Mea Kākau: Robert Simon
Lā O Ka Hana: 19 Iune 2021
HōʻAno Hou I Ka Lā: 1 Iulai 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Wikiō: The EXCRUCIATING Anatomy of Bowel Obstructions

Anter

Ke ʻai ka poʻe, haki ka hapa nui o ka meaʻai i ka ʻōpū a komo i loko o ka ʻōpū liʻiliʻi. Eia nō naʻe, i nā poʻe he nui me ka maʻi o Crohn - a kokoke i nā poʻe āpau me ka maʻi liʻiliʻi o Crohn - ʻaʻole hiki i ka ʻōpū liʻiliʻi ke omo pono i nā meaʻai, a laila hopena ʻia ka malabsorption.

Loaʻa i nā kānaka me ko Crohn maʻi i kahi maʻi ʻōpū i hoʻā ʻia. Hiki ke lī a i ʻole ka huhū ma nā ʻāpana o ka ʻōpū o ka ʻōpū, akā pili pinepine ia i ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi, i kapa ʻia ʻo ka ileum. ʻO ka ʻōpū liʻiliʻi kahi e loaʻa ai ka lawe ʻana o ka nutrient koʻikoʻi, no laila ʻaʻole nui ka poʻe me ka maʻi o Crohn e ʻeli a omo maikaʻi i nā meaʻai. Hiki i kēia ke hopena i nā pilikia like ʻole, me malabsorption o nā wikamina a me nā minelala nui. Hiki i kēia mau wikamina a me nā hemahema mineral ke alakaʻi i nā pilikia olakino hou, e like me ka make wai a me ka malnutrisi.

ʻO ka mea pōmaikaʻi, hiki i nā hoʻokolohua koko ke kōkua i nā kauka e hoʻoholo inā loaʻa i nā kānaka me ka maʻi o Crohn ka wikamina a me nā meaʻai e pono ai. Inā ʻaʻole lākou, e hāʻawi ʻia paha lākou i ka gastroenterologist no ka loiloi. ʻO kahi gastroenterologist kekahi mea loea i nā maʻi e pili ana i ka ʻōpū o ke ʻōpū a me ke ake. Hiki iā lākou ke paipai i kahi hoʻolālā lapaʻau no kekahi mea i loaʻa ʻole ka hemahema o ke kino ma muli o ka maʻi o Crohn.


Nā ʻano o nā hemahema Nutritional

He pilikia paha ka poʻe me ka maʻi o Crohn e omo i ka nui o nā wikamina a me nā meaola, e like me:

Kalepona

Loaʻa nā Calories mai nā macronutrients, e like me nā waihā, nā protein, a me nā momona. Ke loaʻa ʻole i kekahi ka lawa o nā calorie ma muli o ka malabsorption, lilo koke ka nui o ke kaumaha iā lākou.

Pūmua

Pono paha ka poʻe me ka maʻi o Crohn e hoʻopiha i kā lākou protein i loaʻa ma muli o:

  • ka hoʻohana ʻana o nā steroid kiʻekiʻe, e like me prednisone
  • hoʻolōʻihi koko hoʻolōʻihi a i ʻole diarrhea
  • nā ʻeha a i ʻole nā ​​fistula e pili ana i ka ʻōpū liʻiliʻi

Momona

ʻO ka poʻe i loaʻa i ka maʻi nui o Crohn a i ʻoi aku ma mua o 3 kapuaʻi o kā lākou ileum i hemo paha e pono e hoʻohui i nā momona momona i kā lākou papaʻai.

Mea hao

ʻO ka Anemia, a i ʻole ka nele o nā keena ʻulaʻula olakino, kahi hopena maʻamau o ka maʻi o Crohn. Hiki i ke kūlana ke alakaʻi i ka hemahema o ka hao, no laila he nui ka poʻe me Crohn e koi i ka hoʻohui hou o ka hao.


ʻO Vitamin B-12

ʻO ka poʻe i loaʻa ka mumū koʻikoʻi a ua hoʻoneʻe ʻia ko lākou ileum e koi pinepine i nā injection o ka huaʻai B-12.

ʻAkika Folic

Lawe nā poʻe he nui me ka maʻi o Crohn i ka sulfasalazine e mālama i kā lākou mau hōʻailona. Eia nō naʻe, hiki i kēia lāʻau ke hoʻololi i ka hiki i ke kino ke metabolize i ka folate, e pono ai nā mea kōkua folic acid. ʻO ka poʻe i loaʻa i ka maʻi nui o Crohn o ka jejunum, a i ʻole ka ʻāpana waena o ka ʻōpū liʻiliʻi, pono paha lākou e hoʻohui i kā lākou lawe ʻana i ka waikawa folic.

ʻO nā wikamina A, D, E, a me K

ʻO nā hemahema o kēia mau huamona momona e hoʻouluulu ʻia e pili pinepine ʻia me ka momona momona a me ka momona o ka ʻōpū liʻiliʻi. Pili pū paha lākou i ka hemo ʻana o nā ʻāpana nui o ka ileum a i ʻole ka jejunum. Manaʻo ʻia ʻo ka makaʻu o ka lawa ʻole ka wikamina D ʻoi aku ka kiʻekiʻe i nā poʻe e lawe i ka cholestyramine, no ka mea hiki i kēia lāʻau ke hoʻopilikia i ka omo ʻana o ka huaora D.

Kiniki

Pono paha ka poʻe me ka maʻi o Crohn e lawe i nā zinc supplement inā lākou:


  • loaʻa ka hoʻonui nui
  • loaʻa ka palahī paʻa
  • ua wehe ʻia kā lākou jejunum
  • ke lawe nei i ka prednisone

Hiki i kēia mau mea ke hoʻopilikia i ka hiki i ke kino ke komo i ka zinc.

ʻO Potassium a me Sodium

ʻO ke kolona, ​​a i ʻole ka ʻōpū nui ke kuleana no ka hana ʻana i nā wai a me nā electrolytes. ʻO ka poʻe i lawe i kēia ʻōpala i kahi ʻoki lāʻau no laila pono e hoʻonui i kā lākou lawe ʻana i ka pāhare potassium a me ka sodium. Nui aʻe ka makaʻu o ka nalo ʻana o ka potassium i ka poʻe i lawe i ka prednisone a ʻike pinepine i ka maʻi diarrhea a i ʻole ka luaʻi.

Kalipuna

Hoʻopilikia nā Steroids i ka lawe ʻana o ka calcium, no laila ʻo ka poʻe e lawe i kēia mau lāʻau e mālama i nā hōʻailona o ka maʻi o Crohn e pono e hoʻohui i ka nui o ka calcium i kā lākou papaʻai.

Makanekiuma

ʻAʻole hiki i ka poʻe i loaʻa i ka maʻi diarrhea hoʻomau a i ʻole ua wehe ʻia kā lākou ileum a jejunum paha ke omo pono i ka magnesium. ʻO kēia kahi mineral nui no ka ulu ʻana o ka iwi a me nā hana kino ʻē aʻe.

Nā ʻōuli o Malabsorption

ʻAʻole ʻike ka poʻe he nui me ka maʻi o Crohn i nā ʻōuli o ka malabsorption, no laila he mea nui e hoʻomaʻamaʻa mau i nā hemahema olakino. Ke ʻike ʻia nā ʻōuli malabsorption, komo pū paha lākou:

  • ʻōhūhū
  • ʻenekini
  • ʻōpū ʻōpū
  • nā noho nui a momona paha
  • pāhohonu mau loa

I nā hihia koʻikoʻi o ka malabsorption, hiki i ka luhi a i ʻole ka hāʻule koke ʻana o ke kaumaha.

Nā kumu o Malabsorption

Hiki ke hāʻawi i kekahi mau kumu e pili ana i ka maʻi o Crohn i ka malabsorption:

  • Ka hoʻohaunaele: ʻO ka hoʻomau mau ʻana o ka ʻōpū liʻiliʻi o ka ʻōpū liʻiliʻi i nā poʻe me ka maʻi liʻiliʻi o Crohn e alakaʻi pinepine ai i ka hōʻino ʻana i ka uhi ʻōpū. Hiki i kēia ke keakea i ka hiki o ke kolo ke omo pono i nā meaola.
  • Nā Lapaʻau: ʻO kekahi mau lāʻau i hoʻohana ʻia e mālama i ka maʻi o Crohn, e like me corticosteroids, e hoʻopili paha i ka hiki i ke kino ke komo i nā meaʻai.
  • ʻOki kino: ʻO kekahi poʻe i loaʻa kahi ʻāpana o kā lākou ʻōpū liʻiliʻi i hoʻoneʻe ʻia me ka liʻiliʻi o ka ʻōpū i koe e lawe i ka meaʻai. ʻO kēia ʻano, i ʻike ʻia ma ke ʻano he bowel syndrome, kākaʻikahi. ʻIke ʻia ia i nā poʻe i loaʻa ma lalo o 40 iniha o ka ʻōpū liʻiliʻi i koe ma hope o nā hana he nui.

Nā hana no Malabsorption

ʻO ka hoʻololi hou ʻana i nā meaola he hana maʻamau ia no ka poʻe i loaʻa nā hemahema olakino ma muli o ka maʻi o Crohn. Hiki ke pani ʻia nā mea momona nalo me kekahi mau meaʻai a me nā mea hoʻopihapihaʻai. Lawe ʻia nā mea hoʻohui i waha a hāʻawi ʻia paha ma o kahi aa (intravenously).

Hōʻalo ka pale ʻana i kekahi mau meaʻai no ka mālama ʻana i ka malabsorption. Hiki paha i nā meaʻai like ʻole ke hana i ke kinoea a i ʻole ka diarrhea i ka ʻoi aku ka maikaʻi, keu hoʻi i ka wā o ka lapalapa ʻana, akā na kēlā me kēia pane Loaʻa nā meaʻai pilikia pilikia i:

  • pīni
  • na anoano
  • broccoli
  • kāpiki
  • ʻai citrus
  • ka bata a me ka margarine
  • kalima kaumaha
  • nā meaʻai palai
  • mea ʻai nīoi
  • nā mea ʻai kiʻekiʻe i ka momona

Pono paha ka poʻe me ka ʻōpū o ka ʻōpū e hōʻalo loa i ka ʻai ʻana i nā meaʻai kiʻekiʻe, e like me nā hua maka a me nā mea kanu.

Paipai ʻia ka poʻe me ka maʻi o Crohn e ʻai i ka papaʻai olakino, kaulike e paipai ai i ka omo ʻana o nā wikamina a me nā minelala. Paipai pū ʻia ʻoe e ʻai i nā meaʻai liʻiliʻi i loko o ka lā a inu i ka wai he nui. Pono paha e hōʻalo i ka waiū, no ka mea, ʻo kekahi me ka maʻi o Crohn i lilo i mea pale ʻole i ka waiū.

Q:

Hiki i kekahi mau meaʻai ke kōkua i ka pale ʻana i nā hemahema o ka meaʻai i ka poʻe me ka maʻi o Crohn? Inā pēlā, ʻo wai?

Hoʻomanawanui inoa ʻole

A:

ʻAe, hiki i kekahi mau meaʻai ke kōkua. ʻO ka Avocado kahi momona momona a maʻalahi i ka folate, hao a me waiwai zinc, a momona nā lau lauʻeleʻele i ka folate, calcium, a me ka hao. ʻO ka salemona kēpau me nā iwi, nā waiū kanu paʻa paʻa i ka pāhū, nā pīni, a me nā līlū kahi kumu maikaʻi loa o nā meaola i malabsorbed pinepine ʻia.

ʻO Natalie Butler, RD, LDAnswers e pani i nā manaʻo o kā mākou loea loea. Hoʻomaopopo ʻike ʻike ʻole ʻia nā ʻike āpau a pono ʻole e noʻonoʻo ʻia he ʻōlelo aʻoaʻo olakino.

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