Maʻi Crohn - hoʻokuʻu

ʻO ka maʻi Crohn kahi maʻi kahi e wela ai nā ʻāpana o ka digestive tract. He ʻano ia o ka maʻi ʻōpū.

Ma ka haukapila ʻoe no ka mea he maʻi Crohn kāu. ʻO kēia kahi mumū o ka ʻili a me nā papa hohonu o ka ʻōpū liʻiliʻi, ʻōpū nui, a i ʻole ʻelua.

Loaʻa paha iā ʻoe nā hōʻike, hōʻike hoʻokolohua, a me nā kukuna x. Ua nānā ʻia paha ka loko o kou kolo a me kou kolona me ka hoʻohana ʻana i ka paipu maʻalahi (kolonoscopy). Ua lawe ʻia paha kahi laʻana o kāuʻiʻo (biopsy).

Ua noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea a hānai ʻia ʻoe ma o ka laina intravenous wale nō. Ua loaʻa paha ʻoe i nā meaola kūikawā kūikawā ma o kahi pahu wai hānai.

Ua hoʻomaka paha ʻoe i ka lawe ʻana i nā lāʻau hou e mālama ai i kou maʻi Crohn.

ʻO nā ʻoki lāʻau āu i komo pū me ka hoʻoponopono ʻana o kahi fistula, ka liʻiliʻi o ka ʻōpū, a i ʻole ka ileostomy.

Ma hope o ka lapalapa ʻana o kāu maʻi Crohn, ua luhi paha ʻoe a ua liʻiliʻi kou ikaika ma mua. E ʻoi aku ka maikaʻi o kēia. E noi i kāu mea mālama ola e pili ana i nā hopena āpau mai kāu lāʻau hou. E ʻike mau ʻoe i kāu mea hāʻawi. Pono paha ʻoe i nā hoʻokolohua koko pinepine, keu hoʻi inā ʻoe ma nā lāʻau hou.

Inā ʻoe i hoʻi i ka home me kahi paipu hānai, pono ʻoe e aʻo pehea e hoʻohana a hoʻomaʻemaʻe ai i ka paipu a me kou ʻili kahi e komo ai ka paipu i kou kino.

Ke hele mua ʻoe i ka home, noi ʻia ʻoe e inu i nā wai wale nō a ʻai i nā meaʻai like ʻole mai ka mea āu e ʻai ai. E noi i kāu mea hāʻawi ke hiki iā ʻoe ke hoʻomaka i kāu papaʻai maʻamau.

Pono ʻoe e ʻai i ka papaʻai kaulike, olakino olakino. He mea nui e loaʻa iā ʻoe ka nui o nā calorie, protein, a me nā meaola nui mai nā ʻano meaʻai like ʻole.

Hiki i kekahi mau meaʻai a me nā mea inu ke hōʻeha i kāu mau ʻōuli. Hiki i kēia mau meaʻai ke hoʻopilikia iā ʻoe i nā manawa āpau a i ʻole i ka wā o kahi uila. E hoʻāʻo e hōʻalo i nā meaʻai e hōʻino ai i kāu mau ʻōuli.

• Inā ʻaʻole kūpale maikaʻi kou kino i nā meaʻai waiū, palena i nā huahana waiū. E hoʻāʻo i nā paʻi waiū lactose haʻahaʻa, e like me Swiss a me cheddar, a i ʻole kahi huahana enzyme, e like me Lactaid, e kōkua ai e wāwahi i ka lactose. Inā pono ʻoe e hōʻoki i ka ʻai ʻana i nā huahana waiū, e kamaʻilio me kahi kauka meaʻai e pili ana i ka lawa ʻana o ka calcium. Manaʻo kekahi mau loea pono ʻoe e hōʻalo i nā huahana waiū a hiki i kou hoʻomanawanui ʻana i kāu papaʻai maʻamau.
• ʻO ka nui o ka fiber e hōʻino ai i kāu mau ʻōuli. E hoʻāʻo i ka hoʻomoʻa ʻana a i ʻole ka palaʻai ʻana i nā huaʻai a me nā mea kanu inā ʻai ka mea maka iā lākou. ʻAi i nā mea ʻai liʻiliʻi inā ʻaʻole lawa kēlā.
• Hōʻalo i nā meaʻai e ʻike ʻia e hana i ke kinoea, e like me nā pī, nā mea ʻono, kāpī, broccoli, cauliflower, nā wai huaʻai maka, a me nā huaʻai, keu hoʻi nā hua citrus
• Hōʻalo a kau palena paha i ka waiʻona a me ka caffeine. Hiki iā lākou ke hoʻonui i kou ʻōpū.

ʻAi i nā meaʻai liʻiliʻi, a ʻai pinepine pinepine. E inu nui i nā wai.

E noi i kāu mea hāʻawi e pili ana i nā huaora a me nā minelala keu e pono ai.

• ʻO nā mea hoʻohui hao (inā he anemia hemahema hao)
• Nā mea hoʻopihaʻai pono
• Kalipona a me nā huaora D e kōkua i ka ikaika o kou iwi
• Nā kī ʻo Vitamin B-12, e pale aku i ka anemia.

E kamaʻilio me kahi kauka, ʻoiaʻiʻo inā e lilo ke kaupaona a i ʻole e kaupalena ʻia kāu papaʻai.

E hopohopo paha ʻoe e pili ana i ka loaʻa ʻana o kahi ʻōpū o ka ʻōpū, hilahila, a i ʻole kaumaha a kaumaha paha. ʻO nā hanana koʻikoʻi ʻē aʻe i kou ola, e like me ka neʻe ʻana, ka nalowale ʻana o ka hana, a i ʻole ka nalo ʻana o kahi mea aloha, hiki ke hoʻopilikia i kāu digestion.

Kōkua kēia mau ʻōlelo aʻoaʻo iā ʻoe e mālama i kāu maʻi Crohn:

• Hui i kahi hui kākoʻo. E noi i kāu mea hoʻolako e pili ana i nā hui i kou wahi.
• Hoʻoikaika kino. E kamaʻilio me kāu mea hāʻawi e pili ana i kahi hoʻolālā hoʻoikaika kūpono iā ʻoe.
• E hoʻāʻo i ka biofeedback e hoʻemi ai i ke kūpikipikiʻi o ka puʻupuʻu a hoʻolohi i ka helu o kou puʻuwai, nā hana hanu hohonu, hypnosis, a i ʻole nā ​​ala ʻē aʻe e hoʻomaha ai. ʻO nā laʻana e pili ana i ka hana yoga, hoʻolohe ʻana i ke mele, heluhelu, a i ʻole ke pulu ʻana i kahi ʻauʻau mehana.
• E ʻike i kahi ʻoihana olakino noʻonoʻo no ke kōkua inā pono.

Hāʻawi paha kāu mea hāʻawi iā ʻoe i kekahi mau lāʻau e kōkua i ka hōʻoluʻolu i kāu mau ʻōuli. Ma muli o ka maikaʻi ʻole o kāu maʻi Crohn a pehea ʻoe e pane ai i ka mālama ʻana, e ʻōlelo paha kāu mea hāʻawi i hoʻokahi a ʻoi paha o kēia mau lāʻau.

• Hiki ke kōkua i nā lāʻau hōʻalo anti-diarrhea ke loaʻa ʻoe i ka maʻi nui loa. Hiki ke kūʻai ʻia ʻo Loperamide (Imodium) me ka ʻole o ka lāʻau. E kamaʻilio mau i kāu mea hoʻolako ma mua o ka hoʻohana ʻana i kēia mau lāʻau.
• Hiki i nā pulupulu pulupulu ke kōkua i kāu mau ʻōuli. Hiki iā ʻoe ke kūʻai i ka pauka psyllium (Metamucil) a i ʻole methylcellulose (Citrucel) me ka ʻole o ka lāʻau. E nīnau i kāu mea hāʻawi e pili ana i kēia mau mea.
• E kamaʻilio mau i kāu mea hāʻawi ma mua o ka hoʻohana ʻana i nā lāʻau laxative.
• Hiki paha iā ʻoe ke hoʻohana i ka acetaminophen (Tylenol) no ka ʻeha mehana. ʻO nā lāʻau e like me aspirin, ibuprofen (Advil, Motrin), a i ʻole naproxen (Aleve, Naprosyn) e hōʻeha paha i kāu mau ʻōuli. E kamaʻilio i kāu mea hoʻolako e pili ana i nā lāʻau i hiki iā ʻoe ke hoʻohana. Pono paha ʻoe i kauka no ka lāʻau ʻoi aku ka ikaika o ka ʻeha.

Nui a hewahewa nā ʻano lāʻau e hiki ke kōkua i ka pale ʻana a mālama ʻana paha i nā hōʻeha o kāu maʻi Crohn.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Pākuʻi a ʻeha paha ma kāu wahi ʻōpū o lalo
• ʻO ka diarrhea koko, pinepine me ka mucus a i ʻole ka pā
• ʻAʻole hiki ke kaohi ʻia me ka palahī me nā loliʻai
• Ka emi o ke kaumaha (i kēlā me kēia) a me ka loaʻa ʻole o ke kaumaha (i nā keiki)
• Kahe koko, kahena, a i ʻole nā ​​ʻeha
• ʻO ke kuni e ʻoi aku ana ma mua o 2 a i ʻole 3 mau lā, a i ʻole ke kuni i ʻoi aku ma mua o 100.4 ° F (38 ° C) me ka ʻole o ka wehewehe
• ʻO Nusea a me ka luaʻi e ʻoi aku ana ma mua o hoʻokahi lā
• ʻO nā ʻeha a me nā ʻili hoʻi e hōʻola ʻole ai
• ʻEha hui e mālama iā ʻoe mai ka hana ʻana i kāu hana o kēlā me kēia lā
• Nā hopena ʻaoʻao mai nā lāʻau i kuhikuhi ʻia no kāu kūlana

Maʻi maʻi ʻōpū - Crohn's disease - hoʻokuʻu; Enteritis āpana - hoʻokuʻu; Ileitis - hoʻokuʻu; ʻO ka ileocolitis Granulomatous - hoʻokuʻu; Colitis - hoʻokuʻu

• Maʻi maʻi ʻōpū

Sandborn WJ. ʻO ka loiloi a me ka mālama ʻana o ka maʻi ʻo Crohn: mea hana hoʻoholo hoʻoholo. Gastroenterology. 2014; 147 (3): 702-705. PMID: 25046160 www.ncbi.nlm.nih.gov/pubmed/25046160.

ʻO Sands BE, Siegel CA. Maʻi ʻo Crohn.I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 115.

Swaroop PP. ʻO ka maʻi maʻi ʻōpū: Crohn disease and ulcerative colitis. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 224-230.

• Maʻi Crohn
• Ileostomy
• Hoʻokiʻi ʻōpū liʻiliʻi

• Diarrhea - he aha e nīnau aku ai i kāu kauka - keiki
• Diarrhea - he aha e nīnau aku ai i kāu kahu mālama ola - makua
• Kaʻai hānai komo - keiki - mālama ʻana i nā pilikia
• Tube hānai Gastrostomy - bolus
• ʻO Ileostomy a me kāu keiki
• Ileostomy a me kāu papaʻai
• Ileostomy - mālama i kāu stoma
• Ileostomy - hoʻokuʻu
• Paipu hānai Jejunostomy
• Noho me kāu ileostomy
• ʻAiʻai haʻahaʻa
• Paipu hānai Nasogastric
• Hoʻokiʻi liʻiliʻi o ka ʻōpū - hoʻokuʻu

• ʻO ka maʻi ʻo Crohn