Incazelo jikelele yalesi sifo
isifo Crohn isifo CrohnUkuvuvukala okungapheli kwepheshana lamathumbu nokwakheka kwama-granulomas angaphakathi, ushintsho esakhiweni se-epithelium eseludongeni lwamathumbu. Lesi sifo sivame ukuthinta i-ileum, kepha ezimweni ezinzima kakhulu, singathinta zonke izingxenye zamathumbu kusukela emlonyeni kuya endunu. Lesi sifo sisakazeke kakhulu ezindaweni ezisenyakatho neMelika naseYurophu. Ngonyaka, lesi sifo sitholakala kubantu abangu-2-3 ngonyaka we-1000. Ukubonakaliswa komtholampilo wesifo sikaCrohn kuqala ukuvela cishe eminyakeni eyi-15-36 nangemva kweminyaka engama-60.
I-coloproctologist noma i-gastroenterologist kuphela engakhomba lesi sifo ngokususelwa kunhlolovo yesiguli nokuhlolwa kwegazi nendle, i-histology, ukushaya kwesisu, i-ultrasound neMRI yamathumbu, i-CT ngokuqhathanisa, i-X-ray, i-endoscopy ne-colonoscopy. Ukwelashwa okulondolozayo kwesifo kwenziwa ngama-antibiotic, ama-steroids, ama-probiotic, ama-immunomodulators, amavithamini nama-enzyme. Esikhathini esinzima sesifo, ukungenelela kokuhlinzwa kungenzeka ukufakela ingxenye yamathumbu noma wonke amathumbu.
Izinkinga zesifo sikaCrohn zingadala:
- amathumba angaphakathi amaningi namafistula;
- i-peritonitis;
- ukopha ngaphakathi;
- izilonda;
- ukugcotshwa;
- ukutheleleka kwezitho ezingomakhelwane (isinye, isibeletho, isitho sangasese sowesifazane) ngenxa yokungena kobomvu kuzona ngokusebenzisa izindinyana ezinesibindi.
Isifo sikaCrohn aselapheki futhi izimpawu zaso eziphindaphindekayo zingenzeka noma eminyakeni engama-20 ngemuva kokuqala kwezimpawu.
Izinhlobo zesifo sikaCrohn
Ngokuya ngendawo, kunezinhlobo eziningana zesifo sikaCrohn:
- ukwehluleka kwe-rectum ne-ileum - ileocolitis;
- ukunqoba kuphela ileum - ileitis;
- ukulimala kwe-rectum kuphela - isifo sikaCrohn se-rectum;
- ukulimala esiswini nase-duodenum - gastrooduodenalitis;
- ukwehlulwa kwe-jejunum ne-ileum - jejunoileitis.
Izimbangela
- ukuthambekela kokuzalwa kanye nezici zofuzo
- izifo ezizimele
- izifo ezithathelwanayo zangaphambilini
Izimpawu zesifo sikaCrohn
Isifo sikaCrohn sinezimpawu eziningi zangaphandle nezangaphakathi. Ngokuvamile, ukubonakaliswa kwangaphakathi kwesifo kunganqunywa kuphela yi-hardware.
Izimpawu zangaphandle:
- ukukhathala okungapheli;
- ukwehla kokushisa kokushisa;
- ubuthakathaka;
- i-appendicitis yamanga;
- izinhlungu ezibuhlungu nokusika esiswini;
- ukuhlanza, isicanucanu, isifo sohudo (ukuhamba kwamathumbu izikhathi ezinhlanu noma ngaphezulu ngosuku);
- ukuqunjelwa;
- ukuncipha komzimba, i-anorexia;
- ukoma nokuqina kwesikhumba, ukulahleka kwezinwele;
- ubuhlungu ngemuva kokudla;
- i-conjunctivitis;
- i-aphthous stomatitis;
- i-monoarthritis nabanye.
Izimpawu zangaphakathi:
- umngcele ocacile phakathi kwezindawo ezithintekile neziphilile zamathumbu;
- ukuqina kwezindonga zamathumbu;
- i-mucosa imbozwe ngama-granulomas anezigaxa, inemifantu eminingi, izilonda nama-fistula;
- ukubonakala kwe-fistula yangaphakathi nesisu noma ithumba;
- enkambweni engapheli yesifo, kubonakala izicubu zezicubu ezixhumene nokuncipha kwe-lumen;
- ukwephuza ukumuncwa esiswini, lapho izakhamzimba nokudla cishe kungangeni khona;
- i-cirrhosis yesibindi kanye nokuncipha kwamafutha ayo, i-hololithiasis;
- i-cystitis, i-amyloidosis yezinso nezinye.
Ukudla okunempilo kwesifo sikaCrohn
Izincomo ezijwayelekile
Isifo sikaCrohn sibhekisela esifweni esingamahlalakhona esingamahlalakhona, esibonakala ngokukhula okuvamile (kufika ku-1-3 izikhathi ngenyanga). Ngakho-ke, phakathi nalezi zikhathi, kufanele uqaphele ikakhulukazi mayelana nokudla. Ngokuvamile, ukwanda kwalesi sifo kungabangelwa ukusetshenziswa kwemikhiqizo ethile engabangeli ngaphandle kokungezwani komzimba kumuntu, kodwa ngaphakathi ilethe ukubhebhetheka kwalesi sifo nokusabalala okuqhubekayo kwe-foci ngokusebenzisa amathumbu.
Ukuhlonza imikhiqizo enolaka, kwesinye isikhathi inkambo yokuhlanza amathumbu ngama-cocktails aqinile futhi anothile ngamaminerali anqunyelwe iziguli. Ngokuvamile, lezi kungaba iziphuzo zamaprotheni ezingenalo lactose noma zamaprotheni. Ngakho-ke, amaviki ama-2, lezi ziphuzo kufanele zidliwe (ngisho nangesikhathi sokwanda) nge-multivitamin complex ukusekela umzimba. Ngemuva kwalokho baqala ukwengeza kancane kancane imikhiqizo yokudla ekudleni ngendlela ecushiwe, ebilisiwe noma egayiwe. Umkhiqizo omusha akufanele wethulwe isikhathi esingaphezu kwezinsuku ezi-3. Uma umkhiqizo ubangela izimpawu eziyinhloko zesifo, ngakho-ke ngaphambi kokusebenzisa umkhiqizo omusha, kufanele ulinde kuze kudlule izimpawu. Lena inqubo ende, kodwa esebenza kahle, evumela cishe ngokuphelele ukwakha ukudla kwesiguli.
Lapho yonke imikhiqizo engemihle kanye nenhle ikhonjwa, ukudla okudlayo kunqunywa ngokwehlukana ngesikhathi sokukhushulwa nokuxolelwa. Esifo sikaCrohn, konke ukudla kufanele kubiliswe, kubhakwe (hhayi okunsundu kwegolide), noma kufakwe ngesitimu, futhi kufanele kube namanani anele amaprotheni, amafutha, namacarbohydrates. Uma kunokwenzeka, kuyadingeka ukusula ukudla kuze kube yi-puree. Ukudla kufanele kube ngezingxenye ezincane, kodwa okungenani izikhathi ezingu-4-5 ngosuku.
Ukudla okunempilo kanye nesibonelo sokudla kwesifo sikaCrohn
Ngesikhathi sokwanda, ukudla kufanele kufake phakathi:
- Amasobho wemifino anephalishi elincanyana (ibhali, i-oatmeal) nenyama ecubuziwe (turkey, izigwaca, inkukhu)
- Ama-cutlets enhlanzi nenyama nama-meatballs ashubile (inyama egayiwe kufanele yeqwe izikhathi ezi-3-4 kusigaxa senyama ngesihlungo esihle)
- Amabele, abilisiwe futhi agayiwe (irayisi, i-buckwheat, i-semolina, i-oatmeal)
- Amaqanda (izigwaca nenkukhu) okuphekwe ngendlela ye-omelet eshubile (engekho ngaphezu kwama-1-2 pcs. Ngosuku)
- Amajikijolo nezithelo ezicebile ngama-tannins (i-bird cherry, amajikijolo, amapheya avuthiwe, njll.) alungiswe ngendlela ye-jelly noma i-jelly
- I-cottage shizi entsha, ecubuziwe ku-souffle, ibhotela (ezitsheni ezingekho ngaphezulu kwama-20 g ngosuku)
- Uketshezi 1,5-2 amalitha. (i-decoction yama-blueberries, ama-rose hips, itiye elibuthakathaka, ukhokho emanzini)
- Isinkwa esimhlophe esingathosiwe
Lapho isimo siba ngcono (cishe izinsuku ezi-4-5), engeza emikhiqizweni yokudla eyinhloko:
- Imifino eqoshiwe (ithanga, ukholifulawa, izaqathe, i-broccoli, amazambane, uphizi oluhlaza)
- Izinhlanzi ezincikene zibe yizicucu (i-bream, i-pike perch, i-perch, i-cod), isitshulu noma i-aspic
- Ama-noodle amancane abilisiwe
- Ukudla okumnandi (i-marshmallow, ujamu, okulondolozayo, i-soufflé, ama-apula abhakiwe)
- Amajikijolo nezithelo ezingavuthiwe (ama-raspberries, ama-strawberry, ama-strawberry, ama-apula ahlutshiwe futhi ahlanzekile, ama-plums, amapheya)
- Imikhiqizo yobisi (ubisi lwe-acidophilus, i-kefir yezinsuku ezi-3, ushizi onamafutha aphansi)
- Ikhofi elibuthakathaka elinokhilimu onamafutha aphansi
Ngemuva kwezinye izinsuku ezingama-5-6, ukudla kuqhubeka ukwengeza kancane kancane ukudla okwehlukile ekudleni. Kepha ngesibonakaliso esincane sokugula (ukuqunjelwa, uhudo, ubuhlungu besisu), umkhiqizo ukhishwe ngokuphelele.
Amakhambi abantu wesifo sikaCrohn
Ngesikhathi sokwelashwa kwalesi sifo, ungasebenzisa ezinye izindlela zokupheka zemithi yendabuko.
I-Tincture yama-sunflower caps engavulwa izosiza ekunciphiseni ubuhlungu emathunjini. Sika amakepisi amasha aqoqiwe (50-70 g), engeza utshwala bese ubuyeka ubhebhe izinsuku eziyi-7. I-tincture eqediwe kufanele ithathwe ngamaconsi angama-25-30 ahlanjululwe emanzini (100 ml) nsuku zonke ngaphambi kokudla, kepha hhayi izikhathi ezingaphezu kwezingu-6 ngosuku.
Uma kwenzeka ukwakheka kwegesi nezinqubo zokubola emathunjini amakhulu, kufanele kuthathwe i-decoction ye-chamomile, i-sage ne-yarrow. Thatha uhhafu wethisipuni womuthi ngamunye, engeza amanzi (250 ml), ubilise bese uwudedela uphuze amahora ama-2-3. Udinga ukuthatha isipuni esingu-1. l. njalo emahoreni amabili.
Ukudla okuyingozi futhi okungenampilo kwesifo sikaCrohn
Ngesifo sikaCrohn, ukudla okungacasula i-mucosa yamathumbu futhi kuholele ekukhuleni kwesifo kukhishwe ngokuphelele. Lokhu kungukudla okunamafutha, okubabayo, okuhhadlile, okuphekwe ngokweqile nokunosawoti, utshwala, itiye elinamandla nekhofi, ugwayi, ukudla okusheshayo.
Ngesikhathi sokukhushulwa, wonke ama-legumes, i-pasta, amasoso embonini, izinongo, imikhiqizo yobisi, iklabishi, isipinashi, i-sorrel, i-turnips, i-radishes, i-beet, i-garlic, u-anyanisi, amakhowe ayifakiwe.
Khumbula ukuthi lesi sifo siyingozi kakhulu futhi ukufinyelela kungakafiki isikhathi kochwepheshe kubangela izinkinga ezinkulu, umphumela wazo ongaba ukuhlinzwa noma ukufa.
Qaphela!
Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!