So wo nso wo yafunu ayɛ wo yaw? Momma yensua Crohn Yare no ho ade!

So wo yafunu taa yɛ wo yaw, wo ho yɛ wo yaw, anaasɛ wo kɔn dɔ aduan? Ɛtɔ mmere bi a, mmerɛwyɛ ho nkate betumi aka saa nneɛma yi ho. Sɛ wususuw sɛ eyinom yɛ yafunu mu haw ahorow a ɛfata ara kwa mpo a, ɛtɔ mmere bi a eyi betumi ayɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho. Ɛnnɛ yɛrebɛka tebea bi a ebetumi de saa sɛnkyerɛnne ahorow yi aba, a ɛyɛ den kakra, nanso sɛ wowɔ ntease a ɛfata a, wobetumi adi ho dwuma yiye ho asɛm. Ɛno ne Crohn Yare .

Dɛn ne Crohn Yare no?

Sɛ yɛbɛka no tiawa a, Crohn Yare no yɛ tebea a ɛtra hɔ kyɛ (i.e. nkwa nna nyinaa) . Ɛyɛ ``autoimmune'' tebea, a ɛkyerɛ sɛ yɛn nipadua mu nipadua mu ahoɔden a ɛko tia nyarewa no tow hyɛ yɛn ankasa aduan mu nhyehyɛe so esiane mfomso bi nti. Fa no sɛ yɛn ankasa asraafo a wɔreto ahyɛ yɛn ankasa man so. Eyi ma ɔfe ne akuru, te sɛ kɔkɔɔ ne ɔfe, ba aduan mu, titiriw dwensɔtwaa ketewa ne dwensɔtwaa kɛse (a wɔsan frɛ no ``colon'') . Crohn Yare ne tebea foforo a ɛte saa ara, ``Ulcerative Colitis'', nyinaa frɛ no Inflammatory Bowel Disease, anaa ``IBD''. Eyi nti na wotaa nya yafunu mu yaw , wo ho popo, na wo dwensɔtwaa. Afei nso, saa ɔfe yi betumi atew tumi a aduan wɔ sɛ ɛbɛyam yiye na nipadua no agye no so.

Crohn Yare ahorow bɛn na ɛwɔ hɔ?

Afei, hwɛ, saa Crohn yare yi betumi aba baabiara wɔ aduan a wɔyam no mu. Ɛno kyerɛ sɛ efi w’ano kosi w’akyi. Nanso ɛtaa ka dwensɔtwaa ketewaa ne dwensɔtwaa kɛse no. Ɛwɔ ahorow pii, a egyina baabi a ɛka no so:

• Ileocolitis: Eyi ne nea abu so sen biara . Ɛfa dwensɔtwaa ketewa no fã a ɛwɔ fam (yɛfrɛ no ileum) ne dwensɔtwaa kɛse no fã bi a ɛyɛ hyew ho.
• Colitis : Eyi yɛ ɔfe a ɛba dwensɔtwaa kɛse no mu.
• Ileitis: Eyi yɛ ileum a ɛyɛ dwensɔtwaa ketewaa no fã a ɛho ahonhon na ɛyɛ hyew.
• Gastroduodenal Crohn yare : Ɛma yafunu ne dwensɔtwaa ketewa (a yɛfrɛ no duodenum ) no atifi yɛ hyew na ɛnyɛ dɛ.
• Jejunitis:Wɔ dwensɔtwaa ketewa no atifi (yɛfrɛ no ``jejunum'') no, ɔfe ba wɔ mmeae bi, te sɛ nsensanee.
• Perianal disease: Nnipa binom betumi anya ɔfe wɔ akyi berɛmo no ho. Eyi betumi ama obi anya fistulas ( akwan a ɛnyɛ ne kwan so a ɛte sɛ ɔkwan a wɔfa so fa mu, sɛ nhwɛso no, efi dwensɔtwaa mu kɔ honam ani) ne akisikuru ( akisikuru a ɛyɛ akisikuru ).

Dɛn ne eyi ho sɛnkyerɛnne?

Crohn yare no ho sɛnkyerɛnne betumi aba mpofirim, anaasɛ ebetumi aba nkakrankakra. Nnipa binom nya saa sɛnkyerɛnne ahorow yi prɛko pɛ, bere a afoforo nso nnya bi. Ɛtɔ da bi a, sɛnkyerɛnne ahorow no ba, kɔ nna kakraa bi, na afei ɛsan ba. Yɛfrɛ saa mmere a yare no ho sɛnkyerɛnne kɔ soro yi "flare-up."

Nsɛnkyerɛnne a wɔtaa hu:

Nsɛnkyerɛnne a wobetumi ahu wɔ aduan a wɔyam no akyi:

Crohn yare no nka aduan a wɔyam no nkutoo. Ɛtɔ da bi a, sɛnkyerɛnne ahorow betumi ada adi wɔ mmeae afoforo nso:

• Nkwaa mu yaw (te sɛ ntini mu yare ).
• Honam ani akisikuru .
• Tebea horow te sɛ ɔfe ne aniwa a ɛyɛ kɔkɔɔ (e.g. uveitis, episcleritis).
• Asaabo mu abo a ɛba.
• Nnompe mu yare (nnompe a ɛyera).
• Skin tags a atwa akyi berɛmo no ho ahyia.

Dɛn ne nsɛnnennen a ebetumi afi Crohn Yare no mu aba?

Sɛ wɔansa Crohn yare no yiye anaasɛ wɔantumi anhyɛ yare no so a, nsɛnnennen bi betumi aba. Ebia eyi behia ayaresa foforo, na ɛtɔ mmere bi mpo a wɔyɛ oprehyɛn.

• Abscesses: Ntini a akisikuru ahyɛ mu ma a ɛba wɔ aduan mu anaa yafunu mu.
• Anal fissures: Mpaapae nketenkete wɔ akyi berɛmo no honam ani, na ɛma ɛyaw, ɛyaw, na mogya tu.
• Fistulas: Nkitahodi a ɛnyɛ ne kwan so a ɛte sɛ ɔkwan a ɛda nipadua no afã abien ntam.
• Bowel obstructions: Dwensɔtwaa no fã bi anaa nea esiw koraa.
• Aduan pa a wonnya nni: Nnuannuru a nipadua no hwehwɛ a wɔmfa nni dwuma yiye.
• Mogya a ɛtɔ kɔ nipadua mu: Mogya a enni nipadua no mu.

Dɛn nti na Crohn Yare no ba?

Biribiara nni hɔ a ɛde Crohn yare no ba . Nanso wogye di sɛ ɛne nipadua no mu tumi a ɛko tia nyarewa a ɛnyɛ adwuma yiye wɔ abusuabɔ. Ɛtɔ mmere bi a, Crohn yare no tumi tu mmirika wɔ mmusua mu . Eyi kyerɛ sɛ ebia awosu (agyapade) nkɛntɛnso bi wɔ hɔ.

Wobɛyɛ dɛn ahu yare yi pɛpɛɛpɛ?

Oduruyɛfo no bebisa wo yare no ho sɛnkyerɛnne, abusua abakɔsɛm, ne nea ɛkeka ho Afei, wɔbɛyɛ nipadua mu nhwehwɛmu na wɔayɛ nhwehwɛmu pii de ahwɛ ahu sɛ aduruyɛ mu tebea foforo biara nni hɔ. Eyi nkutoo ne ɔkwan a wɔfa so hu Crohn Yare no pɛpɛɛpɛ.

• Lab nhwehwɛmu: Mogya mu nhwehwɛmu, nsu mu nhwehwɛmu.
• Mfoninitwa akwan: CT scan, MRI scan.
• Endoscopy: Colonoscopy, dwensɔtwaa a ɛwɔ soro no mu nhwehwɛmu, capsule endoscopy.

Dɛn ne ayaresa ahorow no?

Nea ɛyɛ awerɛhow no, wonni Crohn Yare no aduru biara . Nanso, ayaresa ahorow wɔ hɔ a ebetumi aboa ma wɔadi yare no so, atew yare no ho sɛnkyerɛnne so, na ama asetra ayɛ mmerɛw.

• Nnuru: Steroids, nnuru a ekum ɔyare mmoawa, nnuru a ɛma nipadua no tumi ko tia nyarewa, nnuru a ɛma nkwa, nnuru a ekum ɔyare mmoawa.
• Aduandi: Aduan pa ho hia na ama wɔatumi adi yare no ho sɛnkyerɛnne ahorow ho dwuma.
• Oprehyɛn: Ebia ɛho behia sɛ wɔyɛ oprehyɛn de sa ɔhaw ahorow.