Zovuta zomwe zingakhale kunja kwa kapangidwe ka zakudya
Matenda ena a Crohn sakhala okhudzana ndi kutupa m'matumbo ang'onoang'ono kapena akuluakulu ndipo amatchedwa "systemic" kapena zotsatira zapakati za m'mimba. Matendawa angaphatikizepo nyamakazi, kuperewera kwa mafupa, kuchepetsa kukula kwa ana, matenda a maso, zilonda zam'mimba, zilonda za khungu kapena zilonda, ndi zilonda za m'kamwa.
Sitikudziwa chifukwa chake matenda a Crohn akhoza kuchitika kunja kwa kapangidwe ka zakudya, koma nthawi zina amatsatira njira ya matendawa: Amaipira panthawi yomwe akulakwitsa ndipo amatha kusintha pakakhululukidwa .
Arthritis
Ululu, kutupa, ndi kuuma kwa ziwalo za anthu omwe ali ndi matenda a Crohn akhoza chifukwa cha nyamakazi . Zizindikiro zimatha masiku kapena masabata ndipo zimatha kuchoka ku umodzi umodzi. Matenda a m'mimba amatha kusintha pamene matenda a Crohn amachiritsidwa bwino, ndipo sizimapangitsa kuti thupi liwonongeke. Zizindikiro zimatengedwa ndi kutentha kowuma ndi kupumula. Anthu omwe ali ndi matenda a Crohn amatha kukhalanso ndi nyamakazi yina, mwina ngati vuto kapena ngati zotsatira za mankhwala.
Kutaya kwa Thupi
Anthu omwe ali ndi matenda a Crohn ndi omwe ali pangozi ya kuperewera kwa mafupa ndi matenda a mitsempha chifukwa cha zifukwa zingapo. Calcium ndi yofunika kuti thupi likhale ndi thanzi labwino, ndipo vitamini D ndi yofunikira kuti thupi lizikhala ndi calcium. Komabe, anthu omwe ali ndi matenda a Crohn's akhoza kukhala a vitamini D, makamaka ngati matumbo aang'ono ali ndi matenda aakulu kapena atachotsedwa pang'onopang'ono kudzera opaleshoni.
Kuwonjezera pamenepo, mapuloteni otchedwa cytokines amapezeka m'madera apamwamba kwa anthu omwe ali ndi matenda a Crohn, makamaka pamene matendawa akugwira ntchito. Ma cytokini amatha kulepheretsa kuchotsa fupa wakale ndi kulengedwa kwa fupa latsopano. Zina mwazifukwa zomwe zimayambitsa mafupa zimaphatikizapo otsika thupi (BMI), akazi, kusuta, kumwa mowa, ndi ukalamba.
Malingaliro onse omwe amaletsa kupewa kupweteka kwa mafupa ndizochita masewero olimbitsa thupi, kuchepetsa kumwa mowa, kusiya kusuta, ndi kupatsirana ndi 1500 mg ya calcium ndi 400 IU ya vitamini D tsiku ndi tsiku. Kwa anthu omwe ali ndi matenda opatsirana (IBD), kuchepetsa kugwiritsa ntchito corticosteroids ngati n'kotheka komanso kutenga mankhwala a bisphosphonate ndi othandiza.
Kukula Kochedwa kwa Ana
Matenda a Crohn amawaika ana pangozi yofulumira kukula . Zifukwa zingapo zimakhudza kukula kwa ana omwe ali ndi matenda a Crohn, kuphatikizapo kusowa kudya , kudya zakudya zosafunikira, kuchepetsa zakudya zam'mimba m'mimba, ndi kugwiritsa ntchito mankhwala a steroids monga chithandizo. Zinthu izi zingakhale ndi zotsatira zoipa pa msinkhu wa mwana ndipo zimapangitsa msanga.
Matenda a Diso
Matenda a maso omwe angakhudze anthu omwe ali ndi matenda a Crohn akuphatikizapo uveitis, episcleritis, keratopathy, ndi maso owuma. Maso ena amaso amafuna chithandizo, ndipo zambiri zidzasintha pamene matenda a Crohn akuyendetsedwa bwinobwino.
- Maso owuma amayamba chifukwa chosowa misozi m'maso. Kulephera kwa chinyezi kungachititse kuti diso likhale lopweteka komanso kuti khungu likwaniritsidwe. Maso owuma amachiritsidwa ndi misozi yopangira mavitamini ndi vitamini A. Ngati kuyanika kumayambitsa matenda, mankhwala ophera maantibayotiki angafunike.
- Episcleritis ndi kutupa kwa maso oyera omwe amachititsa zizindikiro za ululu ndi kubwezeretsa. Episcleritis imachiritsidwa ndi vasoconstrictor kapena corticosteroid.
- Keratopathy ndi yopanda pake mu cornea yomwe siimayambitsa kupweteka kapena kutayika kwa masomphenya ndipo kotero sichimachiritsidwa.
- Uveitis ndi kutukusira kwa chigawo chapakati cha maso omwe amachititsa zizindikilo za kuwala, kumva kupweteka, kufiira, kuwona masomphenya, ndi kupweteka mutu. Kuchokera kumalo osatulutsidwa, uveitis angayambitse khungu, glaucoma, kapena retina yosungunuka. Chithandizo chili ndi corticosteroids.
Miyala
Chotsani chomwe chikuwumitsa mu ndulu chikhoza kuyambitsa gallstones .
Magalasi amatha kuletsa kuchoka kwa bile kuchokera mu ndulu, yomwe imapweteka kwambiri. Anthu omwe ali ndi matenda a Crohn m'mayendedwe awo ali ndi chiopsezo chowonjezereka chokhala ndi ziphuphu; anthu 13% mpaka 34% adzapeza vutoli. Kutupa mu leamu kumateteza kuyamwa kwa bile. Bile amasungunula cholesterol ku chakudya, ndipo ngati cholesterol ichi sichiphwanyidwa, chikhoza kubweretsa gallstones. Zingwe zamtunduwu zimachiritsidwa ndi opaleshoni kuchotsa ndulu. Kuchiza ndi mankhwala sikugwiritsidwa ntchito mochepa chifukwa gallstones akhoza kubwerera.
Zilonda zam'mlomo
Zilonda zazing'ono zomwe zimapezeka m'kamwa zimatchedwa aphthous stomatitis. Mankhwalawa amatha kusunga pakamwa, koma palibe mankhwala ena omwe amafunikira. Matenda ofatsa angachiritse okha, koma zamatsenga zotsutsana ndi inflammatories ndi anesthetics zingakhale zovuta komanso zolimbikitsa machiritso.
Khungu Mkhalidwe
Anthu omwe ali ndi matenda a Crohn m'matumbo akhoza kukhala ndi zikopa za khungu. Khungu lozungulira mitsempha ya m'mphepete mwa perianal limakhuthala ndipo limapanga zovuta. Chisamaliro chiyenera kutengedwa kuti malo a anal azikhala oyera, chifukwa zizindikiro za khungu zimatha kusungira chingwe ndipo zimayambitsa khungu. Kukhalapo kwa zikopa za khungu kungakhale kothandiza popanga matenda a Crohn's disease chifukwa ali ofala kwambiri kwa anthu omwe ali ndi matenda a Crohn kusiyana ndi ulcerative colitis.
Zilonda zina zomwe zimakhudzana ndi matenda a Crohn ndi erythema nodosum ndi pyoderma gangrenosum . Erythema nodosum ndi zopweteka zofiira zomwe zimapangika pa mikono kapena miyendo yochepa, ndipo pyoderma gangrenosum ndi nthenda pamapazi kapena mikono yomwe imapanga malo ocheperako, monga odulidwa. Zonsezi sizikhala zofala kwambiri ku Crohn's disease kusiyana ndi matenda a zilonda zam'mimba. Erythema nodosum ingakhudze 1% mpaka 2% mwa anthu omwe ali ndi matenda a Crohn, ndipo pyoderma gangrenosum ingawononge 1% mwa anthu omwe ali ndi matenda a Crohn.
Zotsatira:
Bonheur JL, Braunstein J, Korelitz BI, Panagopoulos G. "Khungu la khungu la matenda opatsirana: Matenda atsopano ndi ndemanga zachipatala." Matenda Otupa Matenda 14; 1236-1239 1 May 2008. 9 Sep 2013.
Crohn's ndi Colitis Foundation ya America. "Zovuta Zowonjezereka: Kutayika kwa Matenda." 1 May 2012. 9 Sep 2013.
Crohn's ndi Colitis Foundation ya America. "Zovuta Zowonjezereka: Zovuta za M'maso." 1 May 2012. 9 Sep 2013.
Crohn's ndi Colitis Foundation ya America. "Zovuta Zowonjezereka: Matenda a Chiwindi." 1 May 2012. 9 Sep 2013.
Crohn's ndi Colitis Foundation ya America. "Zovuta Zowonjezereka: Matenda a Khungu." 1 May 2012. 9 Sep 2013.