Izimo Zesikhumba Ezihlobene Nezifo ZikaCrohn

-Delile

• Ukubuka konke
• Amabhampa abomvu
• Izilonda
• Izinyembezi zesikhumba
• Izinduna
• Amathegi esikhumba
• Imigudu esikhunjeni
• Izilonda zodaka
• Amabala abomvu emilenzeni
• Amabhamuza
• I-Psoriasis
• Ukulahleka kombala wesikhumba
• I-Rash
• Ukudla okudlela endlini

Ukubuka konke

Izimpawu ezijwayelekile zesifo sikaCrohn zivela kumgudu wamathumbu (GI), okudala izingqinamba ezifana nobuhlungu besisu, isifo sohudo, kanye nezihlalo ezinegazi. Kodwa kuze kufike kubantu abanesifo sikaCrohn banezimpawu kwezinye izindawo zomzimba wabo, njengesikhumba sabo.

Nazi ezinye zezimo zesikhumba ezivame kakhulu ezihlobene nesifo sikaCrohn, nokuthi odokotela baziphatha kanjani.

Amabhampa abomvu

I-Erythema nodosum ibangela ukuqhuma okubomvu, okubuhlungu esikhunjeni, imvamisa emaceleni, emaqakaleni, kwesinye isikhathi nasezingalweni. Kuyisibonakaliso sesikhumba esivame kakhulu sesifo sikaCrohn, esithinta kuze kufike kubantu abakulesi simo.

Ngokuhamba kwesikhathi, amaqhubu aphenduka onsomi kancane kancane. Abanye abantu banomkhuhlane nobuhlungu obuhlangene ne-erythema nodosum. Ukulandela umuthi wakho wokwelashwa kwesifo sikaCrohn kufanele uthuthukise lesi sibonakaliso sesikhumba.

Izilonda

Izilonda ezinkulu ezivulekile emilenzeni yakho futhi kwesinye isikhathi ezinye izindawo zomzimba wakho ziwuphawu lwe-pyoderma gangrenosum. Lesi simo sesikhumba siyivelakancane jikelele, kodwa sithinta abantu abanesifo sikaCrohn nesifo sezilonda emathunjini.

I-Pyoderma gangrenosum ivame ukuqala ngamaqhubu amancane abomvu abukeka njengokulunywa yizinambuzane emaceleni noma emaqakaleni. Amabhamu akhula abe makhulu futhi ekugcineni ahlangane abe yisilonda esisodwa esikhulu esivulekile.

Ukwelashwa kubandakanya imishanguzo efakwe esilondeni noma ehlikihlwayo kuso. Ukugcina isilonda simbozwe ngokugqoka okuhlanzekile kuzosisiza sipholise futhi sivikele ukutheleleka.

Izinyembezi zesikhumba

Izimbotshana ezimpundu ziyizinyembezi ezincane esikhunjeni ezifaka ingquza. Abantu abanesifo sikaCrohn kwesinye isikhathi baba nalezi nyembezi ngenxa yokuvuvukala okungapheli emathunjini abo. Ukuqhekeka kungadala ubuhlungu nokopha, ikakhulukazi ngesikhathi sokuhamba kwamathumbu.

Ama-fissures kwesinye isikhathi aziphilisa ngokwawo. Uma kungenjalo, izindlela zokwelapha zifaka ukhilimu we-nitroglycerin, ukhilimu opholisa izinhlungu, nemijovo ye-Botox ukukhuthaza ukuphulukiswa nokudambisa ukungakhululeki. Ukuhlinzwa kuyindlela yezimfanta ezingaphulukanga nezinye izindlela zokwelapha.

Izinduna

Ukuphuka okufanayo okuthinta intsha eningi nakho kungaba yinkinga kwabanye abantu abanesifo sikaCrohn. Lokhu kuqhuma kwesikhumba akuveli kulesi sifo uqobo, kodwa kusuka kuma-steroids asetshenziselwa ukwelapha iCrohn's.

Ama-steroid ajwayele ukunikezwa kuphela isikhathi esifushane ukuphatha ukushisa kukaCrohn. Uma usuyekile ukuwathatha, isikhumba sakho kufanele siphume.

Amathegi esikhumba

Amathegi esikhumba ukukhula okunemibala yenyama okuvame ukwenzeka ezindaweni lapho isikhumba sigcoba khona esikhunjeni, njengasemakhwapheni noma emgodini. Esikhathini sesifo sikaCrohn, bakha azungeze ama-hemorrhoids noma imifantu endunu lapho isikhumba sivuvukele khona.

Yize omaki besikhumba bengenabungozi, bangahle bacasuke endaweni engemuva lapho indle ibambeka kuyo. Ukusula kahle emva kokuhamba kwamathumbu ngakunye nokugcina indawo ihlanzekile kungavimbela ukucasuka nobuhlungu.

Imigudu esikhunjeni

Kuze kube ngabantu abangamaphesenti angama-50 abanesifo sikaCrohn's eba ne-fistula, okuwukuxhumana okuyize phakathi kwezingxenye ezimbili zomzimba okungafanele kube khona. I-fistula ingaxhuma amathumbu nesikhumba sezinqe noma sowesifazane sangasese. I-fistula kwesinye isikhathi ingaba yinkinga yokuhlinzwa.

I-fistula ingahle ibukeke njengeqhubu noma ibilise futhi ibe buhlungu kakhulu. Indle noma uketshezi kungahle kuvuleke lapho kuvulwa khona.

Ukwelashwa kwe-fistula kufaka ama-antibiotic noma eminye imithi. I-fistula enamandla izodinga ukuhlinzwa ukuze ivalwe.

Izilonda zodaka

Lezi zilonda ezibuhlungu zenzeka ngaphakathi emlonyeni wakho futhi zidala izinhlungu lapho udla noma ukhuluma. Izilonda zamankankane ziwumphumela wokumunca u-vithamini namaminerali omubi epheshaneni lakho le-GI elivela kwisifo sikaCrohn.

Ungaqaphela izilonda zomgogodla lapho isifo sakho sibhodla. Ukuphatha ama-flare wakho we-Crohn kungasiza ukuwakhulula. Imithi yesilonda esithenga ngaphezulu kuka-Orajel izosiza ukudambisa izinhlungu zize zilapheke.

Amabala abomvu emilenzeni

Izindawo ezincane ezibomvu nezinsomi kungenzeka ngenxa ye-leukocytoclastic vasculitis, okuwukuvuvukala kwemithambo yegazi emilenzeni. Lesi simo sithinta inani elincane labantu abane-IBD nezinye izifo ezizimele.

Amabala angahle alume noma abe buhlungu. Kufanele belapheke kungakapheli amasonto ambalwa. Odokotela belapha lesi sifo ngama-corticosteroids nezidakamizwa ezicindezela amasosha omzimba.

Amabhamuza

I-Epidermolysis bullosa acquisita ukuphazamiseka kokuzivikela komzimba okwenza ukuba amabhamuza akhe isikhumba esilimele. Izindawo ezivame kakhulu kulawa mabhamuza yizandla, izinyawo, amadolo, izindololwane namaqakala. Lapho amabhamuza elapha, ashiya izibazi ngemuva.

Odokotela belapha lesi sifo ngama-corticosteroids, izidakamizwa ezinjenge-dapsone ezinciphisa ukuvuvukala, nemithi ecindezela amasosha omzimba. Abantu abanalezi zinsimbi kufanele baqaphele futhi bagqoke izinto zokuzivikela uma bedlala imidlalo noma benza eminye imisebenzi yokuvikela ukulimala.

I-Psoriasis

Lesi sifo sesikhumba senza ukuthi amabala abomvu, abhodlokile avele esikhunjeni. Njengesifo sikaCrohn, i-psoriasis yisimo sokuzimela. Inkinga ngesimiso somzimba sokuzivikela komzimba ibangela ukuthi amangqamuzana esikhumba akhule ngokushesha okukhulu, futhi lawo maseli amaningi ngokweqile ayakha esikhunjeni.

Abantu abanesifo sikaCrohn banamathuba amaningi okuthi bahlakulele i-psoriasis. Izidakamizwa ezimbili ze-biologic - infliximab (Remicade) ne-adalimumab (Humira) - zelapha zombili lezi zimo.

Ukulahleka kombala wesikhumba

I-Vitiligo ibangela ukuthi amabala esikhumba alahlekelwe umbala wawo.Kwenzeka lapho amangqamuzana esikhumba akhiqiza i-pigment melanin efa noma eyeka ukusebenza.

I-Vitiligo iyivelakancane jikelele, kodwa ivame kakhulu kubantu abanesifo sikaCrohn. I-Makeup ingamboza ama-patches athintekile. Imithi iyatholakala nokukhipha isikhumba.

I-Rash

Amaqhubu amancane abomvu futhi abuhlungu ezingalweni, entanyeni, ekhanda, noma esifubeni kuwuphawu lweSweet’s syndrome. Lesi simo sesikhumba siyivelakancane jikelele, kodwa singathinta abantu abanesifo sikaCrohn. Amaphilisi e-Corticosteroid ayindlela yokuqala yokwelapha.

Ukudla okudlela endlini

Bika noma yiziphi izimpawu zesikhumba ezintsha, kusuka kumaqhubu abuhlungu kuya ezilondeni, kudokotela owelapha isifo sakho seCrohn. Udokotela wakho angaziphatha ngqo lezi zinkinga noma akudlulisele kudokotela wesikhumba ukuze athole ukwelashwa.