I-IBD Inokuthintela amadoda kunye nabasetyhini ezahlukeneyo
Ngokuqhelekileyo, abafazi bahlakulela ngakumbi iimimandla ezizimeleyo okanye izimo ezixhatshazwe ngumzimba kunamadoda. Nangona isifo sesibindi sokukhukhumeza (IBD) , esithathwa njengesimo sokuzivikela kumzimba, sibonakala sichaphazele inani elilinganayo lamadoda nabasetyhini , uphando oluthile luye lwabonisa ukuba i-IBD inokuchaphazela amadoda nabesifazane ngokuhlukileyo. Ngokukodwa, isifo sikaCrohn esikude-sibonakaliswe ukuba sinobuninzi kakhulu ngokubhekiselele kwindlela ekuchaphazela ngayo amadoda nabesifazane ngeendlela ezahlukeneyo.
Noko ke, kukho uphando olubandakanya indlela i-ulcerative colitis echaphazela ngayo isondo. Kungenzeka ukuba i-hormone kunye nezinye iziganeko zesini-nxaxheba zidlala indima kwindlela ezinye izifo, ezifana ne-IBD, ezichaphazela ngayo amadoda namabhinqa ngokwahlukileyo, kodwa kwezinye iimeko zikwaxhamla nendlela amadoda namabhinqa (kunye namakhwenkwe namantombazana) athola unyango izifo.
Esinye isizathu sokuba i-IBD ibenokuhluka kwabesilisa nakwabesifazana ngenxa yokuchazwa kwimiba enobungozi. Abaphandi abakwaziyo oko kubangela i-IBD , kodwa kukho ezinye iimbono malunga nokuba yintoni enokubangela isifo kwabanye abantu. Izidalwa zeGenesis ezihambelana ne-IBD zichongiwe, kodwa kungekhona wonke umntu onaloo jeni okhulisa i-IBD, oku kuthetha ukuba kukho into (okanye amaninzi amanqaku) ekuncedeni ekuphuhlisweni kwayo. Ezi zinto zingabangela ukusingqongileyo, njengento ethile abantu abaye bayibonakaliswa ngayo ngexesha lokuphila kwabo, okanye ingaba yinto ethile emzimbeni, njengama-hormone.
Kungenzeka ukuba kukho izinto ezinjalo zisebenza kunye kwaye zikhokelela ekuphuhlisweni kwe-IBD kwabanye abantu.
I-Antibiotics kunye neengozi ze-IBD kwiBafana namadoda
Enye yezi zinto ezinokubangela ukuba i-IBD ibandakanye nokusetyenziswa ngokuphindaphindiweyo kwee-antibiotics. Olunye uphando lufumanise ukuba abafana banokuthi bahlakulele ii-IBD ngokuphindaphindiweyo emva kokufumana iintsholongwane ezinjengomntwana kodwa olunye uphando lubone ukuba abafana banqunywe ngamayeza angaphezu kwamantombazana.
Oku kuthetha ukuba akusaziwa ngokuqinisekileyo ukuba ngaba abafana banokuba banamathuba amaninzi kunamantombazana ukuphuhlisa i-IBD emva kokusetyenziswa kwe-antibiotics kunyaka wokuqala wobomi. Uphando luye lwabonisa ukuba isifo sikaCrohn safunyanwa ngokuphindaphindiweyo, ngama-75 ekhulwini amatyala, emva kokuba kukho enye iikhosi okanye ezinye iikhosi ze-antibiotiki zanikwa abantwana xa beyingana.
Ngokuqhelekileyo, amadoda angakwazi ukuhlakulela izifo ezinama-parasites, i-fungi, ii-bacteria kunye neentsholongwane kunabasetyhini. Kucingelwa ukuba amadoda anengxaki ezininzi ngokusuleleka kwizifo ezithintekayo kwizibhinqa ngenxa yeempendulo zokulwa nomzimba. Umzimba wokhuselo we-immune ubonakala usebenza ngendlela eyahlukileyo kumadoda kunokuba kubangelwa ngabasetyhini ngenxa yeenguqu zamahomoni zamadoda namabhinqa. Amahomoni angamadoda angenza i-immune system isebenze kakuhle ukulwa nesifo. Ukongezelela, kunokubakho umgangatho wesibini emsebenzini, apho amahomoni angamadoda anesiphumo kwiijethi ezijongene nokuchasana nezifo. Kungenxa yezi zizathu ukuba amadoda kunye namakhwenkwe angagula ngezifo rhoqo kwaye oku kunokukhokelela ekufuneni unyango ngamayeza.
IsiHlomelo kunye neengozi ze-IBD kwabasetyhini nabasetyhini
Ukuba isilathisi sisusiwe , ngokusebenza okubizwa ngokuba yi-appendectomy, yinto enye enokuthi ibe nobudlelwane obunzima ne-IBD.
Emva kokuba isilathisi sisuswe, uphando lubonise ukuba kukho umngcipheko okhulayo wesifo sikaCrohn kodwa umngcipheko we-ulcerative colitis. Ingozi eyongezelelekileyo yesifo sikaCrohn yayininzi kwabesetyhini kunokuba yindoda, kwaye yahlala ngaloo ndlela iminyaka engama-20 emva kwe-appendectomy.
Abasetyhini kunye neengozi yeemeko zesikhumba
Olunye uhlobo lwesibonakaliso esongezelelweyo esiswini esithintela inani elikhulu labantu abane-IBD ziingxaki zesikhumba. Ngokukodwa, kukho iimeko ezimbini zesikhumba ezinxulumene kakhulu ne-IBD, i- erythema nodosum kunye ne- pyoderma gangrenosum . Olunye uphando lubonise ukuba kukho izinto ezininzi ezazibonakala zihamba kunye nezithuba zokuphuhlisa enye yeemeko zesikhumba.
Ngaphandle kokuba ufumane i-IBD esemncinci, kwaye unesifo sikaCrohn, esinye isilungiso esandise umngcipheko weemeko zesikhumba. Abasetyhini babekho amathuba okuphuhlisa i-erythema nodosum kunye ne-pyoderma gangrenosum kunamadoda anesifo se-IBD. Ukuba unyango lwangaphambili kunye neyeza ze- biologic lubonisa umngcipheko omncinci weemeko zesikhumba kulolu cwaningo.
Amadoda abane-IBD kunye neengozi yeZifo eziMlonyeni
Uhlobo lwesifo sesibindi esivame kakhulu kumadoda kunokuba sisetyhini yiprayimler sclerosing cholangitis (PSC). I-PSC iphinda ixhaphake kubantu abanesifo sokulonda esiswini kunabantu abanesifo sikaCrohn. Umntu oqhelekileyo kunye ne-PSC yindoda eneminyaka ephakathi kwaye nayo ine-ulcerative colitis, nangona i-colitis ngezinye izihlandlo ayifumanekiyo emva kokuba i-PSC ifunyenwe. Abasetyhini abane-PSC kaninzi abanalo iBD. I-PSC yimeko engavamile, kwaye ngelixa libi kakhulu kwaye lingadinga ukufakelwa kwesibindi, ezininzi izigulane zihamba kakuhle emva kokunyanga.
Iintlukwano Emva koPhephalo lwabesilisa nabasetyhini
Kwiimpawu ezininzi ze-IBD, amadoda kunye nabasetyhini babonakala befana ngokufanayo: unyaka ukuxilongwa kunye nexesha lokuhlinzwa kuqala xa kunjalo nesifo se-Crohn, ngokomzekelo. Nangona kunjalo, emva kokuhlinzwa kwe-resection, olunye uphando lufumanise ukuba abafazi banexesha elincinci (iminyaka engama-4.8) kunamadoda (iminyaka engama-6.5) ngaphambi kokuba isifo sikaCrohn siphinde siphume. Abasetyhini babonakaliswa ukuba banokudinga ukuthengiswa kwe-ileocecal (oku kususwa kwesigxina sokugqibela samathumbu amancinci ) ukuphatha isifo sabo sikaCrohn kunabantu.
Izifo zePerian in Men and Women
Indawo ye- perianal inxalenye yecala elingasemva elingqonge i- anus . Isifo sikaCrohn ngokukhethekileyo singasichaphazela le ndawo yomzimba kwaye ibangele iingxaki ezinjenge- fistula (leyo yinto engavumelekanga phakathi kwezimbilini zomzimba ezimbini) kunye nezilonda. I-Fistula ithintela amadoda namabhinqa nge-IBD ngokulinganayo kodwa olunye uphando lubonisa ukuba ezinye iimeko zexesha (ezifana nezilonda) ziqhelekileyo kubasetyhini abaneSifo seCrohn kunokuba babesilisa.
Ngaba kukho i-Bias Bias in Studies?
Kukho izinto ezimbalwa ezinokuthi zenzeke ezinokuthi zenze i-akhawunti yecandelo le-IBD elichaphazela abantu kunye nabasetyhini. Ezi zinto kufuneka ziqwalaselwe ukuze ziqonde ukungafani okwenene phakathi kwe-IBD kumadoda nabasetyhini, kodwa kunzima ukuwahlula ngexesha lophando lophando. Kwezinye iimeko zicinga ukuba amadoda nabasetyhini bangakhetha ukwelashwa ezahlukeneyo kuba abafazi abaneminyaka yobudala banokuxhalabisa malunga nendlela impatho ye-IBD iza kubachaphazela ngayo ukukhulelwa . Abasetyhini banokuphefumula ukukhetha ukuhlinzwa ngenxa yamachiza ukuba baceba ukukhulelwa.
Ukongezelela, kukho ezinye iingxelo ezibonisa ukuba abafazi abane-IBD banokuphathwa ngaphantsi okanye baphathwe ngamachiza ahlukeneyo kunamadoda, banama-colonoscopies ambalwa, kwaye banokuthi bangabi namachiza amaninzi njengoko kuthathwa. Kwezinye iimeko, kukho inkxalabo yokuba ukuhlukana kwentlalo yoluntu kumadoda nabasetyhini kunokuchaphazela iziphumo zophando, okwenza isihloko esinzima ukuba sifunde.
ILizwi
Isifo sikaCrohn kunye ne-ulcerative colitis kuthintela amadoda namabhinqa ngamanani afanayo kodwa kunokuthi kubekho ukungafani xa kuthethwa ukuba zezi zifo zithinta njani isondo. Kwiimeko ezininzi aziqinisekanga ngokucacileyo ukuba kutheni ezinye izixinzelelo okanye ukubonakaliswa kwamathumbu omzimba we-IBD kuthintela ngesondo esinye ngesinye isikhathi kunokuba senze enye. Nangona kungenakucacisa ukuba kutheni le nto yenzeka, iziphumo zezifundo ezenziwe kwi-IBD kumadoda nabasetyhini zinokukunceda ekuhloleni nasekupilweni kwezi zifo xa ziyazi ukuba iingxaki ezithile ziqhelekileyo kwisondo esinye kwesinye.
> Imithombo:
> Ampuero J, uRojas-Feria M, uCroro-Fernández M, uCano C, uRomero-Gómez M. "Iziganeko ezichaziweyo ze-erythema nodosum kunye ne-pyoderma gangrenosum kwizifo zesifo sokukhupha." I- Gastroenterol Hepatol 2014. 29: 291-295. : 10.1111 / jgh.12352.
> García-Gómez E, González-Pedrajo B, Camacho-Arroyo I. "Indima ye-hormone yesifo se-steroid ekusebenzisaneni kwamagciwane." Biom Res Res . 2013: 928290.
> Peyrin-Biroulet L, Loftus EV Jr, Tremaine WJ, et al. "Isifo seProanal Crohn sifumaneka ngaphandle kwe-fistula kwiqela elisekelwe kubantu." I- Inflamm Bowel Dis 2012 2012, i-18: 43-48 i-doi: 10.1002 / ibd.21674.
> Virta L, Auvinen A, uHelenus H, Huovinen P, Kolho KL. "Umbutho wokuhlaselwa ngokuphindaphindiweyo kumayeza okulwa neentlobo zesifo se-Crohn yesifo sengqondo-ngokubanzi, ukufundiswa kwimeko ye-finnish-based registry." Am J Epidemiol . 2012: 175: 775-784. i-doi: 10.1093 / aje / kwr400
> Wagtmans MJ1, Verspaget HW, Lamers CB, van Hogezand RA. Iintlukwano ezinxulumene ngokwesini kwimeko yekliniki yesifo sikaCrohn. " Am J Gastroenterol, 2001; 96: 1541-1546.