He ʻōpū ʻeha kou? E aʻo kākou e pili ana i ka maʻi ʻo Crohn!

Loaʻa pinepine iā ʻoe ka ʻeha o ka ʻōpū, ka pehu ʻana, a i ʻole ka nalowale o ka makemake? I kekahi manawa hiki ke hele pū kēia mau mea me ka manaʻo o ka nāwaliwali. ʻOiai inā manaʻo ʻoe he mau pilikia ʻōpū maʻamau kēia, i kekahi manawa he mea kēia e hopohopo ai. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hiki ai ke hana i kēia mau hōʻailona, ​​​​he mea paʻakikī iki, akā hiki ke mālama maikaʻi ʻia inā loaʻa iā ʻoe ka ʻike kūpono. ʻO ia ka maʻi Crohn .

He aha ka maʻi o Crohn?

I ka ʻōlelo maʻalahi, ʻo ka maʻi ʻo Crohn kahi maʻi lōʻihi (ʻo ia hoʻi ke ola holoʻokoʻa) . He maʻi "autoimmune" ia, ʻo ia hoʻi, hoʻouka ka ʻōnaehana pale o ko mākou kino i kā mākou ʻōnaehana hoʻoheheʻe ponoʻī ma muli o kekahi hewa. E noʻonoʻo e like me ko mākou pūʻali koa ponoʻī e hoʻouka ana i ko mākou ʻāina ponoʻī. Hoʻoulu kēia i ka mumū a me ka ʻeha, e like me ka ʻulaʻula a me ka pehu, i loko o ka ʻōnaehana hoʻoheheʻe, ʻoiai ka ʻōpū liʻiliʻi a me ka ʻōpū nui (i kapa ʻia hoʻi ʻo "colon") . ʻO ka maʻi ʻo Crohn a me kekahi maʻi like, ʻo "Ulcerative Colitis", ua kapa ʻia ʻo Inflammatory Bowel Disease, a i ʻole "IBD". ʻO ia ke kumu e ʻike pinepine ai ʻoe i ka ʻeha o ka ʻōpū , ka pehu ʻana, a me ka maʻi diarrhea. Eia kekahi, hiki i kēia mumū ke hōʻemi i ka hiki ke hoʻoheheʻe pono ʻia a komo ʻia e ke kino.

He aha nā ʻano o ka maʻi o Crohn?

I kēia manawa, e nānā, hiki i kēia maʻi Crohn ke ulu ma nā wahi āpau o ka ʻōnaehana hoʻoheheʻe. ʻO ia hoʻi, mai kou waha a i kou anus. Akā, ʻo ka mea maʻamau, hoʻopilikia ia i ka ʻōpū liʻiliʻi a me ka ʻōpū nui. Aia kekahi mau ʻano o ia mea, ma muli o kahi i hoʻopilikia ʻia ai:

• ʻIleocolitis: ʻO kēia ke ʻano maʻamau . Pili ia i ka mumū o ka ʻāpana haʻahaʻa o ka ʻōpū liʻiliʻi (kapa mākou iā ia he ileum) a me kahi ʻāpana o ka ʻōpū nui.
• Colitis : ʻO kēia ka mumū o ka uhi o ka ʻōpū nui.
• ʻIleitis: ʻO kēia ka pehu a me ka mumū o ka ileum, kahi ʻāpana o ka ʻōpū liʻiliʻi.
• ʻO ka maʻi Gastroduodenal Crohn : Hoʻoulu i ka mumū a me ka ʻoluʻolu ʻole i loko o ka ʻōpū a me ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi (a mākou e kapa nei ʻo duodenum ).
• ʻO ka maʻi ʻūhini:Ma ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi (kapa mākou ia he "jejunum"), kū mai ka mumū ma nā wahi, e like me nā ʻāpana liʻiliʻi.
• Maʻi perianal: Hiki i kekahi poʻe ke hoʻomohala i ka mumū a puni ka anus. Hiki i kēia ke alakaʻi i nā fistulas ( nā ala ʻē aʻe, e like me ke tunnel, no ka laʻana, mai nā ʻōpū a i ka ʻili) a me nā abscesses (nā pehu i piha i ka pus ).

He aha nā hōʻailona o kēia?

Hiki ke hiki koke mai nā hōʻailona o ka maʻi Crohn, a i ʻole hiki ke ulu mālie. Loaʻa i kekahi poʻe kēia mau hōʻailona i ka manawa hoʻokahi, aʻo kekahi ʻaʻole. I kekahi manawa hele mai nā hōʻailona, ​​​​nalowale no kekahi mau lā, a laila hoʻi mai. Kāhea mākou i kēia mau wā o ka hoʻonui ʻia ʻana o nā hōʻailona he "flare-up."

Nā hōʻailona i ʻike pinepine ʻia:

Nā hōʻailona i ʻike ʻia ma waho o ka ʻōnaehana digestive:

ʻAʻole wale ka maʻi o Crohn e hoʻopilikia i ka ʻōnaehana hoʻoheheʻe. I kekahi manawa hiki ke ʻike ʻia nā hōʻailona ma nā wahi ʻē aʻe pū kekahi:

• ʻEha nā hono (e like me ka arthritis ).
• Nā ʻūlū ʻili .
• Nā kūlana e like me ka mumū a me ka ʻulaʻula o nā maka (e like me uveitis, episcleritis).
• Ka hoʻokumu ʻia ʻana o nā pōhaku puʻupaʻa.
• Osteoporosis (nalowale o ka iwi).
• Nā hōʻailona ʻili a puni ka anus.

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

Inā ʻaʻole mālama pono ʻia ka maʻi ʻo Crohn a inā ʻaʻole i kāohi ʻia ka maʻi, hiki ke loaʻa kekahi mau pilikia. Pono paha kēia i ka mālama hou ʻana, a i kekahi manawa hiki ke ʻoki ʻia.

• ʻAbcesses: Ke kūkulu ʻia ʻana o nā cysts piha i ka pus i loko o ka ʻōnaehana hoʻoheheʻe a i ʻole ka ʻōpū.
• Nā māwae anal: Nā māwae liʻiliʻi ma ka ʻili o ka anus, e hōʻeha ai, ka maneʻo, a me ke kahe ʻana o ke koko.
• Nā Fistulas: Nā pilina like ʻole e like me ke ana ma waena o nā ʻāpana ʻelua o ke kino.
• Nā ālai ʻōpū: He ālai hapa a piha paha o ka ʻōpū.
• ʻAi ʻole i ka meaʻai pono ʻole: ʻAi ʻole i nā meaolaola e pono ai ke kino.
• Anemia: Ka nele o ke koko i loko o ke kino.

No ke aha e kū mai ai ka maʻi o Crohn?

ʻAʻohe kumu hoʻokahi no ka maʻi o Crohn. Eia nō naʻe, ua manaʻo ʻia he pili ia i kahi pane pale ʻole. I kekahi manawa hiki i ka maʻi o Crohn ke holo i loko o nā ʻohana . ʻO ke ʻano kēia he mana genetic (hoʻoilina).

Pehea ʻoe e ʻike pololei ai i kēia maʻi?

E nīnau ke kauka e pili ana i kāu mau hōʻailona, ​​​​ka mōʻaukala ʻohana, a me nā mea ʻē aʻe. A laila, e hana lākou i kahi hoʻokolohua kino a holo i kekahi mau hoʻokolohua e hōʻoia ʻaʻohe mau kūlana olakino ʻē aʻe. ʻO kēia wale nō ke ala e ʻike pololei ai i ka maʻi ʻo Crohn.

• Nā hoʻokolohua lab: Nā hoʻokolohua koko, nā hoʻokolohua ʻōpala.
• Nā kaʻina hana kiʻi: CT scan, MRI scan.
• Endoscopy: Colonoscopy, endoscopy ʻōpū o luna, endoscopy capsule.

He aha nā lāʻau lapaʻau?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau no ka maʻi ʻo Crohn. Eia nō naʻe, aia nā ʻano lāʻau like ʻole e hiki ke kōkua i ka kaohi ʻana i ka maʻi, hōʻemi i nā hōʻailona, ​​a hoʻomaʻalahi i ke ola.

• Nā lāʻau lapaʻau: Steroids, nā lāʻau anti-inflammatory, immunomodulators, biologics, antibiotics.
• ʻAi: He mea nui ka meaʻai kūpono no ka mālama ʻana i nā hōʻailona.
• ʻoki kino: Pono paha ke ʻoki kino e mālama i nā pilikia.