Kev mob plab hnyuv (IBD) yog ib lo lus siv los txheeb xyuas qhov mob hnyav ntawm tag nrho lossis ib feem ntawm txoj hnyuv. Cov mob plab hnyuv feem ntau yog hais txog Crohn's Disease thiab mob plab. Tus mob yog tus yam ntxwv nrog rau mob plab hnyav. Kab mob hauv lub cev ua rau lub cev tsis zoo rau ntau tus neeg thiab tseem tuaj yeem ua rau muaj kev phom sij rau lub neej yog tias tsis kho kom raug. Vim tias IBD loj heev, nws yog ib qho tseem ceeb kom paub txog cov tsos mob ntawm tus kab mob thiab mus ntsib koj tus kws kho mob kom paub tseeb tias kuaj mob. Nws tuaj yeem tsim txoj phiaj xwm kho mob los pab koj tswj tus kab mob.
Cov kauj ruam
Ntu 1 ntawm 4: Txheeb Xyuas Cov tsos mob ntawm IBD
Kauj Ruam 1. Paub txog koj qhov kev pheej hmoo rau IBD
Qhov ua rau muaj tseeb ntawm IBD tsis paub, tab sis kws kho mob paub tias qee yam tuaj yeem ua rau hnyav tab sis tsis ua rau tus kab mob. Kev paub txog koj qhov kev pheej hmoo rau tus kab mob no tuaj yeem pab koj paub nws thiab tau txais kev kuaj mob thiab kho mob raws sijhawm.
- Cov neeg feem coob tau kuaj pom nrog IBD ua ntej hnub nyoog 30, tab sis lwm tus yuav tsis tsim tus kabmob kom txog thaum lawv nyob hauv lawv li 50s lossis 60s.
- Caucasians, tshwj xeeb yog Ashkenazi cov neeg Yudais, muaj qhov pheej hmoo siab tshaj plaws ntawm IBD, tab sis nws tuaj yeem tshwm sim hauv txhua haiv neeg.
- Yog tias ib tus txheeb ze ze, xws li niam txiv lossis tus nus muag, muaj IBD koj yuav muaj kev pheej hmoo siab dua los tsim tus kabmob.
- Kev haus luam yeeb tseem ceeb ua rau koj muaj feem yuav tsim muaj mob Crohn.
- Siv qee yam tshuaj tsis-tshuaj tiv thaiv kab mob (NSAIDS), xws li ibuprofen, naproxen sodium, thiab diclofenac sodium, tuaj yeem ua rau koj muaj kev pheej hmoo txhim kho IBD lossis ua rau mob hnyav dua yog tias koj twb muaj lawm.
- Cov xwm txheej ib puag ncig, xws li nyob hauv ib cheeb tsam hauv nroog lossis huab cua sab qaum teb thiab noj zaub mov muaj roj ntau thiab cov zaub mov zoo, tuaj yeem ua rau koj pheej hmoo tsim IBD.
Kauj Ruam 2. Paub txog cov tsos mob ntawm Crohn's Disease
Txawm hais tias Crohn tus kab mob thiab mob plab tuaj yeem muaj cov tsos mob zoo sib xws, lawv tseem txawv me ntsis. Paub txog cov tsos mob ntawm Crohn tus kab mob tuaj yeem pab koj kuaj mob los ntawm koj tus kws kho mob thiab nqis tes los tswj tus kab mob hauv koj lub neej niaj hnub. Tsis yog txhua tus neeg mob muaj cov tsos mob hnyav, yog li nws yog qhov tseem ceeb kom paub txog ntau txoj hauv kev uas Crohn tus kab mob tuaj yeem nthuav tawm.
- Tej zaum koj yuav hnov mob raws plab, ntuav, mob plab, kub cev, thiab ntshav qee zaum hauv koj cov quav.
- Tsis qab los noj mov thiab poob phaus kuj tseem tuaj yeem nrog Crohn's Disease. Nws kuj tseem tuaj yeem cuam tshuam rau koj cov pob qij txha, qhov muag, tawv nqaij, thiab daim siab.
- Qhov teeb meem tshwm sim feem ntau ntawm Crohn's Disease yog hnyuv txhaws los ntawm kev o thiab nqaij caws pliav. Cov tsos mob ntawm kev txhaws, xws li mob plab, ntuav, thiab tsam plab, tuaj yeem tshwm sim. Koj kuj tseem tuaj yeem tsim fistulas los ntawm qhov txhab lossis mob txhab rau hauv txoj hnyuv.
- Cov neeg uas muaj tus kab mob Crohn muaj feem yuav pheej hmoo mob qog noj ntshav ntau dua thiab yuav tsum tau tshuaj xyuas ntau dua li cov pej xeem.
Kauj Ruam 3. Paub txog cov tsos mob ntawm tus kab mob ulcerative
Txawm hais tias mob plab zom mov tuaj yeem muaj cov tsos mob zoo sib xws rau Crohn's Disease, txawm li cas los xij nws txawv me ntsis. Paub txog cov tsos mob ntawm tus kab mob plab tuaj yeem pab koj tau txais kev kuaj mob los ntawm koj tus kws kho mob thiab nqis tes los tswj tus kab mob hauv koj lub neej niaj hnub.
- Cov tsos mob ntawm tus kab mob ulcerative feem ntau yog quav quav quav, mob plab, thiab mob hnyav kom muaj plab zom mov lossis raws plab.
- Tsis qab los noj mov thiab poob phaus yog cov tsos mob tshwm sim ntawm mob plab. Koj kuj tseem yuav ntsib kev qaug zog thiab mob plab.
- Cov neeg feem coob uas muaj tus kab mob ulcerative yuav muaj cov tsos mob me me, txawm hais tias lwm tus tuaj yeem mob hnyav, kub cev, raws plab, thiab ntuav.
- Kev tso ntshav hnyav tuaj yeem ua rau tsis muaj ntshav nyob hauv cov neeg mob plab hnyuv. Lawv kuj tseem tuaj yeem muaj qhov txhab ntawm daim tawv nqaij, koom nrog mob, mob hauv lub siab, thiab mob qhov muag.
- Cov neeg uas muaj tus kab mob ua rau lub plab muaj kev pheej hmoo mob qog noj ntshav ntau dua thiab, zoo li cov neeg uas muaj tus kab mob Crohn, yuav tsum tau kuaj xyuas tas li.
Kauj Ruam 4. Saib xyuas koj lub cev kom zoo
Nws yog ib qho tseem ceeb kom ua tib zoo saib xyuas koj lub cev thiab lub cev ua haujlwm rau txhua yam tsos mob ntawm IBD. Cov cim no, xws li raws plab lossis kub cev, tuaj yeem qhia tus kabmob, tshwj xeeb yog tias lawv tsis ploj mus.
- Saib xyuas koj lub plab kom mob raws plab ntau zaus lossis xav tau tshem tawm sai sai ntawm koj lub plab.
- Txheeb xyuas daim ntaub tso quav lossis lub tais tso quav kom pom cov ntshav ua ntej koj yaug tawm.
- Saib koj cov ris tsho hauv qab lossis cov phuam da dej kom pom tias muaj qhov quav los ntshav lossis tso quav.
- Coob leej neeg uas muaj IBD muaj kub cev nyob qis qis thiab tseem tuaj yeem tawm hws hmo ntuj.
- Qee tus poj niam yuav ntsib qhov poob ntawm lawv lub cev ntas.
Kauj Ruam 5. Ntsuam xyuas koj qhov qab los thiab qhov hnyav
Txiav txim siab yog tias koj tau ntsib ib qho tsis ntev los no, ncua sijhawm tsis qab los lossis poob phaus yam tsis xav tau, tshwj xeeb yog nrog lwm cov tsos mob ntawm IBD. Cov no yuav yog cov cim qhia meej tias koj tab tom raug mob IBD thiab yuav tsum mus ntsib kws kho mob.
Qhov tsis qab los noj mov tuaj yeem yog qhov mob plab thiab mob thiab mob. Qhov no tuaj yeem ua rau poob phaus yam tsis xav tau
Kauj Ruam 6. Ua tib zoo mloog thiab mob
Cov mob plab hnyuv tuaj yeem tshwm sim nws tus kheej nrog mob hnyav lossis mob ntev hauv lub plab thiab tseem tuaj yeem ua rau mob sib koom. Yog tias koj tau mob plab ntev los yog mob hauv pob qij txha uas tsis cuam tshuam nrog lwm yam mob lossis kev tawm dag zog lub cev, koj yuav muaj cov tsos mob no los ntawm IBD.
- Tej zaum koj yuav muaj mob plab lossis mob nrog IBD.
- Tej zaum kuj yuav mob plab nrog rau qhov mob lossis mob plab.
- Mob thiab mob los ntawm IBD tuaj yeem nthuav tawm lawv tus kheej hauv lwm qhov ntawm koj lub cev ib yam. Saib xyuas qhov mob ntawm koj cov pob qij txha lossis qhov muag o.
Kauj Ruam 7. Tshuaj xyuas koj cov tawv nqaij
Txheeb xyuas koj cov tawv nqaij kom pom qhov hloov pauv ntawm koj cov tawv nqaij lossis tawv nqaij, xws li pob liab, mob txhab, lossis ua pob. Cov no tuaj yeem qhia IBD, tshwj xeeb tshaj yog tias tau ntsib nrog lwm cov tsos mob.
Qee qhov tawv nqaij tuaj yeem hloov mus rau hauv fistulas, uas yog kis kab mob uas tsim tawm ntawm daim tawv nqaij
Ntu 2 ntawm 4: Tau Txais Kev Kho Mob thiab Kho
Kauj Ruam 1. Mus ntsib koj tus kws kho mob
Yog tias koj pom ib qho ntawm cov cim lossis tsos mob ntawm IBD thiab/lossis muaj kev pheej hmoo rau tus kab mob, mus ntsib koj tus kws kho mob kom sai li sai tau. Kev kuaj mob ntxov yog qhov tseem ceeb los pab kho thiab tswj tus kab mob.
- Koj tus kws kho mob yuav kuaj mob IBD tsuas yog tom qab nws txiav txim tawm lwm yam ua rau koj cov tsos mob.
- Koj tus kws kho mob yuav siv ntau yam kev ntsuas los pab txheeb xyuas IBD.
Kauj Ruam 2. Tau kuaj thiab kuaj mob
Yog tias koj tus kws kho mob xav tias koj muaj IBD, nws tuaj yeem xaj kuaj tom qab ua koj qhov kev kuaj mob lub cev thiab txiav txim siab lwm yam ua rau. Cov kev xeem no yog tib txoj hauv kev kom paub tseeb tias kuaj mob ntawm IBD.
- Koj tus kws kho mob yuav xaj kom kuaj ntshav txhawm rau kuaj ntshav, uas yog ib qho tshwm sim tshwm sim ntawm IBD. Kev kuaj ntshav kuj tseem tuaj yeem txiav txim siab seb koj puas muaj cov cim qhia tias muaj kab mob, kab mob, lossis kab mob hauv koj lub cev.
- Koj tus kws kho mob tuaj yeem xaj cov quav quav hu ua quav quav quav ntshav uas kuaj xyuas cov ntshav hauv koj cov quav.
- Koj tus kws kho mob yuav hais kom ua txoj haujlwm endoscopic, xws li kuaj txoj hnyuv lossis sab nraub qaum, txhawm rau tshuaj xyuas koj cov hnyuv. Hauv cov txheej txheem no, lub koob yees duab me tau tso rau hauv qee qhov ntawm koj txoj hnyuv. Yog tias tus kws kho mob pom thaj chaw uas ua rau mob o lossis txawv txav, nws yuav mus kuaj ntshav. Cov no yog qhov tseem ceeb tshwj xeeb hauv kev kuaj mob.
- Koj tus kws kho mob kuj tseem tuaj yeem xaj tus txheej txheem ntsuas duab, xws li X-ray, CT scan, lossis MRI. Cov no yuav pab koj tus kws kho mob tshuaj xyuas cov ntaub so ntswg ntawm koj lub plab zom mov thiab saib seb puas muaj teeb meem ntawm IBD, xws li txoj hnyuv tawg.
Kauj Ruam 3. Tau txais kev kho mob rau IBD
Yog tias koj tus kws kho mob lees paub kev kuaj mob ntawm IBD nrog kev kuaj mob, nws yuav sau ntawv kho mob raws li qhov mob hnyav. Muaj ntau txoj kev kho mob thiab kev tswj hwm sib txawv rau IBD.
- Kev kho mob rau IBD cuam tshuam txog kev txo qhov mob uas ua rau pom cov tsos mob ntawm tus kab mob. Tsis muaj kev kho rau IBD.
- Kev kho rau IBD feem ntau cuam tshuam nrog kev kho tshuaj lossis phais; neeg feem coob nrog Crohn's Disease yuav tsum tau phais qee lub sijhawm lawv lub neej.
- Koj tus kws kho mob yuav sau ntawv tshuaj tiv thaiv kab mob xws li aminosalicylates lossis corticosteroids, txhawm rau pab txo IBD lub sijhawm luv. Cov tshuaj no tuaj yeem ua rau muaj kev phiv xws li tawm hws hmo ntuj, tsis tsaug zog, ua tsis taus pa, thiab txhim kho cov plaub hau ntau dhau.
- Qee tus kws kho mob yuav sau tshuaj tiv thaiv kab mob xws li cyclosporine, infliximab, lossis methotrexate.
- Koj tus kws kho mob kuj tseem tuaj yeem sau tshuaj tua kab mob xws li ciprofloxacin los pab tswj lossis tiv thaiv kev kis mob.
Kauj Ruam 4. Tau phais rau IBD
Hauv cov xwm txheej uas kev siv tshuaj thiab kev hloov pauv lub neej tsis pab IBD, koj tus kws kho mob tuaj yeem xaiv ua phais los pab tswj tus kab mob. Kev phais yog qhov kev kho mob zaum kawg thiab tuaj yeem muaj qee qhov kev phiv tsis zoo uas tsis yog tshwj xeeb ntev.
- Kev phais mob rau ob lub qhov quav thiab Crohn tus kab mob cuam tshuam nrog tshem tawm ib feem ntawm txoj hnyuv.
- Tej zaum koj yuav tau hnav lub hnab colostomy kom sau cov quav tawm tom qab phais tas. Tej zaum nws yuav nyuaj rau kev nyob nrog lub hnab colostomy, tab sis koj tseem tuaj yeem ua lub neej puv thiab nquag.
- Yuav luag ib nrab ntawm cov neeg txom nyem los ntawm Crohn yuav xav tau kev phais, tab sis nws yuav tsis kho tus kab mob. Qhov tag nrho colostomy tuaj yeem kho GI yam ntawm mob plab hnyuv, txawm hais tias nws yuav tsis kho cov tsos mob ntawm tus kab mob (uveitis, mob caj dab, thiab lwm yam).)
Ntu 3 ntawm 4: Sim Kho Tej Yam Zoo
Kauj Ruam 1. Hloov koj li kev noj zaub mov thiab kev noj zaub mov zoo
Muaj qee qhov pov thawj uas hloov pauv koj cov zaub mov noj thiab noj zaub mov zoo tuaj yeem pab tswj cov tsos mob ntawm IBD. Koj tus kws kho mob yuav hais qhia hloov koj li kev noj zaub mov noj thiab nrog rau lwm yam kev kho mob.
- Koj tus kws kho mob yuav hais qhia lub raj mis pub mis lossis txhaj tshuaj kom zoo los pab koj lub plab so thiab txo qhov mob.
- Koj tus kws kho mob kuj tseem tuaj yeem hais qhia zaub mov noj tsawg tsawg uas yuav tsis ua rau koj lub plab txhaws. Cov khoom noj uas tsis muaj seem, uas muaj fiber ntau tsawg xws li yoghurt, creamy kua zaub, ua kom dawb qhob cij dawb thiab pastas, thiab crackers. Koj yuav xav zam cov txiv hmab txiv ntoo thiab zaub nyoos, txiv ntseej, thiab cov khoom lag luam tag nrho.
- Koj tus kws kho mob kuj tseem yuav hais kom noj cov hlau, calcium, Vitamin D, thiab Vitamin B-12 tshuaj ntxiv los pab hloov cov as-ham poob vim yog cov tsos mob ntawm IBD.
- Noj zaub mov me me uas muaj roj tsawg thiab tsis muaj fiber ntau tuaj yeem pab kho cov tsos mob ntawm IBD.
- Kev haus dej kom ntau tuaj yeem pab txo cov tsos mob ntawm IBD. Dej yog qhov kev xaiv zoo tshaj plaws los pab ua kom koj muaj dej txaus.
Kauj Ruam 2. Xav txog kev sim lwm txoj kev kho mob
Thaum feem ntau tsis tau qhia txiaj ntsig ntau, lawv tau muaj txiaj ntsig zoo rau qee qhov. Tham nrog kws kho mob ua ntej sim tshuaj ntsuab lossis lwm yam kev kho mob.
Cov kev tshawb fawb tsis ntev los no tau pom tias muaj lwm txoj kev kho mob xws li siv cov tshuaj fiber ntau dua los yog probiotics, haus cov kua tshuaj peppermint, lossis sim ua kom lub cev tsis muaj zog thiab kev paub txog tus cwj pwm kho tau zoo ntawm kev pab qee tus neeg mob txo qis cov tsos mob ntawm IBD
Kauj Ruam 3. Hloov koj txoj kev ua neej
Kev hloov pauv rau koj tus cwj pwm kev ua neej tuaj yeem pab tswj hwm koj li IBD. Los ntawm kev txiav luam yeeb kom tsis txhob muaj kev nyuaj siab, cov kev hloov no tuaj yeem pab txo koj cov tsos mob.
- Kev haus luam yeeb yuav ua rau mob Crohn mob hnyav dua, thiab cov neeg haus luam yeeb feem ntau yuav rov muaj dua thiab xav tau kev phais dua.
- Txo kev ntxhov siab kuj tseem tuaj yeem pab txo cov tsos mob ntawm IBD. Koj tuaj yeem txo kev ntxhov siab los ntawm kev so kom txaus thiab ua pa ib ce lossis xav txog.
- Kev qoj ib ce thiab ua kom maj mam yuav tsis tsuas yog pab txo kev ntxhov siab, tab sis kuj tseem tuaj yeem pab ua kom lub plab ua haujlwm tau zoo. Tham nrog koj tus kws kho mob txog hom kev tawm dag zog zoo tshaj plaws los tswj koj li IBD.
Ntu 4 ntawm 4: Nkag Siab IBD
Kauj Ruam 1. Kawm paub txog IBD
Txij li IBD yog lub sijhawm siv rau Crohn's Disease thiab mob plab, nws yog qhov tseem ceeb kom paub qhov sib txawv ntawm cov kab mob zoo sib xws no. Qhov no tuaj yeem pab koj kom paub zoo dua ib qho tsos mob ntawm tus kab mob thiab tau txais kev kho mob raws sijhawm.
- Crohn's Disease yog mob hnyav ntawm txoj hnyuv. Hauv kev sib piv rau mob plab, Crohn's Disease feem ntau cuam tshuam rau qhov kawg ntawm txoj hnyuv me, lossis ileum, thiab pib ntawm txoj hnyuv, txawm hais tias nws yuav tshwm sim nyob txhua qhov chaw ntawm txoj hnyuv, los ntawm lub qhov ncauj mus rau qhov quav.
- Ulcerative colitis thiab Crohn's yog ob qho kev tiv thaiv tsis txaus ntseeg, tab sis txhua tus ntawm lawv cuam tshuam rau lwm qhov chaw. Ulcerative colitis ua rau mob ntev nyob rau hauv cov nyuv thiab kev txhim kho ntawm qhib qhov txhab lossis mob txhab rau hauv txoj hnyuv. Thaum Crohn's Kab Mob tuaj yeem cuam tshuam rau ib feem ntawm txoj hnyuv, mob plab hnyuv tsuas cuam tshuam rau txoj hnyuv.
Kauj Ruam 2. Koom nrog pab pawg txhawb nqa lossis mus ntsib kws kho mob
IBD tuaj yeem yog mob hnyav rau koj thiab koj cov neeg uas koj hlub. Koom nrog pab pawg ntawm cov neeg mob IBD lossis tham nrog lwm tus kws kho mob lossis kws kho mob tuaj yeem pab koj nkag siab thiab tswj tus kab mob.
