General piav qhia ntawm tus kab mob
Crohn tus kab mob Crohn tus kab mob) Yog mob ntev ua haujlwm ntawm lub plab zom mov nrog kev tsim cov pob zeb hauv plab, kev hloov pauv hauv tus qauv ntawm epithelium sab hauv txoj hnyuv phab ntsa. Tus kab mob feem ntau cuam tshuam rau ileum, tab sis, ntawm cov neeg mob hnyav dua, nws muaj peev xwm cuam tshuam rau txhua qhov ntawm txoj hnyuv los ntawm lub qhov ncauj mus rau qhov quav. Tus kabmob yog tus kabmob feem ntau kis thoob plaws thaj tsam ntawm tebchaws Meskas thiab Europe. Txhua xyoo, tus kab mob no tau kuaj pom hauv 2-3 tus neeg rau 1000. Kev kuaj mob ntawm Crohn tus mob pib tshwm sim thaum hnub nyoog 15-36 xyoo thiab tom qab 60 xyoo.
Tsuas yog tus kws kho mob coloproctologist lossis tus kws kho hnyuv muaj peev xwm txheeb xyuas tus kab mob raws li kev soj ntsuam cov neeg mob thiab kuaj ntshav thiab cov quav thiab kuaj quav, keeb kwm, mob plab hauv plab, ultrasound thiab MRI ntawm txoj hnyuv, CT nrog kev sib piv, Xoo hluav taws xob, endoscopy thiab txoj hnyuv laus. Kev txuag kev kho mob ntawm tus kabmob yog nqa tawm nrog tshuaj tua kab mob, tshuaj steroids, probiotics, immunomodulators, vitamins thiab enzymes. Hauv qhov mob hnyav ntawm tus mob, kev phais mob yog ib qho ua tau kom hloov qee qhov ntawm txoj hnyuv lossis tag nrho cov hnyuv.
Teeb meem ntawm Crohn's kab mob tuaj yeem ua rau:
- ntau lub cev sab hauv thiab cov fistulas;
- mob peritonitis;
- sab hauv los ntshav;
- mob rwj;
- kev cuam tshuam;
- kis kab mob ntawm cov kabmob nyob sib ze (zais zis, lub tsev menyuam, lub paum) vim qhov ingress ntawm pus rau hauv lawv los ntawm cov lus fistulous.
Crohn's mob yog qhov tsis tuaj yeem thiab nws cov tsos mob tshwm sim tuaj yeem tshwm sim txawm 20 xyoo tom qab pib pom cov tsos mob.
Ntau yam ntawm Crohn tus kab mob
Nyob ntawm qhov chaw, muaj ob peb hom mob tseem ceeb ntawm Crohn's kab mob:
- yeej ntawm lub qhov quav thiab ileum - ileocolitis;
- yeej tsuas yog ileum - ileitis;
- kev puas tsuaj rau lub qhov quav xwb - Crohn kab mob ntawm lub qhov quav;
- kev puas tsuaj rau lub plab thiab duodenum - gastrooduodenalitis;
- yeej ntawm jejunum thiab ileum - jejunoileitis.
Ua rau
- muaj mob muaj keeb thiab caj ces yam
- autoimmune kab mob
- yav dhau los kis tus kab mob
Cov tsos mob ntawm Crohn's Disease
Crohn tus kab mob muaj tus lej ntawm cov yam ntxwv ntawm sab nraud thiab sab hauv. Feem ntau, cov kev qhia sab hauv ntawm tus kabmob tsuas yog txiav txim siab los ntawm kho vajtse.
Cov tsos mob sab nraud:
- kev sib zog tas li;
- undulating nce hauv qhov kub thiab txias;
- tsis muaj zog;
- cuav mob hnyuv tws;
- mob thiab txiav qhov mob hauv plab;
- ntuav, xeev siab, raws plab (tso quav 5 los yog ntau tshaj ib hnub);
- tsam plab;
- poob phaus, tsis nco qab;
- dryness thiab npub ntawm daim tawv nqaij, plaub hau poob;
- mob mob tom qab noj mov;
- mob pob txha;
- aphthous stomatitis;
- monoarthritis thiab lwm yam.
Cov tsos mob sab hauv:
- thaj tsam ntshiab ntawm thaj chaw cuam tshuam thiab kev noj qab haus huv ntawm txoj hnyuv;
- tuab ntawm phab ntsa hnyuv;
- cov mucosa raug them nrog lumpy granulomas, muaj ntau cov kab nrib pleb, mob rwj thiab fistulas;
- cov tsos ntawm tus mob plab fistula lossis mob hauv plab;
- nyob rau hauv ntev mob ntawm tus kab mob, scarring ntawm cov ntaub so ntswg mob thiab nqaim ntawm lumen yog pom;
- ua txhaum ntawm lub plab zom mov, nyob rau hauv uas cov as-ham thiab zaub mov xyaum tsis nqus;
- cirrhosis ntawm daim siab thiab nws cov fatty degeneration, hololithiasis;
- cystitis, raum amyloidosis thiab lwm yam.
Cov khoom noj muaj txiaj ntsig zoo rau Crohn tus mob
Cov lus pom zoo dav
Crohn tus kab mob yog hais txog cov kab mob plab hnyuv loj, uas yog tshwm sim los ntawm kev mob hnyav heev (txog 1-3 zaug hauv ib hlis). Yog li ntawd, thaum lub sij hawm no, koj yuav tsum tau ceev faj tshwj xeeb txog kev noj haus. Feem ntau, ib qho exacerbation ntawm tus kab mob tuaj yeem tshwm sim los ntawm kev siv qee yam khoom uas tsis yog sab nraud ua rau muaj kev fab tshuaj rau tus neeg, tab sis sab hauv tuaj yeem ua rau muaj kev cuam tshuam ntawm tus kab mob thiab txuas ntxiv ntawm foci los ntawm txoj hnyuv.
Txhawm rau txheeb xyuas cov khoom lag luam aggression, qee zaum ib chav kawm ntawm kev ntxuav lub plab nrog cov kua dej muaj zog thiab cov dej ntxhia nplua nuj yog tshuaj rau cov neeg mob. Feem ntau, cov no tuaj yeem yog cov mis nyuj los yog cov dej tsis muaj lactose-protein. Yog li ntawd rau 2 lub lis piam, cov dej qab zib no yuav tsum tau noj (txawm tias thaum lub sij hawm exacerbation) nrog ib tug multivitamin complex los txhawb lub cev. Tom qab ntawd lawv pib maj mam ntxiv cov khoom noj rau cov zaub mov hauv mashed, boiled los yog grated daim ntawv. Ib yam khoom tshiab yuav tsum tau qhia tsis pub ntau tshaj txhua 3 hnub. Yog tias ib yam khoom ua rau cov tsos mob tseem ceeb ntawm tus kab mob, tom qab ntawd ua ntej siv cov khoom tshiab, koj yuav tsum tau tos kom txog thaum cov tsos mob dhau mus. Qhov no yog cov txheej txheem ntev, tab sis zoo heev, tso cai rau yuav luag tag rau tus neeg mob noj zaub mov.
Thaum tag nrho cov khoom tsis zoo thiab cov khoom zoo raug txheeb xyuas, cov khoom noj khoom haus tau muab cais rau lub sijhawm exacerbation thiab tshem tawm. Hauv Crohn tus kab mob, tag nrho cov zaub mov yuav tsum tau boiled, ci (tsis kub xim av), los yog steamed, thiab yuav tsum muaj txaus cov protein, rog, thiab carbohydrates. Yog tias ua tau, nws yuav tsum tau so cov zaub mov kom txog thaum puree. Cov zaub mov yuav tsum yog me me, tab sis tsawg kawg yog 4-5 zaug hauv ib hnub.
Kev noj qab haus huv cov zaub mov thiab ib qho piv txwv ntawm cov zaub mov rau Crohn tus mob
Thaum lub sij hawm exacerbation, kev noj haus yuav tsum muaj:
- Cov zaub kua zaub nrog cov kua zaub me me (barley, oatmeal) thiab nqaij mashed (qaib ntxhw, quail, nqaij qaib)
- Ntses thiab nqaij cutlets thiab steamed meatballs (minced nqaij yuav tsum tau hla 3-4 zaug nyob rau hauv cov nqaij grinder nrog ib sab sawm zoo)
- Cov nplej, hau thiab grated (mov, buckwheat, semolina, oatmeal)
- Cov qe (quail thiab nqaij qaib) siav nyob rau hauv daim ntawv ntawm lub ncu omelet (tsis pub ntau tshaj 1-2 pcs. Ib hnub)
- Berries thiab txiv hmab txiv ntoo nplua nuj nyob rau hauv tannins (noog cherry, blueberry, ripe pears, thiab lwm yam) npaj nyob rau hauv daim ntawv ntawm jelly los yog jelly
- Fresh tsev tsev cheese, mashed rau ib tug souffle, butter (nyob rau hauv lauj kaub tais diav tsis ntau tshaj 20 g nyob rau hauv ib hnub)
- 1,5-2 liv dej. decoction ntawm blueberries, sawv hips, qaug zog tshuaj yej, cocoa nyob rau hauv dej)
- Tsis tiav lub khob cij dawb rusks
Thaum tus mob zoo tuaj (kwv yees li 4-5 hnub), ntxiv rau cov khoom noj khoom haus tseem ceeb:
- Stewed tws zaub (taub dag, cauliflower, carrots, broccoli, qos yaj ywm, ntsuab peas)
- Lean ntses hauv pieces (bream, pike perch, perch, cod), stewed los yog aspic
- Me me noodles
- Qab zib zaub mov (marshmallow, jam, khaws cia, soufflé, ci txiv apples)
- Raw berries thiab txiv hmab txiv ntoo (raspberries, strawberries, strawberries, peeled thiab pureed txiv apples, plums, pears)
- Cov khoom noj mis nyuj (acidophilus mis nyuj, 3-hnub kefir, cheese tsis muaj rog)
- Ncuav kas fes nrog qab zib tsawg
Tom qab lwm 5-6 hnub, cov pluas noj txuas ntxiv txuas ntxiv maj mam ntxiv cov zaub mov sib txawv rau cov zaub mov noj. Tab sis ntawm qhov kos npe me ntsis ntawm kev muaj mob (tsam plab, raws plab, mob plab), cov khoom lag luam raug tshem tawm tag nrho.
Cov tshuaj hauv pej xeem rau Crohn tus kab mob
Thaum lub sijhawm kho cov kabmob, koj tuaj yeem siv qee yam kev qhia ntawm cov tshuaj ib txwm muaj.
Tincture ntawm cov kaus mom uas tsis qhib lub hnub ci yuav pab daws qhov mob hauv cov hnyuv. Quav qhov sau cov kaus mom tshiab (50-70 g), ntxiv cawv thiab cia nws brew rau 7 hnub. Qhov ua tiav tincture yuav tsum tau noj nyob rau hauv 25-30 tee diluted hauv dej (100 ml) txhua txhua hnub ua ntej noj mov, tab sis tsis pub ntau tshaj 6 zaug hauv ib hnub.
Thaum tsim muaj roj thiab putrefactive cov txheej txheem hauv cov hnyuv loj, ib qho nqaj ntawm chamomile, sage, thiab yarrow yuav tsum tau noj. Siv ib nrab ib me nyuam diav ntawm txhua cov tshuaj ntsuab, ntxiv dej (250 ml), rhaub thiab cia nws ywg rau 2-3 teev. Koj yuav tsum tau noj 1 tbsp. l. txhua ob teev.
Cov zaub mov txaus ntshai thiab tsis zoo rau Crohn tus kab mob
Nrog rau Crohn tus kab mob, cov zaub mov uas tuaj yeem ua rau mob hnyuv plab hnyuv thiab ua rau lub cev tsis zoo ntawm tus kabmob no raug tshem tawm tag nrho. Cov no yog cov rog, ntsim, ntxhib, cov zaub mov overcooked thiab qab ntsev, haus dej cawv, muaj zog tshuaj yej thiab kas fes, haus luam yeeb, cov khoom noj ceev.
Thaum lub sij hawm exacerbation, tag nrho cov legumes, pasta, Hoobkas kua ntses, txuj lom, khoom noj siv mis, zaub qhwv, spinach, sorrel, turnips, radishes, beets, qej, dos, nceb.
Nco ntsoov tias tus kab mob no yog qhov txaus ntshai heev thiab tsis tau mus cuag kws kho mob tshwj xeeb ua rau muaj kev phom sij hnyav, qhov tshwm sim ntawm uas yuav raug phais lossis tuag.
Mloog!
Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!