Isifo sikaCrohn

-Delile

• Isifinyezo
• Siyini isifo sikaCrohn?
• Yini ebangela isifo sikaCrohn?
• Ngubani osengozini yesifo sikaCrohn?
• Ziyini izimpawu zesifo sikaCrohn?
• Yiziphi ezinye izinkinga ezingabangelwa yisifo sikaCrohn?
• Sitholakala kanjani isifo sikaCrohn?
• Yiziphi izindlela zokwelapha isifo sikaCrohn?

Isifinyezo

Siyini isifo sikaCrohn?

Isifo sikaCrohn yisifo esingelapheki esidala ukuvuvukala kumgudu wakho wokugaya ukudla. Kungathinta noma iyiphi ingxenye yendlela yakho yokugaya ukudla, esuka emlonyeni wakho iye endunu yakho. Kepha kuvame ukuthinta amathumbu akho amancane nokuqala kwamathumbu akho amakhulu.

Isifo sikaCrohn yisifo samathumbu esivuthayo (IBD). I-ulcerative colitis kanye ne-microscopic colitis ezinye izinhlobo ezivamile ze-IBD.

Yini ebangela isifo sikaCrohn?

Ayaziwa imbangela yesifo sikaCrohn. Abaphenyi bacabanga ukuthi ukusabela okuzenzakalelayo kungaba imbangela eyodwa. Ukusabela okuzenzakalelayo kwenzeka lapho amasosha akho omzimba ehlasela amaseli anempilo emzimbeni wakho. Izakhi zofuzo nazo zingadlala indima, ngoba isifo sikaCrohn singasebenza emindenini.

Ukucindezeleka nokudla ukudla okuthile akusibangeli isifo, kodwa kungenza izimpawu zakho zibe zimbi kakhulu.

Ngubani osengozini yesifo sikaCrohn?

Kunezici ezithile ezingakhuphula ubungozi besifo sikaCrohn:

• Umlando womndeni yalesi sifo. Ukuba nomzali, ingane, noma ingane yakini enalesi sifo kukubeka engcupheni enkulu.
• Ukubhema. Lokhu kungaphindaphinda ingozi yokuba nesifo sikaCrohn.
• Imithi ethile, njengemithi elwa namagciwane, amaphilisi okulawula ukubeletha, kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-aspirin noma ibuprofen. Lokhu kungakhuphula kancane amathuba akho okuthuthukisa i-Crohn's.
• Ukudla okunamafutha amaningi. Lokhu futhi kungakhuphula kancane ubungozi bakho be-Crohn's.

Ziyini izimpawu zesifo sikaCrohn?

Izimpawu zesifo sikaCrohn zingahluka, kuya ngokuthi ukuvuvukala kwakho kukhulu kangakanani futhi kangakanani. Izimpawu ezivame kakhulu zifaka phakathi

• Uhudo
• Ukuqunjelwa nobuhlungu esiswini sakho
• Ukwehla kwesisindo

Ezinye izimpawu ezingaba khona yilezi

• I-anemia, isimo lapho unamaseli abomvu egazi ambalwa kunokujwayelekile
• Ukubomvu kwamehlo noma ubuhlungu
• Ukukhathala
• Imfiva
• Ubuhlungu obuhlangene noma ubuhlungu
• Ukucanuzela kwenhliziyo noma ukulahlekelwa isifiso sokudla
• Izinguquko zesikhumba ezibandakanya amaqhubu abomvu, amathenda ngaphansi kwesikhumba

Ukucindezeleka nokudla ukudla okuthile okufana neziphuzo ezinekhabhoni kanye nokudla okunefayibha ephezulu kungenza izimpawu zabanye abantu zibe zimbi kakhulu.

Yiziphi ezinye izinkinga ezingabangelwa yisifo sikaCrohn?

Isifo sikaCrohn singadala ezinye izinkinga, kufaka phakathi

• Ukuvinjelwa kwamathumbu, ukuvinjelwa emathunjini
• AmaFistula, ukuxhumana okungavamile phakathi kwezingxenye ezimbili ngaphakathi komzimba
• Amathumba, amaphakethe agcwele ubomvu wokutheleleka
• Ukuqhekeka kwe-anal, izinyembezi ezincane ku-anus yakho ezingadala ukulunywa, ubuhlungu, noma ukopha
• Izilonda, izilonda ezivulekile emlonyeni wakho, amathumbu, i-anus, noma i-perineum
• Ukungondleki, lapho umzimba wakho ungatholi inani elifanele lamavithamini, amaminerali, kanye nezakhamzimba okudingayo
• Ukuvuvukala kwezinye izindawo zomzimba wakho, njengamalunga akho, amehlo, nesikhumba

Sitholakala kanjani isifo sikaCrohn?

Ukwenza ukuxilongwa, umhlinzeki wakho wokunakekelwa kwezempilo

• Sizobuza ngomlando womndeni wakho nomlando wezokwelapha
• Sizobuza ngezimpawu zakho
• Sizokwenza ukuhlolwa ngokomzimba, kufaka phakathi
  • Ukuhlola ukuqunjelwa esiswini sakho
  • Ukulalela imisindo ngaphakathi kwesisu sakho usebenzisa i-stethoscope
  • Ukushaya isisu sakho ukuze uhlole ubumnene nobuhlungu nokubona ukuthi isibindi noma ubende akujwayelekile noma kukhulisiwe
• Kwangathi angenza izivivinyo ezahlukahlukene, kufaka phakathi
  • Ukuhlolwa kwegazi kanye nesitulo
  • I-colonoscopy
  • I-endoscopy ephezulu ye-GI, inqubo lapho umhlinzeki wakho esebenzisa isilinganiso ukuze abheke ngaphakathi komlomo wakho, isisu, isisu namathumbu amancane
  • Ukuhlolwa kwe-imaging diagnostic, njenge-CT scan noma uchungechunge oluphezulu lwe-GI. Uchungechunge oluphezulu lwe-GI lusebenzisa uketshezi olukhethekile olubizwa nge-barium ne-x-ray. Ukuphuza i-barium kuzokwenza ukuthi ipheshana lakho eliphezulu le-GI libonakale kakhulu ku-x-ray.

Yiziphi izindlela zokwelapha isifo sikaCrohn?

Alikho ikhambi lesifo sikaCrohn, kepha ukwelashwa kunganciphisa ukuvuvukala emathunjini akho, kudambise izimpawu, futhi kuvimbele izinkinga. Ukwelashwa kufaka imithi, ukuphumula kwamathumbu, nokuhlinzwa. Akukho ukwelashwa okukodwa okusebenzela wonke umuntu. Wena nomhlinzeki wakho wezokunakekelwa kwempilo ningasebenzisana ukuthola ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe:

• Imithi kwe-Crohn's kufaka phakathi imishanguzo ehlukahlukene eyehlisa ukuvuvukala. Eminye yale mithi ikwenza lokhu ngokunciphisa ukusebenza kwamasosha akho omzimba. Imithi ingasiza futhi ngezimpawu noma izinkinga, njengezidakamizwa ezingezona ukuvuvukala kanye nemithi elwa nohudo. Uma i-Crohn's yakho ibangela ukutheleleka, ungahle udinge ama-antibiotics.
• Ukuphumula kwamathumbu kuhilela ukuphuza iziphuzo ezithile kuphela noma ukungadli noma ukuphuza noma yini. Lokhu kuvumela amathumbu akho ukuthi aphumule. Ungadinga ukwenza lokhu uma izimpawu zesifo sakho seCrohn zinzima. Uthola izakhamzimba zakho ngokuphuza uketshezi, ishubhu lokudla, noma ithubhu efakwa emthanjeni (IV). Kungase kudingeke ukuthi uphumule emathunjini esibhedlela, noma ungakwazi ukukwenza ekhaya. Izothatha izinsuku ezimbalwa noma kuze kube amasonto ambalwa.
• Ukuhlinzwa ingalapha izinkinga futhi yehlise izimpawu lapho ezinye izindlela zokwelapha zingasizi ngokwanele. Ukuhlinzwa kuzobandakanya ukususa ingxenye elimele yomgudu wakho wokugaya ukudla
  • AmaFistula
  • Ukopha okusongela impilo
  • Ukuvinjelwa kwamathumbu
  • Imiphumela engemihle evela emithini lapho isongela impilo yakho
  • Izimpawu lapho imithi ingasithuthukisi isimo sakho

Ukushintsha indlela odla ngayo kungasiza ekunciphiseni izimpawu. Umhlinzeki wakho angancoma ukuthi wenze izinguquko ekudleni kwakho, njenge

• Ukugwema iziphuzo ezinekhabhoni
• Ukugwema ama-popcorn, izikhumba zemifino, amantongomane, nokunye ukudla okune-fiber ephezulu
• Ukuphuza iziphuzo eziningi
• Ukudla ukudla okuncane kaningi
• Ukugcina idayari yokudla ukusiza ukuthola ukudla okudala izinkinga

Abanye abantu futhi badinga ukuqhubeka nokudla okukhethekile, njengokudla okune-fiber encane.

National Institute of Diabetes and Digestive and Kidney Diseases