Utumbo hausi humwe nhengo dzakagadzirirwa
Chirwere cheCrohn chirwere chisingaperi chisingarapiki zvirwere zvinogona kukanganisa chero chikamu chemuviri wepamuviri kubva mumuromo kusvika kune anus. Kunyange zvazvo inowanzokonzera zviratidzo zvepamuviri zvakadai sokuputika, kupupurika, kuputika chirwere, kusuruvara, kurutsa, neropa muzvigaro. Zvinetso zvinosanganisira kuvhara maronda uye kuputika mumukaka. Panogonawo kuwedzerwa njodzi yekenza yemuviri.
Chirwere cheCrohn chinogonawo kukanganisa dzimwe nhengo dzehutano uye zvinotungamirira kumatambudziko akadai sekuona kuora mwoyo, arthritis, zvipembenene zveganda, osteoporosis, maziso emakumbo, maronda ekudzivirira kwechiropa, kushaya simba kwechiropa, uye kukanganiswa kwechiropa zvakasiyana-siyana kubva pakubatwa kwepfungwa kusvika pakurohwa.
Gastrointestinal Symptoms
Iyo yepamusoro yepamuviri (GI) ndiyo chirongwa chenhengo chinonyanya kurwiswa neCrohn's disease. Inenge 30 muzana yematambudziko inosanganisira musana muduku, kunyanya iyo yekupedzisira iyoum (iyo mutsara umo zvokudya zvishoma zvinodya zvinofamba kubva mumukati muduku kusvika mumukati mukuru). Chimwe chikamu makumi maviri kubva muzana chinosanganisira korosi chete, asi 45 muzana inosanganisira zvose musikana muduku uye mukoko.
Pakati pezviratidzo zvinoratidza zvirwere zve Crohn:
- Kuchema kwepamuviri kazhinji kacho chiratidzo chekutanga uye kazhinji kacho kunowanikwa kuzasi kwezasi kwemuviri apo iyo terminal irium. Huri kurwadziwa kunogona kuendeswa nekuputika, kubvongodza, kugadzikana, uye kushungurudzika.
- Dhairrhea inowanzonzi uye inogona kusiyanisa maererano nenzvimbo yekuputika. Kuvhiringidza kweiyoum (ileitis) kunowanzoguma mumvura. Kuvhiringidza kwekoloni (colitis), zvakasiyana, kazhinji kunoguma mune dzimwe nguva dzakawanda dzekusiyana kwakasiyana.
- Apo ropa riri muzvigaro zvisinganyanyozivikanwi nechirwere cheCrohn pane kuva nechirwere chinonzi ulcerative colitis (chirwere chakafanana chinoratidzwawo sechirwere chinoputira chirwere ), dzimwe nguva chinogona kuwedzera kana chirwere chemukati chichikura.
- Nausea uye kurwadziwa kwepamuviri kunowanzoita kuti tisafarira kudya uye kurasikirwa kwehutano. Vanoshayiwa kudya kwezvokudya uye zvinovaka muviri vanogona kukurumidza kukurumidza kuora kurasikirwa.
Kuvhiringidza muturakiti reGI hakurevi kumatumbo chete. Zvirwere zvepachiviri zvinowanzoitika ( aphthous ulcers ) zvinowanzoonekwa nevanhu vane Crohn's disease, nepo kuora kwemafuta, fistulas, fissures, kana masagavha zvinogona kukonzera kusagadzikana zvakanyanya uye kusagadzikana kwechirwere. Dumbu uye sopu hazviwanzovhiringidziki.
Matambudziko emimba
Pasi pemutoro unoramba uchiputika, masvingo ematumbo acharamba achigadzikana, akawandisa pasi pose sezvikamu zvehutachiona hutanga kutanga kuvaka. Izvi hazvisi kungokonzera kuderedza kwematumbo, zvinowedzera kuvhiringidzika kwepamusoro uye njodzi yenguva pfupi uye yakareba.
Pakati pavo:
- Chivharo chekudzivirira ndicho chinetso chakajairika chechirwere cheCrohn uye chinogona kuva chinyoro kana chakakomba, zvichienderana nehuwandu hwekudzivirira. Zviratidzo zvinosanganisira kubvongodza, kubvisa, uye kurutsa.
- Nhengo dzomukati dzomukaka (nzvimbo dzakagadzirirwa pus dzinokonzerwa neBacteria) dzinogona kukonzera kurwadziwa mumimba, unyoro, uye fivhiri.
- Nhengo dzepestinal fistulas dzisingawanzoshandurirwo iyo iyo gastric fluid inogona kukonzera uye inokonzera utachiona apo inopinda mukati meganda nedzimwe nhengo.
- Chirwere chinoputika (kuputika) chinogona kuitika semugumisiro wekhosi kana fistula, zvichibvumira zviri mumatumbo kuti zvidimbure mumimba uye zvichikonzera chirwere chakakomba (peritonitis).
- Megacolon inotyisa isinganzwisisiki asi yakakomba yakaoma yeCrohn's disease iyo inonzi colon inowedzera kamwechete uye inotadza kukwanisa kwayo kubvumirana. Zviratidzo zvinosanganisira kuputika kukuru, kurwadziwa, fivha, kukurumidza kwemoyo wemwoyo, uye mucheche mushure mekushaya ropa. Kana ikasatorwa isati yakakonzerwa nemagetsi yegasi inogona kutungamirira mukuputika, kushungurudzwa kweputi, uye kufa.
Ngozi yekenza yakawanda ingangowedzera kuwedzera vanhu vanhu Crohn's disease, kunyange zvazvo uchapupu huripo hunovhenganiswa.
Colorectal kanhara inowanzobatanidzwa ne ulcerative colitis iyo iyo ngozi inoparadzaniswa pakati pevashanu nezana nezana masere pamakore makumi maviri. Ngozi yevanhu vane Crohn's disease, zvakasiyana, inoonekwa seine mwero asi yakakwana kuti igare ichiongorora.
Zvinyorwa zvisinganzwisisiki
Izvozvo zviratidzo zvisinganzwisisiki zveCrohn's disease (iyo inowanikwa kunze kwegadziriro yeGI) iri kure uye inokanganisa seyo inobata maronda. Izvo zvinokonzera nekuputira kunoramba kuri pamusoro peGI tract asi kunokanganisa muviri sechinguvana.
Zviratidzo zvinowanzovhiringidzika zvinosanganisira maziso, manotsi, ganda, nduru, chirwere chendaneti, uye ropa kana mutezo yeropa.
Eyes
Kuvhiringidza kwepakati peziso (uveitis) kunogona kukonzera kuonekwa kwakashata, kuchena kwekunzwa, uye kurwadziwa kweziso. Apo inosangana nemuchena weziso (sclera), inogona kutungamirira kune episcleritis. Zvose izvi zvinowanzova zvisinganzwisisiki izvo zvinogadzirisa pachavo asi, pasi pekutakura kwekugara kwenguva refu, zvinogona kutungamirira kukuvadzwa zvachose nekurasikirwa kworatidzwa.
Joints uye Connective Tissue
Chirwere cheCrohn chinosanganiswa neboka rezvirwere zvinonzi seronegative spondyloarthropathy umo rimwe kana kuti mamwe majoka anokanganiswa neArthritis kana imwe kana zvimwe zvisungo zvinosuruvara zvinoshungurudzwa ne-enthesitis. Muvanhu vane chirwere cheCrohn, kune nzvimbo nhatu dzinowanzobatwa neArthritis:
- Majoka makuru-ane mairi emabvi, mahudyu, mapepa, zvigaro, uye wrist
- Zvisungo zvishanu kana kupfuura zvishoma pamaoko kana patsoka, zvichiitika zvakasiyana-siyana (zvichireva mumakumbo maviri kana maviri patsoka)
- Iyo musana, inotungamirira kune ankylosing spondylitis
Zviratidzo zveArthritis zvinosanganisira zvinorwadza, zvinodziya, zvinoputika, uye mazamu akaoma pamwe chete nekurasika kwekubatana kwekubatana.
Ganda
Chinhu chinonyanya kugadzirwa neganda chinokonzerwa neCrohn's disease ndi erythema nodosum iyo inoonekwa yakasimudzwa, ine nyoro, mutsvuku mutsvuku, kunyanya yakakomberedza shins. Izvo zviputi zvinokonzerwa nokuputika kweadipose (mafuta) masero mumvura yakadzika pasi peganda.
Chimwe, chakanyanya kukanda ganda chinonzi pyoderma gangrenosum. Izvi zvinorwadza zvinoratidzwa nehosha yeondai iyo inowanzotanga pamakumbo semakumbo maduku asi inogona kukura muhukuru inokonzera kuurayiwa kwemafupa anokosha (necrosis).
Mabones
Osteoporosis, chirwere chinoratidzwa nekurasikirwa kwefupa, rinowanzoonekwa nevanhu vakuru vane chirwere che Crohn kwenguva refu. Haigoni kungokonzera marwadzo ekudzokera shure, zvinogona kuwedzera kukura kwekuparara. Kubvongodza kweminwe kunowanzoonekwawo.
Vana vane Crohn's disease vanoitawo kunonoka kufambira mberi, kazhinji kwakabatana nekudzivirira kukanganisa kwemafupa. Vanopfuura makumi mashanu kubva muzana zvevana ava vachave vakareba zvisingasviki, asi vanenge 25 kubva muzana vachave nekureba kwenguva (kunotsanangurwa sezvipupuriro zviviri pasi peanore kurera kwezera remwana nehutano). Kuberekwa kunowanzononoka.
Gallbladder
Chirwere cheCrohn chinoderedza maronda 'kukwanisa kubvisa zvakare bile yakave yakavanzwa ne gallbladder uye chiropa chekudya. Kuvhiringidzika kwekuvhara uye kubvongodza kunogona kutungamirira kuunganidzwa kwebiyetti munyu mu gallbladder, zvichiita kuti kuwedzerwa kungozi yeguruva.
Zvipfeko zvinogona kunge zvinorwadza zvinoshamisa uye zvinokonzera kugadzika, indigestion, kushungurudza, kurutsira, uye kurwadziwa mukati kana kumucheto-kurudyi.
Central Nervous System
Inofungidzirwa kuti mumwe wevanomwe vanomwe vane Crohn's disease vane zviratidzo zvepfungwa. Vanogona kunge vane unyoro kuenzanisa uye vanosanganisira misoro, kushushikana, kana kurira kana kusuruvara kwemaoko nemaoko (neuropathy). Zvimwe zvinogona kuva zvakanyanya uye zvinosanganisira:
- Anterior ischemic optic neuropathy, kurasikirwa kamwe-kamwe kwemaonero epakati nekuda kwekuderera kweropa kunopinda kumagetsi
- Posterior reversible encephalopathy syndrome (PRES), chirwere chepfungwa chinoratidzirwa nemusoro, kunyonganiswa, kugumburwa uye kurasikirwa.
- Chronic axonal polyneuropathy, iyo inogona kuratidza nekurasikirwa nemotokari yekudzivirira uye kunzwa
Izvo zviratidzo zvehupfungwa zvehutachiona hweCrohn hazvinzwisisiki. Zvinetso zvakakomba zvinotendwa zvakabatanidzwa nechirwere chakakomba, chisingaperi chisingateereri.
Ropa uye Circulatory System
Vanhu vane chirwere cheCrohn vanowanzove nechirwere cheperesi nekuda kwevarombo kunwa kwezvakakwana mumatumbo. Asi, pane imwewo iyo inonzi autoimmune hemolytic anemia iyo iyo immune system inorwisa uye inoparadza masero ayo matsvuku eropa. Zviratidzo zvinogona kusanganisira kuneta, ganda rinopera, kupfupika kwemhepo, kufara kwemavara, mutsiva, nekutsanya kwemoyo.
Chirwere cheCrohn chinotungamirirawo kumakumbo asina kukwana emaplatelets uye kuumbwa kweropa. Izvi zvinogona kutungamirira kumvura yakadzika ye-vein thrombosis (DVT), kuvharwa kweropa kunopfukira kusvika kune rimwe gumbo rinogona kukonzera zviratidzo zvekutambudzika, kuzvimba, kupisa, nekupwanya.
Kana isina kutarisirwa zvakakodzera, ropa clot rinogona kuvhara uye kuendesa gumbo kuuropi, mwoyo, nemapapu, uko kunogona kukonzera kushungurudzika, kurwisa kwemwoyo, kana kupora kwemapurmoni.
Nguva Yokuona Chiremba
Zviratidzo zveCrohn's disease zvinogona kuva zvakasiyana uye zvakasiyana-siyana zvokuti zvingave zvakaoma kuziva nguva yekuona chiremba. Pakupedzisira, chimwe chikonzero chinoparadzanisa chirwere cheCrohn kubva kune yako-run-the-mill chinetso chinetso ndiko kuramba kwezviratidzo.
Saka zvakakosha, saka, kuona chiremba kana iwe uchiona zvinotevera:
- Kuramba kuripo kwekurara kusingapinduri kune-over-the-counter (OTC) mishonga
- Zvinorwadza mumimba zvinogona kuramba zvichiripo kana kuti zvinoramba zvichiitika
- Ropa muhangu
- Unexplained kuora kurasikirwa
- Kusanzwisisa kusina kufanirwa kunogara kwemazuva mashoma
> Sources:
> Baumgart, D. Crohn's disease. Lancet. 2012; 380 (9853): 1590-1605 DOI: 10.1016 / S0140-6736 (12) 60026-9.
> Ha, F. uye Khalil, H. Crohn's disease: kliniki inovandudzwa. Therap Adv Gastroenterol. 2015; 8 (6): 352-359. DOI: 10.1177 / 1756283X15592585.
> Nemati, R .; Mehdizadeh, S ;; Salimipour, H. et al. Neurological manifestations yakabatana nechirwere cheCrohn: chikonzero chevashandi. Gastroenter Rep. 2017; gox034. DOI: 10.1093 / gastro / gox034.