Yawancin cututtuka na gastrointestinal fili sun amsa lafiya sosai kuma ba sa haddasa rikici. Babban barazana shine mummunan kumburi, rukunin wanda ya haɗa da ƙananan ƙwayar cuta ko ƙananan ƙwayar cuta (granulomatous, yanki na yanki).
Kwayar Crohn - haddasawa
Doctors ba su gano ainihin dalilin da yasa wannan farfadowa ta taso ba, akwai ƙananan ra'ayoyin asali. An gabatar da asali na ƙananan gida:
- Halittar kwayoyin halitta;
- rikon kwatsam;
- hoto ko bidiyo mai zagaya yanar gizo da sauri.
Crohn ta cuta - rarrabuwa
Akwai nau'i-nau'i na cutar da aka bayyana, wanda aka raba zuwa kungiyoyi da yawa dangane da ganowa da tsarin ƙwayoyin cuta, da tsananinta, yanayi da wasu dalilai. Bisa ga ka'idodin duniya na yau da kullum, ƙananan ƙwayar cutar (Crohn) an kwatanta shi bisa ka'idoji 4:
- shekaru na haƙuri;
- phenotype na cutar;
- localization na kumburi;
- tsanani na pathology.
Ƙungiyoyi da tsoho:
- har zuwa shekaru 16 (A1);
- daga shekaru 17 zuwa 40 (A2);
- bayan shekaru 41 (A3).
Kwayar Crohn ya dogara ne da phenotype:
- mai kumburi (B1) - bambance-bambance ba wuya ba ne, wani lokacin launi na jiki ya haɗa;
- Tsayawa ko stenosing (B2) - ganuwar intestine suna raguwa, akwai ƙaddarar rigakafi ko ƙyama;
- Penetrating (B3) - akwai fistulas, mai kumburi da abscesses.
Yanayi ta hanyar maganin pathology:
- binitis (L1) - ileum;
- colitis (L2) - babban hanji tsakanin makafi da madaidaiciya;
- ileocolitis (L3) - kowane wuri a tsakanin dubura da ɓangaren ɓangaren babban hanji;
- gabobin ɓangaren gastrointestinal babba (L4).
Nauyin cutar ta hanyar tsanani:
- haske;
- matsakaici;
- high;
- remission;
- ƙari;
- jinkirta sakewa.
Crohn ta cuta - bayyanar cututtuka
Bayanin asibiti na alamun da aka gabatar da shi ya dace da digiri, ƙayyadewa da kuma tsawon lokacin ƙaddamar da ƙwayar cuta, yawan sauyawa da sauran dalilai. Akwai wasu alamu masu ban mamaki da ke haɗuwa da ƙananan ƙwayar cuta - alamu na al'ada:
- zazzabi ko rugujewa;
- rashin ƙarfi;
- miki wuya;
- rage jiki nauyi;
- ciwo na ciki;
- rashin ci;
- Diarrhea yana da fiye da makonni 6.
Caminar catarrhal
Irin wannan cututtuka yana cike da ƙonewar kawai ƙwayoyin mucous na jikin jikin gastrointestinal. Kwayar Crohn na siffar catarrhal zai iya kasancewa tare da bayyanar cututtuka da kuma cututtuka. Ƙungiyar farko ta bayyanar ta asibiti ta ƙunshi:
- zafi, yin koyi da m appendicitis ;
- Nausea;
- anorexia;
- vomiting;
- Tsarewa;
- na kullum zawo.
Extraintestinal alamun Crohn ta cuta:
- conjunctivitis, uveitis ko keratitis;
- aphthous stomatitis;
- sclerosing cholangitis ;
- cirrhosis;
- pyelonephritis;
- nakasar ciwon hanta;
- cholelithiasis;
- cystitis;
- hydronephrosis;
- cholangiocarcinoma;
- amyloidosis na kodan;
- nephrolithiasis.
Terminal follicular ileitis
A cikin submucosa na bakin ciki da kuma ileum, yawan adadin Peyer's plaques suna samuwa. Waɗannan su ne ƙwayoyin lymphoid na musamman, waɗanda aka tsara domin samar da immunoglobulins. Ƙunƙashin ƙwaƙwalwa yana shafar irin waɗannan sifofi, wanda ya haifar da alamomin bayyanar da aka rigaya da kuma ƙarin bayyanuwar asibiti:
- iya yiwuwa zuwa ciwon cututtuka, musamman cututtuka na hoto ko bidiyo mai zagaya yanar gizo da sauri;
- ankylosing spondylitis;
- nodal erythema;
- pyoderma gangrenous;
- angiitis;
- matakai m;
- ƙwayar cuta daya;
- peritonitis;
- darussan ƙyama;
- ƙananan ƙwayoyin intra-abdominal;
- raguwa da lumen da hanzarin hanji;
- ƙara karuwa a yanayin jiki.
Madacciyar ƙananan kamfanoni
Wannan cututtukan Crohn ne ke haifar da samuwar mummunan cututtuka a kan jikin mucous membranes na gastrointestinal tract. Kuna ƙonewa a hade tare da matakai mai laushi yana dauke da daya daga cikin mawuyacin haɗari na ƙananan ƙwayar cuta, wanda zai haifar da mummunar haɗari da kuma hadarin gaske. Ulcerous Crohn ta cuta - manifestations:
- perforation na na hanji ganuwar;
- zubar da ciki;
- mai guba megacolon;
- abscesses saboda ƙananan kamuwa da cuta.
Kwayar Crohn - ganewar asali
Hoto na asibiti na ƙananan ƙwayar cuta ba ƙayyadaddu ba ne, sabili da haka a farkon magungunan gastroenterologist ya ware wasu cututtuka da dama tare da alamu iri ɗaya. Yana da mahimmanci don rarrabe kwayoyin cututtuka, tare da cututtukan cututtuka, da kuma cututtukan Crohn - bambancin ganewar da aka yi tare da irin waɗannan cututtuka:
- hadarin;
- appendicitis;
- salmonellosis;
- Koma;
- shigellosis;
- colitis;
- ciwon tarin fuka;
- angiitis;
- gonorrheal ko chlamydial proctitis;
- Aminiya;
- lymphoma na hanji.
Ana amfani da hanyoyi na kayan aiki da kayan aiki don tabbatar da alamar kamfanoni:
- Taswirar;
- endoscopy da biopsy;
- radiyo na ɓangaren ciki;
- haɗakar jiki ko tsinkaye na ciki na hanji tare da bambanci.
Kwayar Crohn - gwaje-gwaje
Laboratory bincike kuma taimaka wajen kafa daidai ganewar asali. Babban hanyar gano kwayar cutar Crohn shine gwajin jini:
- don magunguna ga Saccharomyces cerevisae (wanda ake kira ASCA);
- na kowa;
- biochemical;
- immunological.
Bugu da ƙari, ana gudanar da bincike na stool:
- bacteriological;
- zuwa matakin calprotectin;
- parasitic.
Crohn ta cuta - magani
Saboda rashin sanannun sanannun maganganun da aka kwatanta da ilimin likita, ba a riga an ci gaba da maganin farfadowa na musamman don cirewa ba. Dukkan zaɓuɓɓuka, yadda za a bi da cutar Crohn, tafasa don dakatar da tsarin ƙwayar cuta, hana rikice-rikice da sakewa. Babban hanyoyin maganin magani ne da abinci. A yayin da ake fuskantar sakamakon ƙananan cututtuka, ƙwayar hannu ta yi.
Crohn ta cuta: magani - kwayoyi
Babbar jagorancin maganin cutar ita ce kawar da ƙonewa da kuma sake gyara tsarin al'ada. Terminal Ileitis - jiyya ya shafi abubuwan da ke biyo bayan wadannan abubuwa:
- glucocorticoids - Prednisolone, Methylprednisolone;
- salicylates - Mesazalin, Sulfasazalin;
- immunosuppressants - Methotrexate, Azathioprine;
- Harshen duniyar - Budesonide, Beklazone;
- maganin rigakafi - Rifaximin, Ciprofloxacin ;
- nazarin halittu na aikin injiniya na kwayoyin halitta - Etanercept, Infliximab da sauransu.
Cibiyar Crohn ta ci gaba da bincike, don haka masana kimiyya suna neman sababbin hanyoyin da za su magance matsalolin mota. Zaɓuɓɓuka mai yiwuwa ne:
- masu haɗakar da masu karɓa na intgrin - Vedolizumab;
- Rayuwan mai bada gudummawa ko kwayoyin canzawa;
- sorbents;
- conjungated linoleic acid;
- DNA sequencing;
- shirye-shiryen nanotechnological;
- enzymes;
- plasmapheresis;
- kwayoyin sutura - polychrome;
- ajiyewa a cikin ɗakin murya;
- na nufin marijuana - Naltrexone;
- Alamar plasmabsorption;
- maganin alurar rigakafi da cututtukan zuciya;
- shirye-shirye dangane da qwai na tsutsotsi na porcine (TSO) da sauransu.
Tare da cutar Crohn
Dukkan marasa lafiya tare da likitan gastroenterologist tare da ganewar asali sune dole ne a ba su abinci na musamman. An zabi rage cin abinci don ƙananan ƙwaƙwalwa don la'akari da yanayin yanayin cutar da kuma fuskantar rikitarwa. Da sauƙin nauyin ilimin lissafi, yawancin abinci ana barin su cinye. Gina na sinadaran kwayar cutar Crohn ta ƙunshi banda:
- sabo da gari da burodi;
- fashewar;
- arziki mai laushi;
- kayan lambu da hatsi;
- kyafaffen kayayyakin;
- madara da dai sauransu.
- nama mai kifi, kifi;
- abinci gwangwani;
- sha'ir, gero, sha'ir sha'ir;
- wake;
- kowane Sweets;
- kayan lambu;
- ruwan sanyi da carbonated;
- koko ko kofi tare da madara.
Abincin da aka ba da shawara:
- yayyafi daga kifin kifi mai ƙishirwa ko nama mai naman sa, steamed ko Boiled (ruwaye, cutlets da sauransu);
- Yawo daga mafi girma gari;
- calcined ko grated sabo ne gida cuku;
- mai raunana ko mai fatattun 'ya'yan itace tare da adadin kwaikwayo na nama, meatballs, gishiri mai hatsi na gishiri (daga mango, shinkafa);
- qwai (Boiled Boiled Boiled, Sana omelet);
- man shanu, kamar cikawa da yalwa;
- grated raw apples;
- oatmeal, shinkafa, semolina porridge a kan ruwa a cikin garbled siffan;
- kyan shayi;
- kofi ko koko akan ruwa;
- Berry 'ya'yan itace sha;
- ya'yan 'ya'yan itace masu tsami.
- kissel;
- Tsuntsaye na kare.
Yana da muhimmanci a ci sau da yawa kuma a cikin kananan ƙananan, ƙari kuma yana ɗauke da ma'adanai da bitamin, musamman kungiyoyin B, A, D, E da K. Idan ya cancanta, likita zai iya gyara abin da aka ba su na abincin (tebur 4 bisa ga Pevzner) bisa ga sigogi masu zuwa:
- fasali na pathology;
- tsanani na bayyanuwar asibiti;
- tsanani na bayyanar cututtuka;
- kasancewar rashin lafiya da rikitarwa;
- zaman lafiyar mutum;
- magunguna na maganin magani.
Kwayar Crohn - magani tare da magunguna
Yawancin girke-girke da dama sun taimaka wajen dakatar da tsarin ƙumburi da kuma mayar da narkewa daidai. Ta yaya za a bi da kulawa da ƙwayar ƙwayar cuta? Bambance-bambance, magunguna na da mahimmancin sakamako, don haka ana amfani da su azaman ƙarin matakan kiwon lafiya.
Anti-mai kumburi shayi
Sinadaran:
- furanni na chamomile kantin magani - 30-35 g;
- ruwan zãfi - 200-210 ml.
Shiri, yin amfani da:
- Zuba kayan lambu albarkatun kasa da ruwan zafi.
- Nace 1-3 hours.
- Sha dukan magani kafin cin abinci.
- Maimaita har zuwa sau 5-6 a rana.
Decoction da zawo
Sinadaran:
- Bilberry 'ya'yan itatuwa - 100-140 g;
- ruwa - 1 lita.
Shiri, yin amfani da:
- Tafasa berries a ruwan zãfi na minti 10.
- Yi nazari don samar da compote.
- Abin sha a lokacin rana.
Spasmolytic jiko
Sinadaran:
- Tushen marshmallow ne 100-150 g;
- ruwa - 50-80 ml.
Shiri, yin amfani da:
- Kurkura kuma a yanka a kananan ƙananan albarkatu.
- Zuba shi da ruwa mai sanyi a cikin zurfi mai zurfi, don haka ruwa kawai ke rufe tushen.
- Nace 6-10 hours.
- Drain da ƙananan gwagwarmaya a cikin wani akwati dabam.
- Sha 2 tsp 2-4 sau a rana, ƙara magani zuwa gilashin ruwa.
Antiulcer decoction
Sinadaran:
- Tsarkake licorice Tushen - 2-3 g;
- ruwa - 150-200 ml.
Shiri, yin amfani da:
- Tafasa kayan lambu albarkatun kasa a ruwan zãfi (minti 10-15).
- Nace rabin sa'a.
- Yi nazarin bayani.
- Sha wani magani tsakanin abinci sau uku a rana.
- Ki warke ba fiye da wata daya ba, to sai ku yi hutu kuma ku ci gaba.
Crohn ta cuta - sakamakon
Abun da aka bincikar yana da kyakkyawar hanya, sabili da haka yana cigaba da ci gaba kuma yakan haifar da yanayin haɗari. Crohn ta cuta - rikitarwa:
- fitowar feces cikin sararin samaniya;
- tsabtace mata ;
- ulceration of mucous membranes;
- dysbiosis;
- ciwon daji;
- abscesses;
- fistulas .
Saboda rashin cin zarafin na gina jiki, cutar Barill tana tare da:
- rashin tare da asarar nauyi mai nauyi;
- hypovitaminosis;
- dysbacteriosis.
Crohn ta cuta - prognostic
Kullum maganin maganin maganin lafiya ba zai iya ba, mutum zai kasance yana biye da abinci a kowane lokaci, tafiyar da farfadowa da kuma hana pathology. Yayin da mutum zai iya sarrafa kwayar cutar Crohn kawai - matsala ta rayuwa shine m,
- Biyaya da shawarwari game da tsarin samar da abinci;
- watsi da jaraba;
- ziyara kullum zuwa gastroenterologist;
- magani mai dacewa da rigakafin rikitarwa.