He puku mamae anō hoki tōu? Me ako tātou mō te Mate a Crohn!

He maha ngā wā ka mamae tō puku, ka pupuhi, ka ngaro rānei tō hiahia kai? I ētahi wā ka haere tahi mai ēnei mea me te ngoikore. Ahakoa ki tō whakaaro he raruraru puku noa iho ēnei, i ētahi wā he mea pea tēnei hei āwangawanga māu. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka puta ai ēnei tohu, he ahua uaua, engari ka taea te whakahaere pai mēnā kei a koe te māramatanga tika. Ko te Mate a Crohn tēnā.

He aha te mate a Crohn?

Ki te kī ngāwari, he mate roa te mate a Crohn (arā, mō te wā katoa) . He mate "autoimmune" tēnei, arā, ka whakaekea e te pūnaha ārai mate o tō tātou tinana tō tātou ake pūnaha nakunaku nā tētahi hapa. Whakaarohia he rite ki tā tātou ake ope taua e whakaeke ana i tō tātou ake whenua. Ka puta te mumura me te whara, pērā i te whero me te pupuhi, i roto i te pūnaha nakunaku, inā koa te whekau iti me te whekau nui (e kiia ana ko te "colon") . Ko te mate a Crohn me tētahi atu mate rite, ko te "Ulcerative Colitis", e mōhiotia whānuitia ana ko te Inflammatory Bowel Disease, ko te "IBD" rānei. Koinei te take e pāngia pinepine ai koe e te mamae o te puku , te pupuhi, me te mate korere. Waihoki, ka taea e tēnei mumura te whakaiti i te kaha o te kai kia nakunaku tika me te mimiti e te tinana.

He aha ngā momo o te mate a Crohn?

Nā, tirohia, ka taea e tēnei mate a Crohn te whanake i ngā wāhi katoa o te pūnaha nakunaku. Arā, mai i tō waha ki tō nono. Engari ko te nuinga o te wā ka pā ki te whekau iti me te whekau nui. He maha ngā momo, i runga i te wāhi e pāngia ana:

• Ileocolitis: Koinei te momo tino noa . Ka uru te mumura ki te wāhanga o raro o te whekau iti (e kiia ana ko te ileum) me tetahi wāhanga o te whekau nui.
• Colitis : He mumura tēnei o te arai o te whekau nui.
• Ileitis: Ko te pupuhi me te mumura o te ileum, he wāhanga o te whekau iti.
• Te mate a Crohn i roto i te puku: Ka puta te mumura me te mamae i roto i te puku me te wāhanga o runga o te whekau iti (e kiia nei e tātou ko te duodenum ).
• Te mate pūkahukahu:I te wāhanga o runga o te whekau iti (e kiia ana ko te "jejunum"), ka puta te mumura i ētahi wāhi, pērā i ngā wāhi iti.
• Mate pāwera: Ka pāngia ētahi tāngata e te mumura huri noa i te nono. Ka taea e tēnei te arahi ki ngā fistula ( ngā ara rerekē, rite ki te kauhanga, hei tauira, mai i ngā whekau ki te kiri) me ngā whewhe (ngā pupuhi kapi i te pupuhi).

He aha ngā tohu o tēnei?

Ka puta ohorere mai ngā tohu o te mate a Crohn, ka puta mārire rānei. Ka pāngia ētahi e ēnei tohu i te wā kotahi, ko ētahi kāore. I ētahi wā ka puta mai ngā tohu, ka ngaro mō ētahi rā, kātahi ka hoki mai anō. Ka kiia ēnei wā o te pikinga o ngā tohu he "whakaekenga".

Ngā tohu e kitea whānuitia ana:

Ngā tohu ka kitea i waho o te pūnaha nakunaku:

Kāore te mate a Crohn e pā ki te pūnaha nakunaku anake. I ētahi wā ka puta anō hoki ngā tohu ki ētahi atu wāhi:

• Te mamae o ngā hononga (pērā i te mate rumatiki ).
• Ngā ponana kiri .
• Ngā āhuatanga pēnei i te mumura me te whero o ngā kanohi (hei tauira, te uveitis, te episcleritis).
• Te hanganga o ngā kohatu whatukuhu.
• Te ngoikore o te wheua ( te osteoporosis ).
• Ngā tohu kiri huri noa i te nono.

He aha ngā raruraru pea o te mate a Crohn?

Ki te kore e rongoatia tika te mate a Crohn, ki te kore rānei e whakahaeretia te mate, ka puta pea ētahi raruraru. Tērā pea ka hiahiatia he maimoatanga tāpiri, ā, i ētahi wā ka hiahiatia he pokanga.

• Ngā whēwhe: Te hanganga o ngā whēwhe kī tonu i te pūkahukahu i roto i te pūnaha nakunaku, i te puku rānei.
• Ngā matārae o te ihu: He kapiti iti kei roto i te kiri o te ihu, ka mamae, ka mākūkū, ka toto hoki.
• Ngā Fistula: He hononga āhua rite ki te kauhanga i waenganui i ngā wāhanga e rua o te tinana.
• Ngā aukati whekau: He aukati wāhanga, he aukati katoa rānei o te whekau.
• Te kore kai pai: Te korenga o ngā matūkai e kainga ana e te tinana.
• Te kore toto i roto i te tinana: Te kore toto i roto i te tinana.

He aha te take e puta ai te mate a Crohn?

Kāore he take kotahi mō te mate a Crohn. Heoi, e whakaponohia ana he hononga ki te koretake o te urupare ārai mate. I ētahi wā ka taea e te mate a Crohn te tuku iho i roto i ngā whānau . Ko te tikanga tēnei he pānga ira (tuku iho).

Me pēhea te tautuhi tika i tēnei mate?

Ka pātai te tākuta mō ō tohumate, tō hītori whānau, me ērā atu mea. Kātahi ka whakahaerehia he whakamātautau tinana, ā, ka whakahaerehia hoki ētahi whakamātautau hei whakarite kāore he mate hauora kē atu. Koinei anake te huarahi hei tautuhi tika i te mate a Crohn.

• Ngā whakamātautau taiwhanga: Ngā whakamātautau toto, ngā whakamātautau tūtae.
• Ngā tikanga whakaahua: matawai CT, matawai MRI.
• Endoscopy: Colonoscopy, endoscopy whekau o runga, capsule endoscopy.

He aha ngā maimoatanga?

Engari, kāore he rongoā mō te mate a Crohn. Heoi, he maha ngā maimoatanga hei āwhina i te whakahaere i te mate, hei whakaiti i ngā tohu, hei whakangāwari ake hoki i te oranga.

• Ngā rongoā: Ngā steroids, ngā rongoā ārai-mumura, ngā immunomodulators, ngā koiora, ngā paturopi.
• Kai Totika: He mea nui te kai tika hei whakahaere i ngā tohu.
• Pokanga: Tērā pea ka hiahiatia he pokanga hei rongoā i ngā raruraru.