Zvimwe zvinetso zvinowanikwa kunze kwegadziriro yekudya
Zvimwe zvinetso zveCrohn's disease hazvibatanidzi zvakananga nekuputika mumutsipa muduku kana mukuru uye zvinonzi "systemic" kana kuti "extra-intestinal" madhara. Izvi zvinogona kusanganisira arthritis, kurasikirwa kwefupa, kunonoka kukura muvana, chirwere cheziso, maronda, ganda remaperembudzi kana zvipembenene, uye muromo wemakumbo.
Hazvizivikanwi chikonzero nei zvinetso zveCrohn zvinogona kuitika kunze kweropa rekudya, asi pane dzimwe nguva, vanotevera nzira yechirwere: Vanowedzera panguva yekutsvaira uye vanovandudza panguva yekuregererwa .
Arthritis
Urombo, kuzvimba, uye kuoma muzvibatanidza zvevanhu vane chirwere cheCrohn chinogona kunge chichibva pamhirizhonga yeArthritis . Zviratidzo zvinogona kugara kwemazuva kana masvondo uye zvingatama kubva kune imwe diki kuenda kune imwe. Peripheral arthritis inogona kuwedzera apo chirwere cheCrohn chinoshandiswa kubudirira, uye hachikonzeri kukuvadzwa zvachose kwezvisungo. Zviratidzo zvinoshandiswa nekupisa kwakanyoro uye kuzorora. Vanhu vane chirwere cheCrohn vanogonawo kukura mamwe maitiro eArthritis, zvichida sechinhu chinorwadza kana sechiito chakaipa chemishonga.
Bone Loss
Vanhu vane chirwere cheCrohn vari pangozi yekutapukira kwemapfupa uye osteoporosis nekuda kwezvikonzero zvakawanda. Calcium inokosha pamapfupa emapfupa, uye vitamini D inodiwa kuti muviri uwane calcium. Zvisinei, vanhu vane Crohn's disease vanogona kunge vane vitamini D vasina kukwana, kunyanya kana musikana muduku ane chirwere chakakura kana kuti chikamu chakabviswa kuburikidza nekuvhiyiwa.
Mukuwedzera, mapuroteni anonzi cytokines ave akawanikwa munzvimbo dzakakwirira kune vanhu vane chirwere cheCrohn, kunyanya apo chirwere ichi chiri kushanda. Zvinyorwa zvinogona kupindira nekubviswa kwefupa rekare uye kusikwa kwefupa idzva. Zvimwe zvinokonzerwa nehutachiona hwekutema mapfupa zvinosanganisira muviri wepasi mashoma index (BMI), hukadzi hwevakadzi, kusvuta, kushandisa doro, nekukwegura.
Zvose zvinokurudzirwa nekudzivirira kurasikirwa kwemapfupa kunosanganisira kurovedza muviri, kuderedza kushandiswa kwedoro, kurega kusvuta, uye kuwedzera pamwe ne 1500 mg ye calcium uye 400 IU yevhitamini D zuva roga roga. Kune vanhu vane chirwere chinoputira chirwere (IBD), kuderedza kushandiswa kwe corticosteroids kana zvichibvira uye kutora bishosphonate mishonga inobatsirawo.
Kukura Kwishoma muvana
Chirwere cheCrohn chinoisa vana panjodzi yekukurumidza kukura . Zvinhu zvinokonzera kukura muvana vane chirwere cheCrohn, kusanganisira kusava nechido chekudya , kudya kwakashata, kushaya muviri kunovaka muviri mumukomana muduku, uye kushandiswa kweSteroids sekurapa. Izvi zvinogona kuva nemigumisiro yakaipa pamusana pekukwirira kwemwana uye kuguma kwenguva shoma.
Dambudziko reZiso
Zvirwere zvemaziso zvinogona kukanganisa vanhu vane chirwere cheCrohn vanosanganisira uveitis, episcleritis, keratopathy, uye maziso akaoma. Dzimwe mamiriro eziso zvinoda kurapwa, uye vazhinji vachavandudza apo chirwere cheCrohn chinowanikwa zvakanaka.
- Maziso akaoma anokonzerwa nokushaiwa misodzi mumeso. Kushayikwa kwemweya kunogona kutungamirira kumeso ekutsamwa uye pakupedzisira kupofu. Maziso akaoma anoremekedzwa nemisodzi yemafuta uye vitamini A zvinowedzera. Kana kuoma kunokonzera utachiona, kurapwa nemishonga inouraya inogona kudiwa.
- Episcleritis ndiko kuputika kwemuchena weziso iro rinokonzera zviratidzo zvekutambudzika nekudzikinura. Episcleritis inobatwa nevasoconstrictor kana corticosteroid.
- Keratopathy ichinhu chisina kukodzera mumakorome asingaiti kukonzera kana kurasikirwa kwemaonero uye naizvozvo haigoni kurapwa.
- Uveitis iko kuputika kwepakati pekati reziso rinokonzera zviratidzo zvekuvhenekera kwekunzwa, kurwadziwa, kuchena, kuonekwa kwakashata, uye musoro. Kuruboshwe kusatenderwa, uveitis kunogona kutungamirira kuhupofu, glaucoma, kana retina yakavharwa. Kurapa kune corticosteroids.
Gallstones
Bhiri iyo inomesa mukati meguruva inogona kukonzera nduru .
Mazhenje anokwanisa kudzivisa kubuda kwebve kubva mu-gallbladder, inokonzera kurwadziwa kwakanyanya. Vanhu vane chirwere cheCrohn mumugwagwa wegadziriro inowedzera mungozi yekukura kwemajoni; vazhinji vanoita 13% kusvika ku 34% vachaona kusangana uku. Kuvhiringidzika kweeileum kunodzivirira kubatwa kwe bile. Bhiri inoparadza cholesterol kubva pakudya, uye kana ichi cholesterol isati yaputsika, inogona kuguma nemaronda. Zvipfeko zvinowanzobatwa nekuvhiya uchibvisa gorosi. Kurapa nemishonga ishoma kunowanzoshandiswa nokuti gallstones inogona kudzoka zvakare.
Mouth Ulcers
Zviduku, zvipembenene zvisinganyanyi kuitika mumuromo zvinonzi aphthous stomatitis. Mushonga unogadzirwa nemishonga unogona kushandiswa kuchengetedza muromo uchichena, asi hapana humwe hutano hunowanzodiwa. Zvirwere zvinyoro zvinogona kuporesa ivo pachavo, asi mapurisa anonzi anti-inflammatories uye anesthetics angaita kuti usakanganise uye kukurudzira kuporesa.
Ganda Mamiriro
Vanhu vane chirwere cheCrohn muchetoni vanogona kugadzira matanda ematehwe . Ganda rakapoteredza maruva emvura munzvimbo inonzi perianal inowedzera uye inogadzira zviputi. Kuchengetedza kunofanira kutorwa kuchengetedza nzvimbo yakare yakachena, nokuti matanda eganda anogona kuchengeta chigaro uye kutungamirira kugumbuka kweganda. Kuvapo kwemakanda eganda kunogona kubatsira pakuita kuti chirwere cheCrohn chinorwara nokuti chakanyanya kufanana kune vanhu vane chirwere cheCrohn kupfuura chirwere chekurwara.
Mimwe mamiriro eganda anobatanidzwa neCrohn's disease ndi erythema nodosum uye pyoderma gangrenosum . Erythema nodosum inorwadza mutsvuku mutsvuku iyo inokura pamaoko kana pamakumbo makadzika, uye pyoderma gangrenosum inobhururuka pamakumbo kana maoko anowanzoita panzvimbo yekushungurudzika kwechidiki, zvakadai sekuchekwa. Zvose izvi izvi hazviwanzozivikanwi muCrohn's disease kupfuura muhutachi. Erythema nodosum inogona kukonzera 1% kusvika 2% yevaya vane Crohn's disease yekoloni, uye pyoderma gangrenosum inogona kukanganisa 1% yevanhu vane Crohn's disease.
Sources:
Bonheur JL, Braunstein J, Korelitz BI, Panagopoulos G. "Chirwere cheganda muzvirwere zvechirwere chinoputira: Kuonekwa patsva uye kuongorora kwechipatara." Kuvhiringidza Bowel Diseases 14; 1236-1239 1 May 2008. 9 Septemba 2013.
Crohn's uye Colitis Foundation yeAmerica. "Zvinetso Zvisingaenzaniswi: Kurasikirwa Kwemapfupa." 1 Mbudzi 2012. 9 Septemba 2013.
Crohn's uye Colitis Foundation yeAmerica. "Zvinetso Zvisingaenzaniswi: Maziso Eziso." 1 Mbudzi 2012. 9 Septemba 2013.
Crohn's uye Colitis Foundation yeAmerica. "Matambudziko Anowedzera Kuwanda Kwezvirwere: Chirwere Chepfungwa." 1 Mbudzi 2012. 9 Septemba 2013.
Crohn's uye Colitis Foundation yeAmerica. "Zvinetso Zvisinganzwisisiki": Matambudziko Eganda. " 1 Mbudzi 2012. 9 Septemba 2013.