Matenda a Crohn Angakhudze Mbali Zina za Tsamba Labwino

Mlomo, Esophagus, Stomach, ndi Perianal Area Angathandizenso

Anthu ambiri amva za Crohn's disease, koma mwina sakudziwa kuti zikutanthauza wodwala yemwe ali ndi matendawa. Ngakhale kuti matenda a Crohn angakhale ndi dzina linalake, mwina sangadziwike kuti ndi mtundu umodzi wokha wa matenda opatsirana (IBD) , ndipo ulcerative colitis ndi mtundu wa IBD. Matenda a Crohn amakhudza chimbudzi, ndipo pamene anthu ambiri amatanthauza matumbo, matenda a Crohn angakhudze mbali zina za thupi. Nazi zina mwa ziwalo za thupi zomwe Crohn's matenda angakhudze.

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Matumbo aang'ono ndi aakulu

Matumbo aang'ono ndi aakulu ndi malo ambiri omwe amadwala matenda a Crohn. Anthu ambiri amakhulupirira molakwa kuti ndi matumbo okha omwe amakhudzidwa. Koma matumbo akuluakulu amachitanso kachilombo ka Crohn, ndipo pafupifupi 20 peresenti ya anthu ali ndi matenda okha m'matumbo akuluakulu (omwe amatchedwa Crohn's colitis).

Mtundu wochuluka wa Crohn's, womwe umakhudza odwala 45%, amatchedwa ileocolitis ndipo umakhudza gawo lomaliza la intestine yaing'ono (ileum) ndi matumbo akuluakulu. Njira yachiŵiri yofala kwambiri, ileit, imakhudza odwala 35% ndipo imakhudza leamu. Zigawo zimakhala zothandiza pulogalamu ya chithandizo, ndipo mtundu wa Crohn's disease wodwalayo akhoza kusintha ngati ziwalo zina za m'mimba zimakhudzidwa.

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Mlomo

Vuto lina limene ambiri omwe ali ndi IBD amakhala ndi aphthous stomatitis , omwe ali zilonda pakamwa. Akuti anthu 20 mpaka 30% omwe ali ndi matenda a Crohn ali ndi vutoli. Zilonda zimayamba kuchitika pamene matenda a Crohn akugwira ntchito, koma amatha kupezeka panthawi yamakhululukanso .

Anthu omwe ali ndi matenda a Crohn amatha kukumana ndi mavuto osiyanasiyana pakamwa, monga kutupa pamilomo kapena lilime. Nthawi zina mavuto omwe amapezeka pakamwa amakhala ochepa chifukwa cha kuchepa kwa vitamini, zomwe zimapezeka mwa anthu omwe ali ndi IBD. Ngati pali kusanza kwambiri, mano a mano akhoza kugwa pansi, kuchititsa mavuto a mano. Anthu omwe ali ndi IBD amafunikanso ntchito yambiri ya mano, ndipo amatha kudwala matendawa.

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The Esophagus

Matenda a Crohn ndi osowa ndipo amawerengeka pafupifupi 1% mwa odwala, omwe amawachititsa kukhala osowa. Pamene mthendayi imakhudzidwa ndi matenda a Crohn, imayambitsa mavuto ndi kumeza ndi kuyambitsa kutentha kwa mtima. Ngati mukuganiza kuti Crohn's matendawa ndi ofunika, mayesero monga aposcopy apamwamba angapangidwe kuti ayang'ane kutupa kapena zovuta zina monga zizindikiro kapena fistula.

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Mimba

Pa odwala asanu (5%) omwe ali ndi matenda a Crohn, mimba ingakhudzidwe. Mitundu iwiri yomwe imakhudza mimba imatchedwa jejunoileitis ndi matenda a Crohn's Disease. Mujjunoileitis, mbali yapakati ya m'mimba, yomwe imatchedwa jejunum. amakhudzidwanso. Mu matenda a Crohn's disease, gawo loyamba la matumbo aang'ono, a duodenum, amakhalanso ndi moto. Nthawi zina, matendawa a Crohn amayamba kuganiza kuti ndi zilonda za m'mimba , koma ngati zizindikiro zikupitirira, zimapezeka kuti kenako ndi matenda a Crohn.

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Perianal Area

Malo a perianal ndi khungu ndi dera lozungulira anus. Matenda a Crohn okhudza malo a perianal ndi ofala kwambiri. Zina mwa mavuto omwe angakhoze kuchitika ndi monga mapiritsi a perianal, fistula , fissures anal, ndi zotupa . Chiphuphu ndikutenga magazi ndi mafinya, ndipo anthu 85 mwa anthu 100 alionse omwe ali ndi matenda a Crohn akhoza kukhala ndi moyo pa nthawi ya matenda awo.

Mazimayi angapangitse kuti fistula ipangidwe, zomwe zimagwirizana pakati pa ziwalo ziwiri kapena pakati pa thupi ndi khungu. Zotsatira za kafukufuku awiri zimalingalira kuti kupweteka kwa anal, komwe kumakhala kocheperako mu ngalande ya ana, kungakhudze kulikonse pakati pa 44% ndi 85% a anthu omwe ali ndi matenda a Crohn. Matenda a mitsempha, pamene ali ambiri mwa anthu ambiri, sakhala ndi nkhawa zambiri mwa anthu omwe ali ndi matenda a Crohn.

_Chitsime:

_{Safar B, Sands D. "Matenda a Katolika a Crohn." Chipatala cha Clinol Chikulire Chokwanira . 2007 Nov; 20 (4): 282-293. ndi: 10.1055 / s-2007-991027 8 Oct 2015.}

Kufunika Kogwira Matenda a Crohn

Matenda a Crohn angakhudze mbali iliyonse ya mimba, ndipo matumbo akuluakulu ndi aang'ono ndi malo omwe amapezeka kwambiri. Komabe, kutupa kumatha kuchitika kumadera ena komanso, ndipo izi zikhoza kukhala zachilendo. Pamene zizindikiro zatsopano zikuchitika Anthu omwe ali ndi matenda a Crohn ayenera kuyandikana kwambiri ndi azimayi awo kuti athetse matenda awo.