Chirwere chepachimara chirwere chisingaperi, uye vanhu vane IBD vachawanzodiwa kurapwa muupenyu hwavo hwose. Asi pane chimwe chinhu chinogona kupa chirwere here?
Kwete, ikozvino hakuna mushonga weCrohn's disease kana ulcerative colitis, iyo miviri mikuru yeBD . IBD chirwere chisingaperi, uye vanhu vane IBD vachawanzodiwa kurapwa muupenyu hwavo hwose.
Zvinokwanisika kuti mumwe munhu aite zvakanaka neBD dzavo, asi izvi zvingave zvakanyatsokodzera kunzi yakadzama kuregererwa, panzvimbo pekurapa.
Kuregererwa Ndicho Chinangwa
Vamwe vanhu vane IBD vanogona kuwana kuregererwa, kana kuti kusagara kwenguva refu kwezviratidzo. IBD inofungidzirwa kuti yakapinda mukuregererwa apo dumbu rekuita basa riri nani, uye zviratidzo zveBD hazvivhiringidzi. Kune marudzi akasiyana ekuregererwa, uye apo kusavapo kwezviratidzo kunobatsira varwere, imwe yakadzika yokuregererwa, endoscopic kuregererwa, ndeye apo pasina kuora kunowanika munguva yekupedzisira.
Kuregererwa chinangwa chekurapa, uye kune vamwe vanhu vane IBD, nguva yekuregererwa inogona kuramba kwenguva yakareba. Zvisinei, vanhu vazhinji vachaona dzimwe nguva dzezvirwere zvakasimba (flare-ups) uye kuregererwa muhupenyu hwavo hwose.
Nei Chiremba Kwete "Mushonga"
Kurapa kweCrohn's disease uye ulcerative colitis kunosanganisira zvose mishonga uye kuvhiyiwa.
Zvose zvinokanganisa zvinonzi "chirwere" chekuonda kwehutachiona nekuti, nekubviswa kwekoloni, iyo yehutachiwana inopera. Zvisinei, kune chidimbu chiduku chevarwere vane ulcerative colitis iyo inewo chirwere mune chikamu chekupedzisira chemukati mudumbu (terminal terminal ileum), iyo isingagoni kurapwa ne colectomy.
Uyewo, zvinetso zvakabatana zvakadai sekugadzirwa kwepurasitiki, maronda, uye marwadzo anowirirana angaramba achiitika.
Kuvhiya kwechirwere cheCrohn kunogonawo kusanganisira colectomy kana resection , asi haisiwo mushonga nokuti chirwere chinogona kudzoka kune dzimwe nzvimbo dzeropa rekudya.
Mishonga Mitsva inogona Kurapa IBD?
Kurapa kweBDI kunosanganisira corticosteroids (prednisone), 5-ASA zvinodhaka (mesalamine), immunosuppressives, uye biologics zvakadai seRemicade (infliximab) , Humira (adalimumab) , Cimzia (certolizumab pegol) , Enbrel (etanercept) , Entyvio (vedolizumab) , uye Simponi (golimumab). Iyi mishonga haigone kurapa IBD, asi kune vanhu vazhinji, vanogona kubata zviratidzo kana kubatsira kubatsira nguva yekuregererwa.
Kuwana mushonga weBD unogona kutanga nekuwana chikonzero cheCrohn's disease uye ulcerative colitis. IBD chirwere chinonzi idiopathic, kana chirwere chisingazivi chikonzero. Pane dzidziso pamusoro pezvinoita chikonzero cheBD iyo inosanganisira igE-mediated allergen response, utachiona hwehutachiona, hutachiona hwemagariro ehupenyu, uye chimiro chemajini.
Shoko Rinobva
Indaneti yakazara nevanhu vanoti vanowana "mushonga" weBDD. Mishonga yeBD inogona kuva inotyisa uye naizvozvo hazvishamisi kuti vanhu vane IBD vachitsvaga kurapa kunonakidza kunoratidzika kuve nyore kushandisa.
Zvisinei, hapana maitiro kana mamwe mazano anobatsira akawanikwa kurapa IBD. Panewo mishonga inowanikwa yakawanikwa inoporesa IBD.
Zvatiinazvo zvirapa zvinogona kubatsira kugadzirisa zviratidzo uye kugadzirisa kuvhiringidza uye zvinetso. Zvimwe nzira dzokurapa uye dzinobatsira dzine nzvimbo yavo, uye dzimwe dzakawanikwa dzichibatsira IBD, asi haigoni kutora nzvimbo yevatariri ne gastroenterologist.
Zvakanaka kuchengeta murangariro uyu mupfungwa: "kana chimwe chinhu chichiita sechinyanyisa kuti chisati chiri chechokwadi, zvichida." Kune vanhu vakawanda vanoti vanozvirapa pachavo.
Kana vari kuita zvakanaka (uye kurapa kutuka, kwete zviratidzo chete), izvo zvinoshamisa kwavari. Zvisinei, hazvirevi kuti ani zvake achakwanisa kuita zvakanyatsofanana (kudya, kuwedzera, uye nezvimwe) uye kuva nemigumisiro yakafanana. Pasina kuziva zvido zvepedyo zvechirwere chavo uye kurapa kwavo, hazvigone kutora regimen yeumwe munhu uye vanotarisira kuti inoshanda nenzira imwechete kune vamwe varwere.
Sources:
Abdelrazeq AS, Wilson TR, Leitch DL, Lund JN, Leveson SH. "Ileitis muUlcerative Colitis: Icho Chinonzi Backwash?" Zvirwere zveColon & Rectum 48 (2005): 1542-1549.
Bell AJ, Price AB, Forbes A, et al. "Pre-pouch ileitis: chirwere cheiyoum muhutachi inouraya pashure pokudzorera proctocolectomy." Colorectal Disease 8 (2006): 402-410.
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). "Kurwara kwaCrohn." The National Digestive Diseases Information Clearinghouse 10 Jul 2013.