Crohn tus kab mob, ib hom kab mob ua rau mob plab, yog ib yam mob uas ua rau sab hauv ntawm koj lub plab zom mov ua rau mob, ua rau mob raws plab hnyav thiab mob plab. Qhov mob qee zaum kis mus rau txheej txheej ntawm cov nqaij uas cuam tshuam. Zoo li mob plab, lwm tus mob plab hnyuv, Crohn tus kab mob tuaj yeem ua rau mob thiab ua rau lub cev tsis muaj zog thiab qee zaum tuaj yeem ua rau muaj teeb meem rau lub neej.
Txawm hais tias tsis tau pom kev kho mob rau Crohn tus kab mob, kev siv tshuaj tuaj yeem txo cov cim thiab tsos mob ntawm Crohn tus kab mob thiab tseem tuaj yeem muab kev pab ntev mus. Nrog rau txoj kev kho no, ntau tus neeg uas muaj tus kab mob Crohn tuaj yeem ua haujlwm ib txwm muaj ntawm kev ua neej nyob niaj hnub.
Kauj ruam
Ntu 1 ntawm 2: Paub qhov tsos mob thiab lees paub qhov kev kuaj mob
Kauj Ruam 1. Paub cov cim thiab tsos mob ntawm Crohn tus kab mob
Cov tsos mob ntawm Crohn tus kab mob zoo ib yam li lwm cov kab mob hauv lub plab, xws li mob plab thiab mob plab hnyuv. Cov tsos mob tuaj yeem tshwm sim thiab sib txawv los ntawm me me mus rau mob hnyav. Cov tsos mob yuav txawv rau txhua tus neeg, nyob ntawm seb ib feem ntawm cov kab mob hauv plab yog kis tus kab mob. Qee cov tsos mob tshwm sim muaj xws li:
-
Raws plab:
Qhov mob uas tshwm sim hauv Crohn tus kab mob ua rau cov cell hauv thaj tsam cuam tshuam ntawm koj cov hnyuv kom tso dej ntau thiab ntsev. Txij li cov hnyuv loj tsis tuaj yeem nqus cov kua ntau dhau, qhov no ua rau raws plab.
-
Mob plab thiab cramps:
Kev mob thiab mob ua paug tuaj yeem ua rau phab ntsa ntawm qee qhov ntawm koj cov hnyuv ua rau o thiab thaum kawg ua tuab nrog cov nqaij caws pliav. Nws cuam tshuam rau kev txav ib txwm ntawm txoj hnyuv hauv koj lub cev thiab tuaj yeem ua rau mob plab thiab mob plab.
-
Ntshav hauv lub plab:
Cov zaub mov dhau los ntawm koj lub plab zom mov tuaj yeem ua rau cov nqaij mos ua ntshav los ntshav, lossis koj cov hnyuv yuav los ntshav ntawm lawv tus kheej.
- Mob plab (ulcer) Crohn tus kab mob pib me me, kis mob rau ntawm cov hnyuv. Tom qab qhov mob no dhau los ua mob rwj uas nkag mus rau --- thiab qee zaum nkag mus --- hauv plab hnyuv.
-
Ua tsis qab los thiab hnyav:
Mob plab thiab mob plab thiab cov tshuaj tiv thaiv kab mob ntawm koj lub plab phab ntsa tuaj yeem cuam tshuam rau koj qab los noj mov nrog rau koj lub peev xwm zom thiab nqus zaub mov.
-
Fistula lossis abscess:
Kev mob los ntawm Crohn tus kab mob tuaj yeem hla cov phab ntsa hauv plab mus rau hauv lub cev sib xws, xws li lub zais zis lossis qhov chaw mos, ua rau muaj kev sib txuas tsis xws li hu ua fistula. Qhov hnyav no tseem ua rau mob plab; cov tawv nqaij uas ua rau o thiab ua rau tawv nqaij.
Kauj Ruam 2. Paub txog cov tsos mob tshwm sim tsawg dua ntawm Crohn tus kab mob
Ntxiv rau cov uas tau hais los saum no, cov neeg uas muaj tus kab mob Crohn tej zaum yuav ntsib lwm yam, tsawg dua, cov tsos mob xws li mob sib koom, cem quav, thiab cov pos hniav tuaj.
- Cov neeg uas mob Crohn tus kab mob hnyav tuaj yeem ua rau kub cev thiab qaug zog, nrog rau cov teeb meem tshwm sim sab nraum lub plab zom mov, suav nrog mob caj dab, qhov muag o, kab mob ntawm daim tawv nqaij, thiab ua rau mob siab lossis ducts.
- Cov menyuam yaus uas muaj tus kab mob Crohn tej zaum yuav tsis muaj kev loj hlob lossis kev loj hlob ntawm kev sib deev.
Kauj Ruam 3. Paub thaum twg thiaj nrhiav kev pab kho mob
Hu rau koj tus kws kho mob tam sim yog tias koj muaj ib qho ntawm cov tsos mob no:
- Ua rau lub cev tsis muaj zog thiab muaj lub plawv dhia ceev lossis qeeb.
- Mob plab heev.
- Ua npaws lossis ua daus no uas ntev tshaj li ib lossis ob hnub.
- Rov ntuav ntau zaus.
- Ntshav hauv chav dej.
- Mob raws plab ntev uas tsis nres nrog cov tshuaj tom khw.
Kauj Ruam 4. Ua qhov kev ntsuam xyuas kom paub tseeb qhov kev kuaj mob
Yog tias koj tus kws kho mob xav tias koj yuav muaj tus kab mob Crohn, nws lossis nws yuav xa koj mus rau tus kws kho mob plab (tus kws tshwj xeeb hauv lub plab zom mov) rau kev kuaj mob sib txawv. Qhov no yuav suav nrog:
-
Ntshav:
Koj tus kws kho mob yuav pom zoo kom kuaj ntshav txhawm rau kuaj ntshav, uas yog ib qho tshwm sim tshwm sim ntawm Crohn tus kab mob (vim poob ntshav hnyav).
-
Colonoscopy:
Qhov kev kuaj mob no tso cai rau koj tus kws kho mob saib koj lub plab tag nrho uas siv lub raj nyias, hloov pauv tau txuas nrog lub koob yees duab. Nrog lub koob yees duab, tus kws kho mob yuav tuaj yeem txheeb xyuas qhov mob o, ntshav los yog mob plab hauv cov hnyuv loj.
-
Sigmoidoscopy yooj ywm:
Hauv cov txheej txheem no, koj tus kws kho mob siv lub raj nyias, hloov pauv tau nrog lub teeb pom lub sigmoid, uas yog 2 ceg kawg ntawm koj txoj hnyuv loj.
-
Barium enema:
Qhov kev kuaj mob no tso cai rau koj tus kws kho mob ntsuas koj lub plab nrog X-ray. Ua ntej qhov kev sim, barium, cov xim sib txawv, tau tso rau hauv txoj hnyuv nrog tso quav (txhaj tshuaj).
-
Xoo hluav taws xob me me:
Qhov kev ntsuas no siv X-ray txhawm rau tshuaj xyuas ib feem ntawm txoj hnyuv me uas tsis pom los ntawm txoj hnyuv loj.
-
Computerized Tomography-Computational Tomography (CT):
Qee zaum koj yuav xav tau CT scan, uas yog txheej txheem x-ray tshwj xeeb uas muab cov ncauj lus kom ntxaws ntau dua li tus qauv x-ray. Qhov kev tshuaj xyuas no qhia tag nrho cov hnyuv nrog rau cov ntaub so ntswg sab nrauv uas tsis tuaj yeem pom nrog lwm qhov kev sim.
-
Capsule endoscope:
Yog tias koj muaj cov tsos mob thiab cov tsos mob zoo ib yam li Crohn tus kab mob, tab sis qhov kev kuaj mob dav dav tsis zoo, koj tus kws kho mob tuaj yeem ua lub raj tshuaj endoscopy.
Ntu 2 ntawm 2: Nkag Siab Txog Kev Kho Mob
Kauj Ruam 1. Nug koj tus kws kho mob txog kev kho tshuaj
Ntau yam tshuaj sib txawv tau siv los tswj cov tsos mob ntawm Crohn tus kab mob. Hom tshuaj uas yog rau koj yuav nyob ntawm lub xeev ntawm Crohn tus kab mob thiab qhov hnyav ntawm koj cov tsos mob. Qee qhov kev siv tshuaj kho mob feem ntau yog raws li hauv qab no:
-
Tshuaj tiv thaiv kab mob:
Cov tshuaj no feem ntau yog siv thawj qib hauv kev kho kab mob hauv lub plab. Nws muaj sulfasalazine (Azulfidine) uas muaj txiaj ntsig tshwj xeeb rau kab mob plab, mesalamine (Asacol, Rowasa) uas tuaj yeem pab tiv thaiv kev rov tshwm sim ntawm Crohn tus kab mob tom qab phais, thiab corticosteroids.
-
Kev tiv thaiv kab mob tiv thaiv kab mob:
Cov tshuaj no tseem txo qhov mob, tab sis nws lub hom phiaj rau koj lub cev tiv thaiv kab mob ua ntej es tsis kho qhov mob nws tus kheej. Nws muaj azathioprine (Imuran) thiab mercaptopurine (Purinethol), infliximab (Remicade), adalimumab (Humira), sertolizumab pegol (Cimzia), methotrexate (Rheumatrex), cyclosporine (Neoral, Sandimmune), thiab natalizumab (Tysabri).
-
Tshuaj tua kab mob:
Nws tuaj yeem kho fistulas thiab ua rau cov neeg mob Crohn tus kab mob. Nws muaj metronidazole (Flagyl) thiab ciprofloxacin (Cipro).
-
Tshuaj tiv thaiv raws plab:
Crohn tus kab mob cov neeg mob uas mob raws plab feem ntau teb zoo rau cov tshuaj tiv thaiv raws plab xws li loperamide. Loperamide-uas yog pauv raws li Imodium-tuaj yeem yuav tom khw tom khw yam tsis muaj ntawv yuav tshuaj.
-
Bile acid separator:
Cov neeg mob uas muaj tus kab mob ileal lig lossis nrog kev xa rov qab ntawm ileum (qhov kawg ntawm txoj hnyuv me) yuav tsis nqus cov kua tsib ntau ib txwm uas tuaj yeem ua rau raws plab raws plab. Cov neeg mob no tuaj yeem pab tau los ntawm cov kua qaub sib cais xws li cholestyramine lossis colestipol.
-
Lwm Yam Tshuaj:
Qee qhov lwm yam tshuaj uas tuaj yeem txo cov tsos mob ntawm Crohn tus kab mob suav nrog steroids, lub zog tiv thaiv kab mob, tshuaj fiber, tshuaj laxatives, tshuaj kho mob, tshuaj ntxiv hlau, vitamin B12 txhaj, thiab calcium thiab vitamin D tshuaj ntxiv.
Kauj Ruam 2. Ua raws koj tus kws kho mob cov lus qhia txog kev noj zaub mov thiab zaub mov zoo
Tsis muaj pov thawj pom tseeb tias yam koj noj tau ua rau mob plab hnyuv. Tab sis qee yam zaub mov thiab dej haus tuaj yeem ua rau tus kab mob hnyav dua (tshwj xeeb tshaj yog thaum nws dhau lawm) tab sis lwm tus tuaj yeem txo cov tsos mob thiab tiv thaiv qhov tshwm sim yav tom ntej.
- Cov tshuaj fiber ntau tau hais tias muaj txiaj ntsig zoo rau cov neeg mob uas mob plab. Qhov no vim tias fiber ntau tuaj yeem hloov pauv mus rau hauv cov roj fatty acids luv, uas pab cov hnyuv kho nws tus kheej.
- Sim zam cov khoom siv mis, vim tias feem ntau cov neeg mob Crohn tus kab mob (tshwj xeeb yog cov hnyuv me) tsis tuaj yeem zom cov lactose. Koj tuaj yeem noj cov tshuaj calcium los kho qhov tsis txaus thiab txo koj txoj kev pheej hmoo ntawm pob txha.
- Zam cov zaub mov uas feem ntau ua rau roj thiab tsam plab xws li taum thiab zaub ntsuab. Koj yuav tsum txwv cov rog, roj, lossis kib zaub uas tuaj yeem cuam tshuam nrog kev zom zaub mov zoo. Ib qho ntxiv, koj yuav tsum tau sim noj cov khoom me me, txhawm rau txo qis tsam plab thiab zam kev nruj koj lub plab zom mov.
- Hauv qee qhov xwm txheej, koj tus kws kho mob yuav hais qhia zaub mov tshwj xeeb uas tau muab los ntawm lub raj pub mis (nkag rau hauv) lossis khoom noj khoom haus los ntawm kev txhaj tshuaj (parenterally) los kho koj tus kab mob Crohn. Qhov no yog ib qho khoom noj ntxiv ib ntus, feem ntau yog rau cov neeg uas lub plab yuav tsum tau so vim yog kev phais, lossis cov hnyuv tau ua tsis tau cov khoom noj ntawm lawv tus kheej.
- Nco ntsoov tias txhua tus neeg mob Crohn tus kab mob sib txawv thiab tej zaum yuav muaj lawv tus kheej cov zaub mov tsis txaus ntseeg. Ib txoj hauv kev zoo los txheeb xyuas qhov tsis txaus ntseeg yog kom muaj phau ntawv teev khoom noj txhua hnub uas koj sau txhua yam koj noj. Qhov no pab koj txheeb xyuas cov zaub mov uas ua rau koj cov tsos mob hnyav dua. Thaum koj paub cov zaub mov twg ua rau koj cov tsos mob, koj tuaj yeem sim zam lawv.
Kauj Ruam 3. Hloov qee txoj kev ua neej
Txawm hais tias tsis muaj kev kho rau Crohn tus kab mob, koj tuaj yeem txo koj cov tsos mob thiab ua lub neej nyob ntev, ua raws li koj tus kws kho mob cov lus qhia kho mob thiab xaiv kev noj qab haus huv. Qhov no suav nrog:
-
Txo kev ntxhov siab:
Thaum kev ntxhov siab tsis ua rau tus kab mob Crohn, nws tuaj yeem ua rau koj cov tsos mob thiab cov tsos mob hnyav zuj zus tuaj thiab tuaj yeem ua rau tawg. Thaum nws tsis tuaj yeem zam kev ntxhov siab, koj tuaj yeem kawm paub yuav daws nws li cas.
-
Txiav luam yeeb:
Yog tias koj haus luam yeeb, koj muaj feem yuav pheej hmoo tsim tus kab mob Crohn. Ib qho ntxiv, kev haus luam yeeb ua rau cov tsos mob ntawm Crohn tus kab mob ntau ntxiv, thiab ua rau muaj kev pheej hmoo ntawm teeb meem thiab cuam tshuam nrog kev phais.
-
Ntau kis las:
Kev tawm dag zog ib txwm yuav pab koj tswj kom lub cev hnyav thiab txo kev ntxhov siab - ob yam uas tuaj yeem ua qhov sib txawv loj hauv kev tswj kab mob. Sim nrhiav daim ntawv qoj ib ce uas koj nyiam - txawm nws yog chav kawm seev cev, nce pob zeb, lossis sib tw nkoj nkoj.
-
Tsis txhob haus cawv:
Cov tsos mob ntawm tus kab mob Crohn tuaj yeem ua rau hnyav dua vim haus cawv. Yog li, nws raug nquahu tias koj tsuas haus dej hauv qhov nruab nrab, lossis tsis haus txhua.
Kauj Ruam 4. Tshawb nrhiav kev kho mob phais
Yog tias kev noj zaub mov zoo thiab kev hloov pauv lub neej, kev kho tshuaj lossis lwm yam kev kho mob tsis txo koj cov tsos mob thiab cov tsos mob, koj tus kws kho mob yuav hais kom phais kom tshem tawm qhov puas ntawm koj lub plab zom mov kom kaw lub fistula lossis tshem tawm cov nqaij caws pliav. Muaj peb hom kev phais loj uas Crohn cov neeg mob tau ua:
-
Proctoelectomy: Ua
Cov txheej txheem no suav nrog tshem tawm ib feem ntawm qhov quav thiab tag nrho lossis ib feem ntawm txoj hnyuv. Qhov no yog ua tiav nrog tus neeg mob raws li tshuaj loog dav dav los ntawm tus kws phais tshwj xeeb. Lub sijhawm rov zoo yog feem ntau ntawm 4-6 lub lis piam.
-
Ileostomy:
Ib qho ileostomy yog txheej txheem thib ob uas tau ua tom qab proctoecectomy. Qhov no suav nrog txuas ileum (qhov kawg ntawm txoj hnyuv me) mus rau qhib lub plab (hu ua stoma). Lub hnab me me (hu ua hnab stoma) tau txuas nrog lub stoma kom khaws cov quav. Tom qab phais tas, tus neeg mob yuav pom tias yuav tshem tawm thiab ntxuav lub hnab li cas, thiab tuaj yeem txuas ntxiv ua lub neej noj qab haus huv thiab ib txwm muaj nyob.
-
Kev phais plab hnyuv:
Hom kev phais no tsuas yog tshem tawm qhov mob ntawm txoj hnyuv. Thaum raug tshem tawm, ob qhov kev noj qab haus huv tau txuas nrog, tso cai rau txoj hnyuv kom rov ua haujlwm tau zoo. Kev rov zoo feem ntau yuav siv 3-4 lub lis piam.
- NIH kwv yees kwv yees li ntawm 2/3 ntawm cov neeg uas muaj tus kab mob Crohn yuav xav tau kev phais hauv lawv lub neej, thaum lawv tsis teb rau lwm yam kev kho mob. Hmoov tsis zoo, tus kab mob feem ntau rov tshwm sim tom qab phais, yog li yuav tsum tau kho ntxiv.
Kauj Ruam 5. Sim tshuaj ntsuab uas yuav pab tau rau Crohn tus kab mob:
Tshuaj ntsuab zoo li Glycyrrhiza glara, Asparagus racemosus thiab lwm yam tuaj yeem muaj txiaj ntsig zoo hauv Crohn tus kab mob.
- Cov kev tshawb fawb ntawm Glycyrrhiza glabra (cawv) hais tias cov tshuaj ntsuab no tuaj yeem ua rau cov hnyuv zoo ib yam los ntawm kev txo qhov mob thiab pab txoj hnyuv kom zoo.
- Cov kev tshawb fawb ntawm Asparagus racemosus hais tias cov tshuaj ntsuab no tuaj yeem ua rau lub plab zom mov thiab pab kho cov nyom thiab cov nqaij puas.
- Txoj kev tshawb fawb ntawm Valeriana Officinalis tau hais tias Advanced Homeopathic-Homeopathic Resonance tshuaj tuaj yeem txo cov tsos mob xws li mob plab, cem quav, raws plab, tswj tsis tau lub plab, thiab xeev siab.
- Kev tshawb fawb ntawm Veratrum Album hais tias qhov Kev Kho Mob Zoo Tshaj Plaws Homeopathic tuaj yeem daws cov quav xoob thiab cov dej.
Lub tswv yim
- Ua kom koj paub ntau ntxiv thiab tsim kev sib raug zoo nrog cov koom haum kom nkag tau mus rau pab pawg txhawb nqa.
- Mus ntsib koj tus kws kho mob tas li thiab kuaj ntshav txhawm rau txheeb xyuas cov kev phiv los ntawm koj cov tshuaj.
- Koj muaj kev pheej hmoo siab yog tias koj muaj ib tus neeg hauv tsev neeg nyob ze, xws li niam txiv, kwv tij neej tsa lossis menyuam yaus, nrog tus kab mob.
- Kev tawm dag zog ib txwm tuaj yeem pab tswj kev noj zaub mov zoo thiab pab daws kev ntxhov siab.
- Dej cawv muaj zog ua rau mob Crohn. Nws tau qhia, txawm tias nyob hauv lub neej txhua hnub, tsis txhob haus dej ntau dhau lossis tsis haus dej txhua los txo Crohn cov tsos mob.
- Yog tias koj haus luam yeeb, koj muaj feem yuav pheej hmoo tsim tus kab mob Crohn.
- Tsuas yog noj cov tshuaj uas tau hais los ntawm kws kho mob lossis kws kho lub plab.
- Crohn tus kab mob tuaj yeem tawm tsam txhua lub hnub nyoog, tab sis koj muaj feem yuav tsim tus mob thaum tseem hluas.
- Khaws ib phau ntawv teev khoom noj niaj hnub muaj koj cov zaub mov noj uas pab koj nco qab cov zaub mov uas ua rau koj cov tsos mob thiab sim zam lawv (txhua tus neeg mob Crohn sib txawv).
- Txawm hais tias cov neeg dawb muaj kev pheej hmoo siab tshaj plaws ntawm tus kabmob no, nws tuaj yeem cuam tshuam rau txhua haiv neeg.
- Yog tias koj nyob hauv ib cheeb tsam nroog lossis lub tebchaws uas muaj kev lag luam, koj yuav muaj kev pheej hmoo loj hlob ntawm Crohn tus kab mob.
Ceeb toom
- Siv tshuaj tiv thaiv raws plab nrog ceev faj heev thiab tsuas yog tom qab sab laj nrog koj tus kws kho mob, vim qhov no ua rau muaj kev pheej hmoo ntawm cov tshuaj lom megacolon, ua rau muaj kev phom sij rau txoj hnyuv.
- Tham nrog koj tus kws kho mob ua ntej siv tshuaj laxatives, vim tias txawm tias yuav tom khw yuav khoom hnyav heev rau koj lub cev.
- Tsis txhob noj tshuaj tiv thaiv kab mob anti-steroidal anti-inflammatory drugs (NSAIDs) xws li tshuaj aspirin, ibuprofen (Advil, Motrin, thiab lwm yam) lossis naproxen sodium (Aleve). Qhov no yuav ua rau koj cov tsos mob hnyav dua.
