Kusiyanitsa Pakati pa Crohn's, UC, ndi IBD

Zamkati

• Matenda otupa
• Matenda a Crohn
• Zilonda zam'mimba
• Kuzindikira IBD

Chidule

Anthu ambiri amasokonezeka pankhani ya kusiyana kwa matenda opatsirana am'mimba (IBD), matenda a Crohn, ndi ulcerative colitis (UC). Kufotokozera kwakanthawi ndikuti IBD ndiye ambulera ya momwe matenda onse a Crohn ndi UC amagwere. Koma pali, zowonadi, zambiri pankhaniyi.

Ma Crohn's ndi UC onse amadziwika ndi kuyankha kosazolowereka ndi chitetezo chamthupi, ndipo amatha kugawana zisonyezo.

Komabe, palinso kusiyana kofunikira. Kusiyanaku makamaka kumaphatikizapo komwe kuli matenda am'mimba (GI) komanso momwe matenda amathandizira pakalandira chithandizo. Kuzindikira izi ndizofunikira kwambiri kuti mupeze matenda oyenera kuchokera kwa gastroenterologist.

Matenda otupa

IBD sinkawoneka kawirikawiri kusanachitike ukhondo ndi kutukuka kwamatawuni koyambirira kwa zaka za zana la 20.

Masiku ano, imapezekabe makamaka m’mayiko otukuka monga United States. Monga zovuta zina za autoimmune ndi matupi awo sagwirizana, akukhulupirira kuti kusowa kwa njira yolimbana ndi majeremusi mwanjira ina kwathandizira matenda monga IBD.

Kwa anthu omwe ali ndi IBD, chitetezo cha mthupi chimalakwitsa chakudya, mabakiteriya, kapena zinthu zina mu thirakiti la GI la zinthu zakunja ndipo zimayankha potumiza maselo oyera am'magazi. Zotsatira za chitetezo cha mthupi ndikutupa kwanthawi yayitali. Liwu loti "kutupa" limachokera ku liwu lachi Greek loti "lawi." Mawuwa amatanthauza “kuyatsa moto.”

Crohn's ndi UC ndi mitundu yodziwika kwambiri ya IBD. Ma IBD wamba ndi awa:

• microscopic colitis
• matenda obwera chifukwa cha diverticulosis
• collagenous colitis
• lymphocytic colitis
• Matenda a Behçet

IBD ikhoza kumenya msinkhu uliwonse. Ambiri omwe ali ndi IBD amapezeka asanakwanitse zaka 30, koma amatha kupezeka pambuyo pake. Ndizofala kwambiri mu:

• anthu m'mabokosi apamwamba azachuma
• anthu omwe ndi azungu
• anthu omwe amadya zakudya zamafuta ambiri

Zimakhalanso zofala m'malo otsatirawa:

• mayiko otukuka
• nyengo zakumpoto
• madera akumizinda

Kupatula pazomwe zachilengedwe, zimakhulupirira kuti majini amathandizira kwambiri pakukula kwa IBD. Chifukwa chake, chimawerengedwa kuti ndi "zovuta zovuta."

Kwa mitundu yambiri ya IBD, palibe mankhwala. Chithandizo chimazungulira pakuwongolera zizindikilo ndikukhululukidwa ngati cholinga. Kwa ambiri, ndi matenda amoyo wonse, okhala ndi nthawi zosinthira zakukhululuka komanso kuwuka. Mankhwala amakono, komabe, amalola kuti anthu azikhala moyo wabwinobwino komanso wopindulitsa.

IBD sayenera kusokonezedwa ndi matenda opweteka m'mimba (IBS). Ngakhale zizindikilo zina zimafanana nthawi zina, magwero ndi momwe zinthu zilili zimasiyana kwambiri.

Matenda a Crohn

Matenda a Crohn angakhudze gawo lililonse la thirakiti la GI kuchokera mkamwa mpaka kumatako, ngakhale kuti nthawi zambiri amapezeka kumapeto kwa m'matumbo ang'onoang'ono (matumbo ang'onoang'ono) ndi kuyamba kwa matumbo (matumbo akulu).

Zizindikiro za matenda a Crohn zitha kuphatikiza:

• kutsegula m'mimba pafupipafupi
• Kudzimbidwa nthawi ndi nthawi
• kupweteka m'mimba
• malungo
• magazi mu chopondapo
• kutopa
• mikhalidwe ya khungu
• kupweteka pamodzi
• kusowa kwa zakudya m'thupi
• kuonda
• ziphuphu

Mosiyana ndi UC, a Crohn samangokhala ndi thirakiti la GI. Zitha kukhudzanso khungu, maso, zimfundo, ndi chiwindi. Popeza zizindikiro nthawi zambiri zimakula pambuyo pakudya, anthu omwe ali ndi Crohn nthawi zambiri amakhala ochepera thupi chifukwa chopewa chakudya.

Matenda a Crohn amatha kuyambitsa matumbo kutuluka m'mabala ndi kutupa. Zilonda (zilonda) m'matumbo zimatha kukhala matumba awoawo, otchedwa fistula. Matenda a Crohn amathanso kuwonjezera chiopsezo cha khansa ya m'matumbo, ndichifukwa chake anthu omwe ali ndi vutoli ayenera kukhala ndi ma colonoscopies nthawi zonse.

Mankhwala ndi njira yodziwika bwino yochizira matenda a Crohn. Mitundu isanu ya mankhwala ndi awa:

• mankhwala
• maantibayotiki (ngati matenda kapena fistula amayambitsa zilonda)
• zosintha chitetezo mthupi, monga azathioprine ndi 6-MP
• aminosalicylates, monga 5-ASA
• mankhwala a biologic

Milandu ina ingafunikenso kuchitidwa opaleshoni, ngakhale kuti opareshoni sangachiritse matenda a Crohn.

Zilonda zam'mimba

Mosiyana ndi Crohn's, ulcerative colitis imangokhala m'matumbo (matumbo akulu) ndipo imangokhudza zigawo zapamwamba pakugawana ngakhale. Zizindikiro za UC ndizo:

• kupweteka m'mimba
• mipando yotayirira
• chopondapo chamagazi
• Kufulumira kwa kuyenda kwa matumbo
• kutopa
• kusowa chilakolako
• kuonda
• kusowa kwa zakudya m'thupi

Zizindikiro za UC zimatha kusiyanasiyana pamitundu. Malinga ndi Mayo Clinic, pali mitundu isanu ya UC kutengera komwe kuli:

• UC woopsa. Uwu ndi mtundu wochepa wa UC womwe umakhudza colon yonse ndikuyambitsa zovuta kudya.
• Matenda am'mimba. Mtundu uwu umakhudza kutsika kwa colon ndi rectum.
• Pancolitis. Pancolitis imakhudza colon yonse ndipo imayambitsa matenda otsekula m'mimba mosalekeza.
• Proctosigmoiditis. Izi zimakhudza m'munsi m'matumbo ndi rectum.
• Zilonda zam'mimba proctitis. Mtundu wofatsa kwambiri wa UC, umakhudza rectum yokha.

Mankhwala onse omwe amagwiritsidwa ntchito ku Crohn amagwiritsidwanso ntchito ku UC. Opaleshoni, komabe, imagwiritsidwa ntchito pafupipafupi mu UC ndipo imadziwika kuti imachiritsa vutoli. Izi ndichifukwa choti UC imangolekezera m'matumbo, ndipo ngati m'matumbo muchotsedwa, matenda nawonso atha.

Colon ndi yofunikira kwambiri, chifukwa chake opareshoni amawerengedwa ngati njira yomaliza. Amangoganiziridwa pokhapokha kukhululukidwa kumakhala kovuta kufikira ndipo mankhwala ena sanapambane.

Zovuta zikachitika, zimakhala zovuta kwambiri. Ngati sanalandire chithandizo, UC atha kubweretsa ku:

• Kuwonongeka (mabowo m'matumbo)
• khansa ya m'matumbo
• matenda a chiwindi
• kufooka kwa mafupa
• kuchepa kwa magazi m'thupi

Kuzindikira IBD

Palibe kukayika kuti IBD imatha kuchepa kwambiri moyo, pakati pazizindikiro zosasangalatsa komanso maulendo obwera pafupipafupi. IBD imatha kubweretsa zilonda zam'mimba ndikuwonjezera chiopsezo cha khansa ya m'matumbo.

Ngati mukukumana ndi zachilendo zilizonse, ndikofunikira kuyimbira dokotala. Mutha kutumizidwa kwa gastroenterologist pakuyesa kwa IBD, monga colonoscopy kapena CT scan. Kuzindikira mtundu woyenera wa IBD kumabweretsa chithandizo chothandiza kwambiri.

Kudzipereka kuchipatala tsiku ndi tsiku komanso kusintha kwa moyo kungathandize kuchepetsa zizindikilo, kukhululukidwa, komanso kupewa zovuta.

Mosasamala kanthu za matenda anu, pulogalamu yaulere ya Healthline, IBD Healthline, imakugwirizanitsani ndi anthu omwe amamvetsetsa. Kumanani ndi ena omwe akukhala ndi matenda a Crohn's and ulcerative colitis kudzera m'makalata m'modzi m'modzi ndikukambirana pagulu. Komanso, mudzakhala ndi chidziwitso chovomerezedwa ndi akatswiri pakuwongolera IBD mosavuta. Tsitsani pulogalamu ya iPhone kapena Android.