He aha ka Inflammatory Bowel Disease? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka inflammatory bowel disease (IBD) kahi hui o nā kūlana maʻi lōʻihi e hoʻoulu ai i ka mumū mau loa i loko o kou ʻōnaehana ʻai. ʻO nā ʻano nui ʻelua, ʻo ia ka maʻi Crohn a me ka ulcerative colitis, a ʻelua lāua e hiki ke hoʻopilikia nui i kou ola i kēlā me kēia lā, akā hiki ke hoʻokele ʻia me ka mālama pono.

E noʻonoʻo i ka IBD e like me kou ʻōnaehana pale kino e hoʻouka hewa i ka ʻiʻo olakino i loko o kou ʻōpū, e hoʻoulu ai i ka mumū mau loa. ʻAʻole kēia he mea āu i hana ai a i ʻole hiki iā ʻoe ke pale aku, a me nā koho lapaʻau o kēia wā, nui nā kānaka me ka IBD e ola ana i nā ola piha a hana nui.

He aha ka Inflammatory Bowel Disease?

ʻO ka IBD kahi kūlana autoimmune kahi e hoʻouka ai ka ʻōnaehana pale o kou kino i kou ʻōnaehana ʻai ponoʻī. Hoʻokumu kēia i ka mumū mau loa e hiki ke hoʻopili i nā ʻāpana like ʻole o kou ʻōpū, e alakaʻi ana i nā hōʻailona e hele mai ana a hele aku i loko o nā flares.

ʻAʻole like me ka irritable bowel syndrome (IBS), ka mea e hoʻopilikia ai i ka hana ʻana o ka ʻōpū, hoʻopili ka IBD i ka hōʻino ʻana o ka ʻiʻo a me ka mumū e hiki ke ʻike ʻia i nā hoʻokolohua lapaʻau. Hoʻomaka maʻamau ka maʻi i kou mau makahiki ʻōpio a i ʻole i kou mau makahiki iwakālua, ʻoiai hiki ke ʻike ʻia i kēlā me kēia makahiki.

ʻO ka IBD kahi kūlana ola lōʻihi, akā ʻaʻole kēia manaʻo he ʻeha mau loa. Nui nā kānaka e ʻike i nā manawa lōʻihi o ka remission kahi e emi iki ai nā hōʻailona a i ʻole ʻaʻohe loa. ʻO ke kī, ʻo ia ka hana pū ʻana me kāu hui olakino e loaʻa ai ke ala lapaʻau kūpono no kāu kūlana kikoʻī.

He aha nā ʻAno o ka Inflammatory Bowel Disease?

Hoʻopili nā ʻano nui ʻelua o ka IBD i nā ʻāpana like ʻole o kou ʻōnaehana digestive ma nā ʻano like ʻole. Ke hoʻomaopopo ʻoe i ke ʻano āu e loaʻa ai, e kōkua ia i kāu hoʻolālā lapaʻau.

Maʻi Crohn hiki ke hoʻopili i kekahi ʻāpana o kou ʻōnaehana digestive mai ka waha a hiki i ka anus, ʻoiai ʻo ka hapa nui o ka hopena i ka ʻōpū liʻiliʻi a me ka colon. Hana ʻia ka mumū i nā ʻāpana, e hana ana i kahi

Kolitis hōʻino e pili wale ana i kou kolona (ka ʻōpū nui) a me ka rectum. Hoʻomaka ka mumū ma kou rectum a pālahalaha mau i luna, e hana ana i kahi ʻano ʻino like ʻole.

Aia kekahi ʻano liʻiliʻi ʻole i kapa ʻia ʻo kolitis indeterminate, kahi hiki ʻole i nā kauka ke hoʻokaʻawale maopopo i waena o ka maʻi Crohn a me ka kolitis hōʻino. Hana kēia ma kahi o 10% o nā hihia IBD a hiki ke ʻike maopopo ʻia ma hope.

He aha nā Hōʻailona o ka Inflammatory Bowel Disease?

Hiki i nā hōʻailona IBD ke ʻokoʻa loa mai ke kanaka a i ke kanaka a hiki ke hele mai a hele aku me ka manaʻo ʻole. I nā manawa hana i kapa ʻia ʻo nā flares, hiki iā ʻoe ke ʻike i nā hōʻailona ʻoluʻolu ʻole e hiki ke hoʻopilikia nui i kou ola.

ʻO nā hōʻailona maʻamau āu e ʻike ai:

• Kū mau ka luaʻi, pinepine me ke koko a i ʻole ka mucus
• ʻEha a me ka ʻeha o ka ʻōpū, ʻoi aku hoʻi ma kou ʻōpū lalo
• Pono koke e hele i ka luaʻi
• Manaʻo e ʻaʻohe ou hoʻomaʻemaʻe piha i kou ʻōpū
• Pau ke kaumaha ma muli o ka nele o ka hoʻopili ʻana i nā meaʻai
• Luhi ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Fever haʻahaʻa i nā manawa flares

ʻIke kekahi poʻe i nā hōʻailona ma waho o kā lākou ʻōnaehana digestive, ka mea a nā kauka i kapa ai he mau hōʻike extraintestinal. Hiki i kēia ke komo pū me ka ʻeha o nā hui, nā pilikia o ka ʻili, ka mumū o nā maka, a i ʻole nā ​​pilikia o ke akepaʻa.

He mea nui e ʻike ʻaʻole mau ka nui o ka hōʻailona e kūlike me ka nui o ka mumū. Hiki iā ʻoe ke manaʻo maikaʻi ʻoiai ʻoe e loaʻa ana ka maʻi hana, ʻo ia ke kumu o ka nānā mau ʻana me kāu kauka he mea nui.

He aha ka mea e hoʻokumu ai i ka Inflammatory Bowel Disease?

ʻAʻole ʻike ʻia ke kumu pololei o ka IBD, akā manaʻo nā mea noiʻi ua hopena ia mai kahi pilina paʻakikī ma waena o kāu genetics, ka ʻōnaehana pale, a me ke kaiapuni. ʻAʻole kēia he mea āu i hana hewa ai a i ʻole hiki iā ʻoe ke pale aku.

He mea nui kāu hoʻohālike kino, no ka mea, ua hele pinepine ka IBD i loko o nā ʻohana. Inā loaʻa iā ʻoe kahi hoahānau pili me ka IBD, ʻoi aku ka nui o kou pilikia, ʻoiai ʻaʻole i loaʻa ka maʻi i ka hapanui o nā kānaka me ka mōʻaukala ʻohana.

ʻO nā kumu kūlohelohe e hiki ke kōkua pū me:

• Kekahi mau maʻi e hoʻonāukiuki i ka hana ʻole o ka ʻōnaehana pale kino
• Hoʻohana ʻana i nā lāʻau antibiotic, ʻoi aku hoʻi i nā makahiki kamaliʻi
• ʻAi ʻAi Komohana kiʻekiʻe i nā meaʻai i hana ʻia a haʻahaʻa i ka fiber
• Paka (ʻoi aku ka hoʻonui ʻana i ka pilikia o ka maʻi Crohn)
• Kaumaha, ʻoiai ʻoi aku paha kēia he mea hoʻonāukiuki ma mua o ke kumu
• Kekahi mau lāʻau lapaʻau e like me nā NSAIDs

Ke manaʻo nei ka manaʻo nui e pili ana i nā kānaka me ka hiki ke loaʻa i ka maʻi, nā mea hoʻonāukiuki kūlohelohe e hoʻonāukiuki i ka ʻōnaehana pale kino e pane nui i nā bacteria maʻamau o ka ʻōpū. Hoʻokumu kēia i ka mumū mau e lilo i mea ponoʻī.

He mea nui, ʻaʻole i hana ʻia ka IBD e ke kaumaha, nā meaʻai ʻawaʻawa, a i ʻole nā ​​koho ola maikaʻi ʻole, ʻoiai nā manaʻo kuhihewa maʻamau. Hiki i kēia mau mea ke hoʻonāukiuki i nā hōʻailona i kahi kanaka i loaʻa mua ka maʻi, akā ʻaʻole lākou e hana i ka IBD ponoʻī.

I ka wā e ʻike ai i ke Kauka no ka Inflammatory Bowel Disease?

Pono ʻoe e hoʻokaʻaʻike i kāu mea lawelawe ola inā loaʻa iā ʻoe nā hōʻailona digestive mau e hoʻopilikia ana i kou ola i kēlā me kēia lā. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i nā pilikia a hoʻomaikaʻi i kou nānā lōʻihi.

E ʻimi i ka mālama lapaʻau inā loaʻa iā ʻoe:

• ʻO ka luaʻi ʻana i lōʻihi ma mua o kekahi mau lā
• Ke koko i loko o kou ʻōpala
• ʻEha ʻōpū nui
• Kaumaha ʻole i manaʻo ʻole ʻia
• Luhi mau
• Fever me nā hōʻailona digestive

Inā loaʻa mua iā ʻoe ka IBD, e hoʻokaʻaʻike koke i kāu kauka no nā hōʻailona koʻikoʻi e like me ke kuni kiʻekiʻe, ka maloʻo nui, ka ʻeha ʻōpū ikaika, a i ʻole nā ​​hōʻailona o ka pale ʻana o ka ʻōpū. Hiki i kēia ke hōʻike i nā pilikia koʻikoʻi e pono ai ka mālama koke.

Mai kali a hiki i ka ʻeha nui o nā hōʻailona. ʻO ka hoʻoponopono koke pinepine ka hopena maikaʻi a hiki ke kōkua i ka pale ʻana i ka holomua ʻana o ke kūlana i nā pae ʻoi aku ka nui.

He aha nā kumu pilikia no ka Inflammatory Bowel Disease?

Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai ka IBD, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o nā kumu pilikia e loaʻa iā ʻoe ke kūlana. Hiki i ka hoʻomaopopo ʻana i kēia ke kōkua iā ʻoe a me kāu kauka e loiloi i kou pilikia holoʻokoʻa.

ʻO nā kumu pilikia nui loa e komo pū ana:

• Mōʻaukala ʻohana: ʻO ka loaʻa ʻana o ka makua, kaikuaʻana, a i ʻole ke keiki me ka IBD e hoʻonui nui i kou pilikia
• Makahiki: Hoʻomohala ka hapa nui o nā kānaka i ka IBD ma mua o 30 mau makahiki, me kahi piko ʻē aʻe liʻiliʻi a puni 60 mau makahiki
• Lāhui: Loaʻa i nā kānaka o ka lāhui Iudaio Ashkenazi nā helu kiʻekiʻe, ʻoiai e pili ana ka IBD i nā hui lāhui āpau
• Kahi honua: ʻOi aku ka maʻamau ma nā ʻāina hoʻomohala a me nā wahi kūlanakauhale
• Pāpā: Hoʻonui i ka pilikia o ka maʻi Crohn i ʻelua, akā he mea kupanaha paha e pale aku i ka ulcerative colitis

ʻO nā kumu pilikia liʻiliʻi e komo pū ana i kekahi mau lāʻau lapaʻau, ʻoi aku hoʻi nā NSAIDs a me nā lāʻau antibiotic, ʻoi aku hoʻi ke hoʻohana pinepine ʻia a i ʻole i ka wā kamaliʻi. Hiki i kekahi mau maʻi ke hoʻoulu pū i ka IBD i nā kānaka i loaʻa ka pilikia.

He mea kūpono ke hoʻomaopopo ʻaʻole i loaʻa i ka nui o nā kānaka me nā kumu pilikia he nui ka IBD, ʻoiai ke loaʻa nei i nā poʻe ʻē aʻe me nā kumu pilikia ʻike ʻole ʻia. Hōʻike kēia i ka paʻakikī o ka hoʻomohala ʻana o ke kūlana.

He aha nā pilikia hiki ke loaʻa i ka Inflammatory Bowel Disease?

ʻOiai hiki i nā pilikia IBD ke kani weliweli, ʻaʻole loaʻa i ka hapa nui o nā kānaka me ka mālama lapaʻau kūpono nā pilikia koʻikoʻi. Eia naʻe, he mea nui ke hoʻomaopopo i nā pilikia hiki ke loaʻa i hiki iā ʻoe ke hana pū me kāu kauka e pale aku iā lākou.

Hiki i nā pilikia ʻōpū ke komo pū ana:

• Nā mea e kāʻili ai: ʻO ka ʻili ʻeha e hoʻoliʻiliʻi ai i ka ʻōpū, hiki ke kumu i ka pale ʻana
• Nā Fistula: Nā pilina kūpono ʻole ma waena o nā ʻāpana like ʻole o ka ʻōpū a i ʻole nā ​​mea ʻē aʻe
• Nā ʻAbscess: Nā ʻeha o ka pus e pono ai paha ka hoʻokahe ʻana
• Ka perforation: Ka puka liʻiliʻi akā koʻikoʻi ma ka paia o ka ʻōpū
• Ke kahe koko nui: ʻOiai ʻo ka hapa nui o ke kahe koko mai ka ʻōpū he mea liʻiliʻi wale nō, pono paha ka hoʻoponopono ʻana i nā hihia koʻikoʻi

Hiki i nā pilikia lōʻihi ke komo pū me ka hoʻonui ʻia o ka pilikia o ka maʻi kanesa colorectal, ʻoi aku hoʻi me ka colitis ākea e lōʻihi ana ma mua o ʻewalu makahiki. ʻO ia ke kumu e lilo ai ka nānā colonoscopy maʻamau i mea nui no nā mea maʻi IBD lōʻihi.

Hoʻomaka pinepine nā pilikia o ka meaʻai ma muli o ka ʻai ʻole maikaʻi a i ʻole nā ​​palena ʻai. Hiki i kēia ke komo pū me ka anemia, nā nele o ka huaora, a i ʻole nā ​​pilikia o ka iwi. Hiki i kāu hui olakino ke kōkua i ka nānā ʻana a me ka hoʻoponopono ʻana i kēia mau pilikia ma mua.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo nā lāʻau lapaʻau hou e hōʻemi nui i nā pilikia. ʻO ka nānā maʻamau a me ka hoʻokō ʻana i nā papahana lapaʻau e kōkua i ka hopu ʻana i nā pilikia hiki ke loaʻa i ka wā mua i ka wā e mālama maikaʻi ʻia ai.

Pehea e ʻike ʻia ai ka maʻi Inflammatory Bowel?

ʻO ka ʻike ʻana i ka IBD e pili ana i ka hoʻohui ʻana i kāu mau hōʻailona, ​​mōʻaukala lapaʻau, a me kekahi mau hoʻokolohua e kāpae i nā kūlana ʻē aʻe. ʻAʻohe hoʻokolohua hoʻokahi e hōʻike maopopo i ka IBD, no laila e hoʻohana kāu kauka i nā ala he nui.

E hoʻomaka kāu kauka me ka kūkākūkā kikoʻī e pili ana i kāu mau hōʻailona, ​​mōʻaukala ʻohana, a me ke ʻano o ka maʻi i ka hana o kou ola i kēlā me kēia lā. E kōkua kēia kamaʻilio i ke alakaʻi ʻana i nā hoʻokolohua e pono loa no kāu kūlana kikoʻī.

ʻO nā hoʻokolohua diagnostic maʻamau e komo pū me:

• Nā ho'okolohua koko: E nānā i nā hōʻailona o ka mumū, ka nele o ke koko, a me nā nele o ka meaʻai
• Nā hāpana ʻōpū: E kāpae i nā maʻi a me ka ʻike ʻana i ka mumū a i ʻole ke kahe koko
• Colonoscopy: Hāʻawi i ka ʻike pololei o kou kolona a me ka hōʻiliʻili ʻana i nā hāpana pūnaewele
• CT a i ʻole MRI scans: Hōʻike i nā kiʻi kikoʻī o kou ʻōpū a me nā pūnaewele a puni
• Capsule endoscopy: Kahi kāmela i ʻai ʻia e kiʻi i kou ʻōpū liʻiliʻi

Hiki i ke kaʻina hana hoʻoholo ke lawe i ka manawa a hiki ke manaʻo ʻia he mea hoʻonāukiuki, akā ʻo ka ho'āʻo piha e hōʻoiaʻiʻo iā ʻoe e loaʻa ka mālama kūpono loa. Pono kāu kauka e hoʻokaʻawale i ka IBD mai nā kūlana ʻē aʻe e like me ka IBS, nā maʻi, a i ʻole nā ​​kūlana mumū ʻē aʻe.

I kēia manawa, e mālama i kahi moʻolelo hōʻailona e hoʻomaopopo ana i nā mea e hoʻonāukiuki i kou mau hōʻailona a me nā mea e hāʻawi i ka hoʻomaha. Hiki i kēia ʻike ke waiwai nui i ka kōkua ʻana i kāu kauka e hoʻomaopopo maikaʻi i kou kūlana.

He aha ka mālama ʻana no ka Inflammatory Bowel Disease?

ʻO ka mālama ʻana i ka IBD e kau nui ana i ka ho'ēmi ʻana i ka mumū, ka hoʻokele ʻana i nā hōʻailona, ​​a me ke kōkua ʻana iā ʻoe e hoʻokō a mālama i ka remission. E pilikino ʻia kāu papahana mālama ma muli o kāu ʻano IBD, ka nui, a me ke ʻano o kou pane ʻana i nā ʻano lāʻau like ʻole.

ʻO nā māhele nui o nā lāʻau IBD e komo pū ana:

• Nā lāʻau anti-inflammatory: E komo pū ana nā aminosalicylates a me nā corticosteroids e ho'ēmi i ka mumū
• Nā mea hoʻohaʻahaʻa ʻōnaehana pale: E like me ka azathioprine a i ʻole methotrexate e hoʻomālie i nā pane pale ʻōnaehana nui
• Biologics: Nā lāʻau lapaʻau kikoʻī e like me nā mea pale TNF e kāohi i nā ala mumū kikoʻī
• JAK inhibitors: Nā lāʻau waha hou e hoʻopili i ka mumū ma ke kiʻekiʻe o ka pūnaewele
• Antibiotics: I kekahi manawa i hoʻohana ʻia e mālama i nā pilikia e like me nā abscesses a i ʻole ka ulu nui ʻana o nā bacteria ʻino

ʻO ka hoʻoponopono maʻamau, he ala piʻi ia, e hoʻomaka ana me nā lāʻau lapaʻau palupalu a hoʻomau i nā koho ikaika inā pono. Eia naʻe, makemake kekahi mau kauka i kēia manawa i kahi ala i luna, e hoʻohana ana i nā lāʻau lapaʻau ʻoi aku ka ikaika i ka wā mua e pale aku ai i nā pilikia.

Hiki ke pono ka ʻoki kino inā ʻaʻole kūpono nā lāʻau lapaʻau a i ʻole inā ulu nā pilikia. No ka ulcerative colitis, hiki ke hoʻōla ka wehe ʻana i ka colon, ʻoiai pono ia e hana i kahi ala hou no ka hoʻokuʻu ʻana i ka ʻōpala mai kou kino.

No ka maʻi Crohn, ʻaʻole hiki i ka ʻoki kino ke hoʻōla i ke kūlana akā hiki ke wehe i nā ʻāpana o ka ʻōpū i hōʻino ʻia a hoʻoponopono paha i nā pilikia e like me nā strictures a i ʻole nā ​​fistulas. He nui nā kānaka me ka maʻi Crohn e pono ai ka ʻoki kino ma hope, akā ʻaʻole kēia manaʻo ua hala ka mālama.

Pehea e mālama ai i ka IBD ma ka home?

He kuleana nui ka mālama ʻana i ka home i ka kaohi ʻana i nā hōʻailona IBD a mālama i kou ola maikaʻi. ʻOiai ʻaʻole hiki iā ʻoe ke mālama i ka IBD me ka ʻole o ka nānā ʻana o ke kauka, hiki i kekahi mau hoʻolālā ke hoʻohui i kāu mau lāʻau lapaʻau i kuhikuhi ʻia.

Hiki i nā hoʻololi ʻai ke kōkua i ka mālama ʻana i nā hōʻailona, ʻoiai ʻaʻohe meaʻai IBD hoʻokahi no nā mea a pau. Loaʻa i nā kānaka he nui ka pōmaikaʻi mai ka mālama ʻana i kahi moʻolelo meaʻai e ʻike ai i nā mea hoʻonāukiuki pilikino a hana pū me kahi dietitian i hoʻopaʻa inoa ʻia i ʻike i ka IBD.

ʻO nā hoʻolālā meaʻai kōkua pinepine e komo pū ana:

• ʻAi ʻana i nā meaʻai liʻiliʻi, pinepine e hōʻemi i ka ukana digestive
• Mālama pono i ka wai, ʻoi aku hoʻi i ka wā o nā flares
• Kaupalena ʻana i nā meaʻai kiʻekiʻe-fiber i ka wā o ka mumū ʻana
• Pale ʻana i nā meaʻai hoʻonāukiuki pilikino i ʻike ʻia
• Lawe ʻana i nā mea hoʻohui huaora a me nā minelala i ʻōlelo ʻia
• Noʻonoʻo ʻana i nā probiotics, ʻoiai he huihui nā hōʻike

He mea nui like ka mālama ʻana i ke kaumaha, ʻoiai hiki i ke kaumaha ke hoʻonāukiuki i nā flares ʻoiai ʻaʻole ia e hoʻokumu i ka IBD. Hiki i ka hoʻoikaika kino maʻamau, ka hiamoe lawa, ka noʻonoʻo, a i ʻole ka ʻōlelo aʻo ke kōkua a pau i ka mālama ʻana i nā pae kaumaha.

Mālama i ka papa inoa o kāu mau hōʻailona, nā lāʻau lapaʻau, a me nā mea hoʻouluulu i loko o kahi puke moʻolelo a i ʻole polokalamu kelepona. Kōkua kēia ʻike iā ʻoe a me kāu kauka e hana i nā hoʻoholo akamai e pili ana i kāu mālama ʻana a hiki ke kōkua i ka ʻike ʻana i nā ʻano i ʻike ʻole ʻia e ʻoe.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā me ke kauka?

ʻO ka hoʻomākaukau ʻana no kāu mau hālāwai IBD e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka pono nui loa mai kāu manawa me kāu mea lawelawe olakino. ʻO ka hoʻomākaukau maikaʻi e alakaʻi i nā kūkākūkā hua a me ka hoʻonohonoho mālama maikaʻi.

Ma mua o kāu hālāwai, e hōʻiliʻili i ka ʻike e pili ana i kāu mau hōʻailona o kēia manawa, me ka pinepine, ka nui, a me nā ʻano āu i ʻike ai. E kākau i nā laʻana kikoʻī ma mua o nā wehewehe laulā e like me “ʻAʻole maikaʻi koʻu manaʻo.”

E lawe mai i ka papa inoa piha o:

• ʻO nā lāʻau lapaʻau āpau āu e lawe nei, me nā nui a me ka manawa
• Nā mea hoʻohui, nā wikamina, a me nā lāʻau lapaʻau ma luna o ka papa kūʻai
• Nā hōʻailona hou a me ko lākou hopena i nā hana o kēlā me kēia lā
• Nā nīnau a i ʻole nā ​​manaʻo e makemake ʻoe e kūkākūkā
• Kekahi mau hopena ʻaoʻao āu i ʻike ai mai nā lāʻau lapaʻau

E noʻonoʻo e lawe mai i kahi hoaaloha a hoaʻohana paha i hilinaʻi ʻia e kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi i kūkākūkā ʻia i ka wā o ka hālāwai. Hiki iā lākou ke hāʻawi i ke kākoʻo manaʻo a kōkua i ka pale aku i kāu mau pono.

Mai kānalua e nīnau i nā nīnau e pili ana i nā mea āu i ʻike ʻole ai. Makemake kāu hui olakino e kōkua iā ʻoe e ʻike a hilinaʻi i kāu papa hana lapaʻau.

Pehea e hiki ai ke pale ʻia ka maʻi Inflammatory Bowel?

ʻAʻole maikaʻi, ʻaʻohe ala i hōʻoia ʻia e pale aku i ka IBD ʻoiai ʻaʻole i maopopo loa nā kumu kikoʻī. Eia naʻe, hiki i kekahi mau koho nohona ke hoʻemi i kou pilikia a kōkua i ka pale ʻana i nā ʻāpala inā loaʻa iā ʻoe ka maʻi.

ʻAʻole hiki ke hoʻololi i nā kumu genetic, akā, hiki paha ke hoʻopilikia i nā mea hoʻonāukiuki o ke kaiapuni. ʻO kekahi mau mea palekana e komo pū ana ka mālama ʻana i kahi ʻai olakino piha i nā hua a me nā huaʻai, ke pale ʻana i ka hoʻohana ʻana i nā lāʻau antibiotic pono ʻole, a me ka ʻole o ka puhi paka.

Inā loaʻa iā ʻoe ka IBD, hiki iā ʻoe ke lawe i nā hana e pale ai i nā flares a me nā pilikia:

• E lawe i nā lāʻau e like me ka mea i kuhikuhi ʻia, ʻoiai inā ʻoluʻolu ka manaʻo
• E hele i nā hālāwai lāʻau āpau i hoʻonohonoho ʻia a me nā nānā
• E mālama i ka lāʻau ʻana e like me ka mea i kuhikuhi ʻia e kāu kauka
• E mālama i ka ʻai maikaʻi a hoʻokele i nā pae kaumaha
• E pale i nā NSAIDs ke ʻole i ʻāpono ʻia e kāu kauka
• Mai puhi paka, no ka mea, e hoʻopilikia ia i nā hopena IBD

Hiki i ka ʻike mua ʻana a me ka mālama ʻana i ka IBD ke pale aku i nā pilikia he nui. Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka IBD, e kūkākūkā i kou pilikia me kāu kauka a e makaʻala i nā hōʻailona mua.

He aha ka lawe nui e pili ana i ka Inflammatory Bowel Disease?

ʻO ka IBD kahi kūlana maʻi mau e pono ai ka mālama lāʻau mau, akā ʻaʻole pono ia e hoʻomaopopo i kou ola. Me ka mālama kūpono a me ka hoʻokele ponoʻī, nui nā kānaka me ka IBD e ola i nā ola piha, hana nui me ka liʻiliʻi o nā palena.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia ka mālama maikaʻi ʻia o ka IBD i kēia lā. ʻOiai ʻaʻole hiki iā kākou ke hoʻōla iā ia i kēia manawa, loaʻa iā kākou nā lāʻau lapaʻau maikaʻi e hiki ke hoʻomalu i ka mumū, hoʻōla i nā pōʻino, a pale aku i nā pilikia.

He mea nui kāu pilina me kāu hui olakino no ka holomua lōʻihi. E komo mau i kāu mālama, e kamaʻilio ākea e pili ana i nā hōʻailona a me nā hopohopo, a mai kānalua e ʻimi i ke kōkua ke pono ʻoe.

E hoʻomanaʻo ʻaʻole ka loaʻa ʻana o ka IBD e hana iā ʻoe i nāwaliwali a haki paha. He kūlana lāʻau ia e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe e pono ai ka hoʻokele. Me ke ala kūpono, hiki iā ʻoe ke mālama i kou maikaʻi o ke ola a hahai i kou mau pahuhopu ʻoiai loaʻa iā ʻoe ka IBD.

Nā Nīnau Pinepine e pili ana i ka Inflammatory Bowel Disease

Hiki ke hoʻōla ʻia ka IBD?

I kēia manawa, ʻaʻohe lāʻau lapaʻau no ka IBD, akā hiki ke hoʻokele pono ʻia me ka mālama kūpono. He nui ka poʻe i loaʻa ka remission lōʻihi kahi e emi iki ai nā hōʻailona a i ʻole ʻaʻohe. No ka ulcerative colitis, hiki i ka wehe ʻana i ka colon ma ke ʻoki ke hoʻopau i ka maʻi, ʻoiai ke manaʻo ʻia kēia wale nō ke hana ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

Ua like anei ka IBD me ka IBS?

ʻAʻole, ʻokoʻa loa nā kūlana o ka IBD a me ka IBS. Hoʻopili ka IBD i ka mumū maoli a me ka hōʻino ʻana i nā pūnaewele e hiki ke ʻike ʻia ma nā hoʻokolohua, ʻoiai ʻo ka IBS kahi maʻi hana e hoʻopilikia ana i ka hana ʻana o ka ʻōpū me ka ʻole o ka hōʻino ʻana i ʻike ʻia. ʻOi aku ka nui o ka IBD a pono nā ala mālama ʻokoʻa ma mua o ka IBS.

Pono anei wau i ka ʻoki no kaʻu IBD?

ʻAʻole pono nā kānaka a pau me ka IBD i ka ʻoki. Hoʻokele nui ka poʻe i ko lākou kūlana me nā lāʻau lapaʻau wale nō. Eia naʻe, ma kahi o 70% o nā kānaka me ka maʻi Crohn a me 30% o nā kānaka me ka ulcerative colitis e pono paha i ka ʻoki ʻana, maʻamau e mālama i nā pilikia a i ʻole ke lawa ʻole nā ​​​​lāʻau lapaʻau.

Hiki iaʻu ke loaʻa nā keiki inā loaʻa iaʻu ka IBD?

ʻAe, hiki i ka hapa nui o nā kānaka me ka IBD ke loaʻa nā hapai olakino a me nā keiki. ʻOi aku ka maikaʻi o ka hoʻolālā ʻana i nā hapai i nā manawa remission a hana pili pono me kāu gastroenterologist a me ka obstetrician. Loaʻa kekahi mau lāʻau IBD i ka wā hāpai, ʻoiai pono paha e hoʻoponopono ʻia kekahi.

He aha nā meaʻai e pono iaʻu ke pale aku me ka IBD?

ʻAʻohe meaʻai IBD laulā ʻia ʻoiai ʻokoʻa loa nā meaʻai hoʻonāukiuki ma waena o nā kānaka. ʻO nā mea hoʻonāukiuki maʻamau e komo pū ana i nā meaʻai kiʻekiʻe i ka wā o nā flares, nā huahana waiū, nā meaʻai ʻawaʻawa, a me ka waiʻona. ʻO ke ala maikaʻi loa ka mālama ʻana i kahi moʻolelo meaʻai e ʻike i kāu mau mea hoʻonāukiuki pilikino a hana pū me ka dietitian e maopopo ana i ka IBD.