Iimeko zolusu ezinxulumene nezifo zikaCrohn

Umxholo

• Ushwankathelo
• Amaqhuma abomvu
• Izilonda
• Ulusu iinyembezi
• Amabala
• Iimpawu zesikhumba
• Imijelo kulusu
• Izilonda zenqanawa
• Amabala abomvu emilenzeni
• Amadyungudyungu
• Unyango
• Ukulahleka kombala wesikhumba
• Irhashalala
• Yise kude

Ushwankathelo

Iimpawu eziqhelekileyo zesifo sikaCrohn zivela kwithumbu lesisu (GI), ezibangela imiba enjengeentlungu zesisu, urhudo, kunye nezihlalo ezinegazi. Ukanti ukuya kubantu abanesifo sikaCrohn baneempawu kwezinye iindawo zomzimba wabo, ezinje ngolusu lwabo.

Nazi ezinye zeemeko zesikhumba eziqhelekileyo ezinxulumene nesifo sikaCrohn, kunye nendlela oogqirha abaziphatha ngayo.

Amaqhuma abomvu

I-Erythema nodosum ibangela amaqhuma abomvu, abuhlungu aqhambuke kulusu, ihlala ibenye emanqeni, emaqatheni, kwaye ngamanye amaxesha iingalo. Sisibonakaliso esiqhelekileyo solusu sesifo sikaCrohn, esichaphazela abantu abakule meko.

Ixesha elingaphezulu, amaqhuma ayajika abe mfusa ngokuthe ngcembe. Abanye abantu banomkhuhlane kunye nentlungu edibeneyo kunye ne-erythema nodosum. Ukulandela irejimeni yonyango yesifo sikaCrohn kufuneka iphucule olu phawu lolusu.

Izilonda

Izilonda ezivulekileyo emilenzeni yakho kwaye ngamanye amaxesha ezinye iindawo zomzimba wakho luphawu lwe-pyoderma gangrenosum. Le meko yolusu inqabile iyonke, kodwa ichaphazela abantu abanesifo sikaCrohn kunye nesifo sokukrala kwezilonda.

I-Pyoderma gangrenosum ihlala iqala ngamabhampu amancinci abomvu abonakala ngathi alunywa zizinambuzane kwimikhono okanye emaqatheni. Amaqhuma aya esiba makhulu aze ekugqibeleni adityaniswe abe sisilonda esikhulu esivulekileyo.

Unyango lubandakanya amayeza atofelwe kwisifo okanye atyabukile kuso. Ukugcina inxeba ligutyungelwe ngento yokunxiba ecocekileyo kuya kulinceda lipholise kwaye lithintele nosulelo.

Ulusu iinyembezi

Ukuqhekeka kwe-anal ziinyembezi ezincinci kulusu olugalele umngxuma. Abantu abanesifo sikaCrohn ngamanye amaxesha baba neenyembezi ngenxa yokudumba okungapheliyo emathunjini abo. Iifissure zinokubangela iintlungu kunye nokopha, ngakumbi ngexesha lokuhamba kwamathumbu.

Ngamanye amaxesha amaqhekeza ayaziphilisa. Ukuba azenzi njalo, unyango lubandakanya ukhilimu we-nitroglycerin, ukhilimu ophelisa iintlungu, kunye neenaliti zeBotox ukukhuthaza ukuphilisa kunye nokunciphisa ukungonwabi. Utyando lukhetho lweefissure ezingakhange ziphiliswe ngezinye iindlela zonyango.

Amabala

Ukuqhawulwa okufanayo okuchaphazela ulutsha oluninzi kunokuba yingxaki kwabanye abantu abanesifo sikaCrohn. Oku kuqhuma kolusu akuveli kwisifo ngokwaso, kodwa kwii-steroids ezisetyenziselwa ukunyanga iCrohn's.

I-Steroids zihlala zichazwe kuphela ixesha elifutshane ukulawula i-Crohn's flares. Nje ukuba uyeke ukuzithatha, ulusu lwakho kufuneka lucace.

Iimpawu zesikhumba

Iithegi zolusu zikhula ngombala wenyama ezithi zivele kwiindawo apho ulusu luthambisa ulusu, njengakumakhwapheni okanye kumphandle. Kwisifo sikaCrohn, bakha imijikelezo yesisu okanye uqhekeko kwi-anus apho ulusu ludumbile khona.

Nangona iithegi zesikhumba zingenabungozi, zinokuthi zicaphuke kwindawo ezimpundu xa ilindle lixinga kuzo. Ukusula kakuhle emva kwentshukumo nganye yamathumbu kunye nokugcina indawo icocekile kunokuthintela ukucaphuka kunye neentlungu.

Imijelo kulusu

Ukuya kuthi ga kwiipesenti ezingama-50 zabantu abanesifo sikaCrohn baphuhlise i-fistula, eluqhagamshelo olungenanto phakathi kwamalungu amabini omzimba angafanelekanga ukuba abekhona. I-fistula inokudibanisa amathumbu kulusu lwempundu okanye kwilungu lobufazi. I-fistula ngamanye amaxesha inokuba yingxaki yotyando.

I-fistula inokubonakala ngathi iyangqubeka okanye ibile kwaye ibuhlungu kakhulu. I-Stool okanye i-fluid inokuphuma kwindawo yokuvula.

Unyango lwe-fistula lubandakanya i-antibiotics okanye amanye amayeza. I-fistula enzima iya kufuna utyando ukuvala.

Izilonda zenqanawa

Ezi zilonda zibuhlungu zenzeka ngaphakathi emlonyeni wakho kwaye zibangela iintlungu xa usitya okanye uthetha. Izilonda zenqanawa ziziphumo zokungafuneki kakuhle kweevithamini kunye nezimbiwa kwiphecana lakho le-GI kwisifo sikaCrohn.

Unokwazi ukubona izilonda ezinqabileyo xa isifo sakho sihlasela. Ukulawula ii-flares zakho zeCrohn kunokunceda ukuzikhulula. Iyeza elingaphezulu kwekhawuntareni elinjenge-Orajel liya kunceda ekuthomalaliseni iintlungu zide ziphole.

Amabala abomvu emilenzeni

Amabala amancinci abomvu nemfusa anokubangelwa yi-leukocytoclastic vasculitis, kukudumba kwemithambo yegazi emilenzeni. Le meko ichaphazela inani elincinci labantu abane-IBD kunye nezinye iingxaki zokuzimela.

Amabala anokurhawuzelela okanye abuhlungu. Kuya kufuneka baphilise kwiiveki nje ezimbalwa. Oogqirha bayayinyanga le meko nge-corticosteroids kunye neziyobisi ezicinezela amajoni omzimba.

Amadyungudyungu

I-Epidermolysis bullosa acquisita kukuphazamiseka kwenkqubo yamajoni omzimba ebangela ukuba iblisters zibumbe kulusu olonzakeleyo. Ezona ndawo zixhaphakileyo kwezi blister zizandla, iinyawo, amadolo, iingqiniba kunye namaqatha. Xa i-blister iphola, ishiya amanxeba ngasemva.

Oogqirha bayayinyanga le meko nge-corticosteroids, iziyobisi ezinje nge-dapsone eyanciphisa ukudumba, kunye namayeza acinezela amajoni omzimba. Abantu abanezi blister kufuneka balumke kakhulu kwaye banxibe izixhobo zokukhusela xa bedlala imidlalo okanye besenza ezinye izinto zomzimba ukunqanda ukwenzakala.

Unyango

Esi sifo solusu sibangela amabala abomvu, abomvu ukuba avele kulusu. Njengesifo sikaCrohn, i-psoriasis yimeko yokuzimela. Ingxaki kwinkqubo yamajoni omzimba ibangela ukuba iiseli zolusu zande ngokukhawuleza okukhulu, kwaye ezo seli zigqithisileyo ziyakha esikhumbeni.

Abantu abanesifo sikaCrohn kunokwenzeka ukuba baphuhlise i-psoriasis. Amachiza amabini e-biologic-infliximab (Remicade) kunye ne-adalimumab (Humira) -zinyanga zombini ezi meko.

Ukulahleka kombala wesikhumba

IVitiligo ibangela amabala esikhumba ukuba alahle umbala. Kwenzeka xa iiseli zolusu ezivelisa i-pigment melanin zisifa okanye ziyeke ukusebenza.

IVitiligo inqabile iyonke, kodwa ixhaphake kakhulu kubantu abanesifo sikaCrohn. I-Makeup inokugubungela iindawo ezichaphazelekayo. Amayeza ayafumaneka nakwithoni yolusu.

Irhashalala

Amaqhuma amancinci abomvu kwaye abuhlungu ezingalweni, entanyeni, entloko, okanye kwisisu ngumqondiso weSweet's syndrome. Le meko yolusu inqabile ngokubanzi, kodwa inokuchaphazela abantu abanesifo sikaCrohn. Iipilisi zeCorticosteroid lolona nyango luphambili.

Yise kude

Xela naziphi na iimpawu zesikhumba esitsha, ukusuka kumaqhuma abuhlungu ukuya kwizilonda, kugqirha onyanga isifo sakho seCrohn. Ugqirha wakho unokuyiphatha le micimbi ngokuthe ngqo okanye akuthumele kunyango.