Kudzokorora Pashure Kokuvhiya Kwezvirwere zveCrohn Zvakajairika
Taura nemunhu anenge ane chirwere cheCrohn uye zvichida vakambovhiyiwa. Inenge hafu yevatachiona veCrohn vane chirwere chichavhiyiwa mumakore gumi ekutanga mushure mekuongororwa. Kugadziriswa kubvisa mishonga yakaremara kune yakajairika, uye inogona kudzokororwa sezvo chirwere chichidzoka muzvikamu zvakasiyana zvemukati. Chirwere cheCrohn chinogona kukonzera kuderera kwemuviri, uyewo kunonzi kugadzirwa , izvo zvingada chirongwa chekuvhiyiwa chinonzi strictureplasty.
Matambudziko kubva kuCrohn's disease zvakadai seabaseti kana fissures angadawo kurapwa nekuvhiyiwa.
Kakawanda sei Crohn inodzokera shure Pashure pekuvhiya
Zvinosuruvarisa, zvidzidzo zvakawanda zvinoratidza kuti zviratidzo zvechirwere cheCrohn, kana uchapupu hwezvirwere zvinogona kuonekwa munguva yekuongorora, kazhinji kudzoka mushure mekuvhiyiwa. Apo chirwere ichi chinodzoka chinotarisana nezvimwe zvikonzero.
Zvimwe zvidzidzo zvinoratidza zvinhu zvinosanganiswa nekudzoka kwezviratidzo zvinosanganisira peri-anal fistula , chirwere chinowanikwa muchechi duku, chirwere chakare, chirwere chakanyanya chakavhiringidzika, uye kusvuta. Kutaura zvazviri, kusvuta kunoratidzika kuti ndiyo inonyanya kukosha. Nguva yakareba iyo munhu aine chirwere cheCrohn hachiratidzi sechimwe chinhu chiri pangozi yekudzokazve shure kwekuvhiyiwa. Nhoroondo yemhuri uye yemhuri zvakare haifaniri kuva neipi inobatsira panguva yeCrohn's disease pashure pokuvhiyiwa.
Zvidzidzo zvishomanana zvakawana kuti vaduku pakuongororwa uye panguva yekuvhiyiwa kokutanga kunogonawo kubatanidzwa nechirwere cheCrohn chinodzokorora mushure mekuvhiyiwa.
Varwere vakwegura, kunyanya avo vanopfuura makore makumi mashanu, vangangoderedza dambudziko rekudzoka zvakare. Zvimwe zvidzidzo zvinoratidza kusava nehukama pakati pemakore uye nengozi yekudzoka zvakare, saka hachiri kujeka kana makore ari chokwadi chinhu.
Kuderedza Mukana Wekudzokerazve
Pane tariro pane zvishoma kuti iparadze kuenderera mberi kwekuvhiyiwa uye kudzokera zvakare.
Kutsvakurudza kutsva kwakaitirwa kukonzera ichi chiyero chekudzokerazve shure kwekuvhiyiwa. Zvimwe zvidzidzo zvinoratidza kuti dzimwe mishonga inowanzoshandiswa kurapa IBD, yakadai semesamineine (Lialda, Apriso, Pentasa, Canasa, Asacol), azatioprine (Imuran, Azasan), uye mamwe maantibhakitiriya anogona kubatsira kudzivisa kudzoka kwezvirwere mushure mekuvhiyiwa kwekurohwa. Biologic zvinodhaka zvakadai saRicicade uye Huma zvakare zvakadzidziswa kushandiswa mushure mekuvhiyiwa, uye zvinogonawo kushanda, kunyanya mushure mekugadziriswa mune dzimwe nzvimbo dzedumbu duku.
Kuongorora Kwekudzokerazve
Chikamu chakakosha chekushanda pakudzivirira kudzokorora ndechekucherechedza uchapupu hweCrohn's disease mushure mekuvhiyiwa. Kushandisa nzira dzisiri dzisina kuvhiringidza, dzakadai sa capsule endoscopy kana kuti ultrasound zvakasiyana, inowanzodiwa. Nokuti kusvuta kwakanyanyobatanidzwa nekudzoka kwezviratidzo, danho rinokosha iro vatwere vanogona kutora kudzivirira Crohn's kubva kudzoka mushure mekuvhiyiwa ndekurega kusvuta.
Sources:
Bernell O, et al. "Zvimwe zvinokonzerwa nekuvhiyiwa nekudzokororazve mushure meCrohn's disease." Ann Surgery January 2000; 231: 38-45.
Buisson A, Chevaux JB, Allen PB, Bommelaer G, Peyrin-Biroulet L. "Nyaya yokuongorora: nhoroondo yezvakanyorwa yeCrohn's disease repoperative." Aliment Pharmacol Ikoko. 2012 Mar; 35: 625-33. doi: 10.1111 / j.1365-2036.2012.05002.x.
P Rutgeerts, M Hiele, K Geboes, M Peeters, F Penninckx, R Aerts, uye R Kerremans. "Kudzorwa kwekutongwa kwemetronidazole kurapwa kwekudzivirira kweCrohn kudzokorora shure kweareal resection." Gastroenterology 108: 1617-1621.
Yamamoto T, Watanabe T. "Nzira dzekudzivirirwa kwekudzoka shure kwechirwere che Crohn's disease." Colorectal Dis . 2013 Dec; 15 (12): 1471-80. doi: 10.1111 / codi.12326.