Ubuyela emva kokuPiliswa Kwezifo zeCrohn ziqhelekileyo
Thetha malunga nabani na abane-Crohn's disease kwaye mhlawumbi baye bahlinzwa. Iziqingatha zezigulane zeCrohn ziza kutyunjwa kwiminyaka eyi-10 yokuqala emva kokuxilongwa. Ukuxhatshazwa ukususa izicubu ezigulayo ziqhelekileyo, kwaye kunokuphindaphinda njengoko eso sifo sibuyele kwiindawo ezahlukeneyo zamathumbu. Isifo sikaCrohn sinokubangela ukunciphisa isilonda, esibizwa ngokuba ngumlinganiselo, ongadinga uhlobo lotyando olubizwa ngokuba yi-strictureplasty.
Iingxaki ezivela kwisifo sikaCrohn ezifana ne- abscesses okanye i- fissures nazo zingafuna unyango kunye nokuhlinzwa.
Ixesha eliphilileyo iCrohn ibuyela emva kokuPiliswa
Ngelishwa, uphando oluthile lubonisa ukuba iimpawu zesifo sikaCrohn, okanye ubungqina besifo esibonakalayo ngexesha loviwo, kaninzi buya emva kokuhlinzwa. Xa isifo sibuya sixhomekeke kwizinto ezininzi.
Olunye uphando lubonisa izinto ezinxulumene nokubuyiswa kweempawu zibandakanya i- fistula esele i -peri-anal, isifo esifumaneke kwisilwanyana esincinci, ukuhlinzwa kwangaphambili, isixa esiphezulu se-intestine ethintekileyo kunye nokutshaya. Enyanisweni, ukutshaya kubonakala kukuyona ingozi enkulu. Ubungakanani bexesha umntu ayenayo isifo sikaCrohn asibonakali ukuba ngumngcipheko wokubuyela emva kokuhlinzwa. Imbali yentsapho kunye nembali yentsapho ayibonakali nayiphi na into echaphazelekayo kwisifo seCrohn emva kokuhlinzwa.
Uphando oluthile lufumene ukuba ubuncinci obudala ukuxilongwa kwaye ngexesha lokuhlinzwa lokuqala lingadibana nokugula kwesifo sikaCrohn emva kokuhlinzwa.
Izigulane ezigugile, ngakumbi abo bangaphezu kweminyaka engama-50, zinokuba nomngcipheko wokunciphisa. Ezinye izifundo zibonisa ukungabikho kobudlelwane phakathi kweminyaka kunye nomngcipheko wokuphindaphinda, ngoko kusenakucaca ukuba ubudala buyimpumelelo.
Ukunciphisa Umlinganiselo Wokubuyela Kwi-Relapse
Kukho ithemba ekugqibeleni ukuphelisa umjikelezo wokuhlinzwa kunye nokubuyela kuphinda.
Uphando olutsha lujolise ekunciphiseni leli nqanaba lokubuyela emva kokuhlinzwa. Olunye uphando lubonisa ukuba ezinye iziyobisi eziqhelekileyo ezisetyenziselwa ukuphatha i-IBD, njenge- mesalamine (Lialda, Apriso, Pentasa, Canasa, Asacol), azathioprine (Imuran, Azasan), kunye nezinye iziza-antibiotics zinganceda ukukhusela ukubuyela kwezifo emva kokuhlinzwa kwe-resection. Iziyobisi zeBioologic ezifana neRicicade kunye neHuma ziye zafundwa ngokusetyenziswa emva kokuhlinzwa, kwaye zinokusebenza ngempumelelo, ngakumbi emva kokuthengiswa kweminye kwimimandla ethile yamathumbu amancinci.
Ukubeka iliso ngokutsha
Inxalenye ebalulekileyo yokusebenza ekuthintela ukubuyiswa kwakhona kubeka iliso ubungqina besifo sikaCrohn emva kokuhlinzwa. Ukusebenzisa iindlela ezingenasiphelo, ezifana ne- capsule endoscopy okanye i-ultrasounds ngokuphambene, ngokuqhelekileyo zikhethwa. Ngenxa yokuba ukutshaya kunxulumene kakhulu nokubuyiswa kweempawu, isinyathelo esibalulekileyo izigulane ezingathatha ukukhusela u-Crohn ukuba angabuyi emva kokuhlinzwa nguye ukuyeka ukutshaya.
Imithombo:
UBernell O, et al. "Imiba yengozi yokuhlinzwa kunye nokuphindaphinda emva kwesifo kwisifo sikaCrohn." Ann Surg Januwari 2000; 231: 38-45.
I-Buisson A, i-Chevaux JB, i-Allen PB, i-Bommelaer G, i-Peyrin-Biroulet L. "Inqaku lokuphonononga: imbali yendalo yempilo yesifo sikaCrohn." I-Pharmacy yokutya. 2012 Mar; 35: 625-33. i-doi: 10.1111 / j.1365-2036.2012.05002.x.
P Rutgeerts, M Hiele, K Geboes, M Peeters, F Penninckx, R Aerts, no R Kerremans. Uvavanyo olulawulwayo lwe-metronidazole unyango lokuthintela ukuphindaphinda kukaCrohn emva kokuthengiswa kwe-ileal. " I-Gastroenterology 108: 1617-1621.
Yamamoto T, Watanabe T. "Amanyathelo okuthintela ukuphindaphinda kwesifo sesifo sikaCrohn." Colorectal Dis . 2013 Dec; 15 (12): 1471-80. i-doi: 10.1111 / codi.12326.