Chirwere cheCrohn chirwere chisingaperi, chisingaregi, chirwere chinopesana nemasimba chinogona kukonzera kuvhuvhuta chero kupi zvayo pamakumbo ekudya kubva mumuromo kusvika kune anus . Pamwe nehutachiona hwehutachiona, chirwere cheCrohn ndechimwe chezvinhu zvakakura zvechirwere chinokonzera chirwere (IBD) . Chirwere cheCrohn chinowanzobatanidza zvose zvikamu zvemuviri mudumbu, zvichikonzera maronda akawanda.
Vanhu vane chirwere chaCrohn vanowanzochengetwa ne gastroenterologist (nyanzvi mune chirwere chekudya) uye dzimwe nguva chiremba anovhiya (chiremba anonyanya kugadzirisa chirwere chekudya).
Kunyange zvazvo kuongororwa kwechirwere cheCrohn chirwere chinochinja-chinja uye chirwere ichi chinofanira kutarisirwa, ramangwana revanhu vane IBD rakajeka. Kune zvimwe zvisarudzo zvezverapa kupfuura kare, uye mishonga mitsva iri kuverengwa kuitira kuti iiswe kune varwere. Chikonzero chaiicho uye kurapa zvichiri kuongororwa, uye kune humwe hutsvakurudzo huri kuitwa zvino paBD kupfuura kare.
Zvinhu Zvinonyanya Kukosha Kuziva Nezvezvirwere zve Crohn
- Chirwere cheCrohn ndechimwe chimiro cheBD uye chinogona kukanganisa chero chikamu chemuviri wekudya kubva mumuromo kusvika kune anus.
- Hapana chikonzero chakazivikanwa kana chirwere cheCrohn's disease.
- Kusvuta fodya kunogona kukuvadza chirwere cheCrohn.
- Mhando dzakasiyana dzakasiyana dzemishonga inoshandiswa kurapa chirwere cha Crohn, kusanganisira mishonga inorwisa mabhakitiriya, immunomodulators, steroids, uye biologics.
- Kuvhiya kunoshandiswawo kubata chirwere cheCrohn, uye kurapwa kwepurojekiti ndiyo yakanyanya kufanana.
- Vanhu vane chirwere cheCrohn vanogona kunetseka mukati uye kunze kwenzira yezvokudya (dambudziko rinowedzera mumatumbo).
- Vakadzi vane Crohn's disease vanogona kuva nepamuviri hwakanaka uye vacheche .
Maitiro eCrohn's Disease
Mitemo yakasiyana inoshandiswa kurondedzera chirwere che Crohn, zvichienderana nechikamu chipi chegwara rekudya chinokanganisa.
Hazvisi zviitiko zvose zvechirwere cheCrohn chinowira zvakanaka muchikamu, asi aya ndiwo maitiro anonyanya kurondedzerwa uye anogona kushandiswa navanachiremba:
- Ileocolitis. Chimiro chakajairika chechirwere cheCrohn chinokanganisa neileum (kumucheto kwakadzika kwemukati mudumbu) uye colon (mumukati mukuru).
- Ileitis. Iyo inozivikanwawo sekuti fistulizing kana kukonzera chirwere cha Crohn, rudzi urwu runobata chete yeaum.
- Gastroduodenal Crohn's disease. Iyi fomu inokanganisa mudumbu uye duodenum (chikamu chokutanga chemukati mudumbu).
- Jejunoileitis. Chirwere cheCrohn chinoratidzwa nechepakati pezvikamu zvekuputika mu jejunum (chikamu chepakati chemukati mudumbu).
- Crohn's colitis. Dzimwe nguva inonzi granulomatous colitis , iyo fomu inobatanidza chete chikwata, uye haifaniri kunge yakanganiswa ne ulcerative colitis, iyo iyo yakasiyana yeBD. Crohn's colitis isiri yeCrohn's disease, uye hazvirevi kuti munhu ane chirwere cheCrohn uye chironda chekuonda.
Zviratidzo zveCrohn's Disease
Chirwere cheCrohn chinokonzera zviratidzo zvakasiyana-siyana uye zviratidzo, zvimwe zvacho mumugwagwa wezvokudya uye zvimwe zvacho kunze kwegadziriro yekudya. Zviratidzo zveCrohn's disease zvinogona kusanganisira:
- kurwadziwa kwepamuviri uye makumbo
- ropa ropa
- chirwere
- fever
- kurasikirwa nechido uye kuora kurasikirwa
- mucus in the stool
- kusuruvara kwemashoko okudya
Zvinokonzera Zvikonzero zveCrohn's Disease
Pane dzidziso pamusoro pechikonzero cheCrohn's disease uye IBD munazvo , asi IBD ikozvino inorondedzerwa sehosha yediopathic (chirwere chisingazivikanwe chikonzero). Chirwere cheCrohn chinowanzomhanyira mumhuri, kunyange zvazvo vanhu vazhinji vane IBD vasina mhuri yehutachiona.
Imwe nyanzvi pamusoro pechikonzero cheBD ndechokuti inogona kunge yakagadziriswa kana kuti inopindirana nemushuviriro, zvikurukuru inobva pakuratidza kuti IBD inorwara zvirwere zvemuviri . Zvimwe zvinhu zvakasikwa zvakasanganiswawo, asi hapana kubvumirana munharaunda yezvokurapa kuti ndezvipi izvo zvinogona kuita kuti kutanga kweBDI.
Chimwe chikonzero chinogona kukonzera kunogona kusanganisira zvipembenene (mabhakitiriya) anogara mumugwagwa wezvokudya, unonzi marita kana mumukaka microbiome . Hazvanzwisiswi zvakadaro asi kuchinja kwei microbiome kunogona kukanganisa kukura kwechirwere cheCrohn, asi zvinozivikanwa kuti vanhu vane chirwere cheCrohn vanowanzova nemhando shomanana yebhakitiriya mumagariro avo kupfuura vanhu vasina chirwere chekudya. Icho chikonzero chechokwadi cheBD chinogona kunge chine kusanganisa kweizvi kana kunyange chimwe chinhu chisati chafukuzwa.
Kurwara Kwakaitwa naCrohn Kunotsvaga
Chiremba angatanga kutanga achishushikana nechirwere cheCrohn chinotarisana nenhoroondo yezviratidzo zvakadai sekurwadziwa, kurarisa, kusingatarisirwi kushaya kurasikirwa, neropa muchitsiko. Miviri miviri yakashandiswa kuongororwa neCrohn's disease ndeyikuti:
- Colonoscopy . Uyu muedzo unoshandiswa kutarisa mukati memakoloni kuti uone kana kuputika kuripo.
- Sigmoidoscopy . Kutarisa mukati memakoloni, kufanana nekolonoscopy, asi iyo inongoenda kune chikamu chokupedzisira chemukati mudumbu
Mimwe miedzo ingasashandiswa pakuongorora, asi inogona kuitwa kuongorora basa reCrohn's disease kana zvinetso zvinosanganisira:
- Barium enema . Ichi chiyero rudzi rwe x-ray runoshandisa musiyano kuitira kuti zviri nani kuona zvivako mumutsetse wakaderera wekudya.
- Kuyera ropa. Kuongorora ropa kunowanzoitwawo kuti ipe ruzivo rwakakosha pamusoro pehutano hweBD, kunyanya tsvuku dzeropa neropa reyero rinopa mhosva. Mimwe miedzo yeropa inogona kuyera mazinga e electrolyte, akadai sodium uye potasium, kuti aone kana ivo vapera kubva kumarara ekuramba.
- CT (computed tomography) scan . Mhando ye x-ray iyo inopa mufananidzo wepakati-chikamu chemuviri. Inonziwo computed tomography (CT) scan.
- Endoscopy yapamusoro . Kana pane chiitiko chezvirwere mumugwagwa wepamusoro wekudya (zvakadai sesophagus, throir, kana musikana muduku), kuedza uku kunogona kubatsira.
- Kumusoro kwepamuviri mutsara . Chimwe chimiro che x-ray chinoshandisa kusiyana uye chinoshandiswa kugadziriro yepamusoro yekudya.
- X-rays . Muedzo unokurumidza uye uri nyore unopa ruzivo rwakanyanya asi huri dzimwe nguva hunoshandiswa.
Maitiro eCrohn's Disease Anoitwa Sei
Zvose mishonga uye kuvhiyiwa zvinoshandiswa kurapa chirwere cheCrohn. Nezvakasiyana-siyana zverapa iripo, zvakakosha kushanda pamwe ne gastroenterologist kuti uone nzira yakanakisisa yekuita.
Mishonga . Mishonga yakasiyana-siyana ingashandiswa kurapa chirwere cheCrohn. Mishonga inowanzowira mumapoka maviri: Maintenance drugs, izvo zvinotorwa zvichiramba zvichidzivirira kudzivirira -ups , uye zvinodhaka-zvinodhaka zvinodhaka, izvo zvinotorwa kuti zvisiye kupisa-up.
Mishonga inoshandiswa kubata chirwere cheCrohn inosanganisira: Azulfidine (sulfasalazine) ; Asacol naPentasa (mesalamine); Imuran (azathioprin) ; Purinethol (6-MP, mercaptopurine) ; cyclosporine ; Rheumatrex (methotrexate) ; Remicade (infliximab) ; Huma (adalimumab) ; Entyvio (Vedolizumab) ; Chimia (certolizumab pegol) ; uye corticosteroids, zvakadai sa prednisone uye Entocort EC (budesonide).
Surgery . Kuvhiya kunoshandiswawo sekurapa kwechirwere cheCrohn. Vanenge makumi manomwe kubva muzana yevanhu vane Crohn's disease vachazovhiyiwa mumakore gumi okutanga mushure mekuongororwa. Pakati pavo, hafu ichave nekuvhiyiwa kukuru mumakore matatu kana mana anotevera. Kugadziriswa , uko chikamu chinorwara chemukati chakabviswa, ndicho chirwere chinowanzoshandiswa pakuvhiya. Kuvhiya haisi mushonga weCrohn's disease.
Ngozi yeUkudya Kwemukondombera
Kune vanhu vane chirwere cheCrohn, pane zvimwe zvinhu zvinoita sezviri kukukanganisa njodzi yekuva nekenza yakaoma . Zvengozi izvi zvinosanganisira:
- achiri muduku paanoongororwa
- Makore 8 kusvika ku10 echirwere chinoshanda nekuputika
- kuva nemagetsi (kuderera kwemukati)
- nhoroondo yechiropa chirwere, primary sclerosing cholangitis
Vanachiremba vanogona kukurudzira kuongorora kolonoscopy makore maviri kusvika matatu mushure memakore masere kusvika kune gumi eCrohn's disease, uye imwe neimwe kusvika makore maviri mushure memakore makumi maviri emakore eCrohn's disease. Vamwe vanhu vane Crohn's disease vangada colonoscopy nguva dzose kuti vatarise zvirwere zvavo, uye kuongororwa kwekenza kunogona kuitwa panguva imwe chete.
Related Conditions
Extra-intestinal . Ikoko kunogona kuva nezvinetso zvinobatanidzwa neCrohn's disease, uye izvo zvinoitika kunze kwekoloni zvinonzi zvinowedzera mumatumbo. Zvimwe zvinetso zvepamuviri zvinosanganisira arthritis , kunonoka kukura muvana , zvirwere zvemaziso, maronda , maronda , muronda wemuromo , uye kuwedzera kwezviratidzo panguva yekuenda kumwedzi . Zvakawanda zvezvinetso izvi zvinotevera nzira yeCrohn's disease, uye inogona kuwedzera kuitika mberi uye panguva yekutsva nekuvandudza apo chirwere cheCrohn chiri mukuregererwa.
Intestinal . Zvimwe zvezvinetso zvemukati (intestinal) zvinokonzerwa nechirwere cheCrohn zvinosanganisira masumbu , kuvhara maronda, kuvhara maronda , kenza yakaoma , fissures , fistulas , uye megacolon inotyisa .
Kusvuta uye Kurwara kweCrohn
Vanhu vanosvuta fodya , kana kuti vakamboputa munguva yakapfuura, vane ngozi yakawanda yekukura chirwere cha Crohn. Kudzokorora (kurara-ups), kudzokorora kuvhiyiwa, uye kurapa kwakasimba kwekudzivirira muviri kunowanzoonekwa kune vanorwara neCrohn's disease vanofutawo. Vanhu vane chirwere cheCrohn vanokurudzirwa zvakasimba kurega kusvuta.
Kuberekwa
Kubata pamuviri kwakanaka uye mwana zvose zviri nyore kune vakadzi vane Crohn's disease. Zvirwere zveCrohn zvichapindura sei panguva yekuzvitakura zvinongoparadzaniswa kuva zvitatu: vamwe vakadzi vanoita zvakanaka, vamwe vanogara zvakafanana, uye zvimwe zvinowedzera. Chinhu chinonyanya kukosha ndechokupindira mukuregererwa musati waita pamuviri, kana kupinda apo panguva yekuzvitakura, kuve nechokwadi chokuti Amai nemwana vanoramba vachiita zvakanaka. Zvinosuruvarisa, apo chirwere cheCrohn chinotsvaira panguva iyo mwana akaberekwa kana panguva yekutora pamuviri, dambudziko rekusununguka pamuviri uye kuberekwa nguva isati yasvika.
Prognosis
Nekurapa kwakakodzera, kuraira kwevanhu vakawanda vane Crohn's disease yakanaka. Vanhu vazhinji vane Crohn's disease vanogona kutungamirira upenyu hurefu, hune zvibereko. Mishonga mitsva uye tsvakurudzo mune zvikonzero zveBD zvinoramba zvichiwedzera hupenyu hwevanhu vane IBD.
Shoko Rinobva
Kuongororwa kwechirwere chaCrohn kunouya nechepamusoro yekudzidza. Izvo gastroenterologist uye vashandi vavo vachange vaine mhosva pakuona kuti hupenyu hwakanaka hwehupenyu hwakachengetedzwa. Vazhinji IBD varwere vane ukama hwepedyo nevana vavo gastroenterologists. Zvinonyanya kukosha kuti vanhu vane IBD vave nehutano hwekutsigira pakati pemhuri dzavo neshamwari dzinogona kuva vatsigiri. Kurarama zvakanaka nehutachiona hweCrohn hakusviki kuburikidza nekuchengeta dhigirii nguva dzose, kuronga chirongwa chekurapa, uye kudzidza zvakawanda sezvingagona pamusoro peswere.
> Sources:
> Ban L, Tata LJ, Fiaschi L, Card T. Zvikwereti zvishoma zvekukura kwepabonde zvisina kukwana muvana vemadzimai vane IBD nemigumisiro yemishonga. Gastroenterology . 2014 Jan; 146: 76-84.
> Crohn's uye Colitis Foundation yeAmerica. Crohn's Disease Medication Options. CCFA.org 2016.
> Crohn's uye Colitis Foundation yeAmerica. Crohn's Treatment Options. CCFA.org 2016.
> Nørgård B, Hundborg HH, Jacobsen BA, Nielsen GL, Fonager K. Disease Chiitiko mune Vakadzi Vakaberekwa Nezvirwere zveCrohn uye Kuberekwa Kwekuzvarwa: A Regional Danish Cohort Yokudzidza. Am J Gastroenterol . 2007 Sept; 102: 1947-1954.
> Veloso FT. Zvinyorwa zvekurapa zveCrohn's disease course. Eur J Gastroenterol Hepatol . 2016 Jul 7. [Epub mberi of print]