Cev xeeb tub thiab Crohn's Kab Mob

Zoo Siab

• Koj puas yuav tsum muaj menyuam?
• Cev xeeb tub thiab Crohn txoj kev noj qab haus huv
• Cev xeeb tub thiab Crohn txoj kev kho mob
• Qhov caj ces ntawm Crohn's

Crohn's kab mob feem ntau raug kuaj pom muaj hnub nyoog thaj tsam 15 thiab 25 - nce siab tshaj nyob hauv poj niam lub cev.

Yog tias koj muaj hnub nyoog yug menyuam thiab muaj Crohn's, koj tuaj yeem xav tias qhov kev xeeb tub yog qhov kev xaiv. Cov poj niam nrog Crohn's li tsuas yog xeeb menyuam yam li cov tsis muaj Crohn's.

Txawm li cas los xij, caws pliav ntawm plab thiab pelvic phais tuaj yeem tiv thaiv kev muaj menyuam. Qhov no muaj tseeb tshwj xeeb tshaj yog thaum muaj kev phais mob zoo li ib nrab lossis tag nrho colectomy - tshem tawm ib feem lossis tag nrho cov hnyuv loj.

Koj puas yuav tsum muaj menyuam?

Nws yog qhov zoo dua rau kev xeeb tub thaum koj tus Crohn cov tsos mob tswj tau. Koj yuav tsum tsis txhob muaj nplaim taws rau yav dhau los 3 rau 6 lub hlis thiab tsis noj tshuaj corticosteroids. Koj yuav tsum tau them nyiaj tshwj xeeb rau koj kev Crohn txoj kev kho mob tshuaj thaum koj xav xeeb tub. Tham nrog koj tus kws kho mob txog qhov zoo thiab kev xav ntawm kev siv tshuaj pab txuas ntxiv thaum cev xeeb tub thiab pub niam mis. Crohn's cov nplaim tawg thaum lub sijhawm cev xeeb tub tuaj yeem ua rau muaj kev pheej hmoo rau menyuam thaum ntxov thiab menyuam yaus hnyav.

Noj zaub mov kom muaj txiaj ntsig zoo, kev noj haus zoo rau lub cev. Folic acid yog qhov tshwj xeeb tshaj yog rau cov poj niam cev xeeb tub. Nws yog cov qauv ua kom muaj folate, B-vitamin pom muaj nyob hauv ntau cov txiv hmab txiv ntoo thiab zaub.

Folate pab tsim kom muaj DNA thiab RNA. Qhov no ua rau nws yog qhov tseem ceeb rau kev faib cov cell ntxov ntxov ntawm cev xeeb tub. Nws tseem tuaj yeem tiv thaiv qog ntshav thiab tiv thaiv DNA los ntawm kev hloov pauv uas tuaj yeem hloov mus rau mob qog noj ntshav.

Cov zaub mov uas muaj folate xws li:

• taum
• zaub paj ntsuab
• zaub ntsuab
• Zaub pob qe
• txiv qaub
• txiv laum huab xeeb

Qee qhov khoom noj ntawm folate tuaj yeem tawv ntawm cov hnyuv yog tias koj muaj Crohn's. Koj tus kws kho mob yuav pom zoo kom noj cov tshuaj folic acid ua ntej thiab thaum cev xeeb tub.

Cev xeeb tub thiab Crohn txoj kev noj qab haus huv

Koj pawg kho mob yuav suav nrog kws kho mob plab zom mov, kws kho mob yug cev, neeg noj zaub mov zoo, thiab ib tug kws kho mob. Lawv yuav taug qab koj txoj kev vam meej ua ib tus neeg muaj mob leeg ua rau muaj kev pheej hmoo siab. Muaj Crohn's mob yuav ua rau kom koj muaj feem ua rau muaj teeb meem xws li nchuav menyuam thiab menyuam yug menyuam.

Koj tus kws kho mob hauv tsev kho mob tej zaum yuav pom zoo kom tsis txhob Crohn cov tshuaj rau kev noj qab haus huv ntawm tus menyuam hauv plab. Tab sis, hloov koj cov tshuaj noj thaum cev xeeb tub yuav cuam tshuam koj cov tsos mob tus kab mob. Koj tus kws kho mob kws kho mob tsaj lij tuaj yeem tawm tswv yim rau koj txog cov tshuaj kho mob raws li qhov mob hnyav ntawm koj Crohn's kab mob.

Ua haujlwm nrog koj tus kws kho mob tsaj lij thiab kws kho mob ua ntej koj xeeb tub. Lawv tuaj yeem pab koj tsim phiaj xwm tswj hwm tus kabmob thaum koj cev xeeb tub.

Nws yog ib qho tseem ceeb kom paub txog cev xeeb tub thiab Crohn's kab mob. Koj cov neeg saib xyuas kev noj qab haus huv yuav tsum muaj peev xwm los muab cov khoom siv thiab cov ntaub ntawv ntsig txog yam uas xav kom cia rau koj. A ntawm tebchaws Askiv pom tias tsuas yog ib nrab ntawm cov poj niam cev xeeb tub muaj kev nkag siab zoo txog kev sib cuam tshuam ntawm kev muaj menyuam hauv plab thiab Crohn tus mob.

Cev xeeb tub thiab Crohn txoj kev kho mob

Feem ntau cov tshuaj kho mob Crohn's tau pom tias muaj kev nyab xeeb rau cov poj niam cev xeeb tub. Txawm li cas los xij, qee qhov yuav ua rau yug tus menyuam tsis xws luag. Tsis tas li, qee yam tshuaj uas tswj kev mob los ntawm Crohn's kab mob (xws li sulfasalazine) tuaj yeem txo cov tshuaj folate ntau ntau.

Cov tshuaj folate tuaj yeem ua rau lub cev tsis tshua muaj ceeb thawj, ua ntej yug menyuam, thiab tuaj yeem ua rau tus menyuam kev loj hlob qeeb. Folate deficiency kuj tuaj yeem ua rau cov leeg ntshav muaj lub siab tsis zoo. Cov kev tsis zoo no tuaj yeem ua rau lub cev tsis ua haujlwm ntawm lub paj hlwb, xws li spina bifida (mob pob txha caj qaum) thiab anencephaly (muaj hlwb tsis meej). Tham nrog koj tus kws kho mob txog kev tau txais tshuaj folate zoo.

Cov poj niam nrog Crohn tus tuaj yeem muaj qhov chaw mos yug menyuam. Tab sis nws yog qhov lawv pom muaj cov tsos mob ntawm tus mob perianal, kev pom zoo kom yug menyuam.

Kev phais mob esarean yog qhov kev xaiv zoo tshaj plaws rau cov poj niam nrog lub hnab ileal hnab-anal anastomosis (J hnab) lossis rov qab mob plab hnyuv. Nws yuav pab txo qis teeb meem txog yav tom ntej thiab tiv thaiv koj tus kheej sphincter ua haujlwm.

Qhov caj ces ntawm Crohn's

Cov noob caj noob ces tshwm sim los ua lub luag haujlwm ntawm kev txhim kho Crohn's kab mob. Cov neeg hauv Ashkenazi cov neeg Yudais yog 3 txog 8 npaug ntau dua li cov neeg tsis yog neeg Yudais los tsim Crohn's. Txog tam sim no, tseem tsis tau muaj kev sim uas tuaj yeem twv seb leej twg thiaj li yuav kis tau.

Cov teeb meem siab tshaj plaws ntawm Crohn's tau tshaj tawm nyob hauv Europe, North America, Australia, Nyij Pooj, thiab qhov kawg ntawm South America. Muaj ntau dua qhov tshwm sim ntawm Crohn's mob hauv nroog cov neeg nyob coob dua li cov neeg nyob deb nroog. Qhov no qhia txog qhov sib txuas ib puag ncig.

Cov pa luam yeeb tseem txuas nrog Crohn's flare-ups. Kev haus luam yeeb tuaj yeem ua rau tus kab mob tsis zoo mus txog rau qhov xav tau kev phais mob. Cov poj niam cev xeeb tub nrog Crohn tus uas haus luam yeeb yuav tsum txiav luam yeeb tam sim ntawd. Qhov no yuav pab nrog Crohn's thiab kuj yuav txhim kho chav hauv kev xeeb tub.