Chirwere chinoputira chirwere (IBD): zvazviri, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Zvinogona kukonzerwa
• Kurapwa kunoitwa sei
• Chii chokudya kana uine IBD
• 1. Zvokudya zvinobvumidzwa
• 2. Zvekudya zvekudzivisa

Chirwere chekuputira chirwere chinoreva seti yezvirwere zvisingaperi zvinokonzeresa kuzvimba kwetumbu, chirwere cheCrohn uye ulcerative colitis, zvine zviratidzo zvakafanana, sekurwadziwa mudumbu, manyoka, kupisa muviri, kuonda, kushomeka kweropa kana kusashivirira chikafu, semuenzaniso, asi dzinoonekwa sezvirwere zvakasiyana.

Kurapa kunosanganisira kupa mishonga, kutora chikafu chakasarudzika uye kuwedzera nemavitamini uye mamineral. Mune zvimwe zviitiko, zvinogona zvakare kuve zvakafanira kuvhiyiwa.

Zviratidzo zvikuru

Chirwere chekuputira chirwere chinogona kuzviratidza nezviratidzo padumbu remudumbu kana mune mamwe matunhu emuviri, zvinotevera zviri zvakajairika.

Zviratidzo zvechirwere cheCrohn zvakangofanana neizvo zveulcerative colitis, asi mamwe acho anogona kunge akasiyana nekuti chirwere cheCrohn chinogona kukanganisa dumbu rese remudumbu, kubva pamuromo kusvika kune anus, nepo nzvimbo dzakakanganisika dze ulcerative colitis dzakanyanya kuita rectum uye colon. Ongorora uye uzive nzira yekuziva chirwere cheCrohn.

Maitiro ekusimbisa kuongororwa

Kazhinji, kuongororwa kwacho kunoitwa nekiriniki yekuongorora, endoscopy, histological uye radiological bvunzo uye kuongorora kwehupenyu.

Zvinogona kukonzerwa

Izvo zvakakonzera zvikonzero zvehutachiona hwehutachiona hazvisati zvazivikanwa, asi zvinofungidzirwa kuti zvinogona kunge zvine chekuita nemagene, immune, hutumbu microbiota uye zvekudya zvinhu.

Nekudaro, mune vanhu vane chirwere chekuputira ura, vakapihwa zvimwe zvekudya kana zvidiki, pane kuita kusanzwisisika kwemhinduro yekuzvimba, izvo zvinokanganisa maseru ematumbo, zvichitungamira pakuonekwa kwehunhu hwechirwere.

Zvirwere zvekuputira ura zvinogona zvakare kukanganiswa nezera uye rudzi, uye njodzi yekuzvikurisa inogona kuwedzera nekushandiswa kwefodya, kushandiswa kwemahomoni ekudzivirira kubata pamuviri, kushandiswa kwemishonga inorwisa mabhakitiriya mugore rekutanga rehupenyu, gastroenteritis, kudya kwakazara mupuroteni yemhuka, shuga , maoiri, mafuta akazara.

Kurapwa kunoitwa sei

Kurapa kunovavarira kukurudzira uye kuchengetedza kuregererwa kwechirwere, kuvandudza chimiro chemunhu chekudya uye kubvisa zviratidzo.

Kazhinji, mishonga inorayirwa nachiremba inogona kusanganisira anti-anogumbura zvinodhaka, senge corticosteroids uye aminosalicylates senge mesalazine kana sulfasalazine, semuenzaniso, immunosuppressants senge cyclosporine, azathioprine kana mercaptopurine, maantibhakitiriya akadai ciprofloxacin kana metronidazole uye / kana ma monoclonal antibodies, senge monoclonal antibodies uye / kana monoclonal antibodies, senge infliximab kana adalimumab, semuenzaniso.

Mune zvimwe zviitiko, muchirwere cheCrohn, zvingave zvakakosha kuita oparesheni kugadzirisa zvimisikidzo kana kubvisa zvikamu zvemukati kana kurapwa nemishonga kusiri kushanda.

Vanhu vanotambura nechirwere chekuputira ura vane mukana wakakura wekutambura matambudziko ezvekudya nekuda kwekurwara uye kurapwa, saka kuchengetedza mamiriro ezvekudya muzviitiko izvi, zvinogona kuve zvakakodzera kutevedzera chikafu chakakosha uye kutora zvekuwedzera zvekudya nefolic acid, vitamini D, mavitamini B6, B12 uye zvicherwa uye zvinoteedzera zvinhu, senge calcium uye zinc, semuenzaniso. Uye zvakare, kushandiswa kweprobiotic uye glutamine kunogona kubatsira kuvandudza ura.

Chii chokudya kana uine IBD

Chinangwa chikuru chekudya kwehutachiona hwechirwere ndechekuderedza kuzvimba kwetumbo uye kugadzirisa kunwa, kubvisa zviratidzo uye kudzivirira kuoneka kwematambudziko matsva. Kudya kwacho kunofanirwa kuve kwakasarudzika uye kwakanangana nemunhu wega wega, asi kune zvekudya zvinowanzo bvumidzwa uye zvimwe zvinofanirwa kudzivirirwa, kunyanya panguva yedambudziko.

1. Zvokudya zvinobvumidzwa

Zvimwe zvekudya zvinobvumidzwa mukudya ndeizvi:

• Mupunga, purees, pasita uye mbatatisi;
• Nyama dzakaonda, senyama yehuku;
• Zai rakabikwa;
• Hove dzakadai sesardini, tuna kana salmon;
• Miriwo yakabikwa, yakadai semakarotsi, asparagus uye manhanga;
• Michero yakabikwa uye yakasvuurwa, yakadai semabhanana nemaapuro;
• Avocado nemafuta emuorivhi.

2. Zvekudya zvekudzivisa

Zvekudya zvinofanirwa kudzivirirwa, sezvo zvine njodzi huru yekukonzeresa kuzvimba kwetumbo, ndeizvi:

• Kofi, nhema tii, zvinwiwa zvine caffeine uye zvinwiwa zvinodhaka;
• Mbeu;
• Mbishi miriwo uye michero isina kuvezwa;
• Papaya, orenji uye plamu;
• Mukaka, yogati, chizi, muto wakasviba uye bota;
• Uchi, shuga, sorbitol kana mannitol;
• Michero yakaomeswa, senzungu, walnuts nemaamondi;
• Oat;
• Chokoreti;
• Nguruve nedzimwe nyama dzakakora;
• Pfupi uye makeke anotapira ane puff pastry, chikafu chakakangwa, gratin, mayonnaise uye chikafu chakabikwa nechando.

Izvi zvekudya ingori mimwe mienzaniso inofanirwa kudzivirirwa, zvisinei, chakanakira kubvunza chiremba wezvekudya kuti agadzirise chikafu kumuviri wemunhu wega wega, nekuti panogona kunge paine zvimwe zvekudya zvinowedzera zviratidzo.