ʻO Crohn's Disease a me Joint Pain: He aha ka pilina?

Anter

• Maʻi o Crohn a me ka ʻeha pū
• Pākuʻi
• Peripheral arthritis
• Pākuʻi Symmetrical
• Pākuʻi axial
• Spondylitis Ankylosing
• ʻO Arthralgia
• ʻIke i ka ʻeha pū
• Lapaʻau
• Hoʻololi ka nohona
• Nā hoʻoponopono kūlohelohe
• Ka wā e ʻike ai i ke kauka
• Outlook no ka ʻeha pū

Loaʻa ka poʻe me ka maʻi o Crohn i ka mumū mau i ka uhi o kā lākou digestive tract.

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka maʻi o Crohn, akā pili kēia mumū i ka ʻōnaehana pale ʻole e kuhi hewa ʻana i nā mea pono ʻole, e like me ka meaʻai, nā koʻohune maikaʻi, a i ʻole nā ​​ʻōpū o ka ʻōpū ponoʻī, ma ke ʻano he hoʻoweliweli. Hoʻopili ia a hoʻouka iā lākou.

I ka hala ʻana o ka manawa, hopena kēia i ka mumū mau. I kekahi manawa hiki i kēia overreaction ke kumu i nā pilikia i nā wahi ʻē aʻe o ke kino ma waho o ka gastrointestinal tract. ʻO ka mea maʻamau ka mea i nā hono.

Loaʻa i ka maʻi o Crohn kahi ʻāpana genetic. I nā huaʻōlelo ʻē aʻe, ʻoi aku ka maʻalahi o ka poʻe me nā hoʻololi kūʻē kikoʻī i ka maʻi o Crohn.

Ua ʻike ʻia kahi noiʻi e pili pū ana kēia ʻano hoʻololi ʻē aʻe i nā ʻano maʻi ʻē aʻe, e like me psoriasis, rheumatoid arthritis, a me ankylosing spondylitis.

Maʻi o Crohn a me ka ʻeha pū

Inā loaʻa ʻoe i ka maʻi o Crohn, hiki paha iā ʻoe ke hoʻonui i ka makaʻu o nā ʻano ʻelua o ke ʻano hui.

• ʻōiwi: ʻeha me ka pehu
• kawaipunahele: ʻeha me ka hu ʻole ʻole

Hiki paha i kēia mau kūlana ʻelua ke hoʻopili i nā poʻe me nā maʻi ʻōpū (IBD) e like me ka maʻi o Crohn.

Pākuʻi

ʻO ka hoʻāla ʻana mai ka maʻi kōā ke kumu o ka ʻeha o nā hono a pehu pū kekahi. Hiki paha i ka artritis ke hoʻopili i nā mea me ka maʻi o Crohn.

ʻO ka maʻi ʻōlapa e kū ana me ka maʻi o Crohn he mea ʻokoʻa loa ia mai ka rumati maʻamau no ka mea hoʻomaka i ka wā ʻōpio.

Eia aʻe nā ʻano o ke ahulau e hiki ke hana ʻia i ka poʻe me ka maʻi o Crohn:

Peripheral arthritis

ʻO ka hapanui o ka maʻi kōpaʻa e kū i ka poʻe me ka maʻi o Crohn i kapa ʻia ʻo ka peripheral arthritis. Hoʻopili kēia ʻano arthritis i nā hono nui, e like me nā mea i kou mau kuli, nā kuʻekuʻe wāwae, nā kuʻe lima, nā pūlima, a me nā pūhaka.

Kū pinepine ka ʻeha pū i ka manawa like me ka hoʻoulu ʻana o ka ʻōpū a me ka ʻōpū. ʻAʻole kēia ʻano ʻeha ke hopena ma muli o ka haki pū ʻia a i ʻole ʻānai mau paha i nā hono.

Pākuʻi Symmetrical

ʻO ka pākēneka liʻiliʻi o ka poʻe me ka maʻi o Crohn i loaʻa kahi ʻano o ka maʻi o ka maʻi i ʻike ʻia ʻo symmetrical polyarthritis. Hiki i ka Symmetrical polyarthritis ke alakaʻi i ka mumū i kekahi o kou mau ami, akā ke kumu maʻamau ia i ka ʻeha o nā hono o kou mau lima.

Pākuʻi axial

ʻO kēia ke alakaʻi i ka ʻoʻoleʻa a me ka ʻeha a puni ke kuamoʻo o lalo, a hiki ke alakaʻi i ka palena a me ka neʻe a me ka hōʻino mau loa.

Spondylitis Ankylosing

ʻO ka mea hope loa, kahi hapa liʻiliʻi o ka poʻe me ka maʻi o Crohn e hoʻomohala i kahi kūlana koʻikoʻi i kapa ʻia ʻo ankylosing spondylitis (AS). Hoʻopili kēia kūlana holomua holomua i kāu ami sacroiliac a me kou iwi kuamoʻo.

Pākuʻi ʻia nā ʻōuli me ka ʻeha a me ka ʻoʻoleʻa ma kou iwi ʻaoʻao lalo a kokoke i ka lalo o kou kua i nā hono sacroiliac.

Loaʻa paha i kekahi poʻe nā ʻōuli o AS mau mahina a i ʻole mau makahiki ma mua o ka ʻike ʻia ʻana o ko lākou mau maʻi ʻo Crohn. Hiki i kēia ʻano arthritis ke alakaʻi i ka pōʻino mau loa.

ʻO Arthralgia

Inā loaʻa ʻoe i ka ʻeha i kou mau hui me ka ʻole o ka pehu, a laila loaʻa iā ʻoe ka maʻi maʻi. Loaʻa ka paʻakikī o ka poʻe me IBD i kahi manawa i ko lākou ola.

Hiki i ka Arthralgia ke hana i nā hui like ʻole i loko o kou kino. ʻO nā wahi maʻamau nā kuli, nā kuʻekuʻe wāwae, a me nā lima. Ke hoʻokumu ʻia ʻo arthralgia e Crohn's, ʻaʻole ia e hōʻino i kāu mau ami.

ʻIke i ka ʻeha pū

Hiki ke paʻakikī ke haʻi inā ʻo kou ʻeha hui ka hopena o kahi maʻi ʻōpū e like me ka maʻi o Crohn. ʻAʻole hiki i kahi hoʻokolohua hoʻokahi ke ʻōlelo me ka ʻoiaʻiʻo, akā aia kekahi mau hōʻailona.

ʻO kekahi ʻokoʻa mai ka rumati maʻamau ʻo ka līlū ka mea i pili nui i nā hono nui, a ʻaʻole paha e pili pono i nā ʻaoʻao ʻelua o kou kino. ʻO kēia ka laʻana, no ka laʻana, e manaʻo paha kou kuli hema a poʻohiwi paha ma mua o ka ʻākau.

ʻO Rheumatoid arthritis, i ka hoʻohālikelike ʻana, pili pū kekahi i nā hono liʻiliʻi, e like me nā mea i ka lima a me ka pulima.

ʻO nā pilikia o ka ʻōpū i hele mai me ka maʻi o Crohn i lilo i kumuhana ma mua o ka hiki ʻana o ka maʻi i ka ʻeha pū.

Lapaʻau

ʻO ka maʻamau, paipai nā kauka i ka hoʻohana ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ka aspirin (Bufferin) a i ʻole ibuprofen (Motrin IB, Aleve), e hoʻomaha ai i ka ʻeha pū me ka ʻōhū.

Eia naʻe, ʻaʻole koi ʻia nā NSAID no ka poʻe me ka maʻi o Crohn. Hiki iā lākou ke hoʻonāukiuki i kou uhi ʻōpū a hoʻonui i kāu mau ʻōuli. No ka ʻeha liʻiliʻi, hiki i kāu kauka ke koi aku e hoʻohana i ka acetaminophen (Tylenol).

Loaʻa nā lāʻau lapaʻau e kōkua i ka ʻeha pū. ʻO ka hapa nui o kēia mau ʻano hana e hoʻopili ʻia me nā lāʻau lapaʻau o Crohn:

• sulfasalazine (Azulfidine)
• Corticosteroids
• methotrexate
• nā meaola biologic hou e like me infliximab (Remicade), adalimumab (Humira), a me certolizumab pegol (Cimzia)

Ma waho aʻe o ka lāʻau lapaʻau, e kōkua paha nā ʻenehana ma ka home aʻe:

• ke hoʻomaha nei i ka ami i hoʻopili ʻia
• ke kani a hāpai ʻana i ka ami
• ke hana nei i kekahi mau hana e hōʻemi ai i ka ʻoʻoleʻa a hoʻoikaika i nā mākala e pili ana i nā hono i hiki ke kuhikuhi ʻia e kahi mea hoʻoponopono kino a ʻoihana paha

Hoʻololi ka nohona

Kōkua ka hoʻoikaika i ka hoʻomaikaʻi ʻana i ke kaʻina o ka neʻe i kou mau ami a kōkua pū kekahi i ka hoʻoluhi i ke kaumaha. Hiki ke kōkua i ka hoʻomaʻamaʻa cardio hopena haʻahaʻa e like me ka ʻauʻau ʻana, ka paikikala kū, yoga, a me tai chi a me ka hoʻomaʻamaʻa ikaika.

Hoʻomaʻalahi paha ka hoʻoponopono ʻana i kāu papaʻai i nā ʻōuli o ka maʻi o Crohn, keu hoʻi me ke kōkua mai nā meaʻai e hiki ai ke hoʻololi i ka make ʻana o nā bacteria i kou ʻōpū.

Hoʻopili kēia i nā prebiotics e like me ka meli, maiʻa, aniani, a me kālika, a me nā probiotics e like me kimchi, kefir, a me kombucha.

He probiotic nō hoʻi ʻo Yogurt, akā he nui ka poʻe me ka maʻi o Crohn e makaʻala i nā meaʻai waiū a makemake paha e ʻalo iā ia.

Nā hoʻoponopono kūlohelohe

Ma waho aʻe o nā probiotics a me nā prebiotics, pōmaikaʻi ʻoe i ka lawe ʻana i nā mea ʻaila aila iʻa. Kiʻekiʻena kēia i nā omega-3 fatty acid, kahi e hōʻemi ai i ka mumū a me ka paʻa o ka ami.

Kōkua pū paha ka Acupuncture me nā ʻōuli o nā maʻi ʻelua a Crohn a me ka arthritis.

Ka wā e ʻike ai i ke kauka

Inā ʻoe e ʻeha nei i ka ʻeha pū, e ʻike i kāu kauka. Makemake paha lākou e hana i nā hoʻokolohua diagnostics e kāpae i nā kumu ʻē aʻe o kou ʻeha.

E makemake paha kāu kauka e hoʻoponopono i kāu mau maʻi maʻi Crohn. ʻO kekahi manawa, pili ʻeha ʻeha i nā hopena ʻaoʻao o kāu lāʻau.

Hiki i kāu kauka ke koi i kahi mea hoʻoponopono kino e kōkua iā ʻoe e hoʻomohala i kahi papahana hoʻoikaika kino no kou mau hono.

Outlook no ka ʻeha pū

ʻO ka ʻeha pū kekahi no ka poʻe me ka maʻi o Crohn ka mea maʻamau i kahi manawa pōkole wale nō a ʻaʻole hopena ka hopena mau i ka pōʻino mau loa. E hoʻomaikaʻi paha kāu ʻeha hui i ka hoʻomaikaʻi ʻana o kāu ʻōpū.

Me nā ʻōpū o ka gastrointestinal i hoʻomama ʻia ma o ka lāʻau a me ka papaʻai, maikaʻi ka nānā no kāu mau hui.

Eia naʻe, inā ua loaʻa iā ʻoe kahi hōʻailona AS, ʻoi aku ka loli o ka nānā. Hoʻomaikaʻi kekahi poʻe i ka manawa, ʻoi aku ka maikaʻi o ka maikaʻi o kekahi. Me nā mālama ʻana o kēia manawa, ʻaʻole pili ka manaʻolana ke ola no nā poʻe me AS maʻamau.