Zviratidzo zveHIV Zvirwere Zvinosangana neCrohn's Disease And Ulcerative Colitis
Chirwere chinokonzera chirwere (IBD) chinokanganisa chirwere chekudya, asi chinogona kukanganisa dzimwe nhengo dzomuviri zvakare. Vanhu vane Crohn's disease uye ulcerative colitis vanogonawo kuva pangozi yekuve nezvinetso zveropa. Zvimwe zvinetso zvechiropa zvinobatanidzwa neBD ndezvokutanga sclerosing cholangitis , autoimmune hepatitis, uye primary biliary cirrhosis.
Chii Chiropa?
Chiropa, iyo ndiyo nhengo huru mumuviri, inopa mabasa akawanda anokosha kunze kwekuti muviri haugoni kupona. Chiropa chinobvisa kusvibiswa uye miviri yekunze kubva muropa, inoita mapuroteni anobatsira ropa clot, uye inobudisa bile. Kana chirwere chinopindira nekushanda kwechiropa, chinogona kukonzera matambudziko makuru ekurapa.
Zvinokonzerwa neCirrhosis yeChiropa
Muvanhu vane IBD, cirrhosis inogona kukonzerwa ne autoimmune hepatitis kana kuti primary biliary cirrhosis. Autoimmune hepatitis inobatanidza nehutachiona hwemagetsi. Primary primary biliary cirrhosis iko kuputika kwe-bile ducts inogona kudzivisa bile kubva muchiropa uye kuenda kumucheche muduku. Apo bhinzi rinogadziriswa rinogona kukonzera kukanganisa kwakanyanya kuropa rechiropa. Primary sclerosing cholangitis, iyo inowanzobatanidzwa ne ulcerative colitis, inogonawo kuwirirana ne autoimmune hepatitis (dzimwe nguva inonzi "overlap syndrome").
Zviratidzo zveChiropa Zvirwere
Chimwe chezvinonyanya kunetseka pamusoro pezvirwere zvechiropa ndezvekuti mumatunhu ayo ekutanga, pangave pasina zviratidzo zvachose. Vamwe vanhu vangave vane chirwere chechiropa, asi vasati varatidze zviratidzo zvaro kana zviratidzo zvavo kana kuburikidza nekuedzwa kweropa. Apo cirrhosis inotanga kukonzera zviratidzo, inogona kusanganisira:
- Kuneta
- Kuneta
- Kufirwa kwechido
- Nausea
- Kushaya simba
- Kuonda
Matambudziko eDease Disease
Mune dzimwe nguva, chirwere cheropa chinotanga kuwanikwa kana chinotanga kukonzera matambudziko, akadai se:
- Mvura yakasvibira mumakumbo (edema) kana mudumbu ( ascites )
- Kunyanya kupwanya uye kubuda ropa
- Jaundice , iyo iri kupenya kwemaziso uye ganda rinokonzerwa nekwakakura ye bilirubin
- Itching, iyo inokonzerwa nekuvakwa kwevava mucheka
- Gallstones , iyo inokura apo bile yakavharirwa kupinda mu gallbladder
- Toxin buildup muropa uye muuropi
- Mishonga inonzwisisika inokonzerwa nokushaya simba kwechiropa pakushandisa zvinodhaka
- Pachirwere chepfungwa, iyo inowedzera kuwedzera kweropa mukati mutsva inonzi "veal portal vein"
- Varisi, iyo miviri yakawedzerwa yeropa inokonzerwa neropa rinononoka richiyerera mumusana wemasuo
- Zvimwe zvinetso zvakadai sezvirwere zvekudzivirira zvirwere, zvirwere, uye zvinetso zvepvo
Chiropa Chirwere Chinowanikwa Sei?
Zvimwe zvezviedzo zvinoshandiswa kuongorora zvirwere zvechiropa zvinosanganisira:
- Kuyera ropa
- Computerized axial tomography (CAT) scan
- Chiropa chinopesana
- Chiropa scan ne radioisotope kana laparoscope
- Nhoroondo yezvokurapa
- Physical examination
- Zviratidzo
- Ultrasound
Chirwere Chiropa Chinogara Nokusingaperi Here?
Chiremara chechiropa hachigadziriswi, asi kana chirwere chechiropa chikavapo, kumwe kukanganisa kunogona kudziviswa.
Kuwana kurapwa kwakakodzera, kudya kudya kwakanaka, uye kurega kunwa zvinodhaka zvose zvinokosha kumisa kufambira mberi kwechiropa chechiropa. Zvose zvinetso kubva muchiropa chechiropa zvinofanirawo kurapwa, kuti zvirege kuwedzerwa kukuvadza kune dzimwe hutano huripo kubva muhuputi huri muuropi uye neropa. Mishonga inogonawo kushandiswa kugadzirisa hutachiona hwehutachiona uye varice.
Zvakadini Nezvokufambisa?
Mune zvimwe zviitiko, chiropa chinowanzovhiringidzika uye chiropa chokuputika chinodikanwa. Kuwedzerwa kunobva kune anopa, uye nekombiji yepamusoro, iri kubudirira kubudirira.
Kutarisa Zvirwere Zvirwere
Vanhu vane IBD vane vane hanya pamusoro pekudzivirira chirwere chechiropa vanofanira kubvunza gastroenterologist wavo kuti vangangodaro vane chiedza chekuedza sei.
Mamwe mishonga inogonawo kugoverwa nechirwere cheropa, uye kugara uchiongorora kunorudzirwa.
Kunobva:
Olsson R, Glaumann H, Almer S, et al. "Kupararira kwechidiki chechidiki chinonzi sclerosing cholangitis pakati pevarwere vanoputika autoimmune hepatitis uye primary sclerosing cholangitis." Eur J Intern Med . 2009 Mar; 20: 190-196.