Imibuzo eyi-6 Yonke iCrohnie idinga ukubuza i-Gastro yabo

-Delile

• 1. Yikuphi ukwelashwa engingakukhetha?
• Imithi
• Ukudla
• Ukuhlinzwa
• 2. Yini ongangitshela yona nge-biologics?
• 3. Yiziphi izindlela zokwelapha ezinconyelwe izimpawu enginazo?
• 4. Ukuphatha kanjani ukuthethelelwa?
• 5. Ingabe ezinye izindlela zokwelapha zingasiza?
• 6. Ngabe unasiphi iseluleko ngempilo yakho?
• Ukuthatha

ICrohn yisimo sempilo yonke esidinga ukuphathwa nokuqapha okuqhubekayo. Kubalulekile ukuthi uzizwe ukhululekile ukukhuluma ne-gastroenterologist yakho. Uyingxenye yethimba lakho lokunakekela, futhi ama-aphoyintimenti akho kufanele akushiye uzizwa unamandla.

Ukuthola udokotela okufanelekile kuyisinyathelo esibalulekile ekuphathweni kwezifo okuyimpumelelo. Gcina iphephabhuku lokubhala phansi imibuzo kadokotela wakho lapho evela bese uliletha lapho uya khona. Ungaqala ngemibuzo eyisithupha engezansi.

Lapho unolwazi oluningi, uzokuhlomela kangcono ukuphatha isimo sakho, nokuqonda okwengeziwe oyozuza endleleni yokwelashwa kukadokotela wakho.

1. Yikuphi ukwelashwa engingakukhetha?

Udokotela wakho kufanele akwazi ukukunikeza ulwazi mayelana nezinketho zokwelashwa ezitholakalayo zesifo sikaCrohn. ICrohn's ayelapheki, ngakho-ke inhloso yokwelashwa ukubeka isimo ekuxolelweni ngokunciphisa ukuvuvukala. Lokhu kungenziwa ngezindlela eziningana:

Imithi

Kunemithi ongayithatha ukwelapha iCrohn's:

• Ama-Aminosalicylates (5-ASA) kunciphisa ukuvuvukala kulwelwesi lwekholoni.
• Ama-Corticosteroids cindezela amasosha omzimba jikelele.
• Ama-immunomodulators ukunciphisa ukuvuvukala ngokucindezela amasosha omzimba.
• Imithi elwa namagciwane welapha izifo ezinjengamathumba.
• Izindlela zokwelapha ze-Biologic khomba futhi unciphise impendulo yokuvuvukala.

Umuthi ngamunye unezinzuzo nemiphumela emibi udokotela wakho angayichaza.

Ukudla

Ukudla nesifo sikaCrohn kunobuhlobo obuyinkimbinkimbi.Izinto ezithile zokudla zingadala ukuqhuma, kuzenze izinto ukugwema. Izibonelo zifaka phakathi ubisi, amafutha ne-fiber. Ezimweni ezinzima, ukwelashwa kungafaka ukuphumula kwamathumbu okwesikhashana.

Le ndlela ngokuvamile idinga ukuthatha ikhefu kokunye noma kukho konke ukudla nokuthola izakhamzimba ngeziphuzo ezifakwa emithanjeni.

Ukuvuvukala kwamathumbu kungaphazamisa ukumuncwa kwezakhi. Yingakho ukungondleki kuyinkinga ye-Crohn's. Udokotela wakho angakunika amasu okubhekana nephazili likaCrohn lokudla.

Ukuhlinzwa

Kwesinye isikhathi ukuhlinzwa kuyadingeka ukwelapha iCrohn's. Lokhu kwenzelwa ukulungisa noma ukususa izingxenye ezigulayo zomgudu wamathumbu, noma ukwelapha isimo esiphuthumayo njengokuvinjelwa kwamathumbu. Buza udokotela wakho ngemibandela okufanele uhlangabezane nayo ngaphambi kokuhlinzwa.

2. Yini ongangitshela yona nge-biologics?

I-Biologics iyindlela yokwelashwa yakamuva yeCrohn's. Yimithi eyenziwe ngamaseli aphilayo, futhi isebenza ngokukhomba inqubo yokuvuvukala.

Ezinye zazo zikhomba i-tumor necrosis factor (TNF) ukunciphisa ukuvuvukala okudalayo. Abanye bavimba ukuhamba kwezinhlayiya zokuvuvukala ezindaweni ezivuthayo zomzimba, njengamathumbu, okunikeza lezi zindawo isikhathi sokuphumula nokululama.

I-biologics iza nemiphumela engemihle, ikakhulu ephathelene nokuvikeleka komzimba. Buza udokotela wakho mayelana nobuhle nobubi bale ndlela yokwelashwa ukuze ubone ukuthi ikulungele kahle yini.

3. Yiziphi izindlela zokwelapha ezinconyelwe izimpawu enginazo?

Izincomo zokwelashwa kwesifo sikaCrohn zisuselwa kuzimpawu zomuntu kanye nasembonweni jikelele wesimo sabo. Udokotela wakho uzobheka nemiphumela yokuhlolwa kwakho kwezokwelapha. Imithi ezokusebenzela kangcono kakhulu inqunywa yizo zonke lezi zinto.

Ngokuya ngobukhulu besifo sakho se-Crohn, udokotela wakho angancoma i-biologic ngaso leso sikhathi. Ezimweni ezimnene zeCrohn's, ama-steroids angaba umuthi wokuqala owunikezwa udokotela wakho.

Zilungiselele ukuxoxa ngazo zonke izimpawu zakho zeCrohn nodokotela wakho ukuze zikusize ukunquma ukwelashwa okungcono kakhulu kuwe.

4. Ukuphatha kanjani ukuthethelelwa?

Ukuphatha ukuxolelwa kuhilela ukuqapha isimo sakho nokukuvikela kuma-flare amasha. Buza udokotela wakho ukuthi hlobo luni lokuhlolwa okuvamile ozoba nalo, kusuka ekubhekweni komtholampilo kuya ekuhlolweni kwegazi kanye nesitulo.

Ngokwesiko, odokotela bathembele kuzimpawu zodwa ukusho ukuthi usuthethelelweni yini. Kwesinye isikhathi izimpawu azihambelani nezinga lomsebenzi kaCrohn, futhi ukuhlolwa okuningi kunikeza imininingwane engcono.

Buza udokotela wakho ngokuqhubeka nemithi ngesikhathi sokuxolelwa. Le yindlela evame ukunconywa kakhulu. Umgomo ukukuvikela ekuhlangabezaneni nokuqubuka okusha.

Ezimweni eziningi, udokotela wakho uzokweluleka ukuthi uhlale emithini efanayo ekufaka ekuthethelelweni, futhi uqhubeke nokuyiphuza inqobo nje uma ingenayo imiphumela emibi.

Uma usebenzise i-steroid ukufeza ukuxolelwa, udokotela wakho kungenzeka akususe ku-steroid bese eqala i-immunomodulator noma i-biologic esikhundleni salokho.

5. Ingabe ezinye izindlela zokwelapha zingasiza?

Ucwaningo alukakhombisi ukuthi ezinye izindlela zokwelashwa zingashintsha ngempumelelo ukwelashwa okuvamile. Uma uthatha isinqumo sokuzama izinto ezifana no-oyili wezinhlanzi, ama-probiotic, noma izithako zemithi, hlola udokotela wakho kuqala ukuze uqiniseke ukuthi awuphazamisi umuthi wakho.

Futhi, izindlela ezihambisanayo akufanele zithathe indawo yemithi yakho.

6. Ngabe unasiphi iseluleko ngempilo yakho?

Indlela yokuphila inethonya elibonakalayo kunoma yisiphi isimo, futhi nekaCrohn akunjalo. Buza udokotela wakho ngokunciphisa ukucindezeleka, ukuzivocavoca, nezinye izinguquko eziwusizo ongazenza njengokuyeka ukubhema.

Ukuthatha

Impumelelo yokwelashwa kwakho incike ekubandakanyeni kwakho kanye nobudlelwano onabo nodokotela wakho. Buza imibuzo bese uzama ukufunda okuningi ngangokunokwenzeka. Uma wazi ngokwengeziwe, uzokwazi kangcono ukuphatha isifo sakho.