Izimpawu nokwelashwa kwesifo sikaCrohn zifana kakhulu nezilonda zesisu esiswini. Kodwa uma ungena ekufundeni kwalesi sifo, ukungafani okunye kungatholakala. Lesi yisifo esingelapheki segciwane lokugaya, elinemvelaphi evuthayo. Noma iyiphi ingxenye ye-mucosa ingawa ngaphansi kokuhlaselwa. Njengoba umkhuba ubonisa, lesi sifo asishiyi amadoda noma abesifazane.
Izimbangela nokubonakaliswa kwesifo sikaCrohn
Kuze kube manje, ochwepheshe balahlekelwa ngombono, bangazi ukuthi yini ebangela lesi sifo. Kuboniswa kuphela ukuthi lokho okushiwo yilokho kungakuthola ifa.
Kukholelwa ukuthi lesi sifo siqala lapho ama-antibodies emathisini amathumbu aqala ukwakha. Lokhu kungenziwa lula ngokubhema kanye nezinqubo ezizenzakalelayo. Izici zengozi ngokuvamile:
- ukudluliselwa kwezifo;
- ukucindezeleka;
- ukucindezeleka ngokomzwelo nangokomzimba;
- ukudla kokungezwani komzimba.
Ukuze uhlaziye ngesikhathi futhi uqale ukwelashwa kwesifo sikaCrohn, udinga ukucacisa ngokuhamba kwesikhathi izimpawu zayo. Kulula kakhulu ukudidanisa nokubonakaliswa kwezifo eziningi eziningi emaphethweni omathumbu. Ngakho-ke, izinyathelo ezifanele zisesimweni eziningi zithathwe kakhulu kakhulu.
Izimpawu ezisemqoka zesifo sikaCrohn, okumele kususwe ngokuphuthumayo ukwelashwa kwezidakamizwa kanye namakhambi omuntu abukeka kanje:
- ubuhlungu besisu;
- umkhuhlane;
- ubuthakathaka;
- ukwehla okubukhali kwesisindo somzimba;
- ukubonakala kokungcola esitokisini;
- isifo sohudo;
- ukuwohloka kwesifiso;
- ukuqhuma njalo;
- ukuhlanza;
- pseudopolyposis;
- ukuthuka ebusuku .
Kunezibonakaliso ezengeziwe zamathumbu esi sifo:
- i-dermatitis;
- amyloidosis;
- i-osteoporosis;
- ukuphazamiseka kwesibindi kanye ne-biliary tract;
- i-arthritis;
- isikhombisi
- i-vasculitis;
- ukuvuvukala kwamehlo;
- i-pyoderma;
- i-anemia;
- umkhuhlane;
- i-stomatitis;
- i-uveitis;
- udilika phezu kwezindebe;
- iridocyclitis.
Ukuxilongwa kanye nezindlela ezintsha zokwelashwa kwesifo sikaCrohn
Ngokusekelwe kwezikhalazo zesiguli kuphela, akulula ukuyihlolisisa. Ukuze uqinisekise lesi sifo, udinga ukuhlolwa okuphelele, okungahlanganisa:
- ukuhlola igazi kwe-laboratory;
- ukuhlolwa kwakhe;
- i-transrectal ultrasound;
- i-colonoscopy ene-biopsy ehlosiwe;
- I-Irrigoscopy ;
- i-irrigography;
- ukudweba nge-leukocyte eqoshiwe;
- endoscopy.
Lezi zifundo zizosiza ekuqedeni ukugula okufanayo.
Imithi yesifo sikaCrohn ibhekwa njengenhle. Ukwelashwa kuhilela ukufaka ama-salicylate, ama-immunosuppressants, i-glucocorticoids, ama-hormone. Kwezinye izimo, ama-antibiotic ayasebenza (futhi ngokufanele, kunesizathu sokukholelwa ukuthi ngesinye isikhathi lesi sifo sibangelwa amagciwane).
Indlela ethandwa kakhulu yokulwa nesifo sika Crohn:
- Sulfasalazine;
- Azathioprin;
- I-Balsalazide;
- I-Pentasa;
- Ciprofloxacin;
- Mesalazine;
- I-Metronidazole.
Ukwelashwa kokuhlinzwa kwesifo sikaCrohn
Ukwelashwa okuhlinzekwayo, ochwepheshe basebenza kuphela ezimweni ezimbi kakhulu, lapho imithi ingasebenzi, futhi ukumukelwa kwabo akulethi umphumela okulindelekile.
Ukwelapha okuhlinzekwayo kungaba nokwehla kwe-stricturoplasty - ukwandiswa kokuqina, - ukuvuvukala kokuvuvukala noma ukubeka ama-anastomoses ukudlula izicubu ezithintekile ne-fistula.
Ukwelashwa kwesifo sikaCrohn ngamakhambi nezinye izindlela zomuntu
Uma uthemba kuphela imithi ehlukile, awukwazi ukufeza ukukhululwa okuqinile kwesifo. Kodwa uma uhlanganisa
Lapho isifo sikaCrohn sisiza ukugonywa nezimbungulu:
- i-yarrow;
- Wort St. John's wort;
- i-plantain;
- izimpande zelayisensi;
- i-chamomile;
- umsuka we-marshmallow.