Isifo samathumbu esivuthayo (IBD): siyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingaba khona
• Yelashwa kanjani
• Okufanele udle uma kwenzeka une-IBD
• 1. Ukudla okuvunyelwe
• 2. Ukudla okufanele kukugwebe

Isifo samathumbu esivuvuzelayo sisho ukuqoqwa kwezifo ezingalapheki ezidala ukuvuvukala kwamathumbu, isifo sikaCrohn nesifo sezilonda emathunjini, ezinezimpawu ezifanayo, ezifana nobuhlungu besisu, uhudo, imfiva, ukwehla kwesisindo, i-anemia noma ukungabekezelelani ukudla, isibonelo, kodwa zibhekwa njengezifo ezihlukile.

Ukwelashwa kuqukethe ukwelashwa ngemithi, ukwamukela uhlobo oluthile lokudla kanye nokwengeza ngamavithamini namaminerali. Kwezinye izimo, kungadingeka nokuhlinzwa.

Izimpawu eziyinhloko

Isifo samathumbu esivuthayo singazibonakalisa ngezimpawu ezingeni lamathumbu noma kwezinye izifunda zomzimba, okulandelayo okuvame kakhulu:

Izimpawu zesifo sikaCrohn zifana kakhulu neze-ulcerative colitis, kepha ezinye zazo zingahluka ngoba isifo sikaCrohn singathinta wonke umgudu wamathumbu, kusukela emlonyeni kuye endunu, kuyilapho izindawo ezithintekile ze-ulcerative colitis ziyi-rectum nekholoni. Hlola futhi wazi ukuthi ungasibona kanjani isifo sikaCrohn.

Ungakuqinisekisa kanjani ukuxilongwa

Ngokuvamile, ukuxilongwa kuqukethe ukuhlolwa komtholampilo, i-endoscopy, izivivinyo ze-histological kanye ne-radiological kanye nophenyo lwamakhemikhali.

Izimbangela ezingaba khona

Izimbangela ezithile zesifo sokuvuvukala kwamathumbu azikaziwa, kepha kucatshangwa ukuthi kungenzeka ukuthi zihlobene nezakhi zofuzo, i-immunological, i-microbiota yamathumbu kanye nezici zokudla.

Ngakho-ke, kubantu abanesifo sokuvuvukala kwamathumbu, abanikezwe ukudla okuthile noma ama-microorganism, kukhona ukwenziwa okungajwayelekile kwempendulo yokuvuvukala, okudala ukulimala kwamangqamuzana emathumbu, okuholela ekuveleni kwezimpawu zesifo.

Izifo ezivuthayo zamathumbu nazo zingathonywa yiminyaka yobudala nohlanga, futhi ingozi yokuziqhamuka ingakhula ngokusetshenziswa kogwayi, ukusetshenziswa kwezindlela zokuvimbela inzalo zamahomoni, ukusetshenziswa kwama-antibiotic ngonyaka wokuqala wokuphila, i-gastroenteritis, izidlo ezinothe ngamaprotheni ezilwane, ushukela , uwoyela, amafutha agcwele.

Yelashwa kanjani

Ukwelashwa kuhlose ukunxenxa nokugcina ukuxolelwa kwalesi sifo, ukuthuthukisa isimo somsoco womuntu nokuqeda izimpawu.

Ngokuvamile, imishanguzo enikezwe udokotela ingabandakanya izidakamizwa ezilwa nokuvuvukala, njenge-corticosteroids nama-aminosalicylates afana ne-mesalazine noma i-sulfasalazine, ngokwesibonelo, ama-immunosuppressants anjenge-cyclosporine, azathioprine noma i-mercaptopurine, ama-antibiotics afana ne-ciprofloxacin noma i-metronidazole kanye / noma ama-antibody e-monoclonal, njengama-antibodies e-monoclonal kanye / noma ama-antibody monoclonal, njenge-infliximab noma i-adalimumab, isibonelo.

Kwezinye izimo, kwisifo sikaCrohn, kungadingeka ukwenza ukuhlinzwa ukulungisa okuqinile noma ukususa izingxenye zamathumbu lapho ukwelashwa ngezidakamizwa kungasebenzi.

Abantu abanesifo samathumbu esivuthayo basengozini enkulu yokuthola izinkinga zokudla okunempilo ngenxa yokugula nokwelashwa, ngakho-ke ukuze ugcine isimo somsoco kulezi zimo, kungadingeka ukulandela ukudla okukhethekile futhi uthathe izithako zokudla nge-folic acid, uvithamini D, amavithamini I-B6, B12 namaminerali kanye nezinto ezilandelwayo, njenge-calcium ne-zinc, isibonelo. Ngaphezu kwalokho, ukusetshenziswa kwama-probiotic kanye ne-glutamine kungasiza ekuthuthukiseni ukusebenza kwamathumbu.

Okufanele udle uma kwenzeka une-IBD

Inhloso enkulu yokudla kwesifo samathumbu ukuvuvukala ukunciphisa ukuvuvukala kwamathumbu nokwenza ngcono ukumuncwa, ukunciphisa izimpawu nokuvimbela ukuvela kwezinkinga ezintsha. Ukudla kufanele kube okwehlukile futhi kucaciswe kumuntu ngamunye, kepha kunokudla okuvame ukubekezelelwa nokunye okufanele kugwenywe, ikakhulukazi ngesikhathi sezinhlekelele:

1. Ukudla okuvunyelwe

Okunye ukudla okuvunyelwe ekudleni yile:

• Ilayisi, i-purees, i-pasta namazambane;
• Inyama enciphile, njengenyama yenkukhu;
• Iqanda elibilisiwe;
• Izinhlanzi ezinjengosardini, i-tuna noma i-salmon;
• Imifino ephekiwe, njengezinqathe, isilimo esinengono emnandi edliwayo namathanga;
• Izithelo eziphekiwe nezihlutshiwe, njengobhanana nama-apula;
• Ukwatapheya namafutha omnqumo.

2. Ukudla okufanele kukugwebe

Ukudla okufanele kugwenywe, njengoba kunengozi enkulu yokudala ukuvuvukala kwamathumbu, yilezi:

• Ikhofi, itiye elimnyama, iziphuzo ezithambile ezine-caffeine neziphuzo ezidakayo;
• Imbewu;
• Imifino eluhlaza nezithelo ezingasikiwe;
• I-Papaya, i-orange ne-plum;
• Ubisi, iyogathi, ushizi, ukhilimu omuncu nebhotela;
• Uju, ushukela, i-sorbitol noma i-mannitol;
• Izithelo ezomile, njengamakinati, ama-walnuts nama-alimondi;
• Oat;
• Ushokoledi;
• Ingulube nokunye ukudla okunamafutha;
• Isinkwa esifishane namakhukhi amnandi anama-puff khekhe, ukudla okuthosiwe, i-gratin, imayonnaise kanye nokudla okuneqhwa kwezimboni.

Lokhu kudla kungezinye nje zezibonelo okufanele zigwenywe ngokuvamile, kodwa-ke, inhloso ukubonisana nososayensi wokudla okunomsoco ukuvumelanisa ukudla nomzimba womuntu ngamunye, ngoba kungahle kube nokunye ukudla okwenza izimpawu zibe zimbi kakhulu.