Hōʻike ākea o ka maʻi
Crohn ka maʻi Crohn ka maʻi) He mumū mau o ka ʻōpū o ka gastrointestinal me ka hoʻokumu ʻana o nā granulomas kūloko, kahi loli i ke ʻano o ka epithelium e uhi ana i ka paia ʻōpū. Hoʻopili pinepine ka maʻi i ka ileum, akā i nā hihia ʻoi loa, hiki ke hoʻopili i nā ʻāpana āpau mai ka waha a i ka anus. Hoʻolahalaha nui ka maʻi ma nā ʻaoʻao ʻākau o ʻAmelika a me ʻEulopa. I kēlā me kēia makahiki, ʻike ʻia kēia maʻi ma 2-3 mau kānaka ma 1000. Hoʻomaka e hōʻike ʻia nā hōʻike maʻi o Crohn ma kahi o 15-36 mau makahiki a ma hope o 60 mau makahiki.
Hiki i kahi coloproctologist a i ʻole kahi gastroenterologist ke hoʻomaopopo i ka maʻi e pili ana i ka noi maʻi a me nā hoʻokolohua koko a me nā feces, histology, palpation ʻōpū, ultrasound a me MRI o ka ʻōpū, CT me ka ʻokoʻa, X-ray, endoscopy a me colonoscopy. Lawe ʻia ka mālama Conservative o ka maʻi me nā antibiotic, steroid, probiotics, immunomodulator, vitamins a me nā enzymes. I kahi papa koʻikoʻi o ka maʻi, hiki i ke kīpoki ke hoʻololi i kahi ʻāpana o ka ʻōpū a i ʻole ka ʻōpū holoʻokoʻa.
Hiki i nā pilikia o ka maʻi o Crohn ke kumu:
- mau abscesses o loko a me nā fistula;
- peritonitis;
- kahe ʻana o loko;
- ulcer;
- perforation;
- nā maʻi o nā mea pili kokoke (bladder, uterus, vagina) ma muli o ke komo ʻana o ka pā i loko o lākou ma o nā ala kuʻi.
ʻAʻole hiki ke hoʻōla ʻia ka maʻi o Crohn a hiki i kāna mau hōʻailona hou ke 20 mau makahiki ma hope o ka hopena hope loa o nā hōʻailona.
Nā ʻano like ʻole o ka maʻi o Crohn
Aia i ka wahi, nui a hewahewa nā ʻano o ka maʻi o Crohn.
- ka eo o ka pololei a me ka ileum - ileocolitis;
- eo wale i ka ileum - ileitis;
- hōʻino wale i ka polū - Ka maʻi o Crohn o ka pololei;
- hōʻino i ka'ōpū a me ka duodenum - gastrooduodenalitis;
- ka eo ʻana o ka jejunum a me ka ileum - jejunoileitis.
Nā kumu
- ka predisposition hoʻoilina a me nā kumu kūlohelohe
- nā maʻi maʻi autoimmune
- nā maʻi maʻi lele ma mua
Nā ʻōuli o ka maʻi ʻo Crohn
ʻO ka maʻi o Crohn he mau ʻano kūwaho a kūloko hoʻi. ʻO ka hapanui o nā manawa, hiki ke hoʻoholo ʻia nā hōʻike kūloko o ka maʻi e nā lako pono.
Nā hōʻailona kūwaho:
- luhi mau;
- piʻi kiʻekiʻe o ka mahana;
- nāwaliwali;
- appendicitis wahaheʻe;
- ʻeha a ʻoki ʻeha i ka ʻōpū;
- ka luaʻi, nausea, diarrhea (ʻōpū o ka ʻōpū 5 a ʻoi aku mau manawa i ka lā);
- ʻōhūhū;
- ka pohō kaumaha, anorexia;
- maloʻo a maloʻo hoʻi o ka ʻili, nalowale ka lauoho;
- ʻeha ma hope o ka ʻai ʻana;
- conjunctivitis;
- stomatitis aphthous;
- monoarthritis a me kekahi poʻe ʻē aʻe.
Nā hōʻailona kūloko:
- he palena maopopo ma waena o nā wahi i hoʻopilikia ʻia a olakino hoʻi o ka ʻōpū;
- ka mānoanoa o nā paia ʻōpū;
- uhi ka mucosa me ka lumpy granulomas, he nui mau māwae, ulcer a me fistulas;
- ke ʻano o ka fistula intra-ʻōpū a i ʻole abscess;
- i ka papa mau o ka maʻi, ʻike ʻia ka scarring o nā mea hoʻopili a me ka hoʻopili ʻana o ka lumen;
- ka hewa o ka omo gastric, kahi e miki ʻole ai ka momona a me ka meaʻai;
- cirrhosis o ke ake a me kona momona degeneration, hololithiasis;
- cystitis, amyloidosis renal a me nā mea ʻē aʻe.
Nā meaʻai olakino no ka maʻi o Crohn
Nā ʻōlelo ʻōlelo ʻao
ʻO ka maʻi o Crohn e pili ana i kahi maʻi maʻi gastrointestinal koʻikoʻi, kahi i hōʻike ʻia e ka exacerbations pinepine (a hiki i 1-3 mau manawa i ka mahina). No laila, i loko o kēia mau manawa, pono ʻoe e makaʻala nui i ka meaʻai. ʻO ka manawa pinepine, hiki ke hoʻonui ʻia ka maʻi ma muli o ka hoʻohana ʻana i kekahi mau huahana ʻaʻole e hoʻoulu i ka allergies i loko o ke kanaka, akā i loko e lawe mai i kahi hōʻeha o ka maʻi a hoʻolaha hou aku i ka foci ma o nā ʻōpū.
No ka ʻike ʻana i nā huahana koʻikoʻi, i kekahi manawa kahi papa o ka hoʻomaʻemaʻe ʻana i ka ʻōpū me ka wai i hoʻopaʻa ʻia i ka wai a me nā mea momona waiwai nui i kuhikuhi ʻia no nā maʻi. ʻO ka pinepine, hiki i kēia mau mea inu waiu a i ʻole lactose-free protein-protein. No laila no 2 mau pule, pono e hoʻopau ʻia kēia mau mea inu (ʻoiai i ka wā exacerbation) me kahi multivitamin complex e kākoʻo i ke kino. A laila hoʻomaka lākou e hoʻohui i nā huahana meaʻai i ka meaʻai ma ke ʻano mashed, hoʻolapalapa a ʻokiʻoki paha. Pono e hoʻokomo ʻia kahi huahana hou ma mua o kēlā me kēia 3 lā. Inā hoʻokumu kahi huahana i nā hōʻailona nui o ka maʻi, a laila ma mua o ka hoʻohana ʻana i kahi huahana hou, pono ʻoe e kali a hala nā hōʻailona. He kaʻina hana lōʻihi kēia, akā ʻoi aku ka maikaʻi, e ʻae ana e hoʻokumu i ka ʻai a ka mea maʻi.
Ke ʻike ʻia nā huahana maikaʻi ʻole a pau, ua kuhikuhi ʻia ka meaʻai meaʻai no ka manawa o ka exacerbation a me ke kala ʻana. I ka maʻi o Crohn, pono e hoʻolapalapa ʻia nā meaʻai a pau, kālua ʻia (ʻaʻole ʻulaʻula gula), a i ʻole ka mahu, a pono e loaʻa i ka nui o ka protein, momona, a me nā haʻahaʻa. Inā hiki, pono e holoi i ka meaʻai a hiki i ka puree. Pono e ʻai i nā ʻāpana liʻiliʻi, akā ma kahi o 4-5 mau manawa i ka lā.
Nā meaʻai olakino a me kahi papaʻai hoʻohālike no ka maʻi o Crohn
I ka wā o ka exacerbation, pono e hoʻopili i ka papaʻai:
- ʻO nā mea kanu meaʻai me ka porridge momona (ka bale, a me ka oatmeal) a me ka ʻiʻo palu (turkey, quail, moa)
- ʻO nā ʻoki iʻa a me nā ʻiʻo a me nā ʻōpala i hoʻomoʻa ʻia (pono e kāpae ʻia ka ʻiʻo minced 3-4 mau manawa i kahi mīkini ʻiʻo me kahi kānana maikaʻi)
- ʻO Cereal, i hoʻolapalapa ʻia a me ka grated (laiki, buckwheat, semolina, oatmeal)
- ʻO nā hua manu (quail a me ka moa) i kuke ʻia i ke ʻano o ka omelet mahu (ʻaʻole i ʻoi aku ma mua o 1-2 pcs. I kēlā me kēia lā)
- ʻO nā hua a me nā hua momona i nā tannins (cherry manu, blueberry, pears pala, a me nā mea ʻē aʻe) i hoʻomākaukau ʻia ma ke ʻano o ka jelly a i ʻole jelly.
- ʻO ka tī liʻiliʻi hou, kāwili ʻia i kahi souffle, ka bata (i nā kīʻaha ʻaʻole i ʻoi aku ma mua o 20 g i kēlā me kēia lā)
- ʻO nā wai 1,5-2 liters. (Decoction of blueberries, rose hips, kī palupalu, koko i ka wai)
- Holo ka palaoa keʻokeʻo ʻole
Ke hoʻomaikaʻi ke kūlana (ma kahi o 4-5 mau lā), hoʻohui i nā huahana meaʻai nui:
- ʻO nā mea kanu i ʻoki ʻia (ka ʻukena, ka puaʻala, kāloti, broccoli, ʻuala, ʻōmaʻomaʻo peas)
- ʻO nā iʻa wīwī i ʻāpana (bream, pike perch, perch, cod), stewed a aspic
- Noodles paila liʻiliʻi
- Mea ʻai ono (marshmallow, jam, mālama, soufflé, ʻōpala i hoʻomoʻa ʻia)
- ʻO nā hua maka a me nā huaʻai (raspberries, strawberries, strawberries, peeled and pureed apple, plums, pears)
- ʻO nā huahana dairy (waiu acidophilus, kefir 3-lā, cheese haʻahaʻa momona)
- Kope nawaliwali me ka momona momona momona
Ma hope o kekahi mau lā he 5-6, hoʻomau ka hoʻomau ʻana i nā papaʻai i nā meaʻai like ʻole i ka papaʻai. Akā ma kahi hōʻailona iki o ka maʻi (bloating, diarrhea, ʻōpū pain), haʻalele loa ʻia ka huahana.
ʻO nā lāhui kanaka no ka maʻi o Crohn
I loko o ka wā o ka mālama ʻana i ka maʻi, hiki iā ʻoe ke hoʻohana i kekahi mau ʻano hoʻomākaukau o ka lāʻau kuʻuna.
ʻO ke kāʻei o nā pāpale sunflower i wehe ʻole ʻia e kōkua i ka hōʻeha i ka ʻeha i loko o nā ʻōpū. E ʻokiʻoki i nā pāpale hou i hōʻiliʻili ʻia (50-70 g), e hoʻohui i ka waiʻona a waiho i nā mea no 7 mau lā. Pono e lawe i ka tincture i pau i 25-30 mau lū i hoʻoheheʻe ʻia i ka wai (100 ml) i kēlā me kēia lā ma mua o ka ʻai ʻana, akā ʻaʻole i ʻoi aku ma mua o 6 manawa i ka lā.
I ke ʻano o ke kūkulu kinoea a me nā hana putrefactive i loko o ka ʻōpū nui, pono e lawe i kahi decoction o chamomile, sage, a me yarrow. E lawe i kahi hapalua teaspoon o kēlā me kēia mea kanu, e hoʻohui i ka wai (250 ml), e hoʻolapalapa a waiho i ka pia no 2-3 mau hola. Pono ʻoe e lawe i 1 tbsp. l. i kēlā me kēia hola ʻelua.
Nā meaʻai weliweli a maikaʻi ʻole hoʻi no ka maʻi o Crohn
Me ka maʻi o Crohn, ua kāpae ʻia nā meaʻai e hiki ai ke hoʻonāukiuki i ka mucosa ʻōpū a alakaʻi i kahi exacerbation o ka maʻi. ʻO kēia mau mea momona, ʻona, ʻai nui, ʻai loa a paʻakai hoʻi, ʻalekohola, kī ikaika a me kope, paka, meaʻai wikiwiki.
I ka wā o ka exacerbation, hoʻokaʻawale ʻia nā legumes a pau, pasta, nā mea ʻala, nā mea ʻala, nā hua waiu, kāpeti, spinach, sorrel, turnips, radishes, beets, garlic, onions, mushrooms.
E hoʻomanaʻo he weliweli loa kēia maʻi a komo koke ʻole i kahi loea i kumu i nā pilikia koʻikoʻi, a ʻo ka hopena a he make paha ia.
E nānā!
ʻAʻole kuleana ke alakaʻi no nā hoʻāʻo e hoʻohana i ka ʻike i hāʻawi ʻia, a ʻaʻole ia e hoʻohiki ʻaʻole e hōʻeha iā ʻoe iho. ʻAʻole hiki ke hoʻohana i nā mea e kuhikuhi ai i ka lāʻau lapaʻau a hana i kahi kuhi. E nīnau mau i kāu kauka loea.