Njengoba noma ubani onesifiso sikaCrohn, ukuhlala nesifo esingapheli umthwalo. Iphethini ephindaphindiwe yokuzizwa kahle, elandelwa ukuhlaselwa okubuhlungu, ingabonakala ingapheli. Ngokunakekelwa kahle kwezokwelapha kanye nenhlanhla, isikhathi sezempilo enhle siyobe siphumelele kakhulu.
Ngakho-ke akubonakali kahle ukuthi abanye abantu abane-Crohn's bayingozi engozini yomdlavuza, kodwa kunjalo ngempela.
Ngisho nalapho izifo zezinyosi zilawulwa kahle noma zincane kangangokuba ukuhlinzwa akudingekile, umdlavuza ungenza ukubonakala okungadingeki iminyaka-ngisho namashumi eminyaka-ngemuva kokuthi kutholakale ukuthi uCrohn's.
Ngenhlanhla, akuzona zonke iziguli zikaRonhn ezidinga ukukhathazeka. Ingozi ikhuliswa kuphela ngezici ezithile zesifo kanye nezindlela zokwelapha.
I-Crohn's-Colitis Connection
Amaphesenti angaba ngu-20 weziguli ezinesifo sikaCrohn inefomu eyaziwa ngokuthi i- colhn's colitis . Ngokungafani ne-ulcerative colitis, okubangela ukuvuvukala kuphela ekolon kanye ne-rectum, isifo sikaCrohn singabangela izicubu ukuba zishaye noma yikuphi endaweni yokugaya.
Iziguli ezine-colhn's-colitis-ikakhulukazi iziguli ezincane-zengozini enkulu ye-adenocarcinoma, uhlobo olufanayo lwe-carcinoma njengomdlavuza wekoloni. Le ngozi ayifuni kuze kube yiminyaka engu-7 noma engu-8 emva kokuba uCorhn's colitis iyatholakala. Kuvame ukuhlambalaza ekuqaliseni kwayo kunamanye amagciwane e-colon, ngokuvamile okubangele izimpawu kuze kube yilapho ithuthukile.
Ngenxa yalesi sizathu, iziguli ezine-colhn's colitis kumele zigcinwe ngaphansi kokuqapha ngisho noma zihamba kahle.
Kuze kube yamuva, ama-colonoscopies anama-biopsies angahleliwe kwakuyizinga legolide lokubhekwa komdlavuza. Isistimu yayingalungile, noma kunjalo, ngoba ama-biopsies angahleliwe angaphuthelwa izilonda zomdlavuza.
Namuhla, indlela ephakeme kakhulu ebizwa ngokuthi i-chromoendoscopy iyatholakala. Kuhlanganisa ukufaka idayi le-methylene eluhlaza okwesibhakabhaka emgodleni wesisu ngesikhathi se-colonoscopy. Idayi ibanjwe ezindaweni ze-dysplasia, ezingakhiwa ngamangqamuzana angaphambili. Lokhu kwenza kube lula ukubona nge-endoscope.
I-Crohn ye-intestine encane
Ukuqala komdlavuza esigulini nge-Crohn's emathunjini amancane kuyinkinga engavamile. Ngeshwa, akunakwenzeka ukuhlola lezi ziguli, ngoba isilonda esincane sinzima ukufinyelela.
Iningi leziguli ezine-Crohn's ezincane ezithuthukisa umdlavuza yiziguli ezinezinkinga iminyaka eminingi, ngaphambi kokuba zikhulekele ngokungazelelwe izithiyo zokuvimbela isisu, ukuvinjwa kwesisu noma isifo sohudo. Kuleli phuzu, ukuhlolwa kwe-imaging efana ne-CT scan isetshenziselwa ukubuka ubuningi bomathumbu emathunjini.
I-Cancer Stump Cancer
Uma ikoloni isusiwe, nesiguli sinikezwa i- ileostomy , i-rectum ingagcinwa ngokuphelele noma ingxenye. Lokhu kuvumela isilonda ukuba sixhumane kabusha ngosuku oluzayo. Iziguli eziningi zizwa kangcono kangcono nge-ileostomy ezihlehlisa ukubuyisela noma ukushiya lo mbono. Kodwa-ke, ngixwayisa iziguli ukuthi isitshalo se-rectal singaba nomdlavuza futhi kufanele sibukwe ngokucophelela nge-endoscopy yokubhekwa.
Ngokuvamile, isitshalo kufanele sisuswe uma iziguli zijabule nge-ileostomy yazo futhi zingakwazi ukubekezelela ukuhlinzwa. Lokhu kunciphisa ingozi yabo yokuba nomdlavuza.
Ama-fistula nama-Abscesses
I- fistula yama-perian kanye nama-abscesses okubangelwa isifo se-Crohn's eside yandisa ingozi yokuthuthukisa i-squamous cell carcinoma (uhlobo lomdlavuza wesikhumba) noma i-adenocarcinoma, uhlobo lomdlavuza we-colon okukhulunywe ngenhla. I-Cancer ingathuthuka endaweni yesifo se-fistula noma esinye isilonda esingapheli. Ngokuthakazelisayo, kuvame ukuthatha amashumi amathathu noma ngaphezulu amashumi amaningi ekhansela ukuba athuthukise. Ngalesi sikhathi, isiguli singabonisa ubuhlungu, ukuphuma kwegazi noma i-perianal lump, futhi i-biopsy ivame ukufakazela ukuba khona komdlavuza.
Ingozi yeCans From Treatment
Iklasi elisha lemithi eyaziwa ngokuthi ama-biologic agents livuselele ukwelashwa kwesifo sikaCrohn. Kwabaningi, i-biologics inikeza ukukhululeka okuhlala njalo abazange bakwazi ukuthola ngemithi ejwayelekile.
Ukuphazamiseka kwezinto zezinto eziphilayo kuyingozi encane, kodwa hhayi engadingekile, yokuthuthukisa i-lymphoma. Le ngozi ayisho ukuthi izinto eziphilayo azifanele zisetshenziswe: Kusho ukuthi ingozi kufanele ikhulunywe futhi icatshangelwe ngaphambi kokwenza isinqumo sokuqhubeka nesinye.
Uma uthuthukisa i-lymphoma ngenkathi uthatha i-biologic, lesi sidakamizwa sizomiswa. Ngemuva kokuba i-lymphoma iphathwe, wena nodokotela wakho ningaxoxa ngendlela engcono yokulawula i-Crohn's yakho. Kwezinye izimo zamathumbu emathumbu, ukuhlinza kungaba yindlela yokwelashwa engcono kakhulu.
Okufanele Ukwazi
Uma unesifo sikaCrohn, sebenzisa njengeqembu nodokotela wakho ukugcina isifo sakho silawulwa. Lokhu kuzosho ukudala isimiso se-colonoscopies futhi ubambelele kuso, ngisho noma uhlala unempilo isikhathi eside.
Ungakhohlwa ukuthi eziningi kaningi ezihlobene ne-Crohn's zivame ukwakhiwa emva kweminyaka-ngisho namashumi eminyaka-zidlulile. Ngokuvumela udokotela wakho ukuba ahlole indlela yakho yokugaya, ngisho nalapho izimpawu zakho zingaphansi kokulawula, usiza ukuqinisekisa ukuthi noma yimuphi umdlavuza uzotholakala esiteji sokuqala, lapho amathuba okuphulukisa ephakeme.
> Imithombo:
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