ʻO ka maʻi hāpai a me Crohn's Disease
Anter
- E hāpai ʻoe?
- ʻO ke olakino hāpai a me Crohn
- ʻO ka hāpai hāpai a me Crohn
- ʻO ke kumu kūlohelohe o Crohn's
Hoʻomaopopo pinepine ʻia ka maʻi o Crohn ma waena o nā makahiki 15 a 25 - ka piko o ka momona o ka wahine.
Inā ʻoe he makahiki hānau keiki a loaʻa iā Crohn's, noʻonoʻo paha ʻoe inā he koho ka hāpai ʻana. ʻO nā wahine me Crohn e like me ka hāpai ʻana e like me ka poʻe me Crohn's.
Eia nō naʻe, hiki i ka scarring mai ka ʻōpū a me nā pelvic ke kāohi i ka momona. Heʻoiaʻiʻo loa kēia i nā hanana o nā kaʻina hana e like me ka colectomy hapa a i ʻole - e hemo ana i kahi ʻāpana a i ʻole nā ʻōpū nui āpau.
E hāpai ʻoe?
ʻOi aku ka maikaʻi ke hāpai ke kaohi ʻia nā hōʻailona o Crohn. Pono ʻoe e kaʻawale i nā lapalapa ahi no 3 a 6 mau mahina i hala ae nei a ʻaʻole ʻoe e lawe i nā corticosteroids. Pono ʻoe e nānā pono i kāu mālama lāʻau lāʻau a Crohn ke makemake ʻoe e hāpai. E kamaʻilio me kāu kauka e pili ana i ka maikaʻi a me ka maikaʻi ʻole o ka hoʻomau ʻana i ka lāʻau i ka wā hāpai a me ka hānai ʻana. ʻO kahi lapalapa ahi a Crohn i ka wā hāpai hiki ke hoʻonui i ka makaʻu o ka hana mua a me nā pēpē haʻahaʻa haʻahaʻa.
ʻAi i kahi papaʻai momona, momona-momona. He mea nui ka acid acid i nā wahine hāpai. ʻO ia ke ʻano synthetic o folate, kahi huaʻai B i loaʻa kūlohelohe i nā hua a me nā lau.
Kōkua ʻo Folate i ke kūkulu ʻana iā DNA a me RNA. He mea koʻikoʻi kēia no ka mahele wikiwiki o ka mahele wikiwiki o ka hāpai ʻana. Pale pū ia i ka anemia a pale i ka DNA mai nā hoʻololi e hiki ai ke ulu i ka maʻi ʻaʻai.
Aia nā meaʻai i loko o ka folate:
- pīni
- broccoli
- milo
- Palukela kupu
- hua hua citrus
- pīnani
Hiki ke paʻakikī kekahi mau meaʻai i ka folate ma ka digestive tract inā loaʻa iā Crohn's. E paipai paha kāu kauka i nā mea hoʻopili folic acid ma mua a i ka wā o ka hāpai ʻana.
ʻO ke olakino hāpai a me Crohn
E hoʻopili pū kāu kime olakino i kahi gastroenterologist, kahi hānau hānau, kahi mea lapaʻau, a me kahi mea hana maʻamau. E nānā lākou i kāu holomua ma ke ʻano he mea hoʻomanawanui kiʻekiʻe kiʻekiʻe. ʻO ka loaʻa ʻana o ka maʻi o Crohn e hoʻonui ai i kou manawa kūpono no nā pilikia e like me ka hāpai ʻole ʻana a me ka hānau mua ʻana.
E paipai paha kāu kauka lāʻau lapaʻau e kāpae i nā lāʻau a Crohn no ke olakino o ka fetus. Akā, ke hoʻololi nei i kāu hoʻoponopono lāʻau i ka wā o ka hāpai ʻana e loli paha i kāu maʻi maʻi. Hiki i kāu gastroenterologist ke aʻoaʻo iā ʻoe ma ke ʻano lāʻau lāʻau i hoʻokumu ʻia i ke koʻikoʻi o kāu maʻi o Crohn.
E hana me kāu gastroenterologist a me ka hānau hānau ma mua o kou hāpai ʻana. Hiki iā lākou ke kōkua iā ʻoe e hana i kahi hoʻolālā e hoʻokele i ka maʻi i kou wā hāpai.
He mea nui e aʻo e pili ana i ka hāpai a me ka maʻi o Crohn. Hiki i kāu hui olakino ke hāʻawi iā ʻoe i nā kumuwaiwai a me ka ʻike e pili ana i ka mea e manaʻo ai. Ua hōʻike ʻo A mai ke Aupuni Hui Pū ʻIa i ka hapalua o nā wahine hāpai i ʻike maikaʻi i ka pilina ma waena o ka hāpai a me ka maʻi o Crohn.
ʻO ka hāpai hāpai a me Crohn
ʻO ka hapa nui o nā lāʻau e mālama iā Crohn's i hōʻoia ʻia palekana no nā wahine hāpai. Eia nō naʻe, kumu kekahi i nā hānau kīnā. Eia kekahi, ʻo kekahi mau lāʻau e kāohi i ka mumū mai ka maʻi o Crohn (e like me sulfasalazine) hiki ke hoʻohaʻahaʻa i nā pae folate.
Hiki i ka hemahema folate ke alakaʻi i ka kaumaha hānau haʻahaʻa, ka lawe ʻana ma mua, a hiki ke hoʻolohi i ka ulu ʻana o kahi pēpē. Hiki i ka hemahema folate ke hōʻeha i nā hānau hānau neural tube. Hiki i kēia mau kīnā ke alakaʻi i nā malformations o ka ʻōnaehana ʻōnaehana, e like me spina bifida (kahi maʻi ʻōiwi) a me anencephaly (ka hana lolo ʻole). E kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o nā lāʻau kūpono o folate.
Hiki i nā wahine me Crohn ke loaʻa i nā haʻuki wahine. Akā ke ʻike nei lākou i nā maʻi maʻi perianal ʻeleu, paipai ʻia kahi hoʻouna cesarean.
ʻO ka hāʻawi Cesarean ke koho maikaʻi loa no nā wahine me ka ileal pouch-anal anastomosis (J ʻeke) a i ʻole ke kō ʻana o ka ʻōpū. E kōkua ia i ka hōʻemi ʻana i nā pilikia o ka incontinence a me ka pale ʻana i kāu hana sphincter.
ʻO ke kumu kūlohelohe o Crohn's
Hōʻike ka Genetics i kahi kuleana i ka hoʻomohala ʻana i ka maʻi o Crohn. ʻO nā lāhui Iudaio Ashkenazi ʻo 3 a 8 mau manawa i ʻoi aku ka nui ma mua o nā lāhui Iudaio ʻole e hoʻomohala iā Crohn's. Akā i kēia manawa, ʻaʻohe hōʻike e hiki ke wānana i ka mea e loaʻa iā ia.
ʻO nā kumu kiʻekiʻe loa o Crohn's i hōʻike ʻia ma ʻEulopa, ʻAmelika ʻAkau, ʻAukekulelia, Iapana, a me ka piko o ʻAmelika Hema. Aia nā kiʻekiʻe kiʻekiʻe aʻe o ka maʻi o Crohn i nā heluna kūlanakauhale ma mua o nā heluna kaiāulu. Hōʻike kēia i kahi loulou pili kaiapuni.
Hoʻopili pū ʻia ka puhipaka me ka puhi ahi a Crohn. Hiki i ka puhi ʻana ke hōʻeha i ka maʻi a hiki i ke kiko o ka pono ʻana. ʻO nā wahine hāpai me Crohn's nāna e puhi pono e haʻalele koke. E kōkua kēia me Crohn a no ka hoʻomaikaʻi ʻana i ka papa o ka hāpai keiki.