IBD Ikhoza Kukhudza Amuna ndi Akazi Mosiyanasiyana
Kawirikawiri, amayi amapanga zinthu zambiri zowonongeka kapena zolimbana ndi chitetezo cha mthupi kuposa amuna. Ngakhale matenda opatsirana a m'magazi (IBD) , omwe amawoneka kuti ali ndi chitetezo cha mthupi, amawoneka kuti amakhudza nambala yofanana ya amuna ndi akazi , kafukufuku wina wasonyeza kuti IBD ingawononge amuna ndi akazi mosiyana. Makamaka, ndi matenda a Crohn omwe-mpaka pano-amasonyezedwa kukhala ndi kusiyana kwakukulu pa momwe zimakhudzira amuna ndi akazi m'njira zosiyanasiyana.
Komabe, palinso kafukufuku amene amaphatikizapo momwe ulcerative utitiri umakhudzidwira amuna komanso akazi. N'zotheka kuti mahomoni ndi ziwalo zina zokhudzana ndi kugonana zimakhudza momwe matenda ena, monga IBD, amakhudzidwira amuna ndi akazi mosiyana, koma nthawi zina amakhalanso okhudzana ndi momwe amuna ndi akazi (ndi anyamata ndi atsikana) amalandila mankhwala matenda.
Chifukwa chimodzi chomwe IBD chikhoza kukhalira chosiyana ndi abambo ndi amai ndi chifukwa cha kufotokozedwa ndi zifukwa zomwe zingakhale zoopsa. Ochita kafukufuku samadziwa chomwe chimayambitsa IBD , koma pali zifukwa zina zomwe zingayambitse matendawa mwa anthu ena. Matenda ogwirizanitsa ndi IBD azindikiritsidwa, koma sikuti aliyense amene ali ndi majeremusiwa amapanga IBD, zomwe zikutanthauza kuti pali chinachake (kapena zingapo) zomwe zimapangitsa kuti zikule. Zomwe zimayambitsa izi zikhoza kukhala zachilengedwe, monga momwe anthu amawonekera pa moyo wawo wonse, kapena zikhoza kukhala thupi, monga mahomoni.
Zikuoneka kuti pali zinthu zambiri zomwe zimagwirira ntchito limodzi zomwe zimayambitsa kutsogolera kwa IBD mwa anthu ena.
Antibiotics ndi Ngozi ya IBD mwa Anyamata ndi Amuna
Imodzi mwa izi zomwe zingayambitse IBD zikuphatikizapo kugwiritsidwa ntchito mobwerezabwereza kwa maantibayotiki. Kafukufuku wina anapeza kuti anyamata angapangitse IBD kawirikawiri atakhala ndi maantibayotiki ngati khanda koma kafukufuku wina anapeza kuti anyamata amapatsidwa antibiotic kuposa atsikana.
Izi zikutanthauza kuti sichikudziwika bwino ngati anyamata angakhale ochepa kuposa atsikana kuti apange IBD pambuyo pogwiritsa ntchito ma antibiotic m'chaka choyamba cha moyo. Phunzirolo linasonyezanso kuti Crohn's disease anapezeka kawirikawiri, mwa 75 peresenti ya milandu, pambuyo pa mankhwala amodzi kapena angapo a antibiotic anapatsidwa kwa ana ali akhanda.
Kawirikawiri, amuna amakhala odwala matendawa, tizilombo, mabakiteriya, ndi mavairasi kuposa amayi. Zimaganiziridwa kuti anthu ali ndi mavuto ambiri odwala matenda opatsirana pogonana kuposa amayi chifukwa cha kuchepetsa chitetezo cha mthupi. Ma chitetezo cha mthupi amawoneka mosiyanasiyana mwa amuna kuposa momwe amachitira akazi chifukwa cha kusiyana kwa mahomoni a amuna ndi akazi. Mahomoni a amuna angapangitse chitetezo cha m'thupi kuti chisamagwiritse ntchito bwino kuti chiteteze matenda. Kuwonjezera apo, pakhoza kukhala chinthu chachiwiri kuntchito, kumene mahomoni amphongo amakhalanso ndi zotsatira pa majini omwe ali ndi udindo wotsutsa matenda. Ndi chifukwa chake abambo ndi anyamata angadwale ndi matenda nthawi zambiri ndipo izi zingachititse kufunika kwa mankhwala ndi mankhwala opha tizilombo.
Zowonjezera ndi Kuopsa kwa IBD kwa Atsikana ndi Akazi
Pokhala ndi zowonjezera kuchotsedwa , kupyolera mu opaleshoni yotchedwa appendectomy, ndi chinthu chinanso chimene chingakhale ndi ubale wovuta ndi IBD.
Zowonjezera zitachotsedwa, maphunziro asonyeza kuti pali njira yowonjezera chiopsezo chowonjezeka cha matenda a Crohn koma kuchepetsa chiopsezo cha ulcerative colitis. Kuwonjezeka kwa chiopsezo cha matenda a Crohn kunali kwakukulu kwambiri kwa amayi kusiyana ndi momwe zinaliri ndi amuna, ndipo anakhalabe motere kwa zaka makumi awiri (20) pambuyo pa appendectomy.
Azimayi ndi Ngozi Zachikopa
Mtundu umodzi wa mawonetseredwe owonjezera m'mimba omwe amakhudza kuchuluka kwa anthu omwe ali ndi IBD ndi mavuto a khungu. Makamaka, pali zikopa ziwiri zomwe zimagwirizana kwambiri ndi IBD, erythema nodosum ndi pyoderma gangrenosum . Kafukufuku wina anasonyeza kuti panali zifukwa zingapo zomwe zimawoneka ngati zikugwirizana ndi mwayi wokhala chimodzi mwa izi.
Kuwonjezera pa kupezeka ndi IBD ali wamng'ono, komanso kukhala ndi Crohn's disease, njira ina yomwe inachititsa kuti zikopa izi zikhale zachiwerewere. Azimayi amatha kukhala ndi vuto la erythema nodosum ndi pyoderma gangrenosum kusiyana ndi amuna omwe ali ndi IBD. Kusamalidwa kale ndi mankhwala a biologic kunasonyeza kuti pangakhale zovuta za khungu izi mu phunziro lino.
Amuna Amene Ali ndi IBD ndi Kuopsa kwa Matenda a Chiwindi
Mtundu wa matenda a chiwindi omwe amapezeka kwambiri mwa amuna kusiyana ndi amayi ndiwo chachikulu sclerosing cholangitis (PSC). PSC imakhala yowonjezereka kwa anthu omwe ali ndi zilonda zam'mimba kuposa zilonda za Crohn. Munthu yemwe ali ndi PSC ndi munthu wamkati omwe ali ndi ulcerative colitis, ngakhale kuti matenda a colitis nthawi zina sapezeka mpaka pambuyo pa PSC. Akazi omwe ali ndi PSC kawirikawiri samakhalanso ndi IBD. PSC ndizosazolowereka, ndipo ngakhale zili zovuta kwambiri ndipo zingafunikire kuika chiwindi, odwala ambiri amachita bwino atalandira chithandizo.
Kusiyanasiyana Pambuyo Opaleshoni kwa Amuna ndi Akazi
Makhalidwe ambiri a IBD, abambo ndi amai amawoneka ngati ofanana kwambiri: zaka zodziŵika ndi nthawi yoyamba opaleshoni ngati matenda a Crohn, mwachitsanzo. Komabe, patatha opaleshoni ya resection, kafukufuku wina anapeza kuti akazi amakhala ndi nthawi yochepa (4.8 zaka) kuposa amuna (6.5 zaka) chisanafike kachilombo ka Crohn. Azimayi amasonyezanso kuti amafunikira resectional ileocecal (yomwe imachotsa gawo lomaliza la matumbo ) kuti athetse matenda a Crohn kuposa amuna.
Matenda apakati pa Amuna ndi Akazi
Malo a perianal ndi mbali ya kumbuyo komwe kumayandikana ndi anus . Matenda a Crohn makamaka amatha kukhudza thupi lino ndipo amachititsa mavuto monga fistula (yomwe ili njira yosavuta pakati pa ziwalo ziwiri) ndi zilonda zam'mimba. Fistula imakhudza amuna ndi akazi omwe ali ndi IBD mofananamo koma kafukufuku wina wasonyeza kuti nthawi zina (monga zilonda) zimakhala zofala kwambiri kwa amayi omwe ali ndi matenda a Crohn kusiyana ndi amuna.
Kodi Pali Zosowa Zogonana mu Maphunziro?
Pali zinthu zingapo zimene zikhoza kuchitika zomwe zingayese zosiyana ndi zomwe kafukufuku amasonyeza momwe IBD imakhudzira amuna ndi akazi mosiyana. Zinthu izi ziyenera kuganiziridwa kuti amvetse kusiyana pakati pa IBD mwa abambo ndi amai, koma nthawi zambiri zimakhala zovuta kuzigawa pakati pa kafukufuku. Nthawi zina zimaganiziridwa kuti abambo ndi amai akhoza kusankha njira zochiritsira zosiyana chifukwa amayi omwe ali ndi zaka zakubadwa angakhale ndi nkhawa pa momwe matenda a IBD angakhudzire mimba . Azimayi amatha kusankha opaleshoni chifukwa cha mankhwala ngati akukonzekera kutenga mimba.
Kuonjezerapo, palinso maphunziro ena omwe amasonyeza kuti amayi omwe ali ndi IBD akhoza kupatsidwa chithandizo chamankhwala mosiyana ndi amuna, amakhala ndi colonoscopies yocheperako, komanso sangakhale ndi mankhwala osayenera. Nthawi zina, pali vuto kuti kusiyana pakati pa abambo ndi abambo kungakhudze zotsatira zophunzira, kupanga phunziro lovuta kuti liphunzire.
Mawu Ochokera
Matenda a Crohn ndi kupweteka kwa ululu kumakhudza amuna ndi akazi omwe ali ndi ziwerengero zofanana koma pangakhale kusiyana pakati pa momwe matendawa amakhudzira kugonana. Nthaŵi zambiri sizodziŵa bwinobwino chifukwa chake mavuto ena kapena maambukidwe owonjezera a m'mimba a IBD amakhudza kugonana kamodzi nthawi zambiri kuposa momwe amachitira. Ngakhale sizikumveka chifukwa chake izi zimachitika, zotsatira za maphunziro omwe anachitidwa pa IBD mwa abambo ndi amayi angathe kuthandizira kupeza ndi kuchiza matendawa pamene akudziŵa kuti mavuto ena amavomerezana kwambiri pa chiwerewere chimodzi.
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