Chirwere cheCrohn uye ulcerative colitis inobatanidzwa pamwechete pasi pezwi remaambura ekuputika kwechirwere chirwere (IBD) . Zvirwere zviviri zvine zvinhu zvakawanda zvakafanana, zvinosanganisira zviratidzo zvakawanda nezviratidzo , uye zvinorapwa nemiti yakawanda yemishonga imwe chete.
Zvisinei, pane zvimwe zvakasiyana pakati pezvirwere zviviri izvo zvinokonzera zvakananga kuti dzinoswedera sei.
Chimwe chezviito zveCrohn's disease izvo hazviwanike mu ulcerative colitis inonzi chiratidzo chechibblestone. Izvi zvinokonzera kuti chirwere cheCrohn chinokonzera rudzi rwakasiyana rwekuvhiringidza kudarika chironda chechirwere chinokonzera, izvo zvinotungamirira kumativi emukumbo izvo zvinoputirwa kutora maitiro akajeka akafanana nemakona emakumbo.
Kusiyana pakati peCrohn's And Ulcerative Colitis
Mune zvimwe zviitiko, kusiyana pakati peCrohn's disease uye ulcerative colitis kunogona kuonekwa se minutia, asi kutaurira musiyano pakati pezviviri zvakakosha kana zvasvika pakurapa. Pane mishonga yakawanda iyo inoshandiswa kurapa zvirwere zvose, asi kune dzimwe iyo dzinobvumirwa kutarisa imwe, kana kuti dzakaratidza kuti dzinoshanda kune imwe chete.
Kutsvakurudza nzira dzakasiyana chaizvo nehutachiona hwehutachiona pane huri hwechirwere cheCrohn. Kutaura zvazviri, kuvhiyiwa kwakagadzirirwa chirwere chaCrohn hachina kukodzera kurapa chironda chekurara uye pamwe chete.
A resection yekoloni yaisazoitwa nokuda kwechirwere chepachirwere nokuti urwere huchadzoka muchikamu chekoloni yakasara. Nokuda kwehutachi inouraya, iyo yose ikoni inobviswa. Kune chirwere cheCrohn, kuvhiyiwa kwechisarudzo chechirwere chepachirwere, ileoanal pouch anal anastomosis (IPAA) kana chirwere chej-pouch, hachiwanzoitwa.
Ichi ndechekuti chirwere cheCrohn chinowanzodzoka mu j-pouch, uye izvozvo zvinogona kuita kuti chikwama chisakundikana chinogona. Kubvisa j-pouch hakurevi kungovhiyiwa chete, asi kurasikirwa kwemafupa akawanda.
Izvi zvinotevera, naizvozvo, zvakakosha kuti tive nekukwanisa kusiyanisa pakati pezvirwere zviviri. Imwe nzira yekusiyanisa kuvhiringidza mumatumbo muCrohn's disease kubva kune izvo zvinokonzerwa nechirwere chepirititis ndeyeiyo inonzi "cobblestone" maitiro. Cobblestones inzvimbo yakagadzirirwa inoshandiswa mumugwagwa unoyevedza kana mumugwagwa. Havatauri kubwinya, kunyange kutaridzika-kune maitiro mashoma muvara uye mazamu mumatombo anoshandiswa.
Cobblestone Inopinda muCrohn's Disease
Mhando dzinobhururuka dzinouya apo uchitaura nezvechirwere cheCrohn nekuda kwechimiro chakafanana nechomukati chinogona kutora nekuda kwekurwisana kunoenderana. Iyo yakagadzika mukati memukati inogona kukura zvikamu zvine zvivako uye yakakura zvikamu pane kuva noutano hwakanaka uye hwakanaka. Izvi zvinokonzerwa nekubatanidzwa kwekudzivirira kwepakadzika uye kuwedzera kwemuviri wemukaka kunokonzerwa nechirwere cheCrohn. A gastroenterologist angaona chiratidzo cobblestone mumatumbo panguva ye colonoscopy kana sigmoidoscopy .
Chiratidzo che cobblestone chinogona kuva chikonzero chinokosha chekusiyanisa maitiro ezvo IBD iripo. Ikoko kwave kunewo mishumo yevanhu vane Crohn's disease vane muromo wemuchero (aphthous stomatitis) iyo inoratidzawo chiratidzo chechibblestone.
Kuonekwa kwechibblestone mumubhedha wekoloni kunogonawo kuitika nemamwe mamiriro ezvinhu ekudya, zvakadai seHirschsprung chirwere (icho chinonzi chidziro chechidziviriro chinowanikwa muchecheche) uye eosinophilic gastritis (iyo isingazivikanwi asi iyo inogadzirisa mamiriro). Kune dzimwe mishonga mumuviri inogona kuva nechitarisiko cobblestone apo inokonzerwa nokuputika kunokonzerwa nechirwere kana chirwere.
Shoko Rinobva
Kunyange zvazvo chiratidzo checobblestone chiri chiratidzo chinoratidza kuvapo kwechirwere cheCrohn, zvinofanirawo kuonekwa kuti hazviitiki mumatumbo evanhu vose vane chirwere ichi. Ichokwadi kuti inogona kuonekwa mune zvishoma kwehafu yevanhu vose vane chirwere cheCrohn, asi kana kuonekwa kwechibblestone kuripo, ndicho chimwe chigadzirwa chinoshandiswa navanachiremba kuti vawane chirwere cheCrohn, kana kuti kutaurira chirwere cha Crohn kunze kwechirwere chetermatitis.
Kunobva:
Salek H, Balouch A, Sedghizadeh PP. "Kuratidzwa kwemuromo kwechirwere cheCrohn pasina kuwirirana kwepamuviri." Odontology . 2013 May 8.
Greenberg GR, Fedorak RN, Thomson ABR. "Kutanga Nheyo dzeGastroenterology: Nheyo dzezvirwere uye Nzira yekutungamira." Fifth Edition. " Canadian Association of Gastroenterology. 2011.