Chirwere cheCrohn

Chirwere cheCrohn chirwere apo zvikamu zvegwara rekudya zvinotsva.

• Inowanzo sanganisira yekupedzisira zasi kwetumbu diki uye kutanga kwemukati ura hukuru.
• Izvo zvinogona zvakare kuitika mune chero chikamu chedumbu system kubva pamuromo kusvika kumagumo erece (anus).

Chirwere cheCrohn chimiro chechirwere chinoputira chirwere (IBD).

Ulcerative colitis mamiriro akafanana.

Chikonzero chaicho chechirwere cheCrohn hachizivikanwe. Izvo zvinoitika kana immune system yako ikarwisa zvisirizvo nekuparadza hutano hwemuviri (autoimmune disorder).

Kana zvikamu zvegwara rekudya zvikaramba zvichizvimba kana kutsva, madziro ematumbo anova makobvu.

Zviitiko zvinogona kutora chinzvimbo muCrohn chirwere zvinosanganisira:

• Majini ako uye nhoroondo yemhuri. (Vanhu vachena kana vekuEastern Europe vechiJuda vari panjodzi huru.)
• Zvakatipoteredza zvinhu.
• Tendency yemuviri wako yekuwedzera-kuita kune zvakajairika mabhakitiriya mumatumbu.
• Kusvuta.

Chirwere cheCrohn chinogona kuitika chero pazera. Inowanzoitika muvanhu vari pakati pemakore gumi nemashanu kusvika makumi matatu nemashanu.

Zviratidzo zvinoenderana nechikamu chedumbu rekugaya rinobatanidzwa. Zviratidzo zvinobva pane zvinyoro kusvika kune zvakakomba, uye zvinogona kuuya uye kuenda, nenguva dzekupenga.

Zviratidzo zvikuru zvechirwere cheCrohn ndezvi:

• Crampy kurwadziwa mudumbu (dumbu nzvimbo).
• Kupindwa nechando.
• Kuneta.
• Kurasikirwa nechido uye kuonda.
• Kunzwa kuti iwe unoda kupfuura zvituru, kunyangwe ura hwako hwatova husina chinhu. Zvinogona kusanganisira kumanikidza, kurwadziwa, uye kupwanya.
• Manyoka emvura, anogona kunge ane ropa.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kuzvimbirwa
• Maronda kana kuzvimba mumaziso
• Kudonhedza pus, mamasi, kana zvigaro kubva kwakatenderedza rectum kana anus (inokonzerwa nechinhu chinonzi fistula)
• Joint kurwadziwa uye kuzvimba
• Muromo maronda
• Rectal kubuda ropa uye zvituru zvine ropa
• Mazino ekuzvimba
• Tender, matsvuku mapundu (maqhumu) pasi peganda, ayo anogona kushanduka kuita maronda eganda

Kuongorora kwepanyama kunogona kuratidza huremu kana hunyoro mudumbu, kuputika kweganda, kuzvimba majoini, kana maronda emumuromo.

Kuyedza kuongorora chirwere cheCrohn kunosanganisira:

• Barium enema kana yepamusoro GI (gastrointestinal) akateedzana
• Colonoscopy kana sigmoidoscopy
• CT scan yemudumbu
• Kamudzira endoscopy
• MRI yemudumbu
• Enteroscopy
• MR maitiro

Chitsiko tsika inogona kuitwa kutonga zvimwe zvinokonzeresa zvezviratidzo.

Ichi chirwere chinogona zvakare kuchinja mhedzisiro yeiyi inotevera bvunzo:

• Yakaderera albumin chikamu
• Yakakwira sed chiyero
• Yakakwidziridzwa CRP
  
• Mafuta emafuta
• Yakaderera ropa kuverenga (hemoglobin uye hematocrit)
• Isina kujairika chiropa cheropa bvunzo
• Yakakwira chena masero eropa kuverenga
• Yakakwidziridzwa fecal calprotectin padanho

Matipi ekugadzirisa chirwere cheCrohn kumba:

KUDYA NOKUDYA

Iwe unofanirwa kudya chikafu chakaringana, chine hutano. Sanganisira yakakwana macalorie, mapuroteni, uye zvinovaka muviri kubva kune akasiyana mapoka ezvikafu.

Hapana chikafu chakatarwa chakaratidzirwa kuita kuti Crohn zviratidzo zvirinani kana zvakanyanya. Mhando dzezvinetso zvekudya dzinogona kusiyana kubva pamunhu kuenda kumunhu.

Zvimwe zvekudya zvinogona kuita kuti manyoka uye gasi zviwedzere. Kubatsira kudzikamisa zviratidzo, edza:

• Kudya zvidiki zvekudya mukati mezuva rese.
• Kunwa mvura yakawanda (inwa zvishoma zvishoma mukati mezuva).
• Kudzivisa yakakura-fiber chikafu (bran, bhinzi, nzungu, mbeu, uye popcorn).
• Kudzivisa chikafu chine mafuta, chakakora kana chakakangwa uye sauces (bota, majarini, uye nzara cream).
• Kudzikisira zvigadzirwa zvemukaka kana uine matambudziko kugaya mafuta emukaka. Edza yakaderera-lactose cheeses, senge Swiss uye cheddar, uye enzyme chigadzirwa, senge Lactaid, kubatsira kuputsa lactose.
• Kudzivisa chikafu chaunoziva chinokonzeresa gasi, senge bhinzi nemiriwo mumhuri yekabichi, senge broccoli.
• Kudzivisa chikafu chinonaka.

Kumbira mupi wako wezvehutano nezve mamwe mavitamini uye mamineral aungade, akadai se:

• Iron inowedzera (kana iwe uine chirwere chekushaya ropa).
• Calcium uye vhitamini D zvinowedzera kubatsira kuchengetedza mapfupa ako akasimba.
• Vitamin B12 kudzivirira kupererwa neropa, kunyanya kana iwe uine magumo ediki (ileum) abviswa.

Kana iwe uine ileostomy, iwe uchafanirwa kudzidza:

• Kudya kunochinja
• Ungachinja sei homwe yako
• Nzira yekutarisira yako stoma

KUShushikana mupfungwa

Unogona kunzwa kunetseka, kunyara, kana kutosuruvara uye kushushikana nezvekuva nechirwere chemuura. Zvimwe zviitiko zvinonetsa muhupenyu hwako, sekufamba, kurasikirwa nebasa, kana kurasikirwa newaunoda kunogona kukuvadza matambudziko ekugaya.

Kumbira mupi wako mazano ezve maitiro ekugadzirisa kunetseka kwako.

MISHONGA

Unogona kutora mushonga kurapa manyoka akaipa kwazvo. Loperamide (Imodium) inogona kutengwa pasina mushonga. Gara uchitaura nemupi wako usati washandisa iyi mishonga.

Mimwe mishonga inobatsira nezviratidzo inosanganisira:

• Fiber zvinowedzera, senge psyllium powder (Metamucil) kana methylcellulose (Citrucel). Kumbira mupiki wako usati watora zvigadzirwa izvi kana laxatives.
• Acetaminophen (Tylenol) yekurwadziwa zvishoma. Dzivisa zvinodhaka zvakadai seaspirin, ibuprofen (Advil, Motrin), kana naproxen (Aleve, Naprosyn) iyo inogona kuita kuti zviratidzo zvako zviwedzere.

Wako mupi anogona zvakare kupa mishonga yekubatsira kudzora Crohn chirwere:

• Aminosalicylates (5-ASAs), mishonga inobatsira kudzora zvinyoro kusvika pakuenzanisa zviratidzo. Mamwe mafomu emushonga anotorwa nemuromo, uye mamwe anofanirwa kupihwa rectally.
• Corticosteroids, senge prednisone, inobata zvine mwero kusvika kune zvakanyanya Crohn chirwere. Dzinogona kutorwa nemuromo kana kuiswa mukati meye rectum.
• Mishonga inonyaradza immune system reaction.
• Mishonga inorwisa mabhakitiriya ekurapa mapundu kana fistula.
• Immunosuppressive zvinodhaka zvakadai seImuran, 6-MP, uye vamwe kudzivirira kushandiswa kwenguva refu kwecorticosteroids.
• Biologic therapy inogona kushandiswa kune yakakomba Crohn chirwere isingapindure kune chero mamwe marudzi emishonga.

Kuvhiya

Vamwe vanhu vane chirwere cheCrohn vangangoda kuvhiyiwa kuti vabvise chikamu chakakanganiswa kana chirwere chemuura. Mune zvimwe zviitiko, ura hwese hukuru hunobviswa, iine kana isina rectum.

Vanhu vane chirwere cheCrohn chisingapindure kumishonga vangangoda kuvhiyiwa kuti varape matambudziko akadai se:

• Kubuda ropa
• Kukundikana kukura (muvana)
• Fistula (kubatana kwakasarudzika pakati pematumbo uye imwe nzvimbo yemuviri)
• Zvirwere
• Kudimbudzira ura

Kuvhiya kunogona kuitwa kunosanganisira:

• Ileostomy
• Kubviswa kwechikamu chemuhomba hombe kana ura hudiki
• Kubvisa ura hukuru kune iyo rectum
• Kubviswa kweiyo huru ura uye yakawanda yerepa

ICrohn's neColitis Foundation yeAmerica inopa mapoka ekutsigira muUnited States - www.crohnscolitisfoundation.org

Iko hakuna mushonga weCrohn chirwere. Mamiriro acho anoratidzirwa nenguva dzekuvandudzwa dzinoteverwa nekuwedzera-kwezviratidzo. Chirwere cheCrohn hachigone kurapwa, kunyangwe nekuvhiyiwa. Asi kurapwa kwacho kunogona kupa rubatsiro rukuru.

Iwe une njodzi yakawanda yekenza diki uye yekenza yekoloni kana uine chirwere cheCrohn. Wako mupi anogona kupa bvunzo kuongorora screen yekenza yemukondoni. Colonoscopy inowanzo kukurudzirwa kana iwe uine chirwere cheCrohn chinosanganisira colon yemakore masere kana anopfuura.

Avo vane chirwere chakakomba cheCrohn vanogona kunge vaine matambudziko aya:

• Kusuruvara kana hutachiona mumatumbu
• Anemia, kushomeka kwemasero matsvuku eropa
• Kuvhara ura
• Fistula mudundira, ganda, kana mukadzi
• Inononoka kukura uye kukura pabonde muvana
• Kuzvimba kwemajoini
• Kushaikwa kwezvakakosha zvinovaka muviri, senge vhitamini B12 uye iron
• Zvinetso nekuchengetedza huremu hune hutano
• Kuzvimba kwema bile ducts (primary sclerosing cholangitis)
• Zvipembenene zveganda, zvakadai se pyoderma gangrenosum

Fonera mupiki wako kana iwe:

• Iva nemarwadzo akaipa kwazvo mudumbu
• Haugone kudzora diarrhea yako nekuchinja kwekudya uye zvinodhaka
• Wakadzikira uremu, kana mwana asiri kuwedzera uremu
• Iva nerectal kubuda ropa, drainage, kana maronda
• Iva nefivhiri inogara kweanopfuura mazuva maviri kana matatu, kana fivhiri yakakwira kupfuura 100.4 ° F (38 ° C) isina chirwere
• Ita svoto uye kurutsa kunogara kweinopfuura zuva
• Iva nemaronda eganda asingapore
• Iva nemarwadzo akabatana anotadzisa iwe kubva pakuita zviitiko zvako zvezuva nezuva
• Iva nemhedzisiro kubva kumishonga iwe yauri kutora kune yako mamiriro

Chirwere cheCrohn; Chirwere chinoputira ura - chirwere cheCrohn; Regional enteritis; Ileitis; Granulomatous ileocolitis; IBD - Crohn chirwere

• Bland kudya
• Kuzvimbirwa - chii chekubvunza chiremba wako
• Chirwere cheCrohn - kubuda
• Dhairrhea - chii chekubvunza chako chekuchengetedza hutano - mukuru
• Ileostomy nemwana wako
• Ileostomy uye kudya kwako
• Ileostomy - kutarisira stoma yako
• Ileostomy - kuchinja homwe yako
• Ileostomy - kubuda
• Ileostomy - chii chekubvunza chiremba wako
• Yakakura ura resection - kubuda
• Kugara neileostomy yako
• Chikafu chakaderera-fiber
• Diki ura resection - kubuda
• Mhando dze ileostomy

• Kugaya chirongwa
• Chirwere cheCrohn - X-ray
• Chirwere chekuputira ura
• Anorectal fistula
• Chirwere cheCrohn - nzvimbo dzakakanganiswa
• Ulcerative colitis
• Chirwere chinoputira ura - dzakateedzana

Le Leannec IC, Wick E. manejimendi yeCrohn's colitis. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 185-189.

Lichtenstein GR. Chirwere chekuputira ura. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 132.

Lichtenstein GR, Loftus EV, Isaacs KL, Regueiro MD, Gerson LB, Sands BE. ACG Clinical Guideline: Management yechirwere cheCrohn muvakuru. Ndiri J Gastroenterol. 2018; 113 (4): 481-517. PMID: 29610508 www.ncbi.nlm.nih.gov/pubmed/29610508.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon uye rectum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 51.

Sandborn WJ. Chirwere cheCrohn kuongorora uye kurapwa: kiriniki sarudzo chishandiso. Gastroenterology. 2014; 147 (3): 702-705. PMID: 25046160 www.ncbi.nlm.nih.gov/pubmed/25046160.

Sands IVA, Siegel CA. Chirwere cheCrohn. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 115.