Ukuba le mpawu itholakala kwi-biopsy, ibonisa isifo sikaCrohn
I-granuloma iyimqoqo encinci yamaseli. I-Granulomas ifom ekuphenduleni isifo okanye urhulumente ovuzayo. I-Granulomas inokwenza kwiindawo ezahlukeneyo zomzimba, kuquka nemiphunga. Kwi-system digestive, xa kubonakala i-granulomas, ngamanye amaxesha isiphumo sesifo sesibindi (IBD).
I-Granulomas Kwizifo zeCrohn
I-Granulomas ayithethi ngqo kwisifo sikaCrohn, kodwa ukuba kubonakala kuncedo ekuhlukaniseni phakathi kwesifo sesilonda kunye nesifo sikaCrohn.
Kodwa xa i-granuloma ifunyenwe, kwaye isigulane sinempawu ehambelana ne-IBD, inokukunceda ugqirha ukuba ahlaziye isifo seCrohn. I-granuloma ayikwazi ukubonakala ngexesha le- colonoscopy kuba ayikho inqwaba ebonakalayo okanye i-nodule.
Kuqikelelwa ukuba i-15% ukuya kwi-25% yabantu abanesifo sikaCrohn banama-granulomas. Kukho ukuthambekela okukodwa kwamabhinqa amaninzi ukuba abe nama-granulomas kunamadoda: uphando olulodwa lubonise i-57% yezigulane zezifo zikaCrohn ezinegranulomas ngabafazi. Olu hlobo lwesifo sikaCrohn ngezinye amaxesha kuthiwa i-granulomatous colitis. I-Granulomas ayibonakali kumathumbu emathumbu emathumbu okanye amakholoni yezilwelwe ezinezilonda zesilonda.
I-Granulomas ifunyenwe njani?
Ngethuba le- endoscopy inkqubo (njenge-colonoscopy, endoscopy ephezulu, okanye sigmoidoscopy), izicucu ezincinci ezibizwa ngokuba yi- biopsies zithathwa. Ezi ziqwenga zenyama ziyahlolwa kwiindlela ezahlukeneyo. Ziyakwazi ukutshatyalaliswa ukuze iinxalenye ezincinci zezicubu zibonwe bhetele ngaphantsi kwe-microscope ngumhlaza wezilwanyana.
Xa i-pathologist ibheka i-biopsy yamathumbu emathumbu, i-granulomas okanye ezinye iintlobo zeeseli ziyakubonakala.
Kuthetha ukuthini Ukuba UnamaGranulomas?
Ngokuqhelekileyo ukuba i-granulomas icingelwa ukuba ibonisa ukuba isifo sikaCrohn esikhona, kunokuba ifom ye-IBD ehlukile. Ingaba okanye ukungabi khona kwe-granulomas kuthetha into malunga nendlela isifo sikaCrohn esiya kuqhuba ngayo sisacingwe.
Ezinye izifundo zibonise ukuba abantu abane-granulomas bavame ukufumana ingxaki ekuqaleni kwenkqubo yesifo. Ngelishwa, kwakukho nohlobo oluphakathi kwe-granulomas kunye nesimo esiyinkimbinkimbi yesifo sikaCrohn esasidinga ukuhlinzwa, izibhedlele ukuphatha i-flare-up, kunye neengxaki ezinjengeemigangatho.
Isizathu sokuba Bakha
Ngenxa yokuba i-granulomas ifumaneka rhoqo kubantu abakuboniswa okokuqala ngesifo sikaCrohn, kukho ukucinga malunga nokuba kutheni le nto. Esinye isizathu esibonisiwe kukuba i-granuloma yiphumo lomzimba ozama ukujongana nesizathu sesifo sikaCrohn. Asazi oko kubangela isifo sikaCrohn, kwaye eqinisweni kukho izizathu ezininzi, kusebenza ngokubambisana ukuze kubangele ukuvuvukala. Ingcamango yukuthi ngenxa yezizathu ezithile (kwaye asazi ukuba zeziphi), umzimba ungenza i-granuloma malunga nantoni na eyenza ukutshabalala. I-granuloma yinto yokuzama ukucima i-trigger, okanye iyenze ingozi.
Ukuthabatha le ngcamango isinyathelo esinye, ngenxa yokuba i-granulomas ifunyanwa ngokuphindaphindiweyo kwabasetyhini, oku kukhokelela kwingcinga yokuba kukho i-hormone echaphazelekayo. Ngokuqinisekileyo, akukho nto yaziwa ngokuqinisekileyo, kwaye, njengemiba eminingi ye-IBD, i-granulomas isesihloko esingaphantsi kwesifundo.
Ukubhengezwa kwegama: gran-yoo-LO-muh
Imithombo:
Freeman HJ. "Isifo sikaGranuloma-positive Crohn's." Ingaba J Gastroenterol . 2007 Sep; 21: 583-587. 4 Feb 2016.
UKelly Kelly, uSutherland LR. "Ukulandelana kwexesha ngokulandelelana kwesifo seCrohn." J Clin Gastroenterol . 1988; 10: 28-33. 4 Feb 2016.
I-Yarur AJ, iStrobel SG, i-Deshpande AR, i-Abreu MT. "Ukuqaphelisa kwezifo ezikhukhumezayo ezikhubazayo." I-Gastroenterol Hepatol (NY). Oktobha 2011. 7: 652-659. 4 Feb 2016.