Uninzi lwezifo zesondlo sesisu zisabela kakuhle kunyango kwaye azibangaziphumo ezinobungozi. Isongelo esisisigxina sivuvukala esingapheliyo, iqela libandakanya i-terminal ye-leitis okanye i-leitis yesigxina (i-granulomate, i-enteritis yengingqi).
Isifo sikaCrohn-izizathu
Oogqirha abazange baqikelele ukuba kutheni le nzala ivela, kukho iimbono ezimbalwa kuphela ezivela kuyo. Izizathu eziphakanyisiweyo ze-terminal leite:
- ukuguquka kwemfuyo;
- iziphazamiso ezizenzekelayo;
- ukusuleleka kwintsholongwane okanye iintsholongwane.
Isifo sikaCrohn - isigaba
Zininzi iintlobo zezifo ezichazwe, ezahlula ngamaqela amaninzi ngokuxhomekeka kwendawo yokuvutha, ubunzima bayo, uhlobo kunye nezinye izinto. Ngokwemilinganiselo yamazwe ngamazwe, i-terminal leitis (isifo sikaCrohn) sichazwa ngokwemiqathango engama-4:
- ubudala somguli;
- i-phenotype yesi sifo;
- indawo yokuvuvukala;
- ubunzima besifo.
Amaqela ngaminyaka:
- ukuya kwiminyaka eyi-16 (A1);
- ukususela kwiminyaka eyi-17 ukuya kwe-40 ubudala (A2);
- emva kweminyaka engama-41 (A3).
Isifo sikaCrohn sincike kwi-phenotype:
- ukuvutha (B1) - ukukhubazeka akunzima, maxa wambi i-lesianal lesion ihlangene;
- Ukuqinela okanye ukugqithisa (B2) - iindonga zesisu ziyancipha, kukho ukukhulisa kwangaphambili okanye ukuphazamiseka;
- Ukungena (B3) - kukho i-fistula, izidumbu kunye nezigquma.
Iintlobo zentsholongwane ngendawo:
- ileitis (L1) - ileum;
- i-colitis (L2) - intumbu enkulu phakathi kweemfama kunye ngqo;
- ileocolitis (L3) - nayiphi na indawo phakathi kwe-rectum kunye nenxalenye ephakanyayo yamathumbu amakhulu;
- izitho zesigxina esiphezulu sesisu (L4).
Iifom zesifo ngokuqatha:
- kukhanya;
- i moderation;
- phezulu;
- ukuxolelwa;
- ku xhaphaza;
- ephindaphindiweyo.
Isifo sikaCrohn - iimpawu
Ukubonakaliswa kwezonyango ze-pathology ezinikezelweyo zihambelana neqondo, ukuhlaliswa kwendawo kunye nobude benkqubo yokuvuvukala, ubude bokuphindaphinda kunye nezinye izinto. Kukho iziganeko ezingabonakaliyo ezihamba kunye ne-terminal leite - iimpawu zendalo jikelele:
- umkhuhlane okanye ukuchithwa;
- buthathaka;
- ukukhathala rhoqo;
- ukunyuka komzimba;
- intlungu yesisu;
- ukungabi nesidlo;
- Idayarrha ehlala ngaphezu kweeveki ezi-6.
I-Terminal catarrhal ileitis
Olu hlobo lwesifo lubonakaliswa ukuvuvukala kuphela kweembrane ezinamaqabunga ezitho zamathambo esisisu. Isifo sikaCrohn sefom ye-catarrhal sinokuhamba kunye neempawu zamathumbu namathumbu. Iqela lokuqala lemiboniso yeklinikhi liquka:
- intlungu, ukulingisa i- appendicitis elula ;
- isicefe
- i-anorexia;
- ukuhlanza;
- ukucima;
- isifo sohudo.
Izibonakaliso ezingaphezulu komzimba wesifo sikaCrohn:
- i-conjunctivitis, u-uveitis okanye i-keratitis;
- i-aphthous stomatitis;
- sclerosing cholangitis ;
- i-cirrhosis;
- pyelonephritis;
- ukuhlutha okunamafutha kwesibindi;
- cholelithiasis;
- i-cystitis;
- hydronephrosis;
- cholangiocarcinoma;
- i-amyloidosis yeentso;
- nephrolithiasis.
I-Terminal follicular ileitis
Kwi-submucosa ye-thin and ileum, inani elikhulu leePeye ze-Peyer zikhoyo. Ezi zizodwa ze-lymphoid follicles, ezenzelwe ukuveliswa kwe-immunoglobulins. I-Terminal ileitis ihlala ichaphazela izakhiwo ezinjalo, ezibangele iimpawu ezisele ziboniswe kunye nemibonakalo eyongezelelweyo yekliniki:
- ukukhutshwa kwezifo, ngokukodwa ukusuleleka kwintsholongwane;
- spondylitis engavumelekanga;
- i-erythema;
- i-gangrenous pyoderma;
- angiitis;
- iinkqubo zokubambelela;
- monoarthritis;
- peritonitis;
- zifundo;
- i-absraps esiswini;
- ukunciphisa umbane kunye nokukhutshwa kwamathumbu emathumbu;
- ukwanda ngokukhawuleza kumbushushu womzimba.
I-eliitis terminal leitis
Isi sifo sikaCrohn sibonakaliswe ngokubunjwa kwezilonda ezinzulu kwiimbumba ezinamaqabunga eenxalenye zesisu esiswini. Ukuvuvukala ngokudibanisa neenkqubo ezinokuthi ziqwalaselwe njengenye yeyona ndlela inobungozi ye-leitis yokuphela, ekhokelela kwimiphumo eyingozi kunye nobungozi. Isifo sika-Ulcerous Crohn - ukubonakaliswa:
- ukubethelwa kweendonga zamathumbu;
- ukuphuma kwangaphakathi;
- megacolon;
- amathumba ngenxa yokusuleleka kwintsholongwane.
Isifo sikaCrohn - ukuxilongwa
Umfanekiso wekliniki we-leitis yokugcina awuyiyo, ngoko okokuqala igastroenterologist kufuneka ikhuphe ezinye izifo ezinemiqondiso efanayo. Kubalulekile ukuhlukanisa i-pathologies yokugaya, ihamba ne-diarrhea, kunye ne-Crohn's-diagnosis diagnosis eyenziwa ngezifo ezinjalo:
- mesenteritis;
- appendicitis;
- salmonellosis;
- enteritis;
- shigellosis;
- i-colitis;
- isifo sofuba esiswini;
- angiitis;
- i-gonorrheal okanye i-chlamydial proctitis;
- amebiasis;
- i-lymphoma yamathumbu.
Izindlela ze-Instrumental kunye ne-hardware zisetyenziselwa ukuqinisekisa i-terminal yeit:
- colonoscopy;
- endoscopy kunye ne-biopsy;
- irejimenti yesigxathu somzimba;
- i-resonance yamagnetic okanye i-tomography ecatshulwayo emathunjini ngokuphambene.
Iimvavanyo zesifo sikaCrohn
Uphando lweLebhu lukunceda ekusekeni ukuchonga okuchanekileyo. Indlela ebalulekileyo yokufumana isifo sikaCrohn ukuhlolwa kwegazi:
- izikhuselo ze-Saccharomyces cerevisae (ezibizwa ngokuba yi-ASCA);
- eziqhelekileyo;
- biochemical;
- immunological.
Ukongezelela, uhlalutyo lwesitopu lwenziwe:
- i-bacteriological;
- ukuya kumgangatho we-calprotectin;
- i-parasitic.
Isifo sengqondo sikaCrohn
Ngenxa yokungabikho kwezizathu eziyaziwayo ze-pathology engapheliyo, unyango olukhethekileyo lokupheliswa kwalo alukaphuhliswa. Zonke iinketho, indlela yokuphatha isifo sika-Crohn, ubilise phantsi ukuyeka inkqubo yokuvuvukala, ukukhusela iingxaki kunye nokubuyela kwakhona. Iindlela eziphambili zonyango ziyezayeza kunye nokutya. Ekubeni kukho imiphumo emibi ye-leitis yokugcina, inenelelo lophuhliso lwenziwa.
Isifo sikaCrohn: unyango - iziyobisi
Isikhokelo esona sikhulu ekunyangekeni kwesi sifo kukususa ukuvuvukala nokubuyiselwa kwenkqubo yokutya yokutya. I-Terminal Ileitis - unyango luquka ezi zilandelayo:
- glucocorticoids - Prednisolone, i-Methylprednisolone;
- i-salicylates - iMesazalin, iSulfasazalin;
- i-immunosuppressants - iMethotrexate, i-Azathioprin;
- amahomoni eengqungquthela - i-Budesonide, i-Beklazone;
- i antibiotics - iRifaximin, iProfrofloxacin ;
- Amalungiselelo e-biological engineering engineering - I-Etanercept, Infliximab nabanye.
Isifo sikaCrohn siyaqhubeka siphando, ngoko izazinzulu zihlala zikhangela iindlela ezintsha zokujongana ne-leitis yokuphela. Okukhethwa kukho oku:
- i-blockers ye-integrin receptors-i-Vedolizumab;
- phila abaxhasi okanye iibhaktheriya eziguqulwa ngokwemizimba;
- zinyulu;
- i-conjugated acid linoleic;
- DNA ulandelelwano;
- amalungiselelo e-nanotechnology;
- enzyme;
- plasmapheresis;
- ii-cell stem - i-polychrome;
- ukubeka kwindawo ye-hyperbaric;
- iindlela zentsholongwane - iNaltrexone;
- plasmabsorption;
- izigulane ezichasene nezifo zengqondo ezivuthayo;
- amalungiselelo asekelwe kumaqanda ama-porcine (i-TSO) kunye nabanye.
Ngezifo zeCrohn
Zonke izigulane ezinegastroenterologist kunye noxilongo olubonisiweyo kufuneka zinikezelwe ukutya okukhethekileyo. Ukutya kwe-leitis ekhethiweyo kukhethwa ngokuqwalasela uhlobo lwesifundo sesi sifo kunye nobukho beengxaki. Kulula ukuba i-degree of pathology, ukutya okuninzi kuvunyelwe ukuba kudliwe. Isondlo sesifo sikaCrohn kubandakanya okunye:
- umgubo omtsha kunye nemveliso yeebhaka;
- kutywala;
- iinqununu ezizityebi;
- imifuno kunye nesobho;
- iimveliso zokutshaya;
- ubisi kunye nemveliso yobisi;
- inyama enamafutha, intlanzi;
- ukutya okusemgangathweni;
- ibhali, i-millet, i-pearl ibhali;
- imbotyi;
- nayiphi iesekese;
- imifuno;
- iziphuzo ezibandayo kunye ne-carbonate;
- i-cocoa okanye ikhofi kunye nobisi.
Ukutya okuphakanyisiweyo:
- izitya ezivela kwiintlanzi eziphantsi kweenqatha okanye inyama enqotyisiweyo, i-steamed okanye ibilisiwe (i-soufflé, i-cutlets kunye nabanye);
- i-rusks ukusuka kumgubo ophezulu;
- i-calcined okanye igrated cottage eshiyiweyo;
- izifo ezinobuthakathaka okanye ezinamafutha kunye nokudibanisa kwamaqanda amaqanda, inyama yezilwanyana, i-mucous cereal broths (ukusuka kumango, ilayisi);
- amaqanda (i-omelet ephekiweyo ephekiweyo);
- ibhotela, njengokugcwalisa izitya;
- iiflethi eziluhlaza;
- i-oatmeal, ilayisi, i-semolina ipharityhulam emanzini kwifom egxiliweyo;
- itiye eluhlaza;
- ikhofi okanye i-cocoa emanzini;
- berry iziselo ziselo;
- i jisi ze ziqhamo;
- kissel;
- umhluzi we-dogrose.
Kubalulekile ukutya rhoqo kunye nakwimigangatho emincinci, ukongeza uthabathe amaminerali kunye namavithamini, ngakumbi amaqela B, A, D, E kunye neK. Ukuba kuyimfuneko, ugqirha unokulungisa indlela ekhoyo yokutya (itafile 4 ngokwePevzner) ngokwemiqathango elandelayo:
- iimpawu zentsholongwane;
- ubunzima beembonakaliso zekliniki;
- ubunzima beempawu;
- ubukho beempawu ezikhuphayo kunye neengxaki;
- inhlalakahle yomntu;
- nemiphumo emibi yonyango.
Isifo sikaCrohn - unyango kunye nezilwanyana zomntu
Zininzi iindlela zokupheka zokuncedisa zikunceda ukukhawuleza inkqubo yokuvuvukala nokubuyisela ukugonya okufanelekileyo. Iingcebiso zabantu ukuba baphathe njani i-leite yesigxina kufuneka zidibaniswe neyeza lonyango. Ngokwahlukileyo, izilungiso zendalo zinefuthe elincinci, ngoko ke zisetyenziswe njengemilinganiselo yempilo eyongezelelweyo.
I-anti-inflammatory tea
Izithako:
- iintyatyambo ze-chamomile pharmacy - 30-35 g;
- amanzi abilayo - 200-210 ml.
Ukulungiselela, sebenzisa:
- Galela izixhobo zemifuno eluhlaza ngamanzi ashushu.
- Ukunyanzelisa iiyure eziyi-1-3.
- Phuza umthamo wonke weyeza ngaphambi kokutya.
- Phinda ufike kumaxesha ama-5-6 ngosuku.
Decoction against diarrhea
Izithako:
- Izithelo zikaBilberry - 100-140 g;
- amanzi - 1 litre.
Ukulungiselela, sebenzisa:
- Ubilise amajikijolo ngamanzi abilayo imizuzu eyi-10.
- Ukucoca i-compote edala.
- Phuza imithi ngelixa.
Ukunyuswa kweSpasmolytic
Izithako:
- iingcambu ze-marshmallow zingama-100-150 g;
- amanzi - 50-80 ml.
Ukulungiselela, sebenzisa:
- Hlanganisa kwaye uthathe iinqununu ezincinci zezinto ezibonakalayo.
- Yiphala ngamanzi abandayo kwindawo yokutya, ukuze i-liquid ihlanganise iingcambu.
- Ukunyanzelisa iiyure ezingama-6-10.
- Ukukrazula i-mucus ephuma kuyo kwisitya esisodwa.
- Phuza i-2 tsp 2-4 amaxesha ngosuku, ungeze iyeza kwiglasi yamanzi.
Antiulcer decoction
Izithako:
- Ukucoca izimpande zelayisorice - 2-3 g;
- amanzi - 150-200 ml.
Ukulungiselela, sebenzisa:
- Ubilise izixhobo eziluhlaza kwimifino yamanzi abilayo (imizuzu 10-15).
- Ukunyanzelisa isiqingatha seyure.
- Hlaziya isisombululo.
- Phuza isisombululo phakathi kokutya kathathu ngosuku.
- Ungaphuluki ngaphezu kweenyanga, uze uthathe ikhefu kwaye uqhubeke.
Izifo zeCrohn - iziphumo
Ukugula okuhlolwayo kunendlela engapheliyo, ngoko iqhubeka iqhubeka kwaye ihlala ikhokelela kwiimeko eziyingozi. Isifo sikaCrohn - iingxaki:
- ukuphuma kwamathambo kwisithuba esiswini;
- fissures ;
- isilonda seembumba;
- dysbiosis;
- umhlaza wekolon;
- ikhefu;
- i fistula .
Ngenxa yokuphulwa komzimba, isifo sikaBarill sihamba kunye:
- ukudinwa ngokulahlekelwa kwesisindo esinzima;
- hypovitaminosis;
- i dysbacteriosis.
Isifo sikaCrohn - ukuhlaziya
Ukupheliswa ngokupheleleyo kwesiqhelo leiteitis asikwazi, umntu kufuneka ahambelane nokutya ngexesha lonke, athathe inyango kunye nokukhusela i-pathology. Nangona umntu angakwazi ukulawula kuphela isifo sikaCrohn - ukuchazwa kobomi kulungile, kunikezelwe:
- ukuthotyelwa kweziphakamiso zokuqulunqwa kokutya;
- ukulahlwa kwezidakamizwa;
- ukutyelela rhoqo kwi-gastroenterologist;
- unyango olufike ngexesha kunye nokuthintela iingxaki.