I ileitis esibulalayo (isifo Crohn): izimbangela, izimpawu, ukwelashwa

izinqubo okuvuthayo esiswini aziwa eziningi. Izimpawu njengesifo sohudo, ukuvuvukala kanye ukubuyisa, zenzeka cishe wonke umuntu. Noma kunjalo, kukhona izifo emathunjini ukuthi kukhona uhlobo chronic ezithuthukayo. Omunye isifo ezinjalo kuba ileitis esigungwini. Uphawu oyinhloko sifo - yisishiso ukuphela ingxenye emathunjini amancane. Naphezu kweqiniso lokuthi lo zokugula akubhekwa ezingavamile, izizathu ivela khona Awaziwa kuze kube sekupheleni. Ubujamo bezobulelesi okuqhubekayo lesi sifo, kudingeka njalo ukuphathwa yesondlo.

Incazelo ileitis esibulalayo

Izifo "ileitis esibulalayo" libhekene ukuvuvukala emathunjini amancane. Ngokuvamile kuthinta distal. Enye igama isifo - isifo Crohn. Ngaphezu esibulalayo ingxenye (the ileum), ezingase zihileleke, kanye nezinye izingxenye pheshana emathunjini. Ngokuvamile, ukuvuvukala kwenzeka yizicucu. Lokho kuthintwa kuphela izingxenye ezithile ipheshana wokugaya ukudla, okuyinto enye ne inyama ephilile. Loku kuyehluka isifo Crohn nezinye isifo wamathumbu ezingamahlalakhona - izilonda emathunjini. ileitis Terminal futhi ngokuthi granuloma uncharacteristic futhi lymphadenitis. Ngaphezu kwalokho zokugula ukuvuvukala libhekene ulceration kanye nezibazi e mafutha anciphisa isikhala esingaphakathi emathunjini.

ileitis Terminal: izimbangela zezifo

Etiology yalesi sifo Akwaziwa ngokuthé ngqo. Kunemibono eminingana ukuthuthukiswa egunjini lokuhlolwa kwezifo. Ngamunye wabo uqinisekisile, kodwa, nokho, akukuniki impendulo ewujuqu umbuzo etiology. Kuyaziwa ukuthi isifo Crohn (ileitis esibulalayo) kwenzeka ngaphansi isenzo yezici ingqondo. Phakathi kwabo:

1. ubudlova sokuhlasela kwamasosha omzimba. Kukhona sephula izindlela ukuzivikela zomzimba.
2. ukuvuvukala Okungalapheki kubangelwa flora amagciwane ku isizinda izivikeli mzimba zibe buthaka.
3. AbaLawula bauginievoy ichopho. Lokhu kuhlanganisa kumiswa kwemisipha izicubu futhi ukhonza njengesisebenzi valve phakathi emathunjini amancane futhi ikholoni.
4. Ukudla esingalungile. Ngokuvamile lesi sifo eba abantu ukuthatha ukudla ukudla abandayo, abayihlafunayo ukudla ezimbi.
5. yofuzo.
6. Baxinwe umlando womndeni. Ubungozi ileitis anda legciwane phakathi kwezihlobo.
7. Izejwayezi ezimbi, enjengokubhema.

kuyinto ileitis kanjani?

Ezimweni eziningi, ileitis esibulalayo eba ngokuzumayo. Ngokuvamile abantu bazi banaso lesi sifo kuphela uma izimpawu zenzeka. Kuleli qophelo, ungakwazi kakade kwenzeka izinguquko abashe inesikhala emathunjini. Ngokuyinhloko wadalula lwamafinyila ulwelwesi ukuvuvukala. lesion ingxenye ivela 10 kuya ku-20 cm ubude. Nge ukuqhubeka ileitis e ukuvuvukala abathintekayo kanye izingqimba ezijulile avele granulomas (lamachubu). I emathunjini odongeni ukuguguleka wabunjwa kuqala, khona-ke izilonda. Futhi, ukuvuvukala ungasakazekela kwezinye izindawo. Ngokuvamile kuba emathunjini esikhulu duodenum. I izindawo kuthinteka eklanywe ngokucacile kusukela inyama ephilile. Enye pathogenesis ukuvuvukala futhi zokuzikhukhumeza-lymph elise amathumbu nomfula. Long isikhathi zokugula kungaholela ekwakhekeni isibanda kwezicubu stenosis.

isifo Crohn: izimpawu nokwelashwa kwezifo kungakephuzi

Kufanele kukhunjulwe ukuthi zokugula okuhlobene izinqubo ezingamahlalakhona yansukuzonke abe umlingisi ezithuthukayo. Lona omunye izici ukuhlukanisa elinye nesifo futhi isifo Crohn. Izimpawu nasekwelashweni kwezifo kungakephuzi futhi babe ngezici ezithile. Ngokuvamile lesi sifo wokuqala kwenza ngokwayo wazizwa eminyakeni 15-25. Ngokuvamile kwenzeka labantu besilisa. Izimpawu eyinhloko ileitis - kungcono ubuhlungu esiswini (ezingeni inkaba futhi ngezansi), kukhuphuke izinga lokushisa lomzimba nokukhungatheka ngezinsimbi zesihlalo. Ezinye iziguli dyspepsia. Lezi ibandakanya ukucanuzela kwenhliziyo, ukuhlanza. Ngaphezu kwalokho, izimpawu ezivamile lesi sifo kuthiwa ukuvuvukala, kwentaba namathumbu.

Ngu izimpawu kamuva zihlanganisa kwegazi, asthenia (kwesisindo), ubuthakathaka jikelele. Ngaphezu ejwayelekile isithombe emtholampilo kungenzeka kwezinye izimpawu, ukubona. Phakathi kwabo kukhona: mucositis we ngalo ingaphakathi ngomlomo noma acinene, iziyaluyalu dermatological, izinhlungu emalungeni. Kufanele kukhunjulwe ukuthi lesi sifo noma iyiphi ingxenye ipheshana wokugaya ukudla. Ngakho-ke kungenzeka ukubonakala izimpawu ezintsha, kuye ngokuthi inqubo kwasendaweni. Lokhu kungaba ukuphazamiseka ukugwinya, epigastric ubuhlungu, isilungulela, ukuqunjelwa noma ukuthambekela Kunalokho, uhudo.

Sifo ileitis esibulalayo

Sifo "ileitis esibulalayo" nzima impela. Lokhu kungenxa yokuthi kukhona izinto eziningi ezifanayo zokugula emtholampilo. Ngakho-ke, kubalulekile ukuthola lesi sifo ngesikhathi bese uqale ukwelashwa ezifanele. Imiphumela yaloku kuhlola okungenhla kusekelwe ukubonakaliswa emitholampilo zokugula laboratory neluhlolo wezinsimbi. isifo Crohn kungenziwa esolwa idatha icala umlando (yobudala isiguli, khona yomlando womkhaya, ukuvuvukala concomitant).

Futhi, isici esiyinhloko iyinhlangano nature enenqubekela phambili futhi relapsing lesi sifo. Izinguquko Ezenzeka imingcele laboratory yabonakala cwaningo scatological futhi le Kla. Ukuhlaziya igazi kubonisa khona igazi, njengoba ukwanda isibalo leucocytes futhi ukusheshisa ESR. isiko fecal nakho kubalulekile kakhulu. Ngo coprogram kungathola nesenzakalo zama-bacterium, emangqamuzaneni egazi amhlophe, futhi igazi. Indlela eyinhloko uphethwe x-ray kanye Ngokuphambene abaphathi. Isithombe sikhombisa ukwakheka esikhulu granulomatous e mafutha anciphisa isikhala esingaphakathi emathunjini. Izinguquko ezinjalo, ngakho baziwa "njengelinye cobblestones". Futhi, Endoscopy - a colonoscopy. It kunikeza umbono walokho usayizi ukuvuvukala, khona ulceration, nezibazi.

Ukwelashwa nokuvikelwa amakhambi abantu

ukuphathwa isifo Crohn ngokuvamile eside futhi eziyinkimbinkimbi. Okokuqala kubalulekile kujwayeleke umlingisi umsoco yokuphila. Ukudla ngesikhathi ileite ukuphela kufanele zimumethe esasikhipha ukudla Ukudla okune-fibre. Nutrition kufanele kube ingxenyenamba. Kuyadingeka ukunciphisa engayitholi fat, nokungahlanganisiwe extractives, abakucasulayo le mucosa (amnandi, ebabayo futhi omuncu). Uma isiguli kwegazi, kubalulekile ukuze singene ekudleni ukudla okunothe B amavithamini nensimbi. Ukwelashwa ukugcina amakhambi ileitis abantu ngempela ngokuvamile kuyaphumelela. Kunconywa ukuthi uphuze decoction yamakhambi (peppermint, sage, chamomile futhi valerian) 3-4 izikhathi ngosuku, engeza abilisiwe onion ikhasi ukudla. Kungenzeka futhi ukuba silungiselele Yarrow ukumnika, okuyinto has nomphumela eqeda ukuvuvukala. Ukuqeda colic emathunjini, zisebenzisa infusions kwesinkuntshane, nokwentshungu, sage. Ukusebenza futhi utshwala tincture lily we esigodini.

Ezokwelapha okwesikhathi ileite esibulalayo

ukwelashwa izidakamizwa yakhiwa yokuphuza imithi ethile eqeda ukuvuvukala ( "Sulfasalazine" izidakamizwa "prednisolone"), imithi elwa namagciwane. Ngaphezu kwalokho, kubalulekile ukwelashwa lingaze. Lapho izinhlungu zithi emathunjini kwakudingeka izidakamizwa antispasmodic (amaphilisi "Cha-spa"). Phakathi exacerbation esetshenziswa antipyretics, anticholinergics, nemithi esigubuzele. Uma lesi sifo sekufike ezigabeni eziphambili, kungase kudingeke ukuhlinzwa.

Izinkinga yesifo Crohn

Khumbula ukuthi isifo Crohn - a zokugula ezinzima, ukwelapha engahlala iminyaka. Nge ukuqhubeka izinqubo abhubhisayo futhi ukungabi khona ukwelashwa ezanele ngokuvamile ukuthuthukisa ukuxakeka. Lezi zihlanganisa: ukopha, isimiso emathunjini, isibanda stricture futhi peritonitis. Zonke lezi zinqubo kudingeka uhlinzwe esiphuthumayo (resection ukusuka endaweni yenhlekelele).