Ngati khalidweli likupezeka mu chidziwitso, limasonyeza matenda a Crohn
Granuloma ndi magulu osakanikirana a maselo. Granulomas amapanga mawonekedwe poyambitsa matenda kapena kutentha kwa dziko. Granulomas amatha kupanga mbali zosiyanasiyana za thupi, kuphatikizapo mapapo. M'thupi, pamene granulomas imawoneka, nthawi zina zimakhala chifukwa cha kutupa kwa m'magazi (IBD).
Maguluakulu a Matenda a Crohn's Disease
Granulomas sizowona za matenda a Crohn, koma ngati zowoneka ndi zothandiza kusiyanitsa pakati pa zilonda zam'mimba ndi matenda a Crohn.
Koma pamene granuloma imapezeka, ndipo wodwalayo ali ndi zizindikiro zomwe zimagwirizana ndi IBD, zingathandize dokotala kupeza matenda a Crohn's disease. Granuloma silingakhoze kuwonedwa pa colonoscopy chifukwa sichikuwonekera misala kapena mimba.
Akuti anthu 15 mpaka 25% ali ndi Crohn's disease omwe ali ndi granulomas. Pali chizoloŵezi chochepa cha amayi ambiri kuti akhale ndi granulomas kuposa amuna: kafukufuku umodzi wasonyeza 57% mwa odwala a Crohn omwe ali ndi granulomas anali akazi. Mtundu uwu wa matenda a Crohn nthawi zina umatchedwa granulomatous colitis. Granulomas sichikuwoneka pamimba kapena m'matumbo a odwala omwe ali ndi zilonda zam'mimba.
Kodi Granulomas Zimapezeka Bwanji?
Pa njira yoperekera mapuloteni (monga colonoscopy, pamwamba endoscopy, kapena sigmoidoscopy), timapepala tating'ono timatengedwa. Matupi amenewa akhoza kuyesedwa m'njira zosiyanasiyana. Zingathe kuonongeka kuti zigawo zazikulu za minofu ziwonekere bwino pansi pa microscope ndi katswiri wamagulu.
Pamene wodwalayo akuyang'ana matumbo a m'mimba, ma granulomas kapena mitundu ina ya maselo angawonekere.
Kodi Zimatanthauzanji Ngati Muli ndi Maguluakulu?
Kukhala ndi granulomas kawirikawiri amaganiziridwa kuti umasonyeza kuti ndi matenda a Crohn omwe alipo, osati mtundu wina wa IBD. Kaya kapena kuti pali granulomas amatanthawuza chinachake momwe matenda a Crohn ati apitirire akadakali kuphunzira.
Kafukufuku wina wasonyeza kuti anthu omwe ali ndi granulomas amapezeka kuti ali oyambirira pa matendawa. Mwatsoka, pamakhalanso mgwirizano pakati pa granulomas ndi mawonekedwe ovuta kwambiri a Crohn's disease omwe amafunika opaleshoni, chipatala kuchipatala, ndi zovuta monga mavuto.
Chifukwa Chimene Iwo Amakhalira
Chifukwa chakuti ma granulomas amapezeka nthawi zambiri mwa anthu omwe akuwonekera poyera ndi matenda a Crohn, pakhala pali lingaliro lalingaliro la chifukwa chake izi ziri choncho. Chifukwa chimodzi chomwe chafotokozedwa ndi chakuti granuloma ndi zotsatira za thupi lomwe likuyesera kuthana ndi chifukwa cha matenda a Crohn. Sitikudziwa chomwe chimayambitsa matenda a Crohn, ndipo ndithudi pali zifukwa zambiri, kugwira ntchito mogwirizana chifukwa cha kutupa. Lingaliro ndilo kuti pazifukwa zina (ndipo sitikudziwa kuti izi ndi ziti), thupi lingapangitse granuloma kuzungulira zilizonse zomwe zimapangitsa kutupa. Granuloma ndiyesa kuyimitsa khungu, kapena kuti ikhale yopanda phindu.
Kuti mutenge lingaliro limodzi pang'onopang'ono, chifukwa granulomas amapezeka kawirikawiri mwazimayi, izi zimapangitsa kuganiza kuti pangakhale mahomoni okhudzidwa. Inde, palibe chilichonse chomwe chimadziwika bwino, ndipo, monga mbali zambiri za IBD, granulomas akadali mutu womwe uli pansi pano.
Kutchulidwa: gran-yoo-LO-muh
Zotsatira:
Freeman HJ. "Matenda a Crohn's positive granuloma." Kodi J Gastroenterol . 2007 Sep; 21: 583-587. 4 Feb 2016.
Kelly JK, Sutherland LR. "Mndandanda wa zochitika motsatizana ndi matenda a Crohn's disease." J Clin Gastroenterol . 1988; 10: 28-33. 4 Feb 2016.
Yarur AJ, Strobel SG, Deshpande AR, Abreu MT. "Zowonongeka za Matenda Opatsirana Opweteka Ambiri." Gastroenterol Hepatol (NY). 2011 October. 7: 652-659. 4 Feb 2016.