Imibuzo eyi-10 Yokubuza Udokotela Wakho Mayelana neCrohn's

-Delile

• 1. Ngabe sikhona esinye isifo esidala izimpawu zami?
• 2. Yiziphi izingxenye zamathumbu ami ezithintekayo?
• 3. Yimiphi imiphumela engemihle yemithi engikudlayo?
• 4. Kwenzekani uma ngiyeka ukuthatha imishanguzo yami?
• 5. Yiziphi izimpawu ezibonisa isimo esiphuthumayo?
• 6. Yiziphi izidakamizwa ezingekho emthethweni engingazithatha?
• 7. Hlobo luni lokudla okufanele ngibe nalo?
• 8. Yiziphi ezinye izinguquko endleleni yokuphila okufanele ngizenze?
• 9. Yikuphi ukwelashwa engikudingayo esikhathini esizayo?
• 10. Kunini lapho ngidinga ukuhlela i-aphoyintimenti elandelayo?
• Izifo zikaCrohn

Usehhovisi likadokotela wakho futhi uzwa izindaba: Unesifo sikaCrohn. Konke kubonakala njengokufiphala kuwe. Awukhumbuli neze igama lakho, ingasaphathwa eyokwakha umbuzo ohloniphekile ongawubuza udokotela wakho. Lokho kuyaqondakala ngokuxilongwa okokuqala. Ekuqaleni, mhlawumbe ufuna ukwazi ukuthi isifo siyini nokuthi sisho ukuthini ngempilo yakho. Ngokuqokwa kwakho kokulandela, kuzodingeka ubuze imibuzo egxile kakhulu ekutheni ungasiphatha kanjani isifo sakho.

Nayi imibuzo eyi-10 ezokusiza ukuthi ubheke ekwelashweni kwakho:

1. Ngabe sikhona esinye isifo esidala izimpawu zami?

Isifo sikaCrohn sihlobene nezinye izifo zamathumbu, njenge-ulcerative colitis kanye ne-irritable bowel syndrome. Udinga ukubuza udokotela wakho ukuthi kungani becabanga ukuthi unesifo sikaCrohn ngokukhethekile, futhi uma kukhona ithuba kungaba enye into. Izifo ezahlukahlukene zidinga ukwelashwa okuhlukile, ngakho-ke kubalulekile ukuthi udokotela wakho aphelele futhi asebenzise izivivinyo eziningi ukulawula konke okunye.

2. Yiziphi izingxenye zamathumbu ami ezithintekayo?

Isifo sikaCrohn singathinta noma iyiphi ingxenye yomgudu wakho wamathumbu, kufaka phakathi:

• umlomo
• isisu
• amathumbu amancane
• ikholoni

Ungalindela izimpawu ezahlukahlukene nemiphumela emibi evela ezilondeni ezingxenyeni ezihlukene zomgudu wakho wamathumbu, ngakho-ke kuyasiza ukwazi ukuthi sitholakalaphi isifo sakho. Lokhu kungacacisa nokuthi iyiphi indlela yokwelashwa ozoyiphendula kangcono kakhulu. Isibonelo, uma i-Crohn's yakho ikukholoni yakho futhi ingaphenduli emithini, ungadinga ukuhlinzwa ngekoloni.

3. Yimiphi imiphumela engemihle yemithi engikudlayo?

Uzofakwa emithini enamandla yokulwa nesifo sikaCrohn, futhi kubalulekile ukuqaphela imiphumela emibi lapho uyiphuza. Isibonelo, ungahle uthathe i-steroid, efana ne-prednisone, futhi omunye wemiphumela emibi yayo ukuzuza isisindo. Eminye imithi inemiphumela engemihle ehlukene okudingeka uyiqaphele. Eminye imishanguzo izodinga nokuthi uthole ukuhlolwa kwegazi njalo ukuqinisekisa ukuthi awubi negazi. Ngaphambi kokuba uqale noma imuphi umuthi omusha, qiniseka ukuthi ukhuluma nodokotela wakho ngemiphumela emibi engaba khona ukuze wazi ukuthi yini okufanele uyiqaphele.

4. Kwenzekani uma ngiyeka ukuthatha imishanguzo yami?

Njengoba eminye imithi ingadala imiphumela emibi engathandeki, abanye abantu bakhetha ukuyeka ukuyiphuza. Kubalulekile ukubuza udokotela wakho ukuthi iyini imiphumela yokuyeka imithi yakho. Kuzofanele ubhekane nokuqhuma kweCrohn's, kepha okubi kakhulu, ungagcina ulimaze ingxenye yamathumbu akho bese udinga ukuhlinzwa, uma uyeka ukuthatha imishanguzo yakho ngokuphelele. Imithi elahlekile yenzeka ngezikhathi ezithile, ngakho-ke qiniseka ukuthi ubuza udokotela wakho ukuthi angakuphatha kanjani amanani angabanjwanga nawo.

5. Yiziphi izimpawu ezibonisa isimo esiphuthumayo?

Isifo sikaCrohn singadala izimpawu ezihlazisayo, njengesifo sohudo esingalawuleki nokucinana kwesisu, kodwa futhi singashesha siphazamise isifo esisongela impilo. Ukuqina, noma ukunciphisa amathumbu, kungenzeka futhi kubangele ukuvinjelwa kwamathumbu. Uzoba nobuhlungu besisu obucijile futhi akukho ukunyakaza kwamathumbu nhlobo. Lolu wuhlobo olulodwa kuphela oluphuthumayo lwezokwelapha olungenzeka oluvela kwaCrohn's. Cela udokotela wakho akuchazele zonke ezinye izimo eziphuthumayo, nokuthi yini okudingeka uyenze uma kwenzeka.

6. Yiziphi izidakamizwa ezingekho emthethweni engingazithatha?

Ukuze uhudo oluqhubekayo, ungalingeka ukuthi uthathe i-loperamide (Imodium), kodwa kubalulekile ukuhlola udokotela wakho kuqala ukuqinisekisa ukuthi kulungile. Ngokufanayo, uma uzizwa uqunjelwe, ukuphuza ama-laxatives kwesinye isikhathi kungaba yingozi kunokuba kusize. Izidakamizwa ezingezona ukuvuvukala, ezifana ne-ibuprofen, ngokuvamile azinconywa kulabo abanesifo sikaCrohn ngenxa yemiphumela emibi. Kubalulekile ukuthi ubuze udokotela wakho nganoma yimaphi amakhambi athengiswa okufanele uwagweme ngesikhathi sokwelashwa.

7. Hlobo luni lokudla okufanele ngibe nalo?

Yize kungekho kudla okuqondile kwabantu abanesifo sikaCrohn, kubalulekile ukuthi ube nokudla okunempilo, okunempilo. Abantu abaningi abane-Crohn’s bavame ukuzwa ukwehla okukhulu kwesisindo ngenxa yohudo oluqhubekayo. Badinga indlela yokudla evumela ukuthi bagcine isisindo sabo sikhuphukile. Uma ukhathazekile ngokudla kwakho, noma uma unenkinga ngesisindo sakho, buza udokotela wakho ukuthi ungathunyelwa kumuntu onomsoco. Ngale ndlela, uzokwazi ukuthola zonke izakhamzimba ozidingayo.

8. Yiziphi ezinye izinguquko endleleni yokuphila okufanele ngizenze?

Indlela yakho yokuphila ingashintsha kakhulu ngokuxilongwa kwesifo sikaCrohn, futhi imikhuba ethile onayo empeleni ingasenza sibe sibi kakhulu. Isibonelo, ukubhema kwenza ukuqhuma kukaCrohn, futhi ukuphuza utshwala ngemithi ethile akunconywa. Uzofuna ukubuza udokotela wakho ukuthi usengakwazi yini ukubamba iqhaza emicimbini yezemidlalo, imisebenzi ehlobene nomsebenzi, kanye neminye imisebenzi enzima. Imvamisa, akukho mingcele eyenziwayo ocansini, kepha ungafuna ukukhuluma nodokotela wakho ngokuthi iCrohn's iyithinta kanjani le ndawo yempilo yakho.

9. Yikuphi ukwelashwa engikudingayo esikhathini esizayo?

Esikhathini esiningi, iCrohn's iyelapheka ngemithi nangezindlela zokulungiswa kwendlela yokuphila, kepha kokunye ukuhlinzwa kuyadingeka ukwenza lesi sifo singene ekuxolelweni. Buza udokotela wakho ukuthi amathuba okuhlinzwa yini nokuthi hlobo luni lokuhlinzwa ongaludinga. Okunye ukuhlinzwa kususa izingxenye ezinesifo samathumbu akho, kusale isibazi kuphela. Kodwa-ke, okunye ukuhlinzwa kudinga ukukhipha lonke ikholoni lakho, kukunikeze isikhwama se-colostomy impilo yakho yonke. Kungcono ukwazi kusengaphambili ukuthi yiziphi izinketho zakho zokuhlinzwa.

10. Kunini lapho ngidinga ukuhlela i-aphoyintimenti elandelayo?

Uma usuqedile ukubuza udokotela wakho, udinga ukuhlela i-aphoyintimenti yokulandelela. Noma uzizwa uphilile futhi ungenawo ama-flare-ups, kusazodingeka wazi ukuthi udinga kangaki ukubona udokotela wakho. Udinga futhi ukuthi yini okufanele uyenze uma kwenzeka kuqhuma futhi uzovakasha nini kudokotela uma uqala ukuba nezinkinga ngokwelashwa kwakho. Uma imithi yakho iyeka ukusebenza noma uma ungazizwa kahle, buza udokotela wakho ukuthi kufanele ubuyele nini ehhovisi.

Izifo zikaCrohn

Isifo sikaCrohn singaba yisimo esibuhlungu nesinamahloni, kodwa ungasilawula kanye nama-flare-ups aso ngokusebenzisana nodokotela wakho, nokubabona njalo. Wena nodokotela wakho niyiqembu. Nobabili kudingeka nibe ekhasini elilodwa uma kukhulunywa ngempilo yakho nesimo sakho.