Musiyano uripo pakati peCrohn's, UC, uye IBD

Zvemukati

• Chirwere chekuputira ura
• Chirwere cheCrohn
• Ulcerative colitis
• Kuongorora IBD

Mhedziso

Vanhu vazhinji vanovhiringidzika kana zvasvika pamusiyano uripo pakati pekuputira ura chirwere (IBD), chirwere cheCrohn, uye ulcerative colitis (UC). Tsananguro pfupi ndeyekuti IBD ndiyo izwi remuraira remamiriro ezvinhu ari pasi pekuti chirwere cheCrohn neUC chinowira pasi. Asi pane, hongu, zvimwe zvakawanda kune iyo nyaya.

Ose maCrohn neUC anozivikanwa nemhinduro isina kujairika nemaitiro ezvirwere zvemuviri, uye vanogona kugovana zvimwe zviratidzo.

Nekudaro, kune akakosha misiyano zvakare. Aya mutsauko anonyanya kusanganisira nzvimbo yemaradies ari mudumbu (GI) turakiti uye nemabatiro anoita chirwere chega chega pakurapwa. Kunzwisisa zvinhu izvi kiyi yekuwana chaiyo kuongororwa kubva kuna gastroenterologist.

Chirwere chekuputira ura

IBD yakanga isingawanzoonekwi kusati kwasimuka kwehutano hwakanaka uye kuguta kweguta pakutanga kwezana remakore rechi20.

Nhasi, ichiri kuwanikwa kunyanya munyika dzakabudirira senge United States. Kufanana nezvimwe autoimmune uye allergic kusagadzikana, zvinofungidzirwa kuti kushomeka kwehutachiona hwekudzivirira kukura kwakakonzera kune zvimwe zvirwere zvakaita seBD.

Mune vanhu vane IBD, immune system inokanganisa chikafu, mabhakitiriya, kana zvimwe zvinhu mugi turakiti yezvinhu zvekunze uye inopindura nekutumira machena masero eropa mumucheka wematumbo. Mhedzisiro yekurwiswa kwe immune immune kurwisa kusingaperi. Izwi rekuti "kuzvimba" pacharo rinobva pashoko rechiGiriki rekuti "murazvo." Iro rinoreva "kuiswa pamoto."

Crohn's uye UC ndiwo maitiro akajairika eBD. Pasina kujairika IBDs inosanganisira:

• microscopic colitis
• diverticulosis-inosanganisirwa colitis
• collagenous colitis
• lymphocytic colitis
• Chirwere cheBehçet

IBD inogona kurova chero zera. Vakawanda vane IBD vanoonekwa vasati vava nemakore makumi matatu, asi vanogona kuongororwa mushure mehupenyu. Izvo zvinowanzoitika mu:

• vanhu mumabhodhi epamusoro ezvehupfumi
• vanhu vachena
• vanhu vanodya kudya kwakakora-mafuta

Izvo zvakare zvakajairika munzvimbo dzinotevera:

• nyika dzakabudirira
• mamiriro ekuchamhembe
• madhorobha

Kunze kwezvakatipoteredza zvinhu, majini zvinhu zvinofungidzirwa kuti zvinoita basa rakasimba mukuvandudza IBD. Naizvozvo, inoonekwa se "chirwere chakaomarara."

Kune mazhinji mafomu eBD, hapana mushonga. Kurapa kwakanangana nekutenderera kwezviratidzo nekuregererwa sechinangwa. Kune vazhinji, chirwere cheupenyu hwese, pamwe nekusiyana kwenguva dzekuregererwa uye kuputika. Mishonga yemazuva ano, zvisinei, inobvumira vanhu kurarama hupenyu hwakajairika uye hune pundutso.

IBD haifanirwe kunge ichivhiringidzika neinoshatisa ura hwehurwere (IBS). Kunyange zvimwe zviratidzo zvingave zvakafanana dzimwe nguva, mabviro uye maitiro emamiriro acho anosiyana zvakanyanya.

Chirwere cheCrohn

Chirwere cheCrohn chinogona kukanganisa chero chikamu cheTI turakiti kubva pamuromo kusvika kune anus, kunyangwe ichiwanzo kuwanikwa kumagumo kwetumbu diki (diki ura) uye kutanga kwekoloni (hukuru hukuru).

Zviratidzo zvechirwere cheCrohn zvinogona kusanganisira:

• kazhinji manyoka
• kupatirwa pano neapo
• marwadzo emudumbu
• kupindwa nechando
• ropa muchitsiko
• kuneta
• mamiriro eganda
• kurwadza kwemajoini
• kushaya zvokudya zvinovaka muviri
• kuonda
• fistula

Kusiyana neUC, Crohn's haina kuganhurirwa kune iyo GI turakiti. Inogona zvakare kukanganisa ganda, maziso, majoini, uye chiropa. Sezvo zviratidzo zvinowanzoita zvakanyanya mushure mekudya, vanhu vane Crohn vanowanzoona kurasikirwa nekurema nekuda kwekudzivirira kwekudya.

Chirwere cheCrohn chinogona kukonzera kuvhara kwematumbo kubva kune vanga uye kuzvimba. Maronda (maronda) ari mudumbu remukati anogona kukura kuita maturakiti awo, anozivikanwa sefistula. Chirwere cheCrohn chinogona zvakare kuwedzera njodzi yegomarara rekoloni, ndosaka vanhu vanorarama nemamiriro acho vachifanira kunge vaine colonoscopies yenguva dzose.

Mishonga ndiyo nzira yakajairika yekurapa chirwere cheCrohn. Aya mashanu marudzi emishonga ndeaya:

• steroids
• mishonga inorwisa mabhakitiriya (kana hutachiona kana fistula zvichikonzera kuputika)
• immune modifiers, senge azathioprine uye 6-MP
• aminosalicylates, senge 5-ASA
• biologic kurapa

Zvimwe zviitiko zvinogona zvakare kuda kuvhiyiwa, kunyangwe kuvhiyiwa kusingarape chirwere cheCrohn.

Ulcerative colitis

Kusiyana neCrohn's, ulcerative colitis yakavharirwa kukoloni (hukuru hukuru) uye inongokanganisa matunhu epamusoro mukuparadzira kwakaenzana. Zviratidzo zveUC zvinosanganisira:

• marwadzo emudumbu
• zvigaro zvakasununguka
• ropa rine chigaro
• kukurumidza kwekufamba kwematumbu
• kuneta
• kurasikirwa nenzara
• kuonda
• kushaya zvokudya zvinovaka muviri

Zviratidzo zveUC zvinogona zvakare kusiyana nemhando. Zvinoenderana neMayo Clinic, kune mashanu marudzi eUC anoenderana nenzvimbo:

• Yakanyanya yakaoma UC. Iyi fomu isingawanzo yeUC inobata iyo colon yese uye inokonzeresa kudya.
• Kuruboshwe-mativi colitis. Rudzi urwu runokanganisa kuburuka kwekoloni uye rectum.
• Pancolitis. Pancolitis inokanganisa iyo yakazara colon uye inokonzeresa yeropa manyoka.
• Proctosigmoiditis. Izvi zvinokanganisa iyo yezasi colon uye rectum.
• Ulcerative proctitis. Iyo yakapfava fomu yeUC, inobata rectum chete.

Yese mishonga inoshandiswa kuCrohn inowanzo shandiswa kuUC futi. Kuvhiya, zvisinei, kunoshandiswa kazhinji muUC uye kunoonekwa semushonga wemamiriro acho. Izvi zvinodaro nekuti UC inongogumira kune colon, uye kana colon yakabviswa, ndizvo zvakaitawo chirwere.

Iyo colon yakakosha zvakadaro, saka kuvhiya kuchiri kutarisirwa senzira yekupedzisira. Izvo zvinowanzo fungidzirwa chete kana kuregererwa kunonetsa kusvika uye kumwe kurapwa kwave kusingabudirire.

Kana zvinetso zvikaitika, zvinogona kuva zvakanyanya. Kuruboshwe kusarapwa, UC inogona kutungamira ku:

• kupera (maburi mukoloni)
• gomarara rekoloni
• chirwere chechiropa
• osteoporosis
• kupererwa neropa

Kuongorora IBD

Hapana mubvunzo kuti IBD inogona kudzikisira zvakanyanya hupenyu hwehupenyu, pakati pezviratidzo zvisina kugadzikana uye kushanya kwekushambidzira kazhinji. IBD inogona kutotungamira kune turu turu uye kuwedzera njodzi yekenza yekoloni.

Kana iwe ukasangana nezviratidzo zvisina kujairika, zvakakosha kudaidza chiremba. Iwe unogona kutumirwa kune gastroenterologist yeiyo IBD kuyedza, senge colonoscopy kana CT scan. Kuongorora iyo chaiyo fomu yeBD kunotungamira kune mamwe marapirwo anobudirira.

Kuzvipira kurapa kwemazuva ese uye mararamiro maringe nekuchinja zvinogona kubatsira kudzikisa zviratidzo, kuwana kuregererwa, uye kudzivirira kunetsekana.

Pasinei nekuongororwa kwako, Healthline yemahara app, IBD Healthline, inokubatanidza iwe nevanhu vanonzwisisa. Sangana nevamwe vanogara neCrohn's uye ulcerative colitis kuburikidza ne-ne-one mameseji uye mhenyu hurukuro dzeboka. Uyezve, unenge uine ruzivo-rwakagamuchirwa ruzivo rwekutarisira IBD pamunwe wako. Dhawunorodha iyo app ye iPhone kana Android.