He mea tika te pokanga mō te mate a Crohn? Me kōrero māmā noa iho tēnei.

Mena kei a koe te mate a Crohn, e mōhio ana pea koe ka taea e te rongoā me te kai te āwhina nui ki te whakahaere i ō tohumate. Engari i roto i te ao tūturu, tata ki te 80% o te hunga whai mate nei me pokanga i tētahi wā o ō rātou oranga. He mea noa te mataku ina rongo koe i tēnei, engari mā te mātauranga tika, ka taea e koe te wikitoria i taua mataku. Me titiro tātou ki te take e puta ai tēnei, he aha ēnei pokanga, me ngā painga ka taea e rātou te whakarato ki a koe.

He aha te take e hiahiatia ai he pokanga mō te mate a Crohn?

Ko te tikanga ka ngana tuatahi ngā tākuta ki te whakahaere i te mate mā te rongoā. Heoi, i ētahi wā, ki te puta he raruraru, ki te kore rānei e taea e te rongoā te whakahaere i te mate, ka tūtohutia pea te pokanga.

Hei whakarapopototanga, he maha ngā take matua ka whakaarohia ai e tō tākuta te pokanga.

Ngā take noa mō te pokanga

• Ngā uauatanga o te puku: Ka puta he maha o ngā mate pukupuku i roto i ngā whekau i te mate a Crohn, ā, ka ora, ka puta he kiko whara. Ka whaiti ētahi wāhi o te whekau nā tēnei whara, ka uaua ai te haere o te kai me te paru. Koinei te take matua e rapu pokanga ai ngā tūroro a Crohn.
• Ngā Fistula me ngā Puku: He kauhanga rerekē noa iho te fistula e hanga ana i waenganui i ngā wāhanga e rua o te tinana. Hei tauira, ka taea e tētahi wāhanga o te whekau te hono atu ki te mata o te kiri. Ko te pupu he puku kī tonu i te pūkahukahu i roto i te puku. Me pokanga ēnei hei rongoā.
• Te hokinga mai: Ki te hoki mai anō ngā tohu i muri i te maimoatanga, me pokanga pea hei tango i te wāhanga kua pakaru o te whekau e puta ai aua tohu.

He iti noa ngā take mō te whakamahi i te pokanga

• Te toto o te puku (GI): Mena he toto kāore e taea te whakahaere.
• Ngā poka o te puku: He poka i te pakitara o te puku i puta mai i te mate.
• Peritonitis: He mate pāwera o te kiriuhi e kapi ana i te kōhao puku. Tērā pea ka puta tēnei i te poka o te whekau.
• Ngā whara matepukupuku, ngā whara mua-matepukupuku rānei: He nui ake te mōrearea o te hunga whai mate a Crohn ki te pāngia e te matepukupuku koroni. Mena kei a koe tēnei mate.
• Megacolon paitini: He āhuatanga kino e hinga ai te hanganga o te koroni nā te mumura, ka nui haere, ka ngaro hoki te mahi.

Ngā momo pokanga matua mō te mate a Crohn

Mā tō tākuta e whiriwhiri te pokanga tino tika māu i runga i ō tohu me tō āhua. Kei raro nei ētahi o ngā momo pokanga e tino kitea ana.

Kia pēhea te roa o tēnei pokanga?

Ko te roa o tēnei mahi ka whakawhirinaki ki te momo pokanga e mahia ana e koe, te kaha o tō mate, me te wāhanga o tō puku e pāngia ana. Mā tō tākuta koe e hoatu ngā taipitopito tika i runga i tō āhuatanga.

He aha ngā painga o te pokanga?

Nā te hangarau matatau o ēnei rā, ko te nuinga o ngā pokanga a Crohn ka mahia mā te laparoscopy, arā, he torutoru noa ngā tapahi iti ka mahia. Ko te tikanga kāore he tapahi nui, he iti ake ngā tuitui, ā, he iti ake te mamae i muri i te pokanga .

Hei tāpiri, ka taea hoki e te pokanga te whakarato i ēnei painga:

• Te mamae o te puku kua heke.
• Te whakaiti i ngā tohu pēnei i te ngenge, te korere, me te ruaki.
• Te whakaiti i te hiahia mō te rongoā.
• Te pikinga o te hiahia kai.
• Te whakaora i te tinana, te whakanui ake i te kaha.
• Te āhei ki te haere ki waho me te whai i tētahi ao pāpori me te kore wehi.
• Te whakapai ake i te kounga o te oranga.

Engari kia maumahara, ehara te pokanga i te kī taurangi kāore e hoki mai ngā tohu. Tata ki te 20% o te hunga kua pokangahia, me pokanga anō pea i roto i ngā tau tuatahi e rima.

He aha ngā mōrearea o ēnei pokanga?

Pērā i ngā pokanga katoa, he mōrearea anō hoki kei roto i te pokanga a Crohn. Ko ētahi o ngā raruraru pea ko:

• Te turuturu anastomotic: He turuturu e honoa anō ai ngā wāhanga e rua o te whekau (anastomosis).
• Ngā mate kitakita: Te mate o te patunga pokanga, o te kōhao puku rānei.
• Te aukati i te puku: Te hokinga mai anō o te aukati i te puku nā te mea he kowhatu i muri i te pokanga.
• Te toto nui rawa.
• Ngā raruraru e pā ana ki te stoma: Ngā mea pēnei i te putea ostomy kāore e uru tika ki te kiri.
• Te korenga o te huaora B12: Ka puta pea tēnei āhuatanga mēnā me tango te wāhanga o te whekau e mimiti ana i te huaora B12.

Mena ka puta he raruraru i muri i te pokanga, ka whakawhanakehia e tō tākuta he mahere maimoatanga mō rātou. Kei roto pea i tēnei ko te rongoā, ētahi atu maimoatanga, tae atu ki tētahi atu pokanga.

Kia pēhea te roa o te wā e ora ai?

E whā ki te tekau mā rua wiki pea te roa hei whakaora katoa i te pokanga a Crohn. Ka taea e te nuinga o te tangata te hoki ki te mahi i roto i te ono wiki pea.

Ko te roa o te wā e ora ai koe ka whakawhirinaki ki ētahi āhuatanga:

• Te momo pokanga i mahia ki a koe.
• E hia ngā pokanga kua mahia e koe i mua?
• E hia te nui o te whekau i tangohia.
• Te kaha o tō tinana ki te whakaora i ngā patunga.
• tō tau.
• Ētahi atu mate kei a koe.

Kia pēhea te roa o taku noho ki te hōhipera?

Ko te nuinga o te tangata me noho ki te hōhipera mō te wiki pea i muri i te pokanga (ko ētahi ka hoki wawe ki te kāinga, ko ētahi ka roa ake te noho).

I a koe i te hōhipera, ka mahia e te tīma hauora ngā mahi e whai ake nei:

• Te aro turuki i te ora o ō patunga.
• Ki te kore e taea e koe te kai, te inu rānei, hoatu he wai tote (wai IV) mā roto i tētahi uaua i roto i tō ringa.
• Te tīmata i tētahi kai wai mārama i te wā tika.
• Kia rite koe, whakawhiti ki tētahi kai ngohengohe .

Mena kua pokaia tō pēke hou ki te ostomy, ka akona koe ki te whakamahi me te horoi i tō pēke hou i te hōhipera. Ka tukuna koe ki te kāinga ina tino mohio koe ka taea e koe te mahi i tēnei.

Ka taea e te pokanga te whakaora katoa i te mate a Crohn?

Heoi, ka taea e te pokanga me ētahi atu maimoatanga te whakahaere, te whakaiti rānei i ō tohumate. I roto i te nuinga o ngā wā, ka taea e ia te whakapai ake i te kounga o tō oranga. Ka mahi tahi tō tākuta me koe ki te whakawhanake i tētahi mahere maimoatanga e tika ana māu.

Ki te kore e taea te rongoā i te mate mā te pokanga, he aha tātou me pokanga ai?

Tērā pea kei te miharo koe ki tēnei. He rerekē ngā mōrearea o te kore pokanga i runga i tō āhua. Engari ki te kore e rongoatia te mate a Crohn, ka arahi pea ki:

• Te mamae tonu o te puku.
• Te ngaronga o te hiahia kai me te ngaronga o te taumaha kāore i te mārama.
• Te mate toto iti.
• Ngā āhuatanga noho tino rawakore.
• Ka kino haere ngā tohu.
• Te puta mai o ngā huringa matepukupuku i roto i te whekau.
• Te pikinga ake o te mōrearea o ngā pānga taha o ngā rongoā.
• Me mahi pokanga ohorere.

Engari he rongo pai tēnei. He iti ake te hunga e hiahia ana ki te pokanga i nāianei i ērā i ngā tau rua tekau kua pahure ake nei. Nā ngā whakamātautau kitenga wawe me ngā maimoatanga hou kua whakapai ake te take. I nāianei, kotahi noa iho i roto i te rima ngā tāngata e hiahia ana ki te pokanga i roto i ngā tau tuatahi e rima o te tātaritanga. Ko tō tākuta anake te tangata ka taea te kī atu ki a koe he aha te mea tika māu.

Āhea te wā hei kōrero ki te tākuta i muri i te pokanga

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i muri i te pokanga, waea atu ki tō tākuta tonu atu.

He mea whakamataku pea te whakaaro mō te pokanga, inā koa mēnā kua pokangahia koe i mua. I ngā wā pēnei, he tino āwhina te kōrero ki ētahi atu kua pāngia e ngā wheako rite. Ki te taea, uru atu ki tētahi rōpū tautoko mō ngā tūroro Crohn. He mea whakamarie hoki te mōhio kāore koe i te mokemoke.