Zifukwa zingapo zingathandize kusintha kwa ana omwe ali ndi IBD
Mavuto akuluakulu azachipatala amawoneka ngati mavuto akuluakulu, koma ana akhoza kuyamba matenda opatsirana, ndipo pafupifupi kotala la odwala onse omwe ali ndi matenda opatsirana (IBD) amapezeka ngati ana. Ana omwe ali ndi IBD amakumana ndi vuto lalikulu la kukula komanso kwa ana ena, pang'onopang'ono mu kukula kwawo angakhale chizindikiro choyamba kuti ali ndi IBD.
Kukula kwachibadwa kwa ana omwe ali ndi IBD kungakhudzidwe kwambiri ndi matenda monga m'mimba kutupa, kuperewera kwa zakudya m'thupi, kuchepa kwa kalori, ndi zotsatira za mankhwala .
Chodetsa nkhaŵa chachikulu ndi chakuti kukula kwa mafupa a ana omwe ali ndi IBD kungayambe kuseri kwa ana a msinkhu womwewo omwe alibe IBD. Kuti mudziwe zambiri za momwe kukula kwa munthu wamkulu kumakhudzidwira ndi IBD mu ubwana, ndinapitanso ku UpToDate -magulu odalirika ogwiritsidwa ntchito ndi madokotala ambiri ndi odwala kufunafuna zambiri zachipatala.
"Chifukwa chakuti ana omwe akuchedwa kuchepa nthawi zambiri amachedwa kuchepa msinkhu, kukula kumatulukanso pambuyo pa kutha msinkhu. Komabe, kukula kwa msinkhu kungathenso kugwiritsidwa ntchito kwa iwo omwe ali ndi matenda a kutupa kwa nthawi yayitali, kuperewera kwa zakudya m'thupi kapena corticosteroid therapy, zingakhudzidwe. "
Zifukwa zingapo zingasokoneze kukula kwa msinkhu wamkulu wa mwana yemwe ali ndi IBD, kuphatikizapo matenda a nthawi yayitali, yogwira ntchito; zakudya zoperewera; komanso kutenga mankhwala a steroid monga prednisone kuchepetsa kutupa.
Matenda a Crohn, makamaka, amagwirizanitsidwa ndi mavuto ochulukirapo kwa ana kusiyana ndi matenda a zilonda zam'mimba, koma mitundu yonse ya IBD ikhoza kukhala ndi zotsatira zoipa pa kukula.
Zakudya Zabwino ndi Kukhululukidwa
Pofuna kulimbana ndi izi, muyenera kuonetsetsa kuti ana omwe ali ndi IBD amalandira zakudya zoyenera ndikuthetsa matenda awo mofulumira.
Kupeza chikhululukiro pa nthawi ya kutha msinkhu ndi mbali yofunikira yoonetsetsa kuti kukula kwa pfupa ndi kukula kukuchitika pamtunda wamba.
Chithandizo chimodzi chimene sichigwiritsidwa ntchito kwa anthu akuluakulu koma chimagwiritsidwa ntchito kwa ana ndi zakudya zokha zowonjezera (EEN). Mu EEN, zakudya zambiri (mpaka makilogalamu 90% oyenera) zimatengedwa kupyolera mu zakumwa zapadera komanso / kapena kugwiritsira ntchito chubu. Njira yothandizirayi yapezeka yothandiza monga steroids pakupangitsa kukhululukidwa ndikuwonetsedwanso kulimbikitsa odwala mucosal machiritso mwa odwala ena.
Mapulani Ochizira Othandiza
Kugwiritsa ntchito mankhwala ena osati ma steroid pamene kuli kotheka ndi njira ina yomwe ingathandize kuti ana azikhala ndi IBD. Pamene ma steroid amafunika, kuwagwiritsa ntchito tsiku lililonse (m'malo mwa tsiku lililonse) ndi kuchepetsa mlingo mwamsanga momwe angathere kuti ateteze thanzi labwino kwa ana. (Ngati mwana wanu ali ndi steroids, musasinthe mlingo wake musanalankhule ndi dokotala wawo.) N'zodziwikiratu kuti steroids imakhudzanso mafupa, ndipo ingayambitse matenda opatsirana .
Kuchepetsa zotsatira zomwe mwana ali nazo pa kukula kwa mwana akhoza kuonetsetsa kuti ana omwe ali ndi IBD ali ndi mwayi waukulu wopeza kukula kwa msinkhu komanso kukula kwake.
Pali njira yowonetsera ana a IBD kwambiri kuposa achikulire kuti akwaniritse mwamsanga komanso kuti asamapite patsogolo. Akatswiri angalimbikitse kuchiza IBD ndi njira yowonjezera mmalo mwa "njira". Izi zikutanthawuza kuti mwana wakhanda angapangitse biologic (yomwe ingaperekedwe mwa kulowetsedwa kapena jekeseni kapena kuphatikiza zonse ziwiri) monga mankhwala oyamba, osati kuyesa mankhwala achikulire kapena mankhwala opatsirana ndi kuyembekezera kuwona zomwe zimachitika. Kwa ana omwe amapezeka asanafike msinkhu, njira imeneyi ingathandize kukwaniritsa njira yowonjezera msinkhu usanafike msinkhu.
Mawu Ochokera
Nthawi zina, kukula kosauka kungakhale chizindikiro choyamba kuti IBD ndi vuto kwa mwana. Kwa ana omwe ali ndi IBD, kukula sikungapitirire ndi zomwe zikuchitika, ndipo kuchulukitsitsa kumawonjezeka. Pankhaniyi, masitepe amayenera kutengedwa kuti agwire ntchito ya IBD ndikubwezeretsanso ku malo komwe ayenera kukhalira.
> Chitsime:
> Tsiku AS, Lopez RN. "Chakudya chokhacho cha ana omwe ali ndi matenda a Crohn." World J Gastroenterol. 2015; 21: 6809-6816. > doi >: 10.3748 / wjg.v21.i22.6809
> Gasparetto M, Guariso G. "Matenda a Crohn ndi kuchepa kwa ana ndi achinyamata." World J Gastroenterol . 2014; 20: 13219-13233. > doi >: 10.3748 / wjg.v20.i37.13219
> Lev-Tzion R, Turner D. "Kodi matenda a IBD ndi osiyana ndi akuluakulu?" Minerva Gastroenterol Dietol . 2012 Jun; 58: 137-150.
> Sanderson IR. "Mavuto akukula kwa ana omwe ali ndi IBD." Nat Rev Gastroenterol Hepatol . 2014; 11: 601-610. > doi >: 10.1038 / nrgastro.2014.102
> Teitelbaum JE. "Kulephera kukula ndi kulemera kolemera kwa ana omwe ali ndi matenda opatsirana." Kupititsa patsogolo . 6 Oct 2015.