Matenda a Crohn amatanthauza matenda opatsirana m'mimba. Amatchedwanso matumbo a zilonda zam'mimba zilonda zam'mimba, chifukwa makamaka kutupa kumachitika m'mimba.
Chikhalidwe cha matendawa ndi chovuta, ndipo madokotala samadziwa bwino zomwe zimachititsa matenda a Crohn. Zimagwirizanitsidwa ndi njira zodziyendetsa, zomwe zikuchitika mwapadera pa mankhwala.
Kwa nthawi yoyamba matendawa anafotokozedwa ndi a gastroenterologist wa ku America Bernard Krohn mu 1932, zomwe zinayambitsa zilonda za m'mimba zilonda zamtumbo ndipo zinapatsidwa dzina lachiwiri.
Pathogenesis wa matenda a Crohn
Masiku ano, madokotala amatchula zinthu zitatu zomwe zimapangitsa kuti pakhale nthendayi.
- chibadwa;
- matenda;
- immunological.
Choncho, poyamba pazifukwa zomwe zimayambitsa matenda a Crohn ndi chibadwa. Asayansi amanena kuti mwa odwala 17 peresenti, achibale anali ndi matenda omwewo, ndipo izi zikutanthauza kuti mwayi wodwala matenda a Crohn ukuwonjezeka chifukwa cha chibadwidwe. Komanso, sayansi imadziwa kuti ngati wina wa abale apeza matendawa, zikutanthauza kuti zidzatulukanso muchiwiri.
Udindo wa matenda opatsirana suli wotsimikiziridwa lero, koma izi siziletsa kuganiza kuti kachilombo ka HIV kapena kachilombo kamene kamalimbikitsa chitukuko cha matenda a Crohn (makamaka mabakiteriya a pseudotuberculosis).
Mfundo yakuti ziwalo za Crohn's disease zimakhala zovuta kusokoneza asayansi ku lingaliro lakuti vutoli limayambitsidwa ndi njira zodzipangira. Odwalawo anafufuza anali ndi kuchuluka kwa T-lymphocyte count, komanso ma antibodies kwa E. coli. N'zotheka kuti izi sizomwe zimayambitsa matenda, koma zotsatira za kulimbana kwa chiwalo ndi matenda.
Zizindikiro za Matenda a Crohn mu Akuluakulu
Zizindikiro za matenda a Crohn zimadalira matendawa komanso nthawi yomwe matendawa amatha. Chowonadi n'chakuti matendawa angakhudze kachilombo ka mkaka wonse, kuyambira pamlomo ndi kumapeto kwa matumbo. Pokumbukira kuti matumbo amatha kukhudza, zizindikiro zimatha kugawidwa m'thupi ndi m'mimba.
Zizindikiro zonse za matenda a Crohn ndi awa:
- kufooka;
- kutopa;
- kuwuka kutentha.
Zizindikiro za m'mimba za matenda a Crohn:
- kutsekula m'mimba;
- kupweteka, kukhumudwitsa appendicitis;
- chisokonezo;
- kusanza;
- anorexia;
- kupweteka;
- kupweteka kwa matumbo.
Komanso matenda a Crohn angakhudze ziwalo zina ndi machitidwe ena:
- Zizindikiro za diso - conjunctivitis, uveitis, keratitis;
- zizindikiro zomveka - ankylosing spondylitis, monoarthritis;
- Zizindikiro za pamlomo - stomatitis;
- Zizindikiro za khungu - angiitis, erythema;
- zizindikiro zoopsa - chiwindi cha chiwindi, chiwindi;
- Zizindikiro za chiwindi - cystitis , pyelonephritis, hydronephrosis, nephrolithiasis, amyloidosis a impso.
Matenda a Crohn akuphatikiza ndi mavuto otsatirawa:
- maonekedwe a fistula, mkati mwa chiwindi, peritonitis;
- Kutupa komwe kumayambitsa kuphulika kwa minofu kungayambitse kuima kwa lumen ndipo kumayambitsa kutseka kwa m'mimba;
- chifukwa cha zilonda, kutuluka m'magazi kumatululidwa;
- Chifukwa cha fistula, ziwalo zamkati zimatha kutenga kachilombo ka HIV - chikhodzodzo, chiberekero.
Mavutowa ndi opaleshoni m'chilengedwe ndipo amachotsedwa ndi njira yoyenera.
Kodi kuwonjezereka kwa matenda a Crohn kudzatha liti?
Malingana ndi chithunzithunzi chayekha cha matendawa, kukhalapo kwa mavuto komanso mphamvu za thupi kuti zisawononge kutupa, matenda a Crohn akhoza kutha
Matenda a Crohn's disease
Ngakhale kuti nthawi zambiri moyo umakhala wamba kwa odwala omwe ali ndi matenda a Crohn, komabe, chiŵerengero cha imfa cha anthuwa n'choposa 2 peresenti poyerekezera ndi chiwerengero cha anthu.
Kuzindikira kwa matenda a Crohn
Njira zingapo amagwiritsidwa ntchito poyeza matenda a Crohn:
- kumaliza;
- kuyesa magazi;
- X-ray;
- Ultrasound;
- computed tomography.