He aha ka maʻi ʻo Crohn? E aʻo kākou i nā mea āpau e pili ana iā ia me ka maʻalahi

ʻEha pinepine ka ʻōpū, ka pehu ʻana no nā lā he nui, ka nalowale o ka makemake, ka manaʻo palupalu... Ua lōʻihi anei kou ʻeha ʻana i kēia mau mea? I kekahi manawa manaʻo mākou he ʻeha ʻōpū wale nō kēia, akā hiki iā lākou ke lilo i maʻi olakino hohonu a lōʻihi. I kēia lā e kamaʻilio mākou e pili ana i ka maʻi ʻo Crohn, kahi maʻi no ke ola holoʻokoʻa akā mālama pono ʻia.

He aha maoli ka maʻi o Crohn?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Crohn kahi mumū mau o ke ala ʻai (ʻōpū). He maʻi autoimmune ia. ʻO ke ʻano kēia, ua hoʻouka hewa ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale, i kāna mau hunaola olakino ponoʻī, ʻoiai nā mea i loko o nā ʻōpū. E noʻonoʻo ʻoe ma kahi o ka hoʻouka ʻana i nā ʻenemi haole, ke hoʻouka nei ka pūʻali koa o ko mākou ʻāina i ko mākou poʻe ponoʻī. ʻO kēia maʻi, me kekahi maʻi like ʻē aʻe, ʻo Ulcerative Colitis, no ka hui o nā maʻi i kapa ʻia ʻo Inflammatory Bowel Disease (IBD). ʻO ka ʻōpū liʻiliʻi a me ka ʻōpū nui ka mea i hoʻopilikia pinepine ʻia e ka maʻi Crohn.

Aia kekahi mau ʻano o ka maʻi o Crohn?

ʻAe, hiki i kēia maʻi ke hoʻopilikia i kekahi ʻāpana o kā mākou ʻōnaehana hoʻoheheʻe, mai ka waha a i ka anus. Eia nō naʻe, ua māhele ʻia i kekahi mau ʻano ma muli o ka wahi i hoʻopilikia ʻia. No ka maʻalahi, e nānā kākou i kēia ʻano.

He aha nā hōʻailona o kēia maʻi?

Hiki i nā hōʻailona ke hoʻomaka koke a ulu mālie paha. Loaʻa i kekahi poʻe kēia mau hōʻailona i nā manawa a pau, aʻo kekahi poʻe e manaʻo paha e hele mai a hele aku. ʻO ka manawa e hana ai nā hōʻailona ua kapa ʻia he "flare-up."

Nā hiʻohiʻona nui e pili ana i ka ʻōnaehana digestive

• ʻEha pinepine a ʻeha paha ka ʻōpū .
• Ka maʻi kahe mau (diarrhea).
• Ka nalowale o ka makemake a me ka pohō kaumaha .
• Koko i loko o ka ʻōpala i ka wā e hele ai i ka lua (ke kahe ʻana o ke koko i ka rectal).
• ʻEha waha a ʻeha paha ka ʻāʻī.
• Ke kuni a me ka luhi i wehewehe ʻole ʻia.
• Nā maʻi a i ʻole nā ​​​​ʻōpū a puni ka anus.

Nā hōʻailona e pili ana i nā ʻāpana ʻē aʻe o ke kino

ʻAʻole i kaupalena ʻia ka maʻi o Crohn i nā ʻōpū wale nō. I kekahi manawa hiki ke ʻike ʻia nā hōʻailona ma nā wahi ʻē aʻe o ke kino.

• ʻEha hui (Arthritis).
• Nā ʻūhū ʻili.
• Ka mumū o nā maka (e.g. ' Uveitis' , 'Episcleritis').
• Nā pōhaku puʻupaʻa .
• Ka nāwaliwali o nā iwi (' Osteoporosis ').
• Nā puʻupuʻu liʻiliʻi e kau ana ma ka ʻili a puni ka anus (' nā lepili ʻili ').

He aha nā pilikia e hiki ke loaʻa mai ka maʻi o Crohn?

Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki ke loaʻa kekahi mau pilikia, kahi e pono ai ka mālama hou ʻana a i ʻole ke ʻoki ʻana. Eia kekahi, hiki i ka maʻi o Crohn ke hoʻonui iki i ka pilikia o ka maʻi ʻaʻai colon a me nā ʻūpā koko.

Pehea e ʻike ai ke kauka i kēia maʻi?

Inā loaʻa iā ʻoe ka ʻeha mau o ka ʻōpū, ka pehu ʻana, a i ʻole ka pohō kaumaha, pono ʻoe e ʻike mua i kāu kauka ʻohana.ʻAe. Inā pono, e kuhikuhi ʻo ia iā ʻoe i kahi gastroenterologist. E nīnau ke kauka e pili ana i kāu mau hōʻailona, ​​​​ka mōʻaukala olakino ʻohana, a hana i kahi hoʻokolokolo kino. A laila, hiki iā ia ke kauoha i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.

• Nā hoʻāʻo koko: E nānā no ka mumū a i ʻole ka maʻi i loko o ke kino, a i ʻole ka anemia.
• Nā hoʻāʻo ʻana i ka noho: E nānā i nā maʻi ʻē aʻe a ana i ke kiʻekiʻe o ka mumū o ka ʻōpū (hoʻāʻo Calprotectin).
• Kiʻi: Hiki i kahi CT a MRI scan ke kōkua i ka hoʻoholo ʻana i ka nui o ka mumū a inā he mau pilikia.
• Endoscopy: Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia i loko o ke kino e nānā i loko o nā ʻōpū.
• Colonoscopy: Hoʻokolokolo ʻana i ka ʻōpū nui ma ke komo ʻana i kahi ʻōmole ma o ka rectum.
• ʻO ka endoscopy luna: Ka nānā ʻana i ka ʻōpū a me ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi ma ke komo ʻana i kahi ʻōmole ma ka waha.
• I ka wā o kēia mau hoʻokolohua, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (kahi 'biopsy') no ka hoʻāʻo ʻana.

He aha nā lāʻau lapaʻau no ka maʻi o Crohn?

ʻElua mau pahuhopu nui o ka mālama ʻana: ʻo kekahi e hōʻemi i ka mumū i loko o ka ʻōpū a hoʻihoʻi i ka maʻi i ka hoʻomaha ʻana. ʻO kekahi e pale i ka hoʻāla ʻana.

• Nā Lāʻau Lapaʻau: Aia kekahi mau lāʻau lapaʻau e hōʻemi i ka mumū a kāohi i ka hana o ka ʻōnaehana pale. Hoʻohana ʻia nā lāʻau lapaʻau hou e like me 'Corticosteroids', 'Immunomodulators', 'Biologics' a me 'JAK-inhibitors' no kēia. Pono e hoʻohana ʻia kēia mau lāʻau lapaʻau a pau ma ke ʻōlelo aʻo a kāu kauka .
• ʻAi: I kekahi mau hihia, hiki i nā meaʻai kūikawā a i ʻole ka meaʻai enteral ke kōkua i ka kaohi ʻana i ka maʻi.
• ʻOki: Pono paha ke ʻoki no nā pilikia e like me ke ālai ʻana o ka ʻōpū a me nā fistulas.

He aha nā mea e hiki ke hana ʻia e pale aku ai i ka hoʻoulu ʻana o nā maʻi ʻulaʻula?

• E pale loa i ka puhipaka: ʻO ka mea maikaʻi loa e hiki i kahi kanaka me ka maʻi Crohn ke hana, ʻo ia ke haʻalele i ka puhipaka. Hoʻonui ka puhipaka i ka maʻi a hoʻonui i ka pilikia o nā pilikia.
• E pale i kekahi mau lāʻau ʻeha:Hiki i kekahi mau lāʻau ʻeha, e like me nā `NSAID` (e.g. Ibuprofen, Diclofenac), ke hoʻonui i ke kūlana. E nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
• E hoʻokele i kāu papaʻai: Hiki i kekahi mau meaʻai (e laʻa me nā meaʻai momona kiʻekiʻe, nā meaʻai waiū, nā mea inu kalapona) ke hoʻonui i nā hōʻailona. E mālama i kahi puke moʻolelo meaʻai e ʻike ai i nā meaʻai e hana a me nā mea ʻaʻole. ʻOi aku ka maikaʻi o ka ʻai ʻana i kekahi mau meaʻai liʻiliʻi i ka lā ma mua o ka ʻai ʻana i nā meaʻai nui.
• E hoʻokele i ke kaumaha: Hiki i ke kaumaha ke hoʻonui i ka maʻi. He mea nui e loaʻa ka hoʻomaha lawa, hoʻoikaika kino, a mālama i kou olakino noʻonoʻo.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka maʻi ʻo Crohn, e ʻike koke i kāu kauka inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona penei:

• Koko i loko o ka ʻōpala.
• ʻO nā ʻeha ʻōpū nui a hiki ʻole ke kāohi.
• ʻO ka pehu ʻana i hiki ʻole ke kāohi ʻia.
• Ka luaʻi mau ʻana.
• Ka pohō kaumaha nui ʻana me ke kumu ʻole.
• Ke kuni e mau ana no kekahi mau lā.
• ʻO ka hiki ʻole ke hoʻokuʻu i ka ea (he hōʻailona paha ia o ka pale ʻana o ka ʻōpū).

Ma ia kūlana, he mea nui e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa inā pono.