Chii chaizvo chinonzi chirwere cheCrohn?
Zvichitaurwa zviri nyore, chirwere cheCrohn kuzvimba kwenguva refu kwenzira yekugaya (matumbu). Idambudziko re autoimmune . Izvi zvinoreva kuti dziviriro yemuviri wedu, iyo immune system, inorwisa masero ayo ane hutano, kunyanya ari muura. Fungidzira kuti pachinzvimbo chekurwisa vavengi vekune dzimwe nyika, mauto enyika yedu ari kurwisa vanhu vedu. Chirwere ichi, pamwe chete nechimwe chirwere chakafanana, Ulcerative Colitis, ndecheboka rezvirwere zvinonzi Inflammatory Bowel Disease (IBD). Ura diki neura hukuru zvinonyanya kubatwa nechirwere cheCrohn.Pane mhando dzechirwere cheCrohn here?
Ehe, chirwere ichi chinogona kukanganisa chero chikamu chemuviri wedu wekugaya chikafu, kubva pamuromo kusvika kuhuro. Zvisinei, chakakamurwa kuita mhando dzakasiyana zvichienderana nenzvimbo yakabatwa. Kuti zvive nyore, ngatichitarisei nenzira iyi.| Rudzi rweCrohn's | Nzvimbo Yakakanganiswa |
|---|---|
| Ileocolitis | Chikamu chepazasi cheura diki nechikamu cheura hukuru. Urwu ndirwo rudzi rwakajairika. |
| Chirwere cheColitis | Kuzvimba kwemukati meura mukuru (colon). |
| Ileitis | Kuzvimba uye kuzvimba kweura hudiki (ileum). |
| Gastroduodenal | Kuzvimba kwedumbu nechikamu chepamusoro cheura hudiki (duodenum). |
| Jejunitis | Kuzvimba kunoitika munzvimbo dziri pamusoro peura hudiki (jejunum). |
| Chirwere chePerianal | Kuzvimba kwakatenderedza huro. Izvi zvinogona kukonzera fistula nemapundu. |
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvinogona kutanga kamwe kamwe kana kukura zvishoma nezvishoma. Vamwe vanhu vane zviratidzo izvi nguva dzose, nepo vamwe vanganzwa sekunge zvinouya zvoenda. Nguva iyo zviratidzo zvinotanga kuonekwa inonzi "flare-up."Zvinhu zvikuru zvine chekuita nekugaya chikafu
- Kurwadziwa kana kurwadziwa mudumbu nguva nenguva.
- Manyoka anogara achiitika (manyoka).
- Kushaya chido chekudya uye kudzikira kwehuremu .
- Ropa riri mutsvina kana uchienda kuchimbuzi (kubuda ropa mu rectal).
- Maronda emuromo kana kurwadziwa kwemazino.
- Kunzwa fivha nekuneta zvisinganzwisisike.
- Utachiona kana maronda akakomberedza huro.
Zviratidzo zvinokanganisa dzimwe nhengo dzemuviri
Chirwere cheCrohn hachingogumiri muura chete. Dzimwe nguva zviratidzo zvinogona kuonekwa mune dzimwe nhengo dzemuviri zvakare.- Kurwadziwa kwemajoini (Arthritis).
- Mapundu paganda.
- Kuzvimba kwemaziso (semuenzaniso ` Uveitis` , `Episcleritis`).
- Matombo eitsvo .
- Kupera simba kwemapfupa (` Osteoporosis` ).
- Mapundu madiki, akarembera paganda rakatenderedza huro (` skin tags` ).
Kunyanya muvana vane chirwere cheCrohn, vanogona kukura zvishoma nezvishoma kana kuti zvisina kunaka.
Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere cheCrohn?
Kana chirwere ichi chikasagadziriswa nemazvo, mamwe matambudziko anogona kuitika, ayo angada kurapwa kwakawedzerwa kana kutovhiyiwa.| Dambudziko | Tsananguro iri nyore |
|---|---|
| Matumbu | Matumbu ane utachiona anobuda mudumbu kana mudumbu. |
| Makwenya ekumashure | Matsemuka madiki mu anus. Izvi zvinokonzera kurwadziwa, kuvaviwa, uye kubuda ropa. |
| Fistula | Kuumbwa kusina kujairika kwakaita sechubhu pakati pezvikamu zviviri zvemuviri zvisingawanzo batanidzwa. |
| Kuvharika kwematumbu | Kuvharika kweura zvachose kana kuti chikamu charo nekuda kwemavanga kana kutetepa kweura zvisina kujairika (strictures). |
| Kushaya chikafu chinovaka muviri | Kuzvimba muura kunotadzisa muviri kupinza zvakanaka zvinovaka muviri zvaunoda. |
| Kushaya ropa | Kuderera kwehuwandu hwemasero matsvuku eropa mumuviri. Dambudziko iri rinokanganisa chikamu chimwe muzvitatu chevarwere vane Crohn's. |
Chiremba anoongorora sei chirwere ichi?
Kana muine kurwadziwa mudumbu nguva dzose, kuzvimba, kana kudzikira kwehuremu, munofanira kutanga maona chiremba wemhuri yenyu.Ehe. Kana zvichidikanwa, achakutumira kuna chiremba wezvekudya. Chiremba achakubvunza nezvezviratidzo zvako, nhoroondo yezveutano hwemhuri yako, uye achakuongororwa. Zvadaro, anogona kuraira bvunzo dzinoverengeka kuti asimbise chirwere chacho.- Kuongororwa kweropa: Tarisa kana paine kuzvimba kana hutachiona mumuviri, kana anemia.
- Kuongororwa kwetsvina: Tarisa kana paine zvimwe zvirwere uye ongorora huwandu hwekuzvimba kwemudumbu (Calprotectin test).
- Kufungidzira: Kuongororwa kweCT kana MRI kunogona kubatsira kuona kuti kuzvimba kwacho kwakakura sei uye kana paine matambudziko.
- Endoscopy: Chubhu yakatetepa ine kamera inopinzwa mumuviri kuti iongorore mukati meura.
- Colonoscopy: Kuongorora ura hukuru nekuisa chubhu nepamusana pemudumbu.
- Endoscopy yepamusoro: Kuongorora dumbu nechikamu chepamusoro cheura hudiki nekuisa chubhu nemuromo.
- Munguva yekuyedzwa uku, chidimbu chidiki chenyama ('biopsy') chinogona kutorwa kuti chiongororwe.
Ndeipi mishonga yekurapa chirwere cheCrohn?
Chinhu chakakosha ndechekuti parizvino hapana mushonga wechirwere cheCrohn. Zvisinei, kune nzira dzakawanda dzekurapa dzinogona kukubatsira kudzora chirwere ichi zvakanaka, kudzivirira matambudziko, uye kurarama hupenyu hwakajairika uye hunoshanda .
- Mishonga: Kune mishonga yakawanda inoderedza kuzvimba uye inodzora mashandiro emuviri wemuviri. Mishonga yemazuva ano yakaita se `Corticosteroids`, `Immunomodulators`, `Biologics` uye `JAK-inhibitors` inoshandiswa pakuita izvi. Mishonga yese iyi inofanira kushandiswa chete kana chiremba wako akuudza .
- Kudya Kunovaka Muviri: Mune zvimwe zviitiko, kudya kwakakosha kana kudya kunovaka muviri kunogona kubatsira kudzora chirwere ichi.
- Kuvhiyiwa: Kuvhiyiwa kunogona kudiwa kana paine matambudziko akadai sekuvharika kwemudumbu uye fistula.
Chii chingaitwe kudzivirira kuputika kweganda?
- Dzivisa kusvuta zvachose: Chinhu chakanakisa chingaitwa nemunhu ane chirwere cheCrohn ndechekurega kusvuta. Kusvuta kunowedzera dambudziko rechirwere uye kunowedzera njodzi yematambudziko.
- Dzivisa mimwe mishonga inoderedza marwadzo:Mimwe mishonga inoderedza marwadzo, yakaita se `NSAIDs` (semuenzaniso Ibuprofen, Diclofenac), inogona kuwedzera dambudziko racho. Bvunza chiremba wako usati watora chero mushonga.
- Ronga kudya kwako: Zvimwe zvekudya (semuenzaniso, zvekudya zvine mafuta akawanda, zvekudya zvemukaka, zvinwiwa zvine carbonated) zvinogona kuwedzera zviratidzo. Chengeta dhayari rezvekudya kuti uone kuti ndezvipi zvekudya zvinoshanda nezvisingashande. Zviri nani kudya zvikafu zvidiki zvakawanda mukati mezuva pane kudya zvekudya zvakawanda.
- Kudzora kushushikana: Kushushikana kunogona kuwedzera chirwere. Zvakakosha kuzorora zvakakwana, kurovedza muviri, uye kutarisira hutano hwepfungwa dzako.
Ndeipi nguva dzakanakisa dzekuona chiremba?
Kana uine chirwere cheCrohn, enda kuna chiremba wako nekukasika kana ukaona chimwe chezviratidzo zvinotevera:- Ropa riri mutsvina.
- Kurwadziwa kwakanyanya mudumbu kusingadzoreki.
- Kuzvimba kusingadzoreki.
- Kurutsa nguva dzose.
- Kudzikira uremu zvakanyanya pasina chikonzero.
- Fivha inogara kwemazuva akati wandei.
- Kusakwanisa kuburitsa mweya (kungave chiratidzo chekuvharika kwemudumbu).
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheCrohn chirwere chehupenyu hwese, asi chinorapika. Hachisi chirwere chinouraya.
- Chinangwa chikuru chekurapa ndechekudzora zviratidzo, kudzivirira matambudziko, uye kukubatsira kurarama hupenyu hwakajairika.
- Kusvuta kunogona kuita kuti chirwere ichi chiwedzere kuipa, saka dzivisa kusvuta zvachose.
- Inwa mushonga wako sezvawakarairwa nachiremba wako, kwenguva yakatarwa. Usamborega kana kuchinja mushonga wako wega.
- Hausi wega uri kurarama nechirwere ichi. Kune vanachiremba, mhuri, neshamwari vanogona kukubatsira. Taura navo nezvematambudziko ako.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi chirwere cheCrohn?
Chirwere cheCrohn chirwere chisingaperi chinokonzera kuzvimba kwakanyanya uye maronda mudumbu medu (kunyanya ura). Chinoonekwa sechirwere che autoimmune chinokonzerwa nemasoja edu ekudzivirira muviri achirwisa ura.
💬 Ndezvipi zviratidzo zvikuru zvinoonekwa nemunhu paanotanga chirwere ichi?
Kune vanhu vazhinji, zviratidzo zvikuru manyoka anogara achiitika (dzimwe nguva neropa), kurwadziwa mudumbu kusingatsungiririki, kuneta, uye kudzikira uremu nekukurumidza nekuda kwekushaya chido chekudya. Izvi zvinogona kugara kwemavhiki.
💬 Pane mushonga wechirwere cheCrohn here?
Kwete, hazvigone kurapwa zvachose. Asi hapana chekutya, zvinogona kudzorwa nekurapa maronda emudumbu nemishonga yepamusoro (Steroids / Immunosuppressants) iripo iye zvino, uye kurarama semunhuwo zvake asina zviratidzo (Remission).
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