Mob nqaij hlav thiab Crohn's Kab Mob

Zoo Siab

• Yuav ua li cas hom mob rau qhov mob tuaj yeem tshwm sim yog tias koj muaj Crohn's mob?
• Qhov ncauj mob
• Aphthous mob rwj
• Pyostomatitis zaub
• Qhov ncauj mob rau qhov ncauj vim kev noj tshuaj phiv
• Dab tsi yog cov tsos mob ntawm qhov ncauj mob?
• Lub npe Fistula
• Ntshav
• Mob Kev Plab
• Yuav kho tus mob rwj yog dab tsi?
• Kev txhaj tshuaj tiv thaiv kab mob
• Lwm yam kev kho mob
• Kev phais mob
• Nqa Nyiaj

Txheej txheem cej luam

Crohn's kab mob yog kev mob ntawm txoj hnyuv plab (GI). Nws muaj feem xyuam rau txheej sib sib zog nqus ntawm txoj hnyuv ntsa. Kev tsim mob ntawm qhov mob txhab, lossis qhib qhov ncauj tawm, hauv GI txoj hnyuv yog qhov tshwm sim tseem ceeb ntawm Crohn.

Raws li Crohn's thiab Colitis Foundation ntawm America, txog li 700,000 Asmeskas muaj Crohn tus mob. Txhua tus neeg muaj tus mob Crohn's, tab sis feem ntau yuav cuam tshuam rau cov neeg muaj hnub nyoog 15 thiab 35.

Yuav ua li cas hom mob rau qhov mob tuaj yeem tshwm sim yog tias koj muaj Crohn's mob?

Qhov mob uas tshwm sim nrog Crohn tus mob tuaj yeem tshwm ntawm qhov ncauj tawm mus rau lub qhov quav, suav nrog:

• txoj hlab pas
• duodenum
• tws ntawv ntxiv
• plab
• txoj hnyuv me
• txoj hnyuv

Kab mob Crohn tsis tshua muaj tshwm sim rau:

• lub qhov ncauj
• plab
• duodenum
• txoj hlab pas

Qhov zoo sib xws yog ulcerative colitis, uas cuam tshuam tsuas yog mob hnyuv tws.

Piv txwv, koj yuav muaj mob thoob thoob qhov hnyuv yog tias koj muaj Crohn's. Tej zaum koj yuav muaj txoj hlab qhov nqaij txhav nyob hauv tsuas yog ib ntu ntawm cov hnyuv xwb. Hauv lwm qhov chaw ntawm GI cov kab mob, mob rwj yuav tshwm sim hauv pawg sib cais los ntawm cov ntaub so ntswg zoo. Tus mob mus ntev yuav ua rau mob rau qhov chaw mos lossis qhov quav.

Qhov ncauj mob

Aphthous mob rwj

Qee zaum, cov neeg muaj Crohn's yuav mob tawm hauv lub qhov ncauj mob heev. Cov no yog paub ua kab mob siab. Cov mob tawm ntawm qhov ncauj no feem ntau tshwm sim thaum lub cev loj hlob tuaj ntawm cov hnyuv. Lawv tuaj yeem zoo tib yam li tus mob canker heev. Qee zaum, ntau lub qhov txhab yuav tshwm sim loj dua.

Pyostomatitis zaub

Pyostomatitis vegetans yog tsawg. Nws ua rau ntau qhov qog, pustules, thiab mob rau hauv lub qhov ncauj. Nws tuaj yeem tshwm sim nrog tus mob hnyuv (IBD) lossis Crohn's kab mob. Koj tuaj yeem noj tshuaj qhov ncauj thiab tshuaj pleev corticosteroids, zoo li cov tshuaj hu ua "tshuaj tiv thaiv kabmob", los kho cov mob no.

Qhov ncauj mob rau qhov ncauj vim kev noj tshuaj phiv

Qee zaum, mob qhov ncauj yuav yog kev phiv los ntawm cov tshuaj uas kho Crohn's thiab IBD. Cov tshuaj no tuaj yeem ua rau mob qhov nqaij, qhov ncauj tawm.

Dab tsi yog cov tsos mob ntawm qhov ncauj mob?

Cov qog nqaij hlav los ntawm Crohn's tuaj yeem muaj ntau cov tsos mob:

Lub npe Fistula

Mob rwj tuaj yeem tsim lub fistula yog tias nws sib tsoo ntawm koj lub plab hnyuv phab ntsa. Lub fistula yog kev sib txuas tsis zoo ntawm cov ntu ntawm txoj hnyuv, lossis ntawm txoj hnyuv thiab daim tawv lossis lwm yam khoom hauv lub cev, xws li lub zais zis. Lub nrig loj tuaj sab hauv tuaj yeem ua zaub mov hla txoj kev ntawm txoj hnyuv. Qhov no tuaj yeem ua rau tsis tuaj yeem tsis nqus cov khoom noj khoom haus. Lub fistulas sab nraud tuaj yeem ua rau lub qhov quav tawm mus rau ntawm daim tawv nqaij. Qhov no tuaj yeem ua rau kom tuag taus yog tias koj tsis nrhiav kev kho rau nws. Qhov feem ntau fistula rau hauv cov neeg nrog Crohn qhov tshwm sim hauv thaj chaw anal.

Ntshav

Pom los ntshav tsawg tsawg, tab sis nws yuav tshwm sim yog mob rwj rau hauv cov hlab ntshav loj los ntshav. Lub cev feem ntau ua nrawm nrawm kaw cov hlab ntshav. Rau ntau tus neeg, qhov no tshwm sim ib zaug xwb. Txawm li cas los xij, kev phais yuav tsim nyog yog tias los ntshav ntau zaus.

Tsis tshua muaj, ib tus neeg muaj Crohn tus mob yuav hnov ​​mob ntshav ntswg sai sai. Qhov los ntshav yuav tshwm sim tau txhua lub sijhawm, suav nrog thaum lub sijhawm hloov hluav taws lossis thaum lub sijhawm muaj tus kabmob. Hemorrhage loj heev yuav tsum tau phais lub neej kom tshem cov ntu kab mob txoj hnyuv lossis GI los yog tiv thaiv lwm qhov ntshav phom sij txoj sia yav tom ntej.

Mob Kev Plab

Txawm hais tias tsis muaj qhov pom pom los ntshav, Crohn tus tuaj yeem ua rau cov ntshav tsis muaj zog yog tias nws ua rau muaj mob ntau hauv plab hnyuv lossis txoj hnyuv. Nruam, qis-qis, mob ntshav qis los ntawm cov mob no tuaj yeem tshwm sim. Yog tias koj muaj Crohn's uas cuam tshuam rau ileum lossis yog tias koj tau raug phais los tshem tawm qee qhov ntawm koj lub plab hnyuv hu ua ileum, koj tuaj yeem tsim muaj ntshav tsis txaus vim tsis muaj peev xwm nqus tau cov vitamin B-12 txaus.

Yuav kho tus mob rwj yog dab tsi?

Kev txhaj tshuaj tiv thaiv kab mob

Koj lub cev tiv thaiv kab mob tau ua rau o. Immunosuppressants yog cov tshuaj uas tiv thaiv lub cev tsis muaj zog.

Corticosteroids yog cov tshuaj uas tiv thaiv kev tiv thaiv ntawm lub cev kom txo qis tshwm sim ntawm mob thiab mob rau sab hauv. Koj tuaj yeem coj lawv ntawm qhov ncauj lossis kho qhov ncauj. Txawm li cas los xij, Crohn's thiab Colitis Foundation ntawm America tau tshaj tawm tias lawv tuaj yeem muaj cov kev mob tshwm sim thiab cov kws kho mob tsis nyiam sau ntawv rau lub sijhawm ntev, yog tias ua tau. Tej zaum koj tus kws kho mob yuav ntxiv kab thib ob ntawm cov tshuaj ua kom lub zog tiv thaiv koj lub cev.

Yog tias koj muaj Crohn's uas tsis tau teb rau corticosteroids lossis raug kho nyob rau hauv, koj tus kws kho mob tuaj yeem sau lwm hom tshuaj tiv thaiv kab mob xws li azathioprine lossis methotrexate. Feem ntau nws yuav siv li peb mus rau rau lub hlis rau kev teb los ntawm cov tshuaj no tshwm sim. Cov tshuaj no tuaj yeem ua rau koj muaj feem mob qog nqaij hlav thiab mob khaub thuas ntau ntxiv xws li mob pob txuv thiab cytomegalovirus. Koj yuav tsum tham koj qhov txaus ntshai nrog koj tus kws kho mob.

Lwm yam kev kho mob

Cov kev kho mob ntxiv rau Crohn's muaj xws li cov hauv qab no:

• Thaum mob ncauj plab, pleev tshuaj loog xws li lidocaine yuav pab ua kom loog. Yog tias koj tau txais cov tshuaj pleev ib ce, nws yuav zoo li nws yuav xyaw nrog tshuaj pleev corticosteroid.
• Kev siv tshuaj lom neeg xws li infliximab thiab adalimumab yog lwm txoj kev kho mob rau Crohn's.
• Koj tus kws kho mob kuj tseem yuav sau cov tshuaj tua kab mob uas pab txo cov kab mob hauv cov hnyuv thiab txo qhov o.

Kev phais mob

Koj tus kws kho mob yuav qhia kev phais kom tshem ib feem ntawm qhov hnyuv uas muaj qhov txhab mob ntau. Koj tus kws kho mob tsis tuaj yeem kho Crohn's nrog kev phais mob, tab sis kev phais yuav pab txo cov tsos mob. Txoj kev rov qab ileum yog txheej txheem uas koj tus kws kho mob tshem ib feem ntawm koj txoj hnyuv tawm hu ua ileum. Yog tias koj tau mob dua ntxiv ileum lossis koj muaj qhov mob Crohn's ntawm ileum, koj yuav tsum noj tshuaj vitamin B-12.

Nqa Nyiaj

Crohn's mob yog ib qho mob mus ntev. Tsis muaj ib txoj kev kho tau, tab sis ntau tus neeg tuaj yeem ua tiav tswj lawv cov tsos mob. Mob qog nqaij yog qhov tsos mob tshwj xeeb. Koj tuaj yeem txo qis heev npaum li cas lawv tshwm sim thiab ntev npaum li cas lawv kav nrog kev kho mob thiab tswj kev ua neej. Nug koj tus kws kho mob txog kev hloov pauv ntawm kev ua neej thiab kev kho mob uas yuav ua haujlwm rau koj tus mob.