Zvirwere Zvinokonzera Zvirwere Zvinogona Kuuraya Here?

Chirwere cheCrohn uye Ulcerative Colitis Inosangana Nezvizhinji Zvakaoma

Chirwere chechirwere chinokonzera chirwere (IBD) - Crohn's disease uye ulcerative colitis-inogara isingagumi, hupenyu hwose. Muzviitiko zvizhinji, IBD uye zvinetso zvayo zvinogona kutarisirwa nemishonga inosanganisira mishonga uye kuvhiyiwa. Chirwere cheCrohn uye ulcerative colitis hazviwanzofungwa semamiriro ezvinhu anouraya. Zvisinei, izvi hazvirevi kuti vanhu vane IBD havafi nevanokonzerwa neBD-izvo zvinongoreva kuti hazvisi zvisizvo.

Kunyange zvazvo iyi iri nyaya inotyisa, zvinokosha kuyeuka kuti kurapa kweBD kuri kuramba kuchivandudza. Kudzivisa kuputira nekudzivirira kupisa-ups ndicho chinangwa chikuru muBD treatment, uye chinogona kubatsira kudzivirira matambudziko. Kuramba uchigadzwa nekugadzwa kwechiremba nekuchengetedza zvinetso zvehutano izvo zvinokura-kunyange kana zvichiita sokusawirirana neBD-zvakare zvichava chikamu chakakosha chekugara wakasimba sekukwanisa.

IBD uye Inowedzera Ngozi Yokufa

Vanhu vane IBD vanove nemukana mukuru wekufa kunze kwevanhu vakawanda (vanhu vasina IBD). Izvi zvichida hazvishamisi, asi zvinogona kunge zvichinyanyisa. Kune zvikonzero zvakawanda zvezvikonzero kune mumwe munhu ane IBD angafa: zvinetso kubva pakuvhiyiwa, kupindira kumishonga, kuumba chirwere chakakomba (zvakadai sechiropa cheropa kana kuti megacolon inotyisa ), kana kubva pakusagadzikana zvachose. Mune zvimwe zviitiko, hazvizivikanwe kana IBD yemunhu yakabatanidzwa pakufa kwavo kana kwete.

Zvinotsvakurudzwa neChishodzo

Pakave nekuongororwa kwakasiyana-siyana kwakaona chikonzero chekufa kune vanhu vane IBD. Chimwe chidzidzo chevarwere 692 muNigeria vakawana kuti tarisiro yehupenyu hwevanhu vane IBD yaiva "yakafanana" kune avo vasina IBD. Kune avo vane chirwere cheCrohn, chinokonzera rufu kubva mumatambudziko emimba uye chirwere chisingagadziriswi chepimmonary (COPD) chaive chakajairika pane vanhu vose.

Vanyori vanoratidza kuti kurega kusvuta kwakakosha kune varwere vane chirwere cheCrohn kuti vasapinda zvinetso zvakakomba. Kune vanhu vane ulcerative colitis, kwaiva chaizvoizvo kuderera kwekufa kubva mumoyo wepfungwa . Vanyori vanotsanangura kuti izvi zvingave zvichibva pamusana pfupi hwekutsva mu ulcerative colitis varwere uye pasi mazinga e sodium nemvura mumuviri nekuda kweleostomy kana yakazara colitis.

Chidzidzo chechipiri muEngland chakaratidza kuti kufa kwakawanda kwakaitika mugore rokutanga mushure mekuongororwa, asi vazhinji veavo vakafa havana kubva kuBD, asi kubva mune chimwe chikonzero. Chirwere chekutanga chakashata kana chirwere cheCrohn mumakoloni kana kuti nzvimbo inonzi perianal yakanga yakabatanawo nekuwedzera kufa. Vanyori vanotaurawo kuti varwere vakwegura avo vachangobva kuongororwa neBD vangangodaro vari mungozi yekufa.

Chimwe chidzidzo chikuru kubva kuManitoba chakawanikwa kuti vanhu vane IBD vaiva nehutano hwekufa zvikuru kunyanya mushure mekuvhiyiwa uye mugore rokutanga mushure mekuongororwa.

Shoko kubva

Pasi pose, i-IBDs haisi mamiriro ezvinhu akaipa, asi ari zvirwere zvakakomba. Kunyange rufu kubva kuBD rusinganzwisisiki, zvichiri kukosha kutsvaga kurapwa nekuvandudza mararamiro ehupenyu hune hutano.

Vanhu vane Crohn's disease uye ulcerative colitis inonyanya kunetseka, uye gore rokutanga rekuongorora uye gore mushure mekuvhiyiwa nguva dzinoshungurudza. Kunyange zvazvo ichi chiri ruzivo rwakanyanyisa, mashoko akanaka ndeokuti nzira dzokuvhiya uye kurapwa kweBD dziri kuramba dzichivandudza. Vanhu vane IBD vane hanya nekutarisira hupenyu hwavo vanofanira kutaura nevana vavo gastroenterologist pamusoro pekugadzirisa dambudziko rezvinetso kuburikidza nekugamuchira nguva dzose kuchengetedza uye kuongorora.

> Sources:

> Duricova D, Pedersen N, Elkjaer M, et al. "Zvizhinji uye zvinokonzera-kufa kwevanhu mu Crohn's disease: meta-kuongorora kwevanhu vanoongorora zvidzidzo." Inflamm Bowel Dis . 2010; 16: 347-353. DOI: 10.1002 / ibd.21007.

> Farrokhyar F, Swarbrick ET, Grace RH, Hellier MD, Gent AE, Irvine EJ. "Kuderera kwakanyanya mukurwara kwechirwere uye chirwere cheCrohn muzvikamu zvitatu zvenharaunda muEngland." Am J Gastroenterol . 2001; 96: 501-507. doi: 10.1111 / j.1572-0241.2001.03466.x.

> Hovde Ø1, Kempski-Monstad I, Småstuen MC, et al. "Kufa uye zvinokonzera rufu muCrohn's disease: zvinokonzerwa nemakore makumi maviri ekutevera mukudzidza kweBSEN." Gut . 2014; 63: 771-775. doi: 10.1136 / gutjnl-2013-304766.

> Jess T, Gamborg M, Munkholm P, Sørensen TIA. "Zvose uye zvinokonzera-zvakashata kufanana muhutachi inouraya: meta-kuongororwa kwevanhu-inotangira zvidzidzo zvekuongorora." Am J Gastroenterol . 2007; 102: 609-617. DOI: 10.1111 / j.1572-0241.2006.01000.x.

> Jess T, Loftus EV Jr, Harmsen WS, et al. "Kuponeswa uye kukonzera kufa kwevamwe kune varwere vane chirwere chinoputira chirwere: chinoguma kwenguva refu kudzidza muOlmsted County, Minnesota, 1940-2004." Gut . 2006. Sep 55: 1248-1254. DOI: 10.1136 / gut.2005.079350.

> Lewis JD, Gelfand JM, Troxel AB, et al. "Mishonga yeMununuuppressant uye Kufa Mukuputika Kwezvirwere Zvirwere." Am J Gastroenterol . 2008; 103: 1-8. doi: 10.1111 / j.1572-0241.2008.01836.x.