Imithi Nemithi Yezifo ZikaCrohn

-Delile

• Imithi yokwelapha isifo sikaCrohn
• Ama-Corticosteroids
• Ama-Aminosalicylates
• Imithi ye-Immunomodulator
• I-Biologics
• Eminye imithi
• Ukuhlinzwa
• Amakhambi emvelo
• Izinguquko zendlela yokuphila
• Lawula ukucindezeleka kwakho
• Thatha i-acetaminophen yezinhlungu
• Yeka ukubhema
• Gcina incwadi yokudla
• Nciphisa i-caffeine notshwala
• Ukuthatha

Isifo sikaCrohn yisifo sokuzilimaza esithinta umgudu wamathumbu (GI). Ngokusho kweCrohn's and Colitis Foundation, ngesinye sezimo ezakha izifo zamathumbu ezicasulayo, noma ama-IBD, izifo ezithinta abantu baseMelika abangafika ezigidini ezintathu.

Odokotela namanje abaqiniseki ngokuphelele ukuthi yini ebangela iCrohn's, kodwa kucatshangwa ukuthi kuwukusabela ngokweqile kwesistimu yomzimba epheshaneni le-GI.

Isifo sikaCrohn singathinta noma iyiphi ingxenye yepheshana le-GI, kepha kaningi sithinta amathumbu amancane nokuqala kwekholoni. Kunezigaba ezahlukahlukene zeCrohn's ezisuselwa lapho ukuphazamiseka kuthinta khona umuntu osepheshaneni labo le-GI.

Ngoba kunezinhlobo ezahlukahlukene zeCrohn's, izimpawu nazo zizohluka, kepha zingafaka:

• ubuhlungu besisu
• isifo sohudo
• isicanucanu nokuhlanza
• ukuncipha komzimba
• amafistula

Ngenkathi lungekho ikhambi lesifo sikaCrohn, imithi nezinye izindlela zokwelashwa, kufaka phakathi izinguquko zokudla nezindlela zokuphila, kungasiza ukuphatha izimpawu.

Ukwelashwa kweCrohn's kwenziwa ngezifiso kakhulu, ngakho-ke lokho okusebenzela umuntu oyedwa kungahle kungakusebenzeli.

Isifo sikaCrohn sivame ukwenzeka kumjikelezo wokuxolelwa nokuqhuma, ngakho-ke izinhlelo zokwelashwa zizodinga ukuhlolwa kabusha nokuqapha.

Sebenza nodokotela wakho ukuthola uhlelo lokwelashwa ukuphatha izimpawu zakho ezithile zeCrohn.

Imithi yokwelapha isifo sikaCrohn

Enye yezindlela eziyinhloko ongaphatha ngayo isifo sikaCrohn ngemithi ecindezela amasosha akho omzimba futhi yehlise ukuvuvukala kwepheshana lakho le-GI.

Uma une-Crohn's noma ezinye izifo ze-IBD, amasosha omzimba anempendulo yokuvuvukala engavamile ezodala izimpawu zakho.

Inhloso yokuphuza umuthi ukwehlisa ukuphendula komzimba wakho ukusiza izimpawu zakho nokunikeza ipheshana lakho le-GI ithuba lokuphumula nokululama.

Okulandelayo yimithi engahle ibekwe yodwa noma ihlanganiswe ukusiza ukuphatha isifo sakho se-Crohn:

Ama-Corticosteroids

Ngokusho kweNational Institute for Diabetes and Digestive and Kidney Diseases (NIDDKD), ama-corticosteroids angama-steroids asiza ukunciphisa kokubili ukuvuvukala nokuphendula komzimba wakho. Zivame ukusetshenziswa njengokwelashwa kwesikhashana.

Ama-corticosteroids ajwayelekile asetshenziselwa ukuphatha ama-Crohn's afaka:

• ebudeside
• i-hydrocortisone
• imethylprednisolone
• umabhebhana

Imiphumela emibi ye-corticosteroids ingafaka:

• i-glaucoma noma ingcindezi eyandayo emehlweni akho
• ukuvuvukala
• umfutho wegazi ophakeme
• ukuzuza kwesisindo
• ingozi ephezulu yokuthola ukutheleleka
• induna
• ukuguquka kwemizwelo

Imiphumela emibi kakhulu, njengokulahleka kwesisindo samathambo (i-osteoporosis) noma izingqinamba zesibindi, kungenzeka uma uthatha i-corticosteroids isikhathi esingaphezu kwezinyanga ezintathu.

Ngenxa yalokhu, udokotela wakho angakuthatha ukuthi uthathe ama-corticosteroids isikhathi esithile kuphela.

Ama-Aminosalicylates

Ama-aminosalicylates ajwayele ukusetshenziselwa ukwelapha i-ulcerative colitis, kepha angahle anikezwe ne-Crohn's. Le mithi kucatshangwa ukuthi inciphisa ukuvuvukala kolwelwesi lwamathumbu ukunciphisa izimpawu.

Le mithi ingathathwa njenge-suppository, ngomlomo, noma njengenhlanganisela yakho kokubili. Indlela owusebenzisa ngayo umuthi incike ekutheni isifo sithinta kuphi umzimba wakho.

Imiphumela emibi engaba khona yama-aminosalicylates ifaka:

• isicanucanu
• ukuhlanza
• isilungulela
• isifo sohudo
• ikhanda

Ngenkathi uthatha lo muthi, udokotela wakho angaqapha ukusebenza kwezinso zakho. Bangase futhi ba-oda ukuhlolwa kwegazi ukuze kuqinisekiswe ukuthi ileveli yakho emhlophe yegazi ayiphansi kakhulu.

Yazisa udokotela wakho ukuthi ngabe awuguliswa yini yimithi ye-sulfa ngaphambi kokuthatha noma imuphi umuthi we-aminosalicylate.

Imithi ye-Immunomodulator

Abaphenyi bakholelwa ukuthi isifo sikaCrohn sibangelwa inkinga yesistimu yomzimba. Amaseli ngokuvamile avikela umzimba wakho ahlasela ipheshana le-GI.

Ngenxa yalokhu, imishanguzo ecindezela noma elawula amasosha omzimba wakho ingasiza ekwelapheni iCrohn's.

Kodwa-ke, le mithi ingathatha izinyanga ezifika kwezintathu ngaphambi kokuba iqale ukusebenza, ngakho-ke kuzodingeka ulinde isikhashana ngaphambi kokuthi wazi ukuthi izokusiza yini.

Odokotela bangahle banikeze lezi zinhlobo zemithi uma ama-aminosalicylates nama-corticosteroids engasebenzi noma uma uthuthukisa ama-fistula. Le mithi ingakusiza ukuthi uhlale uxolelwe. Bangaphilisa futhi ama-fistula.

Eminye imishanguzo ejwayelekile yokuzivikela emzimbeni ihlanganisa:

• i-azathioprine (Imuran)
• i-mercaptopurine (iPurinethol)
• i-cyclosporine (iGengraf, Neoral, Sandimmune)
• imethotrexate

Imiphumela emibi yale mithi ingafaka:

• ikhanda
• isicanucanu
• ukuhlanza
• isifo sohudo
• ingozi ephezulu yokuthola ukutheleleka

Eminye imiphumela emibi engajwayelekile i-pancreatitis (ukuvuvukala kwamanyikwe), izinkinga zesibindi, kanye ne-myelosuppression. I-Myelosuppression ukwehla kwenani lomnkantsha wethambo owenzayo.

I-Biologics

I-Biologics wuhlobo lomuthi osetshenziselwa abantu abane-Crohn's noma i-Crohn's esebenzayo. Basebenza ukunciphisa ukuvuvukala ezindaweni ezithile, njengolwelwesi lwamathumbu akho. Azicindezeli amasosha omzimba wakho wonke.

Udokotela wakho angakunika i-biologics uma unezimpawu ezilinganiselayo noma ezinzima noma uma ezinye izidakamizwa zingasebenzi. Bangaphinde babanikeze uma une-fistula kupheshana lakho le-GI.

I-Biologics nayo ingasiza ekusetshenzisweni kwe-taper (kuncipha kancane) kwemithi ye-steroid.

Le mithi ivame ukunikezwa ngomjovo esibhedlela noma esikhungweni esingalalisanga iziguli njalo emasontweni ayisithupha kuye kwayisishiyagalombili.

Izidakamizwa ezivame kakhulu ze-biologic zifaka:

• izindlela zokwelapha ezilwa ne-tumor necrosis factor-alpha
• izindlela zokwelapha ezilwa nokuhlanganiswa
• anti-interleukin-12
• ukwelashwa kwe-interleukin-23

Ungaba nokubomvu, ukuvuvukala, noma ukucasuka lapho uthola khona umjovo.Ungahle uzwe:

• ikhanda
• imfiva
• Ukugodola
• umfutho wegazi ophansi

Ezimweni ezingavamile, abanye abantu baye baba nokusabela okunobuthi emithini noma baba nengozi enkulu yokutheleleka, ikakhulukazi isifo sofuba (TB).

Eminye imithi

Odokotela bangahle banikeze imishanguzo eyengeziwe yokusiza ngezinye izimpawu zeCrohn's.

Imithi elwa namagciwane ingavimbela amathumba nokukhula kwamagciwane emathunjini.

Udokotela wakho futhi angakunikeza umuthi olwa nohudo obizwa ngokuthi i-loperamide ukuthi uphuzwe isikhathi esifushane uma uhanjiswa kakhulu.

Abanye abantu abane-Crohn's nabo basengozini yokuthola amahlule egazi, ngakho-ke kuye ngobungozi bakho, udokotela wakho angaphinde anikeze igazi elinciphile ukunciphisa ubungozi bezinkinga ezivela egazini legazi.

Udokotela wakho angancoma i-acetaminophen yokunika amandla amandla okudambisa izinhlungu. Gwema ukusebenzisa ibuprofen (Advil), naproxen (Aleve), kanye ne-aspirin ekudambiseni izinhlungu, ngoba lokhu kungazenza zibe zimbi izimpawu.

Ukuhlinzwa

Yize odokotela bezoqala bazame ukuphatha isifo sikaCrohn ngemithi, ngoba kuyisifo sempilo yonke, abantu abaningi abaneCrohn’s ekugcineni bazodinga ukuhlinzwa.

Kunezinhlobo ezahlukene zokuhlinzwa kwabantu abanesifo sikaCrohn. Uhlobo oluqondile lokuhlinzwa luzoya ngohlobo lwe-Crohn onayo, yiziphi izimpawu ohlangabezana nazo, nokuthi zimbi kangakanani izimpawu.

Ukuhlinzwa kweCrohn's kufaka:

• I-Strictureplasty. Lokhu kuhlinzwa kukhulisa ingxenye yamathumbu akho eye yancipha ngokuhamba kwesikhathi ngenxa yokuvuvukala.
• I-Proctocolectomy. Ngalokhu kuhlinzwa kwamacala abucayi, zombili i-colon ne-rectum zisuswa ngokuphelele.
• I-Colectomy. Ku-colectomy, ikholoni liyasuswa, kepha i-rectum ishiywe iqinile.
• Ukususwa kwe-Fistula kanye ne-abscess drainage.
• Ukuthengiswa kabusha kwamathumbu amancane nokukhulu. Kuhlinzwa ukuze kususwe ingxenye elimele yamathumbu bese kuxhunywa kabusha izindawo ezinempilo, ezingathintekile zamathumbu.

Amakhambi emvelo

Kanye nohlobo lwemithi nokuhlinzwa, kukhona nezinye izixazululo zemvelo ezihambisanayo ongaxoxa ngazo nodokotela wakho.

Lokhu kufaka phakathi:

• Izithasiselo. Izithako ze-calcium nevithamini D zingasiza ekuvimbeleni ukulahleka kwethambo uma ngabe uphuze i-corticosteroid isikhathi eside.
• Omega-3 okunamafutha acid. Ama-omega-3 fatty acids, afana nalawo akulawoyela wezinhlanzi, ayaziwa ukuthi anezinto ezilwa nokuvuvukala, ngakho-ke ziyafundwa ukubona ukuthi ziyasiza yini eCrohn's. Ungathola i-omega-3 fatty acids kuma-supplements noma ekudleni okufana ne-salmon, ama-sardine, amantongomane, imbewu yefilakisi, uwoyela wezitshalo, kanye nokunye ukudla okuqinisiwe.
• Isiphepho. I-Turmeric nayo iyacwaningwa ukubona ukuthi iyazuza yini iCrohn ngenxa yezakhiwo zayo ezilwa nokuvuvukala. Kodwa-ke, i-turmeric inezinto zokuncipha kwegazi, ngakho-ke hlola udokotela wakho ngaphambi kokukufaka ekudleni kwakho noma ukuthathe njengesengezo.
• Insangu yezokwelapha. Ngokusho kweCrohn's & Colitis Foundation, izifundo ezimbalwa ezincane ziphakamise ukuthi insangu yezokwelapha ingasiza ngezimpawu ezithile ze-IBD, kodwa abukho ubufakazi obucacile bokuyincoma iCrohn's.

Izinguquko zendlela yokuphila

Kunezinguquko ezibalulekile zendlela yokuphila ongazithatha ukusiza ukuphatha izimpawu zakho, ezinye zazo ezibalwe lapha:

Lawula ukucindezeleka kwakho

Ukulawula ukucindezeleka kuyingxenye ebalulekile yanoma iyiphi indlela yokuphila enempilo, kepha ukuphathwa kwengcindezi kubaluleke kakhulu ngesifo esingelapheki sokuvuvukala. Lokhu kungenxa yokuthi, okwenza izimpawu zakho zibe zimbi kakhulu.

Ungazama amasu wokulawula ukucindezeleka uwedwa, njengezinhlelo zokusebenza zokuzindla eziqondisiwe noma amavidiyo, izivivinyo zokuphefumula okujulile, noma i-yoga.

Kungumqondo omuhle futhi ukukhuluma nomelaphi ukuze uthole namathuluzi amasha okuphatha ukucindezeleka, ikakhulukazi uma unezinga eliphezulu lokucindezeleka.

Thatha i-acetaminophen yezinhlungu

Ukungaphatheki kahle okuncane nobuhlungu (njengalapho uphathwa yikhanda noma imisipha ebuhlungu), kunconywa ukuthi uthathe i-acetaminophen (iTylenol). Gwema ibuprofen (Advil), naproxen (Aleve), ne-aspirin, ngoba lokhu kungadala ukuqhuma.

Yeka ukubhema

Ukubhema kungenza izimpawu zibe zimbi kakhulu, kubangele ukuvutha, futhi kwenze imithi yakho ingasebenzi kahle.

Ukuyeka ukubhema, noma ngabe umuntu ubenesikhathi esingakanani ebhema futhi eseneCrohn's, kutholakale ukuthi kusiza ukuphatha izimpawu.

Gcina incwadi yokudla

Ucwaningo alutholanga ukuthi ukudla noma ukudla okukodwa kusiza iCrohn's, kodwa ngenxa yokuthi kuyinkinga yomuntu ngamunye, kungahle kube nokudla okuthile okudala izimpawu kuwe.

Ukugcina umagazini wokudla nokudla ukudla okunempilo, okunomsoco kungakusiza uthole izakhamzimba ozidingayo futhi ukhombe noma yikuphi ukudla okungenza izimpawu zakho zibe zimbi kakhulu.

Nciphisa i-caffeine notshwala

Ukweqisa notshwala kungenza izimpawu zibe zimbi kakhulu, ikakhulukazi ngesikhathi sokuqubuka.

Ukuthatha

Isifo sikaCrohn uhlobo lwe-IBD oluthinta wonke umuntu ngokuhlukile.

Kunezinhlobo ezahlukahlukene zeCrohn's ezingathinta izingxenye ezahlukahlukene zohlelo lwe-GI. Izimpawu zizohluka ngokuya ngokuthi ithinta yiphi ingxenye yepheshana le-GI nokuthi inzima kangakanani.

Ngoba iCrohn's yinkinga yempilo yonke engathinti wonke umuntu ngendlela efanayo, uzofuna ukusebenzisana nodokotela wakho ukwenza uhlelo lokwelashwa ngakunye olungafaka imithi, ushintsho lwendlela yokuphila, noma ukuhlinzwa.