Uhlobo Lwefuthe Olutholakala Kubantu Nge-IBD Kungaba Okuhlobene Nokuvuvukala
I-creeping fat iyisici esitholakala ezigulini ezine-Crohn's disease kanye nesifo sofuba esiswini (izinhlobo ezimbili zesifo sofuba, noma i-IBD ) esingaqondakali kahle umphakathi wezokwelapha. Eqinisweni, akukaze kufundwe kabanzi, nakuba kukhona iziguli ezinesifo sikaCrohn sekuye kwaziwa amashumi ambalwa eminyaka. Isifo sikaCrohn sabizwa ngokuthi uBurrill Crohn, ngoba nguye owaqala ukuchaza lesi sifo esasibizwa ngokuthi yi-leitis yesifunda.
UDkt Crohn wachaza izinguquko ezinxenyeni ze-adipose (izicubu ezixhumeneyo, noma amanoni) ezigulini ezinesifo sikaCrohn.
Kuyini I-Creeping Fat?
Wonke umuntu unamafutha emzimbeni wakhe, futhi okungenani inani elithile lamafutha esiswini. Kuphakathi kuka-15 no-30% amafutha omzimba kubhekwa njengokujwayelekile, ngisho nokuphilile. Esikhundleni sokuthi nje uyingxenye yomzimba ongenawo umzimba, izicubu ze-adipose manje zibonakala njengelungu langempela. Iba nomsebenzi futhi ifihla amakhemikhali ahlukene. Uhlobo olulodwa ngama-cytokines, ahlotshaniswa ne-IBD ngoba atholakala ezinombolweni eziningi kubantu abanezifo eziphikisana nabantu abaphilile. Kube khona amacala lapho kutholakala khona ukuthi amathumbu angama-50% aphethwe ngamafutha. Akumangalisi ukuthi ukutholakala kwalolu hlobo lwamafutha kuhlobene nokuba nesifo esinzima kakhulu sesifo sikaCrohn.
Ngaphambili, kwakucatshangwa ukuba inhlanzi enwabuzelayo isifo se-Crohn-okuwukuthi, lapho itholakala, isiguli sasicatshangwa ukuthi sinesifo sikaCrohn's.
Ukudla okunwabuzelayo kungabonakala kumshini wokubala we-tomography . Kodwa-ke, maduzane kuchazwe ukuthi iziguli ezine-ulcerative colitis zingase zibe nesimo samafutha asendle. Ulwazi oluthe xaxa olwenziwe ngamafutha aluhlaza kuze kube manje lugxile esibhedlela saseCrohn, kancane kancane luyaziwa nge-ulcerative colitis noma i-colitis engapheli.
Iyini "I-Fat" Ingxenye Ye-Freeping Fat?
Ukudla okunwabuzelayo akufani nohlobo lwamafutha esizozihlanganisa nokukhuluphala ngokweqile noma ukukhuluphala. Ukuba nalolu hlobo lwamafutha akusho ukuthi umuntu ukhuluphele ngokweqile, futhi akusizi ekukhuleni ngokweqile noma okukhuluphele. Iningi leziguli ezinesifo sikaCrohn zibhekene nalokho okubhekwa njengento ephansi yomzimba, noma inkomba enempilo eningi. Akusizwanga ukuthi isiguli esine-IBD sikhuluphele ngokweqile noma sikhuluphele, kodwa akuvamile. Kodwa-ke, ingxenye engaphezu kwesigamu sabo bonke abagulayo abanesifo sikaCrohn baye baboniswa ukuthi banezinhlanzi ezinwabuzelayo emathunjini abo.
Yini Esingayenza Ngayo I-Creeping Fat?
Umbuzo owodwa abantu abane-IBD bangase babuze ukuthi bangakuvikela kanjani ukugwedla amafutha noma okuzokwenziwa ngakho uma kukhona. Ngisho noma sesiyazi ngakho kusukela ngo-1930, kukhona ukuhlupheka kocwaningo ngamafutha anwabuzelayo. Indlela eqondile yokuthi ithinta kanjani inkambo ye-IBD ayiqondakali, nakuba kunezinkolelo eziningana. Ezinye izinkolelo zigxile ikakhulukazi kumakhemikhali abizwe ngamanoni nokuthi zithinta kanjani ukuvuvukala nenqubo yokuvuvukala. Ucwaningo olulodwa lubonisa ukuthi amafutha anendima ekwenzeni ukuvuvukala kanti lokho okubhekiswe ekudleni okunamafutha kungaba ukugxila kokwelashwa esikhathini esizayo.
Awaziwa kahle ukuthi kungani kwenzeka. Ingabe kwenzeka ngaphambi kwe-IBD, futhi inendima ekubambeni kwayo, noma ingumphumela we-IBD? Le mibuzo yimibuzo okufanele ucwaninge ngayo, njengoba ososayensi baqala ukuvula lesi sici se-IBD okwamanje ngokuyinhloko kuye kwashiywa indiva.
Imithombo:
Crohn BB, Ginzburg L, Oppenheimer GD. "Leite yesiFunda, isifo se-pathologic and clinical entity." J Am Med Assoc. 1932; 99: 1323-1329.
Fink C, Karagiannides I, Bakirtzi K, Pothoulakis C. "Izicubu ze-Adipose nesifo sofuba se-pathogenesis." I-Inflamm Bowel Dis. 2012; 18: 1550-1557. i-doi: 10.1002 / ibd.22893.
I-Golder WA. "Isibonakaliso sezinhlanzi ezinwabuzelayo" -ukuhlolisiswa kwesifo sikaCrohn? " Int J Colorectal Dis . 2009 Jan; 24 (1): 1-4. i-doi: 10.1007 / s00384-008-0585-y. I-Epub 2008 Septhemba 6, 6, 2015.
Kredel L, Batra A, Siegmund B. "Indima yamafutha nama-adipokines ekuvuvukala kwamathumbu." I-Curr Opin Gastroenterol . 2014 Nov; 30 (6): 559-65. i-doi: 10.1097 / i-MOG.0000000000000116. 6 Agasti 2015.
USideri A, Bakirtzi K, Shih DQ, et al. "Isici P sixhumanisa ama-adipocyte amantombazane angama-anti-inflammatory release-inflammatory." I-Gastroenterology ye-Cellular and Molecular and Hepatology. 2015: 1: 420-432. 6 Agasti 2015.