Kufotokozera kwathunthu kwa matendawa
matenda amene amatupitsa matenda amene amatupitsa) Ndi kutupa kwakanthawi kwam'mimba ndikupanga ma granulomas amkati, kusintha kwamapangidwe a epithelium yolumikizira khoma la m'mimba. Matendawa nthawi zambiri amakhudza ileamu, koma pamavuto akulu, imatha kukhudza mbali zonse zamatumbo kuchokera mkamwa mpaka kumatako. Matendawa amapezeka kwambiri kumadera akumpoto kwa America ndi Europe. Chaka chilichonse, matendawa amapezeka mwa anthu 2-3 pa 1000. Mawonetseredwe azachipatala a matenda a Crohn amayamba kuwonekera pafupifupi zaka 15-36 komanso pambuyo pa zaka 60.
Coloproctologist kapena gastroenterologist yekha ndi yemwe angazindikire matendawa potengera kafukufuku wodwala komanso kuyesa magazi ndi ndowe, histology, kupindika m'mimba, ultrasound ndi MRI yamatumbo, CT mosiyana, X-ray, endoscopy ndi colonoscopy. Chithandizo chodziletsa cha matendawa chimachitika ndi maantibayotiki, ma steroids, maantibiobio, ma immunomodulators, mavitamini ndi michere. Pakadwala kwambiri matendawa, kulowererapo kwa opaleshoni ndikotheka kukhazikitsa gawo lina la matumbo kapena matumbo onse.
Zovuta za matenda a Crohn zitha kuyambitsa:
- abscesses angapo mkati ndi fistula;
- peritonitis;
- kutuluka magazi mkati;
- zilonda;
- kuphwanya;
- Matenda a ziwalo zoyandikana (chikhodzodzo, chiberekero, kumaliseche) chifukwa cha mafinya omwe amalowa mwa iwo kudzera m'mabuku.
Matenda a Crohn ndi osachiritsika ndipo zizindikilo zake zomwe zimayambiranso zimatha kuchitika ngakhale patatha zaka 20 kuchokera pomwe matenda adayamba.
Matenda osiyanasiyana a Crohn
Kutengera komwe kuli, pali mitundu ingapo yayikulu yamatenda a Crohn:
- kugonjetsedwa kwa rectum ndi ileum - ileocolitis;
- kugonjetsa kokha ileum - ileitis;
- kuwonongeka kwa rectum kokha - matenda a Crohn a rectum;
- kuwonongeka kwa m'mimba ndi duodenum - gastrooduodenalitis;
- kugonjetsedwa kwa jejunum ndi ileum - jejunoileitis.
Zimayambitsa
- chibadwa chotengera komanso zomwe zimayambitsa chibadwa
- matenda oponderezedwa
- matenda opatsirana am'mbuyomu
Zizindikiro za Matenda a Crohn
Matenda a Crohn ali ndi zizindikilo zingapo zakunja ndi zamkati. Nthawi zambiri, mawonekedwe amkati mwa matendawa amatha kutsimikiziridwa ndi zida zokha.
Zizindikiro zakunja:
- kutopa kosalekeza;
- kutentha kosasintha;
- kufooka;
- appendicitis wabodza;
- kupweteka ndi kudula m'mimba;
- kusanza, nseru, kutsekula m'mimba (kusuntha m'matumbo kasanu kapena kangapo patsiku);
- kuphulika;
- kuonda, anorexia;
- kuuma ndi khungu kuzimiririka, tsitsi;
- kupweteka mutatha kudya;
- conjunctivitis;
- chifuwa chachikulu;
- monoarthritis ndi ena.
Zizindikiro zamkati:
- malire omveka pakati pa madera omwe akhudzidwa ndi athanzi;
- kukulitsa makoma am'mimba;
- ntchofu zimakutidwa ndi zotupa, zimakhala ndi ming'alu yambiri, zilonda zam'mimba ndi fistula;
- maonekedwe a fistula yamkati kapena m'mimba;
- nthawi yayitali yamatendawa, kuwonongeka kwa minofu yolumikizana ndi kuchepa kwa lumen kumawonedwa;
- kuphwanya mayamwidwe chapamimba, momwe zakudya ndi zakudya sizimayikidwa;
- matenda enaake a chiwindi ndi mafuta ake alibe, hololithiasis;
- cystitis, aimpso amyloidosis ndi ena.
Zakudya zopatsa thanzi za matenda a Crohn
Malangizo onse
Matenda a Crohn amatanthauza matenda oopsa a m'mimba, omwe amadziwika ndi kuchulukirachulukira (mpaka 1-3 pamwezi). Choncho, panthawi imeneyi, muyenera kusamala kwambiri za zakudya. Nthawi zambiri, exacerbation wa matenda angayambe chifukwa ntchito zinthu zina zimene kunja chifukwa ziwengo munthu, koma mkati kubweretsa aggravation wa matenda ndi zina kufalikira kwa foci mwa matumbo.
Kuti muzindikire zinthu zankhanza, nthawi zina njira yotsuka matumbo ndi ma cocktails amadzimadzi okhala ndi mchere wambiri amaperekedwa kwa odwala. Nthawi zambiri, izi zitha kukhala zakumwa za mkaka kapena zopanda lactose zopanda mapuloteni. Chifukwa chake kwa milungu iwiri, zakumwa izi ziyenera kudyedwa (ngakhale pakuchulukirachulukira) ndi multivitamin complex kuti zithandizire thupi. Kenako amayamba kuwonjezera pang'onopang'ono zakudya pazakudya muzosenda, yophika kapena grated mawonekedwe. Chida chatsopano sichiyenera kuyambitsidwa masiku atatu aliwonse. Ngati mankhwala amachititsa zizindikiro zazikulu za matendawa, ndiye musanagwiritse ntchito mankhwala atsopano, muyenera kuyembekezera mpaka zizindikirozo zidutsa. Izi ndi m'malo yaitali ndondomeko, koma ndithu ogwira, kulola pafupifupi kwathunthu kupanga wodwalayo zakudya.
Pamene zinthu zonse zoipa ndi zabwino zizindikirika, zakudya zakudya zotchulidwa padera kwa nthawi exacerbation ndi chikhululukiro. Mu matenda a Crohn, chakudya chonse chiyenera kuwiritsidwa, kuphikidwa (osati bulauni wagolide), kapena kutenthedwa, ndipo chiyenera kukhala ndi mapuloteni, mafuta, ndi chakudya chokwanira. Ngati n'kotheka, m'pofunika kupukuta chakudya mpaka puree. Zakudya ziyenera kukhala zochepa, koma osachepera 4-5 pa tsiku.
Zakudya zopatsa thanzi komanso chakudya cha matenda a Crohn
Pakukula, chakudyacho chiyenera kuphatikiza:
- Msuzi wamasamba wokhala ndi phala laling'ono (balere, oatmeal) ndi nyama yosenda (Turkey, zinziri, nkhuku)
- Nsomba ndi nyama zodulira nyama zouma (nyama yosungunuka iyenera kudumpha katatu mu chopukusira nyama ndi sefa yabwino)
- Mbewu, yophika ndi grated (mpunga, buckwheat, semolina, oatmeal)
- Mazira (zinziri ndi nkhuku) yophika ngati mawonekedwe otentha (osapitirira ma PC 1-2 patsiku)
- Zipatso ndi zipatso zokhala ndi tannins (mbalame yamatcheri, mabulosi abulu, mapeyala akoma, ndi zina zambiri) zokonzedwa ngati jelly kapena odzola
- Tchizi tatsopano tating'onoting'ono, tosenda ndi mpweya, batala (osapitirira 20 g patsiku)
- Zamadzimadzi 1,5-2 malita. (decoction of blueberries, rose hip, tea ofooka, koko m'madzi)
- Mkate woyera wosasamba
Zinthu zikayamba kuyenda bwino (pafupifupi masiku 4-5), onjezani pazogulitsa zazikulu:
- Masamba odulidwa (dzungu, kolifulawa, kaloti, broccoli, mbatata, nandolo wobiriwira)
- Kutsamira nsomba mzidutswa (bream, pike nsomba, nsomba, cod), stewed kapena aspic
- Zakudyazi zazing'ono zophika
- Chakudya chokoma (marshmallow, kupanikizana, kuteteza, soufflé, maapulo ophika)
- Zipatso zosaphika ndi zipatso (raspberries, strawberries, strawberries, peeled ndi pureed maapulo, plums, mapeyala)
- Zakudya zamkaka (mkaka wa acidophilus, kefir wamasiku atatu, tchizi chamafuta ochepa)
- Khofi wofooka wokhala ndi zonona zochepa
Pambuyo masiku ena 5-6, zakudya zimapitilirabe kuwonjezera zakudya zosiyanasiyana pazakudyazo. Koma ngakhale chizindikiro chochepa cha matenda (kuphulika, kutsegula m'mimba, kupweteka m'mimba), mankhwalawo sachotsedwa kwathunthu.
Njira zochiritsira anthu za matenda a Crohn
Pakati pa chithandizo cha matendawa, mutha kugwiritsa ntchito maphikidwe azachipatala.
Tincture wa zisoti zosatsegulidwa za mpendadzuwa zidzakuthandizani kuthetsa ululu m'matumbo. Dulani zisoti zatsopano (50-70 g), onjezerani mowa ndipo muzimwetsa kwa masiku 7. Tincture yomalizidwa iyenera kutengedwa m'madontho 25-30 osungunuka m'madzi (100 ml) tsiku lililonse musanadye, koma osaposa kasanu ndi kamodzi patsiku.
Pankhani yopanga gasi ndi njira zowola m'matumbo akulu, decoction ya chamomile, tchire, ndi yarrow ziyenera kutengedwa. Tengani theka la supuni ya therere lililonse, onjezerani madzi (250 ml), wiritsani ndipo mulole apange kwa maola 2-3. Muyenera kutenga 1 tbsp. l. maola awiri aliwonse.
Zakudya zowopsa komanso zopanda thanzi za matenda a Crohn
Ndi matenda a Crohn, zakudya zomwe zimatha kukwiyitsa matumbo am'matumbo ndikubweretsa kukulira kwa matenda sizichotsedwa. Izi ndizonenepetsa, zokometsera, zosalala, zaphikidwa komanso zamchere, mowa, tiyi wamphamvu ndi khofi, fodya, chakudya chofulumira.
Panthawi yowonjezereka, nyemba zonse, pasitala, msuzi wa fakitale, zonunkhira, mkaka, kabichi, sipinachi, sorelo, turnips, radishes, beets, adyo, anyezi, bowa siziphatikizidwa.
Kumbukirani kuti matendawa ndi owopsa ndipo kupezeka kwa akatswiri mwadzidzidzi kumabweretsa zovuta, zomwe zimatha kuchitidwa opaleshoni kapena kufa.
Chenjerani!
Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!