Iingxaki ezinokwenzeka ezingaphandle kwendlela yokugaya
Ezinye iingxaki ze-Crohn zesifo azihambelani ngqo nokuvuvukala emathunjini amancinci okanye amaninzi kwaye kuthiwa "inkqubo" okanye "i-extra-intestinal". Ezi nkxalabo zingabandakanya i-arthritis, ukulahleka kwethambo, ukukhula okulibazisekile kubantwana, izifo zamehlo, ama-gallstones, i-skin rashes okanye izilonda, kunye nezilonda zomlomo.
Ayaziwa ukuba kutheni iingxaki ze-Crohn zesifo zingenzeka ngaphandle kwendlela yokutya, kodwa kwezinye iimeko, zilandela inkambo yesifo: Ziyingozi ngakumbi ngexesha lokutshatyalaliswa kunye nokuphucula ngexesha lokuxolelwa .
Arthritis
Ubuhlungu, ukuvuvukala, nokuqina kumalungu abantu abanesifo sikaCrohn sinokuba ngenxa yesifo se-arthritis . Iimpawu zingapheli iintsuku okanye iiveki kwaye ziyakwazi ukufuduka ukusuka kwelinye iqhagamshelo ukuya kwelinye. I-arthritis ye-Peripher iyakwazi ukuphucula xa isifo sikaCrohn siphethwe ngokuphumelelayo, kwaye asibangeli nantoni na umonakalo osisigxina kumalungu. Iimpawu ziphathwa ngokushisa okumanzi nokuphumla. Abantu abanesifo sikaCrohn nabo bangahlakulela ezinye iifom ze-arthritis, nokuba ziyinkxalabo okanye njengempembelelo embi yeyeza.
Ukulahleka Kwamathambo
Abantu abanesifo sikaCrohn basengozini yokulahleka kwethambo kunye ne-osteoporosis ngezizathu ezininzi. I-calcium ibalulekile kwimpilo yethambo, kwaye i- vitamin D iyimfuneko ukuba umzimba uthathe i-calcium. Nangona kunjalo, abantu abanesifo sikaCrohn bangaba ne-vitamin D engabikho, ingakumbi ukuba isisu esincinci sinesifo esiphezulu okanye sisuswe ngenxalenye yokuhlinzwa.
Ukongezelela, iiprotheni ezibizwa ngokuba yi-cytokines zifunyenwe kumazinga aphezulu kubantu abanesifo sikaCrohn, ngokukodwa xa isifo sisasebenza. Iicytokines zingaphazamisa ukususwa kwethambo elidala kunye nokudala amathambo amatsha. Eminye imingcipheko yokulahlekelwa kwethambo ibandakanya i-index ye-mass body index (BMI), ubulili besini, ukutshaya, ukusetyenziswa kotywala kunye nokudala.
Iingcebiso eziqhelekileyo zokuthintela ukulahleka kwethambo kubandakanya ukuzivocavoca, ukunciphisa ukusetyenziswa kotywala, ukuyeka ukutshaya, nokuxhaswa nge-1500 mg ye-calcium kunye ne-400 IU ye-vitamin D imihla ngemihla. Kubantu abanesifo sokugaya izifo (IBD), ukunciphisa ukusebenzisa i- corticosteroids xa kunokwenzeka kwaye ukuthatha izidakamizwa ze-bisphosphonate nazo zinceda.
Ukunyuka kweeNkcitho kubantwana
Isifo sikaCrohn sibeka abantwana engozini yokukhula okulibazisekile . Iziganeko ezininzi zichaphazela ukukhula kwabantwana abaneesifo sikaCrohn, kubandakanywa ukungabi nesidlo , ukutya okunesondlo, ukungabikho kokutya okunomsoco emathunjini amancinane, kunye nokusetyenziswa kwe-steroids njengonyango. Ezi zinto zinokuba nefuthe elibi ekuphakameni komntwana kwaye zikhokelela kwisigxina esifutshane.
Izifo zeso
Izifo zamehlo ezinokuchaphazela abantu abanesifo sikaCrohn zibandakanya u-uveitis, i-episcleritis, i-keratopathy, kunye namehlo aomileyo. Ezinye iimeko zamehlo zifuna unyango, kwaye ezininzi ziza kuphucula xa isifo sikaCrohn siphethwe kakuhle.
- Amehlo anameleyo abangelwa ukungabi ninyembezi emehlweni. Ukuntuleka kobunzi bomzimba kungakhokelela ekubukeni kwamehlo nasekugqibeleni. Amehlo acocekileyo athatyathwa ngezinyembezi ezenziwayo kunye ne-vitamin A. Ukuba ukoma kubangela ukusuleleka, unyango olunokuthi lube lufunekayo.
- I-episcleritis ukuvuvukala kwezimhlophe zeso elibangela iimpawu zentlungu kunye nokubuyiselwa. I-Episcleritis iphathwa nge- vasoconstrictor okanye i-corticosteroid.
- I-Keratopathy iyisitenxo kwi-cornea engabangeli intlungu okanye ukulahleka kombono kwaye ngoko ke ayinakuphathwa.
- I-Uveitis kukuvuvukala kobubanzi obuphakathi obunobumba obubangela izibonakaliso zokubonakalisa ukukhanya komzimba, intlungu, ubomvu, umbono obonakalayo kunye nentloko. Ukhohlo olungaphendulwanga, u-uveitis ungakhokelela kwimpumputhe, i-glaucoma, okanye i-retina ekhutshiwe. Unyango lukarticosteroids.
Gallstones
Ibhokhwe enzima kwi-gallbladder ingabangela i- gallstones .
I-Gallstones inokuvimba ukuphuma kwe-bile kwi-gallbladder, ebangela intlungu enzima. Abantu abanesifo sikaCrohn kwi- leum yesigxina banomngcipheko ophezulu wokuphuhlisa i-gallstones; abaninzi abafana no-13% ukuya kwi-34% baya kufumana le ngxaki. Ukuvuvukala kwi-ileum kuvimbela ukutshatyalaliswa kwe-bile. I-Bile ichithe i-cholesterol ekudleni, kwaye ukuba le cholesterol ayichithwanga phantsi, ingabangela i-gallstones. AmaGallstones aphethwe ngokugqithisileyo ngokususa i-gallbladder. Unyango olunamayeza alusetyenziswa kangangoko kuba i-gallstones inokubuyela kwakhona.
Ulcers yomlomo
Izilonda ezincinci ezenzeka ngaphakathi emlonyeni zibizwa ngokuthi i-aphthous stomatitis. Umlomo wokuhlamba umlomo ungasetyenziselwa ukugcina umlomo ucocekile, kodwa akukho nonyango efunekayo. Amatyala amancinci angaphilisa ngokwabo, kodwa ama-anti-inflammatories kunye ne-anesthetics anganciphisa kwaye akhuthaze ukuphulukiswa.
Imibandela Yesikhumba
Abantu abanesifo sikaCrohn kwi- colon banokuphuhlisa iimpawu zesikhumba. Ulusu olujikeleza izibilini ezikwimimandla ye-perianal lugxininisa kwaye ludala iziphoso. Ukunyamekela kufuneka kuthatyathwe ukuze kugcinwe indawo engafanelekanga, kuba iigaki zesikhumba zingasigcina isitulo kwaye zikhokelela ekuthukutheleni kwesikhumba. Ubukho beetekisi zesikhumba lunokuba luncedo ekwenzeni ukuxilongwa kwesifo sikaCrohn kuba baqhelekile kubantu abanesifo sikaCrohn kunokuba ne-ulcerative colitis.
Ezinye izifo zesikhumba ezinxulumene nesifo sikaCrohn zi- erythema nodosum kunye ne- pyoderma gangrenosum . I-Erythema nodosum i-nodules ebomvu ebuhlungu ekhulayo kwimilenze okanye emilenzeni ephantsi, kunye ne-pyoderma gangrenosum yintsholongwane emilenzeni okanye kwiingalo ezifakela kwindawo yesifo esincinci, njengesihlunu. Bobabini le miqathango ayifani ngokuqhelekileyo kwisifo sikaCrohn kune-colitis. I-Erythema nodosum inokuchaphazela i-1% ukuya ku-2% yabantu abane-Crohn's disease ye-colon, kwaye i-pyoderma gangrenosum inokuchaphazela i-1% yabantu abane-Crohn's disease.
Imithombo:
I-Bonheur JL, uBraunstein J, uKorelitz BI, uPanagopoulos G. "Iikhumba zesikhumba esilumkileyo kwisifo sokuxhamla kwesibindi: Ukujonga okutsha kunye nokuhlolwa kwekliniki." Izifo eziBulisa izifo 14; 1236-1239 1 Meyi 2008. 9 Septemba 2013.
Crohn's and Colitis Foundation of America. "Izixazululo ezingaphezulu komzimba: Ukulahleka kweMfuyo." 1 Meyi 2012. 9 Septemba 2013.
Crohn's and Colitis Foundation of America. "Izixazululo ezingaphezulu kweyona ndlela: Iintlungu zengqondo." 1 Meyi 2012. 9 Septemba 2013.
Crohn's and Colitis Foundation of America. "Iingxaki ezongezelelekileyo: Izifo zesibindi." 1 Meyi 2012. 9 Septemba 2013.
Crohn's and Colitis Foundation of America. "Izixazululo ezingaphezulu komzimba: Izifo zesikhumba." 1 Meyi 2012. 9 Septemba 2013.