrohn lizoba nesimo esibi esaziwa njenge-ankylosing spondylitis (AS). Lesi simo sokuvuvukala esiqhubekayo sithinta amalunga akho we-sacroiliac nomgogodla.

Izimpawu zifaka phakathi ubuhlungu nokuqina emgogodleni wakho ophansi nangasemuva komhlane wakho emajoyintini e-sacroiliac.

Abanye abantu bangaze babe nezimpawu zezinyanga noma iminyaka ye-AS ngaphambi kokuba kuvele izimpawu zesifo sabo sikaCrohn. Lolu hlobo lwe-arthritis lungaholela ekulimaleni unomphela.

I-Arthralgia

Uma unezinhlungu emalungeni akho ngaphandle kokuvuvukala, khona-ke une-arthralgia. Cishe abantu abane-IBD bane-arthralgia ngesikhathi esithile ezimpilweni zabo.

I-Arthralgia ingenzeka emajoyintini amaningi ahlukene emzimbeni wakho wonke. Izindawo ezivame kakhulu amadolo akho, amaqakala nezandla zakho. Lapho i-arthralgia idalwa yiCrohn's, ayibangeli monakalo emajoyintini akho.

Ukuhlonza ubuhlungu obuhlangene

Kungaba nzima ukusho ukuthi ubuhlungu bakho obuhlangene buwumphumela wesimo samathumbu esifana nesifo sikaCrohn. Akukho sivivinyo esisodwa esingasho ngokuqiniseka, kepha kunezimpawu ezithile.

Umehluko owodwa ku-arthritis ejwayelekile ukuthi ukuvuvukala kuthinta kakhulu amalunga amakhulu, futhi kungenzeka kungathinti izinhlangothi zombili zomzimba wakho ngokulinganayo. Lokhu kusho, ngokwesibonelo, ukuthi idolo noma ihlombe lakho langakwesokunxele lingazizwa libi kakhulu kunelilungile.

I-rheumatoid arthritis, ngokuphambene, ivame ukuthinta namalungu amancane, njengalawo asesandleni nasesihlakaleni.

Izinkinga zesisu eziza nesifo sikaCrohn zingaba yinkinga isikhathi eside ngaphambi kokuba lesi sifo siholele ebuhlungwini obuhlangene.

Ukwelashwa

Imvamisa, odokotela bancoma ukusebenzisa izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-aspirin (iBufferin) noma ibuprofen (i-Motrin IB, i-Aleve), ukudambisa izinhlungu ezihlangene nokuvuvukala.

Kodwa-ke, ama-NSAID awanconyelwa abantu abanesifo sikaCrohn. Bangacasula ulwelwesi lwakho lwamathumbu futhi benze izimpawu zakho zibe zimbi kakhulu. Ngobuhlungu obuncane, udokotela wakho angancoma ukusebenzisa i-acetaminophen (iTylenol).

Kunemithi eminingi kadokotela etholakalayo ukusiza ngobuhlungu obuhlangene. Eziningi zalezi zindlela zokwelashwa ziyahambisana nemithi yesifo sikaCrohn:

• i-sulfasalazine (i-Azulfidine)
• ama-corticosteroids
• imethotrexate
• ama-biologic agents amasha afana ne-infliximab (Remicade), adalimumab (Humira), kanye ne-certolizumab pegol (Cimzia)

Ngaphezu kwemithi, izindlela ezilandelayo zasekhaya zingasiza:

• ukuphumula ilunga elithintekile
• uqweqwe lukashukela nokuphakamisa ukujoyina
• ukwenza izivivinyo ezithile ukunciphisa ukuqina nokuqinisa imisipha ezungeze amalunga angabekwa ngumelaphi womzimba noma womsebenzi

Izinguquko zendlela yokuphila

Ukuzivocavoca umzimba kusiza ekuthuthukiseni ububanzi bokunyakaza emajoyintini akho futhi kusiza ekunciphiseni ukucindezeleka. Ukuzivocavoca umzimba okunomthelela ophansi njengokubhukuda, ukuhamba ngebhayisikili okumile, i-yoga, ne-tai chi kanye nokuqeqeshwa kwamandla kungasiza.

Ukulungisa indlela odla ngayo kunganciphisa nezimpawu zesifo sikaCrohn, ikakhulukazi ngosizo lokudla okungashintsha ukwakheka kwamagciwane esiswini sakho.

Lokhu kufaka ama-prebiotic afana noju, ubhanana, u-anyanisi, negalikhi, kanye nama-probiotic afana ne-kimchi, kefir, ne-kombucha.

I-yogurt nayo iyi-probiotic, kepha abantu abaningi abanesifo sikaCrohn bayazwela ekudleni kobisi futhi bangafuna ukukugwema.

Amakhambi emvelo

Ngaphandle kwama-probiotic kanye nama-prebiotic, ungazuza ngokuthatha izengezo zamafutha ezinhlanzi. Lawa aphezulu ku-omega-3 fatty acids, anganciphisa ukuvuvukala nokuqina kwamalunga.

I-acupuncture nayo ingasiza ngezimpawu zesifo sikaCrohn nesifo samathambo.

Ukubonana nodokotela nini

Uma uhlangabezana nobuhlungu bamalunga, bonana nodokotela wakho. Bangase bafune ukwenza izivivinyo zokuxilonga ukukhipha ezinye izimbangela zobuhlungu bakho.

Udokotela wakho angafuna futhi ukulungisa imithi yakho yesifo seCrohn. Ngesinye isikhathi, ubuhlungu obuhlangene bungahlobana nemiphumela emibi yemithi yakho.

Udokotela wakho angancoma owelapha ngokomzimba ukukusiza ukuthi wakhe uhlelo lokuzivocavoca ngamalunga akho.

Umbono wezinhlungu ezihlangene

Ubuhlungu obuhlangene babantu abanesifo sikaCrohn buhlala isikhathi esifushane kuphela futhi imvamisa abubangeli ukulimala unomphela. Ubuhlungu bakho obuhlangene buzothuthuka njengoba izimpawu zamathumbu akho zithuthuka.

Njengoba izimpawu zesisu zithanjiswa ngemithi nangokudla, umbono wamalunga akho ngokuvamile muhle.

Kodwa-ke, uma uphinde uthole ukuxilongwa kwe-AS, umbono uyahlukahluka kakhulu. Abanye abantu bayathuthuka ngokuhamba kwesikhathi, kanti abanye baya ngokuya beba kubi kakhulu. Ngezindlela zokwelashwa zesimanje, isikhathi sokuphila sabantu abane-AS ngokuvamile asithinteki.