An Bayani game da Ciwon Flammatory Bowel (IBD)
Binciken ulcerative colitis da cututtukan Crohn ne marasa cututtuka na cututtuka na tsakiya. Wadannan cututtuka guda biyu sukan hada kansu a matsayin cututtuka na ƙwayar cututtukan jini (IBD) saboda irin wannan alamu.
Yawan mutane miliyan 5 (ciki har da Amirkawa miliyan 1.6, da Australia 23,000, da kuma mutanen Kanada 250,000) a duk duniya suna da nau'i na IBD. Kudin farashi na rashin aiki ga kamfanonin Amurka dangane da IBD an kiyasta kusan dala biliyan $ biliyan a shekara.
Cutar Crohn da cututtuka na kwantar da hankali suna rayuwa ne, amma yanayin da ake samu yana da kyau. Harkokin lafiya da na ci gaba suna faruwa a kowace shekara kuma yawancin mutane tare da IBD sun sami gafara kuma suna iya adana rayuwarsu.
> Dubi yadda ulcerative colitis yana tasiri ga mazaunin.
Mutane da aka gano tare da IBD zasu buƙaci kulawa ta yau da kullum daga likita mai narkewa-wani gastroenterologist-da goyan baya daga wasu masu kiwon lafiya kamar likita / mai gina jiki, mai kulawa na farko, ko wasu kwararru kamar yadda ake bukata.
Abubuwa mafi mahimmanci su sani
- Babu wata sanarwa ko magani ga IBD.
- Mutane da ke tare da IBD ba su da kansu da rashin lafiya saboda rashin abinci mai tsanani ko damuwa .
- Babu abinci daya da ke aiki ga dukan mutane tare da IBD.
- Kwayar Crohn da cututtuka da ƙwayar cututtuka za a iya haɗuwa da rikitarwa a waje da ƙwayar narkewa (damuwa mai zurfi).
- IBD ba daidai ba ne a matsayin ciwo mai jijiyar zuciya (IBS) kuma ana bi da shi sosai.
- Mutane da ke tare da IBD suna cikin haɗarin ƙari na bunkasa wasu yanayi.
- IBD ba yawanci la'akari da yanayin mutuwa ba .
Cutar cututtuka
Kwayar Crohn da ciwon cututtuka suna da alamun bayyanar cutar amma suna da bambanci a cikin hanyar da suke shafar magunguna.
Kowace yanayin kuma yana da nau'o'in ƙananan zaɓuɓɓuka dabam daban kuma za'a iya bi da su tare da nau'i na magunguna daban-daban. Mafi yawan bayyanar cututtuka sun haɗa da, amma ba'a iyakance ga:
- Abun ciki na ciki
- Asarar nauyi
- Fever
- Cutar jini
- Skin da ido irritations
- Diarrhea
Sanin asali
Yawancin gwaje-gwaje da dama ana kammalawa da kuma nazarin su ta hanyar gwadawa na gwaji kafin a gane asali na IBD. "Matsayin zinari" don ganewar asali an dauke shi a matsayin colonoscopy . A wannan gwaji, an saka tube mai fiber opic din a cikin dubun yayin da mai haƙuri ya ragargaza don ba da damar likita don duba ƙuƙwalwar hanji da kuma daukar biopsies .
Wasu gwaje-gwaje da za a iya amfani dasu don ganewar asali sun hada da:
- Barium enema
- Yin gwajin jini
- Capsule endoscopy
- Ƙididdigar da aka ƙididdiga (CT)
- Tsararren haɗin gindin (babba na GI)
- Sigmoidoscopy
- Upper endoscopy
Jiyya
Harkokin cutar da ke fama, ko " fure-fuka ," da kuma lokuta na rashin lafiya ( remission ) su ne ainihin na IBD. Ana amfani da magungunan takardun magani don hana kumburi (wanda aka sani da magungunan kiyayewa) ko kuma don sarrafa fasalin wuta.
An yi amfani da tiyata a wasu lokuta don magance IBD , kuma irin tiyata da aka yi amfani da shi zai bambanta da yawa bisa irin nau'in IBD kuma inda a cikin filin narkewar akwai ƙwaƙwalwa. Magungunan gargajiya da aka yi amfani da su na IBD sun hada da:
- Sulfa magunguna ( sulfasalazine )
- Corticosteroids ( budesonide , prednisone )
- 5-Aminosalicylates ( Asacol , Apriso , Pentasa, Rowasa, ko 5-ASA)
- Immunosuppressives ( Imuran , 6-MP , da Methotrexate )
- Biologics ( Remicade , Entyvio , Humira )
Tushen Kwayar Crohn
Kwayar Crohn zai iya shafar ƙwayar ƙwayar ƙanƙara da babba da kuma sauran sassan kwayar halitta. Ba kamar cututtukan da ke ciki ba , wanda kawai yake shafar launi na ciki na babban hanji, cutar Crohn tana dauke da dukkan launi na bangon na ciki.
Ana iya amfani da nau'in tiyata iri iri don magance cututtuka da rikitarwa na cutar Crohn , duk da haka babu magani . Mafi yawan al'ada ne, a yayin da 'yan likitoci suka cire wani ɓangaren ƙwayar cuta na hanji da kuma sake haɗawa da ƙare biyu. Yin aikin tiyata, ciki har da colostomy da kuma rashin jiki , wasu hanyoyin da ake amfani da su a wasu lokuta.
Ka'idojin Ulcerative Colitis
A cikin cututtukan da ke ciki, da ƙuƙwalwar ciki na babban hanji (ciwon) da kuma madauri suna ƙura. Wannan cuta bata shafi kananan hanji ba. Yin aikin tiyata a kullum yana dauke da cire dukan mazaunin.
Zaɓuɓɓuka na zaɓuɓɓuka sun haɗa da haɗarin jiki ko adalcin ƙwaƙwalwar fata (IPAA), wanda aka fi sani da j-pouch . Yawancin mutanen da ke fama da ciwon hauka ba su buƙatar tiyata, amma suna iya sarrafa yanayin su tare da magani.
Differences tsakanin Cutar Crohn da Ulcerative Colitis
Jiyya ga IBD a halin yanzu yana dogara ne akan ciwon ganewar asali na kogin Crohn ko ciwon haɗari, don haka yana da muhimmanci a bayyana bambancin dake tsakanin su.
Ga wasu bambance-bambance :
- A cikin cututtuka na ciwon ciki, ƙonewa yana cikin babban hanji, yayin da yake cikin ƙwayar cuta na Crohn, ƙonewa zai iya bayyana a ko'ina a cikin filin narkewa.
- Rashin ƙonewa a cututtukan Crohn yana rinjayar dukkan layin da ke cikin ganuwar intestinal, yayin da ke ciwon takalmin ƙwayar cuta ne kawai ke ciki.
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Menene Masana kimiyya Suka Yi Tunawa Suna Cutar Kwayar Crohn da Ciwon Ƙasar Ulcerative?
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Shin Ka san abin da ake nufi don samun Binciken Bincike na IBD?
- Shan taba taba yana iya kara tsanani da cutar Crohn, amma wasu mutanen da ke fama da cututtuka suna ci gaba da cutar bayan sun dakatar da shan taba.
- Kwayoyin jikin mutum daga kwayar cutar Crohn na iya nuna granulomas , wanda ba a samuwa a cikin mutane tare da cututtukan daji ba.
- A cikin cututtuka na ciwon zuciya, ƙonewa zai fara a dubun kuma yana motsawa ta hanyar babban hanji, yayin da yake cikin ƙwayar cutar Crohn, ƙwaƙwalwa zai fara ko'ina kuma ya bayyana a cikin alamomin da ke da lafiya.
- Yawancin rikice-rikice na ciki da na hanzarin zuciya suna kama da nau'i na IBD, amma ƙananan ƙwayoyin cuta , ƙuƙwalwar ƙuƙwalwa , ƙyama , fistulas sun fi kowa a cikin mutanen da ke fama da cututtukan Crohn da ciwon daji (musamman ma a lokacin farko), ciwon daji , kuma mai guba. Megacolon sun fi kowa a cikin mutane tare da cututtuka.
Kalma Daga
Abin takaici, dalilin da ya sa kowanne daga cikin cututtuka na intestinal an gane shi da rashin fahimta kuma babu wani daga cikinsu yana da magani. Harsoyin cututtuka suna da damuwa, abin kunya, har ma da debilitating. Bincike da fahimta suna da muhimmanci a cikin yaki don cin nasara akan IBD.
Bishara ita ce, maganin na inganta kowace shekara. Akwai sababbin magunguna da aka jarraba su kuma sun amince da cewa suna da mafi kyawun juyayi da kuma rashin tasiri fiye da baya. Taimakawa ga mutanen da ke tare da IBD sun fi dacewa, dukansu a layi da kuma layi, kamar yadda aka rushe harsashin yanayin.
Yin bincike tare da IBD yana da wahala kuma sauyawa. Duk da haka, mafi yawan mutanen da suke tare da shi suna rayuwa mai kyau, yin aure, suna da yara, kuma suna jin daɗin ci gaban aikin. Gudanar da shirin na IBD ta hanyar dangantaka mai zurfi tare da likitan gastroenterologist zai zama babban hanyar da za a sami gafara kuma kaucewa matsalolin da suka shafi hakan.
> Sources:
> Bhandari BM, Kroser JA, RS RS, Lynch SP. "Ciwon ƙwaƙwalwar ƙwayar cuta." Kwalejin Amirka na Gastroenterology 2013.
> Ƙungiyar Crohn da kuma Colitis Foundation na Amurka. "Game da Ulcerative Colitis & Proctitis." CCFA.org 2013.
> Crohns da Cibiyar Colitis na Amirka. "Mene ne Ciwon Crohn?" CCFA.org 2013.
> Schraag J. "IBD: Yanzu da Labaran Layi." EndoNurse 01 Dec 2005.