Izinkinga ezingenzeka ezingaphandle kwegciwane lokugaya
Ezinye izinkinga ze-Crohn's disease azihlobene ngokuqondile nokuvuvukala emathunjini amancane noma amakhulu futhi kuthiwa "systemic" noma "extra-intestinal" imiphumela emibi. Lezi zinkinga zingabandakanya i-arthritis, ukulahlekelwa amathambo, ukukhula okubambezelekile ezinganeni, izifo zamehlo, ama-gallstones, iziqhumane zesikhumba noma izilonda, nezilonda zomlomo.
Awaziwa ukuthi kungani izinkinga ze-Crohn's disease zingenzeka ngaphandle kwendlela yokugaya ukudla, kodwa kwezinye izimo, zilandela inkinga yesifo: Ziba zimbi kakhulu ngesikhathi se- flare-up futhi zithuthukise ngesikhathi sokuxolelwa .
I-arthritis
Ubuhlungu, ukuvuvukala, nokuqina kohlangothini lwabantu abanesifo sikaCrohn kungenzeka ukuthi bangenxa ye-arthritis ye-peripheral . Izimpawu zingase zisebenze izinsuku noma amasonto futhi zingase zifuduke zisuka kwelinye elihlangene linye. I-arthritis ye-peripheral ingathuthuka lapho isifo sikaCrohn sibhekene ngokuphumelelayo, futhi asibangeli umonakalo unomphela kumalungu. Izimpawu ziphathwa ngokushisa okumanzi nokuphumula. Abantu abanesifo sikaCrohn bangase bahlakulele nezinye izinhlobo ze-arthritis, njengokubambisana noma njengethonya elibi lemithi.
Ukulahlekelwa Kwamathambo
Abantu abanesifo sikaCrohn basengozini yokulahleka kwethambo nokuguqulwa kwamathambo ngezizathu eziningana. I-calcium ibalulekile ekuphatheni kwethambo, futhi i- vitamin D iyadingeka ukuze umzimba uthathe i-calcium. Kodwa-ke, abantu abanesifo sikaCrohn bangase bangaba ne-vitamin D, ikakhulukazi uma intombazane encane inesifo esiphezulu noma isuswe kancane ngokuhlinzwa.
Ngaphezu kwalokho, amaprotheni okuthiwa i-cytokines atholakale emazingeni aphezulu kubantu abane-Crohn's disease, ikakhulukazi ngenkathi isifo sisasebenza. Ama-Cytokines angaphazamisa ukususwa kwethambo elidala nokudala amathambo amasha. Ezinye izici ezingozini zokulahlekelwa kwethambo zihlanganisa inani eliphansi lomzimba womzimba (BMI), ubulili besifazane, ukubhema, ukusetshenziswa kotshwala nokudala.
Izincomo ezijwayelekile zokuvimbela ukulahleka kwamathambo zibandakanya ukuvivinya umzimba, ukunciphisa ukusetshenziswa kotshwala, ukuyeka ukubhema, nokufakazela nge-1500 mg ye-calcium ne-400 IU ka-vitamin D nsuku zonke. Kubantu abanesifo sofuba (IBD), ukunciphisa ukusetshenziswa kwe- corticosteroids uma kungenzeka futhi ukuthatha izidakamizwa ze-bisphosphonate nakho kuyasiza.
Ukukhula Kancane Kwezingane
Isifo sikaCrohn sibeka izingane engozini yokukhula okulibalekile . Izici eziningana zithinta ukukhula kwabantwana abanesifo sikaCrohn, kuhlanganise nokuntuleka kwesidlo , ukudla okunomsoco, ukungenwa kwemfutho emathunjini amancane, nokusetshenziswa kwe-steroids njengokwelashwa. Lezi zici zingase zibe nomthelela omubi ekuphakameni kwengane futhi zenze isiqu esifushane.
Izifo Zamehlo
Izifo zamehlo ezingathinta abantu abanesifo sikaCrohn zihlanganisa u-uveitis, i-episcleritis, i-keratopathy, nesame omile. Ezinye izimo zamehlo zidinga ukwelashwa, kanti iningi lizophuthuka uma isifo sikaCrohn esiphezulu siphumelelwa kahle.
- Amehlo aname ngenxa yokuntuleka kwezinyembezi emehlweni. Lokhu kunciphisa kwamanzi kungabangela ukucasuka kwamehlo futhi ukuphola ukugcina. Amehlo anamekile aphathwa ngezinyembezi zokufakelwa kanye ne-vitamin A. Uma ukoma kubangela ukutheleleka, ukwelashwa ngama-antibiotic kungadingeka.
- I-Episcleritis ukuvuvukala kwezimhlophe zeso elidala izimpawu zobuhlungu nokubuyiselwa. I-Episcleritis iphathwa nge- vasoconstrictor noma i-corticosteroid.
- I-Keratopathy yinto engalungile ku-cornea engabangeli ubuhlungu noma ukulahleka kombono ngakho-ke ngokuvamile ayinakekelwa.
- I-Uveitis ukuvuvukala kwesendlalelo esiphakathi kweso lokukhanya elibangela izimpawu zokuzwela ukukhanya, ubuhlungu, ubomvu, umbono obonakele, nokukhanda ikhanda. Ukungaphenduliwe, u-uveitis kungabangela ukuphuphutheka, i-glaucoma, noma i-retina ehlanganisiwe. Ukwelashwa kunama-corticosteroids.
Ama-gallstones
Bile ukuthi lukhuni ku-gallbladder kungabangela ama-gallstones .
Ama-gallstones angavimbela ukuphuma kwe-bile kusuka e-gallbladder, okubangela ubuhlungu obukhulu. Abantu abanesifo sikaCrohn kulesi sibula esibulalayo basengozini enkulu yokuthuthukisa ama-gallstones; abaningi abangaba ngu-13% kuya kwezingu-34% bazothola lolu cwaningo. Ukuvuvukala kwelebula kuvimbela ukumuncwa kwe-bile. I-Bile ichitha i-cholesterol ekudleni, futhi uma le cholesterol ingaphuliwe, ingabangela izigulane. Ama-gallstones aphethwe ngokuhlinzwa ngokukhipha i-gallbladder. Ukwelapha ngemithi akuvame ukusetshenziswa kakhulu ngoba ama-gallstones angase abuyele.
Izilonda Zomlomo
Izilonda ezincane ezingajulile ezenzeka emlonyeni zibizwa ngokuthi i-aphthous stomatitis. Ukuhlanza umlomo kungasetshenziswa ukugcina umlomo uhlanzekile, kodwa akukho ukwelashwa okuvame ukudingwa. Amacala amancane angaphilisa ngokwabo, kodwa izidakamizwa zokulwa nama-anti-inflammatory kanye ne-anesthetics zinganciphisa futhi zikhuthaze ukuphulukiswa.
Izimo Zesikhumba
Abantu abane-Crohn's disease ekoloni bangase bathuthukise amaki esikhumba. Isikhumba esizungeze ama-hemorrhoids endaweni ye-perianal siyancipha futhi senza amaphutha. Ukunakekelwa kufanele kuthathwe ukuze kugcinwe indawo ehlanzekile, ngoba amaki esikhumba angagcina isitembu futhi aholele ekucaseni isikhumba. Ukuba khona kwamathegi esikhumba kungaba usizo ekwenzeni ukuxilongwa kwesifo sikaCrohn ngoba sivame kakhulu kubantu abanesifo sikaCrohn kunesifo sokulonda i-ulcerative colitis.
Ezinye izimo zesikhumba ezihlobene nesifo sikaCrohn ziyi- erythema nodosum ne- pyoderma gangrenosum . I-Erythema nodosum yizinyosi ezibomvu ezibuhlungu ezithuthuka ezingalweni noma emilenzeni engezansi, kanti i-pyoderma gangrenosum iyinhlanhla emilenzeni noma izingalo ezivame ukufaka endaweni yesifo esiyingozi, njengesikebhe. Zombili lezi zimo azivamile kakhulu esifweni sikaCrohn kunesifo se-ulcerative colitis. I-Erythema nodosum ingathinta u-1% kuya ku-2% walabo abanesifo seCrohn, kanti i-pyoderma gangrenosum ingathinta abantu abangamaphesenti angu-1 abane-Crohn's disease.
Imithombo:
I-Bonheur JL, i-Braunstein J, i-Korelitz BI, i-Panagopoulos G. "Amakhambi esikhumba esibuhlungu kwesifo sofuba: Ukubonwa okusha nokubuyekezwa komtholampilo." Izifo Zezinhlungu Ezivuthayo 14; 1236-1239 1 Meyi 2008. 9 Septemba 2013.
Crohn's and Colitis Foundation of America. "Ukunciphisa Okungavamile Kwangaphandle: Ukulahlekelwa Kwamathambo." 1 Meyi 2012. 9 Septemba 2013.
Crohn's and Colitis Foundation of America. "Izinkinga ezingenasidlangalaleni: Ukuphazamiseka Kwamehlo." 1 Meyi 2012. 9 Septemba 2013.
Crohn's and Colitis Foundation of America. "Izinkinga ezingenasifo sangasese: Izifo zesibindi." 1 Meyi 2012. 9 Septemba 2013.
Crohn's and Colitis Foundation of America. "Izinkinga ezingenasidlangalaleni: Izifo zesikhumba." 1 Meyi 2012. 9 Septemba 2013.