Sezvo ani naani ane Crohn's achibvumirana, kurarama nechirwere chisingaperi chine mutoro. Nzira inogara ichinzwa zvakanaka, inoteverwa ne-flare-ups inorwadza, inogona kuonekwa isingagumi. Nekurapa kwakanaka uye mune rimwe rombo, nguva dzehutano hwakanaka huchapfuura nemoto.
Saka hazviratidzika zvakanaka kuti vamwe vanhu vane Crohn's vari mungozi yakawanda yekenza, asi iyo ndeyechokwadi.
Kunyange kana chirwere chechirwere chiri kutongerwa zvakanaka kana zvishoma kuti chirwere hachibviri, kenza inogona kuita kuonekwa kusingadikanwi kwemakore-kunyange makumi emakore-shure kweCrohn's inowanikwa.
Nenzira yakanaka, havasi vose vanorwara vaCrohn vanofanira kunetseka. Iyo njodzi inongowedzerwa nezvimwe zviito zvechirwere uye marapirwo ayo.
Crohn's-Colitis Connection
Inenge 20 muzana yevarwere vane Crohn's disease vane fomu inozivikanwa seCrohn's colitis . Kusiyana nehutachiona hwehutachiona, hunokonzera kutuka chete mumakoni uye rectum, chirwere cheCrohn chinogona kuita kuti mishonga inopisa chero ipi zvayo mumugwagwa wekudya.
Varwere vane Crohn's colitis-zvikurukuru varwere vaduku-vari mungozi yakawanda yeAdenocarcinoma, iyo yemhando yekodoma sekenza yemakondon. Iyi njodzi haisimuki kusvikira makore manomwe kana masere mushure meCrohn's colitis inowanikwa. Iyo inowanzova yakanyanyisa mukutanga kwayo kupfuura dzimwe kenza yemukonta, kazhinji inokonzera zviratidzo zvisati zvasvika.
Nokuda kwechikonzero ichi, varwere vane Crohn's colitis vanofanira kuchengetedzwa pasi nekufungisisa kunyange kana vari kuita zvakanaka.
Kusvikira munguva pfupi ichangopfuura, colonoscopies nedzimwe nharaunda dzakasiyana-siyana dzaiva yegoridhe yepamusoro yekutsvaga kenza. Nzira yacho yakanga isiri yakanaka, zvisinei, nokuti zvinyorwa zvisinganzwisisiki zvinogona kurasikirwa nekenza kana zvipembenene.
Nhasi, imwe nzira yepamusoro inonzi chromoendoscopy inowanikwa. Iko kunosanganisira kuisa dhiini ye-methylene yebhuruu mukati memakumbo emimba munguva yekolonoscopy. Dhayi inoshandiswa nenzvimbo dzeDysplasia, iyo inogona kuumbwa nemasero ekufananidzira. Izvi zvinoita kuti zvive nyore kuona kuburikidza ne endoscope.
Crohn's of the Small Intestine
Kutanga kwekenza mumurwere naCrohn's yemukati muduku chirwere chisingawanzoitiki. Zvinosuruvarisa, hazvibviri kutarisa varwere ava, nokuti chidiki chiduku chakaoma kuwana.
Vakawanda vanorwara neCrohn's the small bowel vanova nekenza vanhu vane chirwere chave chakachengetwa kwemakore, vasati vava nekudzivirira chigumbu, kubvisa pamuviri kana kubuda. Panguva ino, muedzo wekufungidzira wakafanana neT CT scan unoshandiswa kutarisa muviri wemukumbo.
Rectal Stump Kanzera
Apo chikoni ichibviswa, uye murwere anopiwa ileostomy , rectum inogona kuchengetwa zvachose kana zvishoma. Izvi zvinobvumira chifukidzo kuti chidzoke zvakare pane zuva rinouya. Varwere vakawanda vanonzwa zviri nani zvikuru neayoostomy kuti vanodzorera kudzorerwa kana kusiya pfungwa. Zvisinei, ndinonyevera varwere kuti shongwe yekateti inogona kuve nekenza uye inofanira kunyatsoongororwa nekucherechedza endoscopy.
Nenzira yakawanda, tsvina inofanira kubviswa kana varwere vachifara neayoostomy uye vanogona kubvumira chirwere. Izvi zvinoderedza ngozi yavo yekuva nekenza.
Fistulas uye Abscesses
Perianal fistulas uye mapfupa anokonzerwa nechirwere cheCrohn chirwere ichi chinowedzera mukana wekuwedzera squamous cell carcinoma (chimiro chekenza yemaperembudzi) kana adenocarcinoma, maitiro ekonzera yekoloni inotaurwa pamusoro apa. Kanzera inogona kukura panzvimbo yekugara kwefistula kana imwe maronda asingagumi. Zvinonakidza, zvinowanzotora makore matatu kana makumi emakore kuti marariya akadaro awedzere. Parizvino, murwere anogona kuuya nemarwadzo, kubuda ropa, kana kuti ane marapable perianal lump, uye biopsy inowanzosimbisa kuvapo kwekenza.
Kanji Njodzi Inobva Kuchivirirwa
Kirasi itsva yezvinodhaka zvinonzi biologic agents yakashandura mushonga weCrohn's disease. Kune vakawanda, biologics inopa zororo rinogara risina kukwaniswa kuwana nemishonga inowanikwa.
Iyo yakaderera kune biologics ndiyo shoma duku, asi kwete inokosha, yekutengesa lymphoma. Izvi hazvirevi kuti biologics hazvifaniri kushandiswa: Zvinoreva kuti njodzi inofanira kukurukurwa nekufungidzirwa isati yaita chisarudzo chekuenderera mberi.
Kana iwe ukakura lymphoma uchiri kutora biologic, mushonga uyu uchagadziriswa. Mushure mokunge lymphoma yakarapwa, iwe nachiremba wako munogona kukurukura zvakanakisisa zvekutonga Crohn's yako. Mune zvimwe zviitiko zvepamuviri lymphoma, kuvhiyiwa kunogona kuva nzira yakanakisisa yokurapa.
Zvaunofanira Kuziva
Kana uine chirwere cheCrohn, shanda sechikwata nachiremba wako kuti uchengetedze chirwere chako chichitungamirirwa. Izvi zvinoreva kurera purogiramu yekolonoscopies nekunamatira nayo, kunyange iwe ukaramba uine utano kwenguva yakareba.
Usakanganwa kuti kanzvadzi dzakawanda dzinokonzerwa neCrohn's dzinowanzokura shure kwemakore-kunyange makumi emakore-apfuura. Nokubvumira chiremba wako kuti aongorore chikamu chako chekudya, kunyange apo zviratidzo zvako zviri pasi pesimba, iwe unobatsira kuve nechokwadi kuti chero kenza ipi ichawanikwa munguva yayo yekutanga, apo mikana yekurapa yakakwirira.
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