Vanhu vane IBD Musagara Uine Marwadzo
Zviratidzo zvehuputi zvinokonzera zvirwere (IBD) zvinogona kusanganisira kubuda , ropa muchitoro , kuora muviri, uye kurwadziwa kwepamuviri. Mhando uye nzvimbo yemarwadzo emimba hazvisiyane chete pakati pemhando mbiri mbiri dzeBDD (Crohn's disease uye ulcerative colitis), asiwo ne-subtypes yezvirwere izvi. Uyezve, kurwadziwa kunomumwe munhu mumwe nomumwe, uko kunyange vanhu vane rutivi rumwechete rwechirwere chaCrohn kana chironda chekurara chinogona kurwadziwa zvakasiyana.
Muzvokwadi, vamwe vanhu vane IBD kazhinji havakwanise kurwadziwa pamimba zvachose neBD-flare-ups; Mukuwedzera, kurwadziwa kwemuviri kunogona kuwirirana nedzimwe nhau zvachose, zvakadai se appendicitis , gallstones , kana gastroesophageal reflux eisease (GERD) . Asi sekurwadziwa kwepamuviri chiratidzo chinowanzoonekwa cheBD, heino mhedziso yemhando dzemarwadzo emimba anowanzoonekwa nevanhu vane IBD.
Abdominal Quadrants
Kunzwisisa nekukurukura apo kurwadziwa kuripo kunogona kubatsira kana ukashanda navanachiremba vako. Mimba inowanzofungidzirwa seine zvikamu zvina: kodzero yepamusoro ye quadrant, yakadzika pasi quadrant, yakasara yepamusoro quadrant, uye yakasara yepamusoro quadrant. Mitsara inofungidzira pakati pekumusoro nepamusoro quadrants uye kurudyi uye kuruboshwe quadrants inopindirana pamhazha (umbilicus kana bhomba). "Kurudyi" uye "kuruboshwe" ndeyekurudyi uye kuruboshwe (kwete chiremba). Zvikamu zvakasiyana zvemuviri zvine nhengo dzakasiyana, saka kuziva nzvimbo yekurwadziwa kunogona kubatsira kuti pane zvipi zvinoshandiswa.
Kurudyi kana pakati pepabonde kurwadziwa
Huri kurwadziwa kunofanana nemakumbo mukati memuviri kana pasi rezasi kurudyi ndeyemhando dzemhando dzechirwere cheCrohn chinonzi leocolitis uye ileitis. Ileocolitis ndiyo inowanzojairika yeCrohn's disease uye inotsanangurwa nehutukutu huri mukupedzisira chikamu chemukati mudumbu (the ileum ) uye mumatumbo makuru ( colon ).
Ileitis inyaya ye Crohn's disease iyo inokanganisa chete ileamu uye ndiyo yechipiri inowanikwa fomu. Vanhu vane ileitis vanogonawo kuwana kuti kurwadziwa kwavo kana kusuruvara kunowanikwa mukati maawa mashomanana ekudya kudya.
Upper Middle Abdomen Pain
Chirwere chechirwere cheCrohn chinonzi gastroduodenal Crohn's disease chinowanzokonzera marwadzo ari pakati nepakati pepamusoro chemuviri. Gastroduodenal Crohn's disease inokonzera mudumbu uye duodenum (chikamu chekutanga chemukati mudumbu). Urwu rudzi rwechirwere chechirwere haruzivikanwi zvikuru kupfuura ileocolitis uye ileitis.
Variable Mumimba Maviri
Nejjunoileitis, kurwadziwa kwemuviri kunowirirana zvikuru uye kunogona kuratidzika kunge kwakanyoro kana kwakanyanya. Rudzi urwu rweCrohn's disease runokanganisa jejunum (iyo iri pakati nepakati yemukumbo muduku) uye inonyanya kushandiswa subtype. Vanhu vane jejunoileitis vanogonawo kunzwa kurwadziwa kwepashure mushure mekudya.
Rectal Pain
Nhamo iyo iri mu rectum (iyo yakagadzirirwa pamagumo emukumbo mukuru) chiratidzo chekuonda kweprotitis. Ulcerative proctitis rudzi rwechirwere chepachirwere , uye kuti sei chikamu chimwe chete chetatu chealcerative colitis inotanga.
Kubva Kuruboshwe-Pakava Nhamo
Nhamo kune rumwe rutivi rworuboshwe rwemuviri ndechimwe chezvinyorwa zvekare zvechirwere chepachirwere.
Mhando mbiri dze ulcerative colitis inogona kukonzera marwadzo ari kuruboshwe ndeye proctosigmoiditis uye distal kana kuruboshwe-cided colitis. Mu proctosigmoiditis, kusuruvara kunowanikwa mune rectum uye sigmoid colon (chikamu chekupedzisira chemukati mudumbu). Muchikamu chekurudyi-sided colitis, rectum, sigmoid colon, uye kuburuka kwekoni kunokonzerwa nekuputika. Kurwiswa kwepamusoro-kuruboshwe kunogona kuva kwakanyanya pane dzimwe nguva.
Bonde Rekurwadziwa Zvakanyanya
Uturu hwakanyanya mudumbu hunogona kuva chiratidzo chemamiriro ezvinhu akasiyana-siyana akasiyana-siyana, asi sezvinoratidzira kurwadziwa kweBD, inogona kusanganiswa nepapcolitis. Pancolitis ndiyo iyo ye ulcerative colitis iyo inoratidzirwa nehutachiva mukati memukati makuru.
Pain seChirongwa Chekuziva
Nokuti marwadzo anokwanisa kubva kune zvakasiyana-siyana, uye kurwadziwa mukati mamuviri kunonyanya kuoma kufungidzira, kurwadziwa hakusi kuwanzoshandiswa kuongororwa IBD kana imwe nzira yeBD. Asi, chimiro uye nzvimbo yekutambudzika inowanzoshandiswa pamwe chete nezvimwe zviratidzo nezviratidzo kana uchitarisa IBD kana mamwe mamiriro.
Kana Painenge Inonetseka
NeBD, mamwe marwadzo anoonekwa sechiratidzo, asi mamwe marudzi ehutambudziro anofanira kuonekwa semuvara mutsvuku uye kurukurirwe nachiremba wako nekukurumidza. Chero kurwadziwa kupi zvako kwatsva kwauri, kwakanyanya kwazvo, kana kunowirirana nezviratidzo zvakadai sekushayiwa kwechigaro, kubvisa pamuviri, kusuruvara, kuvhiringidza, kana kurutsa kunokonzera kudana kuna chiremba wako kana rwendo kuenda kuE ER. Zviratidzo izvi zvinogona kuitika nekuda kwechiitiko chakakomba, chakadai se megacolon ine chepfu kana chidziviriro chemuviri .
Sources:
Crohn's uye Colitis Foundation yeAmerica. "Marudzi eCrohn's Disease and Symptoms Associated." CCFA.org. 2013. 6 Septemba 2013.
Crohn's uye Colitis Foundation yeAmerica. "Marudzi eUlcerative Colitis." CCFA.org. 2013. 6 Septemba 2013.
Tan WC, Allan RN. " Anoparadzira jejunoileitis yeCrohn's disease ." Gut . 1993 October; 34: 1374-1378. 6 Septemba 2013.
Walfish AE, Sachar DB. "Ulcerative Colitis." The Merck Manual. Dec 2012. 6 Septemba 2013.