Crohn's disease - yog dab tsi? Kev piav qhia ntawm tus kab mob, cov tsos mob, kev kho mob thiab prognosis ntawm lub neej

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Kev mob plab hnyuv ntawm qhov mob ntev, uas muaj feem cuam tshuam rau ib feem ntawm txoj kab no, ntawm qhov ncauj mus rau qhov quav, yog tus kab mob Crohn. Nyob rau hauv cov ntaub ntawv no, tag nrho cov plab hnyuv phab ntsa yog koom nyob rau hauv lub inflammatory txheej txheem. Cov kab mob tshwm sim ntawm cov mucous daim nyias nyias ntawm lub cev, nyob rau hauv qhov chaw uas granulomas, adhesions thiab strictures tom qab daim ntawv, uas nqaim lub plab hnyuv lumen, cuam tshuam nws patency.

Yog vim li cas

Lub hauv paus tseeb ntawm tus kab mob no tsis paub. Nco ntsoov tias cov laj thawj yog raws li hauv qab no:

• ib puag ncig, suav nrog ntau yam co toxins, haus luam yeeb, khoom noj khoom haus uas ua rau cov txheej txheem autoimmune thiab cuam tshuam cov qauv ntawm txoj hnyuv;
• kev tiv thaiv tsis zoo, vim tias lub cev lees paub nws lub hlwb li txawv teb chaws thiab tawm tsam lawv;
• kab mob caj ces:Crohn tus kab mob yog ib qho kab mob uas tsim los ntawm kev hloov pauv ntawm cov genome uas muaj cov caj ces predisposition;
• kis kab mob hauv cov xwm txheej, txawm tias tsis muaj kab mob tshwj xeeb tau pom los txog niaj hnub no, xav tias yog los ntawm cov kab mob pseudotuberculosis, kho tau nrog tshuaj tua kab mob.

Txoj hauv kev muaj tus kab mob Crohn tau nce ntxiv raws li cov xwm txheej hauv qab no:

• kab mob qhua pias thiab kab mob pseudotuberculous;
• kev ntxhov siab rau lub cev thiab lub siab;
• smoking;
• nyob hauv Middle East;
• genetic predisposition;
• tseem ceeb hormonal imbalances.

Symptoms

Crohn's disease yog ib yam kab mob uas tau muab faib ua mob, subacute thiab mob ntev. Txhua tus ntawm lawv muaj nws tus kheej cov tsos mob uas tsis yog tshwj xeeb, uas koj tuaj yeem teeb tsa theem ntawm kev loj hlob ntawm tus kab mob.

Cov tsos mob ntawm Crohn tus kab mob:

• mob hnyav - mob tshwm sim nyob rau sab xis ntawm lub plab, lub cev kub nce, raws plab tshwm; Qhov no tuaj yeem ua rau qhov kev kuaj mob tsis raug, uas tuaj yeem ua tau raws li hauv qab no: zes qe menyuam apoplexy, appendicitis, uas ua rau muaj kev cuam tshuam rau kev phais, thiab tsuas yog tom qab nws tau ua tiav, kev kuaj pom tsis raug;
• subacute - tus cwj pwm los ntawm kev poob phaus sai, raws plab yog me me, muaj cov mob cramping mob ntawm ntau qhov chaw.

Daim ntawv mob hnyav tshaj plaws. Cov tsos mob tshwm sim maj mam, ib tug neeg tsis maj mus rau qhov chaw kho mob. Daim foos no muaj cov yam ntxwv hauv qab no:

• hnyav zuj zus vim qhov tseeb tias cov khoom noj tsis zoo hauv cov hnyuv;
• epithelial maceration thiab fissures yuav tsim nyob ib ncig ntawm lub qhov quav;
• kub tuaj yeem nce mus txog 38 °, nrog rau cov teeb meem purulent nws tuaj yeem nce ntxiv;
• tsis qab los;
• qaug zog thiab qaug zog;
• mob cramping nyob rau hauv ntau qhov chaw ntawm lub plab, hnyav tom qab noj mov thiab tsis muaj zog tom qab tso quav;
• muaj peev xwm muaj ntshav hauv quav;
• bloating;
• zawv plab, nrog rau qhov ua rau tus kab mob Crohn, qhov zaus tuaj yeem nce mus txog 6 zaug hauv ib hnub (thaum lub sijhawm tshem tawm nws tsis tu ncua).

Tsis tas li ntawd, muaj cov tsos mob ntawm plab hnyuv ntawm tus kab mob no. Cov no suav nrog:

• erythema nodosum - pustules lossis mob liab nodules tshwm rau ntawm daim tawv nqaij, uas tom qab hloov ntshav, tom qab ntawd lawv tig xim av thiab daj;
• qhov ncauj rwj;
• mob mob hauv pob qij txha loj;
• txo qis hauv kev txav mus los;
• nce kub;
• ntua;
• daj ntawm epithelial integuments;
• pom kev tsis zoo;
• mob syndromes nyob rau hauv txoj cai hypochondrium, sacral cheeb tsam, ob lub qhov muag.

Nyob rau hauv cov menyuam yaus, feem ntau nws nyob hauv lub jejunum thiab duodenum, feem ntau pom nyob rau hauv txoj hnyuv me.

YPathologytshwm sim sib npaug ntawm ob leeg. Qhov nruab nrab hnub nyoog ntawm cov neeg mob yog 20-30 xyoo, nyob rau hauv cov me nyuam - 12 xyoo.

Ib tug me nyuam muaj tus kab mob no feem ntau muaj kev loj hlob qeeb. Nws mob hauv nws pob qij txha.

Ntxiv rau, cov tsos mob hauv qab no tuaj yeem tshwm sim:

• ntev lub qhov txhab tsis zoo;
• rash;
• eczema;
• dermatitis;
• mob ntawm daim tawv nqaij ntawm qhov ncauj thiab qhov muag;
• kab mob siab;
• muaj lub raum pob zeb;
• cholelithiasis;
• mob caj dab thiab mob caj dab.

Cov menyuam yaus ib txwm muaj ntshav hauv lawv cov quav. Rau lawv, thaum cov txheej txheem nyob rau hauv lub qhov quav, kev puas tsuaj rau daim siab, pob qij txha, thiab biliary system yog yam ntxwv. Nrog rau qhov chaw ntawm cov txheej txheem inflammatory hauv cov hnyuv, urolithiasis thiab hydronephrosis tuaj yeem tshwm sim. Nrog rau theem nquag ntawm tus kab mob, aphthous ulcers yuav tshwm sim hauv qhov ncauj kab noj hniav.

ICD-10 Crohn's disease

Kev faib tawm thoob ntiaj teb ntawm Cov Kab Mob (ICD) ua raws li cov ntaub ntawv tseem ceeb uas coj mus rau hauv tus account etiology ntawm ntau yam pathologies thiab kev tuag uas lawv ua. Tam sim no muaj 10 tus sawv cev ntawm pawg thawj coj. Lub kaum ib yuav tsum tawm hauv 2018. Crohn tus kab mob raws li ICD-10 muaj tus lej K50. Ib qho kev qhia ntxaws ntxiv yog muab hauv qab no:

1. 50.0 - Crohn tus kab mob ntawm txoj hnyuv me.
2. 50.9 - daim ntawv tsis qhia txog kab mob.
3. 50.1 - Crohn tus kab mob ntawm txoj hnyuv.
4. 50.8 - lwm hom kab mob: o ntawm lub plab zom mov nrog tsim cov fistulas ntawm sab hauv, granulomaplab hnyuv, granulomatous enteritis.

Stages of Crohn's disease

Cov kab mob no muaj qhov sib txawv. Clinically, muaj ntau theem ntawm pathology:

1. Ileitis tshwm sim nrog kev tsim ntawm fistulas ntawm sab nraud thiab sab hauv.
2. Stenosing ileitis, nrog rau tag nrho lossis ib feem ntawm txoj hnyuv.
3. Tus mob plab hnyuv zoo li enteritis tshwm sim hauv daim ntawv mob hauv lub davhlau ya nyob twg.
4. mob enteritis, nrog rau kev tawm tsam ntawm qhov mob colicky nrog cov tsos ntawm cov hnoos qeev, ntshav hauv cov quav, zoo li cov kab mob ulcerative.

Diagnosis

Vim tias tsis muaj kev paub txog tus kabmob ua rau tus kabmob, nws tsis tuaj yeem ua qhov kev sim tshwj xeeb. Cov kev kuaj sim raug txiav txim kom kuaj pom qhov txawv txav hauv qab no:

• cov txheej txheem inflammatory (cov lymphocytes txo qis nrog kev nce ntawm cov leukocytes);
• lawv kuj yog cov qog nqaij hlav hauv qhov kuaj ntshav, raws li qhia los ntawm kev muaj calprotectin;
• txo qis hauv tag nrho cov protein ntau;
• ntshav ntshav.

Tom qab txheeb xyuas cov kev txawv txav no, cov txheej txheem tshawb fawb tau raug sau tseg los kuaj xyuas tus kab mob Crohn. Cov no suav nrog cov hauv qab no:

• electrogastroenterography los kawm txog lub cev muaj zog ntawm txoj hnyuv;
• MRI nrog qhov sib txawv ntawm cov dej nkag rau hauv lub cev los txiav txim siab qhov kev puas tsuaj, kuaj xyuas cov qog ntshav qog thiablub xub ntiag ntawm fistulous passages;
• Ultrasound rau peritonitis, uas yog lub cim ntawm Crohn tus kab mob;
• kuaj lub plab nrog x-rays siv barium, uas qhia pom cov kab nrib pleb thiab nqaim ntawm txoj kev;
• CT, uas kuaj pom abscesses thiab infiltrates;
• Endocapsular colonoscopy, nyob rau hauv uas ib ntsiav tshuaj tau nqos, nruab nrog lub koob yees duab, uas, dhau los ntawm cov khoom nruab nrog hauv nqe lus nug, thaij duab, uas yog tom qab kuaj xyuas los ntawm cov kws tshaj lij tsim nyog;
• gastroduodenoscopy siv lub cuab yeej tshwj xeeb los tshuaj xyuas duodenum, txoj hlab pas thiab plab;
• colonoscopy - kev tshuaj xyuas cov hnyuv loj uas siv cov cuab yeej sojntsuam zoo li Lub koob yees duab ua rau hauv ib lub raj, uas muaj cov kab mob ntawm cov mucosa thiab nws qhov chaw nyob ntawm qhov screen (nyob rau hauv muaj cov kab mob ulcerative, nws muaj peev xwm ua tau. mus kuaj biopsy).

Kev kho mob

Yuav ua li cas kho tus kab mob Crohn? Nws tuaj yeem kho tau thaum ntxov. Thaum nws mus rau hauv daim ntawv mob ntev, koj yuav tsum noj tshuaj tas li thiab ua raws li kev noj haus. Txhawm rau kom muaj txiaj ntsig zoo tshaj plaws ntawm kev kho mob, peb txoj kev siv ib txhij:

• khoom noj;
• kev kho mob ntawm cov teeb meem, feem ntau ua rau kev phais;
• tshuaj kho.

siv tshuaj kho mob

Kev kho mob Crohn tus kab mob yog kev siv tshuaj. Lawv raug xaiv raws li txoj hauv kev los cuam tshuam qhov siab tshaj plawsMuaj pes tsawg tus kab mob vim qhov tsis paub meej ntawm tus kab mob etiology.

txhais tau tias yog siv:

• tshuaj tua kab mob: Ciprofloxacin, Metronidazole;
• probiotics: "Bifidum-Bacterin", "Bifiform", "Linex";
• tshuaj tiv thaiv kab mob "Loperamide", "Imodium", uas tau sau tseg thaum tsis muaj ntshav hauv cov quav thiab cov txiaj ntsig tsis zoo ntawm kev tshawb fawb bacteriological;
• tshuaj tiv thaiv rau qog necrosis: Golimumab, Infliximab, Adalimumab;
• immunosuppressors: Methotrexate, Prednisolone, Azathioprine, Methylprednisolone;
• aminosalicylic acid derivatives: Sulfasalazine, Mesalazine;
• Vitamin D.

Surgery

Yuav ua li cas kho tus kab mob Crohn? Yeej, kev phais yog xav tau. Nws yog siv nyob rau hauv rooj plaub uas kev kho tshuaj, kev noj haus thiab kev ua neej hloov tsis tau pab. Ntau tshaj li ib nrab ntawm cov neeg mob uas muaj tus kab mob no tau txais tsawg kawg ib qho kev phais mob cuam tshuam nrog kev tshem tawm ib feem ntawm txoj hnyuv. Tab sis txawm tias cov kev kho mob zoo li no tsis tshem tawm qhov kev pheej hmoo ntawm kev rov qab los ntawm tus kab mob. Hauv qhov no, feem ntau koj tuaj yeem pom cov lus qhia txog ncua kev phais kom ntev li ntev tau, uas yuav txo qis kev ua haujlwm.

kev kho neeg zoo

Lawv tau siv los ua kev pabcuam ntxiv rau kev kho mob tseem ceeb. Nrog kev pab ntawm pej xeem tshuaj rau Crohn tus kab mob, koj tuaj yeem txo tus neeg mob tus mob, txo qhov mob thiab qee cov tsos mob,tshwm sim raws sij hawm. Nws siv dab tsi?

Cov hauv qab no tuaj yeem siv los ua cov tshuaj pej xeem rau Crohn tus kab mob:

• Sau tshuaj ntsuab, 5 g txhua: chamomile, sage, yarrow. Brew nyob rau hauv ib khob ntawm boiling dej, boil rau 5 feeb, tawm rau 2 teev, txias, lim thiab noj 2 tbsp txhua 2 teev. l.
• 20 g ntawm chamomile paj yog brewed nyob rau hauv ib liter ntawm boiling dej, sab laug rau infuse rau 1 teev. Tom qab ntawd cov infusion yog poured rau hauv ib lub thermos thiab noj 200 g txhua 4 teev.
• 10 g ntawm buckthorn thiab yarrow bark yog tov nrog 30 g ntawm liab licorice, 20 g ntawm mustard noob thiab anise txiv hmab txiv ntoo yog ntxiv. 2 tablespoons ntawm no sib tov yog poured rau hauv 250 ml ntawm boiling dej, tom qab uas lawv boiled rau lwm 10 feeb, txias, lim. Ua kev txais tos thaum sawv ntxov thiab yav tsaus ntuj rau ib nrab khob.
• Sib tov sib npaug ntawm cov hauv paus valerian, nplooj mint, paj chamomile thiab txiv hmab txiv ntoo cumin, 1 tbsp. l. qhov sib tov yog ntxiv rau 1.5 khob ntawm boiling dej thiab sab laug rau infuse rau 1 teev. Kev txais tos yog nqa peb zaug ib hnub rau ib nrab khob.

Mob syndromes thiab o tuaj yeem txo nrog cov tshuaj hauv qab no rau Crohn tus kab mob:

• Ntxiv 2 tbsp. l. qhuav crushed yarrow, muab 250 ml ntawm dej sov nyob rau ntawd, muab tso rau ntawm hluav taws rau 15 feeb, ces insist nyob rau hauv ib qhov chaw sov so rau 45 feeb, tom qab uas lub broth yog lim thiab noj 4 zaug ib hnub twg 30 feeb ua ntej noj mov, 1 tbsp. l.
• 2 tsp tshiab hyssop yog nchuav rau hauv saucepan,ncuav 250 ml ntawm boiled dej yav dhau los, coj mus rau boil, txias rau 5 feeb thiab lim.
• Thaum siv hyssop qhuav, cov proportions yog tib yam, tab sis boiling yog tsis nqa tawm, nws yog poured nrog boiling dej thiab infused rau ib feem peb ntawm ib teev. Nyob rau hauv ob qho tib si, infusion yog noj 1 khob thaum sawv ntxov thiab yav tsaus ntuj rau ob lub lis piam, tom qab ntawd lawv so ib lub lis piam thiab rov ua cov chav kawm dua.
• 1 tbsp l. tws sage yog nchuav nrog ib lub quarter liter ntawm boiling dej thiab infused rau 1 teev, lim thiab noj ib nrab ib khob plaub zaug ib hnub twg.

Ntxiv rau, lwm cov tshuaj siv tau los txo cov tsos mob:

• Nrog flatulence thiab colic, paj chamomile, centaury thiab sage yog tov nyob rau hauv sib npaug proportions, mus rau 3 tbsp. l. ntawm no sau, ntxiv 500 ml ntawm boiling dej, insist kom txog thaum lub tov cools down. Noj 1 tbsp. l. mus txog 8 zaug hauv ib hnub, txo cov koob tshuaj tom qab 3 lub hlis mus rau 3 thiab txo cov koob tshuaj rau 1 tsp.
• Nrog rau qhov mob plab thiab mob, koj tuaj yeem ua rau anise infusion los ntawm kev ntxiv 250 ml ntawm boiling dej rau 1 tsp. noob. Infuse rau 5 feeb thiab noj txhua hnub.
• Raws li cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kab mob, dos tev tuaj yeem siv. Txog 1 khob yog nchuav nrog 8 khob dej, cov tshuaj yog coj mus rau ib lub boil, tsis txhob npog tag nrho nrog lub hau thiab boil rau 1 teev nyob rau hauv qis kub, txias thiab lim. Lawv siv 3-6 zaug hauv ib hnub, 100 ml txhua, thaum noj nws, kev tshem tawm ntawm tus kab mob tuaj yeem tshwm sim, qhov twg cov koob tshuaj txo qis peb zaug.
• Yogmuaj plab hnyuv colic, ces siv ib tug tincture ntawm qhuav lily ntawm lub hav, uas yog poured rau hauv 0.5 litres ntawm cawv ib nrab ib khob ntawm qhuav nyom, insist 2 lub lis piam, siv 20 tee diluted nyob rau hauv dej, 3 zaug ib hnub twg.

Kev noj haus

Ib qho ntawm kev ntsuas kev noj qab haus huv tseem ceeb rau Crohn tus kab mob yog tswj kev noj zaub mov kom zoo. Tib lub sijhawm, kev ua haujlwm ntawm plab hnyuv txhim kho thiab mob plab zuj zus.

tso cai cov tais diav:

• zaub kua zaub siav rau ntawm lub khob thib ob;
• teas;
• compotes npaj los ntawm cov txiv hmab txiv ntoo uas tsis yog acidic;
• stewed lossis steamed nqaij;
• qe boiled;
• tsev cheese, qaub cream, mis nyuj me me;
• biscuits;
• croutons;
• muas porridge;
• boiled thiab ci zaub.

Cov zaub mov txwv tsis pub:

• pickles;
• khoom ib nrab tiav;
• legumes;
• txiv hmab txiv ntoo tshiab thiab zaub;
• khoom qab zib;
• strong tshuaj yej;
• coffee;
• dej qab zib;
• kua txiv qaub;
• fried;
• khoom noj kaus poom;
• nceb.

Khoom noj khoom haus rau Crohn tus kab mob yuav tsum sib npaug, vim ntshav ntshav thiab beriberi tuaj yeem tshwm sim vim qhov tseeb tias zaub mov tsis zoo.

xaiv cov tais diav yuav tsum yog tus kheej. Nrog rau qhov exacerbation ntawm Crohn tus kab mob, nws raug nquahu kom ua raws li kev noj zaub mov nruj ntawm thawj lub rooj, tom qab ntawd koj tuaj yeem pib.qhia qee yam khoom, ua raws li cov tshuaj tiv thaiv ntawm lub cev. Kev noj zaub mov yuav tsum tau ua raws txhua lub neej. Qhov no yog qhov tseem ceeb tshwj xeeb tshaj yog rau cov menyuam yaus, vim tias yog tias nws tsis tau soj ntsuam, tus kab mob cuam tshuam rau kev loj hlob ntawm lub cev thiab lub hlwb ntawm tus menyuam.

Kev nyuaj siab

Vim qhov tseeb tias cov tsos mob ntawm tus kab mob no tsis yog tshwj xeeb, nws nyuaj rau kev kuaj mob raws sijhawm feem ntau, uas ua rau muaj ntau yam teeb meem.

Nyob hauv Crohn tus kab mob, cov tseem ceeb yog:

• paraproctitis - mob ntawm cov ntaub so ntswg adipose nrog tawm cov kua paug nyob ib ncig ntawm lub qhov quav;
• fistula;
• qhov quav;
• plab hnyuv los ntshav (tsis tshua pom);
• tshuaj lom dilatation ua rau lub plab zom mov tshwm sim los ntawm tshuaj tua kab mob lossis colonoscopy;
• plab hnyuv - feem ntau pom hauv Crohn tus kab mob ntawm txoj hnyuv me, nrog rau kev nqaim ntawm peristalsis thiab nqaim ntawm lumen;
• nkag mus thiab abscess hauv plab kab noj hniav;
• perforation - cov ntsiab lus ntawm txoj hnyuv nkag mus rau hauv plab kab noj hniav vim muaj qhov tsis xws luag, ua rau peritonitis xav tau kev phais tam sim.

Qee zaum, Crohn tus kab mob tuaj yeem ua tsis taus. Lub hauv paus rau nws qhov tau los ntawm ib tus neeg tshwj xeeb yog raws li hauv qab no:

• tsis tuaj yeem xaiv txoj kev kho mob;
• mob hnyav;
• kev tsis taus;
• kev nyuaj siab hauvQhov tshwm sim ntawm pathology.

Huab cua

Qhov kev cia siab ntawm Crohn tus kab mob nyob ntawm tus kheej tus yam ntxwv ntawm lub cev thiab lub hom phiaj ntawm kev puas tsuaj. Kev tuag tuaj yeem tshwm sim vim muaj kev cuam tshuam kev phais thiab teeb meem tsis tu ncua. Kev rov tshwm sim ntawm tus kab mob tuaj yeem ua tau nyob rau nruab nrab ib zaug txhua 20 xyoo, txawm tias nws tuaj yeem tshwm sim ntau zaus. Tus kab mob no yuav tsum tau nrog los ntawm kev saib xyuas tas li ntawm tus neeg mob txhawm rau kho cov kev kho mob yog tias tsim nyog.

Kev cev xeeb tub nrog mob

Tus kab mob no feem ntau cuam tshuam rau cov tub ntxhais hluas, yog li lawv muaj lus nug tsim nyog txog kev npaj cev xeeb tub thaum muaj tus kab mob no. Ntau tus kws kho mob niaj hnub no categorically tsis pom zoo kom nqa thiab yug menyuam thaum muaj tus kab mob no. Txawm li cas los xij, cov kev tshawb fawb los ntawm Western cov kws tshaj lij qhia tias nws muaj peev xwm npaj tau cev xeeb tub thaum lub sijhawm no. Nws yog ib qho tseem ceeb kom kawm txog keeb kwm kho mob ntawm Crohn tus kab mob. Yog hais tias ib lub sij hawm ntawm kev zam txim tshwm sim, ces tus txheej txheem ntawm cev xeeb tub pib tsuas yog tsis muaj kev hloov pathological. Tus poj niam muaj peev xwm muaj menyuam noj qab nyob zoo, tab sis tsuas yog tias tus kab mob no nyob ruaj khov.

Qhov teeb meem loj tshaj plaws hauv cev xeeb tub yog qhov kev kuaj mob sib txawv tsis tuaj yeem ua tau, uas txhais tau hais tias sigmoidoscopy thiab colonoscopy nyuaj vim qhov tseeb tias txoj hnyuv tau txav los ntawm lub tsev menyuam, thiab kev kuaj fluoroscopic ntawm txoj hnyuv yog ua tsis tau.

Kev ua ub ua no cuam tshuam rau kev xeeb tubinflammatory txheej txheem tshwm sim nyob rau hauv lub digestive kabmob. Thaum lub sijhawm ua haujlwm ntawm tus kab mob, qhov kev pheej hmoo ntawm kev yug menyuam ntxov, kev nchuav menyuam tsis zoo thiab kev noj zaub mov tsis zoo ntawm fetus nce ntau zaus.

Yog tias qhov kev xeeb tub ntawm tus menyuam tau tshwm sim thaum lub sijhawm tshem tawm tus kab mob Crohn, ces nws tseem nyob mus rau tag nrho lub sijhawm cev xeeb tub. Hauv qhov no, tus poj niam uas txiav txim siab muaj menyuam, tab sis raug mob los ntawm tus kab mob no, yuav tsum tau mus kawm tshuaj ntsuam xyuas thiab sab laj tus kws kho mob tshwj xeeb.

Nyob rau hauv thawj lub hlis ntawm cev xeeb tub, qee zaum pom qhov exacerbation, tab sis ib tus kws kho mob muaj peev xwm sau tau cov tshuaj uas yuav tsis ua mob rau tus poj niam lossis tus menyuam hauv plab.

Kev xa cov poj niam no feem ntau yog ua los ntawm kev phais. Nws yog siv txawm hais tias lub cev xeeb tub tshwm sim yam tsis muaj cov kab mob pathological, txij li thaum nyob rau hauv perineum ntawm tus poj niam uas muaj tus kab mob Crohn, prianal lesions thiab caws pliav tau pom.

Nyob hauv kaw

Crohn's disease yog kab mob plab hnyuv loj, cov tsos mob tuaj yeem tshwm sim hauv txhua qhov ntawm lub plab zom mov, nrog rau ntawm daim tawv nqaij. Cov pob zeb tuaj yeem tshwm sim hauv lub raum, lub gallbladder. Tus kab mob no tsis muaj tseeb etiology, yog li nws nyuaj rau kho. Kev kho mob thiab kev noj haus yog siv thoob plaws lub neej. Tus kab mob no yog nrog los ntawm ntau yam teeb meem thiab muaj kev pom zoo tsuas yog nrog kev kuaj mob ntxov thiab kev kho mob txaus. Feem ntau, yuav tsum tau phais. Tab sis txawm tias nws tsis tau lees tias yuav tsis rov muaj tus kab mob. Kev kho mob tuaj yeem ntxiv los ntawm kev siv cov tshuaj pej xeem. Muaj qhov sib txawvpoint of view ntawm kev npaj cev xeeb tub nyob rau hauv xws li ib tug kab mob. Qhov no yog qhov cuam tshuam vim qhov tseeb tias tus kab mob no feem ntau pom hauv cov tub ntxhais hluas. Cov kws tshaj lij sab hnub poob ntseeg tias kev yug menyuam thiab kev yug menyuam muaj peev xwm ua tau thaum cev xeeb tub tshwm sim thaum lub sijhawm tso tseg.