Crohn kab mob

Tus kab mob Crohn yog tus kab mob uas feem ntawm cov hnyuv plab ua rau mob.

• Feem ntau nws cuam tshuam nrog qis qis kawg ntawm txoj hnyuv thiab qhov pib ntawm lub plab hnyuv loj.
• Nws kuj tseem yuav tshwm sim rau qee ntu ntawm cov kab mob ntawm lub qhov ncauj los rau qhov kawg ntawm lub qhov quav (qhov quav).

Tus kab mob Crohn yog ib hom mob ntawm tus mob nyhuv plab ua paug (IBD).

Ulcerative colitis yog ib yam mob uas cuam tshuam.

Vim li cas tiag tseem tsis paub tus mob Crohn. Nws tshwm sim thaum koj lub cev tiv thaiv tsis tau lub cev tsis raug thiab ua rau lub cev noj qab haus huv (muaj lub cev ua tsis taus pa).

Thaum cov seem ntawm cov hnyuv tseem nyob o tuaj los yog kub, lub phab ntsa ntawm cov hnyuv tau ua thickened.

Qhov tseeb uas yuav ua rau lub luag haujlwm ntawm Crohn muaj xws li:

• Koj caj thiab keeb kwm tsev neeg. (Cov neeg uas yog neeg tawv dawb lossis ntawm haiv neeg European cov neeg Yudais feem ntau muaj qhov pheej hmoo ntau dua.)
• Ib puag ncig yam.
• Lub cev ntawm koj lub cev ua kom rov ua kom tsis haum cov kab mob hauv cov hnyuv.
• Haus Yeeb.

Tus kab mob Crohn yuav tshwm sim thaum muaj hnub nyoog li cas. Feem ntau nws tshwm sim rau cov neeg muaj hnub nyoog 15 txog 35.

Cov tsos mob nyob ntawm ib feem ntawm txoj hnyuv txuam nrog. Cov tsos mob tshwm sim los ntawm mob sib khuav mus rau mob hnyav, thiab tuaj yeem mus thiab mus, nrog rau lub sijhawm uas kub npau taws.

Cov tsos mob tseem ceeb ntawm tus kab mob Crohn yog:

• Crampy mob hauv plab (plab hauv plab).
• Ua npaws.
• Nkees.
• Tsis qab los noj thiab yuag poob.
• Xav tias koj yuav tsum tau tso quav, tab txawm tias koj qhov quav tawm tas. Tej zaum nws yuav suav nrog txhaws, mob, thiab mob plab.
• Quav dej raws plab, uas yuav los ntshav.

Lwm cov tsos mob tuaj yeem suav nrog:

• Cem quav
• Mob los yog o rau hauv qhov muag
• Kev nqus dej paug, hnoos qeev, los yog tso quav los ntawm ib ncig ntawm lub qhov quav lossis qhov quav (tshwm sim los ntawm tej yam hu ua fistula)
• Mob pob qij txha thiab o
• Lub qhov ncauj mob txhab
• Rectal los ntshav thiab tso quav ua ntshav
• Cov pos hniav o
• Kev sib tw, lub pob liab liab (hnoos qeev) hauv qab ntawm daim tawv nqaij, uas tuaj yeem hloov mus rau qhov tawv nqaij ua paug

Kev kuaj mob lub cev yuav qhia tau tias qhov loj lossis nruj nyob hauv plab, voos tawv nqaij, o pob qij txha, lossis mob rau hauv lub qhov ncauj.

Kev kuaj mob los tshawb nrhiav pom Crohn muaj xws li:

• Barium enema lossis siab dua GI (mob plab zom mov) series
• Kev kuaj mob hnyuv lossis sigmoidoscopy
• CT scan ntawm lub plab mog
• Tshuaj ntsiav endoscopy
• MRI ntawm lub plab mog
• Enteroscopy
• MR enterography

Kev tiv thaiv quav yuav ua tau los txiav tawm lwm yam uas ua rau cov tsos mob tshwm sim.

Tus kab mob no tseem tuaj yeem pauv cov kev tshwm sim hauv qab no:

• Tsawg albumin qib
• Tus nqi siab sed
• Txhawb siab CRP
  
• Rog tsis ntau
• Kev noj ntshav kom tsawg (hemoglobin thiab hematocrit)
• Kev kuaj ntshav txawv txav hauv lub siab
• Muaj cov qe ntshav dawb ntau
• Txhawb cov fecal calprotectin qib hauv quav

Cov lus qhia rau kev tswj hwm Crohn kab mob hauv tsev:

TUAG THIAB TSIS NTSUAG

Koj yuav tsum noj zaub kom muaj zaub mov zoo rau lub cev. Noj kom txaus cov calories, protein thiab zaub mov zoo los ntawm ntau yam zaub mov noj.

Tsis muaj ib qho kev noj haus tshwj xeeb tau pom tias ua kom Crohn cov tsos mob zoo dua lossis mob heev dua. Hom teeb meem ntawm zaub mov noj yuav txawv ntawm ib tug neeg mus rau lwm tus.

Qee yam khoom noj tuaj yeem ua rau raws plab thiab roj av. Txhawm rau pab kom yooj yim cov tsos mob, sim:

• Noj tsawg tsawg cov zaub mov thawm hnub.
• Haus dej kom ntau (haus me me ib hnub ib hnub).
• Tsis txhob noj cov zaub mov muaj fiber ntau (ceg, taum, noob txiv, noob, thiab paj kws).
• Txav deb ntawm cov rog, roj lossis kib thiab cov kua ntses (butter, roj qab rog, thiab qab zib).
• Txwv txiav cov khoom siv mis nyuj yog tias koj muaj teeb meem zom cov mis nyuj muaj roj. Sim cov kua mis uas tsis muaj lactose ntau, xws li Swiss thiab cheddar, thiab cov khoom lag luam enzyme, xws li Lactaid, los pab txo cov lactose.
• Tsis txhob noj zaub mov uas koj paub ua rau muaj roj, xws li taum thiab zaub hauv zaub qhwv hauv tsev neeg, xws li zaub cob pob.
• Tsis txhob noj zaub mov ntsim.

Nug koj tus kws kho mob txog cov vitamins thiab minerals uas koj xav tau, xws li:

• Cov tshuaj noj muaj hlau (yog tias koj muaj anemia).
• Cov tshuaj calcium thiab vitamin D pab kom koj cov pob txha tsis muaj zog.
• Vitamin B12 txhawm rau tiv thaiv kom tsis muaj ntshav, tshwj xeeb yog tias koj muaj qhov kawg ntawm tus me (ileum) tshem tawm.

Yog tias koj muaj lub ileostomy, koj yuav tsum kawm:

• Kev noj haus hloov
• Yuav hloov pauv ntawm koj lub hnab
• Yuav tu koj cov stoma li cas

ZAJ

Koj yuav muaj kev txhawj xeeb, txaj muag, lossis tseem nyuaj siab thiab nyuaj siab txog qhov muaj tus kab mob plab hnyuv. Lwm yam kev ntxhov siab hauv koj lub neej, xws li tsiv tsev, poob haujlwm, lossis plam tus neeg hlub yuav ua rau lub plab zom mov tsis zoo.

Nug koj tus kws khomob txog cov lus qhia txog kev yuav tswj hwm koj cov kev ntxhov siab.

COV TSHUAJ KHO MOB

Koj tuaj yeem siv tshuaj kho mob raws plab kom zoo heev. Loperamide (Imodium) tuaj yeem yauv tau yam tsis muaj tshuaj. Nco ntsoov nrog koj tus kws khomob tham uantej siv cov tshuaj no.

Lwm yam tshuaj los pab nrog cov tsos mob suav nrog:

• Cov tshuaj fiber ntau, xws li psyllium hmoov (Metamucil) lossis methylcellulose (Citrucel). Nug koj tus kws kho mob ua ntej noj cov tshuaj no lossis tshuaj laxatives.
• Acetaminophen (Tylenol) rau mob mob mentsis. Tsis txhob siv tshuaj xws li tshuaj aspirin, ibuprofen (Advil, Motrin), lossis naproxen (Aleve, Naprosyn) uas tuaj yeem ua rau koj cov tsos mob hnyav dua.

Koj tus kws kho mob tseem yuav muab tshuaj los pab tswj hwm tus kab mob Crohn:

• Aminosalicylates (5-ASAs), cov tshuaj uas pab tswj cov tsos mob me mus rau mob pes nrab. Qee hom tshuaj no tau noj ntawm qhov ncauj, thiab lwm qhov yuav tsum tau txhaj tshuaj.
• Corticosteroids, xws li prednisone, kho cov mob nyaum mus rau mob loj Crohn. Lawv yuav noj ntawm qhov ncauj lossis tso rau hauv lub qhov quav.
• Cov tshuaj uas ntsiag to lub cev tiv thaiv kab mob.
• Tshuaj tua kab mob los kho cov qog ntshav lossis lub nrig.
• Immunosuppressive tshuaj xws li Imuran, 6-MP, thiab lwm tus kom tsis txhob siv cov tshuaj corticosteroids mus sij hawm ntev.
• Kho biologic yuav siv tau rau Crohn tus mob hnyav uas tsis teb rau lwm hom tshuaj.

NTU

Qee cov neeg muaj tus kab mob Crohn yuav xav tau kev phais mob kom tshem tawm qhov puas lossis thaj chaw ua haujlwm ntawm txoj hnyuv. Qee qhov xwm txheej, tag nrho cov hnyuv loj raug tshem tawm, nrog lossis tsis muaj lub qhov quav.

Cov tib neeg muaj tus kab mob Crohn uas tsis teb rau cov tshuaj yuav tsum tau muaj kev phais mob los kho teeb meem xws li:

• Ntshav
• Ua tsis taus (hauv menyuam yaus)
• Fistulas (kev sib txuas tsis zoo ntawm cov hnyuv thiab lwm qhov ntawm lub cev)
• Kab mob
• Nqaim ntawm cov hnyuv

Kev phais mob uas yuav ua yog:

• Ileostomy
• Kev tshem tawm ntawm qee qhov quav lossis lub plab loj
• Tshem tawm ntawm cov hnyuv mus rau lub qhov quav
• Tshem tawm ntawm txoj hnyuv loj thiab feem ntau ntawm lub qhov quav

Crohn's thiab Colitis Foundation ntawm Asmeskas muaj cov pab pawg thoob plaws Tebchaws Asmeskas - www.crohnscolitisfoundation.org

Tsis muaj kev kho tus kab mob Crohn. Tus mob yog cim los ntawm lub sijhawm ntawm kev txhim kho tom qab los ntawm flare-ups ntawm cov tsos mob. Crohn tus kab mob tuaj yeem kho tsis tau, txawm tias muaj kev phais mob. Tab sis kev phais mob tuaj yeem pab tau loj.

Koj muaj feem ntau yuav muaj mob khees xaws thiab hnyuv yog tias koj muaj Crohn muaj. Koj tus kws khomob yuav qhia cov kev kuaj ntsuas mob nyuv mob hnyuv tws. Kev mob txoj hnyuv tas li yog pom zoo yog tias koj muaj Crohn kab mob cuam tshuam rau txoj hnyuv rau 8 lossis ntau xyoo.

Cov neeg muaj mob Crohn loj yuav muaj cov teeb meem no:

• Qog lossis ua mob rau hauv cov hnyuv
• Anemia, uas tsis muaj cov ntshav liab txaus
• Plab hlaub
• Lub nrig rau ntawm lub zais zis, tawv nqaij, lossis ntawm qhov chaw mos
• Kev loj hlob qeeb thiab kev sib deev hauv cov menyuam yaus
• Kev o ntawm cov pob qij txha
• Tsis muaj cov as-ham tseem ceeb, xws li vitamin B12 thiab hlau
• Cov teeb meem los tswj lub cev nyhav
• O rau lub bile ducts (thawj sclerosing cholangitis)
• Cov tawv nqaij ua haujlwm, xws li pyoderma gangrenosum

Hu rau koj tus kws khomob yog koj:

• Mob plab heev
• Tsis tuaj yeem tswj koj tus mob raws plab nrog kev noj haus thiab tshuaj noj
• Tau poob phaus, los sis me nyuam tsis rog lawm
• Muaj mob ntshav tawm hauv qhov quav, tawm paug, lossis qhov ncauj tawm
• Ua npaws kub ntev dua 2 lossis 3 hnub, lossis ua npaws kub siab dua 100.4 ° F (38 ° C) yam tsis muaj mob
• Muaj xeev siab thiab ntuav uas nyob ntev dua ib hnub
• Muaj qhov tawv nqaij uas tsis zoo
• Muaj mob sib koom tes uas ua rau koj tsis tuaj yeem ua koj cov haujlwm txhua hnub
• Muaj kev phiv los ntawm cov tshuaj koj noj rau koj tus mob

Crohn tus mob; Cov mob o - Crohn kab mob; Cov kab mob hauv cheeb tsam; Ileitis; Granulomatous ileocolitis; IBD - Crohn kab mob

• Bland kev noj haus
• Cem quav - yam yuav nug koj tus kws kho mob
• Crohn kab mob - kev tso tawm
• Raws plab - yuav tau nug koj tus kws kho mob - neeg laus
• Ileostomy thiab koj tus menyuam
• Ileostomy thiab koj li kev noj haus
• Ileostomy - tu koj lub plab
• Ileostomy - hloov koj lub hnab
• Ileostomy - tawm mus
• Ileostomy - dab tsi yuav nug koj tus kws kho mob
• Loj lub plab hnyuv rov qab - tso tawm
• Nyob nrog koj ileostomy
• Kev noj haus muaj fiber ntau
• Kev tso quav me me - tawm
• Hom ntawm ileostomy

• Lub plab zom mov
• Crohn kab mob - xoo hluav taws xob
• Cov mob ntawm txoj hnyuv
• Lub cev tsis ua hauj lwm
• Crohn kab mob - cuam tshuam thaj chaw
• Kev mob caj dab
• Kev mob ntawm txoj hnyuv - series

Le Leannec IC, Wick E. Kev tswj ntawm Crohn's colitis. Hauv: Cameron AM, Cameron JL, eds. Kev Kho Mob Tam Sim NoCov. 13th ed. Philadelphia, PA: Elsevier; 2020: 185-189.

Lichtenstein GR. Cov mob ntawm txoj hnyuv. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 132.

Lichtenstein GR, Loftus EV, Isaacs KL, Regueiro MD, Gerson LB, Sands BE. ACG Clinical Cov Lus Qhia: Kev tswj hwm Crohn's kab mob rau cov neeg laus. Am J GastroenterolCov. 2018; 113 (4): 481-517. PMID: 29610508 www.ncbi.nlm.nih.gov/pubmed/29610508.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Nyuv thiab qhov quav. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 51.

Ntxoov Yias WJ. Tshuaj ntsuam xyuas Crohn's kab mob thiab kev kho mob: chaw kho mob txiav txim siab. Lub plab zom movCov. Xyoo 2014; 147 (3): 702-705. PMID: 25046160 www.ncbi.nlm.nih.gov/pubmed/25046160.

Sands BE, Siegel CA. Crohn tus kab mob. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 115.