Kunyange zvazvo kuvhiringidzika kwechirwere chirwere (IBD) chirwere chinokanganisika chezvirwere zvinowanzova zvakaoma kufungidzira uye kubata, vatsvakurudzi vakaunganidza huwandu hwehuwandu hwemashoko ezve genetics, kugovera, uye kupa zvipo zvezvakatipoteredza zveBD. Pasi pose, IBD chirwere chevanhu vatsvene vanogara munyika dzakabudirira uye inowanzoonekwa kuti inowanikwa mune vechidiki uye vechidiki.
Kunyange zvazvo Crohn's disease uye ulcerative colitis inoita sokuti inomhanya mumhuri, kubatana hakusi nguva dzose (yakadai kubva kumubereki kusvika kumwana). Dambudziko rekuwana nhaka yeBD rinowanzoperera, kunze kweizvi apo vabereki vose vane chimiro cheBD.
Zera IBD Ndowakawanda
IBD inowanzoonekwa sehosha yevechiri kuyaruka uye vechidiki nokuti ndiyo inowanzotaridzirwa muvanhu vari pakati pemakore gumi nemashanu nemakore makumi mashanu (zvichida imwe nzvimbo inoratidza chiitiko chakanyanya kuva pakati pemakore 15 kusvika ku35). Pakati pevanhu vanofungidzirwa mamiriyoni 1.6 muUnited States vane IBD, 10% vana. Panenge anenge makore makumi mashanu pane kumwe kuwedzera kwekuongororwa kweBD.
Zvimwe Zvinowanikwa Munhurume Kana Vakadzi?
IBD inoratidzika kunge inobata varume nevadzimai muzviyero zvakaenzana.
Geographic Areas IBD Zvakawanda Kuwanda
IBD inowanzozivikanwa mu:
- Nyika dzakasimudzirwa
- Nzvimbo dzeMaguta
- Mamiriro ekuchamhembe
Ulcerative colitis inowanikwa muUnited States uye kuchamhembe kwenyika dzeEurope uye zvishoma zvakajairika muJapan ne South Africa.
Vanhu Vangani Vakawanda BD?
Inowanzowirirwa kuti vanhu vanenge mamiriyoni 1.6 muUnited States vane IBD. (Dzimwe nyanzvi dzinoratidza kuti nhamba iyi inogona kunge yakanyanyisa.) MuEurope, nhamba yevanhu vane IBD inofungidzirwa kuva 2.2 mamiriyoni.
MuUnited States, kupararira kweBD ndiko:
- Kuchengetedza chirwere: 100 kusvika 200 vanhu pa100 000 vanhu
- Chirwere cheCrohn: 30 kusvika ku100 vanhu pavanhu 1000 000
Mamwe marudzi ari pangozi yakakwirira
- VaAshkenazi vaJudha vanowanzogadzirisa IBD.
- IBD inowanzowanikwa mumachena nevanhu veAfrica America, uye zvisingawanzozivikanwi kune vanhu veEpanica neAsia vanozvarwa.
Zvinhu Zvakatipoteredza Zvengozi Yokuvandudza IBD
Zvimwe zvinhu, appendectomy uye nhoroondo yekusvuta fodya , zvakaratidzwa kuva nemigumisiro pakuvandudzwa kweBD. Migumisiro yezvidzidzo 13 zvakaitwa pakati pa1979 na1999 zvinoratidza kuti kubviswa kwezvinyorwa kunogona kuderedzera njodzi yekudzivirira chironda chekurara nekusvika 69 kubva muzana.
Vaimbova vacheti ndivo vari pangozi yakanyanya yekukura kwekuonda kwehutachiona, asi vemazuva ano vanosvuta vane ngozi shoma. Iyi tsika inoratidza kuti kusvuta fodya kunobatsira kudzivirira kutanga kwemaronda ekuronda. Kusvuta fodya zvinowanzova nemigumisiro inopesana nehosha ya Crohn; vanhu vanosvuta, kana kuti vakamboputa munguva yakapfuura, vane mungozi mukuru wekuwedzera chirwere che Crohn kune vasina kusvuta.
Ndiani Ari Ngozi yeHurumende IBD?
- Ikoko kunoratidzika kunge kune dambudziko rakasimba rekugamuchira Crohn's disease kupfuura chirwere chekurwara, zvikurukuru mumhuri dzechiJudha.
- Vana vane mubereki mumwe chete ane Crohn's disease vane 7 kusvika ku9% yehupenyu hwehutano hwekuvandudza mamiriro ezvinhu uye 10% yega yega yekuvandudza mamwe maBDD.
- Vana vevabereki vaviri vane IBD vane 35% mungozi yekuvandudza mamwe maBD.
- Inenge 20% yevanhu vane IBD vane nhengo yemhuri ine IBD.
- Ngozi yeBD kune vanhu vane nhengo yemhuri ine IBD inopfuura 10 pane yakapfuura kune vanhu vari vanhu vakawanda.
- Ngozi yeBD kune vanhu vane munun'una ane IBD kanopfuura makumi matatu pane vanhu vari muhuwandu hwevanhu.
Zvimwe zvikonzero, zvakadai sokudya, kushandiswa kwemishonga yekudzivirira pamuviri , uye zvirwere zviri kuidzidzwa, asi basa ravo harina kujeka.
Sources:
Crohn's uye Colitis Foundation yeAmerica. "Nezve Epidemiology yeBD." CCFA.org 1 Jun 2012. 28 Dec 2013.
Loftus EV Jr. "Clinical epidemiology yezvirwere zvechirwere chechiremera: Kuitika, kuwandisa, uye kuitika kwezvakatipoteredza." Gastroenterology . 2004 May; 126 (6): 1504-17. 28 Dec 2013.
Peeters M, Nevens H, Baert F, et al. "Kushamwaridzana kwevanhu muhutano hweCrohn: Kuwedzerwa kwezera, kuchinjwa njodzi, uye kubvumirana mumakiriniki." Gastroenterology . 1996; 111: 597-603. 28 Dec 2013.