Tlhaloso e akaretsang ea lefu lena
Lefu la Crohn Lefu la CrohnKe ho ruruha ho sa foleng ha pampitšana ea masapo le sebopeho sa li-granulomas tse ka hare, phetoho sebopeho sa epithelium e koahelang lebota la mala. Hangata lefu lena le ama leile, empa maemong a boima le ho feta, le ka ama likarolo tsohle tsa mala ho tloha molomong ho ea ho anus. Lefu lena le atile haholo libakeng tse ka leboea tsa Amerika le Europe. Selemo le selemo, lefu lena le fumanoa bathong ba 2-3 ka ba 1000. Lipontšo tsa bongaka tsa lefu la Crohn li qala ho hlaha lilemo tse ka bang 15-36 le kamora lilemo tse 60.
Ke feela coloproctologist kapa gastroenterologist ea ka khethollang lefu lena le ipapisitse le phuputso ea mokuli le liteko tsa mali le mantle, histology, ho opa ha mpa, ultrasound le MRI ea mala, CT ka lehlakoreng le leng, X-ray, endoscopy le colonoscopy. Phekolo e hlokolosi ea lefu lena e etsoa ka lithibela-mafu, li-steroid, li-probiotic, li-immunomodulators, livithamini le li-enzyme. Ka nako e matla ea lefu lena, ho kenella ho buuoa ho ka khoneha ho kenya karolo ea mala kapa mala kaofela.
Mathata a lefu la Crohn a ka baka:
- li-abscess le li-fistula tse ngata tsa kahare;
- peritonitis;
- ho tsoa mali ka hare;
- liso tsa ka maleng;
- pherekano;
- ts'oaetso ea litho tsa boahelani (senya, popelo, botshehadi) ka lebaka la ho kenella ha boladu ka ho bona ka litemana tse fistist.
Lefu la Crohn ha le phekolehe 'me matšoao a lona a iphetang a ka ba teng le lilemo tse 20 kamora ho qala ha matšoao.
Mefuta e fapaneng ea lefu la Crohn
Ho latela sebaka, ho na le mefuta e mengata ea lefu la Crohn:
- hloloa ha rectum le ileum - ileocolitis;
- hlōla feela ileum - ileitis;
- tšenyo ho rectum feela - lefu la Crohn la rectum;
- senya mpa le duodenum - gastrooduodenalitis;
- ho hloloa ha jejunum le ileum - jejunoileitis.
Lisosa
- lefa le karolo ea lefutso
- maloetse a ikemetseng
- maloetse a tšoaetsanoang a fetileng
Matšoao a Boloetse ba Crohn
Lefu la Crohn le na le matšoao a 'maloa a kantle le a kahare. Hangata ka ho fetisisa, liponahatso tsa ka hare tsa lefu lena li ka khethoa feela ke lisebelisoa.
Matšoao a kantle:
- mokhathala o sa feleng;
- ho phahama ho hoholo ha mocheso;
- bofokoli;
- appendicitis ea bohata;
- ho opa le ho seha bohloko ka mpeng;
- ho hlatsa, ho nyekeloa ke pelo, letshollo (mantle ka makhetlo a 5 kapa ho feta ka letsatsi);
- ho ruruha;
- boima ba 'mele, ho ipolaisa tlala;
- ho omella le ho fifala ha letlalo, ho lahleheloa ke moriri;
- bohloko ka mor'a ho ja;
- conjunctivitis;
- aphthous stomatitis;
- monoarthritis le ba bang.
Matšoao a ka hare:
- moeli o hlakileng lipakeng tsa libaka tse amehileng le tse phetseng hantle tsa mala;
- ho tenya ha marako a mala;
- mucosa e koahetsoe ke li-granuloma tse nang le makhopho, e na le mapetso a mangata, liso le fistula;
- ponahalo ea fistula ea ka mpeng kapa abscess;
- nakong e sa foleng ea lefu lena, ho na le letšoao la lisele tse sebetsang le ho fokotsa leseli;
- ho tlola ha monya oa ka mpeng, moo limatlafatsi le lijo li sa keneng;
- ho thatafala ha sebete le ho fokola ha mafura, hololithiasis;
- cystitis, renal amyloidosis le ba bang.
Lijo tse phetseng hantle bakeng sa lefu la Crohn
Litlhahiso tse akaretsang
Lefu la Crohn le bolela lefu le sa foleng la mala, le khetholloang ke ho mpefala khafetsa (ho fihlela makhetlo a 1-3 ka khoeli). Ka hona, nakong ena, u lokela ho ba hlokolosi haholo ka phepo e nepahetseng. Hangata, ho mpefala ha lefu lena ho ka bakoa ke tšebeliso ea lihlahisoa tse itseng tse sa bakiseng ho kula ho motho ka ntle, empa ka hare ho tlisa ho mpefala ha lefu lena le ho ata ha foci ka mala.
Ho khetholla lihlahisoa tse mabifi, ka linako tse ling ho laeloa bakuli ho hloekisa mala ka li-cocktails tse matlafalitsoeng le tse nang le diminerale. Hangata, tsena e ka ba lino tse nang le protheine tse se nang lactose kapa tsa lebese. Kahoo bakeng sa libeke tse 2, lino tsena li lokela ho jeoa (esita le nakong ea ho mpefala) ka multivitamin complex ho tšehetsa 'mele. Ebe ba qala ho eketsa butle-butle lihlahisoa tsa lijo lijong ka mokhoa o mashed, o phehiloeng kapa o grated. Sehlahisoa se secha ha sea lokela ho hlahisoa ho feta matsatsi a 3. Haeba sehlahisoa se baka matšoao a ka sehloohong a lefu lena, joale pele u sebelisa sehlahisoa se secha, u lokela ho ema ho fihlela matšoao a feta. Ena ke ts'ebetso e telele, empa e sebetsa hantle, e lumellang hoo e batlang e le ka botlalo ho theha lijo tsa mokuli.
Ha lihlahisoa tsohle tse mpe le tse ntle li tsejoa, lijo tsa lijo li behiloe ka thoko bakeng sa nako ea ho mpefala le ho tšoareloa. Lefu la Crohn, lijo tsohle li lokela ho belisoa, ho apehoa (eseng sootho ea khauta), kapa ho chesoa ka mouoane, 'me li lokela ho ba le liprotheine tse lekaneng, mafura le lik'habohaedreite. Haeba ho khoneha, hoa hlokahala ho hlakola lijo ho fihlela puree. Lijo li lokela ho ba ka likaroloana tse nyane, empa bonyane makhetlo a 4-5 ka letsatsi.
Lijo tse phetseng hantle le mohlala oa lijo bakeng sa lefu la Crohn
Nakong ea pherekano, lijo li lokela ho kenyelletsa:
- Sopho ea meroho e nang le motoho o motenya (harese, oatmeal) le nama e mashed (Turkey, likoekoe, kana)
- Li-cutlets tsa tlhapi le nama le li-meatball tse nang le mouoane (nama e halikiloeng e lokela ho tlotsoa makhetlo a 3-4 ho grinder ea nama ka sefe e metle)
- Lijo-thollo, tse phehiloeng le tse halikiloeng (raese, buckwheat, semolina, oatmeal)
- Mahe (likoekoe le likhoho) a phehiloeng ka mokhoa oa omelet e nang le mouoane (e seng ho feta likhomphutha tse 1-2. Ka letsatsi)
- Li-monokotsoai le litholoana tse nang le li-tannin (ciliegia ea linonyana, blueberry, lipere tse butsoitseng, joalo-joalo) li lokiselitsoe ka jelly kapa jelly
- Chisi e ncha ea kottage, e mashed ho souffle, botoro (ka lijana tse fetang 20 g ka letsatsi)
- Metsi 1,5-2 a etsang dilitara tse. (decoction ea li-blueberries, letheka le phahame, tee e fokolang, cocoa ka metsing)
- Bohobe bo bosoeu bo sa lomosoang
Ha boemo bo ntlafala (hoo e ka bang matsatsi a 4-5), eketsa lihlahisoa tsa mantlha tsa lijo:
- Meroho e halikiloeng (mokopu, cauliflower, lihoete, broccoli, litapole, lierekisi tse tala)
- Litlhapi tse itšetlehileng ka likotoana (bream, pike perch, perch, cod), sechu kapa aspic
- Li-noodle tse nyane tse phehiloeng
- Lijo tse monate (marshmallow, jeme, preserves, soufflé, liapole tse besitsoeng)
- Li-monokotsoai tse tala le litholoana (tse tala, fragole, fragole, liapole tse khabisitsoeng le tse hloekileng, li-plums, lipere)
- Lihlahisoa tsa lebese (lebese la acidophilus, kefir ea matsatsi a 3, chisi e nang le mafura a tlase)
- Kofi e fokolang ka tranelate e mafura a tlase
Kamora matsatsi a mang a 5-6, lijo li ntse li tsoela pele ho eketsa lijo tse fapaneng butle-butle lijong. Empa ka lets'oao le lenyane la bokuli (ho ruruha, lets'ollo, bohloko ba mpeng), sehlahisoa ha se kenyeletsoe ka botlalo.
Litlhare tsa batho bakeng sa lefu la Crohn
Nakong ea kalafo ea lefu lena, o ka sebelisa lipepepe tsa meriana ea setso.
Tincture ea likhahla tsa soneblomo tse sa buloang e tla thusa ho kokobetsa bohloko ba mala. Khaola likhetla tse ncha tse bokelitsoeng (50-70 g), eketsa joala 'me u li tlohele hore li tsoe matsatsi a 7. Tincture e felileng e lokela ho nkoa ka marotholi a 25-30 a hlapolotsoeng ka metsing (100 ml) letsatsi le leng le le leng pele ho lijo, empa e seng makhetlo a fetang a 6 ka letsatsi.
Ha ho etsoa khase le lits'ebetso tse senyehileng ka maleng a maholo, ho lokela ho nkuoa decoction ea chamomile, sage le yarrow. Nka halofo ea teaspoon ea setlama se seng le se seng, eketsa metsi (250 ml), pheha 'me e tlohele hore e ritele lihora tse 2-3. U hloka ho nka 1 tbsp. k. lihora tse ling le tse ling tse peli.
Lijo tse kotsi le tse se nang bophelo bo botle bakeng sa lefu la Crohn
Le lefu la Crohn, lijo tse ka halefisang mucosa ea mala le ho lebisa ho mpefatseng ha lefu lena li qheleloa ka thoko. Tsena ke mafura, linoko, mahoashe, lijo tse nooang haholo le letsoai, joala, tee e matla le kofi, koae, lijo tse potlakileng.
Nakong ea ho mpefala, limela tsohle tsa linaoa, pasta, li-sauces tsa fektheri, linoko, lihlahisoa tsa lebese, k'habeche, sipinake, sorrel, turnips, radishes, beet, konofolo, eiee, li-mushroom ha li kenyelletsoe.
Hopola hore lefu lena le kotsi haholo 'me ho fihla ka nako ho setsebi ho baka mathata a maholo,' me sephetho sa ona e ka ba ho buuoa kapa lefu.
Hlokomela!
Tsamaiso ha e ikarabelle bakeng sa boiteko bofe kapa bofe ba ho sebelisa tlhaiso-leseling e fanoeng, ebile ha e fane ka tiiso ea hore e ke ke ea u ntša kotsi ka seqo. Lisebelisoa ha li sebelisoe ho fana ka kalafo le ho e hlahloba. Kamehla buisana le ngaka ea hau ea litsebi!