Chirwere cheCrohn chinoreva zvirwere zvegumbo remimba. Inonziwo inogara isingagadziriswi inonzi ulcerative colitis, nokuti kunyanya kuputika kunowira mudumbu.
Chimiro chechirwere chacho chakaoma, uye vanachiremba havazive zvizere zvinokonzera Crohn's disease. Iyo inobatanidzwa nemagadzirirwo emagetsi, ayo ari kunyatsodzidza mukurapa.
Kwenguva yokutanga chirwere chacho chakatsanangurwa neAmerican gastroenterologist Bernard Krohn muna 1932, izvo zvakakonzera kusingaperi mumakumbo ulcer colitis ndokupiwa zita rechipiri.
Pathogenesis yeCrohn's disease
Nhasi, vanachiremba vanotaura zvitatu zvinowedzera zvakanyanya mukana wekuvandudza chirwere ichi:
- genetic;
- infectious;
- immunological.
Saka, panzvimbo yekutanga pakati pezvinokonzera kukonzera chirwere cheCrohn's genetic factor. Masayendisiti anofungidzira kuti mu17% yevarwere, hama dzaiva nechirwere chakafanana, uye izvi zvinoreva kuti mukana wekuwedzera zvirwere zve Crohn unowedzera nekuda kwekuzvarwa. Uyewo, sainzi inoziva kuti kana umwe wehama akawana chirwere ichi, zvinoreva kuti chichabuda mune rechipiri.
Basa rehutachiona haritsigiri nhasi, asi izvi hazvibvumi kufunga kuti utachiwana hwehutachiwana kana hutachiona hunokurudzira kukura kwechirwere cheCrohn (kunyanya, pseudotuberculosis bacteria).
Ichokwadi kuti nhengo dzeCrohn's disease dzinogadziriswa dzinoputira masayendisiti kune pfungwa yokuti chirwere ichi chinokonzerwa nemaitiro ekudzivirira. Varwere vaiongororwa vakanga vawedzera T-lymphocyte count, uyewo ma antibodies kune E. coli. Zvinokwanisika kuti ichi hachisi chikonzero chechirwere, asi chikonzero chekurwa kwechirwere nechirwere.
Zviratidzo zveCrohn's Disease muVakuru
Zviratidzo zvehutachiona hweCrohn zvinoenderana nekuwana kwechirwere uye nguva yehutachiona. Ichokwadi ndechokuti chirwere ichi chinogona kukanganisa chirwere chose chekudya, kubva pamuromo wemuromo uye kuguma nemukumbo. Tichifunga nezvekuti hutumbu hunowanzobatwa, zviratidzo zvinogona kugoverwa muhutachi uye mumukaka.
Zvose zviratidzo zveCrohn's disease zvinosanganisira:
- kushaya simba;
- kuneta;
- simuka pakupisa.
Utachiona hwezvirwere hweCrohn's disease:
- diarrhea;
- kurwadziwa, kukanganisa appendicitis;
- nausea;
- kurutsa;
- anorexia;
- kurasikirwa nokurema;
- bloating of the intestine.
Uyewo chirwere cheCrohn chinogona kukanganisa dzimwe nhengo nemaitiro:
- zviratidzo zveziso - conjunctivitis, uveitis, keratitis;
- articular zviratidzo - ankylosing spondylitis, monoarthritis;
- zviratidzo zvemuromo - stomatitis;
- zviratidzo zveganda - angiitis, erythema;
- zviratidzo zvehepatic - chiropa dystrophy, cirrhosis;
- renal zviratidzo - cystitis , pyelonephritis, hydronephrosis, nephrolithiasis, amyloidosis yeitsvo.
Chirwere cheCrohn chinosangana nematambudziko anotevera:
- kutaridzika kwemukati fistula, kuputika kwechionda , peritonitis;
- kuputika kunotungamirira kukuvara kwechigunzva kunogona kutungamirira kune kuderera kwechiedza uye kukonzera kuvhara mumimba;
- nekuda kwevonda, kubuda mukati kunogona kuzarurwa;
- nekuda kwefistura, nhengo dzomukati dzinogona kutapukirwa nehutachiona - chivako, chibereko.
Izvi zvinetso zvinoshandiswa muzvisikwa uye zvinobviswa nenzira yakakodzera.
Inguva yakareba sei kuwedzera kwechirwere cheCrohn kunopera?
Zvichienderana nemufananidzo mumwe chete wechirwere ichi, kuvapo kwezvinetso uye kukwanisa kwomuviri kubvisa kupisa, chirwere cheCrohn chinogona kugara kubva
Zviratidzo zveCrohn's disease
Pasinei nokuti mune dzimwe nguva nguva yekugara muupenyu inowanzoonekwa nevarwere vane chirwere cheCrohn, zvisinei, chiyero chekufa kwechikamu ichi chevanhu chinodarika chiyero kaviri kana ichienzanisa nevakawanda vagari vemo.
Kuongororwa kwechirwere cheCrohn
Nzira dzinoverengeka dzinoshandiswa kuongororwa neCrohn's disease:
- endoscopy;
- kuongorora ropa;
- X-ray;
- Ultrasound;
- computed tomography.