General tsananguro yechirwere
Chirwere cheCrohn Chirwere cheCrohnIko kuzvimba kusingaperi kweturakiti yemudumbu nekuumbwa kwemukati magranulomas, shanduko mune chimiro cheiyo epithelium inonamira mudumbu remukati. Chirwere ichi chinowanzo bata ileamu, asi muzviitiko zvakanyanya, inogona kukanganisa matumbu ese kubva pamuromo kusvika kune anus. Chirwere ichi chakapararira munzvimbo dzekuchamhembe kweAmerica neEurope. Pagore, chirwere ichi chinowanikwa muvanhu 2-3 pa1000.Kiriniki yekuratidzwa kwechirwere cheCrohn inotanga kuoneka pamakore angangoita gumi nemashanu kusvika makumi matatu nematanhatu uye mushure memakore makumi matanhatu.
Coloproctologist chete kana gastroenterologist ndiye anogona kuona chirwere ichi kubva pakuongorora kwevarwere uye kuongororwa kweropa netsvina, histology, mudumbu palpation, ultrasound neMRI yematumbo, CT zvakasiyana, X-ray, endoscopy uye colonoscopy. Kuchengetedza kurapwa kwechirwere kunoitwa nemishonga inorwisa mabhakitiriya, steroid, probiotic, immunomodulators, mavitamini uye enzymes. Mune yakaoma nzira yechirwere, kupindira kwekuvhiya kunogoneka kuisa chikamu chemuura kana ura hwese.
Matambudziko echirwere chaCrohn anogona kukonzera:
- kuwanda kwemukati kuputika uye fistula;
- peritonitis;
- kubuda ropa mukati;
- maronda;
- perforation;
- hutachiona hwenhengo dzakavakidzana (dundira, chibereko, nyini) nekuda kwekupinda kwe pus mukati mavo kuburikidza nendima dzinokanganisa.
Chirwere cheCrohn hachirapike uye zviratidzo zvaro zvinodzoka zvinogona kuitika kunyangwe makore makumi maviri mushure mekutanga kwekupedzisira kwezviratidzo.
Mhando dzakasiyana dzechirwere chaCrohn
Zvichienderana nenzvimbo, pane akati wandei akakosha echirwere cheCrohn:
- kukundwa rectum uye ileum - ileocolitis;
- kukunda chete ileum - ileitis;
- kukuvara kune rectum chete - chirwere cheCrohn cheiyo rectum;
- kukuvara mudumbu uye duodenum - gastrooduodenalitis;
- Kukundwa kwejejunum uye ileum - jejunoileitis.
Zvinokonzera
- nhaka yekugara nhaka uye majini
- autoimmune zvirwere
- zvirwere zvinotapukira zvakapfuura
Zviratidzo zveCrohn's Disease
Chirwere cheCrohn chine huwandu hwehunhu hwekunze nekunze zviratidzo. Kazhinji kazhinji, kuratidzwa kwemukati kwechirwere kunogona kungo sarudzwa ne Iron.
Zviratidzo zvekunze:
- kuneta nguva dzose;
- kudzoresa kukwira kwekushisa;
- kushaya simba;
- manyepo appendicitis;
- kurwadza uye kucheka kurwadziwa mudumbu;
- kurutsa, kuda kurutsa, manyoka (ura kufamba kanokwana kana kanopfuura pazuva);
- bloating;
- kuonda, anorexia;
- kuoma uye kusviba kweganda, kurasikirwa kwebvudzi;
- kurwadziwa mushure mekudya;
- conjunctivitis;
- aphthous stomatitis;
- monoarthritis nevamwe.
Zviratidzo zvemukati:
- muganho wakajeka pakati penzvimbo dzakakanganiswa uye dzine hutano hwemukati;
- kuomarara kwemadziro emukati;
- mucosa yakafukidzwa ne lumpy granulomas, ine kutsemuka kwakawanda, maronda uye fistula;
- kuonekwa kwemukati-mudumbu fistula kana pute;
- mune isingagumi nzira yechirwere, kucherechedzwa kwekubatana kwemashuga uye kuderera kweiyo lumen kunoonekwa;
- kutyora gastric Absorção de ,gua, umo zvinovaka muviri uye chikafu anenge kwete kunyura;
- cirrhosis yechiropa uye kupera kwayo kwemafuta, hololithiasis;
- cystitis, renal amyloidosis nevamwe.
Kudya kune hutano kwechirwere cheCrohn
Kukurudzira kwakawanda
Chirwere cheCrohn chinoreva chirwere chakakomba chisingaperi chemudumbu, icho chinoratidzwa nekuwedzera kwekuwedzera (kusvika 1-3 nguva pamwedzi). Saka, panguva idzi, iwe unofanirwa kunyanya kungwarira nezvekudya. Kakawanda, kuwedzera kwechirwere kunogona kukonzerwa nekushandiswa kwezvimwe zvigadzirwa zvisingakonzeri kunze kwehutano mumunhu, asi mukati zvinounza kuwedzera kwechirwere uye kuwedzera kupararira kwefoci kuburikidza nematumbo.
Kuti uone zvigadzirwa zvehasha, dzimwe nguva nzira yekuchenesa bowel ine mvura yakasimbiswa uye ine mineral-rich cocktails inonyorerwa varwere. Kazhinji, izvi zvinogona kunge zviri zvemukaka kana lactose-isina protein-protein zvinwiwa. Saka kwemavhiki maviri, zvinwiwa izvi zvinofanirwa kudyiwa (kunyangwe panguva yekuwedzera) ine multivitamin yakaoma kutsigira muviri. Ipapo ivo vanotanga kuwedzera zvishoma nezvishoma zvigadzirwa zvekudya mukudya mune mashed, yakabikwa kana grated fomu. Chigadzirwa chitsva chinofanira kuunzwa kwete kupfuura mazuva matatu ega ega. Kana chigadzirwa chinokonzera zviratidzo zvikuru zvechirwere, saka usati washandisa chigadzirwa chitsva, unofanira kumirira kusvikira zviratidzo zvapfuura. Iyi inzira yakarebesa, asi inoshanda chaizvo, inobvumira zvinenge zvakazara kuumba kudya kwemurwere.
Kana zvigadzirwa zvese zvisina kunaka uye zvakanaka zvikaonekwa, chikafu chekudya chinotemerwa zvakasiyana kwenguva yekuwedzera uye kuregererwa. MuCrohn's disease, zvokudya zvose zvinofanira kubikwa, kubikwa (kwete golden brown), kana kuti kupiswa, uye zvinofanira kuva nehuwandu hwakakwana hweprotein, mafuta, uye makhahydrates. Kana zvichibvira, zvakakosha kupukuta chikafu kusvikira puree. Kudya kunofanira kuva muzvikamu zviduku, asi kanenge ka4-5 pazuva.
Kudya kune hutano uye muenzaniso kudya kwechirwere cheCrohn
Munguva yekuwedzera, chikafu chinofanira kusanganisira:
- Vegetable soups ine slimy porridge (bhari, oatmeal) uye nyama yakachekwa (turkey, zvihuta, huku)
- Hove uye nyama cutlets uye nyama yakabikwa ine nyama (minced nyama inofanira kusvetwa nguva 3-4 mune yekukuya nyama ine nesefa yakanaka)
- Zviyo, zvakabikwa uye zvakakangwa (mupunga, buckwheat, semolina, oatmeal)
- Mazai (zvihuta nehuku) zvakabikwa muchimiro cheyakaomeswa omelet (hapana anodarika 1-2 pcs. Pazuva)
- Michero nemichero yakapfuma mu tannins (shiri cherry, blueberry, mapeya akaibva, nezvimwewo) yakagadzirwa nenzira yejelly kana jelly.
- Nyowani kottage chizi, yakakwenenzverwa kune mweya, bota (mumidziyo isingapfuuri makumi maviri g pazuva)
- Zvinwiwa 1,5-2 litita. (decoction yeblueberries, rose hudyu, tii isina simba, cocoa mumvura)
- Chingwa chisina kubikwa chena rusks
Kana mamiriro acho achivandudza (anenge mazuva 4-5), wedzera kune zvakakosha zvekudya zvigadzirwa:
- Miriwo yakachekwa yakabikwa (dzungu, cauliflower, karoti, broccoli, mbatatisi, green peas)
- Hove dzakaonda muzvidimbu (bream, pike perch, perch, cod), yakabikwa kana aspic
- Zviduku zvakabikwa noodles
- Chikafu chinotapira (marshmallow, jam, zvinochengetedza, soufflé, maapuro akabikwa)
- Zvibereko zvakasvibirira uye michero (raspberries, strawberries, strawberries, maapuro akacheneswa uye akacheneswa, plums, pears)
- Zvigadzirwa zvemukaka (acidophilus mukaka, 3-day kefir, yakaderera-mafuta chizi)
- Kofi isina kusimba ine yakaderera mafuta kirimu
Mushure memamwe mazuva mashanu kusvika matanhatu, chikafu chinoramba chichiwedzera zvishoma nezvishoma chikafu chakasiyana kuchikafu. Asi pachiratidzo chidiki chekurwara (kubuda ropa, manyoka, kurwadziwa mudumbu) chigadzirwa chakabviswa zvachose.
Mishonga yevanhu yechirwere cheCrohn
Munguva yekurapwa kwechirwere ichi, unogona kushandisa mamwe mapepeti emishonga yechinyakare.
Tincture yeakavhurika sunflower cap inobatsira kubvisa marwadzo mumatumbu. Chekachesa makapu matsva akaunganidzwa (50-70 g), wedzera doro uye rega riite kwemazuva manomwe. Iyo yakapera tincture inofanirwa kutorwa mumadonhwe 7-25 akasanganiswa mumvura (30 ml) mazuva ese usati wadya, asi kwete kanopfuura ka100 pazuva.
Mukana wekugadzirwa kwegesi uye putrefactive maitiro mumatumbu makuru, decoction ye chamomile, sage, uye yarrow inofanirwa kutorwa. Tora hafu yetiipuni yemuriwo wega wega, wedzera mvura (250 ml), wira wobva warega uchibika kwemaawa maviri kusvika matatu. Iwe unofanirwa kutora 2 tbsp. l. maawa maviri ega ega.
Chikafu chine njodzi uye chisina hutano chechirwere cheCrohn
Nechirwere cheCrohn, chikafu chinogona kutsamwisa ura hwemukati uye chinotungamira mukuwedzera kwechirwere chakabviswa zvachose. Izvi zvine mafuta, zvinonhuwira, zvakawandisa, zvakawandisa uye zvine munyu, doro, tii yakasimba nekofi, fodya, chikafu chinokurumidza.
Munguva yekuwedzera, maruva ese, pasta, fekitori sosi, zvinonhuwira, zvigadzirwa zvemukaka, kabichi, sipinashi, sorel, turnips, radishes, beet, gariki, hanyanisi, howa hazvibatanidzwe.
Rangarira kuti chirwere ichi chine njodzi zvakanyanya uye nekukurumidza kusvika kune nyanzvi kunokonzeresa zvakakomba, mhedzisiro yacho inogona kuvhiyiwa kana kufa.
Chenjerera!
Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!