Isifo sikaCrohn: siyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingaba khona
• Yelashwa kanjani
• 1. Ukusetshenziswa kwemithi
• 2. Ukudla okwanele
• 3. Ukuhlinzwa
• Izinkinga ezingenzeka

Isifo sikaCrohn yisifo sohlelo lokugaya ukudla, esibangela ukuvuvukala okungapheli kolwelwesi lwamathumbu futhi singabangelwa yizici zofuzo noma ukungasebenzi kahle kwesimiso somzimba sokuzivikela, isibonelo.

Lesi sifo singadala izimpawu ezinjengokucasuka kwamathumbu, ukopha, ukuzwela kokunye ukudla, isifo sohudo noma ubuhlungu bamathumbu, okungathatha izinyanga kuya eminyakeni ukuvela. Ngalesi sizathu, kuvame ukuba yisifo okunzima ukusithola.

Isifo sikaCrohn asinalo ikhambi, noma kunjalo, ukwelashwa kuvumela ukukhulula izimpawu futhi kuthuthukise izinga lempilo, futhi kufanele kwenziwe ngokuyalelwa ngudokotela wezokudla kanye / noma nodokotela wezifo zesisu.

Izimpawu eziyinhloko

Izimpawu ezivame ukuveza isifo sikaCrohn yilezi:

• Uhudo njalo;
• Ubuhlungu besisu;
• Ubukhona begazi esitokisini;
• Ukukhathala ngokweqile;
• Ukulahlekelwa isifiso sokudla nesisindo.

Ngaphezu kwalokho, abanye abantu bangaphinde babe nezinye izimpawu ezingabonakali zihlobene ngqo nokuvuvukala kwamathumbu, njenge-thrush ejwayelekile, amalunga abuhlungu, ukujuluka ebusuku noma izinguquko zesikhumba, ngokwesibonelo.

Nakhu ukuthi ungazibona kanjani izimpawu eziyinhloko zesifo sikaCrohn.

Ungakuqinisekisa kanjani ukuxilongwa

Akukho kuhlolwa noma ukuhlolwa okuqinisekisa ukutholakala kwesifo sikaCrohn, ngakho-ke kuyinto ejwayelekile ukuthi ukuhlolwa kuqale nge-gastroenterologist ngokusho kwezimpawu eziveziwe.

Kusukela ngaleso sikhathi, ezinye izivivinyo, ezifana ne-colonoscopy, i-endoscopy noma i-stool examination, ingahle ikhishwe ukukhipha ezinye izinkolelo zokuxilongwa, njengokutheleleka kwamathumbu, isibonelo, okungaveza izimpawu ezifanayo.

Izimbangela ezingaba khona

Isifo sikaCrohn asikazicacisi ngokugcwele izimbangela, kepha kukholakala ukuthi ezinye izinto ezingathinta ukuqala kwaso zibandakanya:

• Izici zofuzo kungenzeka ukuthi zihlobene nokuthuthukiswa kwesifo sikaCrohn, zivame kakhulu kubantu abanezihlobo eziseduze nalesi sifo;
• Izinguquko zesistimu yomzimba okuholela ekuphenduleni ngokweqile komzimba ngesikhathi sokutheleleka, okudala ukuhlaselwa kwamaseli wesistimu yokugaya;
• Izinguquko ku-microbiota yamathumbu, okungadala ukungalingani enanini lamagciwane akhona emathunjini;
• Ukubhema njalo, ngoba osikilidi baqukethe izinto ezifana ne-nicotine, i-carbon monoxide kanye nama-radicals amahhala angashintsha indlela igazi eligeleza ngayo liye emathunjini futhi ngaleyo ndlela kwandise ubungozi bokuthola lesi sifo noma kube nomthelela ekwandeni kwezinkinga zesifo sikaCrohn.

Lesi sifo singazibonakalisa kunoma yisiphi isigaba sempilo, kepha kuvame kakhulu ukuvela ngemuva kwezikhathi zokucindezeleka okukhulu noma ukukhathazeka. Isifo sikaCrohn singathinta abesilisa nabesifazane, futhi ukubukeka kwaso kungahle kuhlobene nokusetshenziswa kwemithi efana nezindlela zokuvimbela inzalo ngomlomo, ama-antibiotics noma izidakamizwa ezilwa nokuvuvukala njenge-ibuprofen noma i-diclofenac, ngokwesibonelo.

Yelashwa kanjani

Ukwelashwa kwesifo sikaCrohn kufanele njalo kwenziwe ngokuyalelwa ngudokotela wesisu kanye nochwepheshe wezokudla futhi kuhlose ukunciphisa ukuvuvukala kwamathumbu okubangela izimpawu, ukuthuthukisa ikhwalithi yempilo noma ukunciphisa ubungozi bezinkinga.

Ngaphezu kwalokho, kufanele udle ukudla okunomsoco ngokudla okunempilo futhi okunempilo.

Izindlela zokwelapha eziyinhloko zesifo sikaCrohn yilezi:

1. Ukusetshenziswa kwemithi

Imithi esetshenziselwa ukwelapha isifo sikaCrohn kufanele ngaso sonke isikhathi inconywe ngudokotela wesisu futhi ikhonjisiwe ukuqeda izimpawu noma ukuvimbela ukuhlaselwa futhi ifake:

• Ama-Corticosteroids njenge-prednisone noma i-budesonide ukusiza ukunciphisa ukuvuvukala kwamathumbu;
• Ama-Aminosalicylates njenge-sulfasalazine noma i-mesalazine esebenza ngokunciphisa ukuvuvukala ukuvimbela nokunciphisa ukuquleka;
• Ama-immunosuppressants njenge-azathioprine, i-mercaptopurine noma i-methotrexate esiza ukwehlisa ukusebenza kwamasosha omzimba futhi ingasetshenziswa ezimweni lapho kungekho khona ukuthuthuka ngokusetshenziswa kweminye imithi;
• Imithi Yezinto Eziphilayo njenge-infliximab, i-adalimumab, i-certolizumab pegol noma i-vedolizumab esiza ukulinganisa okwenziwa amasosha omzimba;
• Imithi elwa namagciwane okufana ne-ciprofloxacin noma i-metronidazole ingasetshenziswa ezimweni zezinkinga ezivela ekuthelelekeni, ukwanda kwamagciwane noma isifo se-perianal.

Ngaphezu kwalokho, eminye imishanguzo yokuqeda izimpawu ingasetshenziswa njengemithi yohudo, ubuhlungu noma izithasiselo zamavithamini esimweni sokushoda kokudla okunempilo ngenxa yokudla okungalungile.

2. Ukudla okwanele

Ukuvuvukala emathunjini okubangelwa yisifo sikaCrohn kungaphazamisa ukugayeka nokumuncwa kokudla, okungadala isifo sohudo, izinhlungu zesisu noma ukubambezeleka kokukhula ezinganeni, ngakho-ke kubalulekile ukuthi udle ukudla okunomsoco, okuholwa ngongoti wezokudla noma owondlayo, futhi ugweme ukudla ukudla okungazenza zibe zimbi izimpawu ezifana nekhofi, ushokoledi noma imifino eluhlaza, isibonelo. Yazi ukuthi ungadlani kwisifo sikaCrohn.

Ngaphezu kwalokho, uma noma kungukudla okufanele, akukho ukuthuthuka kokumunca izakhi noma ukunciphisa izimpawu, ukudla okuthile okwenziwe nge-enteral noma i-parenteral Nutrition kungakhonjiswa ngudokotela.

Buka le vidiyo nesazi sokudla uTatiana Zanin ngalokho ongakudla ku-Crohn's disease:

3. Ukuhlinzwa

Ukuhlinzwa kungakhonjiswa ngudokotela uma ushintsho ekudleni noma ekwelashweni ngemithi lungasebenzi ekuthuthukiseni izimpawu zesifo sikaCrohn noma uma kuvela izinkinga ezifana ne-fistula noma ukunciphisa amathumbu.

Ngesikhathi sokuhlinzwa, udokotela ususa izingxenye ezonakalisiwe zesisu bese exhuma izingxenye ezinempilo.

Izinkinga ezingenzeka

Isifo sikaCrohn singadala ezinye izinkinga emathunjini noma kwezinye izingxenye zomzimba njengesikhumba noma amathambo, isibonelo. Ezinye izinkinga ezikhona zalesi sifo zihlanganisa:

• Ukuncipha kwamathumbu lokho kungaholela ekuvinjelweni nasidingo sokuhlinzwa;
• Ukuqhuma kwamathumbu;
• Ukwakheka kwesilonda emathunjini, emlonyeni, endunu noma esifundeni sangasese;
• Ukwakheka fistula emathunjini ukuthi ukuxhumana okungavamile phakathi kwezingxenye ezahlukene zomzimba, ngokwesibonelo phakathi kwamathumbu nesikhumba noma phakathi kwamathumbu nesinye isitho;
• Ukuqhuma kwesidunu okuwukuqhekeka okuncane endunu;
• Ukungondleki lokho kungaholela ekushoneni kwegazi noma kwamathambo;
• Ukuvuvukala ezandleni nasemilenzeni ngezigaxa ezivela ngaphansi kwesikhumba;
• Ukwandiswa kokwakheka kwegazi lokho kungadala ukuvinjelwa kwemithambo nemithambo yegazi.

Ngaphezu kwalokho, isifo sikaCrohn sandisa amathuba okuba nomdlavuza wamathumbu, futhi kunconywa ukuhlolwa okuvamile kwezokwelapha kanye ne-colonoscopy, njengoba kukhonjisiwe ngudokotela. Thola ukuthi kwenziwa kanjani i-colonoscopy.