Monga aliyense amene ali ndi Crohn's avomereza, kukhala ndi matenda aakulu ndi katundu. Momwemo kumverera bwino, kumatsatidwa ndi zowawa zowawa, zingawoneke zosatha. Pokhala ndi chithandizo chamankhwala chabwino ndi mwayi, nthawi ya thanzi labwino idzapitirira moto.
Choncho sizikuwoneka kuti anthu ena omwe ali ndi Crohn's ali ndi chiopsezo chachikulu cha khansa, koma izi ndi zoona.
Ngakhale pamene matenda a m'magazi amawongolera bwino kapena ocheperapo kuti opaleshoni si yofunika, khansara ikhoza kupanga zaka zosafuna zaka-ngakhale zaka makumi anayi pambuyo pa Crohn's.
Mwamwayi, si onse odwala a Crohn omwe ayenera kudandaula. Mavutowa amangowonjezeka ndi zizindikiro zina za matendawa ndi mankhwala ake.
Crohn's-Colitis Connection
Pafupifupi 20 peresenti ya odwala ali ndi Crohn's disease ali ndi mawonekedwe otchedwa Crohn's colitis . Mosiyana ndi ulcerative colitis, yomwe imayambitsa kutupa kokha ndi phulumu, matenda a Crohn angapangitse minofu kukhala yotentha paliponse m'magazi.
Odwala ndi Crohn's colitis-makamaka odwala ochepa-ali pangozi yowonjezereka ya adenocarcinoma, carcinoma yomwe ndi khansa yamtunda. Choopsya chimenechi sichimakula mpaka zaka 7 kapena 8 pambuyo pa Crohn's colitis. Zimakhala zovuta kwambiri kumayambiriro kwake kusiyana ndi khansa zina zamtundu wa khansa, nthawi zambiri zimayambitsa zizindikiro mpaka zitapitirira.
Pa chifukwa chimenechi, odwala omwe ali ndi Croin's colitis ayenera kuyang'anitsitsa ngakhale atakhala bwino.
Mpaka posachedwa, colonoscopies ndi biopsies osasintha anali golide muyezo woyang'anira khansa. Ndondomekoyi siinali yabwino, komabe, chifukwa chakuti biopsies yosasinthika ikhoza kuphonya matenda a khansa kapena precancerous.
Masiku ano, njira yapamwamba kwambiri yotchedwa chromoendoscopy ilipo. Zimaphatikizapo kuika tizilombo tofiira m'matumbo mkati mwa colonoscopy. Dye imadulidwa ndi madera a dysplasia, omwe angapangidwe ndi maselo oyambirira. Izi zimawapangitsa kukhala zosavuta kuziwona kupyolera mu endoscope.
Crohn wa Mtumbo Wamtumbo
Kuyamba kwa khansara kwa wodwala ndi Crohn's wa m'mimba mwachindunji ndi vuto lalikulu. Mwamwayi, n'kosatheka kuyang'anitsitsa odwalawa, chifukwa matumbo ang'onoang'ono ndi ovuta kulumikiza.
Odwala ambiri omwe ali ndi Crohn's aang'ono omwe amakhala ndi khansa ndi anthu omwe matenda awo amakhala osasunthika kwa zaka zambiri, musanayambe kutsekeka, kutsekula m'mimba kapena kutsegula m'mimba. Panthawi imeneyi, mayesero ojambula ngati CT amagwiritsidwa ntchito kuyang'ana m'mimba.
Kachilombo ka Rectal Stump
Pamene coloni imachotsedwa, ndipo wodwala amapatsidwa ileostomy , kachilomboka kamakhala kosungidwa kapena kusungidwa pang'ono. Izi zimathandiza kuti matumbowa abwererenso nthawi ina. Odwala ambiri amamva bwino kwambiri ndi leostomy kuti amasiya kubwezeretsa kapena kusiya lingaliro. Komabe, ndikuchenjeza odwala kuti chitsa cha khansa chikhoza kukhala ndi khansa ndipo chiyenera kuyang'anitsitsa mosamala kwambiri.
Kawirikawiri, chitsacho chichotsedwe ngati odwala amasangalala ndi ileostomy ndipo akhoza kulekerera opaleshoni. Izi zimachepetsa chiopsezo chawo chokhala ndi khansa.
Mafistula ndi Abambo
Mafistula am'nyanja ndi amphuno chifukwa cha matenda a Crohn aatali kwambiri amachititsa kuti pakhale ngozi yotenga squamous cell carcinoma (mtundu wa kansalu khungu) kapena adenocarcinoma, mawonekedwe a kansa ya colon yomwe tatchulidwa pamwambapa. Khansara ikhoza kukhala pa malo a fistula okhalamo kapena chilonda china chosatha. Chochititsa chidwi, nthawi zambiri amatenga zaka zitatu kapena zambiri kuti khansa yotereyi ikhalepo. Panthawiyi, wodwala akhoza kupereka kupweteka, kutuluka m'magazi, kapena kulapa kwapadera, ndipo nthawi zambiri zimatsimikizira kukhalapo kwa khansa.
Ngozi ya Khansa Kuchokera Kuchiza
Gulu latsopano la mankhwala osokoneza bongo lotchedwa biologic mawakala lasinthira chithandizo cha matenda a Crohn. Kwa ambiri, zamoyo zimapereka chithandizo chamuyaya chomwe sanathe kuchipeza ndi mankhwala ochiritsira.
Zovuta ku biologics ndizochepa, koma osati zochepa, pangozi ya kukhala ndi lymphoma. Izi sizikutanthauza kuti biologics sayenera kugwiritsidwa ntchito: Icho chikutanthauza kuti chiopsezo chiyenera kukambidwa ndikuganiziridwa musanapange chisankho choyendera limodzi.
Ngati mukukula lymphoma mukatenga biologic, mankhwalawa adzaimitsidwa. Pambuyo pa mankhwalawa, inu ndi dokotala mukhoza kukambirana momwe mungagwiritsire ntchito Crohn's. Nthawi zina matumbo a m'mimba amatha kupaleshoni.
Zimene Muyenera Kudziwa
Ngati muli ndi matenda a Crohn, mugwiritseni ntchito limodzi ndi dokotala wanu kuti musataye matenda anu. Izi zikutanthauza kupanga pulogalamu ya colonoscopies ndi kumamatira nayo, ngakhale mutakhalabe wathanzi kwa nthawi yaitali.
Musaiwale kuti khansa zambiri za Crohn's zimayamba kukula pambuyo pa zaka-ngakhale zaka zambiri. Pogwiritsa ntchito dokotala wanu kuti ayang'ane matenda anu, ngakhale pamene mukudwala matendawa, mumathandizira kutsimikizira kuti khansara iliyonse idzapezedwe kumayambiriro, pamene chithandizo cha mankhwala chikutheka.
> Zotsatira:
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> Cahill C, Gordon PH, Petrucci A, Boutros M. Small fetus adenocarcinoma ndi Crohn's disease: Zomwe zili patsogolo kuposa zaka 50 zapitazo? World J Gastroenterol. 2014 Sep 7; 20 (33): 11486-95.
> Laine L, Kaltenbach T, Barkun A, et al. SCENIC ya mgwirizano wa mayiko onse okhudza kuyang'anira ndi kuyang'anira dysplasia mu matenda opweteka. Gastroenterology. 2015 Mar; 148 (3): 639-651.e28.
> Lavery IC, Jagelman DG. Khansara mumalo osathamangitsidwa pambuyo pa opaleshoni ya matenda opatsirana. Dera la Dis Colon. 1982 Sep; 25 (6): 522-24.
> Shwaartz C, Munger JA, Deliz JR, et al. Khansara yokhudzana ndi matenda a fistula pambali ya matenda a Crohn. Dera la Dis Colon. Dec. 2016; 59 (12): 1168-73.