ʻO Crash's Disease Rash: Pehea ke ʻano?

Anter

• Nā ʻōuli o ka ʻili
• Nā lesion Perianal
• Liona waha
• ʻO ka maʻi o Metastatic Crohn
• Erythema nodosum
• ʻO Pyoderma gangrenosum
• Sweet's syndrome
• Nā kūlana pili
• Nā hopena i nā lāʻau
• Nā hemahema o ka wikamina
• Nā kiʻi
• No ke aha e hana ai kēia
• Nā hoʻoponopono
• Ka wā e ʻike ai i ke kauka
• Ke laina lalo

ʻO ka maʻi o Crohn kahi ʻano maʻi maʻi ʻōpū (IBD). ʻO ka poʻe me ka maʻi ʻo Crohn e ʻike i ka mumū i kā lākou digestive tract, kahi e hiki ai i nā ʻōuli e like me:

• abdominal eha
• pāhoehoe
• Kaumaha emi

Ua koho ʻia a hiki i ka 40 pākēneka o ka poʻe me ka maʻi o Crohn e ʻike i nā ʻōuli ʻaʻole pili i ka digestive tract.

ʻO ka ʻāpana kahi e kū ai nā ʻōuli ma waho o ka digestive tract ka ʻili.

No ke aha mai ka maʻi ʻo Crohn e hiki ai i ka ʻili ke hoʻomaopopo iki ʻole ʻia. Pili paha ia i:

• nā hopena pololei o ka maʻi
• kumu pale pale
• he hopena i ka lāʻau

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i ka maʻi o Crohn a me ka ʻili.

Nā ʻōuli o ka ʻili

Hiki i nā poʻe me ka maʻi o Crohn ke hoʻomohala i nā ʻano ʻili ʻokoʻa. E ʻimi kākou i kekahi o lākou i ke kikoʻī ma lalo.

Nā lesion Perianal

Aia nā leona Perianal a puni ka anus. Hiki iā lākou ke:

• ulaʻula
• pehu
• ʻeha i kekahi manawa

Hiki i nā leona Perianal ke hana i nā ʻano like ʻole, e like me:

• ulcer
• nāʻaihue
• nā māwae, a i ʻole ka hoʻokaʻawale i ka ʻili
• nā fistula, a i ʻole nā ​​pilina pili ʻole ma waena o ʻelua ʻāpana o ke kino
• ʻili lepili

Liona waha

Hiki pū kekahi nā leona i ka waha. Ke hōʻike ʻia nā lehelehe waha, ʻike paha ʻoe i nā maʻi ʻehaʻeha i loko o kou waha, ʻo ia hoʻi ma loko o ka papalina a me nā lehelehe.

I kekahi manawa aia kekahi mau ʻōuli ʻē aʻe, e like me:

• he lehelehe mahae
• nā ʻulaʻula a uhaʻi paha i nā kihi o ka waha, i kapa ʻia ʻo angular cheilitis
• nā lehelehe a pehu paha

ʻO ka maʻi o Metastatic Crohn

Kākaʻikahi ka maʻi o Metastatic Crohn.

ʻO nā pūnaewele maʻamau ka hopena:

• alo
• genital
• ʻāpana kūpilikiʻi

ʻIke ʻia paha ia i nā wahi e ʻūlū pū nā ʻili ʻelua.

ʻO kēia mau leona e like me ka plaque e like me ka helehelena, ʻoiai i kekahi mau manawa ke nānā aku lākou e like me ka ulcer. ʻUlaʻula a purplish paha lākou i ke kala. Hiki ke ʻike ʻia nā liona Metastatic e lākou iho a i ʻole nā ​​hui.

Erythema nodosum

Hoʻohālikelike ʻia ʻo Erythema nodosum e nā puʻupuʻu ʻulaʻula a i ʻole nā ​​nodule e kū pono ma lalo o ka ʻili.

ʻIke pinepine ʻia lākou ma kou mau ʻaoʻao haʻahaʻa, ma ke alo hoʻi o kou ʻalalā. ʻO ka fiva, ke anuanu, ka ʻeha, a me nā ʻeha pū kekahi.

ʻO Erythema nodosum ka hōʻike ʻili maʻamau o ka maʻi o Crohn. ʻO ka pinepine nō hoʻi ia, akā ʻaʻole mau, kūlike me ka lapalapa ahi.

ʻO Pyoderma gangrenosum

Hoʻomaka kēia ʻano me kahi puʻupuʻu i ka ʻili a laila lilo i ʻeha a ulcer paha me kahi kumu melemele. Hiki iā ʻoe ke loaʻa i kahi liona pyoderma gangrenosum a i ʻole nā ​​leona he nui. ʻO ka wahi maʻamau ka wāwae.

E like me ka erythema nodosum, hiki i ka pyoderma gangrenosum ke hana pinepine i ka wā o kahi uila. Ke hōʻola nā liona, hiki i kahi scarring koʻikoʻi. Ma kahi o 35 pākēneka o ka poʻe e hiki ke ʻike i kahi hoʻi hou.

Sweet's syndrome

Pili ʻo Sweet's syndrome i nā papula ʻulaʻula palupalu i uhi mau i kou poʻo, ka puʻuwai, a me nā lima. Hiki iā lākou ke kaʻawale a ulu pū paha e hana i kahi pā.

ʻO nā ʻōuli ʻē aʻe o ka maʻi hōʻoluʻolu e like me:

• fiva
• luhi
• ʻehaʻeha
• ʻeha

Nā kūlana pili

Pili kekahi mau ʻano ʻē aʻe i ka maʻi o Crohn a hiki i ke kumu o nā ʻōuli o ka ʻili. Aia kekahi mau laʻana:

• psoriasis
• vitiligo
• ʻōnaehana lupus erythematosus (SLE)
• amyloidosis autoimmune

Nā hopena i nā lāʻau

I kekahi mau hihia, ʻike ʻia nā maʻi ʻili i ka poʻe e lawe nei i kahi ʻano lāʻau biologic i kapa ʻia he lāʻau anti-TNF. ʻO kēia mau leona e like me ka eczema a i ʻole psoriasis.

Nā hemahema o ka wikamina

Hiki i ka maʻi o Crohn ke alakaʻi i ka malnutrisi, me nā hemahema o ka huaora. Hiki i kekahi o kēia mau mea ke kumu i nā ʻōuli o ka ʻili. ʻO nā laʻana me:

• Ka nele o Zinc. Hoʻokumu ka hemahema o Zinc i nā pākuʻi ʻulaʻula a i ʻole nā ​​pāleka i loaʻa pū paha nā pustules.
• Ka hemahema hao. ʻO ka hemahema hao ke kumu o ka ʻulaʻula, nā māwae ma nā kihi o ka waha.
• Ka hemahema o ka wikamina C. ʻO ka hemahema o ka wikamina C ke kumu o ke kahe ʻana o ke kahe ma lalo o ka ʻili, kahi e kū ai nā wahi ʻeha e like me ka.

Nā kiʻi

ʻO nā ʻōuli o ka ʻili e pili ana i ka maʻi o Crohn hiki ke hōʻike i nā ʻano like ʻole, e like me ko lākou ʻano a me ko lākou wahi.

Pepa ma nā kiʻi aʻe no kekahi laʻana.

No ke aha e hana ai kēia

ʻAʻole maopopo maopopo pehea ka maʻi maoli o Crohn e hana ai i nā ʻōuli o ka ʻili. Ke hoʻomau nei ka noiʻi ʻana i kēia nīnau.

ʻO kēia ka mea a mākou e ʻike ai:

• ʻO kekahi mau leona, e like me nā leona perianal a me nā metastatic, e like me ke kumu o ka maʻi o Crohn. Ke biopsied a nānā ʻia me kahi microscope, loaʻa i nā liona nā hiʻohiʻona e like me ka maʻi digestive.
• ʻO nā liona ʻē aʻe, e like me erythema nodosum a me pyoderma gangrenosum, manaʻo ʻia e kaʻana like i nā ʻano hana maʻi me ka maʻi o Crohn.
• ʻO kekahi mau ʻano autoimmune i kumu i nā ʻōuli o ka ʻili, e like me psoriasis a me SLE, pili i ka maʻi o Crohn.
• ʻO nā mea ʻelua e pili ana i ka maʻi o Crohn, e like me kaʻai pono ʻole a me nā lāʻau i hoʻohana ʻia i ka mālama ʻana, hiki ke hana i nā ʻōuli o ka ʻili.

No laila pehea e hiki ai i kēia āpau ke hoʻopili pū? E like me nā kūlana autoimmune ʻē aʻe, pili ka maʻi o Crohn i ka pale o ke kino e hoʻouka nei i nā hunaola olakino. ʻO kēia ka mea e alakaʻi ai i ka mumū e pili ana i ke ʻano.

Ua hōʻike ʻia nā noiʻi holoholona he cell immune i kapa ʻia he Th17 cell kahi mea nui i ka maʻi o Crohn. Pili pū ʻia nā pūnaewele Th17 me nā kūlana autoimmune ʻē aʻe, me nā mea i hiki ke hoʻopili i ka ʻili.

E like me ia, hiki i kēia mau pūnaewele ke lilo i loulou ma waena o ka maʻi o Crohn a me ka nui o nā ʻōuli o ka ʻili e pili ana.

Hōʻike nā noiʻi ʻē aʻe he nui aku nā mea pale i pili i ka maʻi.

Eia nō naʻe, pono i kahi noiʻi hou e hoʻoponopono i ka loulou ma waena o ka maʻi o Crohn a me ka ʻili.

Nā hoʻoponopono

Aia kekahi mau ʻano lapaʻau kūpono no nā maʻi ʻili e pili ana i ka maʻi o Crohn. ʻO ka hana maʻamau i loaʻa iā ʻoe e kauka ʻia i ka ʻili o nā ʻili i loaʻa iā ʻoe.

I kekahi manawa hiki i nā lāʻau ke kōkua i ka hōʻoluʻolu i nā ʻōuli o ka ʻili. ʻO kekahi mau laʻana o nā lāʻau i kuhikuhi ʻia e kāu mea mālama ola:

• corticosteroids, hiki i ka waha, injected, a i ʻole kumuhana.
• nā lāʻau immunosuppressive, e like me methotrexate a i ʻole azathioprine
• nā lāʻau lapaʻau anti-inflammatory, e like me sulfasalazine
• anti-TNF biologics, e like me infliximab a i ʻole adalimumab
• antibiotics, hiki ke kōkua me nā fistula a i ʻole nā ​​abscesses

ʻO nā hana kūpono ʻē aʻe e pili pū me:

• ke hoʻopau nei i kahi biologic anti-TNF inā ke kumu nei ia i nā ʻōuli o ka ʻili
• ke ʻōlelo nei i nā huaʻai hoʻoliʻiliʻi ke kumu o ka hemahema o ka wikamina
• hana ʻoki ʻana e wehe i kahi fistula koʻikoʻi, a i ʻole fistulotomy

I kekahi mau hihia, hiki ke ʻike ʻia nā ʻōuli o ka ʻili ma ke ʻāpana o ka lapalapa ʻana o ka maʻi o Crohn. Ke hiki kēia, hiki i ka mālama ʻana i ka lapalapa ke kōkua i ka hōʻoluʻolu i nā ʻōuli o ka ʻili.

Ka wā e ʻike ai i ke kauka

Inā loaʻa ʻoe i ka maʻi o Crohn a hoʻomōhala i nā ʻōuli o ka ʻili āu e manaʻoʻiʻo ai e pili ana i kāu ʻano, e hoʻopaʻa manawa me kāu kauka.

Pono paha lākou e lawe i kahi biopsy e hoʻoholo ai i ke kumu o kāu mau hōʻailona.

Ma ka ʻōlelo maʻamau, he rula maikaʻi loa ia e ʻike ai i kāu kauka inā ʻike ʻoe i nā ʻōuli o ka ʻili.

• uhi i kahi nui
• hohola koke
• ʻeha
• he pālolo a hoʻoiho wai paha
• kū me ke kuni

Ke laina lalo

ʻO nā poʻe he nui me ka maʻi o Crohn e ʻike i nā ʻōuli e hoʻopili i nā wahi ʻē aʻe ma mua o ka digestive tract.

ʻO kekahi o kēia mau wahi ka ʻili.

Nui nā ʻano ʻino o nā ʻili i pili me ka maʻi o Crohn. Hiki i kēia ke hana ma muli o:

• nā hopena pololei o ka maʻi
• kekahi mau mea pale e pili ana i ka maʻi
• nā pilikia e pili ana i ka maʻi, e like me kaʻai pono ʻole

Hiki i ka lapaʻau ke hilinaʻi i ke ʻano o ka leona. Hoʻohui pinepine paha ia i ka lawe ʻana i kahi lāʻau e kōkua i ka hōʻoluʻolu i kāu mau ʻōuli.

Inā loaʻa ʻoe i ka maʻi o Crohn a ʻike i nā ʻōuli o ka ʻili āu e manaʻo ai he pili paha, e ʻike i kāu kauka.