Izilonda kunye nezifo zikaCrohn

Umxholo

• Zeziphi iintlobo zezilonda ezinokwenzeka ukuba unesifo sikaCrohn?
• Izilonda zomlomo
• Izilonda Aphthous
• Imifuno yePyostomatitis
• Izilonda zomlomo ngenxa yeziphumo ebezingalindelekanga zonyango
• Zithini iimpawu zezilonda?
• Fistula
• Ukopha
• Ukunqongophala kwegazi
• Zithini iindlela zokhetho kwizilonda?
• Amajoni omzimba
• Olunye unyango
• Ugqirha
• Yise kude

Ushwankathelo

Isifo sikaCrohn kukudumba kwendlela yesisu (GI). Ichaphazela ubunzulu beendonga zamathumbu emathumbu. Ukuphuhliswa kwezilonda, okanye izilonda ezivulekileyo, kwitrakta ye-GI luphawu oluphambili lweCrohn's.

Ngokutsho kweCrohn's kunye neColitis Foundation yaseMelika, ukuya kuma-700,000 aseMelika anesifo sikaCrohn. Nabani na onokufumana isifo sikaCrohn, kodwa kunokwenzeka ukuba achaphazele abantu abaphakathi kweminyaka eli-15 nengama-35 ubudala.

Zeziphi iintlobo zezilonda ezinokwenzeka ukuba unesifo sikaCrohn?

Izilonda ezenzeka ngesifo sikaCrohn zinokuvela emlonyeni ziye kwi-anus, kubandakanya:

• umqala
• duodenum
• isihlomelo
• isisu
• Ndibonise uthando
• ikholoni

Isifo sikaCrohn sinqabile sichaphazela:

• umlomo
• isisu
• duodenum
• umqala

Imeko efanayo ulcerative colitis, echaphazela kuphela ikholoni.

Umzekelo, unokuba nezilonda kuyo yonke ikholoni ukuba unayo iCrohn's. Unokuba nomtya wezilonda kwindawo enye kuphela yekholoni. Kwezinye iindawo zephecana le-GI, izilonda zinokubakho ngokwamaqela ahlukaniswe zizicubu ezinempilo, ezinempilo. Ukudumba okungapheliyo kunokukhokelela kwizilonda kwindawo yesini okanye kwi-anus.

Izilonda zomlomo

Izilonda Aphthous

Ngamaxesha athile, abantu abaneCrohn's baya kuphuhlisa izilonda ezibuhlungu emlonyeni. Ezi zaziwa ngokuba zii-ulphous ulcers. Ezi zilonda zomlomo zihlala zibonakala ngexesha lokudumba kwamathumbu emathunjini. Banokufana nesilonda esomileyo esiqhelekileyo. Ngamaxesha athile izilonda ezikhulu zinokubonakala.

Imifuno yePyostomatitis

Imifuno yePyostomatitis inqabile. Ibangela amathumba amaninzi, iipustules, kunye nezilonda emlonyeni. Inokwenzeka ngesifo sesisu esivuthayo (IBD) okanye isifo sikaCrohn. Unokuthatha ii-corticosteroids zomlomo kunye nezihloko, kunye nezo zibizwa ngokuba zii-immune-modulating drug, ukunyanga ezi zilonda.

Izilonda zomlomo ngenxa yeziphumo ebezingalindelekanga zonyango

Ngamanye amaxesha, izilonda zomlomo zinokuba sisiphumo esisecaleni samayeza anyanga iCrohn's kunye ne-IBD. La mayeza anokubangela i-thrush, usulelo lomlomo lokungunda.

Zithini iimpawu zezilonda?

Izilonda ezivela eCrohn's zinokuba neempawu ezininzi:

Fistula

Isilonda singenza i-fistula ukuba iphula udonga lwakho lwamathumbu. I-fistula ludibaniso olungaqhelekanga phakathi kwamalungu ahlukeneyo emathunjini, okanye phakathi kwamathumbu nolusu okanye elinye ilungu, njengesinyi. I-fistula yangaphakathi inokubangela ukuba ukutya kugqithe kwiindawo zesisu ngokupheleleyo. Oku kunokukhokelela ekufunxeni ngokwaneleyo kwezondlo. Iifistula zangaphandle zinokubangela ukuba amathumbu acofe eluswini. Oku kunokubangela ithumba elisongela ubomi ukuba awufumani nyango ngalo. Uhlobo oluqhelekileyo lwe-fistula kubantu abane-Crohn's lwenzeka kwindawo ye-anal.

Ukopha

Ukopha okubonakalayo kunqabile, kodwa kunokwenzeka ukuba izilonda zelonda kwisitya esikhulu segazi okanye umthambo. Umzimba uhlala usebenza ngokukhawuleza ukuvalela isitya esophayo. Kubantu abaninzi, oku kwenzeka kube kanye. Nangona kunjalo, utyando lunokuba yimfuneko ukuba ukopha kwenzeka rhoqo.

Ngokuqhelekileyo, umntu onesifo sikaCrohn uya kuba negazi ngokukhawuleza, ngokukhawuleza. Ukopha kuya kwenzeka nangaliphi na ixesha, kubandakanya ngexesha lokuqaqanjelwa sisisu okanye ngelixa isifo sixolelwe. Ukopha okukhulu kuhlala kufuna utyando lokusindisa ubomi ukususa icandelo eligulayo lecolon okanye iphecana le-GI okanye ukuthintela elinye igazi elisongela ubomi kwixesha elizayo.

Ukunqongophala kwegazi

Nokuba akukho gazi libonakalayo, iiCrohn's zinokukhokelela ekuswelekeni kwe-iron anemia ukuba ibangela izilonda ezininzi emathunjini amancinci okanye kwikholoni. Ukuqhubeka, kwinqanaba eliphantsi, ukulahleka kwegazi okungapheliyo kwezi zilonda kunokwenzeka. Ukuba unayo i-Crohn echaphazela i-ileum okanye ukuba uye wahlinzwa ukuze ususe inxalenye yamathumbu akho amancinci abizwa ngokuba yi-ileum, unokuhlakulela i-anemia ngenxa yokungakwazi ukufumana i-vitamin B-12 eyaneleyo.

Zithini iindlela zokhetho kwizilonda?

Amajoni omzimba

Impendulo yomzimba wakho yomzimba inokubangela ukudumba. Amajoni omzimba aphelisa ukuphendula komzimba.

I-Corticosteroids ngamachiza acinezela amajoni omzimba ukunciphisa ukubakho kokudumba kunye nezilonda. Ungazithatha ngomlomo okanye ngokuthe ngqo. Nangona kunjalo, iCrohn's kunye neColitis Foundation yaseMelika inika ingxelo yokuba banokuba neziphumo ebezingalindelekanga kwaye oogqirha badla ngokungabayaleli ixesha elide, ukuba kunokwenzeka. Kusenokwenzeka ukuba ugqirha wakho uya kongeza umgca wesibini wamachiza acinezela amajoni akho omzimba.

Ukuba unayo iCrohn engaphendulanga kwi-corticosteroids okanye ikhululiwe, ugqirha wakho unokumisela olunye uhlobo lwe-immunosuppressant efana ne-azathioprine okanye i-methotrexate. Ngokwesiqhelo kuthatha iinyanga ezintathu ukuya kwezintandathu ukuba impendulo evela kula machiza yenzeke. La machiza anokunyusa umngcipheko womhlaza kunye nosulelo lwentsholongwane njenge-herpes kunye necytomegalovirus. Kuya kufuneka uxoxe ngomngcipheko wakho nogqirha wakho.

Olunye unyango

Unyango olongezelelekileyo lweCrohn's lubandakanya oku kulandelayo:

• Kwimeko yezilonda zomlomo, i-anesthetic ye-topical efana ne-lidocaine inokunceda ukunciphisa intlungu. Ukuba ufumana i-anesthetic yesihloko, kusenokwenzeka ukuba iza kudityaniswa ne-corticosteroid.
• Unyango lwe-Biologic efana ne-infliximab kunye ne-adalimumab lolunye unyango olunokwenzeka kwiCrohn's.
• Ugqirha wakho unokumisela i-antibiotics enceda ukunciphisa inani leebhaktheriya emathunjini kunye nokunciphisa ukuvuvukala.

Ugqirha

Ugqirha wakho unokucebisa utyando ukuze kususwe inxalenye yamathumbu enezilonda ezininzi. Ugqirha wakho akanakunyanga uCrohn's ngotyando, kodwa utyando lunokunceda ukunciphisa iimpawu. Ukuthengiswa kwe-ileum yinkqubo apho ugqirha wakho asusa khona inxalenye yamathumbu akho amancinci abizwa ngokuba yiileum. Ukuba unayo i-ileum resection okanye une-Crohn's ye-ileum, kuya kufuneka uthathe i-vitamin B-12.

Yise kude

Isifo sikaCrohn sisifo esinganyangekiyo. Akukho lunyango lufumanekayo, kodwa abantu abaninzi banokulawula ngempumelelo iimpawu zabo. Izilonda ziimpawu ezibuhlungu zesifo. Unokunciphisa ukuba zenzeka rhoqo kangakanani kwaye zihlala ixesha elingakanani ngonyango kunye nolawulo lwendlela yokuphila. Buza ugqirha wakho malunga notshintsho kwindlela yokuphila kunye nonyango olunokusebenzela imeko yakho.