Kowane Kofi yana da Sifofi na Musamman da Bayyanawa
Kwayar Crohn abu ne mai rikitarwa, wanda ya fi dacewa ta hanyar gaskiyar cewa bayyanar cututtuka da rikitarwa na iya ɗauka daban-daban, dangane da wane ɓangare na hanzarinka yana ƙura. Duk da yake cutar Crohn zai iya rinjayar wani ɓangare na hanji, wasu yankunan sun shafi yawanci fiye da wasu. Likitan likitanku na iya komawa ga yanayin ku dangane da yankin farko da ke cikin shari'arku.
Mafi yawan irin kwayar cutar Crohn shine:
- Ileocolitis
- Ileitis
- Crohn's (granulomatous) colitis
- Harshen Crohn na Gastroduodenal
- Jejunoileitis
Kowace nau'i yana da gabatarwa dabam dabam, bambancin cututtuka, da kuma jigilar matsaloli da yawa.
Ileocolitis
Mafi yawan al'ada shi ne ƙaddara, wadda take faruwa a kimanin kashi 45 cikin dari na mutanen da ke fama da cutar Crohn. Wannan nau'i na cututtukan Crohn yana rinjayar da ileum (ƙananan ƙananan ƙwayar zuciya) da kuma ciwon (babban hanji) .
Kwayar cututtukan irin wannan kwayar cutar Crohn zai iya haɗawa da zazzabin ciki, zafi a cikin ƙananan dama ko tsakiyar ciki, da asarar nauyi. A wasu lokuta, wuraren da ke fama da cututtuka a cikin ileum da mazaunin na iya kasancewa a cikin kwakwalwa, yana shafar bawul din da ke haɗa da ƙananan hanji zuwa babban hanji, wanda ake kira valve mai kwakwalwa.
Jiyya ga ileocolitis sau da yawa ya haɗa da maganin magunguna don ci gaba da gafara, irin su maganin 5-ASA (5-aminosalicylic acid) (mesalamine).
Zai yiwu a yi amfani da kwayoyi masu sauri irin su steroids ( prednisone , budesonide ) a yanayin sauƙi. Wani nau'in magani wanda za'a iya amfani dashi shine kwayoyin kwayoyin necrosis masu ƙwayar cuta , waɗanda aka tanadi ga marasa lafiya da matsananciyar cuta. Wasu magunguna da wasu lokuta ana amfani dasu sun hada da azathioprine, 6-mercaptopurine, ko methotrexate .
Bugu da ƙari, mai tsanani mai ɗibuwa zai iya buƙatar ƙarin magani mai ma'ana a asibiti, irin su ciwon kwanciyar hankali (abincin da zai sha ko kuma sha) da kuma ciyar da abincin jiki (abinci mai gina jiki ta hanyar ƙwayar nasogastric) ko ciyar da iyaye na yara (abinci mai mahimmanci).
Ileitis
Ileitis shi ne na biyu na al'ada, wanda ya shafi kashi 35 cikin dari na marasa lafiya da cutar Crohn. Irin wannan, wanda aka fi sani da fistulizing ko ƙaddamar da cutar Crohn, yana rinjayar kawai ileum (ɓangare na ƙananan hanji). Diarrhea, asarar hasara, zafi a cikin ƙananan dama ko ƙananan tsakiya, da rashin kwanciyar hankali a cikin 'yan sa'o'i kadan bayan cin abinci cin abinci ne.
Irin wannan cuta na Crohn zai iya haifar da malabsorption na bitamin ko ma'adanai. Abubuwa biyu na gina jiki mai gina jiki shine rashin rashin bitamin B12 da kuma rashin fadi. Rashin fure zai iya hana halittar sabon jini kuma ya haifar da anemia . Bisa raunin bitamin B12 zai iya haifar da tingling a cikin yatsun hannu ko yatsun kafa (ƙananan neuropathy) kuma zai iya taimakawa wajen bunkasa anemia.
Rarraba daga ciwon ƙwayar cuta zai iya haɗawa da fistulas ko abscesses a cikin ƙananan ƙananan ƙarancin.
Cututtukan Crohn na Gastroduodenal
Cutar cutar Crohn, tare da jejunoileitis, ya kasance kimanin kashi 5 cikin 100 na dukan cutar Crohn.
Wannan nau'i na cututtukan Crohn yana rinjayar ciki da duodenum (ɓangare na ƙananan hanji ).
Cutar cututtuka sun haɗa da hasara na ci, hasara mai nauyi, tashin zuciya, zubar da ciwo a cikin tsakiyar tsakiyar ciki. Ruwa yana iya zama alamar cewa akwai tsangwama a cikin ɓataccen ɓangaren ƙananan hanji. Irin wannan nau'in kwayar cutar Crohn ne wani lokaci ana nuna shi a matsayin mai ciwo , tare da cutar Crohn ne kawai aka gano bayan magani ga "ulcer" ba zai taimakawa bayyanar cututtuka ba ko kuma idan an gano cutar ta Crohn a wani ɓangare na gastrointestinal tract.
Jejunoileitis
Wannan nau'i na cututtukan Crohn yana cike da wurare na ƙonewa a cikin jejunum , wanda shine tsakiya, kuma mafi tsawo daga cikin ƙananan hanji.
Jejunum yana da alhakin shawo kan mafi yawan kayan abinci daga abinci.
Kwayoyin cututtuka sun hada da ciwo mai matsananciyar zafi bayan abinci, zawo, da kuma ciwon ciki wanda zai iya bambanta daga m zuwa tsanani. Abubuwan da ke faruwa a jigon jigon sun hada da fistulas (ramin mahaukaci mai haɗawa da cavities guda biyu) da kuma rashin abinci mai gina jiki wanda rashin abinci mai gina jiki ya haifar.
Crohn ta Colitis
Kwayar Crohn, wani lokacin da ake kira colitis, ya zama nau'in kwayar cutar Crohn wadda ta shafi kawai. Irin wannan cuta na Crohn yana rinjayar kashi 20 na marasa lafiya. Kwayar Crohn ne sau da yawa rikice tare da ulcerative colitis, amma akwai bambanci daban-daban na tsakanin Crohn da colitis da ulcerative colitis:
- Kumburi a cikin ulcerative colitis ne kullum contiguous, yayin da a Crohn ta colitis shi ne intermittent a ko'ina cikin mallaka
- Abun ulcerative colitis yana shafar dubun kwayar cutar yayin da Crohn ba zai iya ba.
Kwayar cututtuka ta Crohn sun hada da cututtuka, zub da jini daga dubin, da ƙwayoyi, fistulas, ko ulcers a kusa da anus. Kwayar cututtukan fata da yanayin fata wanda ke hade da cututtukan ƙwayar cututtuka na ƙananan jini suna samuwa mafi yawancin lokaci tare da crohn na colitis fiye da sauran irin cutar Crohn.
Sources:
Abbott Laboratories. "Game da cutar Crohn." Abbott Laboratories 2013.
Crohns da Cibiyar Colitis na Amirka. "Mene ne cutar Crohn?" CCFA.org 2012.
Peppercorn, MA. "Bayanin haƙuri: cutar Crohn." UpToDate.com 16 Oktoba 2012.