Chirwere cheCrohn - vana - kubuda

Mwana wako akarapwa muchipatara cheCrohn chirwere. Ichi chinyorwa chinokuudza maitiro ekuchengeta mwana wako kumba mushure.

Mwana wako aive muchipatara nekuda kwechirwere cheCrohn. Uku ndiko kuzvimba kwepamusoro uye zvidimbu zvakadzika zvemukati mudumbu, ura hwakakura, kana zvese zviri zviviri.

Chirwere chingave chakapfava kana chakakomba. Mwana wako anogona kunge anga aine bvunzo, bvunzo bvunzo, uye x-ray. Mubatsiri wezvehutano anogona kunge akaongorora mukati mehuturu hwemwana wako nekoloni achishandisa chubhu inochinja (colonoscopy). Muenzaniso wemuviri (biopsy) unogona kunge wakatorwa.

Mwana wako anogona kunge akakumbirwa kuti asadye kana kunwa chero chinhu uye akapihwa chikafu chete kuburikidza ne IV (intravenous line). Vanogona kunge vakagamuchira zvinovaka muviri kuburikidza nechubhu yekudyisa.

Mwana wako anogona kunge akatanga kutora mishonga yekurapa chirwere cheCrohn.

Mwana wako zvakare anogona kunge anga achida imwe yemhando idzi dzekuvhiya:

• Fistula kugadzirisa
• Diki ura resection
• Ileostomy
• Yakasarudzika kana yakazara colectomy

Mushure mekubuda kwechirwere cheCrohn, mwana wako anogona kunge aneta uye aine simba shoma pane pakutanga. Izvi zvinofanirwa kuve nani. Bvunza mupi wemwana wako nezve chero mhedzisiro kubva kune chero mishonga mitsva. Iwe unofanirwa kuona mupi wemwana wako nguva dzose. Mwana wako anogona zvakare kuda kuongororwa ropa nguva zhinji, kunyanya kana ari pamishonga mitsva.

Kana mwana wako akaenda kumba aine chubhu yekumudyisa, iwe unozofanirwa kudzidza mashandisiro uye kuchenesa chubhu nenzvimbo iyo iyo chubhu inopinda mumuviri wemwana wako. Kana mwana wako akura zvakakwana, unogona kumubatsira kuti adzidze nezvechirwere ichi uye nekuzvichengetawo.

Kana mwana wako atanga kuenda kumba, vanogona kungokwanisa kunwa zvinwiwa. Kana, vangangoda kudya chikafu chakasiyana kubva pane zvavanowanzo dya. Kumbira mupi apo mwana wako anogona kutanga kudya chikafu chavo chenguva dzose.

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:

• Kana vasingakwanise kugaya zvekudya zvemukaka zvakanaka, deredza zvigadzirwa zvemukaka. Edza yakaderera-lactose cheeses, senge Swiss uye cheddar, kana chigadzirwa che enzyme, senge Lactaid, kubatsira kuputsa lactose. Kana mwana wako achifanira kurega kudya zvigadzirwa zvemukaka, taura nenyanzvi yezvekudya nezvekuona kuti vawana calcium yakakwana uye vhitamini D.
• Mafuta akawandisa anogona kuita kuti zviratidzo zviwedzere. Kana kudya michero miriwo kana miriwo zvichikunetsa, edza kubheka kana kuzvidya. Kana izvo zvisingabatsire zvakakwana, vape iwo mashoma-fiber chikafu.
• Dzivisa chikafu chinozivikanwa nekukonzera gasi, senge bhinzi, chikafu chinonhuwirira, kabichi, broccoli, cauliflower, miriwo yemichero mbishi, uye michero, kunyanya michero yemuchero.
• Dzivisa kana kudzora caffeine. Inogona kuita kuti manyoka awedzere. Rangarira kuti mamwe masoda, zvinwiwa zvine simba, tii, uye chokoreti zvese zvine caffeine.

Kumbira mupi wemwana wako nezve mamwe mavitamini uye zvicherwa zvinogona kudiwa nemwana wako:

• Iron inowedzera (kana iine chirwere chekushaya ropa)
• Nutrition inowedzera
• Calcium uye vhitamini D zvinowedzera kubatsira kuchengetedza mapfupa avo akasimba
• Vitamin B-12 kupfura, kudzivirira kupererwa neropa

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 kunge achinetseka nezvekuita tsaona, kunyara, kana kutosuruvara kana kushushikana nezvekuva nemamiriro aya. Mwana wako anogona kutomboomerwa nekutora chikamu muzviitiko kuchikoro. Unogona kutsigira mwana wako uye nekumubatsira kuti anzwisise kuti angararama sei nechirwere ichi.

Aya matipi anogona kukubatsira iwe kubata mwana wako chirwere cheCrohn:

• Taura pachena nemwana wako uye pindura mibvunzo yake yese nezve mamiriro acho.
• Batsira mwana wako kuti ave anoshingaira. Taura nemupi wemwana wako nezve zviitwa uye kurovedza muviri zvinogona kuitwa nemwana wako.
• Zvakareruka zvinhu sekuita iyo yoga kana tai chi, kuteerera mimhanzi, zororo zororo, kufungisisa, kuverenga, kana kunyura mubhavhu rinodziya kunogona kuzorodza mwana wako uye kubatsira kudzikisira kushushikana.
• Ita kuti mwana wako aone chipangamazano anogona kuvabatsira kuti vawedzere kuzvivimba.
• 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.

Anopa mwana wako anogona kupa mwana wako mushonga kuti ubatsire kubvisa zviratidzo. Iye mupi anogona kupa imwe kana yakawanda yemishonga inotevera zvichibva pakukundikana kwechirwere chemwana wako cheCrohn uye nemabatiro anoita mwana wako kurapwa.

• Anti-diarrhea mishonga inogona kubatsira kana mwana wako aine manyoka akaipa. Loperamide (Imodium) inogona kutengwa pasina mushonga. Nguva dzose taura nemupi wemwana wako usati washandisa iyi mishonga.
• Fiber zvinowedzera zvinogona kubatsira zviratidzo zvemwana wako. Unogona kutenga psyllium powder (Metamucil) kana methylcellulose (Citrucel) pasina mushonga.
• Nguva dzose taura nemupi wemwana wako usati washandisa chero mishonga inonwisa mvura.
• Unogona kupa mwana wako acetaminophen yekurwadziwa zvishoma. Zvinodhaka zvakadai saaspirin, ibuprofen, kana naproxen zvinogona kuita kuti zviratidzo zviwedzere. Taura nemubatsiri wemwana wako pamusoro pemishonga ipi yaungashandisa. Iwe ungangoda mushonga wemishonga yakasimba yekurwadziwa.

Kune akawanda marudzi emishonga inogona kubatsira kudzivirira kana kubata kurwisa kwechirwere chako cheCrohn. Zvimwe zvinogona kuve nematambudziko akakomba. Mwana wako anogona kuzonyorerwa mumwe wemishonga iyi kana achinge apora kubva pakuvhiya.

Iwe unogona zvakare kuita zvinotevera kubatsira mwana wako:

• Taura nemwana wako nezve mushonga. Batsira mwana wako kuti anzwisise mashandisirwo emushonga waari kutora uye kuti anozovabatsira sei kuti vanzwe zvirinani. Izvi zvinobatsira mwana wako kuti anzwisise kuti sei zvakakosha kutora mushonga sekurairwa.
• Kana mwana wako akura zvakakwana, dzidzisa mwana wako kunwa mushonga ari ega.

Mishonga inodzvinyirira immune system ine njodzi yezvinetso. Kana mwana wako achitora mishonga iyi, mupi angangoda kuona mwana wako mwedzi mitatu yega yega kuti aone chero matambudziko anogona.

Iwe unofanirwa kufonera iye mupi kana mwana wako aine:

• Makorokoto kana kurwadziwa munzvimbo yepazasi yemudumbu
• Manyoka eropa, kazhinji aine mucus kana pus
• Dhairrhea isingakwanise kudzorwa nekuchinja kwekudya uye zvinodhaka
• Zvinetso kuwana uremu
• Kubuda ropa, kubuda, kana maronda
• Fivha iyo inopedza anopfuura mazuva maviri kana matatu kana fivhiri yakakwira kupfuura 100.4 ° F (38 ° C) pasina tsananguro
• Kushungurudza uye kurutsa kunogara kupfuura zuva
• Maronda eganda kana maronda asingarape
• Joint kurwadziwa kunoita kuti mwana wako arege kuita zvezuva nezuva zviitiko
• Zvimwe zvinokanganisa kubva kune chero mishonga iri kutorwa nemwana wako

Kuzvimba ura chirwere muvana - chirwere cheCrohn; IBD muvana - chirwere cheCrohn; Regional enteritis - vana; Ileitis - vana; Granulomatous ileocolitis - vana; Colitis muvana; CD - vana

Dotson JL, chirwere chaBoyle B. Crohn. Mune: Wyllie R, Hyams JS, Kay M, eds. Chiremba Gastrointestinal uye Chirwere Chiropa. 6th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 42.

Nguyen GC, Loftus EV Jr, Hirano I, et al. American Gastroenterological Association Institute nhungamiro pane manejimendi yechirwere cheCrohn mushure mekuvhiya resection. Gastroenterology. 2017; 152 (1): 271-275. PMID: 27840074 pubed.ncbi.nlm.nih.gov/27840074/.

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.

Stewart C, Kocoshis SA. Kuvhiringidzika uye zvirwere zvemudumbu uye chiropa. Mune: Fuhrman BP, Zimmerman JJ, eds.Chiremba Kukosha Kuchengetedza. 5 ed. Philadelphia, PA: Elsevier; 2017: chits. 97.

Velazco CS, McMahon L, Ostlie DJ. Chirwere chekuputira ura. Mune: Holcomb GW, Murphy JP, St. Peter SD, eds.Holcomb uye Ashcraft's Pediatric Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 41.

• Chirwere chaCrohn