Pono anei ʻoe e hana i ke ʻoki ʻōpū ma muli o ka maʻi ʻo Crohn? E ʻike kākou i nā kikoʻī!

Inā loaʻa iā ʻoe ka maʻi Crohn, ʻike paha ʻoe hiki ke kāohi nui ʻia kāu mau hōʻailona me ka lāʻau lapaʻau a me kekahi mau hoʻololi i ka meaʻai. Eia nō naʻe, ma kahi o 80% o ka poʻe me ka maʻi e pono ai ke ʻoki ʻana. No laila, ʻo ke ʻano o ke ʻoki ʻana āu e pono ai e hilinaʻi ʻia i kāu mau hōʻailona.

I ka manawa hea e pono ai ke ʻoki kino no ka maʻi o Crohn?

Hiki i kāu kauka ke ʻōlelo aku i ke ʻoki ʻana no ka maʻi o Crohn inā loaʻa iā ʻoe nā pilikia a inā ʻaʻole maikaʻi loa nā lāʻau lapaʻau ʻoki ʻole.

ʻO nā kumu nui no ke ʻoki kino no ka maʻi o Crohn:

• ʻO ke koʻikoʻi o ka ʻōpū: He ʻūmiʻi kēia o kou ʻōpū. ʻO kēia ke kumu nui e hana ʻia ai ke ʻoki kino no nā poʻe he nui me ka maʻi Crohn.
• Nā Fistulas a me nā abscesses ʻōpū: He mau puka kūpono ʻole nā ​​Fistulas ma waena o ʻelua mau ʻāpana o ke kino. ʻO nā abscesses he mau hōʻiliʻili o ka pus e hana ana i loko o ka ʻōpū.
• Maʻi hou: ʻO ke ʻano kēia e hoʻi hou mai nā hōʻailona ma hope o ka mālama ʻana ma mua.

Aia kekahi mau kumu ʻē aʻe i emi iki ka maʻamau, akā pono paha ke ʻoki ʻana:

• Ke kahe koko ʻana o ka ʻōpū (GI).
• Nā puka ʻōpū.
• Peritonitis: ʻO kēia ka mumū o ka membrane e kau ana i loko o kou ʻōpū.
• Nā ʻeha maʻi kanesa a i ʻole nā ​​​​​​ʻeha precancerous. No ka mea, ʻo ka maʻi Crohn kahi mea pilikia no ka hoʻomohala ʻana i ka maʻi kanesa colorectal.
• Megacolon ʻawahia: ʻO kēia ka wā e wāwahi ai ke ʻano o kou kolona ma muli o ka mumū.

Hiki i ka maʻi ʻo Crohn ke lilo i mea ʻeha maoli. I kekahi manawa e puka mai nā hōʻailona a laila e emi iho me ke kumu ʻole. Hiki i ka maopopo ʻole ke kaumaha i kekahi manawa. Eia nō naʻe, ʻoiai ʻaʻole hiki i ke ʻoki kino ke ho'ōla piha i ka maʻi ʻo Crohn, hiki iā ia ke kōkua i ka hōʻemi ʻana i kāu mau hōʻailona ʻoluʻolu ʻole a hiki iā ʻoe ke hoʻomau i ka hana ʻana i nā mea āu e aloha ai.

He aha nā ʻano hana e hana ʻia no ka maʻi o Crohn?

Aia kekahi mau ʻano hana nui no ka maʻi ʻo Crohn. E nānā kākou i ko lākou ʻano.

Ka hoʻokahe ʻana o ka abscess

Hana ʻia kēia e wehe i ka pus i hana ʻia ma muli o kahi maʻi i loko o ka ʻōpū.

ʻOki ʻana o ka ʻōpū

ʻO kēia ʻoki kino e pili ana i ka wehe ʻana i kahi ʻāpana o kou ʻōpū liʻiliʻi a i ʻole kolona. Hiki ke noi ʻia ʻoe e hana i kēia ʻoki kino inā he nui kou ʻiʻo ʻeha i loko o kou ʻōpū, a inā ʻike kāu kauka i nā cell cancerous a precancerous paha.

Ka wehe ʻana/hoʻoponopono ʻana i ka fistula

He puka kūpono ʻole ka fistula ma waena o nā ʻāpana ʻelua o ke kino. Hiki i kēia ke hana i nā pilikia. No laila, pili kēia ʻoki kino i ka wehe ʻana a i ʻole ka hoʻoponopono ʻana i ka puka.

ʻO ke ʻoki ʻana ostomy

Hoʻokumu kēia ʻoki kino i kahi lua (stoma) i loko o kou ʻōpū. ʻO ke ʻano kēia, ma kahi o kou ʻōpala e puka mai ana ma o ka anus, ua hana ʻia kahi ala hou no ia e puka mai ai ma o ka lua (stoma). ʻO nā ʻoki kino ostomy maʻamau ka colostomy a me ka ileostomy.

ʻO ka proctocolectomy

ʻO kēia ʻoki maʻi o Crohn e wehe i kahi hapa a i ʻole kou kolona a me ka rectum.

ʻO ke kāpili ʻana o ke koʻikoʻi

Hana ʻia kēia ʻoki kino e hoʻonui i nā wahi i lilo i mea haiki a paʻa ma muli o ka ʻōpala, e ʻae ana i ka ʻōpala e hele maʻalahi.

Pehea ka lōʻihi o ke ʻoki ʻana o Crohn?

Aia maoli nō ia i ke ʻano o ke ʻoki kino āu e hana ai, ke koʻikoʻi o kou kūlana, a me nā ʻāpana o kou ʻōnaehana hoʻoheheʻe i hoʻopilikia ʻia. E haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai ma muli o kou kūlana.

He aha nā pōmaikaʻi o ke ʻoki kino no ka maʻi o Crohn?

I ka hapanui o nā hihia, hiki ke hana ʻia ke ʻoki ʻana i ka maʻi o Crohn ma ke ʻano laparoscopic a i ʻole robotically. ʻO ke ʻano kēia he emi kou mau ʻoki ʻana, emi kou mau humuhumu, a emi ka ʻeha ma hope o ke ʻoki ʻana.

Eia kekahi, hiki i ke ʻoki ʻana o ka maʻi o Crohn ke hopena i:

• Hoʻemi ʻia ka ʻeha o ka ʻōpū.
• Hoʻemi ʻia nā hōʻailona. (ʻO nā hōʻailona maʻamau o ka maʻi o Crohn ka luhi, ka maʻi pākī, a me ka luaʻi ʻana.)
• Hoʻemi ʻia ka pono no ka lāʻau lapaʻau.
• Hoʻonui ʻia ka makemake.
• Hoʻonui ʻia ka ikaika kino.
• ʻO ka hiki ke hele i waho a hana hou.
• Ka hoʻomaikaʻi ʻana i ke ʻano o ke ola.

Akā hoʻokahi mea e hoʻomanaʻo ai: ʻAʻole hōʻoia ka ʻoki ʻana no ka maʻi ʻo Crohn ʻaʻole e hoʻi hou mai nā hōʻailona. Ma kahi o 20% o ka poʻe i hana ʻia ke ʻoki ʻana e pono ai kekahi ʻoki ʻē aʻe i loko o ʻelima mau makahiki o kā lākou ʻoki mua ʻana.

Aia kekahi mau pilikia i ke ʻoki ʻana o Crohn?

E like me nā ʻoki kino āpau, loaʻa i ke ʻoki kino no ka maʻi o Crohn kekahi mau pilikia. ʻO nā pilikia e hiki mai ana:

• Ka leaka Anastomotic (Hiki ke hana kēia inā ʻaʻole pili pono nā ʻāpana ʻelua o kou ʻōpū.)
• Nā maʻi bacteria.
• Ka pale ʻana o ka ʻōpū.
• Ke kahe koko nui ʻana.
• Nā pilikia me kou stoma (no ka laʻana, ʻaʻole kūpono kāu ʻeke ostomy).
• Ka ʻōpala. Hiki i kēia ke hoʻohaiki i nā paia o kou ʻōpū.
• Ka nele o ka wikamina B12. (Hiki ke hana ʻia kēia inā pono kāu kauka lapaʻau e wehe i kahi ʻāpana o kou ʻōpū e omo i ka wikamina B12.)

Inā loaʻa iā ʻoe kekahi mau pilikia ma hope o ke ʻoki ʻana no ka maʻi o Crohn, e kōkua kāu kauka iā ʻoe e hoʻomohala i kahi hoʻolālā no ka mālama ʻana. Hiki i kēia ke komo pū me ka lāʻau lapaʻau, nā lāʻau lapaʻau ʻoki ʻole, a i ʻole kekahi ʻoki ʻē aʻe.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻana no ka maʻi o Crohn?

Hiki ke hala ma kahi o ʻehā a ʻumikūmālua (4-12) pule e hoʻōla piha ai. Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana ma kahi o ʻeono pule.

ʻO ka manawa e ola ai ʻoe e pili ana i kekahi mau kumu ʻē aʻe. Eia kēia mau mea:

• Ke ʻano o ke ʻoki kino āu i hana ai.
• ʻEhia mau ʻoki kino āu i hana ai ma mua?
• ʻEhia ka nui o kou ʻōpū i pono e wehe ʻia.
• Ka hiki o kou kino ke ho'ōla i nā ʻeha.
• kou mau makahiki.
• Nā pilikia olakino ʻē aʻe i loaʻa iā ʻoe.

Aia mau kāu kauka ma laila e kōkua iā ʻoe. Inā he mau nīnau kikoʻī kāu e pili ana i kāu mālama ʻana a i ʻole ka manawa hoʻōla, e kamaʻilio me lākou.

ʻEhia ka lōʻihi o koʻu noho ʻana ma ka haukapila?

ʻO ka hapa nui o ka poʻe i hana ʻia ke ʻoki no ka maʻi Crohn e noho ana ma ka haukapila no hoʻokahi pule. (Hele mua kekahi, noho lōʻihi kekahi.)

Ma hope o kāu ʻoki ʻana, e hana kāu hui lapaʻau i kēia mau mea:

• E nānā pehea e ola ai kou mau ʻeha.
• Inā hiki ʻole iā ʻoe ke ʻai a inu paha, e hāʻawi ʻia ʻoe i ka saline (IV fluids) ma o kahi aʻa koko ma kou lima.
• I ka manawa kūpono, e hoʻomaka ʻia ʻoe ma kahi papaʻai wai maopopo.
• Ke mākaukau ʻoe, e hoʻololi ʻia ʻoe i kahi papaʻai palupalu.

Inā ua loaʻa iā ʻoe kahi ostomy, e hōʻike ke kauka a kahu maʻi paha iā ʻoe pehea e hoʻohana ai a hoʻomaʻemaʻe i kāu ʻeke ostomy hou. E hōʻoia lākou ua ʻoluʻolu ʻoe me ia ma mua o kou haʻalele ʻana i ka haukapila.

Hiki ke ho'ōla ʻia ka maʻi o Crohn me ke ʻoki kino?

ʻAʻole, ʻaʻole hiki i ke ʻoki kino ke ho'ōla piha i ka maʻi o Crohn. Hiki ke hoʻi hou mai kāu mau hōʻailona ma hope o ke ʻoki kino.

Eia nō naʻe, hiki i ka lāʻau lapaʻau ke kāohi a hōʻemi paha i kāu mau hōʻailona. I nā manawa he nui, hiki iā ia ke hoʻomaikaʻi nui i kou ʻano ola.

E hana pū kāu kauka me ʻoe i kēlā me kēia ʻanuʻu o ke ala. I ka wā e ʻoi aʻe ai kou mau hōʻailona, ​​e kūkākūkā lākou me ʻoe i nā koho lapaʻau a hana i kahi hoʻolālā e kūpono iā ʻoe.

Inā ʻaʻole hiki i ke ʻoki ke ho'ōla i ka maʻi o Crohn, no ke aha e pono ai iaʻu ke ʻoki?

Inā loaʻa iā ʻoe ka maʻi Crohn, e noʻonoʻo paha ʻoe e pili ana i kēia mau nīnau. ʻOkoʻa nā pilikia o ka ʻoki ʻole ʻana ma muli o kou kūlana. Eia nō naʻe, inā waiho ʻole ʻia ka maʻi Crohn me ka mālama ʻole ʻia, hiki iā ia ke alakaʻi i:

• ʻEha ʻōpū.
• Ka nalowale o ka makemake a me ka pohō kaumaha i wehewehe ʻole ʻia.
• ʻAʻohe maʻi koko.
• Ka maikaʻi ʻole o ke ola.
• Nā hōʻailona e hoʻonui ana.
• Nā loli precancerous a i ʻole nā ​​​​loli maʻi ʻaʻai i kou ʻōpū.
• ʻO ka hoʻonui ʻia o ka pilikia o nā hopena ʻaoʻao o ka lāʻau.
• Pono e hana i ke ʻoki kino ulia pōpilikia.

ʻAʻole pono kekahi poʻe i ke ʻoki kino no ka maʻi ʻo Crohn. ʻO ka ʻoiaʻiʻo, ʻoi aku ka liʻiliʻi o ka poʻe e pono ai ke ʻoki kino i kēia manawa ma mua o nā makahiki he iwakālua i hala. Ma muli paha kēia o nā lāʻau lapaʻau hou a hoʻomaikaʻi ʻia a me nā hoʻokolohua e kōkua ai i ka ʻike mua ʻana i ka maʻi.

I kēia manawa, ma kahi o 1 i loko o 5 mau kānaka e pono ai ke ʻoki kino i loko o nā makahiki ʻelima mua ma hope o ka hōʻoia ʻana. ʻO kāu kauka wale nō ke haʻi iā ʻoe i ka mea kūpono iā ʻoe.

Āhea wau e pono ai e ʻike i ke kauka ma hope o ke ʻoki kino?

Ma hope o ke ʻoki ʻana no ka maʻi o Crohn, pono ʻoe e kamaʻilio me kāu kauka inā loaʻa kekahi o kēia mau mea:

• Inā ʻaʻole ʻoe e neʻe i ka ʻōpū no kekahi mau lā ma hope o ka haʻalele ʻana i ka haukapila.
• Inā loaʻa iā ʻoe ka nausea a me ka luaʻi.
• Inā e ʻoi aku ka ʻeha.
• Inā ʻike ʻoe i ke koko i loko o kou noho a ʻeleʻele paha, e hoʻomaka ka noho ʻana me ka ʻūlū.
• Inā ʻoe e hoʻomohala i nā hōʻailona o ke koko koko (no ka laʻana, ka ʻeha a i ʻole ka pehu ʻana i nā wāwae).

Inā ua loaʻa iā ʻoe kahi ostomy, e haʻi i kāu kauka inā ʻaʻole i loaʻa iā ʻoe kahi neʻe ʻana o ka ʻōpū mai kou stoma no nā hola he 24. ʻO ke ʻano paha kēia he paʻa kou.

Ua ʻike wale ʻia paha ʻoe me ka maʻi ʻo Crohn. A i ʻole ua pilikia paha ʻoe no ia mea no nā makahiki. Eia nō naʻe, hiki ke hopohopo ka manaʻo o ke ʻoki kino - ʻoiai inā ua hele mua ʻoe ma kēia ala. ʻO ke kamaʻilio ʻana me nā poʻe ʻē aʻe i loaʻa i ke ʻano like me ʻoe e hiki ke kōkua. E noʻonoʻo e ʻimi i kahi hui kākoʻo, ma kahi kūloko a ma ka pūnaewele paha, a e kaʻana like i kāu mau ʻike me nā miliona o ka poʻe e noho nei me ka maʻi ʻo Crohn i kēlā me kēia lā.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

ʻAʻole hiki i ke ʻoki kino no ka maʻi o Crohn ke ho'ōla piha i kou maʻi. Eia nō naʻe, hiki iā ia ke hōʻemi pinepine i nā hōʻailona e like me ka ʻeha, ka nausea, a me ka luhi, a hoʻomaikaʻi i kou ʻano ola. E kōkua kāu kauka iā ʻoe e hoʻoholo i ka mea maikaʻi loa no kou ʻano. Mai makaʻu e kamaʻilio me kāu kauka e pili ana i kāu mau nīnau.

ʻO ka maʻi o Crohn, ʻoki ʻōpū, ʻoki ʻōpū, Maʻi o Crohn, ʻōnaehana hoʻoheheʻe, ʻoki kino, nā hōʻailona o Crohn