Izici eziningana zingasiza ekwenzeni izinguquko ekukhuleni kwabantwana abane-IBD
Izimo zezempilo ezimbi kakhulu zivame ukubhekwa njengezinkinga ezinkulu, kodwa izingane zingahlakulela izifo zokugaya, kanti empeleni, cishe ingxenye yesine yazo zonke iziguli ezinezifo zesifo sofuba (IBD) zifunyanwa njengezingane. Izingane ezine-IBD zibhekene nezinkinga eziningi zokukhula kanye nezinye izingane, ukwehla kancane ekuphatheni kwabo ukukhula kungaba isibonakaliso sokuqala sokuthi banayo i-IBD.
Ukukhula okuvamile kwabantwana abane-IBD kungathinteka kakhulu yizici ezifana nokuvuvuka kwamathumbu, ukungondleki, ukuncipha kwekhalori, kanye nemiphumela emibi yemithi .
Okunye okukhathazeka kakhulu ukuthi ukukhula kwethambo ezinganeni ezine-IBD kungase kuvele ngemuva kwezingane zonyaka ofanayo ongenayo i-IBD. Ukuze ufunde kabanzi mayelana nokuthi ukuphakama komuntu njengomuntu omdala kungathinteka kanjani yi-IBD ebuntwaneni, ngaphendukela ku- UpToDate -kubhekisela kwekhompiyutha okuthembekile esetshenziswa odokotela abaningi neziguli ezifuna ulwazi olujulile lwezokwelapha.
"Ngenxa yokuthi izingane ezinokulibaziseka kokuvama ngokuvamile ziye zaphuza ithambo leminyaka, ukukhula okubambekayo kungenzeka ngemuva kokuqala kokukhulelwa. Noma kunjalo, ukukhula ngesikhathi sokukhulelwa kungase kubekwe eceleni kulabo abanesifo eside sokuvuvukala, ukungondleki noma ukwelashwa kwe-corticosteroid, ngakho-ke ukuphakama kwabantu abadala kungathinteka. "
Izici eziningana zingase zithinte kabi ekugcineni ukuphakama komuntu omdala ophethe i-IBD, kufaka phakathi isifo eside, isifo esisebenzayo; ukudla okunomsoco; futhi uthathe izidakamizwa ze-steroid ezifana ne- prednisone ukunciphisa ukuvuvukala.
Isifo sikaCrohn, ikakhulukazi, sihlotshaniswa nezinkinga zokukhula ezingaphezu kwezingane kune-ulcerative colitis, kodwa zonke izinhlobo ze-IBD zingaba nemiphumela emibi ekukhuleni.
Ukudla okunempilo nokukhululwa
Ukuze silwe nalezi zici, kufanele kuthathwe ukunakekelwa ukuqinisekisa ukuthi izingane ezine-IBD zithola ukudla okunempilo futhi zithole isifo sabo ngokushesha ngangokunokwenzeka.
Ukuthola ukuxolelwa ngesikhathi sokukhulelwa kuyisici esibalulekile ekusizeni ukuqinisekisa ukuthi ukukhula kwamathambo nokukhula kwethambo kwenzeka ngesilinganiso esivamile.
Okunye ukwelashwa okungavamile ukusetshenziswa kubantu abadala kodwa kusetshenziselwa izingane kuyisondlo sokudla okukhethekile (EEN). Ku-EEN, izakhi eziningi (kuze kube ngu-90% wamakhalori adingekayo) zithathwa ngeziphuzo ezikhethekile zokudla okunomsoco kanye / noma ithubhu lokudla uma kudingeka. Le ndlela yokwelapha itholakale iphumelela njengoba i-steroids ekunciphiseni ukuxoxwa futhi iye yaboniswa ekukhuthazeni ukuphulukiswa kwe-mucosal kwezinye iziguli.
Izinhlelo zokuThatha eziPhuthumayo
Ukusebenzisa imithi ngaphandle kwe-steroids uma kunokwenzeka kungenye isu elingasiza ekugcineni ukukhula kwethambo kubantwana abane-IBD. Uma kudingeka ama-steroids, ukuwathatha nsuku zonke (esikhundleni sezinsuku zonke) nokunciphisa umthamo ngokushesha njengoba kungenzeka ngokuphephile nawo asetshenziselwa ukugcina impilo yezintana ezinganeni. (Uma ingane yakho okwamanje i-steroids, ungashintshi umthamo wakhe ngaphandle kokukhuluma nodokotela wayo.) Kuyaziwa ukuthi i-steroids iyathinta amathambo, futhi ingabangela ngisho ne- osteoporosis .
Ukunciphisa imiphumela i-IBD enokukhula kwengane ingaqinisekisa ukuthi izingane ezine-IBD zinethuba elihle lokufinyelela izinga lokukhula elivamile nokuphakama kwabantu abadala.
Kunomkhuba wokwelapha i-IBD ezinganeni ngokufutheka kunabantu abadala ukuze kutholakale ukukhishwa ngokushesha futhi nokugcina ukukhula kwamathambo evamile. Ochwepheshe bangase batusa ukuphatha i-IBD ngokuthi "indlela ephezulu" esikhundleni se- "step-up" indlela. Lokho kusho ukuthi isifo sezingane esisenganeni singase sincome i-biologic (okungase inikezwe ngokumnika noma ukujova noma ukuhlanganiswa kokubili) njengokwelashwa kokuqala, kunokuba uzame imithi yasendulo noma imithi yokwelapha futhi ulinde ukubona ukuthi kwenzekani. Kulabo bantwana abatholwa ngaphambi kokukhulelwa, le ndlela ingasiza ekufezeni isibonelo esivamile sokukhula ngaphambi kwentsha.
Izwi elivela
Kwezinye izimo, ukukhula okubi kungase kube isibonakaliso sokuqala sokuthi i-IBD inkinga yengane. Kubantwana abane-IBD, ukukhula kungase kungagcini ngalokho okujwayelekile, futhi amaphesenti okukhula angase ahlehlise ngempela. Uma kunjalo, izinyathelo kudingeka zithathwe ukuze zithole i-IBD futhi zilethe ukukhula emuva lapho kufanele khona.
> Umthombo:
> Usuku lwe-AS, i-Lopez RN. "Ukudla okungenamkhawulo wokungenisa ukudla ezinganeni ezine-Crohn's disease." I-World J Gastroenterol. 2015; 21: 6809-6816. > doi >: 10.3748 / wjg.v21.i22.6809
> Gasparetto M, Guariso G. "Isifo sikaCrohn nokuntuleka kwezingane ezinganeni kanye nentsha." I-World J Gastroenterol . 2014; 20: 13219-13233. > doi >: 10.3748 / wjg.v20.i37.13219
> Lev-Tzion R, Turner D. "Ingabe ukwelashwa kwe-IBD yezingane kuhlukile kunabantu abadala?" I- Minerva Gastroenterol Dietol . 2012 Jun; 58: 137-150.
> Sanderson IR. "Izinkinga zokukhula ezinganeni ezine-IBD." Nat Rev Gastroenterol Hepatol . 2014; 11: 601-610. > doi >: 10.1038 / nrgastro.2014.102
> Teitelbaum JE. "Ukuhluleka kokukhula nokunciphisa umzimba okuncane ezinganeni ezinezifo ezifayo." UpToDate . 6 Okthoba 2015.