Ukubuyiselwa Ngemva Kokuhlinza Izifo Kuvamile
Khuluma cishe nganoma ubani onesifo sikaCrohn futhi kungenzeka ukuthi baye bahlinzwa. Cishe isigamu seziguli zesifo sikaCrohn sizohlinzwa eminyakeni eyishumi yokuqala emva kokuxilongwa. Ukuxoshwa ukususa izicubu ezigulayo kuvamile, futhi kungabuyekezwa njengoba lesi sifo siphindela ezingxenyeni ezihlukene zamathumbu. Isifo sikaCrohn singabangela ukunciphisa kwesilonda, okubizwa nangokuthi isisindo , okungase sidinge uhlobo lokuhlinzwa oluthiwa yi-strictureplasty.
Izinkinga ezivela esibhedlela se-Crohn ezifana ne- abscesses noma i- fissures nazo zingadinga ukwelashwa nokuhlinzwa.
I-Crohn's kaningi ibuyela emuva emva kokuhlinzwa
Ngeshwa, izifundo eziningana zibonisa ukuthi izimpawu zesifo sika Crohn, noma ubufakazi besifo esingabonakala ngesikhathi sokuhlolwa, ngokuvamile kubuya ngemuva kokuhlinzwa. Uma lesi sifo sibuya sincike ezintweni eziningana.
Ucwaningo oluthile lubonisa izici ezihambisana nokubuya kwezimpawu zihlanganisa i- fistula e -peri-anal, izifo ezitholakala kuphela emathunjini amancane, ukuhlinzekwa kwangaphambilini, isibalo esikhulu samathumbu amathintekayo, nokubhema. Eqinisweni, ukubhema kubonakala sengathi kuyingozi kakhulu. Ubude besikhathi umuntu abe ne-Crohn's disease abubonakali kuyisici engozini yokubuyela emuva ngemuva kokuhlinzwa. Umlando wesigodi kanye nomndeni nawo awubonakali ukuthi awunanoma yini endleleni ye-Crohn's disease ngemuva kokuhlinzwa.
Ucwaningo oluthile oluthola ukuthi ukukhula okuncane lapho kutholakala khona futhi ngesikhathi sokuhlinzwa kuqala kungase kuhlotshaniswe nesifo sikaCrohn emuva kokuhlinzwa.
Iziguli ezindala, ikakhulukazi labo abangaphezu kweminyaka engama-50, zingase zibe nomngcipheko wokunciphisa. Ezinye izifundo azibonisi ubudlelwane obuphakathi kweminyaka yobudala kanye nobungozi bokubuyela emuva, ngakho-ke kusalokhu kungacacile uma iminyaka yobudala impela.
Ukwehlisa izinga lokubuyela emuva
Kukhona ithemba ekugcineni ukuphulukisa umjikelezo wokuhlinzwa nokubuyela emuva.
Ucwaningo olusha luhlose ukunciphisa lelizinga lokubuyela emuva ngemuva kokuhlinzwa. Ezinye izifundo zibonisa ukuthi izidakamizwa ezithile ezivame ukusetshenziselwa ukwelapha i-IBD, njenge- mesalamine (i- Lialda , i-Apriso, i-Pentasa, i-Canasa, i-Asacol), i-azathioprine (i-Imuran, i-Azasan), kanye nemithi elwa namagciwane angasiza ekuvimbeleni ukubuya kwezifo ngemuva kokuhlinzwa komthengisi. Izidakamizwa ze-Biologic ezifana noRicicade noHuma nazo zacutshungulwa ukusetshenziswa ngemuva kokuhlinzwa, kanti futhi zingasebenza, ikakhulukazi emva kokuthengiswa kwezinye izindawo emathunjini amancane.
Ukuqapha Ukuphindaphinda
Ingxenye ebalulekile yokusebenza ekuvimbeleni ukubuyela emuva kuwukuqapha ubufakazi besifo sikaCrohn ngemuva kokuhlinzwa. Ukusebenzisa izindlela ezingenasidingo, njenge- capsule endoscopy noma ama-ultrasound ngokuphambene, kuvame ukukhetha. Ngenxa yokuthi ukubhema kuhlotshaniswa kakhulu nokubuya kwezimpawu, isinyathelo esibalulekile iziguli ezingasithatha ukuvimbela i-Crohn's ekubuyeni ngemuva kokuhlinzwa ukuyeka ukubhema.
Imithombo:
UBernell O, et al. "Izici zengozi zokuhlinzwa nokuphindaphinda ngemva kokuhlinzwa kwesifo sikaCrohn." Ann Surg January, Januwari 2000; 231: 38-45.
Buisson A, Chevaux JB, Allen PB, Bommelaer G, Peyrin-Biroulet L. "Isihloko sokubukeza: umlando wemvelo we-postoperative we-Crohn's disease." Ukudla Pharmacol Kulapho. 2012 Mar; 35: 625-33. i-doi: 10.1111 / j.1365-2036.2012.05002.x.
P Rutgeerts, M Hiele, K Geboes, M Peeters, F Penninckx, R Aerts, no R Kerremans. "Isivivinyo esilawulwayo semithi ye-metronidazole yokuvimbela ukuphindaphinda kukaCrohn ngemuva kokuphindaphinda kwe-ileal." I-Gastroenterology 108: 1617-1621.
Yamamoto T, Watanabe T. "Amasu okuvimbela ukuphindaphinda kwesifo se-Crohn's postoperative." I-Colorectal Dis . 2013 Dec; 15 (12): 1471-80. i-doi: 10.1111 / i-codi.12326.