Zvinhu zvakawanda zvinogona kuita kuti kuchinja kwevana vaduku neBD kuwedzere
Mamiriro ekurapa akakomba anowanzofungidzirwa sekuve matambudziko makuru, asi vana vanogona kukura zvirwere zvekudya, uye, chaizvoizvo, chinenge chikamu chechina chevarwere vose vane chirwere chinoputira chirwere (IBD) vanoonekwa sevana. Vana vane IBD vanotarisana nehuwandu hwekukura kwehutano uye kune vamwe vana, inononoka pakukura kwavo muenzaniso inogona kuva chiratidzo chekutanga chekuti vane IBD.
Kukura kwakakwana kwevana vane IBD kunogona kukanganiswa nezvinhu zvakadai sokuputika kwepamuviri, kusagadzikana kwezvokudya, kuperevedzwa kwekoriori kudya, nemishonga yemigumisiro .
Chimwe chikuru chinonyanya kukosha ndechokuti kuwedzera kwepfupa muvana vane IBD inogona kusara shure kwevana vezera rimwe chete vasina IBD. Kuti udzidze zvakawanda nezvekukwirira kwemunhu sekunge munhu mukuru angakanganiswa neBD muhuduku, ndakatendeukira kune UpToDate -bhuku rinotendwa remagetsi rinoshandiswa nevechiremba vakawanda nevarwere vachitsvaga ruzivo rwakanyanya rwechiremba.
"Nokuda kwekuti vana vane nguva dzinononoka kazhinji vanove vakanonoka mapfupa emakore, vamwe kukura kunokwanisika mushure mokutanga kwekuyaruka. Zvisinei, kukura munguva yekuyaruka kunogona kukanganiswa kune avo vane chirwere chinoputira kwenguva refu, kusagadzikana, kana kuti corticosteroid therapy, saka kureba kwevanhu vakuru inogona kuchinjwa. "
Zvimwe zvinhu zvinogona kukanganisa zvinokonzerwa nekukwirira kwemunhu mukuru ane IBD, kusanganisira nguva refu-yakamira, inoshanda; kudya kwakashata; uye kutora steroid zvinodhaka zvakadai se prednisone kuderedza kupisa.
Chirwere cheCrohn, kunyanya, chinobatanidzwa nehuwandu hwekukura kwevana kune hutachiona hwehutachiona, asi mhando dzose dzeBD dzinogona kuva nemigumisiro yakaipa pakukura.
Chikafu chakakodzera nekuregererwa
Kuti varwise zvinhu izvi, kutarisirwa kunofanira kutorwa kuve nechokwadi chokuti vana vane IBD vanowana chikafu chakakodzera uye vanoita kuti chirwere chavo chidzivirire nekukurumidza sezvinobvira.
Kuwana kukanganwirwa munguva yekuyaruka chikamu chinokosha chekubatsira kuve nechokwadi kuti kukura kwefupa uye kukura kunowanikwa pane imwe nguva yakawanda.
Imwe mushonga usingawanzoshandiswa kune vanhu vakuru asi inoshandiswa muvana inongopedzisira kushaya kudya (EEN). Mune EEN, mishonga yakawanda (kusvika kune 90% inodiwa makorikori) inotorwa kuburikidza nekunwa kwekudya kwakakosha uye / kana chirongwa chekudya kana zvichidikanwa. Iyi nzira yekurapa yakawanikwa yakakosha steroids mukuderedza kuregererwa uye yakaratidzwawo kukurudzira mucosal kuporesa mune vamwe varwere.
Kuratidzira Kurapa Zvirongwa
Kushandisa mimwe mishonga isiri steroid kana zvichiita kune imwe nzira inogona kubatsira kuchengetedza mapfupa ekukura mune vana vane IBD. Apo steroids inodiwa, kuitora ivo zuva rimwe nerimwe (pane zuva rega rega) nekuderedza dhiyo nokukurumidza sokuchengetedzwa kwakachengetwa kunoshandiswa kubatsira kuchengetedza mapfupa emapfupa kuvana. (Kana mwana wako iye zvino ari steroids, usashandure chirwere chake asingatauri nachiremba wavo.) Zvinonyatsozivikanwa kuti steroid inopesana nemapfupa, uye inogona kutotungamirira kune osteoporosis .
Kuderedza migumisiro iyo IBD inayo mukukura kwevana inogona kuvimbisa kuti vana vane IBD vane mikana yakanakisisa yekuwana kukura kwemazuva ose uye urefu hwevanhu vakuru.
Pane mamiriro ekurapa IBD kuvana vanodzvinyirira kupfuura vakura kuitira kuti vawane kugadziriswa nokukurumidza uye kuchengetedza huwandu hwemapfupa ekukura. Nyanzvi dzinogona kukurudzira kubata neBD ne "top-down" nzira panzvimbo ye "step-up" nzira. Izvi zvinorevei kuti chirwere chemwana gastroenterologist chinogona kukurudzira biologic (iyo inogona kupiwa nekukanganiswa kana kujowa kana kusanganiswa kwezvose) sekutanga kurapwa, panzvimbo yekuedza mishonga yakare kana mishonga yemajoka uye kumirira kuona zviri kuitika. Kune avo vana vanoongororwa vasati vava kuyaruka, nzira iyi inogona kubatsira kubudirira kune imwe nzira yekuwedzera yekufananidzira mushure mekuyaruka.
Shoko Rinobva
Mune zvimwe zviitiko, kuwedzera kukura kunogona kuva chiratidzo chokutanga chokuti IBD inetso kumwana. Kune vana vane IBD, kukura hakugoni kuenderera mberi kune izvo zvinowanzoitika, uye kuwedzera kwezvikamu zvingaderera. Muchiitiko ichocho, matanho anofanira kutorwa kuti awane IBD pasi pekutonga uye kuunza kukura kunzvimbo yazvinofanira kuva.
> Kwakabva:
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> Gasparetto M, Guariso G. "Chirwere cha Crohn uye kushayikwa kwekukura kwevana nevechiri kuyaruka." World J Gastroenterol . 2014; 20: 13219-13233. > doi >: 10.3748 / wjg.v20.i37.13219
> Lev-Tzion R, Turner D. "Chirwere cheBD chirwere chakasiyana here nevanhu vakuru?" Minerva Gastroenterol Dietol . 2012 Jun; 58: 137-150.
> Sanderson IR. "Matambudziko okukura muvana vane IBD." Nat Rev Gastroenterol Hepatol . 2014; 11: 601-610. > doi >: 10.1038 / nrgastro.2014.102
> Teitelbaum JE. "Kukura kukundikana uye kushaya uremu hunodiwa muvana vane chirwere chinoputika chirwere." UpToDate . 6 Oct 2015.