Kushomeka kwehutano uye Chirwere cheCrohn

Zvemukati

• Mhando dzekushomeka kwehutano
• Makorori
• Mapuroteni
• Mafuta
• Iron
• Vhitamini B-12
• Folic acid
• Mavhitaminzi A, D, E, uye K
• Zingi
• Potassium uye Sodium
• Calcium
• Magnesium
• Zviratidzo zveMalabsorption
• Zvinokonzera Malabsorption
• Kurapa kweMalabsorption
• Mubvunzo:
• A:

Kana vanhu vachidya, zvizhinji zvezvikafu zvinoputsika mudumbu uye zvinopinda mudumbu diki. Zvisinei, mune vanhu vazhinji vane chirwere cheCrohn - uye mune vangangoita vese vane huturu hutete hweCrohn's - ura mudiki haugone kutora zvinovaka muviri, zvichikonzera izvo zvinozivikanwa sekuti malabsorption.

Vanhu vane chirwere cheCrohn vane chirwere chinopisa chemukati. Iko kuzvimba kana kutsamwa kunogona kuitika mune chero chikamu chemudumbu, asi chinowanzo bata chikamu chepazasi chemuviri mudiki, unozivikanwa seileum. Ura hudiki ndipo panotorerwa kunonoka kwehutachiona, saka vanhu vazhinji vane chirwere cheCrohn havazeye uye kupinza zvinovaka muviri. Izvi zvinogona kukonzera matambudziko akasiyana siyana, kusanganisira malabsorption yemavhitamini akakosha uye mamineral. Uku kushomeka kwevhitamini nemamineral kunogona kupedzisira kwaendesa kune mamwe matambudziko ehutano, akadai sekushayiwa mvura uye kushaya zvinovaka muviri.

Neraki, kuongororwa kweropa kunogona kubatsira vanachiremba kuona kana vanhu vane chirwere cheCrohn vari kuwana mavitamini uye zvinovaka muviri zvavanoda. Kana vasiri, vanogona kuendeswa kuna gastroenterologist kuti iongororwe. Gastroenterologist mumwe munhu anonyanya kugadzirisa zvirwere zvinokanganisa ura uye chiropa. Vanogona kukurudzira chirongwa chekurapa kune mumwe munhu ane kushomeka kwehutano nekuda kwechirwere cheCrohn.

Mhando dzekushomeka kwehutano

Vanhu vane chirwere cheCrohn vanogona kunetseka kutora huwandu hwakawanda hwevhitamini uye zvinovaka muviri, zvinosanganisira:

Makorori

Maoriro anotorwa kubva kumacronutrients, senge makabhohaidhiretsi, mapuroteni, uye mafuta. Kana mumwe munhu asiri kutora macalorie akakwana nekuda kwekusagadzikana kwemalabsorption, vanowanzo kurasikirwa nehuremu hwakakosha nekukurumidza.

Mapuroteni

Vanhu vane chirwere cheCrohn vangangoda kuwedzera yavo yekudya mapuroteni nekuda kwe:

• kushandiswa kweiyo yakakwira-dose steroid, senge prednisone
• kurasikirwa kweropa kwenguva refu kana manyoka
• maronda kana fistula inobata ura hudiki

Mafuta

Vanhu vane chirwere chakakomba cheCrohn uye vakave nemamita anopfuura matatu eileum yavo vangangoda kuisa mamwe mafuta ane hutano muzvikafu zvavo.

Iron

Anemia, kana kushomeka kwemasero matsvuku eropa, inowanzoitika mhedzisiro yechirwere cheCrohn. Mamiriro acho anogona kukonzera kushomeka kwesimbi, saka vanhu vazhinji vane Crohn's vanodawo kuwedzerwa kwesimbi.

Vhitamini B-12

Vanhu vane huturu hwakanyanya uye avo vakabviswa ileamu yavo vanowanzoda majekiseni enguva dzose evhitamini B-12.

Folic acid

Vanhu vazhinji vane chirwere cheCrohn vanotora sulfasalazine kurapa zviratidzo zvavo. Nekudaro, uyu mushonga ungakanganisa kugona kwemuviri kugadzirisa muviri, kuita folic acid zvinowedzera zvinodiwa. Vanhu vane chirwere chakakura cheCrohn chejejunum, kana chikamu chepakati chemukati mudumbu, vangangoda kuwedzera yavo folic acid inodya.

Mavhitaminzi A, D, E, uye K

Kushomeka kweaya mavhitamini akasanganiswa nemafuta anowanzo sanganiswa nemafuta malabsorption uye kuzvimba kwemukati mudumbu. Izvo zvinogona zvakare kuve zvine chekuita nekubviswa kwezvikamu zvakakura zveiyo ileum kana iyo jejunum. Njodzi yekushomeka kwevhitamini D inofungidzirwawo kuti yakakwira muvanhu vanotora cholestyramine, sezvo uyu mushonga unogona kukanganisa kupinza kwevhitamini D.

Zingi

Vanhu vane chirwere cheCrohn vangangoda kutora zinc kuwedzera kana ivo:

• vane kuzvimba kwakakura
• vane manyoka asingagumi
• Jejuum yavo yakabviswa
• vari kutora prednisone

Izvi zvinhu zvinogona kukanganisa kugona kwemuviri kutora zinc.

Potassium uye Sodium

Iyo colon, kana hombe ura inoitisa kugadzirisa mvura uye ma electrolyte. Vanhu vakavharwa nhengo iyi vachivhiyiwa saka vanofanirwa kuwedzera kudya kwavo kwe potassium nesodiyamu. Kune njodzi yakawandisa yekurasikirwa ne potassium muvanhu vanotora prednisone uye vanogara vachiita manyoka kana kurutsa.

Calcium

Steroid inopindira nekudyiwa kwecalcium, saka vanhu vanotora iyi mishonga kurapa zviratidzo zvechirwere cheCrohn vangangoda kuisa yakawanda calcium mukudya kwavo.

Magnesium

Vanhu vane chirwere chisingaperi kana avo vakabviswa ileamu kana jejunum vangatadza kunyatsotora magnesium. Ichi chinhu chakakosha chicherwa chekukura kwemapfupa uye nezvimwe zviitiko zvemuviri.

Zviratidzo zveMalabsorption

Vanhu vazhinji vane chirwere cheCrohn havaoni zviratidzo zvekusagadzikana kwemalabsorption, saka zvakakosha kugara uchiongororwa kushomeka kwehutano. Kana malabsorption zviratidzo zvikaonekwa, zvinogona kusanganisira:

• kuzvimba
• gasi
• kupwanya mudumbu
• hwakakura kana hwakasviba zvituru
• manyoka asingagumi

Muzviitiko zvakakomba zvemalabsorption, kuneta kana kungoerekana kurasikirwa uremu kunogona kuitika.

Zvinokonzera Malabsorption

Zvinhu zvakati wandei zvine chekuita nechirwere cheCrohn zvinogona kuita kuti malabsorption:

• Kuzvimba: Kuramba kuripo, kwenguva refu kuzvimba kwemukati mudumbu kune vanhu vane diki diki chirwere cheCrohn chinowanzo kutungamira kukuvadzwa kwematumbo. Izvi zvinogona kukanganisa kugona kwenhengo kupinza zvinovaka muviri.
• Mishonga: Imwe mishonga inoshandiswa kurapa chirwere cheCrohn, senge corticosteroids, inogona kukanganisa kugona kwemuviri kutora zvinovaka muviri.
• Kuvhiya: Vamwe vanhu vakave nechikamu chemuviri wavo mudiki wakabviswa kuvhiya vanogona kungoita shoma ura hwakasara kuti hutore chikafu. Aya mamiriro, anozivikanwa seapfupi ura chirwere, hazviwanzo. Kazhinji inongowanikwa muvanhu vane masendimita asingasvike makumi mana emukati mudumbu akasara mushure mekuvhiya kwakawanda.

Kurapa kweMalabsorption

Kudzoreredza zvinovaka muviri kunowanzo kuve kurapwa kunoshanda kune vanhu vane kushomeka kwehutano nekuda kwechirwere cheCrohn. Mishonga yakarasika inogona kutsiviwa nezvimwe zvekudya uye zvekudya zvinowedzera. Zvekuwedzera zvinogona kutorwa nemuromo kana kupihwa kuburikidza netsinga (intravenously).

Kudzivisa zvimwe zvekudya zvakare kwakakosha pakurapa malabsorption. Kudya kwakasiyana siyana kunogona kuita kuti gasi kana manyoka awedzere zvakanyanya, kunyanya panguva yekukwira, asi mhinduro ndedzevamwe. Zvimwe zvinogona kunetsa chikafu zvinosanganisira:

• bhinzi
• mhodzi
• broccoli
• kabichi
• chikafu chemucitrus
• ruomba nemargarini
• kirimu inorema
• chikafu chakakangwa
• zvikafu zvinonaka
• chikafu chine mafuta mazhinji

Vanhu vane dumbu rekuvharika vangangoda kudzivirira zvachose kudya yakakwira-fiber chikafu, senge michero miriwo uye miriwo.

Vanhu vane chirwere cheCrohn vanokurudzirwa kudya chikafu chine hutano, chakaringana kusimudzira kunwa kwevhitamini nemamineral. Zvinokurudzirwawo kudya zvidiki zvekudya mukati mezuva rose uye kunwa mvura yakawanda. Dairy inogona kuda kudzivirirwa, sevamwe vane chirwere cheCrohn vanove vasingashiviriri mukaka.

Mubvunzo:

Zvimwe zvekudya zvinogona kubatsira kudzivirira kushomeka kwehutano kune vanhu vane chirwere cheCrohn? Kana zvirizvo, ndeapi?

A:

Ehe, zvimwe zvekudya zvinogona kubatsira. Avocado mafuta ari nyore kugaya uye akapfuma mune folate, maoysters ane iron- uye zinc-yakafuma, uye yakabikwa yakasvibira mashizha ane mashizha ane folate, calcium, uye iron (pamwe nevhitamini C chikafu senge macitrus kana ma berries). Salmoni yemumagaba nemapfupa, calcium-yakasimbiswa michero yeminyuchi, bhinzi, uye nyemba ndezvakanakawo zviwanikwa zvezvinhu zvinovaka malabsorbed