Nā Laʻau Lapaʻau o Crohn

Anter

• Nā lāʻau e mālama ai i ka maʻi o Crohn
• Corticosteroids
• ʻO Aminosalicylates
• Nā lāʻau Immunomodulator
• ʻO Biologics
• Nā lāʻau ʻē aʻe
• ʻOki kino
• Nā hoʻoponopono kūlohelohe
• Hoʻololi ka nohona
• Hoʻoponopono i kou koʻikoʻi
• Lawe i ka acetaminophen no ka ʻeha
• Uoki ka puhipaka
• Mālama i kahi puke pai meaʻai
• Ka palena o ka caffeine a me ka waiʻona
• ʻO ka lawe lawe ʻana

ʻO ka maʻi o Crohn kahi maʻi autoimmune e hoʻopili i ka gastrointestinal (GI) tract. Wahi a ka Crohn's a me Colitis Foundation, ʻo ia kekahi o nā kūlana e hana ai i nā maʻi huhū huhū, a i ʻole IBD, nā maʻi e hoʻopilikia ʻia ma kahi o 3 miliona mau ʻAmelika.

ʻAʻole maopopo loa nā kauka he aha ke kumu o Crohn's, akā manaʻo ʻia he overreaction o ka ʻōnaehana paleʻea i loko o ka GI tract.

Hiki i ka maʻi o Crohn ke hoʻopili i kekahi ʻāpana o ka GI tract, akā pinepine ka hopena i ka ʻōpū liʻiliʻi a me ka hoʻomaka o ke kolona. Aia nā ʻano hoʻohālikelike like ʻole o Crohn e pili ana i kahi e pili ai ka maʻi i ke kanaka i kā lākou GI tract.

No ka mea aia nā ʻano like ʻole o Crohn, e loli pū nā ʻōuli, akā hiki ke hoʻopili ʻia:

• ʻeha ka ʻōpū
• pāhoehoe
• nausea a me ka luaʻi
• Kaumaha emi
• fistulas

ʻOiai ʻaʻohe lāʻau lapaʻau no ka maʻi o Crohn, nā lāʻau lapaʻau a me nā koho lapaʻau ʻē aʻe, e like me ka hoʻololi o ka papaʻai a me ka nohona, hiki ke kōkua i ka mālama ʻana i nā ʻōuli.

Hoʻomaopopo loa ʻia ka mālama ʻana no Crohn, no laila ʻaʻole pono ka mea e hana ai no hoʻokahi kanaka.

Kū pinepine ka maʻi o Crohn i nā pōʻaiapuni o ke kala a me nā lapalapa ahi, no laila e koi ana nā hoʻolālā lapaʻau i ka loiloi hou a me ka nānā ʻana.

E hana me kāu kauka e kiʻi i kahi papa hana e mālama i kāu mau kikoʻī kikoʻī ʻo Crohn.

Nā lāʻau e mālama ai i ka maʻi o Crohn

ʻO kekahi o nā ala mua e hiki ai iā ʻoe ke mālama i ka maʻi o Crohn ma o nā lāʻau e kāohi i kāu ʻōnaehana pale a hoʻemi i ka mumū i kāu GI tract.

Ke loaʻa ʻoe iā Crohn's a i ʻole nā ​​maʻi IBD ʻē aʻe, loaʻa i ka ʻōnaehana pale pale kahi pane kūpikipiki kū ʻole e hoʻomaka ai kāu mau ʻōuli.

ʻO ka pahuhopu o ka lawe ʻana i ka lāʻau e hoʻohaʻahaʻa ai i kāu pane pale pale e kōkua i kāu mau hōʻailona a hāʻawi i kāu GI tract i kahi manawa e hoʻomaha a hoʻōla.

ʻO nā aʻe aʻe nā lāʻau i kauoha ʻia ma ke ʻano kaʻawale a i ʻole ka hui pū ʻana e kōkua i ka mālama ʻana i kāu maʻi ʻo Crohn.

Corticosteroids

Wahi a ka National Institute for Diabetes and Digestive and Kidney Diseases (NIDDKD), ʻo nā corticosteroids he mau steroid i kōkua i ka hōʻemi ʻana i nā mumū a me kāu pane pale. Hoʻohana pinepine ʻia lākou ma ke ʻano he lāʻau lapaʻau pōkole.

Hoʻohana ʻia nā corticosteroids maʻamau e mālama iā Crohn's:

• budesonide
• hydrocortisone
• methylprednisolone
• prednisone

Hiki i nā ʻaoʻao ʻaoʻao o corticosteroids ke hoʻopili:

• glaucoma a hoʻonui i ke kaomi i kou mau maka
• pehu
• kahe koko kiʻekiʻe
• loaʻa kaupaona
• ʻoi aku ka makaʻu o ka loaʻa ʻana i ka maʻi
• huehue
• loli ke ʻano

ʻO nā hopena koʻikoʻi, e like me ka nalo ʻana o ka iwi iwi (osteoporosis) a i ʻole nā ​​pilikia ate, hiki ke hana inā lawe ʻoe i nā corticosteroids ma mua o 3 mau mahina.

Ma muli o kēia, lawe paha kāu kauka iā ʻoe e lawe i nā corticosteroids no kekahi manawa wale nō.

ʻO Aminosalicylates

Hoʻohana pinepine ʻia ka aminosalicylates e mālama i ka ulcerative colitis, akā hiki ke kuhikuhi ʻia no Crohn's pū kekahi. Manaʻo ʻia kēia mau lāʻau e hoʻoliʻiliʻi i ka lī i loko o ka ʻōpū e hoʻoluʻolu ai i nā ʻōuli.

Hiki ke lawe i kēia mau lāʻau lapaʻau ma ke ʻano he suppository, ma ka waha, a i ʻole ma ke ʻano he hui pū o nā mea ʻelua. Pehea ʻoe e lawe ai i ka lāʻau i ka hopena o ka maʻi i kou kino.

ʻO nā hopena ʻē aʻe o nā aminosalicylates me:

• nausea
• ka luaʻi
• puʻuwai puʻuwai
• pāhoehoe
• ʻeha poʻo

ʻOiai e lawe ana i kēia lāʻau, hiki i kāu kauka ke nānā i kāu hana hakuʻala. Hiki paha iā lākou ke kauoha i nā hoʻāʻo ʻana i ke koko e hōʻoia i ka haʻahaʻa ʻole o ka pae o ke koko keʻokeʻo.

E hoʻomaopopo i kāu kauka inā maʻi ʻoe i nā lāʻau sulfa ma mua o ka lawe ʻana i kekahi lāʻau aminosalicylate.

Nā lāʻau Immunomodulator

Manaʻo nā kānaka noiʻi ua hoʻokumu ʻia ka maʻi o Crohn e kahi pilikia me ka ʻōnaehana pale. ʻO nā cell e pale mau i kou kino e hoʻouka i ke kahawai GI.

Ma muli o kēia, hiki i nā lāʻau lapaʻau e kāohi a hoʻoponopono paha i kāu ʻōnaehana pale pale ke kōkua i ka mālama ʻana iā Crohn's.

Eia nō naʻe, hiki i kēia mau lāʻau i 3 mahina ma mua o ka hoʻomaka ʻana o ka hana, no laila pono ʻoe e kali i kekahi manawa ma mua o kou ʻike inā e kōkua lākou iā ʻoe.

Kauoha paha nā kauka i kēia ʻano lāʻau inā ʻaʻole hana ka aminosalicylates a me nā corticosteroids a i ʻole inā e hoʻomōhala i nā fistula. Hiki i kēia mau lāʻau ke kōkua iā ʻoe e noho i ke kala ʻana. Hiki iā lākou ke hoʻōla i nā fistula.

ʻO kekahi o nā lāʻau immunosuppressive maʻamau:

• azathioprine (Imuran)
• merc laptopurine (Purinethol)
• cyclosporine (Gengraf, Neoral, Sandimmune)
• methotrexate

Hiki i nā hopena o kēia mau lāʻau ke komo pū:

• ʻeha poʻo
• nausea
• ka luaʻi
• pāhoehoe
• ʻoi aku ka makaʻu o ka loaʻa ʻana i ka maʻi

ʻO kekahi mau hopena ʻē aʻe i loaʻa i ka pancreatitis (ka palahu o ka pancreas), nā pilikia o ke ake, a me ka myelosuppression. ʻO Myelosuppression kahi hoʻemi i ka nui o ka iwi iwi āu e hana ai.

ʻO Biologics

ʻO Biologics kahi ʻano o ka lāʻau i hoʻohana ʻia no ka poʻe me ka haʻahaʻa a koʻikoʻi paha iā Crohn a i ʻole Crohn ʻeleu. Hana lākou e hoʻemi i ka mumū ma nā wahi kikoʻī, e like me ka uhi ʻana o kou ʻōpū. ʻAʻole lākou e kāohi i kāu ʻōnaehana pale pale holoʻokoʻa.

Hiki paha i kāu kauka ke kuhikuhi i nā biologics inā he ʻano kaulike a koʻikoʻi paha ʻoe a i ʻole ʻaʻole e hana ana kāu mau lāʻau ʻē aʻe. Kākau paha lākou iā lākou inā he fistula kāu i kāu palapala GI.

Hiki i nā biologics ke kōkua i ka taper (hoʻemi haʻahaʻa) i ka hoʻohana ʻana o nā lāʻau steroid.

Hāʻawi pinepine ʻia kēia mau lāʻau lapaʻau e ka pahu ʻana i ka haukapila a i ʻole kahi kikowaena waho i kēlā me kēia 6 a 8 mau pule.

ʻO nā lāʻau biologic ʻoi loa e like me:

• anti-tumor nekrosis factor-alpha therapies
• nā anti-integrin therapies
• anti-interleukin-12
• interleukin-23 therapy

Hiki paha iā ʻoe ke ʻulaʻula, pehu, a i ʻole ka huhū ma kahi e loaʻa ai iā ʻoe ka puʻukū. E ʻike paha ʻoe:

• ʻeha poʻo
• fiva
• haʻalulu
• haʻahaʻa haʻahaʻa haʻahaʻa

I nā hihia maʻamau, loaʻa i kekahi poʻe ka hopena ʻawaʻawa i ka lāʻau lapaʻau a i ʻoi aku paha ka nui o ka maʻi o ka maʻi, keu hoʻi i ka maʻi palu (TB).

Nā lāʻau ʻē aʻe

Kauoha paha nā kauka i nā lāʻau hou e kōkua i nā ʻōuli ʻē aʻe o Crohn's.

Hiki i nā Antibiotics ke pale i nā abscesses a me ka ulu nui ʻana o nā bacteria i loko o nā ʻōpū.

Hiki paha i kāu kauka ke kuhikuhi i kahi lāʻau antidiarrheal i kapa ʻia ʻo loperamide e lawe ʻia i kahi wā pōkole inā loaʻa ʻoe i ka maʻi nui.

Kūpono pū kekahi poʻe me Crohn's i ka ulu ʻana o ke koko, no laila ke kaukaʻi nei i kāu kaukaʻi, hiki i kāu kauka ke kuhikuhi i kahi wīwī o ke koko e hōʻemi i kou makaʻi ʻana i nā pilikia mai kahi pūpū koko.

Hiki i kāu kauka ke koi aku i ka acetaminophen kuhikuhi-ikaika no ka hoʻomaha ʻana i ka ʻeha. Hōʻalo i ka hoʻohana ʻana i ka ibuprofen (Advil), naproxen (Aleve), a me ka aspirin no ka ʻeha o ka ʻeha, ʻoiai hiki ke hōʻeha i nā ʻōuli.

ʻOki kino

ʻOiai e hoʻāʻo mua nā kauka e mālama i ka maʻi o Crohn me ka lāʻau, no ka mea he maʻi ola ia, nui ka poʻe me Crohn e pono ai i kahi ʻoki.

Aia kekahi mau ʻano ʻoki lāʻau like ʻole no ka poʻe i loaʻa i ka maʻi o Crohn. ʻO ke ʻano o ke kaha ʻana e pili ana i ke ʻano o Crohn's āu, he aha nā ʻōuli āu e ʻike nei, a me ke ʻano o nā ʻōuli.

Nā ʻoki lāʻau no Crohn's:

• Strictureplasty. Hoʻonui kēia ʻoki i kahi ʻāpana o kou ʻōpū i hele a mikiʻī i ka manawa ma muli o ka pehu.
• ʻO Proctocolectomy. Me kēia ʻoki ʻana no nā hihia koʻikoʻi, hemo loa ka kolona a me ka pololei.
• Colectomy. I kahi colectomy, ua hoʻoneʻe ʻia ke kolone, akā ua waiho paʻa ʻia ka pololei.
• Lawe ka fistula a me ke kahawai abscess.
• Liʻiliʻi liʻiliʻi a nui hoʻi. Hana ʻia ka ʻoki kino e hemo i ka ʻeha o ka ʻōpū a hoʻohui hou i nā wahi olakino maikaʻi ʻole o ka ʻōpū.

Nā hoʻoponopono kūlohelohe

Me kahi lāʻau lapaʻau a me nā ʻoki ʻana, aia kekahi mau kōkua kūlohelohe kōkua hiki iā ʻoe ke kūkākūkā me kāu kauka.

Pākuʻi ʻia kēia mau mea:

• Pākuʻi. Hiki i nā mea hoʻopiha kalipuna a me ka huaola D ke pale aku i ka nalo ʻana o ka iwi inā lōʻihi kou lawe ʻana i ka lāʻau.
• ʻO nā waikawa momona Omega-3. ʻO ka Omega-3 fatty acid, e like me nā mea i loko o ka aila iʻa, ʻike ʻia he mau anti-inflammatory, no laila ke aʻo ʻia nei lākou e ʻike inā he mea kōkua ia ma Crohn. Hiki iā ʻoe ke loaʻa nā omega-3 fatty acid i loko o nā mea hoʻohui a i ʻole nā ​​meaʻai e like me salemona, sardine, nati, hua flax, aila mea kanu, a me kekahi mau meaʻai paʻa.
• Turmeric. Ke aʻo ʻia nei hoʻi ʻo Turmeric e ʻike inā pono ʻo ia iā Crohn ma muli o kāna anti-inflammatory waiwai. Eia nō naʻe, loaʻa i ka turmeric ka hoʻoemi koko ʻana, no laila e nānā me kāu kauka ma mua o ka hoʻohui ʻana i kāu papaʻai a i ʻole lawe ʻia ma ke ʻano he waihona.
• Lāʻau lāʻau. Wahi a ka Crohn's & Colitis Foundation, ua hōʻike ʻia kekahi mau haʻawina liʻiliʻi e hiki ai i ka cannabis lapaʻau ke kōkua me kekahi mau hōʻailona o ka IBD, akā ʻaʻohe hōʻike e hōʻike pono ai no Crohn's.

Hoʻololi ka nohona

Aia kekahi mau hoʻololi nohona koʻikoʻi i hiki iā ʻoe ke lawe e kōkua i ka mālama ʻana i kāu mau ʻōuli, a ʻo kekahi o lākou i helu ʻia ma aneʻi:

Hoʻoponopono i kou koʻikoʻi

ʻO ka mālama ʻana i ke koʻikoʻi kahi ʻāpana nui o kēlā me kēia ʻano olakino olakino, akā he mea nui ka mālama ʻana i ke koʻikoʻi me kahi maʻi ʻōpala mau. ʻO kēia no ka mea, ʻoi aku ka maikaʻi o kāu mau ʻōuli.

Hiki iā ʻoe ke hoʻāʻo i nā ʻenehana hoʻokele koʻikoʻi ma kāu iho, e like me nā polokalamu noʻonoʻo a alakaʻi ʻia a i ʻole nā ​​wikiō, nā hoʻoikaika hanu hohonu, a i ʻole yoga.

He manaʻo maikaʻi pū kekahi e kamaʻilio pū me kahi mea lapaʻau e loaʻa ai kekahi mau mea hoʻokele koʻikoʻi hou pū kekahi, keu hoʻi inā he kiʻekiʻe nā koʻikoʻi.

Lawe i ka acetaminophen no ka ʻeha

No ka hōʻoluʻolu mālie a me ka ʻeha (e like me ka wā e loaʻa ai kahi ʻeha poʻo a i ʻole ʻeha ʻeha), makemake ʻia ʻoe e lawe i ka acetaminophen (Tylenol). Hōʻalo i ka ibuprofen (Advil), naproxen (Aleve), a me ka aspirin, no ka mea hiki i kēia mau mea ke hoʻonāukiuki.

Uoki ka puhipaka

Hiki i ka puhi ʻana ke hōʻeha i nā ʻōuli, hoʻonāukiuki i kahi ahi, a hoʻemi i ka maikaʻi o kāu lāʻau.

ʻO ka haʻalele ʻana i ka puhipaka, ʻoiai he aha ka lōʻihi o ka puhi ʻana o ke kanaka a loaʻa iā Crohn, ua loaʻa e kōkua i ka mālama ʻana i nā ʻōuli.

Mālama i kahi puke pai meaʻai

ʻAʻole i loaʻa i kahi noiʻi i hoʻokahi papaʻai a meaʻai paha e kōkua iā Crohn, akā no ka mea he ʻano maʻi kēlā me kēia, aia paha kekahi mau meaʻai e hoʻonāukiuki i nā hōʻailona iā ʻoe.

ʻO ke mālama ʻana i kahi puke pai meaʻai a me ka ʻai ʻana i kahi papaʻai olakino, hiki ke kōkua iā ʻoe e loaʻa i nā mea momona āu e makemake ai a ʻike i nā meaʻai e hōʻino ai i kāu mau ʻōuli.

Ka palena o ka caffeine a me ka waiʻona

Hiki i ka nui a me ka waiʻona ke hana i nā ʻōuli maikaʻi, keu hoʻi i ka wā o kahi ahi

ʻO ka lawe lawe ʻana

ʻO ka maʻi o Crohn kahi ʻano o ka IBD e hoʻololi i nā mea āpau i ka ʻokoʻa.

Aia kekahi mau ʻano like ʻole o Crohn e hoʻopili i nā ʻāpana like ʻole o ka ʻōnaehana GI. E loli nā ʻōuli ma muli o ka ʻāpana o ka GI tract e pili ai a pehea ke koʻikoʻi.

No ka mea ʻo Crohn's kahi maʻi ola e pili ʻole i nā mea āpau i ke ala like, makemake ʻoe e hana pū me kāu kauka e hoʻomohala i kahi hoʻolālā mālama pilikino e like me ka lāʻau, nā loli nohona, a me ke ʻoki kino.