| you are: ILLNESS the CRONE
Children with illness the Crone practically does not differ from therapy at nonspecific ulcer prick. At a disease aggravation the hungry mode within 24-48 hours with simultaneous parenteralnym a food and the subsequent gradual transition to a diet â„– 4 is recommended. Group preparations salazopirina (see Â" Nonspecific ulcer kolit Â") at granulematoznom prick are less effective, therefore them often combine with kortikosteroidami. Prednizo-bosoms it is appointed inside in decreasing dosages: the initial dose of a preparation 1 - 1,5 mg/kg of weight of a body weekly decreases for 5 mg to a daily dose of 5-10 mg. In this dose the preparation is accepted is long, within 3-4 months. Use mestno operating glucocorticoids (budezonida), released of capsules in terminal department podvzdoshnoj guts and in a thick gut is perspective. In the heaviest cases resort to appointment immunodepressantov (azoti-aprin - on 1 - 1,5 mg/kg of weight of a body a day in 2-4 receptions), 6-merkapto-purina (from calculation of weight of a body of 2-2,5 mg/kg in 1-2 receptions). Duration of a course is defined by efficiency and shipping of a preparation. Under indications symptomatic means are used imodium, antiholinergicheskie preparations, vitamins, immunomoduljatory. In the presence of a fever necessarily prescription of antibiotics. As indications to operative treatment punching, intestinal impassability, repeated profuznye bleedings, sharp toxic dilatatsija a thick gut, fistulas, striktury guts serve.
|
