Zvironda uye Crohn's Disease

Zvemukati

• Ndeapi maronda anogona kuitika kana iwe uine chirwere cheCrohn?
• Zvironda zvemumuromo
• Aphthous maronda
• Pyostomatitis zvinomera
• Zvironda zvemumuromo nekuda kwemishonga mhedzisiro
• Ndezvipi zviratidzo zvezvironda?
• Fistula
• Kubuda ropa
• Anemia
• Ndedzipi nzira dzekurapa maronda?
• Immunosuppressants
• Mamwe marapirwo
• Kuvhiya
• Tora woenda nazvo

Mhedziso

Chirwere cheCrohn ndiko kuzvimba kweturakiti (GI) turakiti. Inobata mativi akadzika kwazvo emadziro emukati. Iko kuvandudza kwemaronda, kana maronda akazaruka, mune iyo GI turakiti chiratidzo chikuru cheCrohn's.

Maererano neCrohn's neColitis Foundation yeAmerica, vanosvika mazana manomwe ezviuru zveAmerica vane chirwere cheCrohn. Chero ani zvake anogona kuve nechirwere cheCrohn, asi zvinonyanya kubata vanhu vari pakati pemakore gumi nemashanu kusvika makumi matatu nemashanu.

Ndeapi maronda anogona kuitika kana iwe uine chirwere cheCrohn?

Maronda anowanikwa nechirwere cheCrohn anogona kuoneka kubva pamuromo kusvika kune anus, kusanganisira iyo:

• yegurokuro
• duodenum
• appendikisi
• dumbu
• ura hudiki
• colon

Chirwere cheCrohn hachiwanzo kukanganisa iyo:

• muromo
• dumbu
• duodenum
• yegurokuro

Mamiriro akafanana neiyo ulcerative colitis, iyo inokanganisa chete colon.

Semuenzaniso, unogona kunge uine maronda mukoloni yese kana uine Crohn's. Iwe unogona zvakare kuve netambo yemaronda mune imwe chete chikamu chekoloni. Mune zvimwe zvikamu zveGI turakiti, maronda anogona kuvapo mumasumbu akapatsanurwa neakasimba, ane hutano matishu. Kuzvimba kusingaperi kunogona zvakare kutungamira kune maronda munzvimbo yekubereka kana iyo anus.

Zvironda zvemumuromo

Aphthous maronda

Dzimwe nguva, vanhu vane Crohn vanozoita maronda anorwadza mumuromo. Aya anozivikanwa seaphthous ulcers. Aya maronda emuromo anowanzoonekwa panguva yekukwira kwemukati wekuputika. Dzinogona kufanana neyakajairika chironda. Dzimwe nguva, maronda akakurisa anogona kuoneka.

Pyostomatitis zvinomera

Pyostomatitis zvinomera hazvishamisi. Iyo inokonzeresa akawanda mamota, pustules, uye maronda mumuromo. Zvinogona kuitika nehutachiona hwechirwere (IBD) kana chirwere cheCrohn. Unogona kutora oral and topical corticosteroids, pamwe neizvo zvinonzi "immune-modulating" zvinodhaka, kurapa maronda aya.

Zvironda zvemumuromo nekuda kwemishonga mhedzisiro

Dzimwe nguva, maronda emumuromo anogona kunge ari mhedzisiro mhedzisiro yemishonga inobata Crohn uye IBD. Iyi mishonga inogona kukonzera thrush, yemuromo fungal hutachiona.

Ndezvipi zviratidzo zvezvironda?

Maronda kubva kuCrohn anogona kuve nezviratidzo zvakawanda:

Fistula

Chironda chinogona kugadzira fistula kana ikapwanya nepakati pematumbo ako. Fistula kubatana kusinganzwisisike pakati pezvikamu zvakasiyana zvemukati, kana pakati pemukati neganda kana imwe nhengo, senge dundira. Iyo fistula yemukati inogona kukonzera chikafu kupfuudza nzvimbo dzemukati zvachose. Izvi zvinogona kutungamira mukukwana kukwana kwekudya kwehutano. Fistula dzekunze dzinogona kukonzera ura kubuda paganda. Izvi zvinogona kukonzera bundu rinotyisidzira hupenyu kana ukasawana kurapwa kwaro. Mhando yakajairika ye fistula muvanhu vane Crohn's inoitika munzvimbo yekumashure.

Kubuda ropa

Kubuda ropa kunoonekwa hakuwanzoitika, asi zvinogona kuitika kana maronda ari mukati meropa guru kana tsinga. Muviri unowanzo shanda nekukurumidza kuvhara iro rinobuda ropa. Kune vanhu vazhinji, izvi zvinoitika kamwe chete. Zvisinei, kuvhiyiwa kunogona kudikanwa kana kubuda ropa kuchiitika kazhinji.

Kazhinji, munhu ane chirwere cheCrohn achangoerekana abuda ropa. Kubuda ropa kunogona kuitika chero nguva, kusanganisira panguva yekukwira kana apo chirwere chiri mukuregererwa. Kubuda ropa kukuru kunowanzoda kuvhiyiwa kunoponesa hupenyu kubvisa chikamu chinorwara chekoloni kana GI turakiti kana kudzivirira kumwe kutyisidzira kweropa mune ramangwana.

Anemia

Kunyangwe kana pasina kubuda kunoonekwa, maCrohn anogona kutungamira mukushomeka kwesimbi anemia kana ichikonzera maronda akawanda mumatumbo madiki kana colon. Kuenderera mberi, kwakaderera-giredhi, kusingaperi kurasikirwa kweropa kubva kune aya maronda kunogona kuitika. Kana iwe uine Crohn's iyo inobata iyo ileum kana kana iwe wakambovhiyiwa kuti ubvise chikamu chemuviri wako mudiki unonzi ileum, unogona kukura kupererwa neropa nekuda kwekutadza kutora zvakakwana vitamini B-12.

Ndedzipi nzira dzekurapa maronda?

Immunosuppressants

Mhinduro yemuviri wako yemuviri inogona kukonzera kuzvimba. Immunosuppressants mishonga inodzvinyirira immune mhinduro.

Corticosteroids mishonga inodzvinyirira immune system yekudzora kuitika kwekuzvimba uye maronda. Unogona kuvatora nemuromo kana rectally. Zvisinei, iyo Crohn's naColitis Foundation yeAmerica inoshuma kuti vanogona kuva nemhedzisiro uye vanachiremba vanowanzorega kuvaraira kwenguva yakareba, kana zvichibvira. Zvichida chiremba wako achawedzera mutsara wechipiri wemishonga inodzvinyirira immune system yako.

Kana iwe uine Crohn's iyo isina kupindura corticosteroids kana iri mukuregererwa, chiremba wako anogona kunyorera imwe mhando yemunosuppressant senge azathioprine kana methotrexate. Kazhinji zvinotora mwedzi mitatu kana mitanhatu kuti mhinduro kubva kumishonga iyi iitike. Iyi mishonga inogona kuwedzera njodzi yako yekenza uye hutachiona hutachiona hwakadai sehepe uye cytomegalovirus. Iwe unofanirwa kukurukura nezvengozi dzako nachiremba wako.

Mamwe marapirwo

Mamwe marapirwo eCrohn anosanganisira anotevera:

• Muchiitiko chemaronda emumuromo, iyo epical anesthetic yakadai se lidocaine inogona kubatsira kudzikamisa marwadzo. Kana iwe ukatambira iyo yemusoro yekurapa anesthetic, zvingangoita kuti ichave yakasanganiswa neyemusoro corticosteroid.
• Biologic Therapies senge infliximab uye adalimumab ndedzimwe nzira dzinogona kurapwa dzeCrohn's.
• Chiremba wako anogona zvakare kunyorera maantibayoti ayo anobatsira kudzikisa huwandu hwehutachiona mumatumbo uye kudzikisa kuzvimba.

Kuvhiya

Chiremba wako anogona kukurudzira kuvhiyiwa kubvisa chikamu chemuviri chine maronda akawanda. Chiremba wako haakwanise kurapa Crohn nekuvhiya, asi kuvhiyiwa kunogona kubatsira kudzikisa zviratidzo. Iyo ileum resection inzira umo chiremba wako anobvisa chikamu chemuviri wako mudiki unonzi ileum. Kana iwe wakave nealeum resection kana iwe une Crohn's yakaoma yeileum, iwe unofanirwa kutora vitamini B-12.

Tora woenda nazvo

Chirwere cheCrohn chirwere chisingaperi. Hapana mushonga uripo, asi vanhu vazhinji vanogona kubudirira kugadzirisa zviratidzo zvavo. Maronda chiratidzo chinonyanya kurwadza chechirwere. Iwe unogona kudzora kuti zvinoitika kangani uye kuti zvinogara kwenguva yakareba sei nekurapwa uye nemabatiro ehupenyu. Kumbira chiremba wako nezve mararamiro ehupenyu uye marapirwo anogona kushandira mamiriro ako.