Kubvumira Kubva muRectum Kunogona Kuva Chiratidzo cheBDD
Chimwe chezviratidzo zvakawanda zvechirwere chechirwere chirwere (IBD) chinopa ropa. Ropa rinogona kuonekwa mukati kana kuti pachigaro kana kuti vamwe vanhu vangave vasina kupfugama kamwe nguva dzimwe nguva, uye kungopfuura ropa. Kubvambura kubva pamakumbo uye mumatumbo makuru kubva kuBD kunowanzoita mutsvuku kana kuti mutsvuku , apo ropa rinouya richibva kumusoro mumugwagwa unogona kuonekwa semasikati kana mashefu .
Muzviitiko zvakawanda izvi kubuda ropa kunononoka uye kwakasimba. Kana kubuda ropa kwakaoma, kana iwe uri kurutsira ropa, kunetseka kwakanyanya kunodiwa. Izvozvowo ndezvechokwadi kana iwe uchinzwa uchinetseka kana uchinzwa kupera kwemavara.
Ropa mukati kana kuti pachigaro rinogona kutyisa asi hazvirevi nguva dzose kuti kune dambudziko kana kuti kune chido cherwendo kuenda kune dhipatimendi rekukurumidzira. Iko dzimwe nguva chikamu cheBD-fre-up uye inofanira kukurukurwa nachiremba nokukurumidza sezvinobvira, kunyanya kana zvisina kumboitika munguva. Kuveura kunoreva kuti pane kune kuvhiringira pane imwe nzvimbo, uye kuchinja mushonga kunogona kudiwa. Kune mishonga yakawanda ikozvino inowanika kuBD iyo inogona kubatsira kumisa kupisa nekubuda ropa.
Kuputika muUlcerative Colitis
Kubvambura kubva pamakona kunowanzoonekwa mukurasika kwechirwere kupfuura chirwere cheCrohn. Kuchengetedza chirwere chetachiona kazhinji kunosanganisira rectum. Nemhaka yekuti rectum iri pamagumo emukumbo mukuru, ropa rinobva mumugwagwa rinowoneka mukati kana pachigaro.
Kubuda ropa kunowanikwawo nealcerative colitis nokuti iyi maitiro eBD anorwisa kubatanidzwa kwemukumbo mukuru. Zvironda zvinoumba mucosa yemukumbo mukuru zvinowanzobuda ropa.
Mune zvimwe zviitiko, kubuda ropa kubva kuonda kwehutachiona kunogona kutungamirira ku kurasikirwa kweropa kukuru. Icho chinangwa chikuru chekurapa chichave chokudzivisa kupisa uye kumisa kubuda ropa, asi kurapa kurasikirwa kweropa kunogonawo kuve kwakakosha.
Mune zviitiko zvakakomba zveanemia kubva pachirwere chepachirwere, kuwedzera pamwe nesimbi , folic acid , uye vitamini B12 zvinogona kubatsira kuumba masero matsva eropa. Mune zvimwe zviitiko zvakakomba zvekurasikirwa kweropa, kuwedzerwa ropa kunogona kudiwa.
Kubuda ropa kwakanyanya (kunonzi kuora muviri) kunokonzerwa nechirwere chepachirwere kunogona kutyisa upenyu. Izvi hazvisi zvisizvo, asi kana kubuda ropa hakugoni kumira, kuvhiyiwa kubvisa ikoni uye kuumba yeostomy inogona kudiwa. Munguva yekuvhiya ileostomy musikana mukuru unobviswa uye stoma inogadzirirwa kutendera tsvina kudarika kunze kwemuviri uye muhomwe yekutakura yakavharwa pamimba . Imwe nzira yekuvhiya inogona kuitwa pane imwe nguva inotevera kuti iumbe j-pouch , iyo inogadzira nzira yekuenda kumudziyo wekugezera kuburikidza nerutivi panzvimbo yepamusoro pe stoma.
Kuzadza muHurusi hweCrohn
Chirwere cheCrohn chinokonzera ropa mumubhedha kashoma kudarika zvinonzi ulcerative colitis, asi izvi zvichasiyana pakati pevarwere zvichibva pane uko Crohn inokonzera kuvhiringidza. Chirwere cheCrohn chinowanikwa mumakoroni kana rectum, panzvimbo pemukati mudumbu, zvinowanzoita kuti ropa rioneke kana kuti pachigaro.
Kurapa kurasikirwa kweropa kubva kuCrohn's disease kuchave kwakafanana neyo mu ulcerative colitis: kuwana IBD pasi pesimba, kuwedzera pamwe nemavitamini, kugamuchira kuwedzerwa ropa, kana kuvhiyiwa.
NeCrohn's disease, chirwere chepauroction chinogona kuitwa kuitira kubvisa zvikamu zvemukati zvakakanganiswa nekuputika kukuru. Kuvhiya kweJ-pouch hakuwanzoitirwi nechirwere cheCrohn nokuti pane ngozi iyo Crohn inogona kuwanikwa muhomwe.
Kurasikirwa kweropa kunogonawo kuitika apo chikafu chinenge chichigadzirwa sechinhu chinokonzera chirwere cheCrohn. Mafisitiri anowanzoonekwa nehosha yaCrohn kupfuura ivo vane ulcerative colitis. Muzviitiko zvakawanda, fisiti inogona kurapwa kubudirira pasina kuvhiyiwa.
Tsananguro Inobva
Kubvambura kubva kuRecum uye ropa kuonekwa mukati kana kuti pachigaro hazvisi zvisinganzwisisiki muBDD.
Ndicho chimwe chezviratidzo zvinoratidza zvirwere zvekurara, nokuti varwere vazhinji vanoona chiratidzo ichi. Kunyange zvakadaro, kubuda ropa kunofanira kugara kuchikurukurwa ne gastroenterologist nokuti zvinoreva kuti chimwe chinhu chiri kuitika neBD uye kuchinja kwerapi kunogona kudiwa. Kunyange kana kubuda ropa kwaitika kare, zvakakosha kutaura pamusoro pachiremba. Kana paine kurasikirwa kweropa rakawandisa, kutarisirwa pakarepo kunoda kudiwa. Kana pane zvimwe zviratidzo zvakadai sokupera, chirwere, kana kurwadziwa kwakakomba, zvinogona kuva mamiriro ezvinhu akaoma uye kushevedza ambulensi ndiyo pfungwa yakanakisisa.
Sources:
American Gastroenterological Association. "Chirwere chechiremera chechirwere." Gastro.org Apr 2008.
Crohns naColitis Foundation yeAmerica. "Chii chinonzi Crohn's Disease?". CCFA.org 2012.
National Digestive Diseases Information Clearinghouse. "Kurwara kwaCrohn." National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Dec 2011.