Izifo zeCrohn ziyakuthintela ezi Nxalenye zeThupha leNtshukumo

Umlomo, i-Esophagus, isisu, kunye nePerianal Area nayo inokuthi ithinteke

Abantu abaninzi baye bakuva ngesifo sikaCrohn, kodwa basenokungazi kakuhle oko kuthetha ukuba isigulane esinesi sifo. Nangona isifo sikaCrohn sinokuthi siqaphele igama elithile, kusenokuba saziwa ukuba luhlobo olulodwa lwesifo sesibindi (IBD) , kwaye i-ulcerative colitis nayo ifom ye-IBD. Isifo sikaCrohn sichaphazela ukugaya, kwaye ngelixa abantu abaninzi bathetha amathumbu, isifo sikaCrohn sinokuchaphazela ezinye iindawo zomzimba ngokunjalo. Nazi ezinye zeengxenye zomzimba ezisichaphazela isifo sikaCrohn.

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Amathumbu Amancinci

Amathumbu amancinci amancinci yizona ndawo ziqhelekileyo kwisifo sikaCrohn sokubangela ukuvuvukala. Abantu abaninzi banokucinga ngokuphosakeleyo ukuba yintlungu encinci kuphela echaphazelekayo. Kodwa intlungu enkulu iphinde ichaphazelekayo kwisifo sikaCrohn, kwaye malunga ne-20% yabantu banesifo kuphela emathunjini amakhulu (okubizwa ngokuba yi-Crohn's colitis).

Ifomu eqhelekileyo ye-Crohn's, echaphazela malunga ne-45% yezigulane, ibizwa ngokuba yi-ileocolitis kwaye inokuchaphazela icandelo lokugqibela lesisu esincinci (i-ileum) kunye nomathumbu omkhulu. Ifomu yesibini exhaphakileyo, ileite, ithinta malunga ne-35% yezigulane kwaye ichaphazela i-ileum. Ukwahlula kakhulu kunenzuzo yesicwangciso sonyango, kwaye uhlobo lwesifo sikaCrohn isigulane sinokutshintsha ukuba ezinye iindawo zamathumbu zichaphazelekayo.

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Umlomo

Enye ingxaki abaninzi abanamava e-IBD yi- aphthous stomatitis , eziyizilonda ezisemlonyeni. Kuqikelelwa ukuba i-20% ukuya kwi-30% yabantu abanesifo sikaCrohn banengxaki. Izilonda zivame ukuvela xa isifo sikaCrohn sisebenza, kodwa sinokuthi senzeke ngexesha lexesha lokuxolelwa .

Abantu abanesifo sikaCrohn banokuhlangabezana nezinye iingxaki ezinjalo emlonyeni, njengokugqabisa emlonyeni okanye ngolwimi. Ngamanye amaxesha iingxaki ezisemlonyeni zingabangelwa yi-vitamin defence, eziqhelekileyo kubantu abane-IBD. Ukuba kukho ukuhlanza, i-enamel yamazinyo iyakunqanda, ibangele iingxaki zamazinyo. Abantu abane-IBD banamathuba amaninzi okudinga umsebenzi wamazinyo ngokubanzi, kwaye banokuthethelelwa kwintsholongwane.

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I-Esophagus

Isifo sikaCrohn kwi- esophagus asiqabile kwaye kuqikelelwa nje ukuba sichaphazela malunga ne-1% yezigulane, okwenza kube mnqabile. Xa i-esophag echaphazelekayo isifo sesifo sika-Crohn, singakhokelela kwiingxaki ngokugwinya kwaye kubangele ukuphefumula. Ukuba lolu hlobo lwesifo sikaCrohn luyakrokrwa, iimvavanyo ezinjenge-endoscopy ephezulu zinokwenziwa ukujonga ukuvuvukala okanye ezinye iingxaki ezinjengeemigangatho okanye i-fistula.

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Isisu

Kwi-5% yezigulane ezineesifo sikaCrohn, isisu singathinteka. Iifom ezimbini ezichaphazela isisu zithi ijjunoileitis kunye ne-gastroduodenal Izifo ze-Crohn. Ngejjunoileitis, inxalenye engaphakathi yomathumbu omncinci, obizwa ngokuthi ijejunum. ichaphazelekayo. Kwi-gastroduodenal isifo sikaCrohn, inxalenye yokuqala yesisu esincinci, i-duodenum, nayo ivuke. Kwezinye iimeko, ezi ntlobo zesifo sikaCrohn zingacingelwa ukuba isilonda sesisu , kodwa njengoko iimpawu ziqhubeka, zifumanisa kamva ukuba ngokwenene isifo sikaCrohn.

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Indawo yePerian

Indawo yengingqi yesikhumba kunye nommandla ojikeleze i-anus. Isifo sikaCrohn esichaphazela indawo ye-perianal siqhelekile. Ezinye zeengxaki ezinokuthi zenzeke zibandakanya ama- abscesses , ama- fistula , ama- fissures kunye nama- hemorrhoids . Ikhefu liqokelelwa igazi kunye ne-pus, kwaye abaninzi abantu abangama-85% abanesifo sikaCrohn banokuphuhlisa enye ngexesha lesifo sabo.

I-Absesses inokukhokelela ekuphuhliseni i-fistula, into engaxhamliyo phakathi kwamalungu amabini okanye phakathi kwangaphakathi lomzimba nesikhumba. Iziphumo ezivela kwizifundo zibini ziqikelela ukuba i-fissure ebhaliweyo, inyembezi encinci kwinqanaba lomngcwabo, inokuchaphazela naphi phakathi kwe-44% kunye no-85% yabantu abanesifo sikaCrohn. AmaHemorrhoids, ngelixa liqhelekileyo kuluntu jikelele, awanalo nkxalabo kubantu abanesifo sikaCrohn.

_Umthombo:

_{I-Safar B, i-Sands D. "Izifo zePransan's Crohn." Klinikhi Colon Rectal Surg . 2007 Nov; 20 (4): 282-293. I-doi: 10.1055 / s-2007-991027 8 Okthoba 2015.}

Ukubaluleka kokuLawula izifo zikaCrohn

Isifo sikaCrohn sinokuchaphazela nayiphi na inxalenye yenkqubo yokutya, kunye nomathumbu omkhulu kunye omncinci ziindawo eziqhelekileyo. Nangona kunjalo, ukuvuvukala kunokwenzeka nakwezinye iindawo kunye, kwaye ngokwenene oku kusenokwenzeka ngokuqhelekileyo. Xa iimpawu kunye neempawu ezintsha ziza kwenzeka abantu abaneSifo sikaCrohn kufuneka bahlale bexhamene nabo kunye ne-gastroenterologist yabo yokulawula isifo sabo.