Ifomu ngalinye linezibonakaliso kanye nemibukiso ekhethekile
Isifo sikaCrohn yisifo esiyinkimbinkimbi kakhulu, okwenziwa kakhulu ngenxa yokuthi izimpawu nezinkinga zingathatha izinhlobo ezahlukene, kuye ngokuthi iyiphi ingxenye emathunjini yakho evulekile. Nakuba isifo sikaCrohn singathinta noma yikuphi ingxenye yamathumbu, izindawo ezithile zithinteka ngokujwayelekile kunezinye. Udokotela wakho angabhekisela esimweni sakho esekelwe endaweni eyinhloko ehilelekile kuleso simo.
Uhlobo oluvame kakhulu lwesifo sikaCrohn yilo:
- Ileocolitis
- Ileitis
- I-Crohn's (i-granulomatous) colitis
- Isifo se-Gastroduodenal Crohn
- Jejunoileitis
Ifomu ngalinye linesethulo esihlukile, izimpawu ezihlukile, kanye nesethi yezinkinga ezivame ukuhambisana.
Ileocolitis
Ifomu ejwayelekile kakhulu yi-ileocolitis, eyenzeka ngamaphesenti angama-45 abantu abanesifo sikaCrohn. Leli fomu lesifo sikaCrohn lithinta i- ileum (ukuphela okuphansi komathumbu omncane) kanye nekoloni (intombazane enkulu) .
Izimpawu zalolu hlobo lwesifo sikaCrohn zingabandakanya isifo sohudo, ukuchoboza ubuhlungu endaweni engezansi noma kwesisu esisemkhatsini, nokulahleka kwesisindo esikhulu. Kwezinye izimo, izindawo ezigulayo e-ileum kanye ne-colon zingase zibe nezidakamizwa, zithinta i-valve exhuma amathumbu amancane emathunjini amakhulu, okuthiwa i-valve ileocecal.
Ukwelapha i-ileocolitis kuvame ukufaka izidakamizwa zesondlo ukuze kuqhutshekwe ukukhululwa, njengesidakamizwa esingu-5-ASA (i-5-aminosalicylic acid) (i-mesalamine).
Izidakamizwa ezisebenza ngokushesha ezifana ne-steroids (i- prednisone , i- budesonide ) zingase zisetshenziswe nasendabeni yokuhlaselwa. Olunye uhlobo lweminye imithi engasetshenziswa yizidakamizwa zesifo sofuba se-necrosis , ezigcinelwe iziguli ezinezifo ezilinganayo. Eminye imithi engase isetshenziswe ngezinye izikhathi ihlanganisa i-azathioprine, i-6-mercaptopurine, noma i- methotrexate .
Ukwengeza, i-ileocolitis eqinile ingadinga ukwelashwa okujulile okulawulwa esibhedlela, njengokuphumula kwesilwane (ukungadli noma ukuphuza) nokudla okungena ngaphakathi (ukudla okunomsoco nge-tube nasogastric) noma ukondla ngezibeletho (ukudla okunomsoco).
Ileitis
I-Ileitis iyifomu lesibili elivame kakhulu, elichaphazela cishe amaphesenti angu-35 weziguli ezine-Crohn's disease. Lolu hlobo, owaziwa nangokuthi i-fistulizing noma oluphazamisa isifo sikaCrohn, luthinta kuphela i-ileum (ingxenye yokugcina yamathumbu amancane). Ukuhuda isisu, ukulahlekelwa isisindo, ukuhlukunyezwa kwesisu esiswini esiphansi noma esiphakathi, futhi ukunganaki amahora ambalwa emva kokudla ukudla kuyimpawu ezivamile.
Lolu hlobo lwesifo sikaCrohn lungabangela ukuphazamiseka kwamavithamini noma amaminerali. Ukuntuleka kokubili kokudla okunomsoco kungukuntuleka kwe- vitamin B12 nokuntuleka kobuciko . Ukuntuleka kwe-folate kungavimbela ukudalwa kwamaseli amasha wegazi abomvu ngakho-ke kubangele ukuphazamiseka kwegazi . Ukuntula kwe-vitamin B12 kungabangela ukulinganisa eminwe noma iminwe (ukuphazamiseka kwegazi) futhi kungasiza ekuthuthukiseni i-anemia.
Izinkinga ezivela ku-ileitis zingabandakanya i- fistula noma ama-abscesses ku-quadrant ephansi.
Izifo ze-Gastroduodenal Crohn
Isifo se-Gastroduodenal Crohn, kanye nejjunoileitis, sakha cishe amaphesenti angu-5 azo zonke izifo zeCrohn's disease.
Leli fomu lesifo sikaCrohn sithinta isisu ne duodenum (ingxenye yokuqala yomathumbu amancane ).
Izimpawu zihlanganisa ukulahlekelwa isifiso, ukulahlekelwa isisindo, ukucabangela, ukuhlanza kanye nobuhlungu esiswini esiphakathi esiswini. Ukuvota kungaba isibonakaliso sokuthi kukhona ukuvimbela engxenyeni encane yomathumbu amancane. Leli fomu le-Crohn's disease ngezinye izikhathi lingalokothi libhekwe njengezilonda, kanti isifo sikaCrohn sitholakala kuphela ngemva kokwelashwa "kwesilonda" asiqedi izimpawu noma uma isifo sikaCrohn esisebenzayo sitholakala kwesinye isigaba senqubo yesisu.
Jejunoileitis
Leli fomu lesifo sikaCrohn libhekene nezindawo ezingezansi zokuvuvukala ku- jejunum , okuyinto ephakathi nendawo ede kakhulu emathunjini amancane.
I jejunum inomthwalo wokondla kakhulu izakhi ezivela ekudleni.
Izimpawu zihlanganisa ubuhlungu obukhulu ngemuva kokudla, isifo sohudo, nobuhlungu besisu okungase buhluke kusukela komnene kuya ekujuleni. Izinkinga ze-jejunoileitis zihlanganisa i-fistula (umhubhe ongavamile ohlanganisa izigxobo ezimbili zomzimba) nokungondleki okubangelwa ukungenwa kwempoco.
I-Crohn's Colitis
I-Crohn's colitis, ngezinye izikhathi ebizwa ngokuthi i-granulomatous colitis, iyindlela yesifo sikaCrohn esithinta kuphela ikoloni. Lolu hlobo lwesifo sikaCrohn luthinta iziguli ezingu-20. I-Crohn's colitis ivame ukudideka nge-ulcerative colitis, kodwa kukhona umehluko omkhulu phakathi kwe-Crohn's colitis kanye nesifo sofuba esiswini:
- Ukuvuvukala kwesifo sokulonda kwesifo sofuba kuhlale kuqubuzana, kuyilapho ku-Crohn's colitis kuphakathi kwekoloni
- Ukwelashwa kwe-ulcerative njalo kuthinta i-rectum ngenkathi uCorhn's colitis ingase ingabi.
Izimpawu ze-Crohn's colitis zihlanganisa isifo sohudo, ukuphuma e-rectum, ne-abscesses, i-fistula, noma izilonda ezungeze i-anus. I-arthritis yokuphazamiseka nezimo zesikhumba ezihlobene nesifo sofuba esifubeni sitholakala kaningi nge-colhn ye-colitis kunezinye izinhlobo zesifo sika-Crohn.
Imithombo:
Abbott Laboratories. "Mayelana Nezifo ZaseCrohn." Abbott Laboratories 2013.
Crohns and Colitis Foundation of America. "Iyini isifo sikaCrohn?" CCFA.org 2012.
I-Peppercorn, MA. Ukwaziswa okubekezela: Isifo sikaCrohn. " UpToDate.com 16 Okthoba 2012.