Matenda a Crohn, osalowa mkati mwaching'onoting'ono kapena terminal leititis adakali ophunziridwa mosamala a madokotala. Zomwe zimayambitsa matendawa sizidziwikiratu, pali zongoganizira zokhudzana ndi kayendedwe kake. Mu matendawa ndi owopsa, chifukwa zimakhudza mbali zonse za m'mimba.
Zizindikiro za kukomoka kwa leitisitis
Matendawa amapitirira pang'onopang'ono, ndi kuwonjezeka kwa kuopsa kwa zizindikiro zotsatirazi:
- paroxysmal, kupweteka kwa nthawi yaitali, komwe kumawoneka patapita 3 kapena maola atatha kudya;
- matumbo a m'mimba;
- magazi ;
- chisokonezo chachikulu;
- kutopa kwa thupi;
- kusanza;
- kulemera kwa thupi;
- kudumpha mimba, kutupa;
- zida zowonjezereka za magazi m'zinthu zam'madzi;
- kudzimbidwa kapena kutsekula m'mimba;
- magazi m'mimba;
- malungo.
Kuwonjezeka kwa tizilombo ta tizilombo timayambitsa matenda osokoneza ubongo osati kumatumbo okha, koma pafupi ndi anus:
- edema;
- zoperewera;
- ming'alu;
- ululu;
- unhealing fistula.
Kuphatikiza apo, pakhoza kukhala zozizwitsa zosakanikirana zamagetsi:
- matenda opatsirana;
- psoriasis;
- nyamakazi;
- chisangalalo cha nodalma;
- chiwindi;
- iridocyclitis;
- cholangitis;
- irit.
Monga momwe tikuonera, zizindikilo za matenda zomwe zimafotokozedwa sizowoneka bwino ndipo zingakumbukire matenda ena ngati ali ofooka. Choncho, matenda a Crohn sapezeka kawirikawiri.
Kuchiza kwa terminal leithiitis
Thandizo lachidziwitso la matenda limapangidwa kokha kumayambiriro oyambirira, pamene njira zotupa zimasinthidwanso ndipo palibe stenosis. Chithandizo chili ndi zotsatirazi:
- Kutulutsidwa kwa albumin, plasma ya magazi ndi hydrolysates ya mapuloteni a anthu.
- Kuchedwa kwa zizindikiro ndi mankhwala osagwiritsidwa ntchito ndi anti-inflammatory drugs ndi antispasmodics (No-Shpa, Papaverin).
- Kulandira mankhwala opha tizilombo toyambitsa matenda, kukonzekera 5 ASA ndi sulfasalazines.
- Kugwiritsa ntchito mahomoni a steroid (dexamethasone, nthawizina - Prednisolone), mankhwala a Remicade.
- Kutsata chakudya chapadera ndi kuchepetsa kudya mafuta ndi mavitamini okwanira, microelements. Chakudyacho chiyenera kukhala chochepa, nthawi zambiri.
Ngati mankhwalawa sakugwira ntchito, opaleshoni ya opaleshoni imaperekedwa.
Chithandizo cha terminal ileitis ndi mankhwala amtunduwu
Mankhwala ochiritsira akhoza kuchepetsa kuopsa kwa zizindikiro,
Chinsinsi cha colic ndi ulemu:
- Mu magawo ofanana, sakanizani udzu wouma wa timbewu tonunkhira, tchire, yarrow ndi chamomile maluwa.
- Thirani supuni ya supuni ya mavitamini ndi 240 ml ya madzi otentha ndikulimbikitsanso mpaka iyo ikuphulika.
- Imwani 60 ml 4 pa tsiku mu mawonekedwe ofunda.
Chithandizo cha kutupa ndi kupweteka:
- Chotsani supuni 1 ya tsabola udzu mu teapot ndi 220 ml ya madzi otentha.
- Kumwa m'malo mwa tiyi tsiku lonse.