Chirwere Chekuputira Chirwere (IBD)

Zvemukati

• Ndeapi marudzi akakosha echirwere chechirwere?
• Chii chinokonzera kuzvimba ura chirwere?
• Genetics
• Ma immune immune
• Ndezvipi zvinhu zvine njodzi mukukura kwehutachiona hwechirwere?
• Kusvuta
• Dzinza
• Zera
• Nhoroondo yemhuri
• Nzvimbo yenzvimbo
• Gender
• Ndezvipi zviratidzo zvechirwere chinoputira ura?
• Ndeapi matambudziko angangoitika ehutachiona hwechirwere?
• Chirwere chekuputira chirwere chinowanikwa sei?
• Stool sampuro uye kuongororwa kweropa
• Barium enema
• Inochinjika sigmoidoscopy uye colonoscopy
• Kamudzira endoscopy
• Plain firimu kana X-ray
• Computer tomography (CT) uye magnetic resonance imaging (MRI)
• Chirwere chekuputira chirwere chinorapwa sei?
• Mishonga
• Mararamiro sarudzo
• Zvokuwedzera
• Kuvhiya
• Chirwere chekuputira chirwere chinodzivirirwa sei?

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Mhedziso

Chirwere chechipfuva chinopisa (IBD) chinomiririra boka rematambudziko ematumbo ayo anokonzeresa kuzvimba kwenguva refu kwedumbu.

Iyo yekugaya nzira ine mukanwa, esophagus, mudumbu, dumbu ura, uye hombe ura. Ndiro basa rekutyora chikafu, kubvisa zvinovaka muviri, uye kubvisa chero zvisingashandisike zvinhu uye marara zvigadzirwa.

Kuzvimba chero kupi munzira yekugaya kunokanganisa maitiro akajairika. IBD inogona kuva inorwadza uye inokanganisa, uye mune dzimwe nguva, inogona kunge iri kutyisidzira hupenyu.

Dzidza zvese nezve IBD, kusanganisira mhando, chii chinokonzeresa, matambudziko, uye zvimwe.

Ndeapi marudzi akakosha echirwere chechirwere?

Zvirwere zvakawanda zvinosanganisirwa mune ino IBD amburera izwi. Zvirwere zviviri zvakajairika ndeye ulcerative colitis uye chirwere cheCrohn.

Chirwere cheCrohn chinogona kukonzera kuzvimba mune chero chikamu chedumbu. Nekudaro, zvinonyanya kukanganisa kupera kwemuswe wemukati mudumbu.

Ulcerative colitis inosanganisira kuzvimba kwemukati ura.

Chii chinokonzera kuzvimba ura chirwere?

Chikonzero chaicho cheBD hachizivikanwi. Zvisinei, genetics uye matambudziko nehutachiona hwemuviri zvakabatanidzwa neBD.

Genetics

Iwe unogona kunge uchikwanisa kukura IBD kana iwe uine hama kana mubereki ane chirwere. Ichi ndicho chikonzero masayendisiti anotenda kuti IBD inogona kunge iine hutachiona.

Ma immune immune

Ma immune immune anogona zvakare kutora chinzvimbo muBD.

Kazhinji, immune system inodzivirira muviri kubva kuzvirwere (zvipenyu zvinokonzeresa zvirwere nezvirwere). Hutachiona kana hutachiona hutachiona hwenzira yekugaya hunogona kukonzeresa immune immune.

Sezvo muviri paunenge uchiedza kurwisa vanopinda, nzira yekugaya inotsva. Kana hutachiona hwaenda, kuzvimba kunopera. Ndiyo mhinduro yakanaka.

Mune vanhu vane IBD, zvisinei, kugaya nzira yekuzvimba kunogona kuitika kunyangwe pasina hutachiona. Iyo immune system inorwisa maseru emuviri pachayo pachinzvimbo. Izvi zvinozivikanwa senge autoimmune mhinduro.

IBD inogona zvakare kuitika kana iko kuzvimba kusingaendi mushure mekunge hutachiona hwaporeswa. Iko kuzvimba kunogona kuenderera kwemwedzi kana kunyange makore.

Ndezvipi zvinhu zvine njodzi mukukura kwehutachiona hwechirwere?

ICrohn's & Colitis Foundation yeAmerica (CCFA) inofungidzira kuti 1,6 miriyoni vanhu muUnited States vane IBD.

Zvinonyanya kukonzera njodzi yekukura kwechirwere cheCrohn uye ulcerative colitis inosanganisira:

Kusvuta

Kusvuta ndechimwe chengozi huru yekuvandudza chirwere cheCrohn.

Kusvuta kunowedzerawo marwadzo uye zvimwe zviratidzo zvechirwere cheCrohn uye kunowedzera njodzi yezvinetso. Nekudaro, ulcerative colitis inonyanya kubata vasingasvuti uye vekare vanoputa.

Dzinza

IBD inowanikwa mune vese vanhu. Zvisinei, mamwe madzinza akadai seCaucasians nemaAshkenazi maJuda ane njodzi yakanyanya.

Zera

IBD inogona kuitika chero zera, asi kazhinji kacho, inotanga isati yasvika makore makumi matatu nemashanu.

Nhoroondo yemhuri

Vanhu vane mubereki, munin'ina, kana mwana ane IBD vari pangozi yakakura kwazvo yekuzvikudziridza ivo pachavo.

Nzvimbo yenzvimbo

Vanhu vanogara mumadhorobha uye nyika dzakasimukira vane njodzi yakanyanya yekuwana IBD.

Vaya vane chena makorari mabasa vari zvakare mukana wekuvandudza chirwere. Izvi zvinogona kutsanangurwa zvishoma nesarudzo yemararamiro uye chikafu.

Vanhu vanogara munyika dzakasimukira vanowanzo kudya mafuta akawanda uye chikafu chakagadziriswa. IBD zvakare yakajairika pakati pevanhu vanogara kumatunhu ekuchamhembe, uko kunowanzo kutonhora.

Gender

Pakati pese, IBD inobata vese vakomana zvakaenzana. Ulcerative colitis inowanzoitika pakati pevarume, nepo chirwere cheCrohn chiri chakajairika pakati pevakadzi.

Ndezvipi zviratidzo zvechirwere chinoputira ura?

Zviratidzo zveBD zvinosiyana zvichienderana nenzvimbo uye kuomarara kwekuzvimba, asi zvinogona kusanganisira:

• manyoka, ayo anoitika kana zvikamu zvakakanganiswa zvemuviri zvisingakwanise kudzosera mvura
• kubuda maronda, izvo zvinogona kukonzera kuti ropa riratidzike muduru (hematochezia)
• kurwadziwa nemudumbu, kupwanya, uye kuzvimba nekuda kwekudzivirira ura
• kuonda uye kupererwa neropa, izvo zvinogona kukonzera kunonoka kukura kana kukura muvana

Vanhu vane chirwere cheCrohn vanogonawo kuwana maronda ekurwara mumiromo yavo. Dzimwe nguva maronda nemaburi zvinowoneka zvakapoteredzwa nenzvimbo yekubereka kana anus.

IBD inogona zvakare kuve yakabatana nematambudziko kunze kweyekugaya system, senge:

• kuzvimba kweziso
• kusagadzikana kweganda
• arthritis

Ndeapi matambudziko angangoitika ehutachiona hwechirwere?

Zvinogona kuitika matambudziko eBD anosanganisira:

• kushaya zvinovaka muviri pamwe nekukonzera kuonda
• gomarara rekoloni
• fistula, kana maronda anopinda mudumbu, achigadzira gomba pakati pezvikamu zvakasiyana zvegwara rekugaya
• kuputika kwemukati, kana kupera
• kutenderera kwematumbo

Muzviitiko zvisingawanzoitika, kukomba kwakanyanya kweBD kunogona kukuita kuti utange kushamisika. Izvi zvinogona kutyisidzira hupenyu. Kuvhunduka kunowanzo kukonzerwa nekurasikirwa neropa mukati menguva refu, kamwe kamwe kechiitiko cheropa rine manyoka.

Chirwere chekuputira chirwere chinowanikwa sei?

Kuti uongorore IBD, chiremba wako anotanga kukubvunza mibvunzo nezve yako nhoroondo yemhuri yekurapa uye ako matumbu.

Bvunzo dzepanyama dzinogona kuzoteverwa neimwe kana yakawanda yekuongorora bvunzo.

Stool sampuro uye kuongororwa kweropa

Iyi bvunzo inogona kushandiswa kutsvaga hutachiona nezvimwewo zvirwere.

Kuongororwa kweropa kunogonawo dzimwe nguva kushandiswa kusiyanisa chirwere cheCrohn uye ulcerative colitis. Zvisinei, kuongororwa kweropa chete hakugone kushandiswa kuongorora IBD.

Barium enema

Barium enema ndeye X-ray bvunzo yekoloni uye mudumbu ura. Munguva yakapfuura, iyi mhando yemuyedzo yaiwanzoshandiswa, asi ikozvino mimwe miedzo yakanyanya kuitsiva.

Inochinjika sigmoidoscopy uye colonoscopy

Maitiro aya anoshandisa kamera pamagumo etete, inonzwisisika yekuongorora kuti itarise colon.

Iyo kamera inoiswa kuburikidza neiyo anus. Iyo inobvumidza chiremba wako kutsvaga maronda, fistula, uye kumwe kukuvara mune rectum uye colon.

Colonoscopy inogona kuongorora hurefu hwese hwemukati hombe. Sigmoidoscopy inoongorora chete ekupedzisira makumi maviri masendimita eura hukuru - sigmoid colon.

Munguva yemaitiro aya, idiki sampuro yemudumbu inombotorwa dzimwe nguva. Izvi zvinonzi biopsy. Kuongorora iyi biopsy pasi pe microscope kunogona kushandiswa kuongorora IBD.

Kamudzira endoscopy

Muedzo uyu unoongorora ura hudiki, hwakaoma zvakanyanya kuongorora kupfuura ura hukuru. Yebvunzo, iwe unomedza kabuduru kadiki kane kamera.

Sezvo ichifamba nemukati ako mudumbu, inotora mifananidzo. Paunenge wapfuura kamera mune chako chigaro, iyo mifananidzo inogona kuoneka pakombuta.

Muedzo uyu unongoshandiswa chete kana kumwe kuyedza kwakatadza kuwana chinokonzera zviratidzo zvechirwere cheCrohn.

Plain firimu kana X-ray

Iyo yakajeka mudumbu X-ray inoshandiswa mune yekukurumidzira mamiriro apo hutumbo kuputika kunofungidzirwa.

Computer tomography (CT) uye magnetic resonance imaging (MRI)

CT inoongorora inowanzo kuve yekombuta X-rays. Ivo vanogadzira yakadzama mufananidzo kupfuura yakajairwa X-ray. Izvi zvinoita kuti zvive zvakakosha pakuongorora ura hudiki. Vanogona zvakare kuona matambudziko eBD.

MRIs inoshandisa magineti minda kugadzira mifananidzo yemuviri. Ivo vakachengeteka kupfuura X-ray. MRIs inonyanya kubatsira mukuongorora zvinyoro zvinyoro uye kuona fistula.

Ose maMRI uye eCCT scans anogona kushandiswa kuona kuti ura hwakawanda sei hunokanganiswa neBD.

Chirwere chekuputira chirwere chinorapwa sei?

Kune akatiwandei ekurapwa kwakasiyana kweBD.

Mishonga

Anti-anogumbura zvinodhaka ndiwo danho rekutanga mukurapa kweBD. Iyi mishonga inoderedza kuzvimba kwenzvimbo yekugaya. Nekudaro, ivo vane yakawanda mhedzisiro.

Anti-anogumbura mishonga inoshandiswa IBD inosanganisira yakajairwa-dhizaini mesalamine, sulfasalazine uye ayo mabudiro, uye corticosteroids.

Ma immune immune (kana maunomomodulators) anodzivirira immune system kubva pakurwisa ura uye kukonzera kuzvimba.

Iri boka rinosanganisira mishonga inovhara TNF. TNF kemikari inogadzirwa ne immune immune inokonzera kuzvimba. Kuwedzeredza TNF muropa kunowanzo vharwa, asi kune vanhu vane IBD, akakwira matunhu eTNF anogona kutungamira mukuwedzera kuzvimba.

Mumwe mushonga, tofacitinib (Xeljanz), isarudzo nyowani inoshanda nenzira yakasarudzika yekudzora kuzvimba.

Immune immune inodzvinyirira inogona kuve yakawanda mhedzisiro, kusanganisira mapundu uye hutachiona.

Mishonga inorwisa mabhakitiriya inoshandiswa kuuraya mabhakitiriya anogona kukonzera kana kuwedzera zviratidzo zveBD.

Antidiarrheal zvinodhaka uye laxatives zvinogona zvakare kushandiswa kurapa IBD zviratidzo.

Tenga laxatives izvozvi.

Mararamiro sarudzo

Mararamiro ehupenyu akakosha kana iwe uine IBD.

Kunwa mvura yakawanda kunobatsira kubhadhara kune avo vakarasika muchigaro chako. Kudzivisa zvigadzirwa zvemukaka uye mamiriro ekumanikidza zvinovandudza zviratidzo.

Kudzidzira uye kurega kuputa kunogona kuwedzera kuvandudza hutano hwako.

Zvokuwedzera

Vitamin uye mamineral ekuwedzera anogona kubatsira nekushomeka kwehutano. Semuenzaniso, zvinowedzera iron zvinogona kurapa kupererwa neropa.

Taura nachiremba wako usati wawedzera chero matsva ekuwedzera pane zvaunodya. Tora iron inowedzera online.

Kuvhiya

Kuvhiya kunogona dzimwe nguva kuve kwakakosha kune vanhu vane IBD. Zvimwe zvekuvhiya zveBD zvinosanganisira:

• solidureplasty yekuwedzera ura hutete
• kuvhara kana kubvisa fistula
• kubviswa kwezvikamu zvakakanganiswa zvematumbo, zvevanhu vane chirwere cheCrohn
• kubviswa kwekoloni yese uye rectum, yezviitiko zvakakomba zve ulcerative colitis

Routine colonoscopy inoshandiswa kuongorora cancer yekoloni, nekuti avo vane IBD vari panjodzi huru yekukudziridza.

Chirwere chekuputira chirwere chinodzivirirwa sei?

Izvo zvikonzero zvekugara nhaka zveBD hazvigone kudzivirirwa. Zvisinei, iwe unogona kukwanisa kuderedza ngozi yako yekuvandudza IBD kana kudzivirira kudzoka ne:

• kudya chikafu chine hutano
• kurovedza muviri nguva dzose
• kurega kusvuta

IBD inogona kukonzera kusagadzikana, asi pane nzira dzaungagone kubata chirwere uye uchirarama hupenyu hune hutano, hunoshanda.

Zvinogona zvakare kubatsira kutaura kune vamwe vanonzwisisa zvauri kusangana nazvo. IBD Healthline chirongwa chemahara chinokubatanidza iwe nevamwe vanogara neBD kuburikidza neema-on-one mameseji uye mhenyu mapoka ehurukuro, nepo ichipawo mukana kune ruzivo-rwakagamuchirwa ruzivo rwekutarisira IBD. Dhawunorodha iyo app ye iPhone kana Android.

Shanyira Crohn's & Colitis Foundation kune zviwanikwa uye rumwe ruzivo nezve IBD, kusanganisira chirwere cheCrohn uye ulcerative colitis.