Njengoko umntu onokuvuma kukaCrohn, ukuhlala nesifo esingapheliyo ngumthwalo. Iphethini ephindaphindiweyo yokuziva kakuhle, elandelwa yintlungu ephazamisayo, ibonakala ingapheliyo. Ngokunyamekela unyango kunye nenhlanhla, ixesha elifanelekileyo lempilo liza kudlula imililo.
Ngoko akubonakali kunyanisekileyo ukuba abanye abantu abaneCrohn bafumana ingozi yomhlaza, kodwa kunjalo ngokwenene.
Nangona izifo zesilwanyana zilawulwa kakuhle okanye zincinci ngokwaneleyo ukuba ukuhlinzwa akuyimfuneko, umdlavuza unokwenza ukubonakala kungafuneki iminyaka-kwamashumi eminyaka-emva kokuba uKrohn afunyanwe .
Ngethamsanqa, akuzona zonke izigulane zikaRonhn ezimele zixhalabele. Umngcipheko ukwanda kuphela ngeempawu ezithile zesifo kunye nokunyanga kwawo.
I-Crohn's-Colitis Connection
Phantse iipesenti ezingama-20 zezigulane ezineesifo sikaCrohn sinesiqhwenga esibizwa ngokuba yi- Crohn's colitis . Ngokungafani ne-ulcerative colitis, ebangela ukuvuvukala kuphela kwi-colon ne-rectum, isifo sika-Crohn singenza ukuba izicubu zitshiswe naphina kwindawo yokutya.
Izigulane ngeCorhn's colitis-ikakhulukazi izigulane ezincinci-zisengozini yokunyuka kwe-adenocarcinoma, uhlobo olufanayo lwe-carcinoma njengomdlavuza wekoloni. Lo mngcipheko awuyi kunyuka kude kube yiminyaka emi-7 okanye eyisi-8 emva kokuba i-Crohn's colitis ifunyanwe. Ihlala ibenokubakhohlakele xa isuka kunezinye i-cancer colon, kaninzi ibangela ukuba kungabikho impawu de iqhube phambili.
Ngenxa yesi sizathu, izigulane ezine-colitis ze-colitis mazigcinwe phantsi kokuvavanya ngokude nokuba ziqhuba kakuhle.
Kuze kube kutshanje, iikholonoscopy ne-biopsies ezingahleliyo ziyimilinganiselo yegolide yokujonga umhlaza. Inkqubo yayingalunganga, nangona kunjalo, kuba i-biopsies engahleliyo iyakwazi ukuphosakela izilonda zomhlaza.
Namhlanje, indlela ephakamileyo ngakumbi ebizwa ngokuba yi-chromoendoscopy iyatholakala. Kubandakanya ukufaka idayi ye-methylene eluhlaza kwintsiba yesisu ngexesha le-colonoscopy. Idayi ibanjwe kwiindawo ze-dysplasia, ezinokuthi zenziwe ngamaseli ahamba phambili. Oku kwenza kube lula ukubona nge-endoscope.
I-Crohn ye-Intestine encinci
Ukuqala komhlaza kwisigulane kunye neCrohn ye- intestine encinci yinto engavumelekanga. Ngelishwa, akunakwenzeka ukuhlolisisa ezi zi gulane, kuba isilwanyana esincinci kunzima ukufikelela.
Uninzi lwezigulane ezine-Crohn's zezilwanyana ezincinci ezihlakulela umhlaza ngabantu abanesifo esizinzile iminyaka, ngaphambi kokuba bathuthuke ngokukhawuleza isithintelo somzimba, isisu esiswini okanye isifo sohudo. Kule ngongoma, ukuhlolwa kweengcamango ezifana ne-CT scan isetyenziselwa ukujonga ubunzima bomathumbu.
Isifo somhlaza weRectal Stump
Xa ikholoni isuswe, kwaye isigulane sinikezwe i- ileostomy , i-rectum ingasigcinwa okanye igcinwe ngokuthe ngqo. Oku kuvumela ukuba isibilini sixhaswe kwakhona ngosuku oluzayo. Izigulane ezininzi zivakalelwa kangcono nge-ileostomy ukuba zihlehlise ukubuyiswa okanye zishiye le ngcamango. Nangona kunjalo, ndiyilumkisa izigulane ukuba isigxina sesigxina singaba nomdlavuza kwaye kufuneka sijongwe ngenyameko nge-endoscopy yokujonga.
Ngokuqhelekileyo, isitshalo kufuneka sisuswe xa izigulane zivuyiswa nge-ileostomy yazo kwaye zinokunyamezela ukuhlinzwa. Oku kunciphisa umngcipheko wokuba nomhlaza.
I-Fistula kunye nama-Absesses
I- fistula yama-perian kunye nama-abscess okubangelwa sisifo se-Crohn esandayo yandisa ingozi yokuphuhlisa i-squamous cell carcinoma (uhlobo lomdlavuza wesikhumba) okanye i-adenocarcinoma, uhlobo lomhlaza wesi-colon okukhankanywe ngasentla. I-Cancer ingahlakulela kwisayithi ye-fistula yokuhlala okanye elinye isilonda esingapheliyo. Okuthakazelisayo, ngokuqhelekileyo kuthatha emithathu okanye ngaphezulu eminyaka ukuba loo khansela ikhule. Kule nkalo, isigulane sinokubonisa intlungu, ukuphuma kwamanzi, okanye i-punanal break, kunye ne-biopsy ngokuqhelekileyo iqinisekisa ubungqina bomhlaza.
Umngcipheko weCancer From Treatment
Iklasi elitsha leziyobisi ezibizwa ngokuba yi- biologic agents ziye zaguqula unyango lwesifo sikaCrohn. Kwabaninzi, i-biologics inikezela ukukhulula okungapheliyo abazange bakwazi ukufumana ngamachiza aqhelekileyo.
Ingcipheko kwizinto ze-biologics yincinci, kodwa ingabalulekanga, ingozi yokuphuhlisa i-lymphoma. Lo mngcipheko awuthetha ukuba i-biologics ayifanele isetyenziswe: Kuthetha ukuba umngcipheko kufuneka uxoxwe ngawo kwaye ucinge ngaphambi kokuba wenze isigqibo sokuqhuba enye.
Ukuba uhlakulela i-lymphoma ngelixa uthatha i-biologic, le nkunkuma iya kumiswa. Emva kokuba i-lymphoma iphathwe, wena kunye nodokotela wakho unokuxoxa ngendlela engcono yokulawula i-Crohn's yakho. Kwezinye iimeko ze-intestinal lymphoma, utyando lunokuyindlela efanelekileyo yokunyanga.
Oko Okufanele Uyazi
Ukuba unesifo sikaCrohn, sebenza njengeqela kunye nogqirha wakho ukugcina isifo sakho silawulwa. Oku kuya kuthetha ukudala ishedyuli yee-colonoscopies kwaye ubambelele kuyo, nokuba uhlala uphilile ixesha elide.
Musa ukulibala ukuba amaninzi e-Cannas ahlobene neCrohn atya ukuphuhlisa emva kweminyaka-kwamashumi eminyaka-adlule. Ngokuvumela ugqirha wakho ukuba ahlolisise indlela yakho yokutya, nangona xa iimpawu zakho ziphantsi kolawulo, uncedisa ukuqinisekisa ukuba nayiphi na umhlaza iya kufumaneka kwinqanaba layo, xa kunokwenzeka ukuba unyango luphezulu.
> Imithombo:
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