Matenda a Khungu Okhudzana ndi Matenda a Crohn

Zamkati

• Chidule
• Mabampu ofiira
• Zilonda
• Khungu limalira
• Ziphuphu
• Zolemba pakhungu
• Ngalande pakhungu
• Zilonda zamafuta
• Mawanga ofiira pamapazi
• Matuza
• Psoriasis
• Kutaya khungu
• Chitupa
• Tengera kwina

Chidule

Zizindikiro za matenda a Crohn zimachokera m'mimba ya m'mimba (GI), zomwe zimayambitsa mavuto monga kupweteka kwa m'mimba, kutsegula m'mimba, ndi mipando yamagazi. Komabe mpaka kwa anthu omwe ali ndi matenda a Crohn ali ndi zizindikilo m'malo ena amthupi, monga khungu lawo.

Nazi zina mwazofala kwambiri pakhungu lokhudzana ndi matenda a Crohn, komanso momwe madotolo amawathandizira.

Mabampu ofiira

Erythema nodosum imapangitsa ziphuphu zofiira, zopweteka kuphulika pakhungu, nthawi zambiri pamisana, akakolo, ndipo nthawi zina mikono. Ndiwonekera kwambiri pakhungu la matenda a Crohn, omwe amakhudza anthu omwe ali ndi vutoli.

Popita nthawi, ziphuphu zimayamba kukhala zofiirira pang'onopang'ono. Anthu ena ali ndi malungo komanso kupweteka molumikizana ndi erythema nodosum. Kutsatira njira yanu yothandizira matenda a Crohn kuyenera kukonza chizindikirochi.

Zilonda

Zilonda zazikulu zotseguka pamapazi anu ndipo nthawi zina mbali zina za thupi lanu ndi chizindikiro cha pyoderma gangrenosum. Khungu ili limapezeka kawirikawiri, koma limakhudza anthu omwe ali ndi matenda a Crohn ndi ulcerative colitis.

Pyoderma gangrenosum nthawi zambiri imayamba ndimabampu ofiira ofiira omwe amawoneka ngati amalumidwa ndi tizilombo pamisana kapena akakolo. Ziphuphu zimakula ndipo pamapeto pake zimaphatikizana kukhala zilonda zazikulu zotseguka.

Chithandizochi chimaphatikizapo mankhwala omwe amalowetsedwa pachilonda kapena opakidwa. Kusunga bala ndikulivala bwino kumathandizanso kuchiza ndikupewa matenda.

Khungu limalira

Zong'ambika za kumatako ndi misozi yaying'ono pakhungu lokhala ndi anus. Anthu omwe ali ndi matenda a Crohn nthawi zina amakhala ndi misozi iyi chifukwa cha kutupa kosatha m'matumbo awo. Ziphuphu zimatha kupweteka komanso kutuluka magazi, makamaka poyenda matumbo.

Ziphuphu nthawi zina zimadzichiritsa zokha. Ngati satero, mankhwalawa amaphatikizapo zonona za nitroglycerin, kirimu wothandizira kupweteka, ndi jakisoni wa Botox kuti alimbikitse machiritso ndikuchepetsa kusasangalala. Kuchita maopaleshoni ndi njira yoti ming'alu yomwe singachiritsidwe ndi mankhwala ena.

Ziphuphu

Kuphulika komweku komwe kumakhudza achinyamata ambiri kumathanso kukhala vuto kwa anthu ena omwe ali ndi matenda a Crohn. Ziphuphu izi sizimachokera ku matenda omwewo, koma kuchokera ku ma steroids omwe amagwiritsidwa ntchito pochizira a Crohn's.

Steroids nthawi zambiri amapatsidwa kanthawi kochepa kuti azitha kuyang'anira moto wa Crohn. Mukasiya kuwamwa, khungu lanu liyenera kuwonekera.

Zolemba pakhungu

Zikopa za khungu ndizophuka zakuthupi zomwe zimapangidwa m'malo omwe khungu limadzipukuta pakhungu, monga kukhwapa kapena kubuula. Mu matenda a Crohn, amapangika mozungulira zotupa kapena zibowo mu anus komwe khungu latupa.

Ngakhale zikopa za khungu zilibe vuto lililonse, zimatha kukwiya pamalo anyani ndowe zikagweramo. Kupukuta bwino pakatha kusuntha kwa matumbo ndikusunga malowo kukhala oyera kumatha kupewa kukwiya komanso kupweteka.

Ngalande pakhungu

Kufikira 50 peresenti ya anthu omwe ali ndi matenda a Crohn amadwala fistula, yomwe ndi kulumikizana kopanda tanthauzo pakati pa ziwalo ziwiri za thupi zomwe siziyenera kukhalapo. Fistula imatha kulumikiza matumbo ndi khungu la matako kapena nyini. Fistula nthawi zina imatha kukhala vuto la opaleshoni.

Fistula imawoneka ngati bampu kapena chithupsa ndipo imakhala yopweteka kwambiri. Chopondapo kapena madzi amatha kutuluka kutseguka.

Chithandizo cha fistula chimaphatikizapo maantibayotiki kapena mankhwala ena. Fistula yayikulu idzafunika kuchitidwa opaleshoni kuti itseke.

Zilonda zamafuta

Zilonda zopwetekazi zimapanga mkamwa mwanu ndipo zimapweteka mukamadya kapena mukamalankhula. Zilonda zam'madzi zimachokera ku mavitamini ndi mchere wochepa m'magazi anu a GI kuchokera ku matenda a Crohn.

Mutha kuwona zilonda zam'mimba kwambiri matenda anu akamawonekera. Kusamalira moto wa Crohn wanu kumatha kuwathandiza. Mankhwala owawa ogulitsa ngati Orajel amathandiza kuthetsa ululu mpaka atachira.

Mawanga ofiira pamapazi

Mawanga ofiira ofiira ndi ofiira amatha kukhala chifukwa cha leukocytoclastic vasculitis, komwe ndikutupa kwa mitsempha yaying'ono yamiyendo. Vutoli limakhudza anthu ochepa omwe ali ndi IBD ndimatenda ena amthupi okha.

Mawanga akhoza kukhala oyabwa kapena opweteka. Ayenera kuchira m'milungu ingapo. Madokotala amachiza matendawa ndi corticosteroids komanso mankhwala omwe amaletsa chitetezo chamthupi.

Matuza

Epidermolysis bullosa acquisita ndimatenda amthupi omwe amachititsa matuza kuti apange khungu lovulala. Malo omwe amapezeka kwambiri matuzawa ndi manja, mapazi, mawondo, zigongono, ndi akakolo. Matuza akachira, amasiya zipsera.

Madokotala amachiza matendawa ndi corticosteroids, mankhwala monga dapsone omwe amachepetsa kutupa, komanso mankhwala omwe amaletsa chitetezo chamthupi. Anthu omwe ali ndi matuzawa amafunika kukhala osamala kwambiri komanso kuvala zida zotetezera akamasewera masewera kapena kuchita zina kuti apewe kuvulala.

Psoriasis

Matenda apakhungu awa amachititsa kuti zigamba zofiira, zotuluka ziwonekere pakhungu. Monga matenda a Crohn, psoriasis ndimomwe zimakhalira zokha. Vuto la chitetezo cha mthupi limapangitsa kuti khungu lizichulukirachulukira mwachangu, ndipo ma cell owonjezerawo amakula pakhungu.

Anthu omwe ali ndi matenda a Crohn amatha kutenga psoriasis. Mankhwala awiri a biologic - infliximab (Remicade) ndi adalimumab (Humira) - amathandizira zonsezi.

Kutaya khungu

Vitiligo imapangitsa khungu kukhala lotayika. Zimachitika khungu la khungu lomwe limatulutsa pigment melanin likafa kapena kusiya kugwira ntchito.

Vitiligo imapezeka kawirikawiri, koma imafala kwambiri kwa anthu omwe ali ndi matenda a Crohn. Zodzoladzola zimatha kuphimba zigamba zomwe zakhudzidwa. Mankhwala amapezekanso kutulutsa khungu.

Chitupa

Mabampu ang'onoang'ono ofiira komanso opweteka pamikono, khosi, mutu, kapena torso ndi chizindikiro cha Sweet's syndrome. Khungu ili limapezeka kawirikawiri, koma limatha kukhudza anthu omwe ali ndi matenda a Crohn. Mapiritsi a Corticosteroid ndiwo chithandizo chachikulu.

Tengera kwina

Nenani zachilendo zatsopano za khungu, kuchokera ku zotupa zopweteka mpaka zilonda, kwa dokotala yemwe amachiza matenda anu a Crohn. Dokotala wanu amatha kuthana ndi mavutowa mwachindunji kapena angakutumizireni kwa dermatologist kuti mukalandire chithandizo.