Rutivi Kubviswa kweMatumbo eCrohn's Chirwere

Zvemukati

• Kusarura kubviswa kwetumbo
• Kudzokorora mushure mekutengesa kusarura
• Kurega kusvuta mushure mekuvhiyiwa resection
• Mishonga mushure mekuvhiyiwa resection
• Mishonga inorwisa mabhakitiriya
• Aminosalicylates
• Immunomodulators
• Zvaunotarisira mushure mekuvhiyiwa
• Mubvunzo:
• A:

Mhedziso

Chirwere cheCrohn chirwere chechipfuva chinokonzeresa chinokonzera kuzvimba kwetambo yemudumbu. Uku kuzvimba kunogona kuitika mune chero chikamu chedumbu, asi zvinowanzo bata huturu uye ura hudiki.

Vanhu vazhinji vane chirwere cheCrohn vanopedza makore vachiedza mishonga yakasiyana siyana. Kana mishonga isingashande kana kunetseka kuchikura, dzimwe nguva kuvhiyiwa sarudzo.

Inofungidzirwa kuti inosvika makumi manomwe neshanu muzana yevanhu vane chirwere cheCrohn vanozopedzisira vavhiyiwa kuti varape zviratidzo zvavo. Vamwe vanozove nesarudzo yekuvhiyiwa, nepo vamwe vachizoida nekuda kwekunetseka kwechirwere chavo.

Rumwe rudzi rwekuvhiya kwaCrohn kunosanganisira kubvisa chikamu chinopisa chekoloni kana ura hudiki. Maitiro aya anogona kubatsira nezviratidzo, asi haisi mushonga.

Mushure mekubviswa kwenzvimbo yakakanganiswa yematumbo, chirwere ichi chinogona kuzopedzisira chakanganisa chikamu chitsva chemudumbu, zvichikonzeresa kudzoka kwezviratidzo.

Kusarura kubviswa kwetumbo

Kubviswa kwechikamu chemuura kunonzi kusarudzika kusarura kana chikamu chemuviri resection. Kuvhiya uku kunowanzo kurudzirwa kune vanhu vane imwechete kana yakawanda strictures, kana nzvimbo dzinorwara, vanovharana pamwe mune chimwe chikamu chemukati.

Kuvhiya kwakasarudzika kunogonawo kukurudzirwa kune varwere vane zvimwe zvinonetsa kubva kuchirwere cheCrohn, sekubuda ropa kana kututisa ura. Kugadziriswa kwechikamu kunosanganisira kubvisa nzvimbo dzakakanganiswa dzematumbo uyezve kubatanidza zvikamu zvine hutano.

Kuvhiyiwa kunoitwa pasi peanesthesia, zvinoreva kuti vanhu vakarara mune ese maitiro. Kuvhiyiwa kunowanzo kutora kubva kune imwe kusvika kumaawa mana.

Kudzokorora mushure mekutengesa kusarura

Kugadziriswa kwechikamu kunogona kurerutsa zviratidzo zvechirwere cheCrohn kwemakore mazhinji. Izvo zvakakosha kuti uzive, zvisinei, kuti zororo rinowanzo kuve renguva pfupi.

Vanenge makumi mashanu kubva muzana yevanhu vanozoona kudzokororwazve kwezviratidzo mukati memakore mashanu mushure mekuve nesarudzo resection. Chirwere ichi chinowanzo dzokedzana panzvimbo iyo ura hwakabatanidzwa.

Vamwe vanhu vanogona zvakare kukudziridza kushomeka kwehutano mushure mekuvhiyiwa.

Kana vanhu vaine chidimbu chemuura chavakabvisa, vane ura hushoma hwakasara kuti hutore mishonga kubva muchikafu. Nekuda kweizvozvo, vanhu vanga vaine resection resection vangangoda kutora zvinowedzera kuti vaone kuti vari kuwana izvo zvavanoda kuti vagare vakagwinya.

Kurega kusvuta mushure mekuvhiyiwa resection

Vanhu vazhinji vanovhiyiwa chirwere cheCrohn vanozove nekudzoka kwezviratidzo. Iwe unogona kudzivirira kana kunonoka kudzokororazve nekuita mamwe mararamire shanduko.Imwe yeshanduko dzakakosha kuita kurega kusvuta.

Kunze kwekuve inogona kuisa njodzi yechirwere cheCrohn, kusvuta kunogona kuwedzera njodzi yekudzokazve pakati pevanhu mukuregererwa. Vanhu vazhinji vane chirwere cheCrohn vanoona zvakare kuvandudzwa kwehutano hwavo kana varega kuputa.

Sekureva kweCrohn's naColitis Foundation yeAmerica, vanosvuta mukuregererwa kubva kuchirwere cheCrohn vanopfuura zvakapetwa kaviri pane vasingasvuti kuti vadzokororwe nezviratidzo.

Mishonga mushure mekuvhiyiwa resection

Vanachiremba vanowanzopa mishonga yekubatsira kudzikisa njodzi yekudzokazve mushure mekudzoserwa chikamu.

Mishonga inorwisa mabhakitiriya

Mishonga inorwisa mabhakitiriya inowanzove mhinduro inoshanda yekudzivirira kana kunonoka kudzoka kune vanhu vakavhiyiwa.

Metronidazole (Flagyl) mushonga unorwisa mabhakitiriya uyo unowanzo gadzirirwa kwemwedzi yakati wandei mushure mekuvhiyiwa. Metronidazole inoderedza hutachiona hwehutachiona mudumbu remudumbu, izvo zvinobatsira kuchengetedza zviratidzo zvechirwere cheCrohn.

Kufanana nemamwe maantibayoti, metronidazole inogona kushomeka nekufamba kwenguva sezvo muviri unogadzirisa mushonga.

Aminosalicylates

Aminosalicylates, inozivikanwawo se5-ASA mishonga, iboka remishonga dzimwe nguva rinorayirwa vanhu vakavhiyiwa. Ivo vanofungidzirwa kudzikisa zviratidzo uye kuputika-kumusoro, asi hazvisi zvakanyanya kushanda mukudzivirira kudzoka kwechirwere cheCrohn.

Aminosalicylates inogona kukurudzirwa kune vanhu vari panjodzi yakaderera yekudzokazve, kana vasingakwanise kutora imwe, inoshanda mishonga. Zvakajairika mhedzisiro zvinosanganisira:

• kutemwa nemusoro
• manyoka
• kusvotwa kana kurutsa
• mapundu
• kurasikirwa nenzara
• kurwadziwa nemudumbu kana kupwanya
• kupindwa nechando

Kutora mishonga nechikafu kunogona kudzikisira iyi mhedzisiro. Mimwe aminosalicylates inogona zvakare kuve nemhedzisiro kune vanhu vari allergic kune sulfa zvinodhaka. Ita shuwa kuti chiremba wako anoziva nezve chero chisimbwa chauinacho usati watanga kurapwa.

Immunomodulators

Mishonga inoshandura yako immune system, senge azathioprine kana TNF-blockers, dzimwe nguva inorayirwa mushure mekudzoserwa chikamu. Iyi mishonga inogona kubatsira kudzivirira kudzoka kwechirwere cheCrohn kweanosvika makore maviri mushure mekuvhiyiwa.

Immunomodulators inokonzeresa mhedzisiro mune vamwe vanhu uye inogona kunge isingave yakakodzera kune wese munhu. Chiremba wako anozofunga nezvehosha yechirwere chako, njodzi yako yekudzokazve, uye hutano hwako hwese usati wafunga kana imwe yemishonga iyi yakakunakira iwe.

Zvaunotarisira mushure mekuvhiyiwa

Mubvunzo:

Chii chandingatarisira panguva yekudzoreredza kubva pasarupu resection?

A:

Kune mamwe akakosha mapoinzi ekufunga panguva yekudzoreredza chikamu. Humwe hunyoro kusvika pakuenzanisa marwadzo pane iyo incision saiti inowanzo kuve neruzivo, uye chiremba anorapa achapa mishonga yekurwadziwa.

Fluid uye maelectrolyte anoiswa mukati mehusimbe kusvikira chikafu chemurwere chichigona kumutswazve zvishoma nezvishoma, kutanga nezvinwiwa uye kufambira mberi kuchikafu chenguva dzose sekuregererwa Varwere vanogona kutarisira kunge vari pamubhedha maawa masere kusvika makumi maviri nemana mushure mekuvhiyiwa.

Varwere vanowanzo rongerwa yekutevera-kuongorora mukati memavhiki maviri mushure mekuvhiyiwa. Pakati pemazuva mashoma ekutanga mushure mekuvhiyiwa, kurovedza muviri kunorambidzwa.