Isifo sikaCrohn kanye nesifo sokulonda kwesilonda sitholakala ndawonye ngaphansi kwesiguli sesibindi sesifo sofuba (IBD) . Izifo ezimbili zinezici eziningi ezivamile, kufaka phakathi izimpawu nezimpawu eziningana, futhi ziphathwa ngemithi eminingi efanayo.
Kodwa-ke, kukhona umehluko ophawulekayo phakathi kwezifo ezimbili ezithinta ngqo ukuthi zithinta kanjani.
Esinye sezici zesifo sikaCrohn esitholakali ku-ulcerative colitis okuthiwa uphawu lwe-cobblestone. Lokhu kungenxa yokuthi isifo sikaCrohn senza uhlobo oluthile lokuvuvukala kunalokho okubangelwa yi-ulcerative colitis, okuholela ezingxenyeni zamathumbu ezivuthayo ezibukeka ngendlela ebonakalayo efana nezitshalo.
Umehluko Phakathi kukaCrohn's And Ulcerative Colitis
Kwezinye izimo, umehluko phakathi kwesifo sikaCrohn nesifo sesilonda singase sibonakale sengathi sincane, kodwa ukutshela umehluko phakathi kokubili kubalulekile uma kuziwa ekwelapheni. Kunezidakamizwa eziningana ezisetshenziselwa ukwelapha izifo zombili, kodwa zikhona ezinye ezivunyelwe ukuphatha eyodwa, noma zibonise ukuthi zisebenza kangcono kuphela.
Izinqubo zokuhlinza zihluke kakhulu nge-ulcerative colitis kunezifo zesifo sikaCrohn. Eqinisweni, ukuhlinzekwa okwenzelwe isifo sikaCrohn akufanelekile ukuphatha ukwelashwa kwesilonda futhi ngokuphambene nalokho.
Ukuthengiswa kwekoloni kwakungenakwenziwa nge-ulcerative colitis ngoba i-colitis izobuya engxenyeni yekoloni esele. Ukuze uthole i-ulcerative colitis, yonke ikoloni isusiwe. Nge-Crohn's disease, ukuhlinzwa okukhethwa yi-ulcerative colitis, isikhwama se-ileoanal anal anastomosis (IPAA) noma ukuhlinzwa kwe-j-poch, ngokuvamile kuvunyelwe .
Lokhu kungenxa yokuthi isifo sikaCrohn sivame ukubuya esikhwameni se-j, futhi lokho kungenza ukuhluleka kwebhokisi kungenzeke. Ukususa i-j-poch ngeke kusho ukuhlinzwa okungaphezulu kuphela, kodwa ukulahlekelwa kwesibindi.
Ngakho-ke, kulandela ukuthi kubalulekile ukuthi ukwazi ukuhlukanisa phakathi kwezifo ezimbili. Enye indlela yokuhlukanisa ukuvuvukala emathunjini esifo sikaCrohn esabangelwa yi-ulcerative colitis yilokho okubizwa ngokuthi "i-cobblestone" ukubukeka. I-Cobblestones iyisici sezakhiwo esetshenziswa emgwaqweni wokuhlobisa noma emgwaqweni. Azibonakali ezibushelelezi, ngisho nokubukeka-zikhona izinto ezincane ezibonakalayo embala nasayizibukhulu etsheni elisetshenzisiwe.
I-Cobblestone Ingena ku-Crohn's Disease
Ama-cobblestones akhuphuka lapho ekhuluma ngesifo sikaCrohn ngenxa yokubonakala okufanayo emathunjini angathatha ngenxa yokuvuvukala okuhlobene. Ingxenyeni yangaphakathi yamathumbu ingathuthukisa izigaba ezinemisebenzi futhi zikhulise izigaba kunokuba ziphile futhi zibushelele. Lokhu kubangelwa ukuhlanganiswa kwesilonda esijulile nokuqina komdanso wamathumbu kubangelwa yisifo sikaCrohn. I-gastroenterologist ingase ibone uphawu lwe-cobblestone emathunjini ngesikhathi se- colonoscopy noma i- sigmoidoscopy .
Isibonakaliso se-cobblestone singaba yisimiso esibalulekile sokuhlukanisa ifomu le-IBD njengamanje. Kubuye kube nembiko yabantu abane-Crohn's disease abanezilonda emlonyeni (aphthous stomatitis) ezikhombisa isibonakaliso se-cobblestone.
Ukubukeka kwe-cobblestone emgodini wekolon kungase kwenzeke nezinye izimo zokugaya, njengezifo ze- Hirschsprung (okuyinto uhlobo lokuvinjelwa kwemathumba elibonwa ezinsana) kanye ne-eosinophilic gastritis (isimo esingavamile kodwa esizivimbela). Kunezinye izicubu emzimbeni ongase ube nokubukeka kwe-cobblestone uma kuthinteka ukuvuvukala okubangelwa isifo noma isifo.
Izwi elivela
Ngesikhathi isibonakaliso se-cobblestone sibonakaliso esihle sokuba khona kwesifo sikaCrohn, kufanele kuphawulwe ukuthi akukhona emathunjini omuntu ngamunye onesifo. Kungase kubonakale kungaphansi kwesigamu sabo bonke abantu abanesifo sikaCrohn, kodwa lapho kuvela khona ukubonakala kwe-cobblestone, kuyisithuluzi esisodwa esisodwa odokotela abangasisebenzisa ukuze bathole isifo se-Crohn, noma basitshele isifo sikaCrohn ngaphandle kwesifo se-ulcerative colitis.
Umthombo:
Salek H, Balouch A, Sedghizadeh PP. "Ukubonakaliswa komlomo nge-Crohn's disease ngaphandle kokubandakanyeka komzimba ngokuhambisana." Odontology . 2013 Meyi 8.
I-Greenberg GR, i- Fedorak RN, i-Thomson ABR. "Izimiso zokuqala ze-Gastroenterology: Isisekelo Sezifo Nendlela Yokuphatha. I-Canadian Association of Gastroenterology. 2011.