Kubata uye Chirwere chaCrohn

Zvemukati

• Unofanira kuita nhumbu here?
• Kubata uye hutano hweCrohn
• Kubata pamuviri uye kurapwa kwaCrohn
• Iko kwemajini eCrohn's

Chirwere cheCrohn chinowanzoonekwa chiri pakati pemakore gumi nemashanu kusvika makumi maviri nemashanu - kukwirira kwekubereka kwemukadzi.

Kana iwe uri wezera rekubereka uye uine yaCrohn, unogona kushamisika kana nhumbu iri sarudzo. Vakadzi vane Crohn's vangangoita nhumbu sevaya vasina yaCrohn.

Nekudaro, kupora kubva mudumbu uye kuvhiyiwa kwepamuviri kunogona kutadzisa kubereka. Izvi zvinonyanya kuitika mumamiriro ekuvhiya senge yakasarudzika kana yakazara colectomy - kubvisa chikamu kana ura hwese hukuru.

Unofanira kuita nhumbu here?

Zvakanakisisa kubata pamuviri apo zviratidzo zvako zveCrohn zviri pasi pekutonga. Iwe unofanirwa kusununguka pamoto kwemwedzi mitatu kusvika kumatanhatu yadarika uye usiri kutora corticosteroids. Iwe unofanirwa kubhadhara zvakanyanya kune yako Crohn's drug kurapwa kana iwe uchida kubata pamuviri. Taura newe chiremba nezvezvakanaka nezvayakaipira zvekuenderera nemishonga panguva yekuzvitakura nekuyamwisa. Kuputika kwaCrohn panguva yekuzvitakura kunogona kuwedzera njodzi yekushanda kwekutanga uye vacheche vacheche vacheche.

Idya chikafu chinovaka muviri, chine vitamini yakawanda. Folic acid inonyanya kukosha kune vakadzi vane nhumbu. Iyo ndiyo fomati yekugadzira, fomati B-vhitamini inowanikwa zvakasikwa mumichero yakawanda nemiriwo.

Folate inobatsira kuvaka DNA neRNA. Izvi zvinoita kuti zvive zvakakosha kune yekutanga kukurumidza maseru chikamu chikamu chepamuviri. Iyo zvakare inodzivirira kupererwa neropa uye inodzivirira DNA kubva kushanduko dzinogona kukura kuita cancer.

Zvikafu zvine folate zvinosanganisira:

• bhinzi
• broccoli
• sipinashi
• Brussels inomera
• michero yemuchero
• nzungu

Zvimwe zvekudya zvekudya zvinogona kuve zvakaoma panzira yekugaya kana uine Crohn's. Chiremba wako angangokurudzira folic acid zvinowedzera usati uye panguva yepamuviri.

Kubata uye hutano hweCrohn

Chikwata chako chekurapa chinosanganisira gastroenterologist, chiremba anozvara, chiremba wezvehutano, uye chiremba mukuru. Ivo vachatevera kufambira mberi kwako seyakanyanya njodzi njodzi yekubereka. Kuva nechirwere cheCrohn kunowedzera mukana wako wekushushikana senge kupererwa kwepamuviri uye kutanga kwekutanga

Chiremba wako wekubereka anogona kukurudzira kumisa mishonga yaCrohn yehutano hwe "fetus". Asi, kuchinja rako regimen remushonga panguva yekuzvitakura kunogona kukanganisa chirwere chako zviratidzo. Wako gastroenterologist anogona kukuraira iwe pane regimen yezvinodhaka inoenderana nekuomarara kwechirwere chako cheCrohn.

Shanda neyako gastroenterologist uye chiremba wepamberi usati wabata pamuviri. Vanogona kukubatsira iwe kugadzira chirongwa chekubata chirwere panguva yako yepamuviri.

Izvo zvakakosha kuti udzidze nezve nhumbu uye chirwere cheCrohn. Bato rako rezvehutano rinofanira kukwanisa kukupa zviwanikwa uye ruzivo nezve izvo zvaunotarisira. A kubva kuUnited Kingdom yakaratidza kuti chete hafu yevakadzi vane nhumbu vaive nekunzwisisa kwakanaka kwekudyidzana pakati penhumbu uye chirwere cheCrohn.

Kubata pamuviri uye kurapwa kwaCrohn

Mazhinji mishonga yekurapa yaCrohn yakave yakaratidza kuti yakachengeteka kune vakadzi vane nhumbu. Zvisinei, zvimwe zvinogona kukonzera kuremara kwekuzvarwa. Zvakare, mimwe mishonga inodzora kuzvimba kubva kuchirwere cheCrohn (senge sulfasalazine) inogona kudzikisa huwandu hwenhengo.

Kushomeka kwehukama kunogona kutungamira kuhuremu hwakaderera hwekuzvarwa, kukurumidza kuburitsa, uye kunogona kudzora kukura kwemwana. Kushomeka kwemunhu kunogona zvakare kukonzera neural tube kuberekwa hurema. Kukanganisa uku kunogona kutungamira mukukanganisa kwenzwi, senge spina bifida (a spinal disorder) uye anencephaly (isina kujairika kuumbwa kwehuropi). Taura nachiremba wako nezvekutora yakaringana muyero wehukama.

Vakadzi vane Crohn's vanogona kutakura mukadzi. Asi ivo vari kusangana neanoshanda perianal chirwere zviratidzo, kuendeswa kwecharean kunokurudzirwa.

Kuendesa Kesarea ndiyo yakanakisa sarudzo yevakadzi vane ileal pouch-anal anastomosis (J pouch) kana bowel resection. Izvo zvinobatsira kudzikisira ramangwana nyaya dzekusagadzikana uye kuchengetedza kwako sphincter mashandiro.

Iko kwemajini eCrohn's

Genetics inoita kunge inoita basa mukuvandudza chirwere cheCrohn. Ashkenazi huwandu hwevaJudha vane mukana we3 kusvika ku8 mukana kupfuura vanhu vasiri vechiJuda vekuvandudza Crohn's. Asi kusvika parizvino, hapana bvunzo inogona kufanotaura kuti ndiani achachiwana.

Zviitiko zvepamusoro-soro zveCrohn's zvinonzi muEurope, North America, Australia, Japan, uye tip yeSouth America. Kune zviitiko zvakakwirira zvechirwere cheCrohn mumadhorobha pane vanhu vekumaruwa. Izvi zvinoratidza kubatana kwezvakatipoteredza.

Kuputa fodya kwakabatanawo neCrohn's flare-ups. Kusvuta kunogona kuita kuti chirwere chiwedzere kusvika pakuda kuvhiyiwa. Vakadzi vane nhumbu vane Crohn's vanosvuta vanofanirwa kusiya ipapo ipapo. Izvi zvinobatsira neCrohn uye zvakare kugadzirisa nzira yemimba.