Abubuwa biyu na cutar cututtukan jini (IBD) - cututtukan Crohn da cututtukan ƙwayar cuta - suna sau da yawa tare dashi. Amma, wasu halaye sun bambanta.
Bayani
Wadannan cututtuka sun raba magunguna masu yawa, amma maganin su, da likita da kuma m, ba daidai ba ne. A yawancin lokuta, likitan gastroenterologist (wanda ya yi amfani da gwajin gwaji daban-daban) zai iya ƙayyade ko wani lamarin na IBD shine cutar Crohn ko ulcerative colitis.
Duk da haka, akwai lokuta inda ganewar asali na nau'i na IBD akan ɗayan yana da wuyar gaske. A wasu lokuta, ganewar asali ta ƙarshe zai yiwu ne kawai bayan anukuwa a lokacin da cutar ta kasance ko kuma maganin sa ya zama nau'i na IBD.
Marasa lafiya tare da IBD na iya zama matukar damuwa game da bambance-bambance tsakanin waɗannan cututtuka. Kamar yadda yake tare da duk wani yanayi na yau da kullum, ilimi yana da muhimmiyar kayan aiki don zama mai takara a shirin kansa.
Idan ƙididdigarku ba tabbatacce ba ne, kada ku firgita. A wasu mutane yana iya ɗaukar lokaci don sanin idan IBD ya fi kamuwa da cutar Crohn ko fiye da cututtukan ulcerative colitis. A cikin kimanin kashi 15 cikin dari na lokuta, an gano mutanen da suna da ciwon zuciya (IC).
IBD yana karuwa sosai kuma yanzu akwai magunguna masu yawa a cikin arsenal da ke taimaka wa mutane da dukkan nau'o'in samun mafi girma akan maganin su. Bambance-bambance daban-daban tsakanin cututtuka da cututtuka da cutar Crohn sun bayyana a kasa.
Cutar cututtuka
Yawancin alamun cututtukan cututtuka da cututtuka na Crohn suna kama da su, amma akwai wasu bambance-bambance da dama.
- Magungunan ulcerative colitis suna da ciwo a cikin ƙananan hagu na ciki, yayin da kwayar cutar Crohn ta kasance (amma ba koyaushe) suna shan ciwo a cikin ƙananan ciki ba.
- Tare da cututtukan daji, zub da jini daga gwargwadon kwanciyar hankali a yayin da ake motsa jiki na karuwanci yana da yawa yayin da zubar jini yana da yawa a cikin marasa lafiya da cutar Crohn.
Location na kumburi
- A cikin kwayar cutar Crohn, wuri na ƙonawa zai iya faruwa a ko'ina tare da fili mai narkewa daga bakin zuwa anus.
- A cikin cututtuka na ciwon ciki, babban hanji (mallaka) shine yawancin shafin da aka shafi. Duk da haka, a wasu mutane tare da cututtuka na ciwon ciki na ƙarshe ɓangaren ƙananan hanji, ileum , na iya nuna kumburi.
Misalin ƙumburi
Tsarin da kowane nau'i na IBD ke ɗaukar a cikin sashin kwayar halitta yana da bambanci sosai.
- Ulcerative colitis yana ci gaba da kasancewa a cikin duk wuraren da ba a flamed. A lokuta da yawa, cututtukan ulcerative colitis farawa a cikin ɗayan ɗita ko sigmoid din kuma ya shimfida ta wurin ciwon yayin da cutar ta ci gaba.
- A cikin kwayar cutar Crohn, ƙonewa zai iya faruwa a cikin alamu a cikin kwayoyin 1 ko fiye a cikin tsarin narkewa . Alal misali, wani ɓangaren ɓatattu na mallaka zai iya bayyana tsakanin sassan lafiya guda biyu.
Bayyanar
A yayin da ake yin amfani da sigmoidoscopy, likita zai iya ganin ainihin ainihin din din.
- A cikin wani ciwon da ke da ƙwayar cuta na Crohn, allon ginin yana iya karawa, kuma, sabili da yanayin tsaka-tsakin marasa lafiya da na jiki, na iya samun siffar "cobblestone" .
- A cikin cututtuka na ciwon ciki, gungu na kanana yana da ƙananan kuma yana nuna ci gaba da ƙonewa ba tare da wani ɓangaren nama mai lafiya a cikin ɓangaren da ke cikin cututtuka ba.
Granulomas
Granulomas sune ƙwayoyin jikin da ba su da ƙuƙwalwa da za su haɗu tare don su zama lahani. Granulomas sun kasance a cikin cutar Crohn, amma ba a cikin cututtukan ulcerative colitis ba. Sabili da haka, idan aka samo su a cikin samfurori na samfurori da aka samo daga wani ɓangaren ƙurar ƙwayar ƙwayar cuta, suna nuna alama cewa cutar Crohn shine ainihin ganewar asali.
Ulcers
- A cikin cututtuka na ulcerative, ƙuƙwalwar ƙuƙwalwar ƙwayar ƙwayar zuciya ta ci gaba. Wadannan ulcers ba su wuce bayan wannan rufin ciki ba.
- A cikin kwayar cutar Crohn, haɓaka yana zurfi kuma zai iya yadawa cikin dukan sassan layin daji.
Matsaloli
A cututtukan Crohn, damuwa , fissures , da fistulas ba sababbin matsalolin ba. Wadannan ka'idodin ba su da sauƙi a samuwa a lokuta na cututtuka.
Shan taba
Ɗaya daga cikin abubuwan da suka fi rikitarwa na IBD shine haɗuwa da taba sigari ko taba .
- Shan taba yana haɗuwa da mummunar cututtuka a cikin kwayar cutar Crohn marasa lafiya kuma yana iya ƙara haɗarin sakewa da tiyata.
- Ga wasu mutane tare da cututtuka na ciwon ciki, shan taba yana da tasiri, duk da cewa shan taba ba shi da shawarar saboda rashin lafiyar lafiyarsa. Aikin da ake kira ulcerative colitis sau da yawa ana kira "cuta daga masu shan taba."
Jiyya
Magunguna
A lokuta da yawa, kwayoyi da ake amfani dasu ga cutar Crohn da cututtuka irin su ne kamar. Duk da haka, akwai wasu magunguna da suka fi tasiri ga nau'i guda na IBD akan ɗayan.
Mafi mahimmancin jiyya ga cututtukan ulcerative colitis sun hada da magunguna 5-ASA da corticosteroids . Ana amfani da kwayoyi biyar na ASA ba tare da amfani da cutar Crohn ba, ko da yake corticosteroids ne.
Wasu magunguna ne kawai sun yarda su bi da nau'i guda na IBD ko ɗayan. Alal misali, Cimzia (certolizumab pegol) an yarda da shi ne kawai don magance cututtukan Crohn da Colazal (balsalazide disodium) an yarda da su kawai don magance cututtukan ulcerative colitis.
Sauran sababbin magungunan, ciki har da Humira (adalimumab) da Entyvio (vedolizumab) , an yarda da cutar Crohn da ulcerative colitis.
Tiyata
Ga marasa lafiya da kwayar cutar Crohn, tiyata don cire ɓangaren ƙwayoyin cuta na ƙuƙwalwa zai iya ba da taimako daga bayyanar cututtuka, amma cutar tana hana komawa. Saboda ƙin ƙonewa kawai yana faruwa a cikin babban hanji a cikin ulcerative colitis, da cire wannan gabar jiki (da ake kira colectomy) an dauke shi " magani ."
Ana cirewa kawai ɓangare na mallaka ba yawanci ana yi ba tare da cututtuka masu ciwon ƙwayar cuta, kamar yadda cutar za ta sake komawa cikin yankin da aka bari.
Bayan wani abu mai sauƙi, wani halayen cututtuka na ciwon ƙwayar cuta zai iya kasancewa a cikin mahaifa ko ɗaya daga cikin nau'i-nau'i na ciki na ciki wanda aka halicce daga ƙwayar ƙarancin lafiya. Ba a yi amfani da kwakwalwan ciki ba a cikin kwayar cutar Crohn marasa lafiya wanda dole ne su yi amfani da shi, saboda cutar Crohn ta iya faruwa a cikin jaka . Idan jariri ya zama mummunan rai, dole ne a cire shi a wani tiyata.