Fomu Yese Inayo Zviratidzo Zvikuru Nemharidzo
Chirwere cheCrohn chirwere chakaoma kwazvo, chakawedzerwa zvakanyanya nekuti zviratidzo uye zvinetso zvinogona kutora maitiro akasiyana, zvichienderana nechikamu chipi chemukati mako chinopisa. Kunyange zvazvo chirwere cheCrohn chinogona kukanganisa chero chikamu chemukati, dzimwe nzvimbo dzinowanzoitika pane dzimwe dzose. Chiremba wako angangotaura nezvehutano hwako hunobva panzvimbo yekutanga inobatanidzwa munyaya yako.
Rudzi rwakakurumbira rweCrohn's disease nderokuti:
- Ileocolitis
- Ileitis
- Crohn's (granulomatous) colitis
- Gastroduodenal Crohn's disease
- Jejunoileitis
Chimiro choga choga chine mharidzo yakasiyana, zviratidzo zvakasiyana, uye sezviitiko zvinowanzobatanidzwa.
Ileocolitis
Chimiro chakajairika ndeyeotiocolitis, inowanikwa munenge 45 muzana yevanhu vane Crohn's disease. Chimiro chechirwere cheCrohn chinokanganisa neileum (kumucheto kwakadzika kwemukati mudumbu) uye colon (mumukaka mukuru) .
Zviratidzo zvehutano hwechirwere ichi zvinogona kusanganisira kubuda, kuora marwadzo muzasi kwezasi kana pakati nepamuviri, uye kuora kwekurema. Mune zvimwe zviitiko, nzvimbo dzine chirwere muileum nekoni inogona kunge yakagadzikana, inokanganisa valve iyo inobatanidza hutumbu hudiki kumatumbo makuru, anonzi valve ileocecal.
Kurapa kwe ileocolitis kunowanzobatanidza kugadzirisa mishonga yekuenderera mberi kwekuregererwa, zvakadai sa 5-ASA (5-aminosalicylic acid) mishonga (mesalamine).
Zvinokurumidza-kushandisa zvinodhaka zvakadai steroid ( prednisone , budesonide ) zvinogona kushandiswawo mumamiriro ezvinhu e-flare-up. Imwe mhando yemishonga inogona kushandiswa ndeye -anti-tumor necrosis chinodhaka zvinodhaka, izvo zvakachengetwa kune varwere vane chirwere chinononoka kusvika kune zvakanyanya. Mimwe mishonga inogona kushandiswa dzimwe nguva inosanganisira azathioprine, 6-mercaptopurine, kana methotrexate .
Uyezve, ikanyanya ileocolitis inogona kuwedzera kurapwa kwakanyanya kunotarisirwa munzvimbo yezvipatara, zvakadai sokuzorora kwemuviri (kusadya chinhu kana kunwa) uye kudya kwemuviri (kudya kunovaka muviri) kana kudya parenteral (kudya kwakagadzikana).
Ileitis
Ileitis ndiyo yechipiri inowanzojairika, inokonzera anenge 35 muzana yevarwere vane Crohn's disease. Mhando iyi, iyo inozivikanwawo sekuti fistulizing kana kukonzera chirwere cha Crohn, inosanganisa chete ileum (chikamu chokupedzisira chemukati mudumbu). Dhairrhea, kuora kurasikirwa, kurwadziwa kunorwadza mumucheto wezasi kana wepakati mudumbu, uye kunetseka maawa mashomanana mushure mekudya kudya zviratidzo zvinowanzoonekwa.
Urwu urwu hweCrohn's disease hunogona kukonzera malabsorption mavitamini kana emaminera. Zvirwere zviviri zvinowanzojairika ndezvekushaikwa kwevhitamini B12 uye kusava nehutano. Kusava nehupenzi kunogona kudzivirira kusikwa kwemasero matsvuku eropa uye naizvozvo kunokonzera kushaya ropa . A vitamin B12 inoshaya inogona kukonzera kumira muminwe kana zvigunwe (chirwere chepfungwa) uye zvinogona kubatsirawo pakuvandudzwa kwekushaya ropa.
Matambudziko kubva kuileti anogona kunosanganisira fistulas kana abscesses mumutsetse wepamusoro we quadrant.
Gastroduodenal Crohn's Disease
Chirwere cheGastroduodenal Crohn, pamwe nejjunoileitis, inokwana anenge 5 muzana yezviitiko zvose zveCrohn's disease.
Ichi chimiro cheCrohn's disease chinokanganisa dumbu uye duodenum (chikamu chekutanga chemukati mudumbu ).
Zviratidzo zvinosanganisira kurasikirwa nechido, kuora muviri, kuora mwoyo, kurutsira nekurwadziwa mukati memumimba mudenga. Kusvetuka kunogona kuva chiratidzo chokuti pane kuvhara mune chikamu chiduku chemukati mudumbu. Ichi chimiro cheCrohn's disease dzimwe nguva hachizivikanwe sechironda, uye chirwere cheCrohn chinongowanikwa mushure mekurapa kwe "ulcer" hachibvumiri zviratidzo kana kana chirwere cheCrohn chinoshanda chichiwanikwa mune imwe chikamu chemuviri wepamuviri.
Jejunoileitis
Chimiro chechirwere cheCrohn chinoratidzirwa nzvimbo dzekuvhiringidzika mu jejunum , iyo iri pakati, uye chikamu chakareba kudarika mumutsipa muduku.
Ijjunamu inokonzerwa nekugadzirisa zvibereko zvakawanda kubva kune zvekudya.
Zviratidzo zvinosanganisira kurwadziwa kwepashure mushure mekudya, chirwere, uye kurwadziwa kwepamuviri kunogona kusiyana kubva munyoro kusvika kune zvakasimba. Zvinetso zvejjunoileitis zvinosanganisira fistulas (mugero usinganzwisisiki unobatanidza miviri miviri miviri) uye kusagadzikana kunokonzerwa nevarombo kudya kwezvinhu zvinovaka.
Crohn's Colitis
Crohn's colitis, dzimwe nguva inonzi granulomatous colitis, inoratidzika sechirwere cheCrohn chinokanganisa karosi chete. Urwu hutachiona hweCrohn's disease hunoita 20 muzana yevarwere. Crohn's colitis inowanzovhiringidzika ne ulcerative colitis, asi kune maviri akasiyana kusiyana kweCrohn's colitis uye ulcerative colitis:
- Kuvhiringidzika mu ulcerative colitis nguva dzose kunogadzikana, asi mu Crohn's colitis inenge iri pakati pemakoroni
- Kuchengetedza chirwere chetachiona nguva dzose kunokanganisa rectum apo Crohn's colitis ingasadaro.
Zviratidzo zveCrohn's colitis zvinosanganisira kubuda, kubuda ropa kubva kumawere, uye kubvumira, fistulas, kana zvipembenene zvakakomberedza anus. Peripheral arthritis uye mamiriro ezvinhu eganda zvinosangana nehuputi hwechirwere zvirwere zvinowanikwa kakawanda neCrohn's colitis kupfuura mamwe maitiro eCrohn's disease.
Sources:
Abbott Laboratories. "Nezvezvirwere zveCrohn." Abbott Laboratories 2013.
Crohns naColitis Foundation yeAmerica. "Chii chinonzi Crohn's Disease?" CCFA.org 2012.
Peppercorn, MA. "Mashoko ekushivirira: chirwere cheCrohn." UpToDate.com 16 Nov 2012.