Chirwere cheCrohn Chinogona Kuita Izvi Zvikamu zveTigestive Tract

Muromo, Esophagus, Stomach, uye Perianal Area inogonawo kuitika

Vanhu vazhinji vakanzwa nezvechirwere cheCrohn, asi vangave vasingazivi nezvazvo zvinoreva murwere ane chirwere chacho. Kunyange zvazvo chirwere cheCrohn chinogona kunge chichizivikanwa, zvinogona kunge zvisingazivikanwi kuti inongova chirwere chimwe chete chechirwere chinokonzera chirwere (IBD) , uye kuti ulcerative colitis isiriwo yeBD. Chirwere cheCrohn chinokanganisa kudya, uye kune vanhu vakawanda zvinoreva matumbo, chirwere cheCrohn chinogona kukanganisa dzimwe nhengo dzomuviri. Heano zvimwe zvezvikamu zvemuviri izvo Crohn's disease inogona kuchinja.

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Utumbo Huduku uye Hwakakura

Utumbo hudiki uye hukuru ndiyo nzvimbo dzinowanzowanzobatwa neCrohn's disease kukuvadza. Vanhu vazhinji vanogona kunge vaine chikanganiso chekutenda kuti inongova musikana muduku chete unobatwa. Asi hutumbu hukuru hunowanzobatwa nehutachiona hweCrohn, uye vanenge 20 muzana yevanhu vane zvirwere chete mudumbu guru (iro rinonzi Crohn's colitis).

Nzira yakakurumbira yeCrohn's, iyo inobata inenge 45% yevarwere, inonzi neocolitis uye inobata chikamu chekupedzisira chemukati mudumbu (the ileum) uye mumukati mukuru. Chipiri chechimiro chechipiri, ileitis, chinokanganisa 35 muzana yevarwere uye chinokanganisa ileamu. Izvo zvinyorwa zvinowanzobetsera chirongwa chekurapa, uye rudzi rweCrohn's disease murwere anogona kuchinja kana mamwe maitiro emukumbo achisangana.

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The mouth

Imwe dambudziko iro vazhinji vane IBD ruzivo rwakaitwa aphthous stomatitis , iyo inonzi zilonda mumuromo. Zvinofungidzirwa kuti 20% kusvika ku30% yevanhu vane Crohn's disease vane dambudziko iri. Zvironda zvinowanzoitika kana chirwere cheCrohn chiri kushanda, asi chinogonawo kuitika munguva dzekuregererwa zvakare.

Vanhu vane chirwere cheCrohn vanogonawo kutarisana nemamwe matambudziko akasiyana mumuromo, zvakadai sokuputika mumiromo kana parurimi. Dzimwe nguva zvinetso mumuromo zvinokonzerwa nekusakwana kwevhitamini, izvo zvinowanzoonekwa nevanhu vane IBD. Kana pane zvakawanda zvokurutsira, inamel yemeno inogona kupera pasi, zvichikonzera matambudziko emeno. Vanhu vane IBD vanodawo kuwedzera basa remazino kazhinji, uye vanogona kutarisana nehutachiona mumasamu.

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The Esophagus

Chirwere cheCrohn munharaunda hachiwanzovi uye chinongoratidzwa kuti chinokanganisa ne1% yevarwere, zvichiita kuti zvive nyore. Apo sopu inotanga kuchinjwa nechirwere cheCrohn, inogona kutungamirira kumatambudziko nekumedza uye kukonzera kuora mwoyo. Kana chirwere ichi cheCrohn's chichifungidzirwa, miedzo yakadai seyakakwirira endoscopy inogona kuitwa kutarisa kuvhiringidzika kana zvimwe zvinetso zvakadai semagetsi kana fistula.

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Dumbu

Munenge 5% yevarwere vane Crohn's disease, chirwere chinogona kuchinjwa. Iyo miviri miviri inobata mudumbu inonzi jejunoileitis uye gastroduodenal Crohn's Disease. Mu jejunoileitis, chikamu chepakati chemukati mudumbu, iyo inonzi jejunum. inobatanidzwawo. Mugastroduodenal Crohn's disease, chikamu chokutanga chemukati mudumbu, iyo duodenum, inopiswawo. Mune zvimwe zviitiko, idzi maitiro eCrohn's disease angangotanga kufungidzirwa kuva chironda chemudumbu , asi sezvo zviratidzo zvichienderera mberi, zvinowanikwa gare gare kuti ichokwadi chirwere cha Crohn.

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Perianal Area

Iyo perianal nzvimbo iganda uye nzvimbo yakakomberedza anus. Chirwere cheCrohn chinokonzera nzvimbo ye perianal chakanyanya kufanana. Zvimwe zvezvinetso zvinogona kuitika zvinosanganisira epanal abscesses , fistulas , fissures aka , uye hemorrhoids . Chikamu chekusanganiswa kweropa uye pus, uye nehuwandu 85% yevanhu vane Crohn's disease vanogona kukurudzira imwe nguva munguva yezvirwere zvavo.

Kusuruvara kunogona kutungamirira kukurudzirwa kwefistula, iyo inowanzobatanidza pakati pezviviri zviviri kana pakati pepakati pemuviri uye ganda. Migumisiro kubva kuongororo mbiri inofungidzira kuti mhuka yakakosha, iyo inononoka mumarara, inogona kukanganisa chero pakati pe 44% ne85% yevanhu vane Crohn's disease. Hemorrhoids, iyo inowanzoonekwa muhuwandu hwevanhu, haisi yekutya kwevanhu vane Crohn's disease.

_Kunobva:

_{Safar B, Sands D. "Zvirwere zveperianal Crohn." Clin Colon Rectal Surg . 2007 Nov; 20 (4): 282-293. doi: 10.1055 / s-2007-991027 8 Oct 2015.}

Kukosha Kwekutarisira Crohn's Disease

Chirwere cheCrohn chinogona kukanganisa chero chikamu chekudya gumbo, uye mukati mechidiki uye maduku ndiyo nzvimbo dzakawanda zvikuru. Zvisinei, kuputika kunogona kuitika mune dzimwe nzvimbo zvakare, uye chaizvoizvo izvi zvingave zvakajairika. Apo zviratidzo zvitsva nezviratidzo zvinowanikwa Vanhu vane chirwere cheCrohn vanofanira kugara vari pedyo ne gastroenterologist yavo kuti vararame zvirwere zvavo.