Kana chimiro ichi chikawanikwa mune chigadziro, chinoratidza chirwere cheCrohn
Granuloma inoungana masero masero. Granulomas inoumba mukupindura kwehutachiona kana hupfumi hwehurumende. Granulomas inogona kuumba munzvimbo dzakawanda dzomuviri, kusanganisira mapapu. Mune chirwere chekudya, kana granulomas ichionekwa, dzimwe nguva inokonzerwa nekuputika kwechirwere chirwere (IBD).
Granulomas MuCrohn's Disease
Granulomas haisi yakananga kuchirwere cheCrohn, asi kana ichionekwa ichibatsira pakusiyanisa pakati pekuonda kwechirwere uye chirwere cheCrohn.
Asi apo granuloma inowanikwa, uye murwere ane zviratidzo zvinoenderana neBD, zvinogona kubatsira chiremba kuti aongorore chirwere cheCrohn. Granuloma haigone kuonekwa munguva yekolonoscopy nokuti haisi kuonekwa kwemazana kana kuti mutsvuku.
Inofungidzirwa kuti 15% kusvika 25% yevanhu vane Crohn's disease vane granulomas. Pane chido chiduku chevakadzi vakawanda vane granulomas kupfuura varume: imwe yekuongorora yakaratidza 57% yevarwere veCrohn's disease vane granulomas vaiva vakadzi. Urwu rudzi rwechirwere chechirwere dzimwe nguva chinonzi granulomatous colitis. Granulomas haisi kuonekwa pamubumbo kana mumakumbo ezvinyorwa zvevarwere vane ulcerative colitis.
MaGranulomas Anowanikwa Sei?
Munguva yekuposcopy nzira (yakadai sekolonoscopy, endoscopy yakakwirira, kana sigmoidoscopy), zviduku zviduku zvinonzi biopsies zvinotorwa. Izvi zvikamu zvezviviri zvinogona kuedzwa nenzira dzakasiyana-siyana. Inogona kuve yakasvibiswa kuitira kuti zvikamu zviduku zvinyorwa zvezviviri zvioneke zviri pasi pe microscope nehutachiona.
Apo muchengeti wezvirwere anotarisa mumatumbo emukati biopsy, granulomas kana mamwe marudzi emasero anogona kuonekwa.
Zvinorevei Kana Iwe Une Granulomas?
Kuva negranulomas inowanzofungidzirwa kuratidza kuti ndiyo chirwere cheCrohn chiripo, panzvimbo yehupenyu hwakasiyana hweBD. Zvichida kana kwete iko kuvapo kwegranulomas kunoreva chimwe chinhu pamusoro pekuti chirwere che Crohn chichifambira mberi chichiri kuongororwa.
Zvimwe zvidzidzo zvakaratidza kuti vanhu vane granulomas vanowanzoongororwa kuti havasati vamboita chirwere ichi. Zvinosuruvarisa, pane zvakare zvaiwanzove sangano pakati pegranulomas uye chimiro chakaoma kwazvo cheCrohn's chirwere chaida kurapwa, hospitalizations kuporesa kutsva-up, uye zvinetso zvakadai semagetsi.
Chinoita Kuti Vaumbe
Nemhaka yokuti granulomas inowanzowanika kune vanhu vanotanga kuuya neCrohn's disease, pane imwe pfungwa yekuti nei ichi chiri ichocho. Chimwe chikonzero chakave chiratidzwa ndechokuti granuloma ndiyo chibereko chemuviri unoedza kubata nechikonzero chechirwere cheCrohn. Hatizivi chinokonzera chirwere cha Crohn, uye chaizvoizvo apo pane zvimwe zvinokonzera, kushanda pamwe chete nekukonzera kutuka. Mhedziso ndeyekuti pane zvimwe zvikonzero (uye isu hatizivi kuti izvo zvii), muviri unogona kugadzira granuloma kuzotenderera chero chii chiri kuvhara kupisa. Iyo granuloma iri kuedza kubvisa chigadziro, kana kuchipa icho chisingaiti.
Kuti utore iyi pfungwa imwe nhanho mberi, nokuti granulomas inowanikwa kakawanda muvakadzi, izvi zvinotungamirira kune pfungwa yokuti pane mahomoni angabatanidzwa. Zvechokwadi, hapana chimwe cheizvi chinozivikanwa nechokwadi, uye, kufanana nezvimwe zvinhu zveBD, granulomas achiri nenyaya iri pasi pekudzidza.
Pronunciation: gran-yoo-LO-muh
Sources:
Freeman HJ. "Granuloma-chine chirwere cha Crohn." Can J Gastroenterol . 2007 Sep; 21: 583-587. 4 Feb 2016.
Kelly JK, Sutherland LR. "Kurongeka kwezvakaitika panguva yehutachiona hwechirwere cheCrohn." J Clinic Gastroenterol . 1988; 10: 28-33. 4 Feb 2016.
Yarur AJ, Strobel SG, Deshpande AR, Abreu MT. "Kufananidza kweAggressive Inflammatory Bowel Disease." Gastroenterol Hepatol (NY). 2011 October. 7: 652-659. 4 Feb 2016.