ʻO ka maʻi o Crohn: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau
• 1. Hoʻohana o nā lāʻau
• 2. ʻAi kūpono
• 3. ʻoki kino
• Nā pilikia i hiki

ʻO ka maʻi o Crohn kahi maʻi o ka ʻōnaehana digestive, ʻo ia ke kumu o ka hoʻowahāwahā mau ʻana o ka uhi o nā ʻōpū a hiki ke kumu ʻia e nā mea kūlohelohe a i ʻole e hana hewa ʻole i ka ʻōnaehana pale.

Hiki i kēia maʻi ke hana i nā ʻōuli e like me ka huhū o ka ʻōpū, ke kahe ʻana o ke koko, ka ʻike i kekahi mau meaʻai, ka maʻi diarrhea a i ʻole ka ʻeha o ka ʻōpū, hiki ke hala i mau makahiki i mau makahiki. No kēia kumu, he maʻi maʻamau ka paʻakikī e ʻike.

ʻAʻohe mea e ola ai ka maʻi o Crohn, akā naʻe, ʻae ka lapaʻau e hōʻoluʻolu i nā hōʻailona a hāpai i ka maikaʻi o ke ola, a pono e hana ʻia e like me ke alakaʻi a kahi mea hānai a me / a i ʻole kahi gastroenterologist.

Nā hōʻailona nui

ʻO nā ʻōuli e hōʻike mau i ka maʻi o Crohn:

• Pākī pinepine;
• Abdominal eha;
• Ke kūʻana o ke koko i ka pahu kapu;
• Luhi nui loa;
• Ka nele o ka makemake a me ke kaupaona.

Hoʻohui ʻia, loaʻa paha i kekahi poʻe nā ʻōuli ʻē aʻe e pili pono ʻole i ka huʻu o ka ʻōpū, e like me ka thrush pinepine, nā hono ʻeha, nā ʻū a me nā loli o ka ʻili, no ka laʻana.

Eia pehea e ʻike ai i nā ʻōuli nui o ka maʻi o Crohn.

Pehea e hōʻoia ai i ke kuhi

ʻAʻohe hōʻike a hōʻike paha e hōʻoia i ka hōʻoia o ka maʻi o Crohn, no laila he mea maʻamau ka hoʻomaka ʻana o ka loiloi me ka gastroenterologist e like me nā ʻōuli i hōʻike ʻia.

Mai kēlā manawa, kauoha ʻia kekahi mau hoʻokolohua, e like me ka kolonoskopi, endoscopy a i ʻole ka pahu noho, e kāpae i nā kuhiakau ʻē aʻe o ke kuhi, e like me ka maʻi maʻi ʻōpū, e laʻa paha i nā ʻōuli like.

Nā kumu kūpono

ʻAʻole i wehewehe piha ka maʻi o Crohn i nā kumu, akā manaʻo ʻia ʻo kekahi mau mea e hoʻohuli i kāna hoʻomaka ʻana me:

• Nā kumu kūmole pili paha lākou i ka ulu ʻana o ka maʻi o Crohn, ʻo ka mea maʻamau i ka poʻe pili i ka maʻi.
• Hoʻololi ka ʻōnaehana pale maʻi ka mea e alakaʻi ai i kahi pane i hoʻonui ʻia o ka meaola i ka wā o kahi maʻi, e hoʻouka ana i nā hunaola o ka ʻōnaehana digestive;
• Nā loli i ka microbiota ʻōpū, ka mea e hiki ai i ke kaulike ʻole i ka nui o nā bacteria i loko o ka ʻōpū;
• Puhi pinepine, no ka mea, he mau mea like me ka nikotine, carbon monoxide a me nā radical manuahi i hiki ke hoʻololi i ke kahe o ke koko i nā ʻōpū a hoʻonui i ka makaʻu o ka hoʻomohala ʻana i ka maʻi a hāʻawi paha i ka hoʻonui ʻia o nā pilikia o Crohn.

Hiki i kēia maʻi ke hōʻike iā ia iho i kēlā me kēia wā o ke ola, akā ʻoi aku ka ʻike pinepine ʻia ma hope o nā wā kaumaha a hopohopo nui paha. Hiki i ka maʻi o Crohn ke hoʻopili i nā kāne a me nā wahine, a pili pū paha kona ʻano i ka hoʻohana ʻana i nā lāʻau e like me ka contraceptive waha, antibiotic a i ʻole nā ​​lāʻau anti-inflammatory e like me ibuprofen a diclofenac paha.

Pehea e hana ai i ka lāʻau

ʻO ka mālama ʻana i ka maʻi o Crohn e hana mau ʻia e like me ke alakaʻi a ka gastroenterologist a me ka mea mālama meaʻai a me ka pahuhopu e hōʻemi i ka mumū o ka ʻōpū i kumu i nā ʻōuli, hoʻomaikaʻi i ka maikaʻi o ke ola a i ʻole hoʻemi i ka makaʻu o nā pilikia.

Eia hou, pono ʻoe e ʻai i ka papaʻai kaulike me ka papaʻai olakino a kaulike hoʻi.

ʻO nā mālama nui no ka maʻi o Crohn:

1. Hoʻohana o nā lāʻau

ʻO nā lāʻau i hoʻohana ʻia e mālama ai i ka maʻi o Crohn e koi mau ʻia e ka gastroenterologist a kuhikuhi ʻia e hōʻoluʻolu i nā ʻōuli a pale paha i nā hoʻouka a komo pū:

• Corticosteroids ma ke ʻano he prednisone a i ʻole budesonide e kōkua ai i ka hoʻoliʻiliʻi o ka ʻōpū;
• ʻO Aminosalicylates e like me sulfasalazine a i ʻole mesalazine e hana i ka hoʻohaʻahaʻa ʻana i ka hoʻāpā e pale a hoʻēmi i ka hopu ʻana.
• Nā Immunosuppressants e like me azathioprine, merc laptopurine a i ʻole methotrexate e kōkua ai e hōʻemi i ka hana o ka ʻōnaehana pale a hiki ke hoʻohana ʻia i nā hihia kahi e hoʻomaikaʻi ʻole ai me ka hoʻohana ʻana o nā lāʻau ʻē aʻe;
• Nā Laau Lapaʻau e like me infliximab, adalimumab, certolizumab pegol a i ʻole vedolizumab e kōkua i ka modulate i nā hana o ka ʻōnaehana paleʻea;
• Nā Antibiotics e like me ciprofloxacin a i ʻole metronidazole hiki ke hoʻohana i nā hihia o nā pilikia mai ka maʻi, ka ulu ʻana o ka maʻi a i ʻole ka maʻi perianal.

Hoʻohui ʻia, hiki ke hoʻohana ʻia nā lāʻau ʻē aʻe e hōʻoluʻolu i nā ʻōuli ma ke ʻano he lāʻau no ka maʻi diarrhea, ʻeha a i ʻole nā ​​huaora vitamin in the case of nutritional deficit due to malabsorption of food.

2. ʻAi kūpono

ʻO ka hoʻowahāwahā i loko o ka ʻōpū i hoʻokumu ʻia e ka maʻi o Crohn hiki ke hōʻino i ka digestion a me ka omo ʻana o ka meaʻai, kahi e hiki ai i ka maʻi diarrhea, ka ʻeha o ka ʻōpū a i ʻole ka ulu ʻana o ka ulu i nā keiki, no laila he mea nui e ʻai i ka papaʻai kaulike, alakaʻi ʻia e kahi mea hānai a meaolaʻai paha, a pale i ka ʻai ʻana nā meaʻai e hōʻino ai paha i nā ʻōuli e like me ke kope, kokoleka a i ʻole nā ​​lau maka, no ka laʻana. E ʻike i ka mea e ʻai ai i ka maʻi o Crohn.

Eia hou, inā ʻoiai me ka papaʻai kūpono, ʻaʻohe hoʻomaikaʻi i ka lawe ʻana i nā meaola a hoʻoliʻiliʻi paha o nā ʻōuli, kahi papaʻai kikoʻī i hana ʻia e ka enteral a i ʻole ka meaʻai makua e hōʻike ʻia e ke kauka.

E nānā i ke wikiō me ke kauka hānai ʻo Tatiana Zanin e pili ana i ka mea e ʻai ai i ka maʻi o Crohn:

3. ʻoki kino

Hōʻike ʻia ke ʻoki kino e ke kauka inā ʻaʻole hoʻololi nā hoʻololi o ka papaʻai a i ʻole ka mālama ʻana me nā lāʻau i ka hoʻomaikaʻi ʻana i nā ʻōuli o ka maʻi o Crohn a i ʻole inā kū aʻe nā pilikia e like me nā fistula a i ʻole ka liʻiliʻi o ka ʻōpū.

I ka wā o ke kaha ʻana, wehe ke kauka i nā ʻāpana ʻino o ka ʻōpū a hoʻohui hou i nā ʻāpana olakino.

Nā pilikia i hiki

Hiki i ka maʻi o Crohn ke hana i kekahi mau pilikia i loko o ka ʻōpū a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino e like me ka ʻili a me nā iwi, e laʻa me. ʻO nā pilikia ʻē aʻe o kēia maʻi e komo pū me:

• Pihapiʻi o ka ʻōpū hiki ke alakaʻi i ka ālai a me ka pono no ke kaha ʻana;
• Haki ʻōpū;
• ʻO ka ulcer i loko o ka ʻōpū, i ka waha, anus a i ʻole ka ʻāina genital;
• Ke hoʻokumu ʻana i nā fistula i loko o ka ʻōpū he pilina kūpono ʻole ia ma waena o nā ʻāpana like ʻole o ke kino, e laʻa me ka ʻōpū a me ka ʻili a i ʻole ma waena o ka ʻōpū a me kahi meaola ʻē aʻe;
• Māhele anal ʻo ia kahi māwae liʻiliʻi i loko o ke anus;
• Kaʻai pono ʻole hiki ke alakaʻi i ka anemia a i ʻole osteoporosis;
• ʻO ka hoʻohaunaele i nā lima a me nā wāwae me nā puʻupuʻu e hōʻike ʻia ma lalo o ka ʻili;
• Hoʻonui i ka hoʻokumu ʻana o ke koko hiki i ke kumu o ka ālai ʻana i nā uaua a me nā aʻa.

Hoʻohui ʻia, hoʻonui ka maʻi o Crohn i ka makaʻu o ka maʻi ʻōpū o ke ʻōpū, a ua ʻōlelo ʻia nā hoʻokolohua olakino maʻamau a me nā hōʻoia kolonekia, e like me ka mea i hōʻike ʻia e ke kauka E ʻike pehea e hana ʻia ai ke kolone.