Chirwere cheCrohn - Ndingaziva sei nekubata chirwere ichoitis?

Zvirwere zvakawanda zvemuviri wepamuviri zvinopindura zvakanaka kurapwa uye hazvikonzeri zvinetso zvinokuvadza. Icho chinotyisa ndechekusagadzikana kusingaperi, boka rayo rinosanganisira kuguma kana kuti kutenderera kweiyoiitis (granulomatous, regional enteritis).

Chirwere cheCrohn - zvinokonzera

Vanachiremba vasati vava kuziva chaizvoizvo nei chikonzero ichi chichibuda, pane zvishoma zvinyorwa zvaro zvabva. Zvirongwa zvinokonzera kushandiswa kwechirevi:

• genetic mutations;
• autoimmune disorders;
• hutachiona kana mabhakitiriya.

Chirwere cheCrohn - chikamu

Kune mhando dzakawanda dzezvirondedzwa zvirwere, izvo zvakakamurwa kuva mapoka mashoma zvichienderana nekunzvimbo yezvokuvhiringidza, kusimba kwayo, zvisikwa nezvimwe zvinhu. Maererano nemazuva ano emitemo yepasi rose, chirwere chinonzi terminal terminal (Crohn's disease) chinorongerwa maererano nemitemo yechina:

• zera remurwere;
• phenotype of the disease;
• kunzvimbo yekuputika;
• kuoma kwehutachiona.

Makira nezera:

• kusvika kumakore gumi nematanhatu (A1);
• kubva pamakore makumi maviri kusvika pamakumi mana (A2);
• mushure memakore 41 (A3).

Chirwere cheCrohn chinoenderana ne phenotype:

• kuvhiringidzika (B1) - chirwere hachina kuoma, dzimwe nguva chirungu che perianal chinosangana;
• Kurongedza kana kupisa (B2) - masvingo emukumbo akaomeswa, pane chirevo chekuwedzera kana kuparadza;
• Kupindira (B3) - kune fistula, masimba ekuvhiringidza uye abscesses.

Mhando dzehutano nehutano:

• ileitis (L1) - ileum;
• colitis (L2) - hutumbu hukuru pakati pemapofu uye yakananga;
• ileocolitis (L3) - chero nzvimbo pakati peiyo rectum uye inokwira chikamu chemukati mudumbu;
• nhengo dzepamusoro mamatumbo (L4).

Mafomu echirwere ichi nechisimba:

• chiedza;
• moderate;
• kumusoro;
• remission;
• kuwedzera;
• chiitiko chekare chinotevera.

Chirwere cheCrohn - zviratidzo

Chipatara chezviratidzo zvehutano hunoenderana nehuwandu hwahwo, nzvimbo uye nguva yenguva yekuvhiringidza, huwandu hwekudzoka zvakare nezvimwe zvinhu. Kune zvimwe zviratidzo zvisingaoneki zvinotenderera nechokuguma neitis - zviratidzo zvehutano hwakawanda:

• fivhiri kana kuderedzwa;
• kushaya simba;
• nguva dzose kuneta;
• kuyerwa kwemuviri;
• kurwadziwa kwepamuviri;
• kusava nenzara;
• Diarrhea inogara kwenguva inopfuura masvondo matanhatu.

Terminal catarrhal leitis

Urwu urwere hwehutano hunoratidzwa nekuputika kwechikamu chemukati chemuviri wezvikamu zvemuviri wepamuviri. Chirwere cheCrohn chemufananidzo weCatarrha chinogona kuendeswa nemukaka uye zviratidzo zvisingatauriki. Boka rokutanga remakiriniki ekuratidzira rinosanganisira:

• kurwadziwa, kutevedza maitiro ekuwedzera appendicitis ;
• nausea;
• anorexia;
• kurutsa;
• bloating;
• chisingaperi.

Zviratidzo zvisinganzwisisiki zveCrohn's disease:

• conjunctivitis, uveitis kana keratitis;
• aphthous stomatitis;
• sclerosing cholangitis ;
• cirrhosis;
• pyelonephritis;
• kuora muviri kwechiropa;
• cholelithiasis;
• cystitis;
• hydronephrosis;
• cholangiocarcinoma;
• amyloidosis yeizinso;
• nephrolithiasis.

Terminal follicular ileitis

Mu submucosa yeiyo yakaonda uye ileum, nhamba huru yePeyer's plaques iripo. Izvi ndezvipi zvakasiyana-siyana zvinonzi lymphoid follicles, yakagadzirirwa kugadzirwa kweunofunoglobulins. Terminal leite inowanzokonzera zvivako zvakadaro, zvichiita kuti zviratidzo zvatove zvakarongeka uye zvimwe zvipatara zviratidzo:

• kunokonzerwa nehutachiona hwehuwandu, kunyanya zvirwere zvehutachiwana;
• ankylosing spondylitis;
• nodal erythema;
• gangrenous pyoderma;
• angiitis;
• adhesive processes;
• monoarthritis;
• peritonitis;
• fistulous courses;
• abscesses mumimba;
• kupenya kwechiedza uye kuvhara mumimba;
• kuwedzera kwakasimba mumuviri wekushisa.

Erosive terminal terminalitis

Ichi chirwere cheCrohn chinoratidzwa nekuumbwa kwezvironda zvakadzika pamuchengetedze wezvikamu zvemuviri wepamuviri. Kuvhiringidzika pamwe chete nekugadzirisa zvirongwa zvinotorwa seimwe yenzira dzakaipisisa dzekuguma neitis, zvichiita kuti pave nemigumisiro ine ngozi uye inotyisa. Chirwere cheAlcerous Crohn - zviratidzo:

• kuputika kwemakumbo masvingo;
• mukati kubuda ropa;
• toxic megacolon;
• zvipembenene zvichibva kune utachiona hwechipiri.

Chirwere cheCrohn - kuongororwa

Chirwere chemakiriniki chetachiona leitis hachisi chaicho, saka pakutanga gastroenterologist inofanira kubvisa zvimwe zvirwere zvakawanda zvine zviratidzo zvakafanana. Zvakakosha kusiyanisa chirwere chekudzivirira chirwere, pamwe nemararamiro, uye Crohn's disease - kusiyana kwechirwere kunoitwa nehutano hwakadaro:

• mesenteritis;
• appendicitis;
• salmonellosis;
• enteritis;
• shigellosis;
• colitis;
• mukati mamatenda;
• angiitis;
• gonorrheal kana chlamydial proctitis;
• amebiasis;
• lymphoma yemukumbo.

Nzira dzekushandisa uye yehutori inoshandiswa kugadzirisa iyo yekupedzisira iyoit:

• colonoscopy;
• endoscopy uye biopsy;
• radiograph yechipfuva chemuviri;
• magnetic resonance kana kuti computed tomography yemukati zvakasiyana.

Crohn's disease - miedzo

Kutsvakurudza kwerabhuku kunobatsirawo kugadzirisa chirwere chakakodzera. Nzira huru yekuona kuti Crohn's disease ndiyo kuongorora ropa:

• nokuda kwemasimba anonzi Saccharomyces cerevisae (anonzi ASCA);
• kazhinji;
• biochemical;
• immunological.

Uyezve, chigaro chebato chinoitwa:

• bacteriological;
• kusvika kumazinga e calprotectin;
• parasitic.

Chirwere cheCrohn - kurapwa

Nemhaka yekushayikwa kwezvikonzero zvinonyanya kuzivikanwa zvehupenyu husingaperi hunorondedzerwa, hutano hwakakosha hwekuparadzwa kwahwo husati hwagadzirwa. Zvose zvingasarudzwa, maitiro ekurapa chirwere cheCrohn, svetera pasi kuti usiye kugadzirisa chirongwa, kudzivirira matambudziko uye kudzokazve. Iyo nzira huru yekurapa iyi mishonga uye kudya. Mukuvapo kwemigumisiro yakaipa yekugadzikana kwechireyi, kupindira kwekuvhiya kunoitwa.

Crohn's disease: kurapa - zvinodhaka

Icho chinonyanya kutungamirirwa mukurapa kwechirwere ndiko kubviswa kwekuvhiringidza uye kudzorerwa kwegadziriro yekudya inowanzogara. Terminal Ileitis - kurapwa kunosanganisira vanoita zvemishonga anotevera:

• glucocorticoids - Prednisolone, Methylprednisolone;
• salicylates - Mesazalin, Sulfasazalin;
• immunosuppressants - Methotrexate, Azathioprine;
• mahomoni ekumusoro - Budesonide, Beklazone;
• antibiotics - Rifaximin, Ciprofloxacin ;
• Zvigadziriswa zvezvakaberekwa zve genetic engineering - Etanercept, Infliximab nevamwe.

Chirwere cheCrohn chinoramba chichitsvakurudzwa, saka masayendisiti ari kuramba achitsvaga nzira itsva dzekutarisana ne-terminitis leitis. Zvisarudzo zvinogona kuitika ndezvi:

• blockers of integrin receptors - Vedolizumab;
• kurarama mupiro kana mabhakitiriya akashandurwa;
• varoyi;
• conjugated linoleic acid;
• DNA inotarisa;
• nanotechnological preparations;
• enzymes;
• plasmapheresis;
• stem cells - polychrome;
• kuisa mukamuri rinonyangadza;
• zvinoreva mbanje - Naltrexone;
• plasmabsorption;
• vaccines against inflammatory bowel pathologies;
• Kugadzirira kunobva mazai evhavhaki (TSO) nevamwe.

Ndiine Crohn's Disease

Vose varwere vane chirwere chegastroenterologist nechinoratidzwa chinorwara vanofanirwa kugoverwa kudya kwakakosha. Zvokudya zvekugadza neite zvinosarudzwa zvichifunga nezvemaitiro ehutachiona uye kuvapo kwezvinetso. Izvo zviri nyore kuwedzerwa kwehutachiona, kunyanya kudya kunobvumirwa kupedzwa. Chikafu chechirwere cheCrohn chinosanganisira kunze:

• hupfu hwakatsetseka nemikaka yemabiki;
• inodya;
• rich broths;
• miti uye zviyo zvezviyo;
• tsvina;
• mukaka nemicheka yekurairi;
• nyama yakakora, hove;
• zvokudya zvekunamatira;
• bhari, mapira, pearl bhari;
• nyemba;
• chero masipi;
• miriwo;
• inotonho uye inokonzera carbonal;
• cocoa kana kofi nemukaka.

Yakakurudzirwa kudya:

• ndiro dzehove dzakaderera-mafuta kana nyama yakabikwa, yakabikwa kana yakabikwa (soufflé, cutlets nevamwe);
• rusks kubva pachikoro chepamusoro;
• calcined kana grated fresh cottage cheese;
• husina simba kana mafuta-free broths pamwe nekuwedzerwa kwamazai evha, meatballs, mucous cereal broths (kubva mango, mupunga);
• mazai (abikwa akanyoro-akabikwa, steam omelet);
• bhotela, sekuzadzwa kwezvokudya;
• grated maapuro mavara;
• oatmeal, rizi, semolina pariji pamusoro pemvura mumugwagwa wakavezwa;
• green tea;
• kofi kana cocoa pamvura;
• berry michero yemidziyo;
• tsvina yemichero yakasvibiswa;
• kissel;
• muto wembwa.

Zvakakosha kudya kazhinji uye mune zvikamu zviduku, kuwedzera kutora minerals uye mavitamini, kunyanya mapoka eB, A, D, E uye K. Kana zvichidiwa, chiremba anogona kugadzirisa zvakasiyana-siyana zvekudya (tafura 4 maererano nePevzner) maererano nematanho anotevera:

• zvikamu zvehutano;
• kuoma kwechipatara zviratidzo;
• kuoma kwezviratidzo;
• kuvapo kwekukonzera zvirwere uye zvinetso;
• hukama hwevanhu;
• nemigumisiro yemishonga inorapwa.

Chirwere cheCrohn - kurapwa nemishonga yevanhu

Nzira dzakawanda dzokufambisa nadzo dzinobatsira kukurumidze kumira kubvumira uye kudzorera kugadzirisa kwakakodzera. Mazano evanhu maitiro ekurapa chirwere ichoiti inofanira kunge ichibatanidzwa nemishonga inorapwa. Zvakasiyana, mishonga yemasikirwo ine simba shoma, naizvozvo inoshandiswa sehumwe hutano hwehutano.

Anti-inflammatory tea

Zvisungo:

• maruva emamomile pharmacy - 30-35 g;
• mvura inopisa - 200-210 ml.

Kugadzirira, shandisa:

1. Dururirai zvinyorwa zvinomera zvemvura nemvura inopisa.
2. Simbisa maawa 1-3.
3. Inwa mushonga wose wemishonga usati wadya.
4. Dzokorora kusvika mairi 5-6 pazuva.

Kurambidza kurwisa

Zvisungo:

• Bilberry zvibereko - 100-140 g;
• mvura - 1 litre.

Kugadzirira, shandisa:

1. Birai majikiri mumvura inopisa kwemaminitsi gumi.
2. Funga iyo compote inoguma.
3. Inwa mushonga mushonga panguva.

Spasmolytic infusion

Zvisungo:

• midzi yemarosmlow is 100-150 g;
• mvura - 50-80 ml.

Kugadzirira, shandisa:

1. Sungai uye mucheke muzvidimbu zviduku zvakagadzirwa.
2. Zvidururire nemvura inotonhorera mumvura yakadzika, kuitira kuti mvura igofukidza mizu.
3. Simbisa maawa 6-10.
4. Shandisa mukoko unoguma uchiita mune imwe mudziyo.
5. Inwa 2 tsp 2-4 pazuva, uwedzere mishonga kune girazi remvura.

Antiulcer decoction

Zvisungo:

• Yakanatswa licorice midzi - 2-3 g;
• mvura - 150-200 ml.

Kugadzirira, shandisa:

1. Birai zvirimwa zvakasvibirira mumvura inopisa (maminitsi 10-15).
2. Simbisa hafu yenguva.
3. Fungidza iyo mhinduro.
4. Inwa mushonga pakati pezvokudya katatu pazuva.
5. Usaporesa kwenguva refu kupfuura mwedzi, uye tora nguva uye uenderere mberi.

Chirwere cheCrohn - mhinduro

Chirwere chakaongororwa chine nguva isingagumi, saka inoramba ichifambira mberi uye inowanzoendesa kune mamiriro ezvinhu ane ngozi. Chirwere cheCrohn - zvinetso:

• kusununguka kwemitsipa kusvika mudumbu;
• anal fissures ;
• kusuruvara kwemukati membrane;
• dysbiosis;
• kenza yekoroni;
• abscesses;
• fistulas .

Nemhaka yekutyorwa kwekudya kwezvibereko, chirwere cheBarill chinowanikwa ne:

• kuneta neine simba rinorema kurasikirwa;
• hypovitaminosis;
• dysbacteriosis.

Chirwere cheCrohn - kufungidzira

Kunyatsorapwa chirwere ichoitis hachikwanisi, munhu anofanira kuomerera pane kudya nguva dzose, anobata kurapwa uye kudzivirira chirwere. Kunyange zvazvo mumwe chete anokwanisa kudzora chirwere cha Crohn - huwandu hwehupenyu hunofadza, hwakapiwa:

• kutevera mazano ekugadzirwa kwezvokudya;
• kurega kukanganisa;
• kugara achishanyira gastroenterologist;
• kurapwa nenguva uye kudzivirira zvinetso.