Nā Ulcer a me ka maʻi ʻo Crohn

Anter

• He aha nā ʻano ulcer i hiki ke loaʻa inā loaʻa iā Crohn's disease?
• Ulcer waha
• Ula Aphthous
• ʻO nā mea ʻai Pyostomatitis
• ʻO nā ulcer waha ma muli o ka hopena o ka lāʻau
• He aha nā hōʻailona o ka maʻi puʻupuʻu?
• Fistula
• Kahena
• Anemia
• He aha nā koho lapaʻau no nā ulcer?
• Nā Immunosuppressants
• Nā lapaʻau ʻē aʻe
• ʻOki kino
• Lawe aku

Hōʻike Overview

ʻO ka maʻi o Crohn kahi pehu o ka gastrointestinal (GI) tract. Hoʻopili ia i nā papa hohonu o nā paia ʻōpū. ʻO ka hoʻomohala ʻana o nā ulcer, a i ʻole nā ​​ʻeha hāmama, i ka GI tract kahi hōʻailona nui o Crohn's.

Wahi a ka Crohn's a me Colitis Foundation o ʻAmelika, a he 700,000 mau ʻAmelika i loaʻa i ka maʻi o Crohn. Hiki i kēlā me kēia mea ke loaʻa i ka maʻi o Crohn, akā he mea nui paha ka hopena i ka poʻe ma waena o 15 a 35 mau makahiki.

He aha nā ʻano ulcer i hiki ke loaʻa inā loaʻa iā Crohn's disease?

Hiki ke ʻike ʻia nā ulcer i loaʻa me ka maʻi o Crohn mai ka waha a i ka anus, me nā:

• ʻākala
• duodenum
• pakui
• ʻōpū
• ʻōpū liʻiliʻi
• kolonā

ʻAʻole pili iki ka maʻi o Crohn i ka:

• waha
• ʻōpū
• duodenum
• ʻākala

ʻO kahi ʻano like he ulcerative colitis, kahi e hoʻopili ai i ke kolona wale nō.

ʻO kahi laʻana, loaʻa paha iā ʻoe nā maʻi puʻupuʻu ma loko o ke kolona inā loaʻa iā Crohn's. Loaʻa paha iā ʻoe kahi aho o ka ulcer i hoʻokahi wale nō ʻāpana o ke kolona. I nā ʻāpana ʻē aʻe o ka GI tract, aia paha nā ulcer i nā puʻupuʻu i hoʻokaʻawale ʻia e nā kikoʻī pono ʻole. Hiki i ke kūpilikiʻi mau ke alakaʻi i nā ulcer i ka genital area a i ʻole ka anus.

Ulcer waha

Ula Aphthous

I kekahi manawa, hoʻomohala ka poʻe me Crohn i nā ʻeha ʻeha ma ka waha. ʻIke ʻia kēia mau mea he ulcer aphthous. Kū pinepine kēia mau ulcer oral i ka wā o ka mumū o ka ʻōpū. Hiki iā lākou ke hoʻohālikelike i ka ʻeha canker maʻamau. I kekahi manawa, hiki ke ʻike ʻia nā ulcer nui aku.

ʻO nā mea ʻai Pyostomatitis

Kākaʻikahi nā mea ʻai Pyostomatitis. Hoʻokumu ia i nā abscesses, pustules, a me nā ulcer i ka waha. Hiki iā ia ke hana me ka maʻi ʻōpū (IBD) a i ʻole ka maʻi o Crohn. Hiki iā ʻoe ke lawe i nā corticosteroids waha a me ka pae, a ʻo nā mea i kapa ʻia ʻo "immune-modulate" lāʻau, e mālama ai i kēia mau ʻeha.

ʻO nā ulcer waha ma muli o ka hopena o ka lāʻau

I kekahi manawa, he ʻeha paha nā maʻi ʻeha o ka waha o nā lāʻau e mālama iā Crohn a me IBD. Hiki i kēia mau lāʻau ke hoʻoulu i ka thrush, kahi maʻi fungal waha.

He aha nā hōʻailona o ka maʻi puʻupuʻu?

Hiki i nā ulcer mai Crohn ke loaʻa he mau hōʻailona:

Fistula

Hiki i kahi ulcer ke hana i kahi fistula inā haki ia i loko o kāu paia ʻōpū. ʻO ka fistula kahi pilina maʻamau ma waena o nā ʻāpana like ʻole o ka ʻōpū, a i ʻole ma waena o ka ʻōpū a me ka ʻili a i ʻole kahi meaola ʻē aʻe, e like me ka pūpū. Hiki i kahi fistula i loko ke hoʻopau i ka meaʻai i nā wahi o ka ʻōpū. Hiki i kēia ke alakaʻi i ka lawa ʻole o ka lawe ʻana o nā meaola. Hiki i nā fistula kūwaho ke hoʻoheheʻe i ka ʻōpū ma luna o ka ʻili. Hiki i kēia ke kumu i kahi abscess hoʻoweliweli ke ola inā ʻaʻole ʻoe e mālama iā ia. ʻO ka ʻano fistula ʻoi loa o ka poʻe me Crohn e kū nei i ka ʻāpana anal.

Kahena

ʻIke ʻole ke kahe ʻana o ke kahe, akā hiki paha ke hana i kahi ulcer i loko o kahi kīʻaha koko nui a i ʻole nā ​​aʻa. Hana pinepine ke kino e sila i ka moku kahe. No ka poʻe he nui, hoʻokahi wale nō kēia hana. Eia nō naʻe, pono paha ke kahakaha inā pinepine ka holo ʻana o ke kahe.

Kākaʻikahi ka mea me ka maʻi o Crohn e ʻike i ke kahe koke, kahe nui. Hiki ke kahe ʻana i ke kahe i kēlā me kēia manawa, e like me ka wā o ka flare-up a i ʻole ke kala ʻia nei ka maʻi. Pono kahi hemorrhage nui i ke ola e hoʻopau i ka ʻāpana maʻi o ke kolona a i ʻole ka palapala GI a i ʻole e pale aku i kahi hemorrhage hoʻoweliweli ʻē aʻe i ka wā e hiki mai ana.

Anemia

ʻOiai ke loaʻa ʻole ke kahe e ʻike ʻia, hiki i ka Crohn ke alakaʻi i ka anemia hemahema hao inā kumu ia i nā maʻi he nui i ka ʻōpū liʻiliʻi a i ʻole kolone. Hiki ke hoʻomau, haʻahaʻa haʻahaʻa, nalo ke koko maʻi mau mai kēia mau maʻi maʻi. Inā loaʻa iā Crohn e hoʻopili i ka ileum a i ʻole inā ua ʻoki ʻia ʻoe e wehe i kahi ʻāpana o kou ʻōpū liʻiliʻi i kapa ʻia ʻo ka ileum, hiki iā ʻoe ke hoʻomohala i ka anemia ma muli o ka hiki ʻole ke omo i ka lawa ʻo B-12.

He aha nā koho lapaʻau no nā ulcer?

Nā Immunosuppressants

Hiki i ka pane pale o kou kino ke hoʻonā i ka wela. ʻO nā Immunosuppressants nā lāʻau e kāohi i ka pane pale.

ʻO Corticosteroids nā lāʻau e kāohi i ka ʻōnaehana pale e hōʻemi i ka hanana o ka mumū a me nā ulcer. Hiki iā ʻoe ke lawe iā lākou ma ka waha a pololei paha. Eia nō naʻe, hōʻike ka Crohn's a me Colitis Foundation o ʻAmelika e hiki ke loaʻa iā lākou nā hopena a ʻaʻole makemake nā kauka e kuhikuhi iā lākou no ka wā lōʻihi, inā hiki. E hoʻohui paha kāu kauka i ka lālani lua o nā lāʻau e kāohi i kāu ʻōnaehana pale.

Inā loaʻa iā Crohn's i pane ʻole i nā corticosteroids a i ʻole i ke kala ʻia ʻana, hiki i kāu kauka ke kuhikuhi i kekahi ʻano ʻano immunosuppressant e like me azathioprine a i ʻole methotrexate. He ʻekolu a ʻeono paha mahina e mālama ai i kahi pane mai kēia mau lāʻau. Hiki i kēia mau lāʻau ke hoʻonui i kou maka o ka maʻi ʻaʻai a me nā maʻi viral e like me herpes a me cytomegalovirus. Pono ʻoe e kūkākūkā i kāu mau pilikia me kāu kauka.

Nā lapaʻau ʻē aʻe

ʻO nā hōʻailona hou aʻe no Crohn e komo pū me kēia:

• I ka hihia o nā puʻupuʻu waha, hiki i kahi anesthetic kumuhana e like me ka lidocaine ke kōkua i ka ʻeha o ka ʻeha. Inā loaʻa iā ʻoe kahi anesthetic kumuhana, malia paha e hoʻopili ʻia ia me kahi corticosteroid kumuhana.
• ʻO nā mea olaola biologic e like me infliximab a me adalimumab kekahi mau lapaʻau kūpono no Crohn's.
• Kau kauka paha i ke kauka lāʻau i kōkua i ka hōʻemi ʻana i ka helu o nā koʻohune i loko o nā ʻōpū a hoʻēmi i ka pehu.

ʻOki kino

Koi paha kāu kauka i ke ʻoki e wehe i kahi ʻāpana o ka ʻōpū e nui ai nā maʻi maʻi maʻi. ʻAʻole hiki i kāu kauka ke hoʻōla iā Crohn me ke kahakaha ʻana, akā hiki i ke kahakaha ke kōkua i ka hōʻemi ʻana i nā ʻōuli. ʻO kahi ileum resection kahi hana e lawe ai kāu kauka i kahi ʻāpana o kāu ʻōpū liʻiliʻi i kapa ʻia ʻo ka ileum. Inā loaʻa iā ʻoe kahi resiona ileum a i ʻole iā Crohn koʻikoʻi o ka ileum, pono ʻoe e ʻai i ka wikamina B-12.

Lawe aku

ʻO ka maʻi o Crohn kahi maʻi hoʻomau. ʻAʻohe lāʻau i loaʻa, akā hiki i nā poʻe he nui ke hoʻokele kūleʻa i kā lākou mau ʻōuli. ʻO nā ulcer kahi hōʻailona hōʻeha loa o ka maʻi. Hiki iā ʻoe ke hōʻemi i ka manawa o ka hana pinepine ʻia a me ka lōʻihi o ko lākou kūpaʻa ʻana me ka lāʻau lapaʻau a me ka hoʻokele nohona. E noi i kāu kauka e pili ana i nā loli nohona a me nā lāʻau olakino e hana paha no kāu maʻi.