Ulcerative Colitis - vana - kubuda

Mwana wako anga ari muchipatara nekuti ane ulcerative colitis (UC). Uku ndiko kuzvimba kwemukati memukati wekoloni uye rectum (hukuru hutumbu). Inokuvadza iyo lining, ichikonzera kuti ibude ropa kana kubuda mamon kana pus.

Mwana wako anogona kunge akagamuchira zvinwiwa kuburikidza neiyo intravenous (IV) chubhu mutsinga yake. Ivo vanogona kunge vakagamuchira:

• Kuwedzerwa ropa
• Kudya zvinovaka muviri kuburikidza nehubhu yekudyisa kana IV
• Mishonga inobatsira kumisa manyoka

Mwana wako anogona kunge akapihwa mishonga yekudzora kuzvimba, kudzivirira kana kurwisa hutachiona, kana kubatsira immune system.

Mwana wako anogona kunge akavhiyiwa, senge:

• Kubviswa kwekoloni (colectomy)
• Kubviswa kweiyo huru ura uye yakawanda yeiyo rectum
• Kuiswa kweileostomy
• Kubviswa kwechikamu chekoloni

Mwana wako anogona kunge aine nguva refu pakati pekuputika kwe ulcerative colitis.

Kana mwana wako atanga kuenda kumba, vanozofanira kunwa zvinwiwa chete kana kudya chikafu chakasiyana kubva pane zvavanowanzo dya. Tevedza rairo dzinopihwa nemubatsiri wehutano hwemwana wako. Kumbira mupiki kana iwe uchikwanisa kutanga mwana wako kugara achidya.

Iwe unofanirwa kupa mwana wako:

• Kudya kwakadzikama, kune hutano. Izvo zvakakosha kuti mwana wako awane macalorie akakwana, mapuroteni, uye zvinovaka muviri kubva kumapoka akasiyana ezvikafu.
• Kudya kwakaderera mumafuta akazara uye shuga.
• Zvidiki, zvinowanzo dya uye yakawanda mvura.

Zvimwe zvekudya uye zvinwiwa zvinogona kuita kuti zviratidzo zvemwana wako zviwedzere. Izvi zvekudya zvinogona kukonzeresa matambudziko kwavari nguva dzese kana chete panguva yemoto.

Edza kudzivirira chikafu chinotevera chinogona kuita kuti zviratidzo zvemwana wako zviwedzere:

• Mafuta akawandisa anogona kuita kuti zviratidzo zviwedzere. Edza kubheka kana kubika michero nemiriwo kana kuidya isina mbishi ichivatambudza.
• Dzivisa kupa chikafu chinozivikanwa kuti chinokonzera gasi, senge bhinzi, chikafu chinonaka, kabichi, broccoli, cauliflower, miriwo yemichero mbishi, uye michero, kunyanya michero yemichero.
• Dzivisa kana kudzora caffeine, nekuti inogona kuita kuti manyoka awedzere. Zvekudya zvakaita semamwe masoda, zvinwiwa zvine simba, tii, uye chokoreti zvinogona kuva necaffeine.

Kumbira mupiki nezve mamwe mavitamini uye zvicherwa zvinogona kudiwa nemwana wako, kusanganisira:

• Iron inowedzera (kana iine chirwere chekushaya ropa)
• Nutrition inowedzera
• Calcium uye vhitamini D zvinowedzera kubatsira kuchengetedza mapfupa avo akasimba

Taura nedhayeti wezvekudya kuti uve nechokwadi chekuti mwana wako ari kuwana zvinovaka muviri. Ive neshuwa yekuita izvi kana mwana wako akarasikirwa nehuremu kana chikafu chake chikagumira.

Mwana wako anogona kunzwa kunetseka nezvekuita tsaona, kunyara, kana kutonzwa kusuruvara kana kuora mwoyo. Ivo vanogona kuzviwana zvakaoma kutora chikamu muzviitiko kuchikoro. Unogona kutsigira mwana wako uye nekumubatsira kuti anzwisise kuti angararama sei nechirwere ichi.

Aya matipi anogona kukubatsira iwe kubata yemwana wako ulcerative colitis:

• Edza kutaura wakasununguka nemwana wako. Pindura mibvunzo yavo nezve mamiriro avo.
• Batsira mwana wako kuti ave anoshingaira. Taura nemupi wemwana wako nezve kurovedza muviri uye zviitiko zvavanogona kuita.
• Zvakareruka zvinhu senge kuita yoga kana tai chi, kuteerera mimhanzi, kuverenga, kufungisisa, kana kunyura mubhavhu rinodziya kunogona kuzorodza mwana wako uye kubatsira kudzikisa kushushikana.
• Ngwarira kana mwana wako ari kurasikirwa nechido kuchikoro, shamwari, uye zviitiko. Kana iwe uchifunga kuti mwana wako anogona kunge akaora mwoyo, taura nemupi wezano rehutano hwepfungwa.

Ungangoda kujoina boka rekutsigira kuti ubatsire iwe nemwana wako kubata chirwere. Crohn's & Colitis Foundation yeAmerica (CCFA) nderimwe remapoka akadaro. CCFA inopa runyorwa rwe zviwanikwa, dhatabhesi yevanachiremba vane hunyanzvi hwekurapa chirwere cheCrohn, ruzivo nezve mapoka emunharaunda ekutsigira, uye webhusaiti yevechidiki - www.crohnscolitisfoundation.org.

Mupiki wemwana wako anogona kuvapa mimwe mishonga yekubatsira kubvisa zviratidzo zvavo. Zvichienderana nekuti hwakanyanya sei ulcerative colitis yavo uye nemabatiro avanoita kurapwa, vangangoda kutora imwe kana yakawanda yemishonga iyi:

• Mishonga inorwisa manyoka inogona kubatsira kana iine manyoka akaipa. Unogona kutenga loperamide (Imodium) pasina mushonga. Gara uchitaura nemupi wavo usati washandisa iyi mishonga.
• Fiber zvinowedzera zvinogona kubatsira zviratidzo zvavo. Unogona kutenga psyllium powder (Metamucil) kana methylcellulose (Citrucel) pasina mushonga.
• Nguva dzose taura nemupi wemwana wako usati washandisa chero mishonga inonwisa mvura.
• Unogona kushandisa acetaminophen yekurwadziwa zvishoma. Zvinodhaka zvakadai saaspirin, ibuprofen, kana naproxen zvinogona kuita kuti zviratidzo zvavo zviwedzere. Taura nemupi wavo usati watora iyi mishonga. Mwana wako anogona zvakare kuda tsamba yemishonga yekurwadziwa yakasimba.

Kune mhando dzakawanda dzemishonga dzinowanikwa kudzivirira kana kurapa kurwiswa kwe ulcerative colitis yemwana wako.

Kuchengetwa kwemwana wako kuri kuramba kuchibva pane zvavanoda. Iye mupi anokuudza iwe kana mwana wako achifanira kudzoka kuti aongorore zvemukati mezve rectum nekoloni kuburikidza neyakagadziriswa chubhu (sigmoidoscopy kana colonoscopy).

Fonera mupiki wako kana mwana wako aine:

• Makorokoto kana kurwadziwa munzvimbo yepazasi yemudumbu iyo isingaendi
• Manyoka eropa, kazhinji aine mucus kana pus
• Dhairrhea isingakwanise kudzorwa nekuchinja kwekudya uye zvinodhaka
• Kubuda ropa, kubuda, kana maronda
• Hutsva huturu hutete
• Fivha iyo inopedza anopfuura mazuva maviri kana matatu kana fivhiri yakakwira kupfuura 100.4 ° F (38 ° C) pasina tsananguro
• Nausea uye kurutsa kunogara kupfuura zuva kurutsa kune zvishoma yero / girini ruvara
• Maronda eganda kana maronda asingarape
• Joint kurwadziwa kunoita kuti mwana wako arege kuita zvezuva nezuva zviitiko
• Kunzwa kwekunge uine yambiro shoma usati woda kuita hutumbu
• Chido chekumuka kubva pakurara kuti uite ura
• Kukundikana kuwana uremu, hanya nemwana wako ari kukura kana mwana
• Migumisiro yechirwere kubva kune chero mishonga inorayirwa mamiriro emwana wako

UC - vana; Kuzvimba ura chirwere muvana - UC; Ulcerative proctitis - vana; Colitis muvana - UC

Bitton S, Markowitz JF. Ulcerative colitis muvana nevechiri kuyaruka. Mune: Wyllie R, Hyams JS, Kay M, eds. Chiremba Gastrointestinal uye Chirwere Chiropa. 6th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 43.

Stein RE, Baldassano RN. Chirwere chekuputira ura. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 362.

• Ulcerative Colitis