Chirwere cheCrohn Mishonga neMishonga

Zvemukati

• Mishonga yekurapa chirwere cheCrohn
• Corticosteroids
• Aminosalicylates
• Immunomodulator mishonga
• Biologics
• Mimwe mishonga
• Kuvhiya
• Natural mishonga
• Mararamiro anochinja
• Gadzirisa kushushikana kwako
• Tora acetaminophen yekurwadziwa
• Rega kusvuta
• Chengeta chinyorwa chezvekudya
• Deredza caffeine uye doro
• Kutora

Chirwere cheCrohn chirwere chemuviri chinokanganisa gastrointestinal (GI) turakiti. Sekureva kweCrohn's neColitis Foundation, ndeimwe yemamiriro ezvinhu anoumba hosha dzemukati, kana IBD, kusagadzikana kunokanganisa vakawanda kunge mamirioni matatu eAmerica.

Vanachiremba vachiri vasina kunyatsoziva kuti chii chinokonzeresa yaCrohn, asi inofungidzirwa kuve yekuwedzeredza immune system mune yeGI turakiti.

Chirwere cheCrohn chinogona kukanganisa chero chikamu cheTI turakiti, asi kazhinji chinokanganisa ura hudiki uye kutanga kwekoloni. Kune akasiyana maratidziro eCrohn ayo akavakirwa uko iko kusagadzikana kunokanganisa munhu mune yavo GI turakiti.

Nekuti pane mhando dzakasiyana dzeCrohn's, zviratidzo zvinosiyanawo, asi zvinogona kusanganisira:

• kurwadziwa nemudumbu
• manyoka
• kusvotwa uye kurutsa
• kuonda
• fistula

Kunyange pasina mushonga weCrohn's disease, mishonga uye dzimwe nzira dzekurapa, kusanganisira kudya uye shanduko yemararamiro, zvinogona kubatsira kubata zviratidzo.

Kurapa kweCrohn's kwakasarudzika, saka izvo zvinoshandira munhu mumwe zvingasashandira iwe.

Chirwere cheCrohn chinowanzoitika mukutenderera kwekuregererwa uye kuputika, saka zvirongwa zvekurapa zvinoda kuongororwa zvakare uye kuongorora.

Shanda nachiremba wako kuti uuye nehurongwa hwekurapa kuti utarisire ako chaiwo eCrohn zviratidzo.

Mishonga yekurapa chirwere cheCrohn

Imwe yedzakanakisa nzira dzaunogona kubata chirwere cheCrohn iri kuburikidza nemishonga inodzvinyirira immune system yako uye kudzikamisa kuzvimba mune yako GI turakiti.

Paunenge uine Crohn's kana zvimwe zvinokanganisa IBD, immune system ine isina kujairika yekupindura mhinduro inokonzeresa zviratidzo zvako.

Chinangwa chekutora mishonga kudzikisa immune immune yako kubatsira zviratidzo zvako uye kupa yako GI turakiti mukana wekuzorora uye kupora.

Iyi inotevera mishonga inogona kupihwa yega kana musanganiswa kubatsira kubata chirwere chako cheCrohn:

Corticosteroids

Sekureva kweNational Institute for Diabetes uye Digestive uye Kidney Zvirwere (NIDDKD), corticosteroids maSteroid ayo anobatsira kudzora zvese kuzvimba uye kupindura kwako immune. Ivo anowanzo shandiswa sekurapa-kwenguva pfupi kurapwa.

Kazhinji corticosteroids inoshandiswa kugadzirisa Crohn inosanganisira:

• budesonide
• hydrocortisone
• methylprednisolone
• zvideo

Iyo mhedzisiro mhedzisiro ye corticosteroids inogona kusanganisira:

• glaucoma kana kuwedzerwa kumanikidza mumaziso ako
• kuzvimba
• BP
• kurema kuwedzera
• njodzi yepamusoro yekutapukirwa
• acne
• manzwiro anochinja

Yakakomba mhedzisiro, senge kurasikirwa kweiyo bone density (osteoporosis) kana nyaya dzechiropa, zvinogona kuitika kana iwe ukatora corticosteroids kweinopfuura mwedzi mitatu.

Nekuda kweizvi, chiremba wako anogona kuti iwe utore corticosteroids kwenguva yakati imwe yenguva.

Aminosalicylates

Aminosalicylates anowanzo shandiswa kurapa ulcerative colitis, asi inogona kupihwa kuCrohn's futi. Iyi mishonga inofungidzirwa kudzikisa kuzvimba mukati mematumbo lining kurerutsa zviratidzo.

Iyi mishonga inogona kutorwa seyekuwedzera, nemuromo, kana sekubatanidzwa kwevaviri. Maitiro aunotora mushonga zvinoenderana nekuti chirwere chinokanganisa muviri wako.

Izvo zvinogona kuitika mhedzisiro yeaminosalicylates inosanganisira:

• kusvotwa
• kurutsa
• chirungurira
• manyoka
• musoro

Paunenge uchitora mushonga uyu, chiremba wako anogona kuongorora itsvo yako inoshanda. Ivo vanogona zvakare kuraira kuongororwa kweropa kuti vaone kuti chena yako masero eropa reropa haina kunyanyisa kuderera.

Rega chiremba wako azive kana uri weergergic kune sulfa zvinodhaka usati watora chero aminosalicylate drug.

Immunomodulator mishonga

Vatsvagiri vanofunga kuti chirwere cheCrohn chinokonzerwa nedambudziko nema immune system. Masero ayo anowanzo chengetedza muviri wako kurwisa iyo GI turakiti.

Nekuda kweizvi, mishonga inodzvinyirira kana kudzora immune system yako inogona kubatsira kubata yaCrohn's.

Nekudaro, iyi mishonga inogona kutora kusvika pamwedzi mitatu vasati vatanga kushanda, saka uchafanirwa kumirira imwe nguva usati waziva kana ichizokubatsira.

Vanachiremba vanogona kupa idzi mhando dzemishonga kana aminosalicylates uye corticosteroids isingashande kana iwe ukagadzira fistula. Iyi mishonga inogona kukubatsira kuti ugare mukuregererwa. Vanogona zvakare kuporesa fistula.

Mimwe mishonga inowanzozivikanwa yekuzvidzivirira muviri inosanganisira:

• azathioprine (Imuran)
• mercaptopurine (Purinethol)
• cyclosporine (Gengraf, Neoral, Sandimmune)
• methotrexate

Iyo mhedzisiro mhedzisiro yemishonga iyi inogona kusanganisira:

• musoro
• kusvotwa
• kurutsa
• manyoka
• njodzi yepamusoro yekutapukirwa

Mimwe mhedzisiro isingawanzo kurwara nepancreatitis (kuzvimba kwepancreas), matambudziko echiropa, uye myelosuppression. Myelosuppression iko kuderera kweuwandu hwemapfupa emafuta aunoita.

Biologics

Biologics rudzi rwemushonga unoshandiswa kuvanhu vane zvine mwero kusvika zvakanyanya Crohn's kana anoshanda maCrohn. Ivo vanoshanda kudzikisira kuzvimba munzvimbo dzakananga, senge tambo yematumbo ako. Hazvidzvanyiriri immune system yako yese.

Chiremba wako anogona kupa biologics kana iwe uine zvine mwero kana zvakakomba zviratidzo kana kana yako mimwe mishonga isiri kushanda. Ivo vanogona zvakare kuvanyorera ivo kana iwe uine fistula mune yako GI turakiti.

Biologics inogona zvakare kubatsira taper (zvishoma nezvishoma kuderera) kushandiswa kwemishonga steroid.

Iyi mishonga inowanzo kupihwa jekiseni kuchipatara kana nzvimbo yekurapa varwere masvondo matanhatu kusvika masere ese.

Mishonga inowanzozivikanwa ye biologic inosanganisira:

• anti-bundu necrosis factor-alpha kurapa
• anti-integrin kurapwa
• anti-interleukin-12
• interleukin-23 kurapa

Unogona kuve nekutsvuka, kuzvimba, kana kutsamwa kwaunowana jekiseni. Iwe unogona zvakare kusangana:

• kutemwa nemusoro
• kupindwa nechando
• chills
• yakaderera BP

Muzviitiko zvisingawanzoitika, vamwe vanhu vakave nehuturu hwekuita kumushonga kana vane njodzi yakanyanya yehutachiona, kunyanya tibhii (TB).

Mimwe mishonga

Vanachiremba vanogona kupa mimwe mishonga yekubatsira nezvimwe zviratidzo zveCrohn's.

Mishonga inorwisa mabhakitiriya inogona kudzivirira kuputika uye kuwanda kwebhakitiriya mumatumbo.

Chiremba wako anogona zvakare kukunyorera mushonga unorwisa manyoka unonzi loperamide kutorwa kwenguva pfupi kana uine manyoka akakomba.

Vamwe vanhu vane Crohn's varipowo panjodzi yekuumbuka ropa, saka zvichienderana nenjodzi yako, chiremba wako anogona zvakare kunyorera ropa rakatetepa kuti udzikise njodzi yako yezvinetso kubva muropa.

Chiremba wako anogona kukurudzira mushonga-simba acetaminophen yekubvisa marwadzo. Dzivisa kushandisa ibuprofen (Advil), naproxen (Aleve), uye aspirin yekuzorodza kurwadziwa, sezvo izvi zvinogona kukuvadza zviratidzo.

Kuvhiya

Kunyangwe vanachiremba vachatanga kuyedza kubata chirwere cheCrohn nemushonga, nekuti chirwere cheupenyu hwese, vanhu vazhinji vaneCrohn vanozopedzisira vavhiyiwa.

Kune mhando dzakasiyana dzekuvhiya kwevanhu vane chirwere cheCrohn. Iyo chaiyo mhando yekuvhiya inoenderana nerudzi rwei rweCrohn yauinayo, zviratidzo zvipi zvauri kusangana nazvo, uye kuti zvakakomba sei zviratidzo zvacho.

Kuvhiya kwaCrohn kunosanganisira:

• Strictureplasty. Uku kuvhiya kunowedzera chikamu chemuviri wako icho chave chakadzikira nekufamba kwenguva nekuda kwekuzvimba.
• Proctocolectomy. Nekuvhiyiwa kwezviitiko zvakakomba, zvese colon uye rectum zvakabviswa zvachose.
• Colectomy. Mune colectomy, iyo colon inobviswa, asi iyo rectum inosara isina kugadzikana.
• Fistula kubviswa uye abscess drainage.
• Diki uye hombe ura resection. Kuvhiya kunoitwa kubvisa chikamu chakakanganiswa chemuviri uye kubatanidza zvakare hutano, husina kukanganiswa nzvimbo dzemukati.

Natural mishonga

Pamwe pamwe nerejimeni yemushonga uye kuvhiyiwa, kune zvekare mamwe ekuwedzera ekugadzirisa mishonga iwe yaunogona kukurukura nachiremba wako.

Izvi zvinosanganisira:

• Zvokuwedzera. Calcium uye vhitamini D zvinowedzera zvinogona kubatsira kudzivirira kurasikirwa kwepfupa kana wanga uchitora corticosteroid kwenguva yakareba.
• Omega-3 mafuta acids. Omega-3 fatty acids, senge iwo ari mumafuta ehove, anozivikanwa kuve neanorwisa-kupisa zvivakwa, saka ivo vari kuongororwa kuti vaone kana vari kubatsira muCrohn's. Unogona kuwana omega-3 fatty acids mune zvinowedzera kana muzvikafu zvakaita salmoni, sardini, nzungu, mbeu yeflakisi, mafuta emiti, uye zvimwe zvekudya zvakasimbiswa.
• Turmeric. Turmeric iri kudzidziswawo kuti ione kana ichibatsira Crohn nekuda kwenzvimbo dzayo inopesana nekuzvimba. Nekudaro, turmeric ine iyo yekucheka-ropa zvivakwa, saka bvunza nachiremba wako usati wawedzera icho kuchikafu chako kana kuitora sechiwedzera.
• Chiremba cannabis. Sekureva kweCrohn's & Colitis Foundation, zvidzidzo zvishoma zvidiki zvakaratidza kuti cannabis yekurapa inogona kubatsira nezvimwe zviratidzo zveBD, asi hapana humbowo hwakajeka hwekuikurudzira iyo yeCrohn's.

Mararamiro anochinja

Pane akakosha mararamiro maratidziro aunotora kuti ubatsire kugadzirisa zviratidzo zvako, zvimwe zvacho zvakanyorwa pano:

Gadzirisa kushushikana kwako

Kugadzirisa kushushikana chikamu chakakosha chehupenyu hwese hune hutano, asi kushushikana manejimendi kwakanyanya kukosha nechirwere chisingaperi chisingaperi. Izvi zvinodaro, izvo zvinozoita kuti zviratidzo zvako zviwedzere.

Unogona kuyedza masosi ekugadzirisa kushungurudzika uri wega, senge anotungamirwa ekufungisisa maapplication kana mavhidhiyo, kudzika kufema kurovedza, kana iyo yoga.

Ipfungwa zvakare yakanaka kutaura nemurapi kuti uwane mamwe matsva ekugadzirisa kushungurudzika maturusi futi, kunyanya kana uine huwandu hwekushushikana.

Tora acetaminophen yekurwadziwa

Nekusagadzikana kusinganzwisisike uye kurwadziwa (senge kana iwe uchinge uchinge uchinge uchirwadziwa nemusoro kana musuru unorwadza), zvinokurudzirwa kuti utore acetaminophen (Tylenol). Dzivisa ibuprofen (Advil), naproxen (Aleve), uye aspirin, nekuti izvi zvinogona kukonzeresa.

Rega kusvuta

Kusvuta kunogona kuita kuti zviratidzo zviwedzere, kumutsa kupisa, uye kuita kuti mishonga yako isanyanya kushanda.

Kurega kusvuta, zvisinei kuti munhu ave nenguva yakareba sei achiputa uye ave neCrohn's, yakawanikwa ichibatsira kubata zviratidzo.

Chengeta chinyorwa chezvekudya

Zvidzidzo hazvina kuwana kuti kudya kwakasarudzika kana chikafu kunobatsira kwaCrohn, asi nekuti iri dambudziko reumwe neumwe, panogona kunge paine zvimwe zvekudya zvinokonzeresa zviratidzo kwauri.

Kuchengeta chinyorwa chezvekudya uye kudya chikafu chine hutano, chakaringana kunogona kukubatsira iwe kuwana zvinovaka muviri zvaunoda uye kuona chero chikafu chingaite kuti zviratidzo zvako zviwedzere.

Deredza caffeine uye doro

Kuwedzeredza uye doro zvinogona kuita kuti zviratidzo zviwedzere, kunyanya panguva yemoto.

Kutora

Chirwere cheCrohn rudzi rweBD runobata munhu wese zvakasiyana.

Kune mhando dzakasiyana dzeCrohn dzinogona kukanganisa zvikamu zvakasiyana zveGI system. Zviratidzo zvinosiyana zvichienderana nechikamu chipi cheGI turakiti chainoita uye kuti chakanyanya sei.

Nekuti Crohn chirwere cheupenyu hwese chisinga bate munhu wese nenzira imwechete, iwe uchazoda kushanda nachiremba wako kugadzira chirongwa cheumwe kurapwa chinogona kusanganisira mishonga, shanduko yemararamiro, kana kuvhiyiwa.