Izifo zika Crohn zingathinta lezi Zingxenye Zendlela Yokugaya

Umlomo, isisu, isisu, kanye nendawo yangasese ingahle futhi ithinteke

Abantu abaningi baye bazwa ngesifo sikaCrohn, kodwa kungenzeka ukuthi abajwayele lokho kusho umuthi onesifo. Ngenkathi isifo sikaCrohn singase sibe nokuqashelwa igama, kungase kungabi nakwazi ukuthi uhlobo olulodwa lwesifo sofuba (IBD) , nokuthi le-ulcerative colitis nayo ifomu le-IBD. Isifo sikaCrohn sithinta ukugaya, kanti ngenkathi abantu abaningi abhekisela emathunjini, isifo sikaCrohn singathinta nezinye izingxenye zomzimba. Nazi ezinye zezingxenye zomzimba ukuthi isifo sikaCrohn singathinta.

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Izitholampilo Ezincane Nezikhulu

Amathumbu amancane namakhulu yizindawo ezivame kakhulu zesifo sikaCrohn esibangela ukuvuvukala. Abantu abaningi bangase bakholelwe ngephutha ukuthi yisisu esisodwa esithintekayo. Kodwa amathumbu amakhulu nawo avame ukuthinteka esibhedlela sikaCrohn, kanti abantu abangaba ngu-20% banezifo kuphela emathunjini amakhulu (okuthiwa yi-Crohn's colitis).

Ifomu elivame kakhulu likaCrohn's, elichaphazela iziguli ezingama-45%, libizwa ngokuthi i-ileocolitis futhi lithinta isigaba sokugcina samathumbu amancane (i-ileum) nomathumbu omkhulu. Ifomu lesibili elivame kakhulu, ileite, lithinta iziguli ezingama-35% futhi lithinta i-ileum. Ukuhlukaniswa okuyinhloko ukuze kuzuze uhlelo lwezokwelapha, futhi uhlobo lwesifo sikaCrohn isiguli singashintsha uma ezinye izingxenye zamathumbu zithintekayo.

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Umlomo

Enye inkinga abaningi abanokuhlangenwe nakho kwe-IBD yi- aphthous stomatitis , okuyizilonda emlonyeni. Kulinganiselwa ukuthi abantu abangama-20% kuya ku-30% abanesifo sikaCrohn banenkinga. Izilonda zivame ukwenzeka lapho isifo sikaCrohn sisasebenza, kodwa singabuye senzeke ngesikhathi sokuxolelwa .

Abantu abanesifo sikaCrohn bangase bahlangabezane nezinye izinkinga ezihlukahlukene emlonyeni, njengokuvutha ezindebe noma ngolimi. Ngezinye izikhathi izinkinga emlonyeni zingabangwa ngenxa yokuntuleka kwevithamini, okuvamile kubantu abane-IBD. Uma kukhona ukuhlanza okuningi, i-koqweqwe lwawo lamazinyo lingase ligule phansi, kubangele izinkinga zamazinyo. Abantu abane-IBD bavame ukudinga umsebenzi wamazinyo amaningi, futhi bangase bathambekele ekutheleleni amagciwane.

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I-Esophagus

Isifo sikaCrohn esivumelwaneni asivamile futhi kulinganiselwa ukuthi sithinta cishe 1% weziguli, okwenza kube okungajwayelekile. Lapho lesi sifo sithinteka yisifo sikaCrohn, singabangela izinkinga ngokugwinya futhi kubangele ukuphuza. Uma ngabe lolu hlobo lwesifo sikaCrohn selusolakala, ukuhlolwa okunjengokuphela kwe-endoscopy kungenziwa ukuze ubukeke ukuvuvukala noma ezinye izinkinga ezifana nezigubhu noma i-fistula.

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Isisu

Ku-5% weziguli ezine-Crohn's disease, isisu singathinteka. Izinhlobo ezimbili ezithinta esiswini zibizwa ngokuthi i-jejunoileitis ne-gastroduodenal Izifo zikaCrohn. In jejunoileitis, ingxenye engaphakathi yamathumbu amancane, okuthiwa i-jejunum. nayo ithintekile. Esifweni se-Crohn's gastroduodenal, ingxenye yokuqala yomathumbu amancane, i-duodenum, nayo ivuliwe. Kwezinye izimo, lezi zinhlobo ze-Crohn's disease zingase zicatshangwe ukuthi ziyisilonda sesisu , kodwa njengoba izimpawu ziqhubeka, kutholakala kamuva ukuthi empeleni isifo sikaCrohn.

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Indawo yasePerianal

Indawo ye- perianal yesikhumba nendawo ezungeze i-anus. Isifo sikaCrohn esithinta indawo ye-perianal sivame kakhulu. Ezinye zezinkinga ezingase zenzeke zibandakanya ama-abscesses we- perianal, i- fistula , ama- fissures anesifo , nama- hemorrhoids . I-abscess iqoqo legazi ne-pus, futhi abantu abangamaphesenti angama-85% abanesifo sikaCrohn bangase bahlakulele ngesikhathi sesifo sabo.

Ama-abscesses angabangela ekuthuthukiseni i-fistula, okuyi-uxhumano olungavamile phakathi kwezitho ezimbili noma phakathi kwangaphakathi lomzimba nesikhumba. Imiphumela evela ezifundweni ezimbili ikulinganisa ukuthi i-fissure elidala, eliyincithakalo encane emgodini wamanzi, lingathinta noma yikuphi phakathi kuka 44% no-85% wabantu abane-Crohn's disease. Ama-hemorrhoids, ngenkathi ejwayelekile emphakathini jikelele, ayinandaba nokukhathazeka okukhulu kubantu abanesifo sikaCrohn.

_Umthombo:

_{Safar B, iSands D. "Izifo ZasePransan Crohn." I-Clin Colon Rectal Surg . 2007 Nov; 20 (4): 282-293. i-doi: 10.1055 / s-2007-991027 8 Okthoba 2015.}

Ukubaluleka kokuphatha izifo zika Crohn

Isifo sikaCrohn singathinta noma yikuphi ingxenye yesimiso sokugaya, kanti intombazane enkulu namancane yizindawo ezivame kakhulu. Noma kunjalo, ukuvuvukala kungenzeka nakwezinye izindawo, futhi empeleni lokhu kungase kube okuvamile. Uma izibonakaliso ezintsha nezibonakaliso zenzeka Abantu abanesifo sikaCrohn kumele bahlale besondelene ne-gastroenterologist yabo ukuze baphathe isifo sabo.