Isifo sikaCrohn kunye ne-ulcerative colitis zihlanganiswa ndawonye phantsi kwexesha le- ambulence of inflammatory disease disease (IBD) . Ezi zifo zibini zinemibandela efanayo, kubandakanywa iimpawu kunye neempawu ezininzi , kwaye ziphathwa ngamanyango afanayo.
Nangona kunjalo, kukho ulwahlulo oluphawulekayo phakathi kwezi zimbini izifo ezichaphazela ngqo ukuba zenziwa njani.
Esinye seziganeko zesifo sikaCrohn esingafumaneki kwi-ulcerative colitis sithiwa uphawu lwe-cobblestone. Oku kungenxa yokuba isifo sikaCrohn sibangela uhlobo oluthile lokuvuvukala kunokuba ulwelative colitis lwenzeka, olukhokelela kwiindawo zamathumbu ezivuthayo ezithatha imbonakalo ebonakalayo ibonakala njengezibonda.
Ulwahluko phakathi kweCrohn's And Ulcerative Colitis
Kwezinye iimeko, ulwahluko phakathi kwesifo sikaCrohn kunye nesifo sesilonda singase sibonakale njengento encinci, kodwa ukuxelela umahluko phakathi kwezi zibini kubalulekile xa kuziwa kunyango. Kukho amayeza amaninzi asetyenziswa ukuphatha izibini zombini izifo, kodwa zikhona ezinye ezivunyelwe ukunyanga omnye, okanye ziboniswe ukuba zisebenzise enye kuphela.
Iinkqubo zokuphanda zihluke kakhulu kwi-ulcerative colitis kunezo zesifo sikaCrohn. Enyanisweni, utyando olwenziwe kwisifo sikaCrohn alufanelekanga ukunyanga i-ulcerative colitis kunye nangoko.
I-resection yekholoni yayingeke yenziwe nge-ulcerative colitis ngenxa yokuba i-colitis iza kubuya kwinxalenye yekholoni eseleyo. Ukuze isifo sezilonda zesisu, i-colon iyasuswa. Ngenxa yesifo sikaCrohn, ukuhlinzwa okhethwe yi-ulcerative colitis, isikhwama se-ileoanal anal anastomosis (IPAA) okanye i-j-pouch ukuhlinzwa, ayidla ngokwenziwa .
Oku kungenxa yokuba isifo sikaCrohn sivame ukubuyela kwi-j-poch, kwaye oko kuya kwenza ukuba i-poch failure failure. Ukususa i-j-pouch bekuthethi nje ukuhlinzwa okwedlula, kodwa ukulahleka kwesibilini.
Ngoko ke, kulandela ukuba kubalulekile ukuba bakwazi ukwahlula phakathi kwezi zimbini izifo. Enye indlela yokuhlukanisa ukuvuvukala emathunjini kwisifo sikaCrohn esabangelwa yi-ulcerative colitis yinto ebizwa ngokuba yi "cobblestone". I-Cobblestones yinkcubeko yokwakha eyenziwa kwindlela yokuhlobisa okanye isitalato. Ababonakalisi kakuhle, nokuba kubonakala-kunamanani athile kumbala kunye nobukhulu kwilitye elisetyenzisiweyo.
I-Cobblestone Ingene kwiSifo seCrohn
Izibonda zivela xa uthetha ngesifo sikaCrohn ngenxa yeembonakalo ezifanayo ezinokuthi zithathwe ngamathumbu ngenxa yokuvuvukala okufanayo. Ingxenyeni yangaphakathi yamathumbu ingavelisa amacandelo anemisebenzi kunye nokuphakamisa amacandelo esikhundleni sokuba uphile kwaye uphelele. Oku kubangelwa ukudibanisa kwesilonda esisinyanisiweyo kunye nokwanda kwamadonga emathumbu kubangelwa yisifo sikaCrohn. I-gastroenterologist ingabona uphawu lwe-cobblestone emathunjini ngexesha le- colonoscopy okanye i- sigmoidoscopy .
Umqondiso we-cobblestone ungabaluleka kubaluhlu lwefom ye-IBD. Kukho iingxelo zabantu abane-Crohn's disease abaneemilonda zomlomo (aphthous stomatitis) ezibonisa uphawu lwe-cobblestone.
Ukubonakala kwe-cobblestone kwimbali yekholoni kunakho nakwezinye iimeko zokugaya, ezifana nesifo seHirschsprung (esiluhlobo lwesilumkiso esibonakalayo kwiintsana ezisanda kuzalwa) kunye ne-eosinophilic gastritis (imeko engavamile kodwa yokuzikhupha). Zikhona ezinye izicubu emzimbeni onokubonakala kwe-cobblestone xa zithinteka ukuvuvukala okubangelwa yi-disorder okanye isifo.
ILizwi
Nangona isibonakaliso se-cobblestone sibonakaliso esihle sokuba khona kwesifo se-Crohn, kufuneka kuphawulwe ukuba akuveli emathunjini abo bonke abantu abanesifo. Kungenzeka ukuba kubonakale kungaphantsi kwesiqingatha sabo bonke abantu abanesifo sikaCrohn, kodwa xa kubonakala ukubonakala kwe-cobblestone, sisinye esinye isilwanyana esingasisebenzisa ukufumana isifo se-Crohn, okanye ukuxelela isifo sikaCrohn ngaphandle kwesifo se-ulcerative colitis.
Umthombo:
Salek H, Balouch A, Sedghizadeh PP. "Ukubonakalisa ngomlomo ngesifo sikaCrohn ngaphandle kokubandakanyeka kwamanyathelo." Odontology . 2013 Meyi 8.
IGreenberg GR, i-Fedorak RN, i-Thomson ABR. "Okokuqala iMigaqo yeGastroenterology: Isiseko seZifo kunye neNkqubo yoLawulo. I-Canadian Association of Gastroenterology. 2011.