Chirwere chisingaperi chekuzvimba bowel chirwere: zviratidzo uye kurapwa kwechirwere cheCrohn uye ulcerative colitis

Chronic inflammatory bowel disease (IBD) inoreva zvirwere zvekudzivirira zvirwere zvine chirwere chisingaperi uye chinowanzoitika.

Zvirwere izvi zvinobata varwere vevanhurume nevanhukadzi uye zvakanyanya kunyanya pakati pekuyaruka kusvika pamakore makumi mana nemashanu.

Iyo data inoratidzawo kuwedzera kwezviitiko mumakumi emakore apfuura.

Chirwere cheCrohn uye ulcerative colitis zvirwere zviviri zvakaoma zvinokanganisa zvakanyanya mararamiro ehupenyu hwemurwere uye izvo zvakakosha kuti murwere anoteverwa nereferensi centre, zvose muchikamu chekuongorora uye mukutarisira kwechirwere.

Chirwere chisingaperi chekuzvimba bowel: Chirwere cheCrohn uye ulcerative colitis, chii zvikonzero?

Zvikonzero zveCrohn's disease uye ulcerative colitis hazvisati zvanyatsoongororwa, sezvo zvinotsanangurwa sezvirwere zvakawanda, uye naizvozvo zvinongozivikanwa zvishoma.

Zvirwere izvi zvinokonzereswa nekusaita immune system mumatumbo kune mamwe maantigen, senge mabhakitiriya kana zvikamu zvawo zvinogara zviripo muura.

Kazhinji, zvirwere izvi zvinoitika muvanhu vane nhoroondo yemhuri kana genetic predisposition, asi hazvigone kutsanangurwa senhaka.

Ndezvipi zviratidzo zveCrohn's disease uye ulcerative colitis?

Chiratidzo cheCrohn's chirwere chinowanzo gara kwenguva refu (chinoramba chiripo kwemavhiki anopfuura mana), kunyange usiku, chinosangana nemarwadzo emudumbu uye mazamu, dzimwe nguva nekurasikirwa kweropa kwakasanganiswa nemarara, uye nefivha inoitika manheru, kana nekubatana. kurwadziwa.

Murwere anowanzova nekurasikirwa kukuru kwehuremu.

Dzimwe nguva chirwere chinogona kuzviratidza mu anus ne fistulas kana kuunganidza pus (abscesses).

Ulcerative colitis inoratidzwa nemanyoka akavhenganiswa neropa, kunyange usiku, akabatanidzwa nemarwadzo emudumbu uye makumbo.

Iko kunowanzoita defecatory kukurumidza, nekunetseka mukubata chishuwo, uye kubuda kwevhoriyamu diki kana kunyange kungova mucus neropa.

Chirwere chisingaperi chekuzvimba bowel, zviratidzo zvekutaura

Zviratidzo zvinosanganisirawo 'kuneta', uko kunozviratidza sekuneta kwakanyanya pasina chikonzero uye kune kukanganisa kwakanyanya pahupenyu hwemurwere, hwemagariro uye hwekushanda.

Majoini, ganda, ziso uye matambudziko echiropa anogonawo kubatanidzwa nezvirwere izvi: izvi ndezvekudzivirira-kupindirana kwekuwedzera-mudumbu zviratidzo, izvo mune dzimwe nguva zvinogona kunyange kutarisira zviratidzo zvechirwere nemakore mashomanana.

Kukosha kwekuongororwa kwakarurama uye nekukurumidza kwezvirwere zvisingaperi zvinoputika

Muvarwere vane ulcerative colitis uye chirwere cheCrohn, nguva ndiyo yakakosha: kuziva chirwere ichi nekukurumidza nekuongororwa kwakarurama kunoita kuti zvikwanisike kugadzirisa kurapa kune murwere mumwe nomumwe uye izvi zvinopa mukana mukuru wechirwere chinoramba chiri pasi pesimba.

Muzvirwere zvese izvi nyaya yekunonoka kuongororwa inomuka.

Dambudziko rekunonoka kuongororwa rinonyanya kushanda kune chirwere cheCrohn, icho dzimwe nguva chinovhiringika nekutsamwa kwe bowel syndrome: mune vanopfuura 30% yevarwere, zvirwere zviviri izvi zvinogara, izvo zvinonetsa zvose pakuongororwa uye panguva yekutevera.

Pamusoro pezvo, varwere vanowanzojairira hupenyu hwakadzikira, zvekuti kunyangwe vachitambura nezvimwe zvichemo, semuenzaniso zvikamu zvemanyoka zvakati wandei pazuva, vanononoka kuongororwa uye, semhedzisiro, kuongororwa uye nguva yekurapa inowedzerwa. .

Iyi njodzi inofanira kudziviswa, nokuti nekurapa murwere anogona kuwana kutonga kwakanaka kwezviratidzo uye nokudaro anovandudza mararamiro ake.

Chirwere cheCrohn uye ulcerative colitis: ndeapi marapirwo?

Kuti uone kuvepo kwechirwere chechirwere chechirwere chechirwere chisingaperi, nyanzvi ichabatanidza kuongororwa kwechinangwa nekutevedzana kwezvidzidzo zvekushandisa, zvakadai se ileocolonoscopy, abdominal ultrasound, magnetic resonance imaging uye kuongorora ropa.

Kana hosha ichinge yaonekwa, zvichienderana nekukura kwayo uye danho rekuoma kwayo, nyanzvi inogona kupa mishonga yakajairika kana yepamusoro, chinangwa chikuru chiri kuchengetedza chirwere ichi nekudzivirira kufambira mberi kwekukuvara kwematumbo.

Kunyange zvazvo munguva yakapfuura chinangwa chekurapa kwezvirwere izvi chaingova pachiratidzo, nhasi kunewo kusimbiswa kwakasimba pakurapa zvipembenene (zvakadai semaronda emudumbu).

Rapa kuti utarise mune chisingaperi chinozvimba bowel chirwere

Nzira yatinoshandisa ndiyo inodaidzwa kuti 'treat to target' nzira, kureva kurapa kwakanangana nekuvandudza zviratidzo, kuvandudza mhinduro dzebvunzo uye kudzoreredza kuvimbika kwemukati mucosa.

Iyi nzira inogadziriswa panguva yekutevera, kana zvichidiwa nekugadzirisa nzira yekurapa.

Mune zvimwe zviitiko, kurapwa kwezvinodhaka hakuna kukwana uye kuvhiyiwa kunodiwa.

Zvakakosha kuteverwa munzvimbo yekutumira, sezvo kutungamira kwemurwere kunoda kugara uye nguva dzose uye kunosanganisira kushanya, kuongororwa ropa uye mamwe maedzo ekuongorora, kuitira kuchengetedza chirwere chiri pasi pesimba uye kudzivirira kana kuderedza kukuvara kwematumbo uye njodzi. yehurema hwakazotevera.

Verenga Uyewo:

Wales 'Bowel Kuvhiya Rufu Rufu' Yakakwirira Kupfuura Yaitarisirwa '

Irritable Bowel Syndrome (IBS): Iyo Benign Mamiriro Ekuramba Uchidzora

Colitis uye Irritable Bowel Syndrome: Ndeupi Musiyano uye Sei Kusiyanisa Pakati Pazvo?

Irritable Bowel Syndrome: Zviratidzo Zvaunogona Kuzviratidza Nadzo Nadzo

Source:

Humanitas

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