Crohn's disease yog ib qho mob ntev ntawm txoj hnyuv, feem ntau - thaj tsam ntawm cov hnyuv ua ntej nws dhau mus rau qhov loj. Nws yog ib qho ntawm cov kab mob uas txaus ntshai tshaj plaws thiab feem ntau nyuaj rau kev kuaj mob; Nws yog tus yam ntxwv los ntawm cov txheej txheem inflammatory ntawm lub plab hnyuv, uas ua rau ulcers, fistulas, perforations thiab los ntshav.
Causes of Crohn's disease
Tsis tau pom muaj laj thawj tshwj xeeb. Nws ntseeg tau tias qhov kev puas tsuaj ntawm cov hnyuv tuaj yeem tshwm sim vim yog kis tus kab mob qhua pias (lub luag haujlwm ntawm lwm cov kab mob thiab cov kab mob, piv txwv li, pseudotuberculous mycobacterium, kuj tsis suav nrog); qhov tshwm sim ntawm qhov txawv txav ntawm lub cev tiv thaiv kab mob hauv cov lus teb rau cov zaub mov lossis lwm yam antigen. Nws muaj peev xwm hais tias qee cov proteins uas ua rau cov phab ntsa hauv plab ua rau muaj qhov txawv txav ntawm kev tiv thaiv kab mob, vim tias cov tshuaj tiv thaiv pom lawv tus kheej cov hnyuv raws li lub cev txawv teb chaws thiab pib tawm tsam nws.
Cov tsos mob ntawm tus kab mob Crohn yog dab tsi?
Tus kab mob no tau sau ntau zaus hauv cov menyuam yaus thiabcov hluas. Nws lub hnub nyoog "nyiam" yog los ntawm 12 txog 30 xyoo.
Qhia peb cov tsos mob tseem ceeb ntawm tus kab mob no: mob plab, raws plab thiab poob phaus. Tab sis hauv Crohn tus kab mob, cov tsos mob no muaj ob peb yam tshwj xeeb.
Mob plab (mob plab) tuaj yeem pom txawv nyob ntawm seb qhov twg ntawm txoj hnyuv raug cuam tshuam. Yog li, tej zaum nws yuav yog ib qho quav uas muaj cov khoom seem ntawm cov khoom noj uas tsis tau noj, uas tsis zoo ntxuav tawm hauv chav dej, lossis nws yuav yog cov quav denser, sib xyaw nrog cov ntshav thiab hnoos qeev. Tab sis, tsis zoo li lwm yam kab mob, qhov no tsis yog ib qho tsos mob tas mus li. Kev tso quav yuav nrog mob, tab sis tsis muaj kev mob siab ua kom lub plab zom mov.
Cov tsos mob tseem ceeb ntawm Crohn tus kab mob yog mob plab, feem ntau nyob hauv plab plab thiab sab xis, zoo li cov tsos mob ntawm mob plab hnyuv. Kev mob tuaj yeem nyob hauv thaj tsam ib ncig ntawm lub plab, thiab sab laug sab plab. Cramping, lawv nce, raws li txoj cai, tom qab noj mov, tsis muaj zog tom qab defecation. Yog tias thaum xub thawj qhov mob no tau raug sau tseg, thiab tom qab ntawd nws tau ua tas li, thaum qhov kub thiab txias, qhov no txhais tau hais tias ib qho abscess tsim ntawm qhov chaw mob ntawm txoj hnyuv.
- Lub cev kub nce, feem ntau yog tus lej qis.
- qaug zog, qaug zog.
- poob qab los txog qhov ploj lawm.
- poob rau qhov kev puas tsuaj loj, vim qhov tseeb tias vim plab hnyuv puas, tsis muaj kev nqus ntawm cov as-ham.
- Qee zaum thawj qhov pov thawj ntawm Crohn tus kab mob yogCov tsos mob ntawm lub qhov quav thiab qhov quav: tawg, fistulas, o tuaj yeem tsim muaj. Qhov no yog vim qhov tseeb tias cov zaub mov tsis zoo yog qhov ua rau thaj tsam no.
- Yog tias Crohn tus kab mob tshwm sim thaum yau, tus menyuam yaus no poob qab ntawm kev loj hlob ntawm lub cev thiab kev sib deev. Ntxiv mus, qhov no tsuas yog cov tsos mob xwb: tus menyuam lub plab tsis tas yuav mob, yuav luag tsis muaj raws plab, lossis nws yog ntuav thiab tsis qhia tshwj xeeb.
- Daim ntawv mob Crohn tus kab mob no zoo ib yam li mob plab hnyuv siab raum, uas yog vim li cas cov neeg mob tau ua haujlwm, thiab qhov kev kuaj mob no tsuas yog ua rau kev ua haujlwm xwb.
- Tseem muaj cov kab mob zoo li no - stenosing. Nyob rau tib lub sijhawm, qhov mob hauv plab tsis ruaj khov, nws tuaj yeem nyob hauv ib cheeb tsam txhua lub sijhawm nyob rau ntau qhov chaw, qee zaum muaj qhov nce hauv lub cev kub, uas nyuaj rau nrhiav qhov ua rau. Qee lub sij hawm muaj kev mob ntawm cov pob qij txha sib txawv. Tom qab ib ntus, nws pom tau tias tus menyuam poob qis hauv kev loj hlob ntawm lub cev, dhau li ntawd, nws pib yws ntawm qhov mob hauv plab, feem ntau ntawm sab xis thiab hauv qab, uas yog nrog los ntawm rumbling, bloating, roj thiab quav cia.
Ntiaj teb tus kab mob no tshwm sim los ntawm kev mob raws plab, ib tug neeg yuav daj ntseg, edematous, yog hais tias tus no yog ib tug me nyuam, ces nws poob qab kev loj hlob.
Yog tias koj xav tias koj muaj tus kab mob Crohn, kev kuaj mob yuav tsum paub meej tias cov tsos mob. Cov xwm txheej hauv qab no feem ntau muaj:
1. X-ray kuaj:
a) barium enema, thaum radiopaque bariummuab tshuaj los ntawm qhov quav;
b) kawm thaum ib tug neeg haus barium.
2. Kev ntsuam xyuas endoscopic, thaum lub me me-inch fiber optic sojntsuam tau muab tso rau hauv txoj hnyuv, thiab cov duab ntawm cov phab ntsa hauv plab yog pom ntawm lub monitor. Thaum txoj kev tshawb no, ib qho biopsy ntawm qhov chaw tsis txaus ntseeg rau cov kab mob no raug coj mus.
Tus kab mob Crohn kuaj tau li cas? Cov tsos mob, cov duab ntawm daim duab endoscopic ntawm txoj hnyuv yog cov txheej txheem tseem ceeb ntawm lub hauv paus ntawm kev kuaj mob.
