Ukukhulelwa kanye Nezifo zikaCrohn

-Delile

• Ingabe kufanele ukhulelwe?
• Ukukhulelwa kanye nokunakekelwa kwezempilo kukaCrohn
• Ukwelashwa nokukhulelwa kanye noCrohn
• Isici sofuzo sikaCrohn's

Isifo sikaCrohn ngokuvamile sitholakala phakathi kweminyaka yobudala eyi-15 nengama-25 - inani eliphakeme lokuzala komuntu wesifazane.

Uma uneminyaka yobudala yokuzala futhi une-Crohn's, ungazibuza ukuthi ngabe ukukhulelwa kuyindlela yini. Abesifazane abane-Crohn's basengozini yokukhulelwa njengaleyo engenayo iCrohn's.

Kodwa-ke, izibazi ezivela ekuhlinzweni kwesisu nasesinqeni zingavimbela ukuzala. Lokhu kuyiqiniso ikakhulukazi ezimweni zezinqubo zokuhlinza ezinjenge-colectomy engaphelele noma ephelele - ukususa ingxenye noma wonke amathumbu amakhulu.

Ingabe kufanele ukhulelwe?

Kungcono ukukhulelwa lapho izimpawu zeCrohn yakho zilawulwa. Kufanele ungabi nama-flares ezinyangeni ezi-3 kuya kwezi-6 ezedlule futhi awuthathi i-corticosteroids. Kufanele unake ngokukhethekile ukwelashwa kwezidakamizwa zikaCrohn lapho ufuna ukukhulelwa. Khuluma nodokotela wakho ngobuhle nangobubi bokuqhubeka nemithi ngesikhathi sokukhulelwa nokuncelisa. Ukuqubuka kukaCrohn ngesikhathi sokukhulelwa kungakhuphula ubungozi bokubeletha kwasekuqaleni nezinsana ezinesisindo esincane.

Yidla ukudla okunomsoco, okunothe ngamavithamini. I-folic acid ibaluleke kakhulu kwabesifazane abakhulelwe. Kuyindlela yokwenziwa kwe-folate, i-vitamin B etholakala ngokwemvelo ezithelweni nasemifino eminingi.

I-Folate isiza ukwakha i-DNA ne-RNA. Lokhu kwenza kubaluleke kakhulu esigabeni sokuqala sokuhlukaniswa kwamaseli ngokushesha sokukhulelwa. Iphinde ivimbele i-anemia futhi ivikele i-DNA ekuguqulweni kwezakhi ezingakhula zibe umdlavuza.

Ukudla okuqukethe i-folate kufaka phakathi:

• ubhontshisi
• i-broccoli
• isipinashi
• Amahlumela eBrussels
• izithelo ezisawolintshi
• amakinati

Eminye imithombo yokudla ye-folate ingaba nzima kumgudu wokugaya ukudla uma une-Crohn's. Udokotela wakho mhlawumbe uzoncoma izengezo ze-folic acid ngaphambi nangesikhathi sokukhulelwa.

Ukukhulelwa kanye nokunakekelwa kwezempilo kukaCrohn

Ithimba lakho lezokwelapha lizofaka i-gastroenterologist, udokotela wababelethisi, isazi sokudla okunempilo kanye nodokotela ojwayelekile. Bazolandela intuthuko yakho njengesiguli sokubelethisa esinobungozi obukhulu. Ukuba nesifo sikaCrohn kwandisa amathuba akho ezinkinga ezifana nokuphuphuma kwesisu nokulethwa ngaphambi kwesikhathi.

Isazi sakho sokubelethisa singancoma ukumisa imishanguzo kaCrohn ngempilo yombungu. Kepha, ukushintsha uhlobo lwemithi yakho ngesikhathi sokukhulelwa kungathinta izimpawu zesifo sakho. I-gastroenterologist yakho ingakweluleka ngesimiso semithi esisuselwe ebucayi besifo sakho seCrohn.

Sebenza nodokotela wakho wezitho zesisu kanye nodokotela wokubelethisa ngaphambi kokukhulelwa. Bangakusiza ukuthi wakhe uhlelo lokuphatha lesi sifo ngesikhathi ukhulelwe.

Kubalulekile ukufunda ngokukhulelwa nesifo sikaCrohn. Ithimba lakho lezokunakekelwa kwempilo kufanele likwazi ukukunikeza izinsiza nolwazi mayelana nokuthi yini ongayilindela. A ovela e-United Kingdom ukhombisile ukuthi uhhafu kuphela wabesifazane abakhulelwe ababenokuqonda okuhle kokusebenzisana phakathi kokukhulelwa nesifo sikaCrohn.

Ukwelashwa nokukhulelwa kanye noCrohn

Iningi lemithi yokwelapha iCrohn's ikhonjiswe ukuthi iphephile kwabesifazane abakhulelwe. Noma kunjalo, ezinye zingadala ukukhubazeka kokuzalwa. Futhi, imithi ethile elawula ukuvuvukala kwesifo sikaCrohn (njenge-sulfasalazine) ingehlisa amazinga e-folate.

Ukushoda kwebhola kungadala isisindo sokuzalwa esiphansi, ukulethwa ngaphambi kwesikhathi, futhi kunganciphisa ukukhula kwengane. Ukushoda kwe-folate nakho kungadala ukukhubazeka kokuzalwa kwe-neural tube. Lokhu kukhubazeka kungaholela ekuphazamisweni kwesistimu yezinzwa, njenge-spina bifida (isifo somgogodla) kanye ne-anencephaly (ukwakheka kobuchopho okungavamile) Khuluma nodokotela wakho mayelana nokuthola isilinganiso esifanele se-folate.

Abesifazane abane-Crohn's bangaba nokulethwa kwesitho sangasese sowesifazane. Kepha babhekene nezimpawu zezifo ezisebenzayo ze-perianal, ukulethwa kokuhlinzwa kunconyiwe.

Ukulethwa kwe-cearean kuyindlela engcono kakhulu kwabesifazane abane-ileal pouch-anal anastomosis (J pouch) noma ukuthengiswa kwamathumbu. Kuzosiza ukwehlisa izingqinamba zokungabambeki ngokuzayo futhi kuvikele nokusebenza kwakho kwe-sphincter.

Isici sofuzo sikaCrohn's

Izakhi zofuzo zibonakala zidlala indima ekuthuthukiseni isifo sikaCrohn. Abantu base-Ashkenazi bamaJuda banamathuba aphindwe kathathu kuye kwayisishiyagalombili kunabantu abangewona amaJuda bokuthuthukisa ama-Crohn's. Kepha kuze kube manje, akukho sivivinyo esingaqagela ukuthi ngubani ozosithola.

Izigameko eziphakeme kakhulu zeCrohn's zibikwa eYurophu, eNyakatho Melika, e-Australia, eJapane, nasechopheni laseNingizimu Melika. Kunezehlakalo eziphakeme zesifo sikaCrohn kubantu basemadolobheni kunasezindaweni zasemakhaya. Lokhu kusikisela isixhumanisi semvelo.

Ukubhema ugwayi nakho kuxhunywe nama-flare-ups kaCrohn. Ukubhema kungenza lesi sifo sibe sibi kakhulu size sidinge ukuhlinzwa. Abesifazane abakhulelwe abaneCrohn's ababhemayo kufanele bayeke ngokushesha. Lokhu kuzosiza ngeCrohn's kanye nokwenza ngcono inkambo yokukhulelwa.