Isifo sikaCrohn sisifo esingapheliyo kodwa asipheli ngokukhawuleza ubomi
Isifo sikaCrohn sisisifo sesifo sesibindi (IBD) , esiyiqela lezifo zokugaya ukutya ezingapheliyo. Iingcali zisazi ukuba yintoni ebangela i-IBD, okanye indlela yokuyiphilisa, kodwa kukho ezininzi unyango olukhoyo. Ukufumana ukuxilongwa kwesifo sikaCrohn kuyaqondakala, kwaye kuyinto engokwemvelo ukukhathazeka ukuba kuya kuthinta njani ubomi.
Iindaba ezilungileyo kukuba, kukho iindlela zokuphatha ezikhoyo ngoku zifumanekayo kubantu abanesifo sikaCrohn kwaye kukho ezinye ziphezulu.
Intsingiselo yePrognosis
Xa oogqirha bethetha ngesiphakamiso sesifo, kubhekisela ekubeni imeko iya kutshintsha njani ixesha. Isifo sikaCrohn sisimo esiyinkimbinkimbi, kwaye isikolo sesifo siya kuba sehluke kakhulu kumntu kumntu. Nangona kunjalo, kukho imigaqo yesithupha, okanye iindawo eziqhelekileyo, ezinokuthi ziqokelelwe kuphando esikulo malunga nesifo sikaCrohn.
Ukuhlambalalisa abantu abanezifo zeCrohn
Isibhengezo sesifo sikaCrohn siyahluka, kwaye siya kuhluka ngokusekelwe kwindlela isifo esitshintsha ngayo ixesha kunye nendlela esabela ngayo kunyango ngamayeza okanye ngokuhlinzwa. Abanye abantu abanesifo sikaCrohn baya kuba nezifo ezinzima kuphela, ngelixa abanye baya kuhlala nezifo ezinzima. Ukongeza, ubunzima besifo singatshintshwa emva kokuxilongwa.
Isifo sikaCrohn esichazwe njengobumnene okanye esilinganiselweyo sinokuba nzima, ingakumbi ukuba singaphathwa kakuhle.
Ukuba nesisombululo esipheleleyo sesifo sikaCrohn emva kokuba enye i-flare-up iyingqayizivele kakhulu. Abantu abaninzi abanokuthi bafumana isifo sikaCrohn banezihlandlo zesifo esisebenzayo (ama- flare-ups ) kunye namaxesha apho kukho ezimbalwa okanye akukho mpawu (ebizwa ngokubanzi ngokuthi ukuxolelwa ).
Iingcali ze-IBD ziyavuma ukuba nangona kunempawu ezimbalwa ezingenayo nayinye injongo yonyango, injongo enkulu kukuphulukisa iindawo zendlela yokugaya ezichaphazeleka zizifo. Oku kwaziwa ngokuba yi-mucosal philisi. Ukuphulukiswa kwe-Mucosal kubalulekile kuba ukutshaya rhoqo kwisifo sika-Crohn kunokuchaphazela umzimba wonke kwaye, ngaphezu kwexesha elide, kwandisa umngcipheko wokuvelisa umdlavuza wekoloni.
Izifo zeCrohn Akunciphisi Ukuphila
Iindaba ezilungileyo kukuba, uphando lubonisa ukuba isifo sikaCrohn asifinyezi ubomi bomntu. Ayithathwa njengesimo esibulalayo , kwaye izigulane ezininzi zikwazi ukulawula iimpawu zabo ngeyeza lonyango. Noko ke, kukho iingxaki ezinzulu ezivela kwisifo sikaCrohn esingasongela ubomi. Ukuhlala phezu kweempawu kunye nezifo zeCrohn kunye nokulawula ukuvutha kuyakunceda ukugcina iingxaki eziphantsi kolawulo. Uninzi lweengxaki zamathumbu, ngokukodwa, luya kuphucula xa isifo sikaCrohn siphathwa kwaye ukuvutha kulawulwa.
Ipesenti yabantu abanezifo ze-Crohn abane-Surgery
Uninzi lwabantu abanesifo sikaCrohn baya kutyunjwa ngexesha elithile ebomini babo. Phantse i-70% iya kutyunjwa kwiminyaka eyi-10 yokuqala emva kokuxilongwa, kunye nezo, i-50% iya kuba notyando olungaphezulu kwiminyaka emi-3 ukuya kwe-4.
Nangona kunjalo, uhlobo lotyando olwenziweyo luyahlukahluka kwaye luya kuxhomekeka kwendawo yesifo seCrohn. Uhlobo oluqhelekileyo lotyando lugqirha lokuvuselela, apho ucezu lwamathambo lususwe ngenxa yokuba luye lwavutha kakhulu okanye lukhulu kakhulu.
Umngcipheko weCaron's disease kwiSifo seCrohn
Abantu abangaphezu kwe-90% abane-IBD abayi kuphinda bahlakulele umhlaza. Nangona kunjalo, abantu abane-IBD kufuneka baqaphele ukuba eso sifo sidibene nomngcipheko ophindwe kabili wokuvelisa umdlavuza wekoloni kunabantu abemi. Abantu abanesifo sikaCrohn esibilini esincinci nabo banomngcipheko okhulayo womhlaza omncinci, nangona olu hlobo lomhlaza luyinto engabonakaliyo.
Abantu abanesifo sikaCrohn kufuneka babone i-gastroenterologist rhoqo ukuze bafumane uvavanyo kunye nokubeka esweni imiqondiso yaluphi na uhlobo lomhlaza wesisu.
ILizwi
Ndiyabulela intuthuko kwimichiza kunye nobuchule bokuhlinzwa, abantu abanesifo sikaCrohn banomgangatho obhetele wobomi namhlanje kunanini ngaphambili. Ixesha elizayo ukwenzela ukuba uphuculo oluthe gqolo ngakumbi. Ukusebenza ne-gastroenterologist kunye nabanye abaqeqeshi bezempilo ukuyila isicwangciso socwangciso olunzulu yindlela ebalulekileyo ngayo abantu abanesifo sikaCrohn ukuphepha ukuphazamiseka kunye neengxaki.
> Imithombo:
> UBernell O, et al. "Imiba yengozi yokuhlinzwa kunye nokuphindaphinda emva kwesifo kwisifo sikaCrohn." Ann Surg Januwari 2000; 231: 38-45.
> Canavan C, Abrams KR, Mayberry J. "Uhlalutyo lwe-Meta: ingozi engumnxeba kunye nomncinci wesifo somhlaza kwisigulane esinesifo sikaCrohn." I-Pharmacy Ther. 2006; 23: 1097-1104. INGXELO: 10.1111 / j.1365-2036.2006.02854.x
> Kakkar A, Wasan SK, Farraye FA. "Ukujoliswa kweMucosal Healing kwiiNgxaki zeCrohn." I-Gastroenterol Hepatol (NY) . 2011 Juni; 7: 374-380.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. "Isifo seCrohn." I-National Digestive Diseases Information Clearinghouse. Feb 2006.
> Sachar DB, i-Walfish AE. "Isifo seCrohn." Manual Merck. Agasti 2006.