Kwayar Crohn ne mai ciwo, wanda ba zai iya yiwuwa ba, wanda cutar da ke dauke da kwayar cuta wadda zata iya haifar da kumburi a ko'ina tare da gurasar digestive daga bakin zuwa ga anus . Tare da cututtukan daji, cututtukan Crohn yana daya daga cikin manyan siffofin cututtukan ciwon ƙwayar cuta (IBD) . Kwayar Crohn yana dauke da dukkan launi na bangon na intestinal, yana haifar da ulcers mai zurfi.
Mutanen da ke da kwayar cutar Crohn suna kulawa da su ta hanyar likitan gastroenterologist (likita a cikin kwayar cuta) kuma wani lokacin likitan likitanci (likitan likita mai ƙwararru a ƙwararrawa).
Yayinda kwayar cutar Crohn ta kamu da cutar kuma cutar zata bukaci a gudanar da shi, nan gaba ga mutanen dake da IBD yana da haske. Akwai ƙarin zabi don maganin likita fiye da baya, kuma ana kwashe sababbin hanyoyin kwantar da hankali domin a kai ga marasa lafiya. Ainihin dalili da kuma maganin lafiya har yanzu ana nazarin, kuma akwai ƙarin bincike a halin yanzu an yi a kan IBD fiye da baya.
Abubuwa mafi mahimmanci su san game da cutar Crohn
- Kwayar Crohn wani nau'i ne na IBD kuma zai iya shafar wani ɓangare na fili mai narkewa daga baki zuwa ga anus.
- Babu wani dalilin da ya sani ko maganin cutar Crohn.
- Shan taba taba yana iya kara cutar Crohn.
- Ana amfani da nau'i daban-daban na maganin cutar Crohn, ciki har da maganin rigakafi, immunomodulators, steroids, da biologics.
- An yi amfani da tiyata don magance cututtukan Crohn, tare da tiyata da ake amfani da ita.
- Mutanen da ke fama da cutar Crohn na iya fuskanci rikitarwa a ciki da kuma waje da filin narkewa (matsalolin karin ciki).
- Matan da ke da kwayar cutar Crohn na iya samun lafiyar lafiya da jarirai .
Kwayoyin cutar Crohn
Ana amfani da maganganu daban-daban don bayyana cututtukan Crohn, dangane da abin da ɓangaren ɓangaren ƙwayar cuta yake shafa.
Ba kowane shari'ar cutar Crohn za ta fada a cikin wani nau'i ba, amma waɗannan su ne siffofin da aka filayen su da yawa kuma iya amfani dasu:
- Ileocolitis. Yawancin kwayar cutar Crohn wadda ta fi rinjaye wanda ke rinjayar da ileum (ƙananan ƙananan ƙwayar zuciya) da kuma ciwon (babban hanji).
- Ileitis. Har ila yau an san shi kamar fistulizing ko ciwo Crohn cuta, irin wannan rinjayar kawai ileum.
- Harshen Crohn na Gastroduodenal. Wannan nau'i yana rinjayar ciki da duodenum (ɓangare na ƙananan hanji).
- Jejunoileitis. Kwayar Crohn da ke faruwa a wurare masu ɓarna a cikin jejunum (tsakiyar ɓangaren ƙananan hanji).
- Crohn ta colitis. Wani lokaci ake kira colitis na colitis , wannan nau'i na rinjayar kawai mallaka, kuma kada a dame shi da ulcerative colitis, wanda shine daban-daban na IBD. Kwayar Crohn wani irin kwayar cutar Crohn ne, kuma ba yana nufin cewa mutum yana da cutar Crohn da ciwon cututtuka.
Cutar cututtuka na cutar Crohn
Kwayar Crohn yana haifar da alamu da alamun alamu da dama, wasu daga cikin su a cikin filin narkewa da wasu daga cikinsu a waje da tsarin narkewa. Kwayoyin cututtukan cututtukan Crohn na iya hada da:
- ciwon ciki da kuma ciki
- m jini
- zawo
- zazzabi
- asarar ci abinci da asarar nauyi
- ƙwaƙwalwa a cikin ɗakin
- ƙaddamar da ƙwayar narkewa
Dalili na yiwuwa na Crohn's Disease
Akwai tunanin game da cutar Crohn da IBD a gaba ɗaya , amma yanzu an kira IBD a matsayin cuta na idiopathic (wata cuta wadda ba a sani ba). Kwayar Crohn ba ta kasancewa cikin iyalai ba, ko da yake mafi yawan mutane da IBD basu da tarihin iyali na cutar.
Ɗaya daga cikin ka'idodin game da hanyar IBD shine cewa zai iya zama rashin lafiyar ko amsawa, wanda ya fi dacewa da gaskiyar cewa IBD wata cuta ne mai rikitarwa . Har ila yau, an tsara abubuwan da ke cikin muhalli, amma babu wata yarjejeniya a cikin likita don sanin ainihin abubuwan da zasu iya tasiri a farkon IBD.
Wata ma'ana mai yiwuwa zai iya haɗawa da kwayoyin halitta (kwayoyin) wanda ke zaune a cikin fili mai narkewa, wanda ake kira gut ko kwayar halitta na intestinal. Ba'a fahimci yadda canje-canje a cikin kwayoyin halitta zai iya rinjayar ci gaba da cutar Crohn ba, amma an san cewa mutanen da ke dauke da kwayar cutar Crohn sun kasance da nau'in kwayoyin cuta a jikin su na narkewa fiye da mutane ba tare da cututtuka ba. Dalilin da ya dace na IBD zai iya zama duk wani haɗuwa da waɗannan ko ma wani abu da ba'a gano ba.
Yaya aka gano Cutar Crohn
Wata likita na iya ɗaukar cutar Crohn ta farko da ya dogara da tarihin bayyanar cututtuka irin su ciwo, cututtuka, rashin asarar nauyi, da jini a cikin tarin. Biyu gwaje-gwaje da aka yi amfani da su don ganewa da cutar Crohn sune:
- Colonoscopy . Ana amfani da wannan gwajin don duba a cikin ɗakin don ganin idan kumburi ba shi da.
- Sigmoidoscopy . Binciken da ke cikin mallaka, kamar maɗaukaki, amma wannan yana zuwa har zuwa ɓangare na karshe na babban hanji
Wasu gwaje-gwaje bazai yi amfani da su ba a cikin ganewar asali, amma ana iya yin su don saka idanu akan cutar ta Crohn ko matsaloli sun hada da:
- Barium enema . Wannan gwaji shine nau'in x-ray wanda yayi amfani da bambanci domin ganin yadda tsarin ya kasance a cikin ƙwayar ƙasa.
- Yin gwajin jini. Ana yin amfani da gwaje-gwaje na jini don samar da bayanan taimako game da matsayin IBD, musamman ma jini jini da jini ƙididdigar jini . Wasu gwaje-gwaje na jini zasu iya auna matakan lantarki, irin su sodium da potassium, don ƙayyade idan an lalata su daga ciwo mai tsanani.
- CT (ƙididdigar hoto) duba . Wani nau'i na x-ray wanda yake ba da hoto na jikin jiki. Har ila yau, ana kira nazarin rubutun kwaikwayo (CT).
- Upper endoscopy . Idan akwai yiwuwar cututtukan cututtuka a cikin ƙwayar digestive (irin su esophagus, makogwaro, ko ƙananan hanji), wannan gwajin zai iya taimakawa.
- Ra'ikan gastrointestinal mafi girma . Wani nau'i na x-ray wanda ke amfani da bambanci kuma an yi amfani dashi ga ma'aunin digiri.
- Harkokin X. Gwaji mai sauƙi da sauƙi wanda ba ya bada bayanai mai yawa amma har yanzu ana amfani dashi.
Yaya Yadda Kwayar Crohn ta Karɓa?
Dukkanin magunguna da tiyata suna amfani da su don magance cutar Crohn. Tare da ire-iren magungunan da ake samuwa, yana da muhimmanci a yi aiki tare da wani likitan gastroenterologist don sanin hanyar da ta dace.
Magunguna . Ana iya amfani da magunguna daban-daban don magance cutar Crohn. Magunguna yawanci sun fada cikin nau'i biyu: Magunguna masu kiyayewa, waɗanda aka dauka gaba daya don hana tsutsawa , da magunguna masu sauri, waɗanda aka dauka don su dakatar da tarkon.
Magunguna da aka yi amfani da cutar Crohn sun hada da: Azulfidine (sulfasalazine) ; Asacol da Pentasa (mesalamine); Iranran (azathioprine) ; Purinethol (6-MP, mercaptopurine) ; cyclosporine ; Rheumatrex (methotrexate) ; Alamar da aka yi (infliximab) ; Humira (adalimumab) ; Entyvio (Vedolizumab) ; Cimzia (certolizumab pegol) ; da kuma corticosteroids, irin su prednisone da Entocort EC (budesonide).
Tiyata . An yi amfani da tiyata a matsayin magani ga cutar Crohn. Kimanin kashi 70 cikin 100 na mutanen da ke fama da cutar Crohn zasu yi tiyata a cikin shekaru 10 na farko bayan ganewar asali. Daga cikinsu, rabi zai sami ƙarin tiyata a cikin shekaru uku zuwa hudu zuwa gaba. Bincike , inda aka cire ɓangaren ɓatattun hanji na hanji, shine mafi yawan aikin tiyata. Hoto ba magani ne ga cutar Crohn ba.
Rashin lafiyar cututtuka na Gastrointestinal
Ga mutanen da ke fama da cutar Crohn, akwai dalilai masu yawa wadanda suke da alaka da hadarin samun ciwon daji na maganin ciwon daji . Waɗannan haɗari sun hada da:
- matashi a lokacin ganewar asali
- 8 zuwa 10 shekaru na aiki da cutar tare da kumburi
- da ciwon cinyewa (raguwa da hanji)
- tarihin cutar hanta, na farko sclerosing cholangitis
Magungunan likita na iya bayar da shawarar yin maganin maganin mallaka a kowace shekara zuwa shekaru uku bayan shekaru takwas zuwa 10 na cutar Crohn, kuma kowane daya zuwa shekaru biyu bayan shekaru 20 na cutar Crohn. Wasu mutanen da ke da kwayar cutar Crohn na iya buƙatar magungunan lokaci a lokaci-lokaci don saka idanu da cutar su, kuma ana iya yin bincike akan ciwon daji a lokaci guda.
Yanayin da suka dace
Ƙari-na hanji . Akwai matsalolin da ke tattare da cutar Crohn, kuma waɗanda ke faruwa a waje da ciwon suna ana kiran ƙwayar ƙarar ciki. Cutar da ake ciki na ciki sun hada da arthritis , jinkirta girma a yara , cututtuka na ido, gallstones , yanayin fata, bakin ciki , da kuma ƙara tsanantawa a yayin haila . Da yawa daga cikin wadannan matsalolin za su bi tafarkin cutar Crohn, kuma zai iya ci gaba da mummunar da baya yayin da yake cike da fuska da kuma inganta lokacin da cutar Crohn ta kasance a gafara.
Intestinal . Wasu daga cikin ƙananan gida (na hanji) rikitarwa na cututtukan Crohn sun hada da ƙwayar ƙwayar ƙwayar ƙwayar jiki , ciwon ƙuƙwalwar ƙuƙwalwa , ciwon zuciya , ciwon daji , da fistulas , da megacolon mai guba .
Shan taba da cutar Crohn
Mutanen da suke shan taba sigari , ko wadanda suka taba shan taba a baya, suna da mummunan haɗari na bunkasa cutar Crohn. Kashewa (ciwon tsabta), maimaita jiyya, da kuma mummunan maganin rigakafi sun fi kowa a cikin marasa lafiya tare da cutar Crohn wanda kuma ya shan taba. Mutanen da ke fama da cutar Crohn suna ƙarfafawa sosai su daina shan taba.
Hawan ciki
Ciki lafiya da jariri yana yiwuwa ne ga matan da ke fama da cutar Crohn. Yaya cutar Crohn za ta amsa a lokacin daukar ciki yana da kashi uku: wasu mata sukan fi kyau, wasu suna kasancewa ɗaya, kuma wasu suna ci gaba. Abu mafi mahimmanci shi ne samun jigilar kafin a yi ciki, ko samun wuri a lokacin daukar ciki, don tabbatar da cewa maman da jariri ya ci gaba da yin kyau. Abin baƙin ciki shine, lokacin da Crohn ya kamu da ita a lokacin da jariri ya yi ciki ko kuma a yayin tashin ciki, haɗarin rashin haihuwa da haihuwa bai haifa ba.
Faɗakarwa
Tare da kula da lafiyar lafiya, likita ga yawancin mutane da cutar Crohn yana da kyau. Yawancin mutanen da ke fama da cutar Crohn suna iya jagorancin rayuwarsu mai tsawo. Sabbin magunguna da bincike kan abubuwan da ke faruwa na IBD na ci gaba da ƙara yawan rayuwar mutane tare da IBD.
Kalma Daga
Sakamakon ganewar kwayar cutar Crohn ta zo ne tare da tsakar koyo. Masanin gastroenterologist da ma'aikatan zasu zama masu matukar muhimmanci a tabbatar da cewa an kiyaye kyakkyawan rayuwa. Yawancin marasa lafiya na IBD suna da alaka da dangantaka da masu gastroenterologists. Yana da mahimmanci ga mutanen da ke da IBD don samar da cibiyar sadarwa ta tallafi tsakanin 'yan uwansu da abokai da zasu iya zama masu bada shawara. Rayuwa da kwayar cutar Crohn ba zai iya kaiwa ta hanyar ajiye takardun likita ba, bin tsarin kulawa, da kuma ilmantarwa game da cutar.
> Sources:
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> Ƙungiyar Crohn da kuma Colitis Foundation na Amurka. Crohn ta cuta magani Zabin. CCFA.org 2016.
> Ƙungiyar Crohn da kuma Colitis Foundation na Amurka. Tsarin Kuɗi na Crohn. CCFA.org 2016.
> Nørgård B, Hundborg HH, Jacobsen BA, Nielsen GL, Fonager K. Cutar Aiki a Mata masu Ciki da Cutar Crohn da Halin Goma: Aikin Nazarin Jakadanci a Danish. Am J Gastroenterol . 2007 Sept; 102: 1947-1954.
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