Mokhahano le Phello Meriana ea IBD e 'nile ea e-ba le Bokhachane le Bana
Na Basali ba nang le IBD ba na le Bana?
Ha e le hantle, basali ba nang le lefu lena la ho ruruha (IBD) ba ka ba le bana. Nakong e fetileng, basali ba nang le IBD ba eletsoa hore ba se ke ba ima. Empa mekhoa ea hona joale ea tsamaiso ea IBD e entse hore ho ba le lesea le sireletsehileng bakeng sa 'mè le lesea. Ho ba le boloetse bo sa foleng nakong ea bokhachane ho hloka tlhokomelo e hlokolosi ke lingaka tse tšoanelehang, empa bokhachane bo botle le lesea bo ka khoneha.
Na Banna le Basali ba Nang le IBD ba Fokotsa Litefiso tsa ho Fula?
Litefiso tsa ho ba le bana ba nang le IBD li tšoana le tsa basali ba phelang hantle. Basali ba nang le lefu la Crohn's boemong bo botle ba ka 'na ba e-ba le ho fokotseha ha tsoalo. Morero oa malapa ke taba ea bohlokoa ho mosali leha e le ofe, empa haholo-holo ho ba nang le IBD. Ho na le maemo ao ho ka 'nang ha e-ba le maikutlo a hore ho ima ha ho na ho eletsoa, joalo ka nakong ea ha ho na le meriana kapa ha u noa meriana e itseng.
E 'nile ea tsejoa ka lilemo tse ngata hore sulfasalazine (Azulfadine), e leng lithethefatsi tse sebelisetsoang ho sebetsana le maemo ana, e ka baka ho hloka ts'ebeliso ea nakoana ho banna ba ka etsang 60%. Karolo ea sulfa ea lithethefatsi e ka fetola peo, empa phello ena ea fetoha ka mor'a likhoeli tse peli ho emisa tšebeliso ea eona. Ho buuoa ke proctocolectomy ho banna ho ka baka ho hloka matla, le hoja sena se sa tloaeleha.
Ho ea ka ts'ebetso e 'ngoe ea lingoliloeng, ho hloka ts'ebeliso ho hlaha ho basali ba 48 lekholong ba sebetsanang le ho buuoa ho phekola lefu la ho bolaoa ke mali. Hona ho ka etsahala ka lebaka la ho khaola meleng ea li-fallopian tse ka 'nang tsa etsahala ka mor'a ho buuoa ho joalo.
Kotsi ea ho hloka ts'ebeliso ka mor'a hore colectomy e be teng ka lilemo tse 'maloa hobane lithuto tse ngata li bontšitse litekanyetso tse fapaneng tsa ho hloka thuso. Ho na le litlaleho tse tšoanang tsa ho hloka ts'ebeliso ho bakuli ba lefu la Crohn.
Phello ea Meriana e na le Boimana?
Basali ba bangata ba lumela hore ba lokela ho khaotsa ho noa meriana nakong ea bokhachane, leha ho le joalo, ho tsoela pele ho noa meriana ea IBD ho fana ka monyetla o motle oa ho qoba ho hlasela.
Meriana e mengata bakeng sa IBD e bontšitsoe hore e sireletsehile ho tsoela pele nakong ea bokhachane, 'me ba bangata ba na le histori e telele ea tšebeliso e sireletsehileng ke bakuli. Tsamaiso ea Tsamaiso ea Lijo le Lithethefatsi (FDA) e thehile tsamaiso ea ho sebelisa meriana nakong ea bokhachane (sheba Tlhahlobo 1 ka tlaase).
Lipatlisiso li bontšitse hore lithethefatsi tse ngata tse atisang ho sebelisoa bakeng sa phekolo ea tlhokomelo le litlhaselo tse matla tsa IBD li bolokehile hore bakhachane ba li sebelise. Tsena ke:
- Sulfasalazine (Azulfidine [Boemo ba Bokhachane B])
- Mefuta ea mesalamine (Asacol, Pentasa, Rowasa [Boemo ba Bokhachane B])
- Corticosteroids (prednisone [Boemo ba Bokhachane B])
- Li-biologics ( Remicade , Humira , Vedolizumab , Stelara , Cimzia )
Ha Litlhoko tsa Phekolo ea Bongaka li ka ba ka bomong
Bongata ba meriana ea IBD e tla sireletseha ho tsoela pele nakong ea bokhachane 'me ha ea lokela ho khaotsa ntle le likarabo tse tobileng ke gastroenterologist le OB / GYN tse tloaetseng boemo ba basali ba IBD. Leha ho le joalo, ho na le meriana e meng e ka 'nang ea hlokahala hore e fetoloe nakong ea bokhachane.
Immunosuppressants. Lithethefatsi tsa immunosuppressive azathioprine (Imuran [Setsi sa Bokhachane D]) le 6-mercaptopurine (Purinethol kapa 6-MP [Sehlopha sa Bokhachane D]) li tšela placenta 'me li ka fumanoa ka mokokotlo oa mali.
Leha ho le joalo, ba ka 'na ba buelloa ka tlhokomelo nakong ea bokhachane ke lingaka tse ling ho loantšana le bothata bo tebileng. Lithethefatsi tsena ha li ekelle kotsi ea ho holofala.
Methotrexate le thalidomide. Methotrexate ( Boemo ba Bokhachane X) le thalidomide (Boemo ba Bokhachane X) ke lithethefatsi tse peli tsa immunosuppressive tse sa lokelang ho sebelisoa nakong ea bokhachane kaha li na le phello ho ngoana ea e-s'o tsoaloe. Methotrexate e ka baka ho ntša mpa le matšoafo a sa tloaelehang, 'me e lokela ho khaotsa likhoeli tse tharo pele ho emoloa, haeba ho khoneha. Thalidomide e tsejoa haholo ka ho baka litšitiso tsa maoto hammoho le mathata a mang a maholo a 'mele ho lesea.
Tšebeliso e lumelloa feela ka thibelo ea bokhachane e matla le ho hlahlojoa hangata ka bokhachane.
Metronidazole. Metronidazole ( Flagyl [ Boemo ba Bokhachane B]), e leng lithibela-mafu tseo ka linako tse ling li sebelisetsoang ho sebetsana le mathata a amanang le IBD, e ka 'na ea se ke ea sireletseha bakeng sa lesea ka mor'a ho qeta halofo ea pele. Phuputso e 'ngoe e bontšitse hore metronidazole ha ea baka sesoana sa pelehi, empa ha ho na lipatlisiso tsa nako e telele tse entsoeng. Lithuto tse khutšoanyane tsa lithethefatsi tsena li atisa ho sebelisoa nakong ea bokhachane, le hoja lithuto tse telele li ntse li ngangisana.
Bokhachane bo ama Tsela ea IBD joang?
Tsela ea IBD nakong ea bokhachane e atisa ho lula e tšoana le boemo ba motho nakong ea bokhachane. Ka lebaka lena, ke habohlokoa ho basali ba nahanang ka bokhachane ho boloka mekhoa ea bona ea phekolo le ho sebetsa ho tlisa, kapa ho boloka, lefu la bona ka ho lefa.
Basali ba nang le bokhachane ha ba ntse ba se ba sa sebetse, karolo ea boraro e ntlafatsa, karolo ea boraro e mpefala, 'me karolo ea boraro ea phihlelo ha e fetohe lefung la bona. Har'a basali ba nang le bokhachane ha lefu la bona le bolaoa ke lefu la masapo, karolo ea bobeli ho ba bararo e tla tsoela pele ho ba le mafu a mafolofolo.
Lingaka li ka 'na tsa sebetsana le bothata bo matla ba IBD bo etsoang nakong ea bokhachane bo sa reroang haholo ka mabifi. Ho finyella pholiso ke habohlokoa ho thusa ho netefatsa hore bokhachane bo phela hantle ka hohle kamoo ho ka khonehang.
Lethathamo la 1 - Lihlopha tsa Meriana ea FDA
| Sehlopha | Tlhaloso |
| A | Liphuputso tse lekaneng, tse laoloang hantle ho basali ba nang le bakhachane ha li e-s'o bontše kotsi e eketsehileng ea ho se tšoane ha fetalane. |
| B | Lipatlisiso tsa liphoofolo ha li senole bopaki ba tšenyo ho lesea la lesea, leha ho le joalo ha ho na lithuto tse lekaneng, tse laoloang hantle ho basali ba bakhachane. KAPO Lipatlisiso tsa liphoofolo li bontša phello e mpe, empa lithuto tse lekaneng, tse laoloang hantle ho basali ba nang le bakhachane li hlōlehile ho bontša kotsi ho lesea. |
| C | Lipatlisiso tsa liphoofolo li bontšitse phello e mpe 'me ha ho na lithuto tse lekaneng, tse laoloang hantle ho basali ba bakhachane. KAPO Ha ho na lithuto tsa liphoofolo tse entsoeng, ha ho na lipatlisiso tse lekaneng, tse laoloang hantle ho basali ba bakhachane. |
| D | Liphuputso, tse lekaneng, tse laoloang hantle kapa tse hlokomeloang, ho basali ba nang le bakhachane li bontšitse kotsing ea lesea. Leha ho le joalo, melemo ea phekolo e ka 'na ea feta kotsi e ka' nang ea e-ba teng. |
| X | Liphuputso, tse laoloang hantle kapa tse hlokomeloang, liphoofolong kapa bakhachane li bontšitse bopaki bo botle ba ho se tšoane ha lesea. Sehlahisoa se hanyetsanoa ho basali ba nang le kapa ba ka ima. |
Na ho na le Mathata a Bokhachane le IBD?
Bakeng sa basali ba nang le lefu la ulcerative le la lefu la Crohn ha ba le molato, likotsi tsa ho senyeheloa ke mpa, ho tsoala le ho se tloaelehe ha congenital li tšoana le tsa basali ba phetseng hantle. Ho hlaseloa ha lefu la Crohn nakong ea bokhachane kapa nakong ea bokhachane ho amana le kotsi e kholo ea ho senyeheloa ke mpa le ho tsoaloa pele ho nako.
Hemorrhoids ke bothata bo tloaelehileng ho basali ba bakhachane, ba nang le karolo ea 50 lekholong ea basali ba utloang bohloko ka bona. Matšoao a IBD, a kang letšollo kapa ho patoa, ka sebele a ka eketsa kotsi ea li-hemorrhoids. Ho na le mekhoa e 'maloa ea phekolo e tla senya li-hemorrhoids tse kang Kegel li-exercising, ho boloka sebaka se le seng se hloekile, ho qoba ho lula le ho emisa nako e telele le ho phahamisa ka matla, ho sebelisa petroleum jelly ho kokobetsa phallo le ho nolofatsa likokoana-hloko, pokello ea leqhoa bakeng sa liphallelo ho chesa, ho lutse ka metsi a futhumetseng a lekaneng ho koahela li-hemorrhoids, le ho sebelisa li-suppositories kapa litlolo.
Na IBD e fumana ho fetela ho bana?
Batho ba bang ba nang le IBD ba ka 'na ba lula ba se na bana ka lebaka la ho ameha ha bana ba ka rua lefu la bona. Lilemong tsa morao tjena, ho 'nile ha lebisoa tlhokomelo khopolong ea hore IBD e matha malapeng' me e ka ba ea amahanngoa le liphatsa tsa lefutso tse itseng. Bafuputsi ha ba na likarabo tse hlakileng mabapi le hore na IBD e fetile joang pakeng tsa meloko, empa ho na le lipatlisiso ka monyetla oa bana ba amohelang lefu la motsoali oa bona.
Ho bonahala eka ho na le kotsing e kholo ea ho futsa lefu la Crohn ho feta lefu la ulcerative colitis, haholo-holo malapeng a Bajuda. Leha ho le joalo, bana ba nang le motsoali a le mong ea nang le lefu la Crohn ba na le kotsing ea bophelo bohle ba nako ea 7 ho isa ho 9% ea ho hlaolela boemo, mme ke kotsing ea 10% ea ho hlahisa mofuta o mong oa IBD. Haeba batsoali ba babeli ba e-na le IBD, kotsi ena e eketsehile hoo e ka bang 35%.
Ke eng e tla u thusa pele u emoloa kapa nakong ea bokhachane?
Hona joale basali ba khothalletsoa hore 'meleng oa bona o lokisetsoe ho ima, ka ho eketseha ha folic acid, ho khaotsa ho tsuba, ho ikoetlisa le ho ja bophelo bo botle. Bakeng sa basali ba nang le IBD, ntho e ka sehloohong e susumetsang nako ea bokhachane le bophelo bo botle ba lesea ke boemo ba maloetse. Ho tlohela meriana leha e le efe e ka 'nang ea e-ba kotsi ho lesea le ntseng le hōla le eona ke la bohlokoa. Bokhachane bo rerile ha IBD e le molato o na le monyetla o moholo ka ho fetisisa oa phello e ntle.
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