Ifomu nganye Inempawu kunye neeNkcazo
Isifo sikaCrohn sisifo esiyinkimbinkimbi kakhulu, senziwa ngakumbi kukuba impawu kunye neengxaki zinokuthatha iifom ezahlukeneyo, kuxhomekeke kwiphina intlungu yakho. Nangona isifo sikaCrohn sinokuchaphazela nayiphi na intlungu, ezinye iindawo zichaphazeleka ngokuqhelekileyo kunabanye. Ugqirha wakho unokubhekisela kwimeko yakho esekelwe kwindawo ephambili ebandakanyekayo kwimeko yakho.
Uhlobo oluqhelekileyo lwesifo sikaCrohn ngu:
- Ileocolitis
- Ileitis
- I-Crohn's (i-granulomatous) colitis
- Isifo seCastroduodenal Crohn
- Jejunoileitis
Ifomu nganye inomxholo ocacileyo, iimpawu ezahlukileyo kunye nesethi yeengxaki ezinxulumene neziqhelo.
Ileocolitis
Ifomolitis eyona ifane kakhulu iyona, eyenzeka malunga nama-45 ekhulwini abantu abanesifo sikaCrohn. Le fomu yesifo sikaCrohn sichaphazela i- ileum (umgca wezantsi lomathumbu omncinci) kunye nekholoni (intloko enkulu) .
Iimpawu zolu hlobo lwesifo sikaCrohn zingabandakanya uhudo, ukutyumza intlungu kwinqanaba elingaphantsi okanye esiswini esiswini, kunye nokulahleka okunzima. Kwezinye iimeko, iindawo ezigulayo kwi-ileum kunye nekholoni zinokubambisana, zichaphazela i-valve edibanisa intliziyo encinci emathunjini amakhulu, ebizwa ngokuthi i-valve yeocececal.
Ukwelashwa kwe-ileocolitis ngokuqhelekileyo kubandakanya isilonda sokulondoloza ukuqhubeka nokuxolelwa, njenge-5-ASA (i-5-aminosalicylic acid) (i-mesalamine).
Iziyobisi ezinokukhawuleza ezinjenge-steroids ( prednisone , budesonide ) zingasetyenziselwa kwimeko yokuhlaselwa. Olunye uhlobo lwamayeza angasetyenziswa yi- anti-tumor necrosis yeziyobisi, ezigcinwe kwizigulane ezinezifo ezicwangcisiweyo. Amanye amayeza angasetyenziswa ngamanye amaxesha aquka i-azathioprine, i-6-mercaptopurine, okanye i- methotrexate .
Ukongezelela, i-ileocolitis enamandla ingadinga unyango olongezelelweyo olulawulwa kwisibhedlele, njengento yokuphumla kwesibilini (akukho nto yokutya okanye yokusela) kunye nokutya okufakwayo (isondlo nge-tube nasogastric) okanye isondlo se-parenteral (ukutya okunomsoco).
Ileitis
Ileitis yindlela yesibini eqhelekileyo, echaphazela malunga neepesenti ezingama-35 zezigulane ezineesifo sikaCrohn. Olu hlobo, olwaziwa nangokuthi i-fistulizing okanye ukuphazamisa isifo sika-Crohn, luchaphazela kuphela i-ileum (inxalenye yokugqibela yesisu esincinci). Isifo sohudo, ukulahleka kwesisindo, ukunyamezela intlungu kwinqanaba elingaphantsi okanye eliphakathi kwesisu, kwaye ukuphazamiseka kwiiyure ezimbalwa emva kokutya ukutya kukho iimpawu eziqhelekileyo.
Olu hlobo lwesifo sikaCrohn lunokubangela ukuba i-malabsorption yamavithamini okanye amaminerali. Izifo ezimbini eziqhelekileyo zokunqongophala kwezondlo yi-lack of vitamin B12 kunye nokungabikho komsebenzi. Ukungabikho komntu onokuthintela inokuthintela ukudalulwa kweeseli ezintsha zegazi ezibomvu kwaye ke kubangele ukuphazamiseka kwegazi . Ukungabikho kwe-vitamin B12 kunokubangela ukubethelwa kwimizwane okanye iminwe (inkunkuma ye-peripheral neuropathy) kwaye inokukunceda ekuphuhliseni i-anemia.
Iingxaki ezivela kweleite zingabandakanya i- fistula okanye i- abscesses kwisigxina esisezantsi.
Izifo ze-Gastroduodenal Crohn
Isifo se-Croast of Crohn, kunye nejjunoileitis, yenza malunga neepesenti ezingama-5 zazo zonke iziganeko zesifo sikaCrohn.
Le fomu yesifo sikaCrohn sichaphazela isisu kunye ne-duodenum (inxalenye yokuqala yesisu esincinci ).
Iimpawu ziquka ukulahleka kwesidlo, ukulahleka kwesisindo, ukucabisa, ukuhlanza kunye nentlungu ephakathi kwesisu esiswini. Ukutshabalalisa kungabonakalisa ukuba kukho umqobo kumngcipheko wamathumbu amancinci. Le ndlela yesifo sikaCrohn ngezinye izihlandlo isenokuthi ingabonakali nje njengesilonda, kunye nesifo sikaCrohn sitholakala kuphela emva kokuba unyango "lwesilonda" aluyikukhupha impawu okanye ukuba isifo sesifo sikaCrohn sifumaneka kwelinye icandelo lesondlo sesisu.
Jejunoileitis
Le fomu yesifo sikaCrohn ibonakaliswe kwiindawo eziqhelekileyo zokuvuvukala kwi- jejunum , ephakathi, kunye neyona nxalenye ende kakhulu emathunjini amancinci.
IJejunamu ixanduva lokunqongophala izondlo ezininzi ekutya.
Iimpawu zibandakanya iintlungu ezidityanisiweyo emva kokutya, isifo sohudo kunye nesisu esisisu esingahluka ukusuka kumnene ukuya kunzulu. Iingxaki zejjunoileitis ziquka i-fistula (isalathisi esingaqhelekanga edibanisa imizimba emibini) kunye nokungondleki okubangelwa ukunyuka kwamathambo.
Crohn's Colitis
I-Crohn's colitis, ngamanye amaxesha kuthiwa i-granulomatous colitis, yindlela yesifo sikaCrohn esithinta kuphela ikholoni. Olu hlobo lwesifo sikaCrohn luchaphazela iipesenti ezingama-20 ezigulane. I-Crohn's colitis idla ngokudibanisa ne-ulcerative colitis, kodwa kukho ukungafani okubini phakathi kwe-Crohn's colitis kunye nesifo sezilonda zesilonda:
- Ukuvuvukala kwi-ulcerative colitis ihlala idibeneyo, ngelixa iColhn's colitis iphakathi kwekoloni
- I-ulcerative colitis ihlala ichaphazela i-rectum xa i-colhn ye-colitis ingenayo.
Iimpawu ze-Crohn's colitis ziquka uhudo, ukuphuma kwi-rectum, ne-abscesses, i-fistula, okanye izilonda kwi-anus. I-arthritis ye-Peripheral kunye neemeko zesikhumba ezinxulumene nesifo sobhubhane esithobelayo zifumaneka rhoqo kunye ne-Crohn's colitis kunezinye iintlobo zesifo sika-Crohn.
Imithombo:
Abbott Laboratories. "Ngeengxaki zeCrohn." Abbott Laboratories 2013.
Crohns and Colitis Foundation yaseMelika. "Ziyini izifo zikaCrohn?" CCFA.org 2012.
Peppercorn, MA. Ulwazi olunomonde: Isifo sikaCrohn. " UpToDate.com 16 Oktobha 2012.