Matenda a Crohn ndi zilonda zam'mimba zimagwiritsidwa pamodzi pansi pa ambulera yomwe imatulutsa matenda opatsirana (IBD) . Matenda awiriwa ali ndi zizindikiro zambiri, kuphatikizapo zizindikiro zambiri , ndipo amachizidwa ndi mankhwala omwewo.
Komabe, pali kusiyana kwakukulu pakati pa matenda awiri omwe amachititsa kuti afikire.
Chimodzi mwa zizindikiro za matenda a Crohn omwe sapezeka mu ulcerative kolitis amatchedwa chizindikiro cha cobblestone. Ichi ndi chifukwa chakuti matenda a Crohn amachititsa mtundu wina wa kutupa kusiyana ndi ulcerative colitis, yomwe imatsogolera ku ziwalo za m'matumbo zomwe zimatuluka mooneka ngati zowala.
Kusiyanasiyana pakati pa Crohn's And Ulcerative Colitis
Nthawi zina, kusiyana pakati pa matenda a Crohn ndi ulcerative colitis kungaoneke ngati minutia, koma kuwuza kusiyana pakati paziwiri ndikofunikira pankhani ya mankhwala. Pali mankhwala ambiri omwe amagwiritsidwa ntchito pochiza matenda onsewa, koma pali ena omwe amavomerezedwa kuti awapatse limodzi, kapena asonyeza kuti ali ndi mphamvu imodzi yokha.
Njira zopangira opaleshoni ndizosiyana kwambiri ndi ulcerative kupweteka kwa matenda kuposa zilonda za Crohn's disease. Ndipotu, opaleshoni yochiritsira matenda a Crohn siyenerera kuchiza matenda a zilonda zam'mimba ndi zosiyana siyana.
A resection ya colon sichidzachitike kwa ulcerative kupweteka kwa matenda chifukwa colitis adzabwerera mu gawo la koloni otsala. Kwa ulcerative kolitisitis, lonse coloni imachotsedwa. Kwa matenda a Crohn, opaleshoni yosankha kudwala matenda a zilonda zam'mimba, chifuwa chachikulu cha anastomosis (IPAA) kapena opaleshoni ya j-poch, nthawi zambiri samachitidwa .
Ichi ndi chifukwa chakuti matenda a Crohn amatha kubwereranso mu j-poch, ndipo izi zingapangitse kuti thumba lilephereke. Kuchotsa j-poch kungatanthauze opaleshoni yowonjezereka, koma kutayika kwa matumbo ambiri.
Izi zikutsatila kuti ndikofunikira kuti tisiyanitse pakati pa matenda awiriwa. Njira imodzi yosiyanitsira kutupa m'matumbo ku Crohn's disease chifukwa choyambitsa ulcerative colitis ndi zomwe zimawoneka kuti "chikhotchi". Zitsulo zamakono ndizojambula zomwe zimagwiritsidwa ntchito pamsewu wokongoletsera kapena msewu. Iwo samapereka zosalala, ngakhale maonekedwe-pali zochepa zochepa mu mtundu ndi kukula mu mwala wogwiritsidwa ntchito.
Chotupa Chogwiritsira Ntchito Chizindikiro Chakudwala M'thupi la Crohn
Mphungu zimabwera poyankhula za matenda a Crohn chifukwa cha mawonekedwe ofanana ndi omwe matumbo amatha kutenga chifukwa cha kutupa kofanana. Mkati wamkati wa intestine ukhoza kukhala ndi zigawo zomwe zimakhala ndi zigawo ndipo zimakweza magawo m'malo mokhala ndi thanzi labwino. Izi zimachitika chifukwa cha kuphatikiza kwa zilonda zam'mimba komanso kukula kwa matumbo a m'mimba chifukwa cha matenda a Crohn. Gastroenterologist angayang'ane chizindikiro cha katemera m'matumbo mkati mwa colonoscopy kapena sigmoidoscopy .
Chizindikiro cha cobblestone chingakhale chofunikira chosiyanitsa mawonekedwe a IBD. Palinso mbiri ya anthu omwe ali ndi matenda a Crohn omwe ali ndi zilonda za m'kamwa (aphthous stomatitis) zomwe zimasonyezeranso chizindikiro cha cobblestone.
Maonekedwe a cobblestone m'makona a coloni amatha kuchitika ndi matenda ena, monga Hirschsprung matenda (omwe ndi mtundu wa chitetezo cha m'mimba mwa ana obadwa kumene) ndi gastritis ya eosinophilic (yosazolowereka koma kudziletsa). Palinso matenda ena m'thupi omwe angakhale ndi maonekedwe a cobblestone amene amayamba ndi kutupa chifukwa cha matenda kapena matenda.
Mawu Ochokera
Ngakhale chizindikiro cha cobblestone ndi chisonyezero chabwino cha kukhalapo kwa matenda a Crohn, tiyeneranso kukumbukira kuti sizichitika m'matumbo a munthu aliyense yemwe ali ndi matendawa. Zingathe kuoneka ngati ocheperapo theka la anthu onse omwe ali ndi matenda a Crohn, koma pamene maonekedwe a cobblestone alipo, ndilo chipangizo chimodzi chomwe madokotala angachigwiritse ntchito kuti apeze matenda a Crohn, kapena kuti adziwe matenda a Crohn popanda ulcerative colitis.
Chitsime:
Salek H, Balouch A, Sedghizadeh PP. "Mawonetsere a pamlomo a matenda a Crohn popanda kugwirizanitsa mimba." Odontology . 2013 May 8.
Greenberg GR, Fedorak RN, Thomson ABR. "Mfundo Zoyamba za Gastroenterology: Cholinga cha Matenda ndi Njira Yogwirira Ntchito. Canadian Association of Gastroenterology. 2011.