I-terminal ileitis (disease Crohn i-): oonobangela, iimpawu, unyango

iinkqubo ukudumba ethunjini ezaziwa abaninzi. Iimpawu ezifana norhudo, ukuqumba kunye flatulence, kwenzeka phantse wonke. Noko ke, kukho izifo wamathumbu ukuba indalo ezingapheliyo kunye phambili. Esinye isifo enjalo terminal ileitis. Eyona uphawu isifo - kukukrala ekupheleni isabelo emathunjini amancinci. Ngaphandle kwento yokuba ngezifo akujongwa ezinqabileyo, izizathu ukwenzeka yayo ayaziwa de kube sekupheleni. Ngenxa iphucukile zesi sifo, kufuneka unyango ukulungiswa rhoqo.

Inkcazelo ukugcina ileitis

Izifo "yesiphelo ileitis" luphawulwa ukudumba kwi emathunjini amancinci. Amaninzi buchaphazela distal. Elinye igama isifo - sifo Crohn kaThixo. Ukongeza inxalenye terminal (i ileum), ukuze babandakanyeke, kunye nezinye iinxalenye phecana zesisu. Ngokuqhelekileyo, nangokurhala kwenzeka iziqwenga. Loo nto ichaphazela kuphela iinxalenye ezithile wokugaya, apho enye kunye ephilile. Oku kwahlukile sisifo Crohn kaThixo enye isifo wamathumbu esingapheliyo - okwenziwa sisilonda sikabhobhosi. ileitis yesiphelo kwakhona ngokuba granuloma uncharacteristic kunye lymphadenitis. Ngaphezu koko zoxilongo yokukrala luphawulwa zizilonda nezibhaxu kwi sayo emathunjini.

ileitis yesiphelo: ezibangela izifo

Le umyalezo kwesi sifo azaziwa ncam. Kukho imibono eziliqela kuphuhliso ngezifo. Ngamnye kubo ingqinile, kodwa, nangona kunjalo, akuthethi ukunika impendulo ngokupheleleyo umbuzo lo umyalezo. Yinto eyaziwayo ukuba izifo Crohn kaThixo (terminal ileitis) yenzeka phantsi isenzo zinto ingqondo. Phakathi kwabo:

1. ndlongo komzimba. Kukho uphula iindlela lomzimba wokhuselo.
2. ukudumba okubangelwa flora ziintsholongwane kwisiqalo kwenkqubo omzimba buthathaka.
3. Insolvency bauginievoy caba. Oku kubandakanya ukusekwa esiqwini kwezihlunu kwaye isebenza vana va emathunjini amancinci emathunjini.
4. ukutya ngendlela engafanelekanga. Isikakhulu sifo senzeka abantu ukuthatha ukutya ukutya ebandayo, kwezetyisa ukutya embi.
5. yofuzo.
6. Inzima gqitha kwimbali yosapho. Umngcipheko ileitis zanda izehlo phakathi kwezihlobo.
7. imikhwa emibi, ezifana nokutshaya.

Njani na ileitis?

Kwiimeko ezininzi, terminal ileitis iphuhlisa ngesiquphe. Kaninzi abantu bayazi ukuba esi sifo kuphela xa zenzeka iimpawu. Ngelo xesha, ngaba sele kwenzeka utshintsho iphawulwe sayo emathunjini. Ubukhulu becala waveza uxakaxa ndizayo komtshiso oko. sisilonda esidumbileyoesingaphakathi isabelo ukususela-10 ukuya ku-20 cm ubude. Kunye ukuqhubela phambili ileitis kwinkqubo yokukrala ezibandakanyekayo kunye ingxenye yaso kuvela granulomas (tubercles). Ukhukhuliseko udonga wamathumbu kuqala, ngoko nezilonda. Kwakhona, nangokurhala isasazeke kwezinye iindawo. Amaninzi lelona Amathumbu amakhulu kunye duodenum. Imimandla abahlukunyezwa ngokwemida ngokucacileyo ukususela ephilile. Enye Pathogenesis yi nokudumba ekweneni ezalathelwe nkovu ibekwe emathunjini kwindawo engezantsi. Ubude ngezifo Long kungakhokelela ukusekwa kukuqulungana inyama kunye stenosis.

isifo Crohn esithi: iimpawu kunye nonyango lwesifo

Kufuneka kukhunjulwe ukuba ngezifo ezinxulumene neenkqubo ezinganyangekiyo nezolo kufuneka uphawu okuqhubekayo. Le yenye iimo ezahlula ezinye nokudumba kunye nesifo Crohn kaThixo. Iimpawu kunye nonyango lwesifo nazo iimpawu ezithile. Ngokwesiqhelo esi sifo okokuqala uzenza ngayo kwiminyaka 15-25. Kaninzi kwenzeka besilisa. Iimpawu eziphambili ileitis - ukuba loo iintlungu esiswini (kwinqanaba inkaba kunye ngezantsi), ubushushu bomzimba eyonyukileyo kunye nonxunguphalo esitulweni. Ezinye izigulane ziye ukuqunjelwa. Ezi ziquka isicaphucaphu, ukugabha. Ukongeza, imiqondiso olufanayo sifo nokuqunjelwa, wokuwa amathumbu.

Ziimpawu kamva ziquka anaemia, asthenia (ilahleko ubunzima), ubuthathaka jikelele. Ukongeza komfanekiso yezonyango angafuna kuba nezinye. Phakathi kwazo kukho ezi: mucositis ye kwisisu yomlomo okanye ngeempumlo, ukuphazamiseka dermatological, iintlungu ngokudibeneyo. Kufuneka kukhunjulwe ukuba isifo utshisa nayiphi na inxalenye lokugaya. Ngoko ke kunokwenzeka imbonakalo iimpawu ezintsha, kuxhomekeke kwinkqubo imveliso yasekhaya. Oku kunokuba ligwinya disorder, iintlungu epigastric, heartburn, ukuqhina okanye utyekelo koko, urhudo.

Sifo terminal ileitis

Uxilongo "yesiphelo ileitis" kakhulu nzima. Oku kungenxa yokuba kukho ukufana ezininzi ngezifo onyango. Ngoko ke, kubalulekile ukuba ukubona sifo ngexesha kwaye uqale unyango olufanelekileyo. Uxilongo isekelwe elebhu ibonwa lwezonyango ngezifo kunye neemviwo zomculo. isifo Crohn kaThixo ingakrokreleka yi-data imbali kwimeko (iminyaka yomguli, ubukho imbali yosapho, nangokurhala ezihamba).

Kwakhona, lo msebenzi osemqoka iphambili a iphucukile kunye relapsing kwesi sifo. Utshintsho parameters elebhu yabonakala ukufunda scatological kwaye i pat. Uhlalutyo igazi ibonisa ubukho kwegazi, njengoko ukwanda kwinani leucocytes isantya ESR. inkcubeko ilindle Kubalulekile kakhulu. Xa coprogram uyakwazi ukubona iziganeko iintsholongwane, iiseli ezimhlophe zegazi, negazi. Indlela ephambili uphethwe x-reyi kunye nolawulo umahluko. Lo mfanekiso ubonisa ukuyilwa enkulu granulomatous kwi sayo emathunjini. Olo tshintsho zaziwa ngokuba "cobblestones". Kwakhona, endoscopy - a colonoscopy. Oku kunika uluvo lokuba ubungakanani yenkqubo kwiintetho ezikralayo, phambi zizilonda, loloyiko.

Unyango amayeza intsomi

unyango lwezifo Crohn lukaThixo idla elide kunye ezintsonkothileyo. Okokuqala kubalulekile ukuba ukubuyisela umlinganiswa ngesondlo kunye nendlela yokuphila. Ukutya e terminal ileite kufuneka kubandakanye yokwenziwa ukutya ukutya esisityebi ifayibha. Nutrition kufuneka iqhezu. Kuyimfuneko ukuba kuncitshiswe inani amanqatha, kwaye ngaphandle extractives, ukubacaphukisa le isifo (esimnandi, ekrakra kunye ezimuncu). Ukuba ogulayo anaemia, kubalulekile ukuba ukungena nokutya ukutya zizityebi iivithamini B kunye nentsimbi. Unyango amayeza ileitis intsomi terminal kaninzi olusebenzayo. Kuyanconywa ukuba usele decoction womfuno (intlama, lobulumko, chamomile kunye valerian) izihlandlo 3-4 ngemini, yongeza nga riki Ixolo ebilisiweyo ukuze badle. Kungenzeka kwakhona ukuba alungise yarrow iimela, eye ukusebenza anti-ukudumba. Ukuze balahle yokulunywa isisu, sebenzisa infusions zetyeleba lobulumko. Esebenzayo kunye notywala tincture zingumsebenzi oyinyibiba komfula.

unyango ukuba terminal ileite

unyango Drug iquka ekuqhubeni amachiza-ukudumba (iziyobisi "Sulfasalazine" "prednisolone"), antibiotics. Ngaphezu koko, kubalulekile ukuba unyango nomqondiso. Xa intlungu emathunjini ezifunekayo iziyobisi antispasmodic (iipilisi "No-Spa"). Ngexesha exacerbation kusetyenziswa antipyretics, anticholinergics, amayeza inwenwa. Ukuba sifo lifikelele sesihambe, ungafuna uqhaqho.

Iingxaki isifo Crohn kaThixo

Khumbula ukuba izifo Crohn kaThixo - indlela ngezifo kakhulu, unyango elinokuthatha iminyaka. Kunye ukuqhubela phambili iinkqubo entshabalalo kunye nokungabikho unyango ezaneleyo bavame iingxaki. Ezi ziquka: ukopha, emathunjini, alaqhenqetha: kukuqulungana stricture kunye peritonitis. Zonke ezi nkqubo kufuneka utyando ezingxamisekileyo (resection ye kummandla ochaphazelekayo).