The chinouraya ileitis (Crohn nehosha): zvinokonzera, zviratidzo, kurapwa

Anogumbura pezvakaitwa ari dumbu anozivikanwa nevakawanda. Zviratidzo akadai manyoka, bloating uye flatulence, anowanikwa anenge munhu wose. Kunyange zvakadaro, pane intestinal zvirwere kuti vari chisingaperi uye mberi hunhu. Mumwe chirwere yakadaro inouraya ileitis. The chikuru chiratidzo chirwere - ane kuzvimba kuguma chikamu ura duku. Pasinei nokuti zvokurwara hakunganzi zvisingawanzoitiki, zvikonzero parinowanika havasi kuzivikanwa kusvikira pakuguma. Kupiwa kufambira mberi kwechinangwa chirwere, tinoda kugara nokuchengetedza kurapwa.

Description kuti chinouraya ileitis

Chirwere "chinouraya ileitis" kunoratidzwa kuzvimba ari ura duku. Kakawanda rinokanganisa distal. Chimwe zita nokuti chirwere - Crohn chirwere. Kuwedzera kune chirwere chikamu (the ileum), anogona zvinobatanidzwa, uye dzimwe nhengo nemudumbu. Kazhinji, kuzvimba rinowanikwa mune zvimedu. Izvozvo sei chete zvimwe zvikamu zvomudumbu turakiti, izvo chinjana pamwe utano tishu. Izvi zvakasiyana Crohn nehosha zvimwe chisingaperi bowel chirwere - maronda colitis. Inouraya ileitis anonziwo uncharacteristic granuloma uye lymphadenitis. Uyezve anogumbura zvokurwara kunoratidzwa ulceration uye scarring mune intestinal lumen.

Inouraya ileitis: zvinokonzera chirwere

The etiology chirwere ichi haina kuzivikanwa chaizvo. Kune akawanda dzidziso kukura zvokurwara. Mumwe nomumwe wavo dzakatsigira, asi, zvakadaro, haripi mhinduro yakakwana kune mubvunzo pamusoro etiology. Zvinozivikanwa kuti Crohn nehosha (ileitis chinouraya) rinowanikwa pasi zvinoitwa afunge zvinokonzera. Pakati pavo:

1. Autoimmune kurwisa. Pane vari kutyora muviri kudzivirira zvigadziriswe.
2. Chirwere kuzvimba anokonzerwa nemavhairasi kana kwemabhakitiriya kasvisto pamusoro pakanyorwa kuderera zvirwere.
3. Insolvency bauginievoy kurova-rova. Izvi zvinosanganisira paumbwe tsandanyama rinenge uye ndipiyona vharafu pakati ura diki uye muura.
4. Usava kudya. Most kazhinji chirwere ikabuda vanhu kutora zvokudya zvokudya chando, zvakaipa zvokudya chewers.
5. Genetic kubatwa.
6. Kuremerwa munhoroondo yemhuri. Mukana ileitis akawedzera kuitika pakati pehama.
7. Bad miitiro, yakadai sokusvuta fodya.

Sei ileitis?

Kazhinji, chinouraya ileitis hwapedyo pakarepo. Kazhinji vanhu vanoziva vane chirwere chete kana zviratidzo kuitika. Panguva iyi, unogona kare kuitika segwapa kuchinja intestinal lumen. Zvikurukuru pachena mucous Kamudzira kuzvimba. lesion mugove kubva 10 kusvika 20 cm pakureba. With kuchiita ileitis mu kushoma dzinobatanidzwa uye zvakadzika akaturikidzana kuonekwa granulomas (tubercles). The intestinal rusvingo kukurwa kwevhu kuumbwa pakutanga, ipapo maronda. Uyewo, kuzvimba anogona kupararira kune dzimwe nzvimbo. Kakawanda iri huru ura uye duodenum. Vawirwa nenjodzi dziri pachena demarcated kubva utano tishu. Chimwe pathogenesis ndiko kuzvimba uye mumatenhere node nodes yaiva nomurwizi ura. Refu zvokurwara kungaita kuti paumbwe vanga rinenge uye stenosis.

Crohn nehosha; zviratidzo uye nokurapa chirwere

Zvinofanira kurangarirwa kuti zvokurwara nechokuita chisingaperi idzokororo pezvakaitwa vane mberi hunhu. Uyu ndiwo mumwe zviri izvo kusiyanisa mumwe colitis uye Crohn chirwere. Zviratidzo uye kurapwa zvirwere vane zvakananga zvinhu. Kazhinji chirwere kutanga kunoita pacharo sokuti mumakore 15-25. Kakawanda richiwanika munyika mukono vemo. The chikuru zviratidzo ileitis - chinhu kurwadziwa mudumbu (pachiyero kweguvhu uye pazasi), vakawedzera muviri tembiricha uye kushungurudzwa nechigaro. Vamwe varwere vane dyspepsia. Izvi zvinosanganisira kuda kurutsa, kurutsa. Uyezve, vanhuwo zviratidzo chirwere vari bloating, kutinhira kani.

By akazotevera zviratidzo zvinosanganisira kupererwa, asthenia (uremu), vakawanda simba. Kuwedzera kwese kunotoda mufananidzo kungava nedzimwe kuratidzwa. Pakati pazvo pane: mucositis ari nomumukanwa kana nasal mhango, dermatological zvirwere, vadyi marwadzo. Zvinofanira kurangarirwa kuti chirwere unogona kupararira kune chikamu zvomudumbu turakiti. Saka zvinobvira chimiro zviratidzo itsva, zvichienderana localization rikurumidze. Izvi zvinogona kuva kumedza chirwere, epigastric marwadzo, chirungurira, kupatirwa kana tsika nekusiyana, manyoka.

Kuongorora chirwere chinouraya ileitis

Chirwere "chinouraya ileitis" zvakaoma. Izvi imhaka yokuti pane zvakafanana zhinji kunotoda kurapwa zvokurwara. Naizvozvo, zvakakosha kuti ticherechedze chirwere munguva uye kutanga zvakakodzera kurapa. The chirwere pazvikanganiso kurapwa kuratidzwa zvokurwara rabhoritari uye richishanda bvunzo. chirwere Crohn anogona vanofungidzirwa nenyaya nhoroondo Data (makore murwere, kuvapo nhoroondo yemhuri, concomitant kuzvimba).

Uyewo, chikuru chikabviswa iri mberi uye relapsing pezvakaita chirwere. Aichinja murabhoritari parameters akaona scatological kudzidza uye kuti KLA. Kuongororwa ropa kunoratidza kuvapo kupererwa, sezvo nokuwedzera kwenhamba leucocytes uye mhanyisa ESR. Fecal tsika kunokoshawo chaizvo. In coprogram anogona kuona panowanikwa utachiona, ropa masero machena, uye ropa. The nzira chikuru nechirwere ndiyo X-ray ine musiyano kutarisira. Nomufananidzo guru granulomatous inotungamirwa ari intestinal lumen. Kuchinja kwakadaro vanozivikanwa se "cobblestones". Uyewo, endoscopy - mumwe colonoscopy. Rinopa pfungwa ukuru kushoma, kuvapo ulceration, scarring.

Mabatirwo zvavo mishonga

kurapwa Crohn nehosha zvinowanzoita refu uye kunzwisisa. Chekutanga zvose zvakakosha normalize unhu muviri uye mararamiro. Diet panguva chinouraya ileite vanofanira vanoumba rinopa chikafu zvokudya akapfuma faibha. Nutrition inofanira hacho. Zvakakodzera kuderedza mafuta yaunodya, uye vanodzinga extractives, muchishungurudza ari mucosa (inonaka, shungu uye yakashapa). Kana murwere ane kupererwa, zvakakosha kupinda zvokudya zvekudya akapfuma B mavhitaminzi uye nesimbi. Mabatirwo chinouraya ileitis acho mishonga kazhinji kunobudirira. Zvinokurudzirwa kunwa decoction wemiriwo (peppermint, somuzivi, chamomil uye valerian) 3-4 kanomwe pazuva, wedzera bandauko hanyanisi svuura kudya. Zvinogonekawo kuti agadzirire aizomupa yarrow, ine Anti-anogumbura mugumisiro. Kubvisa intestinal colic, shandisa infusions cheminte * uye somuzivi. Inoshanda uye doro tincture yakagadzirwa semaruva mumupata.

Kurapwa kwenguva chinouraya ileite

Drug kurapwa unotora yachengetwa Anti-anogumbura zvinodhaka ( "Sulfasalazine" zvinodhaka "prednisolone"), mishonga inorwisa mabhakitiriya. Uyezve, zvakakosha symptomatic kurapa. Kana marwadzo ari muura zvinodiwa antispasmodic zvinodhaka (mapiritsi "No-Spa"). Panguva exacerbation inoshandiswa antipyretics, anticholinergics, rakafukidza mishonga. Kana chirwere yasvika akura matanho, ungada kuvhiyiwa.

Matambudziko Crohn chirwere

Yeuka kuti Crohn nehosha - wakaomarara zvokurwara, mishonga izvo zvinogona kwemakore. With kuchiita pezvakaitwa dzinokuvadza uye kusavapo zvakakwana kurapa kazhinji kuva matambudziko. Idzi dzinosanganisira: ropa, intestinal mhingaidzo, vanga stricture uye peritonitis. pezvakaitwa zvose izvi zvinoda kukurumidzirwa kuvhiyiwa (resection pakati Munzvimbo iyi).