Zilonda ndi Matenda a Crohn

Zamkati

• Ndi zilonda zamtundu wanji zomwe zingachitike ngati muli ndi matenda a Crohn?
• Zilonda zam'kamwa
• Zilonda zam'mimba
• Pyostomatitis masamba
• Zilonda zam'kamwa chifukwa cha zovuta zamankhwala
• Kodi zizindikiro za zilonda zam'mimba ndi ziti?
• Fistula
• Magazi
• Kuchepa kwa magazi m'thupi
• Kodi njira zamankhwala za zilonda zam'mimba ndi ziti?
• Odwala matenda opatsirana pogonana
• Mankhwala ena
• Opaleshoni
• Tengera kwina

Chidule

Matenda a Crohn ndikutupa kwa thirakiti la m'mimba (GI). Zimakhudza zigawo zakuya kwambiri zamakoma amkati. Kukula kwa zilonda, kapena zilonda zotseguka, mu thirakiti la GI ndichizindikiro chachikulu cha Crohn's.

Malinga ndi Crohn's and Colitis Foundation of America, anthu aku America okwana 700,000 ali ndi matenda a Crohn. Aliyense atha kukhala ndi matenda a Crohn, koma mwina atha kukhudza anthu azaka zapakati pa 15 ndi 35.

Ndi zilonda zamtundu wanji zomwe zingachitike ngati muli ndi matenda a Crohn?

Zilonda zomwe zimachitika ndi matenda a Crohn zitha kuwoneka kuchokera pakamwa kupita kumatako, kuphatikizapo:

• kum'mero
• duodenum
• zowonjezera
• m'mimba
• matumbo aang'ono
• m'matumbo

Matenda a Crohn samakonda kukhudza:

• pakamwa
• m'mimba
• duodenum
• kum'mero

Vuto lofananalo ndi ulcerative colitis, lomwe limakhudza matumbo okha.

Mwachitsanzo, mutha kukhala ndi zilonda m'matumbo onse ngati muli ndi a Crohn's. Muthanso kukhala ndi zilonda zingapo mbali imodzi yokha yamatumbo. M'magawo ena a thirakiti la GI, zilonda zimatha kupezeka m'magulu ophatikizidwa ndi mnofu wathanzi. Kutupa kwanthawi yayitali kumayambitsanso zilonda kumaliseche kapena kumatako.

Zilonda zam'kamwa

Zilonda zam'mimba

Nthawi zina, anthu omwe ali ndi Crohn's amakhala ndi zilonda zopweteka pakamwa. Izi zimadziwika ngati zilonda za aphthous. Zilonda zam'mimbazi nthawi zambiri zimawoneka pakatupa m'mimba. Amatha kufanana ndi chilonda chofala. Nthawi zina, zilonda zokulirapo zitha kuwoneka.

Pyostomatitis masamba

Pyostomatitis zamasamba ndizochepa. Amayambitsa zilonda zingapo, zotupa, ndi zilonda mkamwa. Zitha kuchitika ndimatenda otupa (IBD) kapena matenda a Crohn. Mutha kumwa corticosteroids yam'kamwa komanso yam'mutu, komanso mankhwala omwe amatchedwa "immune-modulating" mankhwala, kuti muchiritse zilondazi.

Zilonda zam'kamwa chifukwa cha zovuta zamankhwala

Nthawi zina, zilonda zam'kamwa zitha kukhala zoyipa zamankhwala omwe amachiza Crohn's ndi IBD. Mankhwalawa amatha kuyambitsa matenda am'mimba.

Kodi zizindikiro za zilonda zam'mimba ndi ziti?

Zilonda zochokera ku Crohn's zimatha kukhala ndi zizindikilo zingapo:

Fistula

Zilonda zam'mimba zimatha kupanga fistula ikadutsa m'matumbo mwanu. Fistula ndi kulumikizana kwachilendo pakati pa magawo osiyanasiyana amatumbo, kapena pakati pamatumbo ndi khungu kapena chiwalo china, monga chikhodzodzo. Fistula yamkati imatha kupangitsa chakudya kudutsa malo am'mimba kwathunthu. Izi zitha kubweretsa kuyamwa kokwanira kwa michere. Fistula yakunja imatha kupangitsa kuti matumbo kukhuthuka pakhungu. Izi zitha kuyambitsa chifuwa chowopsa pamoyo ngati simupeza mankhwala ake. Fistula yotchuka kwambiri mwa anthu omwe ali ndi Crohn's imapezeka m'dera la kumatako.

Magazi

Kutuluka magazi kosawoneka ndikosowa, koma kumatha kuchitika ngati zilonda zam'mimba zilowa mumtsinje wamagazi kapena mtsempha waukulu. Thupi nthawi zambiri limagwira msanga kuti litseke chotulutsa magazi. Kwa anthu ambiri, izi zimachitika kamodzi kokha. Komabe, kuchitidwa opaleshoni kungakhale kofunikira ngati kutuluka magazi kumachitika pafupipafupi.

Nthawi zambiri, munthu amene ali ndi matenda a Crohn amatha kutuluka mwadzidzidzi, kutuluka magazi. Kutuluka magazi kumatha kuchitika nthawi iliyonse, kuphatikiza pakuthwa kapena matendawa akukhululukidwa. Kutaya magazi kwambiri nthawi zambiri kumafuna opaleshoni yopulumutsa moyo kuti achotse gawo lomwe linali ndi matendawa kapena kuti apewe kupha magazi ena mtsogolo.

Kuchepa kwa magazi m'thupi

Ngakhale pakakhala kuti palibe magazi owoneka, a Crohn's amatha kubweretsa kuchepa kwa magazi m'thupi ngati ayambitsa zilonda zingapo m'matumbo kapena m'matumbo. Kupitirizabe, kutsika pang'ono, kutaya magazi kosalekeza kuchokera kuzilonda izi kumatha kuchitika. Ngati muli ndi Crohn's yomwe imakhudza ileamu kapena ngati mwachitidwa opareshoni kuti muchotse gawo lina la m'matumbo anu aang'ono otchedwa ileum, mutha kukhala ndi kuchepa kwa magazi chifukwa cholephera kuyamwa vitamini B-12 wokwanira.

Kodi njira zamankhwala za zilonda zam'mimba ndi ziti?

Odwala matenda opatsirana pogonana

Kuyankha kwa chitetezo cha mthupi lanu kumatha kuyambitsa kutupa. Ma immunosuppressants ndi mankhwala omwe amaletsa chitetezo cha mthupi.

Corticosteroids ndi mankhwala omwe amaletsa chitetezo cha mthupi kuti muchepetse zotupa ndi zilonda. Mutha kuwatenga pakamwa kapena mozungulira. Komabe, Crohn's and Colitis Foundation of America ikunena kuti atha kukhala ndi zotsatirapo ndipo madotolo samakonda kuwapatsa mankhwala kwa nthawi yayitali, ngati zingatheke. Zikuwoneka kuti dokotala adzawonjezera mzere wachiwiri wa mankhwala omwe amalepheretsa chitetezo chanu chamthupi.

Ngati muli ndi Crohn's yemwe sanayankhe ma corticosteroids kapena akukhululukidwa, dokotala wanu akhoza kukupatsani mtundu wina wa immunosuppressant monga azathioprine kapena methotrexate. Nthawi zambiri zimatenga miyezi itatu kapena isanu ndi umodzi kuti yankho la mankhwalawa lichitike. Mankhwalawa akhoza kuwonjezera chiopsezo chanu cha khansa komanso matenda opatsirana monga herpes ndi cytomegalovirus. Muyenera kukambirana zoopsa zanu ndi dokotala wanu.

Mankhwala ena

Mankhwala owonjezera a Crohn's ndi awa:

• Pazilonda zam'kamwa, mankhwala oletsa kupweteka monga lidocaine angathandize kuchepetsa ululu. Ngati mulandira mankhwala oletsa kupweteka, mwina atha kusakanikirana ndi topical corticosteroid.
• Mankhwala a biologic monga infliximab ndi adalimumab ndi njira zina zothandizira a Crohn's.
• Dokotala wanu amathanso kukupatsani maantibayotiki omwe amathandiza kuchepetsa kuchuluka kwa mabakiteriya m'matumbo ndikuchepetsa kutupa.

Opaleshoni

Dokotala wanu angakulimbikitseni kuchitidwa opaleshoni kuti muchotse gawo lina la matumbo lomwe lili ndi zilonda zambiri. Dokotala wanu sangathe kuchiritsa a Crohn's ndi opareshoni, koma opareshoni angathandize kuchepetsa zizindikilo. Lentium resection ndi njira yomwe dokotala amachotsera gawo la m'matumbo anu aang'ono otchedwa ileum. Ngati mwalandira mankhwala a ileamu kapena muli ndi Crohn's ileum, muyenera kutenga vitamini B-12.

Tengera kwina

Matenda a Crohn ndi osachiritsika. Palibe mankhwala omwe amapezeka, koma anthu ambiri amatha kuthana ndi matendawa. Zilonda ndi chizindikiro chowawa kwambiri cha matendawa. Mutha kuchepetsa momwe zimachitikira pafupipafupi komanso nthawi yayitali bwanji ndi chithandizo chamankhwala komanso kasamalidwe ka moyo. Funsani dokotala wanu za kusintha kwa moyo wanu ndi chithandizo chamankhwala chomwe chingagwire ntchito pa matenda anu.