Iyo miviri miviri yepamusoro yekuputika kwechirwere chirwere (IBD) -Crohn's disease uye ulcerative colitis-inowanzonyanya pamwe chete. Asi, zvimwe zvezvimiro zvavo zvakasiyana chaizvo.
Overview
Zvirwere izvi zvinosanganisira zviratidzo zvakawanda, asi kurapa kwavo, zvose zvezvechiremba uye chirwere, hazvina kufanana. Muzviitiko zvizhinji, gastroenterologist yakarovedzwa (kuburikidza nekushandiswa kwezviitiko zvakasiyana-siyana zvekuedza) inogona kuona kana nyaya yeBD inonzi Crohn's disease kana ulcerative colitis.
Zvisinei, kune mamiriro ezvinhu apo kuongororwa kwechimwe chimiro cheBD pane chimwe chinhu chakaoma zvikuru. Pane dzimwe nguva, kuongororwa kwekupedzisira kunogoneka chete mushure mekunge chiitiko panguva yechirwere kana kurapa kwayo kunoita kuti maitiro eBD ave pachena.
Varwere vane IBD vanogona kunge vakavhiringidzika pamusoro pekusiyana kwezvirwere izvi. Sezvimwe zvipi zvisingagumi, dzidzo ibasa rinokosha rekushanda pamwe nekushingaira muurongwa hwehutano hwako.
Kana kuongorora kwako kusina kusimba, usavhunduka. Mune vamwe vanhu zvinogona kutora nguva yekuona kana IBD yakafanana nechirwere cheCrohn kana zvimwe zvakadai sehutachi inouraya. Munenge 15 muzana yezviitiko, vanhu vanoonekwa kuti vane indeterminate colitis (IC).
IBD iri kuramba ichiwedzera kurapwa uye kune mishonga yakawanda mune arsenal iri kubatsira vanhu vane marudzi ose kuwana hukuru hukuru pamusoro pehosha yavo. Misiyano yakakura pakati pealcerative colitis uye chirwere cheCrohn chinotsanangurwa pasi apa.
Zviratidzo
Zviratidzo zvakawanda zvealcerative colitis uye zvirwere zveCrohn zvakafanana, asi pane zvimwe zvisiri pachena.
- Ulcerative colitis varwere vanowanzova nemarwadzo muzasi kwechikamu chikamu checheche, asi varwere veCrohn vane chirwere (asi kwete nguva dzose) vanonzwa kurwadziwa mumucheto wezasi.
- Uine ulcerative colitis, kubuda kubva pamakona panguva yekufamba kwemamota kunowanzojairika apo kubuda ropa kunonyanya kudarika kuvarwere vane Crohn's disease.
Nzvimbo yekuvhiringidzika
- Muhosha yaCrohn, nzvimbo yekuvhiringa kunogona kuitika chero ipi zvayo pamakumbo ekudya kubva mumuromo kusvika kune anus.
- Mu ulcerative colitis, hutumbu hukuru (colon) inowanzova nzvimbo yega yega inobatwa. Zvisinei, mune vamwe vanhu vane ulcerative colitis chikamu chekupedzisira chemukati mudumbu, iyo ileum , inogona kuratidza kuvhiringidza.
Muenzaniso wekuvhiringidza
Muenzaniso iyo imwe neimwe yeBD inotora muchigadzirwa chekudya yakasiyana chaizvo.
- Kuchengetedza chirwere chetachiona kunowedzera kuenderera mberi munzvimbo dzose dzinopisa. Muzviitiko zvizhinji, chironda chekuonda chiropa chinotanga mu rectum kana sigmoid colon uye chinopararira kuburikidza nekoloni sezvo chirwere chinopfuurira.
- Muhosha yaCrohn, kuputika kunogona kuitika mumakumbo mune nhengo 1 kana kupfuura mumagetsi. Somuenzaniso, chikamu chinorwara chekoni chinogona kuoneka pakati pezvikamu zviviri zvine utano.
Kuonekwa
Munguva ye colonoscopy kana sigmoidoscopy, chiremba anokwanisa kuona mukati chaiwo wekoloni.
- Mune chikoni chine basa reCrohn's disease, rusvingo rwekoloni runogona kuwedzerwa uye, nokuda kwemukati wepakati wezvirwere uye utano hwakanaka, inogona kuva ne "cobblestone" maitiro .
- Mu ulcerative colitis, rusvingo rwekoloni rwakapfava uye runoratidza kuramba kuri kuputika pasina mavara ezvisikwa zvine utano muchikamu chinorwara.
Granulomas
Granulomas inopisa masero ayo anotumbuka pamwe chete kuti aite chironda. Granulomas varipo muCrohn's disease, asi kwete muchirwere cheplitis. Nokudaro, pavanowanikwa muzvikamu zviduku zvakatorwa kubva kune chikamu chinoputika chegomba rekudya, izvo zviratidzo zvakanaka kuti chirwere cheCrohn ndicho chakakosha kuongororwa.
Ulcers
- Mu ulcerative colitis, kusungira mumucheka wemukumbo marefu kunonzi ulcerated. Izvi zvipembenene hazvipfuuri mberi kwepakati pekugadzirisa mukati.
- Muhosha yaCrohn, kuonda kunowedzera uye kunogona kuwedzera mukati mechidzitiro chemasvingo emadzimai.
Matambudziko
Muhosha yaCrohn , maitiro, zviputi , uye fistula hazviwanzo matambudziko. Mamiriro aya haawanzowanika muzviitiko zve ulcerative colitis.
Kusvuta
Chimwe chezvinhu zvinokanganisa zvakanyanya zveBD ndezvekushamwaridzana kwayo nekutsvuta fodya kana fodya .
- Kusvuta kunobatanidza nehutachiwana hwehutachiwana muCrohn's disease uye vanogona kuwedzera dambudziko rekudzoka zvakare nekuvhiyiwa.
- Kune vamwe vanhu vane ulcerative colitis, kusvuta kunogadzirisa, kunyange kusvuta kusiri kukurudzirwa nekuda kwehuwandu hwehutano hwehutano. Kuchengetedza chirwere chinowanzozivikanwa se "chirwere chevasina kusvuta."
Mishonga
Mishonga
Muzviitiko zvizhinji, zvinodhaka zvinoshandiswa kurapa Crohn's disease uye ulcerative colitis zvakafanana. Zvisinei, kune mamwe mishonga inonyanya kubudirira kune imwe yerudzi rweBD pane rumwe.
Mishonga yekurapa kwechirwere chepachirwere inosanganisira mishonga 5-ASA uye corticosteroids . Mishonga 5-ASA inowanzoshandiswa kurapa chirwere cha Crohn, kunyange zvazvo corticosteroids iri.
Mamwe mishonga inogamuchirwa chete kuti iite rumwe rudzi rweBD kana rumwe. Somuenzaniso, Cimzia (certolizumab pegol) inogamuchirwa chete kuti inobate Crohn's disease uye Colazal (balsalazide disodium) inobvumirwa chete kurapa chironda chekuonda.
Zvimwe mishonga mitsva, kusanganisira Humira (adalimumab) uye Entyvio (vedolizumab) , inogamuchirwa neCrohn's disease uye ulcerative colitis.
Surgery
Kune varwere vane chirwere cheCrohn, kuvhiyiwa kubvisa zvirwere zvinokonzera zvirwere zvinogona kupa ruzivo rwezviratidzo, asi chirwere chinowanzodzoka. Nokuti kuputika kunowanzoitika mumuviri mukuru mu ulcerative colitis, kubviswa kwechigadziko ichocho (chinonzi colectomy) kunoonekwa se " mushonga ."
Kubvisa chete chikamu chemakoloni hazviwanzoitwa nealcerative colitis varwere, sezvo chirwere chacho chichadzoka muchikamu chekoloni yakasara.
Mushure mokunge uine colectomy, chirwere chinonzi ulcerative colitis chinogona kuva neostomy kana imwe yemhando dzakasiyana-siyana dzomukati dzakagadzirwa kubva mumutsipa muduku wakanaka. Mahombodo mukati haawanzogadziri muvarwere veCrohn vane chirwere chinofanira kugoverwa colectomy, nokuti chirwere cheCrohn chinogona kuitika muhomwe . Kana chikwama chikapiswa, chinofanira kubviswa pane imwe chirwere.