Ichi chirongwa cheBDH hachisi Crohn's disease kana ulcerative colitis
Paunenge uchitaura nezvokuputika kwechirwere chirwere (IBD) , iyo miviri iyo inowanzotaurwa nezvayo inonzi ulcerative colitis uye chirwere cheCrohn, asi kune chechitatu chirwere chinonzi indeterminate colitis. Indeterminate colitis inoshandiswa kana zvichifungidzirwa kuti mamwe maitiro eBD aripo, asi haasati anzwisiswa kuti ndechipi chirwere chacho.
Iyi inonguva yakavhiringidza uye inokakavadzana muBD, uye zvinoreva zvakanyanya kune varwere uye vanachiremba. Inofungidzirwa kuti chero pakati pe10 kubva muzana ne15 muzana yevanhu vane IBD vanofungidzirwa kuti vane indeterminate colitis. Mune mamwe mamiriro ezvinhu, kuongororwa kweimwe nzira yeBD kunogona kuitwa gare gare, apo humwe uchapupu hunowanikwa kana chirwere chinoshanduka.
Icho Indeterminate Colitis Is
IBD inowanzomirirwa seyamuvhura, iyo iyo Crohn's disease uye ulcerative colitis inowira. Zvisinei, kune mamwe mamiriro ezvinhu apo munhu ane rudzi rweBD rusingakwanisi kuiswa mune imwe yeiyo mabhakiti. Izvi hazvirevi kuti kuongororwa kwechirwere cha Crohn kana kuti chironda chekurara chirwere hachizogoni kuitwa mune ramangwana, asi zvinorevei kuti izvo zviri izvozvi, hazvizivikanwi kuti ndechipi chimiro chechirwere chiripo.
Zvirwere zvakapfuurira mberi kwezvikamu zvaro zvokutanga uye zvichisimudzika, kunyanya, zvinogona kuva zvakaoma kurongedza nekuda kwechimiro chekuvhiringidza uye kuti yakawanda sei inogona kuva mumakoloni .
Kune rumwe rutivi, apo zvirwere zvinopera kana kuti mukuregererwa , uye pane zvishoma munzira yekuvhiringidza, zvinogonawo kuva zvakaoma kuita chigadziriswe chakasimba. Zvirwere zvepakutanga dzimwe nguva zvakaoma kuongororwa nokuti kuchinja uko IBD inokonzera mumasero uye iyo inogona kuonekwa mubiopsy pasi pe microscope inogona kunge isipo.
Indeterminate colitis inoramba ichinyanya kukakavadzana mune dzimwe mitezo uye inogona kuonekwa sekutendeseka. Vamwe vatsvakurudzi vakaita nyaya yekusagadzikana kwechirwere ichi kuti ive nhengo yechitatu yeBD, asi vamwe vanosimbisa kuti iyo nzvimbo yekuchengetedza kusvikira imwe yekuongorora ingagadzirwa. Chiremba kana chiremba asina ruzivo nekuongororwa kweBD angaronga izvo zvavari kuona mumurwere kuti ave indeterminate colitis, asi uyo ane ruzivo rwechirwere anoziva anogona kukwanisa kuziva kuti iri chirwere cheCrohn kana kuti ulcerative colitis.
Zviratidzo uye Zviratidzo zveIndeterminate Colitis
Panzvimbo pokunyanya kushandiswa kwemhando dzakasiyana-siyana dzehutachiona hwechirwere uye chirwere cheCrohn, indeterminate colitis inobatanidza necheti yezviratidzo izvo zvakatanga kurondedzerwa muna 1978, kunyange zvazvo zvisiri mitemo uye yakaoma. Indeterminate colitis inogona kuva nezvose kana zvimwe zvezvimiridzo pasi apa:
- Mhando yezvironda: Indeterminate colitis inogona kushandiswa mumamiriro ezvinhu apo kune kungovhiringidza mumatumbo makuru, asi zvipembenene hazviita sezviya zvinowanzokonzerwa nehutachi. Mu ulcerative colitis, zvironda zvinowanikwa mumatumbo makuru zvinongobatanidza mukati memukati wemukati, iyo inoisa mudumbu remadziro. Kana izvo zvipembenene zvakadzika kudarika izvo zvingawanzofungidzirwa ne ulcerative colitis, uye hapana chimwe chinoratidza kuti chirwere ichi chiri chirwere cheCrohn, chinogona kutungamirira chiremba pasi penzira yekugadzirira kutanga kuongororwa kwekusagadzikana kwechirwere. Mhando idzi dzezvironda dzimwe nguva dzinorondedzerwa sezvipembenene zvemukati (zvinoreva kuti zvinopinda mukatikati mudumbu remadziro) kana sezviri kufanana nemapukisi. Mune zvimwe zviitiko zvipembenene-zvakadai semakonduru zvakanyanyisa (anenge 13 muzana yematambudziko), uye dzimwe nguva zvakaumbwa se "V" (inenge 60 muzana yematambudziko).
- Kubatanidzwa kwemaitiro : Chimwe chimiro chekusagadziriswa kwechirwere chetachiona ndechekuti rectum haigoni kubatanidzwa, kana kuti kwete kunyatsobatanidzwa. Mu ulcerative colitis, rectum inowanzopiswa zvakare, ndiyo iyo, kana iyo isiri iyo, haina zvishoma sechiratidzo chinogona kushandiswa kuti chiongororwe. Muhosha yaCrohn, rectum inogona kana kuti isingaratidzi kurwisana.
- Dzokai zvipembenene: Muhosha yaCrohn, kuputika kunogona kudarika nzvimbo dzomukumbo, kusiya nzvimbo inoputika uye nzvimbo dzakawanda dzine utano hwakanaka. Mu ulcerative colitis, kuputika kunotanga mu rectum uye kunopfuurira kusvika kuburikidza nekoloni mune imwe nzira inogadzirisa. Ne indeterminate colitis, inogona kunge iine nzvimbo dzakasviba, kana kuti zvishoma, inoratidzika sokunge kune nzvimbo dzekuputika pakati pezvikamu zvinoputika. Ikoko kunogona kunge kune zvikonzero zvinoverengeka nei ulcerative colitis inogona kuonekwa seine chirwere chezvipembenene, ndicho chikonzero ichi chiitiko chinogona kuva chimwe chikonzero chisingabatsiri nguva dzose pakuita kuti chirwere chisimbiswe.
Kurapa kweIndeterminate Colitis
Zvinosuruvarisa, kuongororwa kwekliniki kune vanhu vane indeterminate colitis inoshayikwa, zvichiita kuti zvive zvakaoma kukura mishonga. Muzviitiko zvakawanda, indeterminate colitis inorapwa nemishonga imwecheteyo uye kuvhiyiwa sezvinoitwa ulcerative colitis. Kusiyana kwaizove kana kune kuputika mumucheche muduku (sekuita sechikamu chekutanga, iyo iriyaum), uye panguva iyo chirongwa chekurapa chinogona kunge chiri chakasiyana zvakasiyana uye chakafanana neicho chechirwere cheCrohn.
Urongwa hwehutano hwekusagadziriswa kwehutachiona hunogona kusanganisira mishonga iyi:
- Asacol (mesalamine)
- Azulfadine (sulfasalazine)
- Immunosuppressants ( Imuran , 6-MP , cyclosporine )
- Rheumatrex (methotrexate)
- Biologic mishonga: Remicade (infliximab) ; Huma (adalimumab) ; Entyvio (Vedolizumab) ; uye Golimumab (Simponi)
- Corticosteroids ( Entocort EC (budesonide) uye prednisone )
Kutsvakurudza nzira dzokuti indeterminate colitis ifananewo neyeiyo ulcerative colitis, iyo inosanganisira yeal pouch anal anastomosis kana IPAA (inowanzonzi j-pouch) uye ileostomy. Mune ileostomy, mbiru inobviswa uye kuguma kwemukati mudumbu kunounzwa kuburikidza nekukanganiswa mumimba (iyo inonzi stoma ). Munhu ane ileostomy anoshandisa chigadziro pamimba kuti abate chigaro, icho zvino chinosiya mumuviri kuburikidza nechikamu chemukati mudumbu uri kunze kwemuviri. Shato inounganidza mune zvishandiso uye inodururwa muimba yepamusoro sezvinodiwa.
Indeterminate Colitis uye J-Pouches
Mune zvimwe zviitiko, indeterminate colitis inorapwa sezvinonzi yakaita sealcerative colitis. Nemhaka yeiyo, vamwe vanhu vane indeterminate colitis vakagadzirwa ne-j-pouch chirurgical, iyo inowanzochengeterwa kushandiswa chete kune vanhu vane kugadziriswa kwechirwere chelonda cheplitis. Mukuvhiya kwe-j-pouch, hutumbu hukuru hunobudiswa uye chikamu chekupedzisira chemukati mudumbu chinogadzirwa muhomwe chimiro che "J" uye chakabatanidzwa kune anus (kana rectum, kana pane imwe yakasara nechiremba) . I-j-pouch inotora basa re rectum, uye inobata chigaro. Izvi zvinowanzoitwa muchirwere cheCrohn nokuti pane ngozi shoma kuti chikwama chingave chakakanganiswa naCrohn uye chinofanira kubviswa.
Zvisinei, zvidzidzo zvakaratidza kuti vanhu vane indeterminate colitis vanowanzoita zvishoma nezvishoma nej-chikwata sezvinoita vanhu vane ulcerative colitis. Zvisinei, vamwe vatsvakurudzi vakaratidza kuti kukwana kwemaj-pouch muvarwere vane indeterminate colitis kunogona kuva yakakwirira nokuti zvirwere zvinoratidzika hazvifananidzi: kune kusiyana kwakawandisa kuongorora boka iri revarwere pamwe chete.
Zvose Zviitiko Zvokudzivirira Zvirwere Hazvifananidzi
Chimwe chinokonzera chinokonzerwa nechirwere chetachiona ndechekuti unhu hunogona kuve hwakasiyana pakati pevarwere. Ichi chinetso neBD inowanzo: Ichi chirwere chakaoma chakaoma kuisa. Tsanangudzo yekusagadzikana kwechirwere ichi haisi iye zvino maitiro, kunyange pane mamwe mazano akawandisa.
Kune zvimwe zviitiko zvekusagadziriswa kwechirwere chinonzi "chirwere chinonzi Crohn" kana vamwe vari "zvinokonzerwa nechirwere chechirwere," izvo zvinoreva kuti pane varwere mune zvakagadziriswa zvingagadziriswa zvinogona kuva chero kupi zvayo pamutambo wose pakati pezvirwere izvi zviviri. Izvi zvinoita kuti kudzidza, uye naizvozvo kunzwisisa, kusagadzikana kwechirwere chetachiona chinhu chakaoma.
Kuongororwa kweIndeterminate Colitis Ingachinja
Muzviitiko zvakawanda, kuongororwa kweCrohn's disease kana ulcerative colitis kunosvika pakupedzisira. Nguva uye nei sei izvi zvichiitika zvichave zvakasiyana-siyana. Mune zvimwe zviitiko, kana kuvhuvhuta kutsva kuchikwira mumucheche muduku apo pakutanga kwaive nekuputika chete mumakoloni, zvingave kuti kuongororwa kwechirwere cheCrohn kunogona kuve ikozvino kuitwa. Mune mamwe mamiriro ezvinhu, zvinetso zvinogona kuitika izvo zvinoratidza vanachiremba mune chinangwa chekuongorora imwe yerudzi rweBD pamusoro peiyo. Zvimwe zvinetso, kana mucheche kana mucheche , zvakanyanya kufanana nehumwe humwe hweBD pamusoro peimwe, uye kuvapo kwavo kunogona kubatsira pakuita kuti uongororwe.
Chimwe chikonzero nei zvakakosha kuwana chirwere ichi mune imwe yemhando iyi kuumba chirongwa chinoshanda chekurapa. Mishonga inogamuchirwa neKudya uye Drug Administration ndeyemamiriro ezvinhu chaiwo, uye nenzira iyi, Crohn's disease uye ulcerative colitis inorapwa zvakasiyana. Kuziva kuti imwe yemhando mbiri dzeBD dzinoreva kugamuchira kurapwa kwakagamuchirwa pachirwere ichocho. Mishonga yakawanda inogamuchirwa kune zvose zviri maBD, asi kune zvimwe zvinogamuchirwa kuti zvive Crohn's disease kana ulcerative colitis. Uyezve, mamwe marapirwo angangodaro anoshanda zvakanyanya kune imwe yezvirwere izvi kupfuura kune imwe. Nokudaro, zvakakosha kuwana tsanangudzo yekujekesa yakaiswa pasi.
Shoko Rinobva
Kuwana kuongororwa kwehutachiona husingaperi kunouya nehuwandu hwakawanda hwokusava nechokwadi uye kunogona kuodza mwoyo paunofunga nezvekutarisira chirwere uye kurapwa. Zvakakosha kune ani zvake ane IBD kuti ave mutongi anotyisa, asi zvinokosha kune vanhu vane indeterminate colitis. Kuwana sangano rezvehutano rinotsigira zvizere pamwe nekuva nerusununguko rwemhuri neshamwari dzinogona kupa rubatsiro uye kunzwisisa kunobatsira mukunda chirwere chacho. Vamwe vanhu vanogona kurarama nehutano hwekusagadziriswa kwepirititis kwekanguva, zvisati zvachinja, uye saka kudzidza zvakawanda sezvinobvira pamusoro peBD uye kuisa pamwe rubatsiro rutsigiro kunofanira kuva chinangwa chikuru.
> Sources:
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