Isifo sikaCrohn yisimiso esingapheli kepha ngokuvamile asifinyezi isikhathi sokuphila
Isifo sikaCrohn yisimo sesifo sokukhukhumeza (IBD) , okuyinto yezinkinga zokugaya ezingenasifo. Ososayensi abakwazi ukuthi yini ebangela imbangela ye-IBD, noma indlela yokwelapha ngayo, kodwa kunezindlela eziningi zokwelashwa ezitholakalayo. Ukuthola ukuxilongwa kwesifo sikaCrohn kuyinto ezwakalayo ephazamisayo, futhi kungokwemvelo ukukhathazeka ngokuthi kuzosithinta kanjani ukuphila.
Izindaba ezinhle ukuthi, kukhona izinketho zokuphatha eziphumelelayo okwamanje ezitholakalayo kubantu abanesifo sikaCrohn futhi kunezinto eziningi ezingaphezulu.
Okushiwo Ukuguqulwa
Uma odokotela bekhuluma ngokuchazwa kwesifo, kubhekisela endleleni isimo esizoshintsha ngayo ngokuhamba kwesikhathi. Isifo sikaCrohn siyinkimbinkimbi, kanti inkinga yesifo iyohluka kakhulu kumuntu nomuntu. Kodwa-ke, kuneminye yemithetho yesithupha, noma i-commonalities, engasithola ekucwaningweni esinakho mayelana nesifo sikaCrohn.
Ukubikezela Abantu abanezifo ze-Crohn's
Isibikezelo se-Crohn's disease siyashintsha, futhi sizohlukahluka ngokuthi isifo sishintsha kanjani ngokuhamba kwesikhathi nokuthi sisabela kanjani ekwelapheni ngemithi noma ngokuhlinzwa. Abanye abantu abane-Crohn's disease bazobhekana nezifo ezincane kuphela, kanti abanye bazohlala nezifo ezinzima. Ngaphezu kwalokho, ukuqina kwesifo kungashintsha ngemva kokuxilongwa.
Isifo sikaCrohn esithathwa njengobumnene noma esilinganiselwe singaba sikhulu, ikakhulukazi uma singaphathwa kahle.
Ukuba nesinqumo esiphelele sesifo sikaCrohn ngemuva kokukodwa okungajwayelekile. Abantu abaningi abatholwa ukuthi banesifo sikaCrohn banezinkathi zezifo ezisebenzayo (ama- flare-ups ) nezinkathi lapho kukhona khona izimpawu ezimbalwa noma ezingekho (okubhekwa kabanzi ngokuthi ukuxolelwa ).
Izazi ze-IBD ziyavuma ukuthi nakuba kunezimpawu ezimbalwa ezingenayo uphawu olulodwa lwezokwelapha, umgomo omkhulu ukwelapha izingxenye zendlela yokugaya ezithintekayo izifo. Lokhu kwaziwa ngokuthi i-mucosal yokuphulukisa. Ukuphulukiswa kwe-mucosal kubalulekile ngoba ukuvuvukala njalo esihlokweni sikaCrohn kungaba nemiphumela emzimbeni wonke futhi, ngaphezu kwesikhathi eside, kwandisa ingozi yokuba nomdlavuza wekoloni.
Isifo Sika-Crohn Akusho Ukunciphisa Indlela Yokuphila
Izindaba ezinhle ukuthi, ucwaningo lubonisa ukuthi isifo sikaCrohn asifinyezi ukuphila komuntu. Akubhekwa njengesimo esibulalayo , futhi iziguli eziningi ziyakwazi ukulawula izimpawu zabo ngezokwelapha izidakamizwa. Nokho, kungaba khona izinkinga ezinkulu ezivela esibhedlela saseCrohn ezingasongela ukuphila. Ukuhlala phezu kwezibonakaliso zezifo zeCrohn kanye nezimpawu nokulawula ukuvuvukala kuzokusiza ekugcineni ukucindezeleka ngaphansi kokulawula. Izinkinga eziningi ezingaphezulu kwamathumbu, ikakhulukazi, zizophuthuka uma isifo sikaCrohn siphathwa futhi ukuvuvukala kuphethwe.
Amaphesenti Abantu abanezifo ze-Crohn Abahlinzayo
Abantu abaningi abanesifo sikaCrohn bazohlinzwa lapho bephila khona. Cishe u-70% uzohlinzwa eminyakeni eyishumi yokuqala emva kokuxilongwa, futhi kulabo, 50% bazohlinzwa kabanzi eminyakeni engu-3 kuya kweyine.
Kodwa-ke, uhlobo lokuhlinzwa olwenziwe luhlukahluka kakhulu futhi luzoxhomekeka endaweni yokuvuvukala kwesifo sikaCrohn. Uhlobo oluvame kakhulu lohlinzekwa ukuhlinzekwa komthengisi, lapho ucezu lwamathumbu lususwe khona ngoba luvutha kakhulu noma lube luncane kakhulu.
Ingozi Yomdlavuza WeColon Esiguleni SaseCrohn
Abantu abangaphezu kuka-90% abane-IBD ngeke bahlakulele umdlavuza. Kodwa-ke, abantu abane-IBD kudingeka baqaphele ukuthi lesi sifo sibhekene nengozi ephindwe kabili yokuba nomdlavuza wekoloni kunabantu bendawo yonke. Abantu abane-Crohn's isifo samathumbu amancane nabo bangengozi enkulu yomdlavuza omncane, nakuba lolu hlobo lomdlavuza luyinto engavamile kakhulu.
Abantu abanesifo sikaCrohn kumele babone i-gastroenterologist yabo njalo ukuze bathole ukuhlolwa nokuqapha izimpawu zanoma yiluphi uhlobo lomdlavuza wamathumbu.
Izwi elivela
Ngenxa yentuthuko yemithi kanye namasu okuhlinzeka, abantu abanesifo sikaCrohn banekhwalithi engcono yokuphila namuhla kunanini ngaphambili. Ikusasa lokuthuthuka okunye ukwelashwa kukhanya. Ukusebenza ne-gastroenterologist kanye nabanye ochwepheshe bezokwelapha ukwakha uhlelo oluphelele lokuphulukisa kuyindlela ephumelela kunazo zonke kubantu abanesifo sikaCrohn ukugwema ukuhlukumezeka kanye nezinkinga.
> Imithombo:
> Bernell O, et al. "Izici zengozi zokuhlinzwa nokuphindaphinda ngemva kokuhlinzwa kwesifo sikaCrohn." Ann Surg January, Januwari 2000; 231: 38-45.
> I-Canavan C, i-Abrams KR, i-Mayberry J. "Ukuhlaziywa kwe-meta: ingozi yomdlavuza omncane nomzimba omncane kubantu abagulayo abanesifo sikaCrohn." Ukudla Pharmacol Ther. 2006; 23: 1097-1104. I-DOI: 10.1111 / j.1365-2036.2006.02854.x
> Kakkar A, Wasan SK, Farraye FA. "Ukwelashwa Kwemucosal ku-Crohn's Disease." I-Gastroenterol Hepatol (NY) . 2011 Jun; 7: 374-380.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. "Izifo zikaCrohn." I-National Digestive Diseases Information Clearinghouse. Feb 2006.
> Sachar DB, i-Walfish AE. "Izifo zikaCrohn." I-Merck Manual. Aug 2006.