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Iyini Isifo SikaCrohn?
Kalula nje, iSifo sikaCrohn siyisimo sesikhathi eside (okungukuthi, impilo yonke) . Yisimo "esizimele", okusho ukuthi amasosha omzimba wethu ahlasela uhlelo lwethu lokugaya ukudla ngenxa yephutha elithile. Cabanga ngaso njengebutho lethu elihlasela izwe lakithi. Lokhu kubangela ukuvuvukala kanye nezibazi, njengokubomvu nokuvuvukala, ohlelweni lokugaya ukudla, ikakhulukazi amathumbu amancane kanye namathumbu amakhulu (okubizwa nangokuthi "ikholoni") . ISifo sikaCrohn kanye nesinye isimo esifanayo, "i-Ulcerative Colitis", zaziwa ngokuthi yi-Inflammatory Bowel Disease, noma "i-IBD". Yingakho uvame ukuzwa ubuhlungu besisu , ukuqunjelwa, kanye nesifo sohudo. Futhi, lokhu kuvuvukala kunganciphisa ikhono lokudla lokugaywa kahle nokumuncwa ngumzimba.Yiziphi izinhlobo zesifo sikaCrohn?
Manje, bheka, lesi sifo sikaCrohn singakhula noma kuphi ohlelweni lokugaya ukudla. Lokho kusho ukuthi kusukela emlonyeni wakho kuya endunu yakho. Kodwa sivame ukuthinta amathumbu amancane namathumbu amakhulu. Kunezinhlobo eziningana zaso, kuye ngokuthi sithinteke kuphi:- I-Ileocolitis: Lolu uhlobo oluvame kakhulu . Luhilela ukuvuvukala kwengxenye engezansi yamathumbu amancane (sikubiza ngokuthi i-ileum) kanye nengxenye yamathumbu amakhulu.
- I-Colitis : Lokhu ukuvuvukala kolwelwesi lwamathumbu amakhulu.
- I-Ileitis: Lokhu ukuvuvukala nokuvuvukala kwe-ileum, ingxenye yamathumbu amancane.
- Isifo sikaCrohn seGastroduodenal: Sibangela ukuvuvukala nokungakhululeki esiswini kanye nasengxenyeni engenhla yamathumbu amancane (esiyibiza ngokuthi i-duodenum ).
- I-Jejunitis:Engxenyeni engenhla yamathumbu amancane (siyibiza ngokuthi "i-jejunum"), ukuvuvukala kwenzeka ezindaweni ezithile, njengeziqephu.
- Isifo se-Perianal: Abanye abantu bangaba nokuvuvukala eduze kwe-anus. Lokhu kungaholela ku -fistula ( izindlela ezingavamile, ezifana nemigudu, isibonelo, ezivela emathunjini ziye esikhumbeni) kanye namathumba (ukuvuvukala okugcwele amathumba ).
Ziyini izimpawu zalokhu?
Izimpawu zesifo sikaCrohn zingavela ngokuzumayo, noma zingavela kancane kancane. Abanye abantu baba nalezi zimpawu ngesikhathi esisodwa, kanti abanye abanazo. Ngezinye izikhathi izimpawu ziyavela, ziphele izinsuku ezimbalwa, bese zibuya. Lezi zikhathi zezimpawu ezikhulayo sizibiza ngokuthi "ukuqhuma okukhulu."Izimpawu ezivame ukubonakala:
| Isibonakaliso | Incazelo |
|---|---|
| Isisu esibuhlungu | Kubuhlungu obuvame ukuqaqamba. |
| Uhudo | Indle ende enamanzi. |
| Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo | Ukungafuni ukudla nokwehlisa isisindo. |
| Igazi esitulweni | Ukopha okuvela e-rectum. |
| Izilonda zomlomo | Izilonda ezibuhlungu emlonyeni nasezinsinini. |
| Ukukhathala nomkhuhlane | Ukukhathala kanye nomkhuhlane ophansi ongapheli naphezu kokuphumula okwanele. |
Izimpawu ezingabonakala ngaphandle kohlelo lokugaya ukudla:
Isifo sikaCrohn asigcini nje ngokuthinta uhlelo lokugaya ukudla. Ngezinye izikhathi izimpawu zingavela nakwezinye izindawo:- Ubuhlungu bamalunga (njenge -arthritis ).
- Ukuqubuka kwesikhumba .
- Izimo ezinjengokuvuvukala nokubomvu kwamehlo (isib. i-uveitis, i-episcleritis).
- Ukwakheka kwamatshe ezinso.
- I-Osteoporosis (ukulahlekelwa amathambo).
- Amathegi esikhumba azungeze indunu.
Yiziphi izinkinga ezingaba khona zesifo sikaCrohn?
Uma isifo sikaCrohn singelashwa kahle noma uma lesi sifo singalawulwa, kungavela izinkinga ezithile. Lokhu kungadinga ukwelashwa okwengeziwe, futhi ngezinye izikhathi ngisho nokuhlinzwa.- Amathumba: Ukwakheka kwama-cyst agcwele ubomvu ohlelweni lokugaya ukudla noma esiswini.
- Imifantu yendunu: Imifantu emincane esikhumbeni sendunu, okubangela ubuhlungu, ukulunywa, kanye nokopha.
- I-Fistula: Ukuxhumana okungavamile okufana nomhubhe phakathi kwezingxenye ezimbili zomzimba.
- Ukuvaleka kwamathumbu: Ukuvaleka kwamathumbu okuyingxenye noma okuphelele.
- Ukungondleki: Ukuntuleka kokudla okunomsoco okudingekayo emzimbeni.
- I-anemia: Ukuntuleka kwegazi emzimbeni.
Ngaphezu kwalokho, isifo sikaCrohn singandisa ingozi yomdlavuza wamathumbu amakhulu kanye nokuqhekeka kwegazi .
Kungani isifo sikaCrohn senzeka?
Ayikho imbangela eyodwa yesifo sikaCrohn. Kodwa-ke, kukholakala ukuthi sihlobene nokungasebenzi kahle kwempendulo yomzimba yokuzivikela. Ngezinye izikhathi isifo sikaCrohn singaba semindenini . Lokhu kusho ukuthi kungase kube nethonya lezakhi zofuzo (elizuzwe njengefa).Uyithola kanjani ngokunembile lesi sifo?
Udokotela uzobuza ngezimpawu zakho, umlando womndeni, njll. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba futhi benze izivivinyo eziningana ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha. Lena yindlela kuphela yokuthola ngokunembile isifo sikaCrohn.- Ukuhlolwa kwelebhu: Ukuhlolwa kwegazi, ukuhlolwa kwendle.
- Izinqubo zokuthwebula izithombe: i-CT scan, i-MRI scan.
- I-Endoscopy: I-Colonoscopy, i-endoscopy yamathumbu aphezulu, i-capsule endoscopy.
Yiziphi izindlela zokwelapha?
Ngeshwa, ayikho ikhambi leSifo SikaCrohn. Kodwa-ke, kunezindlela zokwelapha ezahlukahlukene ezingasiza ekulawuleni lesi sifo, ukunciphisa izimpawu, nokwenza impilo ibe lula.- Imithi: Ama-steroid, imithi yokulwa nokuvuvukala, ama-immunomodulators, ama-biologics, ama-antibiotic.
- Ukudla Okunomsoco: Ukudla okunempilo kubalulekile ekulawuleni izimpawu.
- Ukuhlinzwa: Ukuhlinzwa kungadingeka ukuze kwelashwe izinkinga.
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