IBD Inogona Kuita Varume nevakadzi Vakasiyana
Munowanzo, vakadzi vanokura mimwe miviri ye autoimmune kana kuti ye-immune-mediated kupfuura varume. Kunyange zvazvo kuputika kwechirwere chirwere (IBD) , icho chinoonekwa sechirwere chemuviri, chinoratidzika kuchinja nhamba yakaenzana yakaenzana yevarume nevakadzi , dzimwe dzidzo dzakaratidza kuti IBD inogona kukanganisa varume nevakadzi zvakasiyana. Kunyanya, chirwere cheCrohn icho--kure-chinoratidzwa kuva nekusiyana kwakasiyana-siyana maererano nezvinoitika kune varume nevakadzi nenzira dzakasiyana.
Pane, zvisinei, kumwe kutsvakurudza kunosanganisira kuti ulcerative colitis inobata sei zvepabonde pamwe chete. Zvinokwanisika kuti mahomoni nezvimwe zviito zvepabonde zvinobatsira mune zvimwe zvirwere, zvakadai seBDD, zvinokanganisa varume nevakadzi zvakasiyana, asi pane dzimwe nguva zvinogonawo kuenderana nekuti varume nevakadzi (nevakomana nevanasikana) vanogamuchirwa sei zvirwere.
Chimwe chikonzero nei IBD inogona kunge yakasiyana nevarume nevakadzi ndeyekutsvaga kune zvinogona kuisa njodzi. Vatsvakurudzi vachiri vasingazivi chaicho chinokonzera IBD , asi kune dzimwe pfungwa dzokuti chii chinogona kukonzera chirwere mune vamwe vanhu. Zvitachiona zvakabatana neBD zvakave zvichiratidzwa, asi kwete munhu wose ane majeni aya anoumba IBD, izvo zvinoreva kuti pane chimwe chinhu (kana kuti pane zvimwe zvinyorwa) zvichibatsira pakukura kwayo. Izvo zvinokonzera zvinogona kuva zvakatipoteredza, sezvinenge pane chimwe chinhu vanhu vanoratidzirwa mukati mehupenyu hwavo, kana kuti inogona kuva chimwe chinhu mumuviri, semakemoni.
Zvichida kune zvinhu zvakawanda zvakadai zvakashanda pamwechete izvo zvino zvinotungamirira kukurudzirwa kweBD kune vamwe vanhu.
Antibiotics uye Ngozi yeBD mu Boys na Men
Chimwe chezvinhu izvi zvinogona kuita kuti IBD iwane kushandiswa kwakapetwa kwemishonga inorwisa mabhakitiriya. Chimwe chidzidzo chakawana kuti vakomana vanogona kukura IBD kakawanda mushure mekunge vaine maantibhakitiriya sechechecheche asi chimwe chidzidzo chakawana kuti vakomana vanorayirwa ma antibiotics kupfuura vasikana.
Izvi zvinoreva kuti hazvisati zvichinyatsozivikanwa kana vakomana vangave vakakwanisa kupfuura vasikana kukura IBD mushure mekushandiswa kwemishonga inorwisa mabhakitiriya mugore rokutanga rehupenyu. Chidzidzo chacho chakaratidza zvakare kuti Crohn's disease yakaonekwa kazhinji, muna 75 muzana yematambudziko, mushure mekunge imwe kana mamwe mapoka emishonga inorwisa mabhakitiriya akapiwa vana pavakanga vari vacheche.
Muzhinji, varume vanowanzoita zvirwere nezvipembenene, fungi, mabhakitiriya, uye mavairasi kupfuura vakadzi. Zvinofungidzirwa kuti varume vane zvakawanda zvinetso nekutengesa zvirwere kupfuura vakadzi nekuda kwekudzivirirwa kwemuviri mutezo. Zvirwere zvemuviri zvemuviri zvinoratidzika sezviita zvakasiyana nemavarume kupfuura zvazviri mumadzimai semugumisiro wekusiyana kwemashure evanhu nevakadzi. Mahomoni evanhu anogona kuita kuti maitiro ezvirwere zvekudzivirira zvirwere ashande zvakanaka kuti varwise utachiona. Mukuwedzera, panogona kuva nechimwe chechipiri mubasa, apo mahomoni evanhu anewo zvaanoita pamajeni anokonzera kurwisa zvirwere. Ndezvikonzero zvekuti varume nevakomana vanogona kurwara nehutachiwana kakawanda uye izvi zvinogona kutungamirira kudiwa kwekurapwa nemishonga inorwisa mabhakitiriya.
Mashoko Okuwedzera uye Njodzi yeBD muVasikana nevakadzi
Kuva nezvokuwedzera zvakabviswa , kuburikidza nokuvhiya kunonzi appendectomy, chimwe chikonzero chinogona kuva neukama hwakaoma neBD.
Mushure mokunge appendix yabviswa, zvidzidzo zvakaratidza kune chiitiko kune ngozi inowedzera yechirwere cheCrohn asi yakaderera dambudziko rekuonda kwehutachi. Kuwedzera kwehutachiwana hwechirwere cheCrohn chaive chakanyanya kukura kuvakadzi kupfuura zvaiva mumarume, uye zvakaramba zvakadaro nenzira yemakore makumi maviri pashure pekudzivirira.
Vakadzi uye Njodzi Yeganda Zvimwe
Rumwe rudzi rwehuwandu-hutachiona hunoratidza huwandu hwevanhu vane IBD matambudziko eganda. Kunyanya, kune mamiriro maviri emaperembudzi ayo ari pedyo neBD, erythema nodosum uye pyoderma gangrenosum . Chimwe chidzidzo chakaratidzira kuti pane zviitiko zvakasiyana-siyana zvaiita sezviri kufamba-zvanza-nemaoko nemukana wekuvandudza imwe yemamiriro ezvinhu eganda.
Kunze kwekuongororwa neBD pazera remakore, uye kuva nechirwere cheCrohn, chimwe chiyeuchidzo chakakonzera dambudziko rehutano hwemukati wehutano. Vakadzi vainyanya kuwedzera erythema nodosum uye pyoderma gangrenosum kupfuura varume vane IBD. Kuva nemishonga yakapfuura nemishonga inonzi biologic yakaratidza mungozi muduku wemamiriro ezvinhu eganda iri muchidzidzo.
Varume Vane IBD uye Nengozi yeChiropa Zvirwere
Chirwere chechiropa chinonyanya kuonekwa mumarume kupfuura chiri chavakadzi ndechekutanga sclerosing cholangitis (PSC). PSC inowanikwawo kune vanhu vane ulcerative colitis kupfuura kune vanhu vane Crohn's disease. Mumwe munhu ane PSC ndeyemurume ane makore ari pakati uye ane chironda chekuonda kwehutachiona, asi chirwere chinenge chisingawaniki kusvikira mushure mekunge PSC iwanikwa. Vakadzi vane PSC kazhinji havanawo IBD. PSC isiri mamiriro ezvinhu, uye kunyange zvazvo yakanyanya kuoma uye inogona kudiwa chiropa chokuputika, varwere vakawanda vanoita zvakanaka mushure mekurapa.
Kusiyanisa Pashure Kokuvhiya Kwevarume nevakadzi
Kune zvakawanda zvinoitwa neBIB, varume nevakadzi vanoita kunge vakafanana zvakafanana: zera rinorwara uye nguva yekuvhiya kwokutanga munyaya yeCrohn's disease, somuenzaniso. Zvisinei, mushure mekuvhiyiwa kwepurojekiti, imwe yongororo yakawana kuti vakadzi vane nguva shoma (4.8 kwemakore) kupfuura varume (6.5 kwemakore) Chirwere cheCrohn chisati chadzoka. Vakadzi vakaratidzwawo zvakanyanya kuti vawane yeocececal resection (iyo ndiyo kubviswa kwechikamu chekupedzisira chemukati mudumbu ) kuzobata chirwere chavo cha Crohn kupfuura varume.
Perianal Disease muvarume nevakadzi
Iyi perianal nzvimbo iyo chikamu chechemberi chinopoteredza anus . Chirwere cheCrohn chinogona kukanganisa nzvimbo iyi yemuviri uye kunokonzera zvinetso zvakadai sefistulas (iyo inogadziriswa pakati pemiti miviri miviri) uye zvipembenene. Fistulas inobata varume nevakadzi neBD zvakaenzana asi kumwe kuongorora kwakaratidza kuti dzimwe nguva perianal (dzakadai sezvipembenene) zvakajairika kune vakadzi vane Crohn's disease kupfuura ivo vari varume.
Pane Mhando Dzechikadzi Muzvidzidzo?
Pane zvinhu zvishomanana zvinogona kuitika zvinogona kuverenga kune zvimwe kusiyana uko kutsvakurudza kuri kuratidza kuti IBD inobata sei varume nevakadzi zvakasiyana. Zvinhu izvi zvinoda kuongororwa kuitira kuti vanzwisise kusiyana kwechokwadi pakati peBD mune varume nevakadzi, asi kazhinji zvakaoma kuvadzivisa kunze kwekutsvakurudza. Mune zvimwe zviitiko zvinofungidzirwa kuti varume nevakadzi vanogona kusarudza kurapa kwakasiyana-siyana nokuti vakadzi vane makore ekurera vanogona kuva nezvinetso pamusoro pekuti mabhii ekurapa angakanganisa sei pamuviri . Vakadzi vanogona kusimudzira kusarudza kurapwa pamishonga kana vachironga pamusoro pekuita pamuviri.
Mukuwedzera, pane zvimwe zvidzidzo zvinoratidza kuti vakadzi vane IBD vangave vasina kutungamirirwa kana kurapwa nemishonga yakasiyana yevarume kupfuura varume, vane mikonoscopi shoma, uye vangave vashoma kutora mishonga sezvinorayirwa. Mune zvimwe zviitiko, pane kunetseka kuti hutano hwemagariro evanhu pakati pevarume nevakadzi hunoita kuti zvive nemigumisiro yekudzidza, zvichiita kuti nyaya yacho ive yakaoma kudzidza.
Shoko Rinobva
Chirwere cheCrohn uye ulcerative colitis inosangana nevarume nevakadzi muzviyero zvakafanana asi pane zvingave nezvimwe kusiyana apo zvinosvika pakuita kuti zvirwere izvi zvinokanganisa sei zvepabonde. Muzviitiko zvakawanda hazvisi kunyatsoziva kuti sei zvimwe zvinetso kana humwe hutachiwana hwezviratidzo hweBDD hunoita hupombwe humwe kakawanda pane hunoita humwe. Kunyange zvazvo zvisinganzwisisi kuti nei izvi zvichiitika, zvakaguma zvezvidzidzo zvakaitwa paBD mumarume nevakadzi zvinogona kubatsira pakuongorora nekurapa zvirwere izvi pazvinozivikanwa kuti mamwe matambudziko anowanzoonekwa mune imwe zvepabonde pane imwe.
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