Crohn's Rias Kab Mob: Nws zoo li cas?

Zoo Siab

• Cov tsos mob ntawm daim tawv nqaij
• Mob Perianal txhab
• Qhov ncauj mob txhab
• Metastatic Crohn's mob
• Erythema nodosum
• Pyoderma gangrenosum
• Qab zib cov tsos mob
• Mob tej yam kev mob
• Kev tshuaj tiv thaiv
• Vitamin raug qias tsis txaus
• Duab
• Vim li cas qhov no tshwm sim
• Kev Kho Mob
• Thaum mus ntsib kws kho mob
• Hauv qab kab

Crohn's disease yog ib hom mob ntawm qhov mob plab hnyuv (IBD). Cov neeg muaj Crohn's mob ua rau mob rau hauv lawv txoj hnyuv, uas tuaj yeem ua rau cov tsos mob zoo li:

• mob plab
• zawv plab
• poob phaus

Nws tau kwv yees pom tias muaj txog 40 feem pua ​​ntawm cov neeg muaj Crohn muaj cov tsos mob uas tsis cuam tshuam txoj hnyuv zom zaub mov.

Thaj chaw uas pom tshwm sim sab nraud ntawm lub plab zom mov yog daim tawv nqaij.

Vim li cas tiag Crohn tus mob tuaj yeem cuam tshuam cov tawv nqaij tseem tseem tsis tau taub. Nws yuav yog vim:

• kev cuam tshuam ncaj qha ntawm tus kab mob
• tiv thaiv kab mob
• tshuaj tiv thaiv kev noj tshuaj

Kav tsij nyeem ntxiv kom paub ntau ntxiv txog Crohn's kab mob thiab tawv nqaij.

Cov tsos mob ntawm daim tawv nqaij

Cov neeg mob Crohn tus mob tuaj yeem txhim kho ntau yam nqaij ua kom sib txawv. Cia tshawb nrhiav qee qhov ntawm ntau qhov hauv qab no.

Mob Perianal txhab

Mob Perianal txhab muaj nyob ib puag ncig lub qhov quav. Lawv tuaj yeem yog:

• xim liab
• o o
• mob qee zaum

Mob Perianal qhov txhab tuaj yeem siv rau ntau qhov kev tshwm sim, suav nrog:

• mob rwj
• abscesses
• Kev sib tsoo, lossis faib rau hauv daim tawv nqaij
• fistulas, lossis kev sib txuas tsis zoo ntawm ob lub cev
• daim tawv nqaij cim npe

Qhov ncauj mob txhab

Txhab kuj tseem yuav tshwm sim hauv lub qhov ncauj. Thaum qhov mob tawm ntawm qhov ncauj, koj yuav pom cov qhov txhab mob hauv sab hauv ntawm koj lub qhov ncauj, tshwj xeeb sab hauv sab plhu lossis daim di ncauj.

Qee zaum lwm cov tsos mob tuaj yeem siv tau, suav nrog:

• phua di ncauj
• liab lossis tawg pleb qhov muag ntawm qhov fab ntawm qhov ncauj, uas yog hu ua angular cheilitis
• cov di ncauj lossis cov pos hniav o

Metastatic Crohn's mob

Metastatic Crohn's mob yog tsawg.

Feem ntau cov chaw cuam tshuam yog:

• ntsej muag
• tus qau
• qhov kawg nkaus

Nws kuj tseem pom muaj nyob hauv thaj chaw uas muaj ob daim tawv nqaij txhuam ob txheej ua ke.

Cov qhov txhab no feem ntau yog cov quav hniav zoo li hauv qhov tsos, txawm hais tias qee qhov nws yuav zoo li mob ntxiv. Lawv muaj xim liab los yog xim ntshiab. Cov qhov txhab kab mob yuav tshwm sim ntawm lawv tus kheej lossis hauv pawg.

Erythema nodosum

Erythema nodosum yog tus cwj pwm mob los ntawm pob tw liab los yog pob ntseg liab uas tshwm sim hauv qab daim tawv nqaij.

Lawv feem ntau pom ntawm koj sab qis dua, tshwj xeeb yog ntawm koj lub taub hau. Kub taub hau, ua daus no, mob ib ce, thiab mob tej zaum kuj yuav tshwm sim.

Erythema nodosum yog qhov pom tawv nqaij tshaj plaws ntawm Crohn's kab mob. Nws kuj ntau zaus, tab sis tsis yog tas li, coincides nrog ib qho flare-up.

Pyoderma gangrenosum

Tus mob no pib pib ua pob rau ntawm daim tawv nqaij uas thaum kawg tsim mus rau mob lossis mob txhab nrog qhov xim daj. Koj tuaj yeem muaj ib leeg pyoderma gangrenosum lesion lossis ntau lub qhov txhab. Feem ntau qhov chaw nyob yog ob txhais ceg.

Zoo li erythema nodosum, pyoderma gangrenosum feem ntau tuaj yeem tshwm sim thaum lub sijhawm flare-up. Thaum qhov chaw txhab mob zoo tuaj, nws tuaj yeem muaj qhov caws pliav. Kwv yees li ntawm 35 feem pua ​​ntawm tib neeg tuaj yeem rov huam mob dua.

Qab zib cov tsos mob

Qab zib cov tsos mob cuam tshuam nrog kev sib tw liab liab uas feem ntau npog koj lub taub hau, npog tas ib ce, thiab caj npab. Lawv tuaj yeem tshwm sim nyias los yog loj hlob ua ke tsim cov quav hniav.

Lwm cov tsos mob ntawm tus mob qab zib muaj xws li:

• ua npaws
• nkees
• mob ib ce
• kev mob siab

Mob tej yam kev mob

Qee lwm yam mob cuam tshuam nrog Crohn tus kab mob thiab tseem tuaj yeem ua rau cov tsos mob ntawm daim tawv nqaij. Qee cov qauv suav nrog:

• psoriasis
• vitiligo
• mauj lupus erythematosus (SLE)
• autoimmune amyloidosis

Kev tshuaj tiv thaiv

Muaj qee kis, cov tawv nqaij raug mob pom ntawm cov neeg uas tau siv hom tshuaj biologic hu ua tshuaj los tiv thaiv TNF. Cov qhov txhab no zoo li eczema lossis psoriasis.

Vitamin raug qias tsis txaus

Crohn's kab mob tuaj yeem ua rau lub cev tsis zoo, nrog rau cov vitamins tsis txaus. Ntau yam ntawm cov no tuaj yeem ua rau cov tawv nqaij mob. Piv txwv li:

• Zinc tsis muaj peev xwm. Zinc tsis muaj peev xwm ua rau thaj ua rau thaj liab lossis plaques kuj tseem muaj pustules.
• Hlau tsis muaj peev xwm. Cov hlau tsis muaj peev xwm ua rau muaj xim liab, tawg tsis sib luag ntawm cov ces kaum ntawm lub qhov ncauj.
• Vitamin C tsis txaus. Vitamin C ua rau tsis muaj ntshav hauv qab daim tawv nqaij, uas ua rau cov pob doog ntshav zoo li tshwm sim.

Duab

Cov tsos mob ntawm daim tawv nqaij cuam tshuam nrog Crohn tus mob tuaj yeem tshwm sim ntau ntau, nyob ntawm lawv hom thiab thaj chaw.

Kos hauv qab cov duab hauv qab no rau qee qhov piv txwv.

Vim li cas qhov no tshwm sim

Nws tsis nkag siab zoo li cas Crohn tus mob ua rau cov tsos mob ntawm daim tawv nqaij. Cov kws tshawb nrhiav tshawb fawb txuas ntxiv rau cov lus nug no.

Nov yog qhov peb paub:

• Qee qhov mob txhab, xws li mob txhab ua paug thiab mob ua paug, zoo li tshwm sim ncaj qha los ntawm Crohn's kab mob. Thaum muab biopsied thiab tshuaj xyuas lub tshuab tsom, cov qhov txhab muaj cov yam ntxwv zoo ib yam rau cov kab mob hauv lub plab.
• Lwm qhov mob txhab, xws li erythema nodosum thiab pyoderma gangrenosum, ntseeg tau tias yuav qhia cov kab mob nrog Crohn's kab mob.
• Qee qhov mob autoimmune uas ua rau cov tsos mob ntawm daim tawv nqaij, xws li psoriasis thiab SLE, cuam tshuam nrog Crohn's kab mob.
• Yam thib ob uas cuam tshuam txog Crohn's kab mob, xws li kev noj haus tsis txaus thiab cov tshuaj siv rau kev kho mob, tuaj yeem ua rau cov tsos mob ntawm daim tawv nqaij.

Yog li yuav ua li cas txhua yam no haum ua ke? Zoo li lwm yam mob ntawm lub cev, Crohn's muaj feem cuam rau lub cev tiv thaiv kabmob ntawm lub cev ua rau lub hlwb muaj mob. Qhov no yog dab tsi ua rau cov mob txuam nrog tus mob.

Cov kev tshawb fawb tsiaj tau pom tias kev tiv thaiv kab mob hu ua Th17 cell yog qhov tseem ceeb hauv Crohn's kab mob. Th17 hlwb kuj tseem cuam tshuam nrog lwm yam kev mob autoimmune, suav nrog cov uas tuaj yeem cuam tshuam rau daim tawv nqaij.

Xws li, cov kab mob no tuaj yeem txuas rau ntawm Crohn's kab mob thiab ntau yam cuam tshuam nrog cov tsos mob ntawm daim tawv nqaij.

Lwm yam kev tshawb fawb qhia tias muaj ntau yam kabmob cuam tshuam nrog tus kabmob.

Txawm li cas los xij, kev tshawb nrhiav ntxiv xav tau los hais txog qhov sib txuas ntawm Crohn's kab mob thiab tawv nqaij.

Kev Kho Mob

Muaj ntau txoj kev kho mob rau cov tawv nqaij uas muaj feem xyuam nrog Crohn's kab mob. Cov kev kho mob tshwj xeeb uas koj tau txais yuav yog nyob ntawm seb hom tawv nqaij uas koj muaj.

Qee zaum cov tshuaj tuaj yeem pab txo cov tsos mob ntawm daim tawv nqaij. Ib co piv txwv ntawm cov tshuaj uas koj tus kws kho mob yuav muab tshuaj yog:

• corticosteroids, uas tuaj yeem yog qhov ncauj, txhaj tshuaj, lossis pleev ib ce.
• siv tshuaj tiv thaiv kab mob, xws li methotrexate lossis azathioprine
• kev siv tshuaj tiv thaiv, xws li sulfasalazine
• anti-TNF biologics, xws li infliximab lossis adalimumab
• tshuaj tua kab mob, uas tuaj yeem pab nrog cov fistulas lossis abscesses

Lwm txoj kev kho nrog:

• tsum tsis txhob tawm tsam TNF kev siv tshuaj lom yog tias nws ua rau cov tsos mob ntawm daim tawv nqaij
• tawm tswv yim ntxiv cov tshuaj vitamin thaum noj zaub mov tsis txaus ua rau muaj cov vitamin tsis txaus
• ua rau kev phais kom tshem tawm lub fistula hnyav, lossis fistulotomy

Muaj qee kis, cov tsos mob ntawm daim tawv nqaij yuav tshwm sim los ntawm Crohn's flare-up kab mob. Thaum qhov no tshwm sim, kev tswj hwm lub qhov muag tseem tuaj yeem pab ua kom yooj yim cov tsos mob ua kom tawv nqaij.

Thaum mus ntsib kws kho mob

Yog tias koj muaj Crohn's mob thiab txhim kho cov tsos mob ntawm daim tawv uas koj ntseeg hais tias cuam tshuam nrog koj tus mob, teem sijhawm nrog koj tus kws kho mob.

Tej zaum yuav tau siv lub biopsy los txiav txim qhov ua rau koj tus mob.

Feem ntau hais lus, nws ib txwm muaj txoj cai zoo los ntsib koj tus kws kho mob yog tias koj pom cov tsos mob ntawm daim tawv nqaij uas:

• npog thaj chaw loj
• kis tau sai heev
• muaj mob
• muaj hlwv lossis paug kua
• tshwm sim nrog kub cev

Hauv qab kab

Coob tus neeg uas muaj tus kab mob Crohn yuav pom cov tsos mob uas cuam tshuam rau thaj chaw uas tsis yog lub plab zom mov.

Ib qho ntawm cov chaw no yog tawv nqaij.

Muaj ntau ntau yam kev mob tshwm sim ntawm daim tawv nqaij cuam tshuam nrog Crohn's kab mob. Cov no tuaj yeem tshwm sim vim tias:

• kev cuam tshuam ncaj qha ntawm tus kab mob
• tej cov kabmob cuam tshuam nrog tus kabmob
• cov teeb meem cuam tshuam nrog tus kab mob, xws li noj tsis txaus

Kev kho mob tuaj yeem nyob ntawm hom mob ua haujlwm. Feem ntau nws yuav koom nrog noj tshuaj kom pab txo koj cov tsos mob.

Yog tias koj muaj Crohn's mob thiab pom cov tsos mob ntawm daim tawv uas koj xav tias yuav cuam tshuam nrog, mus ntsib koj tus kws kho mob.