Chirwere cheCrohn Rash: Chinoita Sei?

Zvemukati

• Zviratidzo zveganda
• Perianal maronda
• Zvironda zvemumuromo
• Metastatic Crohn's chirwere
• Erythema nodosum
• Pyoderma gangrenosum
• Chirwere chinotapira
• Yakabatana mamiriro
• Zvinoitika kumishonga
• Vitamin kushomeka
• Mifananidzo
• Nei izvi zvichiitika
• Kurapa
• Nguva yekuona chiremba
• Chinokosha

Chirwere cheCrohn rudzi rwehutachiona hwehutachiona (IBD). Vanhu vane chirwere cheCrohn vanoona kuzvimba mumudumbu mavo, izvo zvinogona kutungamira kuzviratidzo zvakaita se:

• marwadzo emudumbu
• manyoka
• kuonda

Inofungidzirwa kuti inosvika makumi mana muzana yevanhu vane chirwere cheCrohn vanoona zviratidzo zvisingabatanidzi nzira yekugaya.

Iyo nzvimbo kunoitika zviratidzo kunze kwenzira yekugaya ndiyo ganda.

Nei chaizvo chirwere cheCrohn chingakanganisa ganda richiri kusanzwisisika. Inogona kunge iri nekuda kwe:

• kunanga mhedzisiro yechirwere
• immune zvinhu
• kuita kumushonga

Ramba uchiverenga kuti udzidze zvakawanda nezvechirwere cheCrohn uye ganda.

Zviratidzo zveganda

Vanhu vane chirwere cheCrohn vanogona kukura maronda akasiyana siyana eganda. Ngationgororei zvimwe zvacho zvakadzama pazasi.

Perianal maronda

Perianal maronda ari akatenderedza anus. Vanogona kuva:

• tsvuku
• kuzvimba
• inorwadza dzimwe nguva

Perianal maronda anogona kutora akasiyana maitiro, kusanganisira:

• maronda
• jamesuser
• zvipuka, kana kutsemuka paganda
• fistula, kana kubatana zvisina kujairika pakati pezvikamu zviviri zvemuviri
• matanda eganda

Zvironda zvemumuromo

Maronda anogona zvakare kuitika mumuromo. Kana maronda emuromo achioneka, iwe unogona kuona maronda anorwadza mukati memuromo wako, kunyanya mukati mematama kana miromo.

Dzimwe nguva zvimwe zviratidzo zvinogona kunge zviripo, kusanganisira:

• muromo wakapatsanuka
• tsvuku kana kutsemuka zvigamba pamakona emuromo, iyo inonzi angular cheilitis
• miromo yakazvimba kana matadza

Metastatic Crohn's chirwere

Metastatic Crohn's disease ishoma.

Nzvimbo dzinozivikanwa zvakanyanya dzinokanganiswa ndedzinotevera:

• kumeso
• sikarudzi
• magumo

Inogona zvakare kuwanikwa munzvimbo dzinogadzirwa matanda maviri eganda pamwechete.

Aya maronda anowanzo kuve akafanana-nechitarisiko, kunyangwe mune dzimwe nguva anogona kutaridzika kunge maronda. Ivo vatsvuku kana purplish muvara. Metastatic maronda anogona kuoneka ega kana mumapoka.

Erythema nodosum

Erythema nodosum inoratidzirwa nemabhuru matsvuku emabhuru kana maqhubu anoitika pasi peganda chete.

Ivo vanowanzo kuwanikwa pamativi ako ezasi, kunyanya kumberi kwesini yako. Fivha, kutonhora, kurwadziwa, uye kurwadziwa kunogona kuitika.

Erythema nodosum ndiyo inowanzoonekwa kuratidzwa kweganda rechirwere cheCrohn. Izvo zvakare kazhinji, asi kwete nguva dzose, zvinowirirana nere flare-up.

Pyoderma gangrenosum

Aya mamiriro anotanga nebundu paganda iro rinozopedzisira raita maronda kana ulcer ine yero yero. Iwe unogona kuva neimwe pyoderma gangrenosum lesion kana akawanda maronda. Nzvimbo yakajairika makumbo.

Kunge erythema nodosum, pyoderma gangrenosum inowanzoitika panguva yekukwira. Kana maronda apora, panogona kuve nekukosha kukuru. Inenge makumi matatu neshanu muzana yevanhu vanogona kudzokazve.

Chirwere chinotapira

Sweet's syndrome inosanganisira manyoro matsvuku mapapuru ayo anowanzo vhara musoro wako, torso, nemaoko. Zvinogona kuitika zvakasiyana kana kukura pamwe chete kuti zvive chidimbu.

Zvimwe zviratidzo zve sweet syndrome zvinosanganisira:

• kupindwa nechando
• kuneta
• aches
• kurwadziwa

Yakabatana mamiriro

Mimwe mimwe mamiriro inosanganisirwa nechirwere cheCrohn uye inogona zvakare kukonzera zviratidzo zveganda. Mimwe mienzaniso inosanganisira:

• psoriasis
• vitiligo
• systemic lupus erythematosus (SLE)
• autoimmune amyloidosis

Zvinoitika kumishonga

Mune zvimwe zviitiko, maronda eganda anowanikwa muvanhu vanotora mhando yemushonga webiologic unonzi anti-TNF mushonga. Aya maronda anoita kunge eczema kana psoriasis.

Vitamin kushomeka

Chirwere cheCrohn chinogona kutungamira mukushaya chikafu, kusanganisira kushomeka kwevhitamini. Zvimwe zvakasiyana izvi zvinogona kukonzera zviratidzo zveganda. Mienzaniso inosanganisira:

• Zinc kushomeka. Kushomeka kweZinc kunokonzeresa zvitsvuku kana mabara anogona kunge aine pustules.
• Kushomeka kwesimbi. Kushomeka kwesimbi kunokonzeresa matsvuku, akatsemuka makona emakona emuromo.
• Vitamin C kushomeka. Kushomeka kweVitamin C kunokonzera kubuda ropa pasi peganda, izvo zvinoita kuti mavanga-akafanana nemavara aoneke.

Mifananidzo

Zviratidzo zveganda zvine hukama nechirwere cheCrohn zvinogona kuoneka zvakasiyana kwazvo, zvichienderana nerudzi uye nzvimbo.

Bhura nemifananidzo inotevera kune mimwe mienzaniso.

Nei izvi zvichiitika

Hazvina kunyatsonzwisiswa kuti chaizvo chirwere cheCrohn chinokonzera sei zviratidzo zveganda. Vatsvakurudzi vanoramba vachiongorora uyu mubvunzo.

Izvi ndizvo zvatinoziva.

• Zvimwe zvipembenene, zvakadai seperianal uye metastatic lesions, zvinoita kunge zvakakonzerwa zvakananga nechirwere cheCrohn. Kana ichinge ichiongororwa uye ichiongororwa nemaikorosikopu, maronda ane akafanana maficha nechirwere chepasi chekudya.
• Zvimwe maronda, senge erythema nodosum uye pyoderma gangrenosum, zvinofungidzirwa kuti zvinogoverana nzira dzechirwere neCrohn's disease.
• Mimwe mamiriro ekuzvidzivirira muviri anokonzera zviratidzo zveganda, senge psoriasis uye SLE, zvinosanganiswa nechirwere cheCrohn.
• Chechipiri zvinhu zvine chekuita nechirwere cheCrohn, senge kushaya chikafu uye mishonga inoshandiswa pakurapa, zvinogona kukonzera zviratidzo zveganda.

Saka izvi zvese zvaigona sei kukwana pamwechete? Kufanana nemamwe mamiriro ekudzivirira muviri, chirwere cheCrohn chinosanganisira immune system kurwisa maseru ane hutano. Izvi ndizvo zvinotungamira mukuzvimba kwakabatana nemamiriro acho.

Zvidzidzo zvemhuka zvakaratidza kuti immune immune cell inonzi Th17 cell yakakosha muchirwere cheCrohn. Masero eT17 anehukama pamwe nemamwe mamiriro ekuzvimiririra, kusanganisira aya anogona kukanganisa ganda.

Nekudaro, aya maseru anogona kunge ari hukama pakati pechirwere cheCrohn uye mazhinji ezviratidzo zveganda zvinoenderana.

Zvimwewo zvidzidzo zvinoratidza kuti pane zvakawanda zvekudzivirira zvirwere zvine chekuita nechirwere ichi.

Zvisinei, kumwe kutsvagurudza kunodiwa kugadzirisa kubatana pakati pechirwere cheCrohn uye ganda.

Kurapa

Kune akasiyana marapirwo anogona kurapwa maronda eganda anoenderana nechirwere cheCrohn. Iyo chaiyo kurapwa kwaunogamuchira kunoenderana nerudzi rweganda maronda aunazvo.

Dzimwe nguva mishonga inogona kubatsira kurerutsa zviratidzo zveganda. Mimwe mienzaniso yemishonga iyo yako mupi wehutano waanogona kupa anosanganisira:

• corticosteroids, iyo inogona kuve yemuromo, jekiseni, kana yemusoro.
• immunosuppressive zvinodhaka, zvakadai se methotrexate kana azathioprine
• anti-anogumbura mishonga, yakadai sulfasalazine
• anti-TNF biologics, senge infliximab kana adalimumab
• mishonga inorwisa mabhakitiriya, iyo inogona kubatsira nefistula kana mapundu

Zvimwe zvinogona kurapwa zvinosanganisira:

• kurega anti-TNF biologic kana ichikonzera zviratidzo zveganda
• kuratidza mavitamini ekuwedzera kana kushaya chikafu kwakonzera kushomeka kwevhitamini
• kuita kuvhiya kubvisa yakaoma fistula, kana fistulotomy

Mune zvimwe zviitiko, zviratidzo zveganda zvinogona kuitika sechikamu cheCrohn's disease flare-up. Kana izvi zvikaitika, kugadzirisa kuputika kunogona kubatsira zvakare kugadzirisa zviratidzo zveganda.

Nguva yekuona chiremba

Kana iwe uine chirwere cheCrohn uye uchikura zviratidzo zveganda zvaunotenda zvine hukama nemamiriro ako, ita musangano nemupi wako wezvehutano.

Ivo vangangoda kutora biopsy kuti vaone chiri kukonzera zviratidzo zvako.

Kazhinji kutaura, unogara uri mutemo wakanaka wechigunwe kuona wako mupi wezvehutano kana iwe ukaona zviratidzo zveganda izvo:

• kufukidza nzvimbo yakakura
• kupararira nekukurumidza
• zvinorwadza
• vane blisters kana fluid drainage
• kuitika nefivha

Chinokosha

Vanhu vazhinji vane chirwere cheCrohn vanozoona zviratidzo zvinokanganisa nzvimbo dzisiri nzira dzekugaya.

Imwe yenzvimbo idzi iganda.

Kune akawanda marudzi akasiyana ezvironda zveganda zvine hukama nechirwere cheCrohn. Izvi zvinogona kuitika nekuda kwe:

• kunanga mhedzisiro yechirwere
• zvimwe zvekudzivirira zvirwere zvine chekuita nechirwere ichi
• zvinetso zvinosangana nechirwere, sekushaya kudya kwakakwana

Kurapa kunogona kuvimba nerudzi rwechironda. Zvinogona kazhinji kusanganisira kutora mushonga kubatsira kubvisa zviratidzo zvako.

Kana iwe uine chirwere cheCrohn uye uchiona zviratidzo zveganda zvaunofunga zvingave zvine hukama, ona wako mupi wezvehutano.