He aha te mate a Crohn? Kia ako tātou i ngā mea katoa mōna

Te mamae puku auau, te pupuhi e roa ana mō ngā rā, te kore hiahia kai, te ngoikore... Kua roa koe e pāngia ana e ēnei mea? I ētahi wā ka whakaarohia ēnei he mamae puku noa iho, engari he mate hauora hohonu ake, he mate roa hoki. I tēnei rā ka kōrero tātou mō te Mate a Crohn, he mate mō te wā roa engari he pai te whakahaere.

He aha tonu te mate a Crohn?

Ki te kī ngāwari, ko te mate a Crohn he mumura mau tonu o te ara nakunaku (ngā whekau). He mate pūnaha ārai mate tēnei. Ko te tikanga o tēnei, ka whakaekea hētia e te pūnaha parepare o tō tātou tinana, arā, te pūnaha ārai mate, ōna ake pūtau hauora, inā koa ko ērā kei roto i ngā whekau. Whakaarohia, i te kore e whakaeke i ngā hoariri o tāwāhi, kei te whakaeke te ope taua o tō tātou whenua i ō tātou ake iwi. Ko tēnei mate, me tētahi atu mate rite, ko te Ulcerative Colitis, kei roto i te rōpū mate e kiia nei ko te Inflammatory Bowel Disease (IBD). Ko te whekau iti me te whekau nui ngā mea e tino pāngia ana e te mate a Crohn.

He momo mate a Crohn kei reira?

Ae, ka pā tēnei mate ki tētahi wāhanga o tō tātou pūnaha nakunaku, mai i te waha ki te nono. Heoi, he maha ngā momo e wehea ana i runga i te wāhi e pāngia ana. Hei whakangāwari ake, me titiro tātou ki tēnei ara.

He aha ngā tohu o tēnei mate?

Ka tīmata ohorere pea ngā tohu, ka puta mārire rānei. Kei ētahi tāngata ēnei tohu i ngā wā katoa, ko ētahi ia ka rite ki te haere mai, ka haere atu. Ko te wā e kaha haere ana ngā tohu ka kiia he "flare-up".

Ngā āhuatanga matua e pā ana ki te pūnaha nakunaku

• Te mamae pinepine o te puku , te mamae rānei.
• Te korere tonu (korere).
• Te ngaronga o te hiahia kai me te taumaha .
• Te toto i roto i te tūtae i te wā e haere ana ki te wharepaku (te toto i te remu).
• Ngā mate waha, ngā mamae kapia rānei.
• Te kirika me te ngenge kāore i te mārama.
• Ngā mate urutā, ngā whewhe rānei e karapoti ana i te nono.

Ngā tohu e pā ana ki ētahi atu wāhanga o te tinana

Kāore te mate a Crohn e pāngia ana e te mate puku anake. I ētahi wā ka puta anō hoki ngā tohu ki ētahi atu wāhanga o te tinana.

• Mamae hononga (Arthritis).
• Ngā ponana kiri.
• Te mumura o ngā kanohi (hei tauira, ' Uveitis' , 'Episcleritis').
• Ngā kōhatu whatukuhu .
• Te ngoikore o ngā wheua ( Osteoporosis ).
• He puku iti, e iri ana i runga i te kiri huri noa i te nono ( ngā tohu kiri ).

He aha ngā raruraru pea o te mate a Crohn?

Ki te kore e tika te whakahaere i tēnei mate, ka puta pea ētahi raruraru, ka hiahiatia pea he maimoatanga tāpiri, he pokanga rānei. Hei tāpiritanga, ka paku whakanui ake pea te mate a Crohn i te mōrearea o te mate pukupuku koroni me ngā toto totoka.

Me pēhea te tautuhi a te tākuta i tēnei mate?

Mena kei te mamae tonu tō puku, kei te pupuhi, kei te heke rānei tō taumaha, me toro atu koe ki tō tākuta whānau i te tuatahi.Āe. Ki te tika, ka tukuna koe e ia ki tētahi tohunga puku. Ka pātai te tākuta mō ō tohumate, tō hītori hauora whānau, ā, ka whakahaere i tētahi whakamātautau tinana. Kātahi ka tonoa pea e ia ētahi whakamātautau hei whakaū i te mate.

• Ngā whakamātautau toto: Tirohia mēnā he mumura, he mate pāwera rānei kei roto i te tinana, he anemia rānei.
• Ngā whakamātautau tūtae: Tirohia mō ētahi atu mate pukupuku, ka ine i te taumata o te mumura o te puku (whakamātautau Calprotectin).
• Whakaahua: Ka taea e te matawai CT, MRI rānei te āwhina ki te whakatau i te whānuitanga o te mumura me te mea he raruraru kei te haere mai.
• Endoscopy: Ka tukuna he ngongo angiangi me te kāmera e piri ana ki roto i te tinana hei tirotiro i te roto o ngā whekau.
• Koronikoroskopi: He tirotiro i te whekau nui mā te whakauru i tētahi ngongo mā roto i te tō.
• Endoscopy o runga: Te tirotiro i te puku me te wāhanga o runga o te whekau iti mā te whakauru i tētahi ngongo mā te waha.
• I roto i ēnei whakamātautau, ka tangohia pea he wahi iti o te kiko (he 'biopsy') hei whakamātautau.

He aha ngā maimoatanga mō te mate a Crohn?

E rua ngā whāinga matua o te maimoatanga: ko tētahi he whakaiti i te mumura i roto i te puku me te whakaora i te mate. Ko tētahi he ārai i ngā putanga mai o te mate.

• Ngā Rongoā: He maha ngā rongoā hei whakaiti i te mumura me te whakahaere i te mahi a te pūnaha ārai mate. Ka whakamahia ngā rongoā hou pēnei i te 'Corticosteroids', 'Immunomodulators', 'Biologics' me te 'JAK-inhibitors' mō tēnei. Me whakamahi noa i ēnei rongoā katoa i runga i te tohutohu a tō tākuta .
• Kai Totika: I ētahi wā, mā ngā kai motuhake, mā te kai enteral rānei ka āwhina i te whakahaere i te mate.
• Pokanga: Tērā pea e hiahiatia he pokanga mō ngā raruraru pēnei i te aukati puku me ngā fistula.

He aha ngā mea ka taea te mahi hei ārai i ngā putanga o te mate pukupuku?

• Kaua rawa e kai paipa: Ko te mea pai rawa atu ka taea e te tangata whai mate a Crohn ko te whakamutu i te kai paipa. Ka kino ake te mate i te kai paipa, ā, ka nui ake te tūponotanga o ngā raruraru.
• Āta karohia ētahi rongoā whakamamae mamae:Tērā pea ka kino ake te āhua o ētahi rongoā mamae, pērā i ngā `NSAID` (hei tauira, Ibuprofen, Diclofenac). Pātai atu ki tō tākuta i mua i te tango i tētahi rongoā.
• Whakahaerehia tō kai: Ka taea e ētahi kai (hei tauira, ngā kai momona nui, ngā kai miraka, ngā inu warowaihā) te whakakino ake i ngā tohu. Puritia he pukapuka kai hei tirotiro i ngā kai e whai hua ana, me ngā kai kāore e whai hua ana. He pai ake te kai i ngā kai iti maha i te roanga o te rā, kaua i te kai i ngā kai nui.
• Whakahaerehia te ahotea: Ka taea e te ahotea te whakararuraru i te mate. He mea nui kia nui te okiokinga, kia nui te korikori tinana, me te tiaki i tō hauora hinengaro.

He aha ngā wā pai rawa atu hei toro atu ki te tākuta?

Mena kei a koe te mate a Crohn, me toro atu ki tō tākuta tonu mēnā ka pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei:

• Toto i roto i te tūtae.
• Ngā mamae puku kino, kāore e taea te whakahaere.
• Te pupuhi kore e taea te whakahaere.
• Te ruaki tonu.
• Te ngaronga taumaha nui rawa atu, kāore he take.
• He kirika e mau ana mō ētahi rā.
• Te kore e taea te pupuhi i te hau (he tohu pea tēnei o te aukati i te puku).

I roto i tēnei āhuatanga, he mea nui kia haere ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata ki te mea e tika ana.