Matšoao a mangata a pampiri ea mathe a arabela hantle kalafo 'me ha a bake mathata a kotsi. Tšokelo e ka sehloohong ke ho ruruha ho sa foleng, sehlopha sa tsona se kenyang li-lethal kapa li-transmural ileitis (granulomatous, regionalitis entitis).
Lefu la Crohn - lisosa
Lingaka ha li e-s'o hlahise hantle hore na ke hobane'ng ha bothata bona bo hlaha, ho na le likhopolo tse fokolang feela tsa tšimoloho ea eona. Lintho tse hlahisoang ke lefu la lethal:
- liphetoho tsa lefutso;
- matšoenyeho a boipheliso;
- tšoaetso ea likokoana-hloko kapa baktheria.
Lefu la Crohn - sebopeho
Ho na le mefuta e mengata ea mafu a hlalositsoeng, a arotsoeng ka lihlopha tse fapa-fapaneng ho itšetlehile ka hore na sebaka sa ho ruruha se bakoa ke eng, matla a eona, tlhaho le lintho tse ling. Ho ea ka litekanyetso tsa morao-rao tsa machaba, lefu la terminal le bitsoang Crohn's disease le khetholloa ho latela lintlha tse 4:
- lilemo tsa mokuli;
- phantotype ea lefu lena;
- ho ba teng sebakeng sa ho ruruha;
- matla a ho kula.
Lihlopha ka lilemo:
- ho fihlela ho lilemo tse 16 (A1);
- ho tloha ho lilemo tse 17 ho isa ho tse 40 (A2);
- ka mor'a lilemo tse 41 (A3).
Lefu la Crohn le itšetlehile ka phenotype:
- ho ruruha (B1) - ho kula ha ho thata, ka nako e 'ngoe ho hlaha joalo ea perianal;
- Ho thibela kapa ho fokotsa (B2) - marako a mala a fokotsehile, ho na le ho eketsa kapa ho thibela pele ho ts'oaetso;
- Ho kenella ka hare (B3) - ho na le li-fistula, masapo a ho ruruha le li-abscesses.
Mefuta ea lefuba ka ho khetholla naha:
- ileitis (L1) - ileum;
- colitis (L2) - mala a maholo pakeng tsa lifofu le ho otloloha;
- ileoololite (L3) - sebaka leha e le sefe pakeng tsa lehlakoreng le ho nyoloha karolo ea mala a maholo;
- litho tsa karolo e ka holimo ea masapo a mokuli (L4).
Mefuta ea lefu lena ka matla:
- leseli;
- e leka-lekaneng;
- phahameng;
- ts'oarelo;
- ho mpefatsa;
- e pheta-phetoang hape.
Lefu la Crohn - matšoao
Litšebeletso tsa meriana tsa lefu lena li hlahisitsoe ka tekanyo ea eona, ho khetholla sebaka le nako ea ho ruruha, nako ea ho khutlela morao le lintho tse ling. Ho na le matšoao a mangata a sa tšoaneng a tsamaeang le terminal leitis - matšoao a tlhaho e tloaelehileng:
- feberu kapa ho senya maikutlo;
- bofokoli;
- khatello ea kamehla;
- boima ba 'mele bo theohile;
- mahlaba a mpa;
- ho hloka takatso ea lijo;
- Letšollo le tšoarellang libeke tse fetang 6.
Terminal catarrhal ileitis
Mofuta ona oa lefu o khetholloa ke ho ruruha ha liphatsa tsa 'mele feela. Lefu la Crohn la mofuta oa catarrhal le ka tsamaisana le matšoao a mala a mala le a mangata. Sehlopha sa pele sa lipontšo tsa bongaka li kenyelletsa:
- ho utloa bohloko, ho etsisa li- appendicitis tse matla;
- ho nyekeloa ke pelo;
- anorexia;
- ho hlatsa;
- ho senya;
- letšollo le sa foleng.
Matšoao a sa tšabehang a lefu la Crohn:
- conjunctivitis, uluitis kapa keratitis;
- aphthous stomatitis;
- sclerosing cholangitis ;
- ho thatafala ha sebete;
- pyelonephritis;
- ho fokotseha ha mafura sebeteng;
- cholelithiasis;
- cystitis;
- hydronephrosis;
- cholangiocarcinoma;
- amyloidosis ea liphio;
- nephrolithiasis
Terminal follicular ileitis
Ka submucosa ea tse tšesaane le ea leum, palo e kholo ea lipepe tsa Peyer li teng. Tsena ke li-follicle tse khethehileng tsa lymphoid, tse etselitsoeng tlhahiso ea li-immunoglobulins. Tlhaloso ea leite e atisa ho ama mekhoa e joalo, e hlahisang matšoao a seng a ntse a thathamisitsoe le lits'ebeletso tse ling tsa kliniki:
- ho ba le tšoaetso ea mafu a mangata, haholo-holo mafu a tšoaetso ea kokoana-hloko;
- ankylosing spondylitis;
- khalalelo ea li-olymia;
- gangrenous pyoderma;
- angiitis;
- mehato ea ho khomarela;
- monoarthritis;
- peritonitis;
- lithuto tsa maqheka;
- li-abscesses tsa mpa;
- ho thibela malapa le ho thibela mala.
- keketseho e tsitsitseng mocheso oa 'mele.
Lehlabula le bolaeang la leitis
Lefu lena la Crohn le khetholloa ke ho thehoa ha lisosa tse tebileng holim'a lisele tsa litho tsa matšoao. Ho ruruha ho kopantsoe le mekhoa e metle ho nkoa e le e 'ngoe ea mefuta e kotsi ka ho fetisisa ea lefu la lethal, e lebisang likotsing tse kotsi le tse kotsi bophelong. Lefu la Ulcerous Crohn - Lipontšo:
- ho senyeha ha marako a mala;
- ho tsoa mali;
- megacolone e chefo;
- li-abscesses ka lebaka la tšoaetso ea bobeli.
Lefu la Crohn - ho hlahlojoa
Setšoantšo sa kliniki ea lefu la leitis ha se totobetse, ka hona qalong gastroenterologist e tlameha ho qoba mafu a mang a mangata a nang le matšoao a tšoanang. Ke habohlokoa ho khetholla ho kula ha mafu, ho tsamaea le letšollo, le lefu la Crohn-ho khetholla ho fapana ho etsoang ka mafu a joalo:
- mesenteritis;
- ho kenya letsoho;
- salmonellosis;
- enteritis;
- shigellosis;
- colitis;
- lefuba la masapo;
- angiitis;
- gonorrheal kapa chlamydial proctitis;
- Amebiasis;
- lymphoma ea mala.
Mekhoa ea lisebelisoa le ea thepa e sebelisetsoang ho netefatsa hore na sepheo sa ho felisoa ke eng:
- colonoscopy;
- endoscopy le biopsy;
- radiograph ea sefuba sa mpa;
- matla a motlakase kapa computed tomography ea mala ka ho bapisa.
Matšoao a Crohn's - liteko
Lipatlisiso tsa lipatlisiso li boetse li thusa ho theha lefu lena le nepahetseng. Tsela e ka sehloohong ea ho lemoha lefu la Crohn ke teko ea mali:
- bakeng sa li-antibodies ho Saccharomyces cerevisae (e bitsoa ASCA);
- tloaelehileng;
- phekolo ea lik'hemik'hale;
- immunological.
Ho phaella moo, tlhahlobo ea setulo e etsoa:
- baktheria;
- ho ea boemong ba calprotectin;
- likokoana-hloko.
Phekolo ea lefu la Crohn
Ka lebaka la ho se be le lintho tse tsejoang haholo tse hlalosang mafu a sa foleng, phekolo e khethehileng ea ho felisoa ha eona ha e e-s'o nts'etsoe pele. Lintho tsohle tseo u lokelang ho li etsa, mokhoa oa ho tšoara lefu la Crohn, pheha ho thibela mokhoa oa ho ruruha, ho thibela mathata le ho khutlela morao. Mekhoa e ka sehloohong ea phekolo ke meriana le lijo. Ka boteng ba liphello tse matla tsa terminal terminal, ho buuoa ho kenella ho etsoa.
Lefu la Crohn: phekolo - lithethefatsi
Tsela e ka sehloohong ea phekolo ea lefu lena ke ho tlosoa ha ho ruruha le ho tsosolosoa ha mokhoa o tloaelehileng oa ho senya lijo. Terminal Ileitis - phekolo e na le mahlahana a latelang a meriana:
- glucocorticoids - Prednisolone, Methylprednisolone;
- salicylates - Mesazalin, Sulfasazalin;
- hemogoshopperants - Methotrexate, Azathioprine;
- lihomone tsa lihlooho tse ling - Budesonide, Beklazone;
- lithibela-mafu - Rifaximin, Ciprofloxacin ;
- litokisetso tsa likokoana-hloko tsa liphatsa tsa lefutso - Etanercept, Infliximab le ba bang.
Lefu la Crohn le tsoela pele ho phenyekolloa, kahoo bo-rasaense ba lula ba batla litsela tse ncha tsa ho sebetsana le lefu la leitis. Likgetho tse ka lebelloang ke tsena:
- li-blockers tsa integrin receptors - Vedolizumab;
- bafani ba phelang kapa likokoana-hloko tse fetotsoeng ka liphatsa tsa lefutso;
- li-sorbents;
- acid e nang le conjugated linoleic;
- DNA e hlophisang;
- litokisetso tsa nanotechnology;
- li-enzyme;
- plasmapheresis;
- lisele tsa stem - polychrome;
- ho beha kamoreng ea hyperbaric;
- mokhoa oa matekoane - Naltrexone;
- plasmabsorption;
- liente tse khahlanong le ho ruruha ha malinyane;
- litokisetso tse thehiloeng mahe a li-porcine liboko (TSO) le tse ling.
Le Mafu a Crohn
Bakuli bohle ba nang le gastroenterologist le lefu lena le bontšitsoeng ba lokela ho fuoa lijo tse khethehileng. Diet bakeng sa terminal leitis e khethoa ho nahanela mofuta oa sekolo sa lefu le boteng ba mathata. Ho bonolo hore tekanyo ea ho kula, ha lijo li lumelloa hore li jeoe. Phepo e nepahetseng bakeng sa lefu la Crohn e ama phapang:
- phofo e ncha le lihlahisoa tsa bohobe;
- ho ja lijo;
- lihlahla tse ruileng;
- meroho ea lijo-thollo le lijo-thollo;
- lisebelisoa tsa tsuba;
- lebese le lihlahisoa tsa lebese;
- nama e mafura, tlhapi;
- lijo tse nang le makoti;
- harese, nyalothe, harese ea perela;
- linaoa;
- lipompong leha e le life;
- meroho;
- lino tse batang le tse nang le carbonate;
- kakao kapa kofi le lebese.
Lijo tse khothalletsoang:
- lijana tse tsoang tlhapi e fokolang mafura kapa nama e nang le majoe a ommeng, a phehoang kapa a phehiloe (soufflé, cutlets le ba bang);
- rusks e tsoang phofo e phahameng ka ho fetisisa;
- calcined kapa grated e ncha ea ntlo ea chisi;
- li-broth tse fokolang kapa tse se nang mafura le ho tlatsoa ha li-flakes tsa mahe, li-meatball, li-mucous cereal broths (ho tloha mango, raese);
- mahe a (a phehiloeng a phehiloeng a phehile)
- botoro, joaloka ho tlatsa lijana;
- liapole tse tala tse silafalitsoeng;
- oatmeal, raese, semolina phallo holim'a metsi ka mokhoa o pentiloeng;
- tee e tala;
- kofi kapa cocoa holim'a metsi;
- melee ea litholoana tsa melee;
- li-jusiti tsa litholoana tse hlatsoitsoeng;
- kissel;
- moro oa thuto.
Ho bohlokoa ho ja hangata le likarolong tse nyenyane, ho feta ho nka liminerale le li-vithamine, haholo-holo lihlopha tsa B, A, D, E le K. Haeba ho hlokahala, ngaka e ka lokisa mefuta e fapaneng ea lijo (tafole 4 ho latela Pevzner) ho latela mehato e latelang:
- likarolo tsa lefu lena;
- ho tiea ha lipontšo tsa kliniki;
- ho tiea ha matšoao;
- boteng ba mafu a khotsofatsang le mathata;
- boiketlo ba motho;
- litla-morao tsa phekolo ea lithethefatsi.
Lefu la Crohn - phekolo ea meriana ea batho
Mefuta e mengata ea diresepe e thusa ho potlakisa ho tsuba le ho tsosolosa lijo tse nepahetseng. Keletso ea sechaba ea ho phekola terminal ileitis e lokela ho kopanngoa le phekolo ea meriana. Ho fapana, mekhoa ea tlhaho e na le liphello tse nyenyane haholo, kahoo li sebelisoa e le litekanyetso tse eketsehileng tsa bophelo bo botle.
Tee e khahlanong le ho ruruha
Lijo:
- lipalesa tsa chamomile pharmacy - 30-35 g;
- metsi a belang - 200-210 di ml.
Ho itokisa, sebelisa:
- Tšela meroho e tala ka metsi a chesang.
- Tsitlella lihora tse 1-3.
- Noa tekanyo eohle ea meriana pele u ja.
- Pheta ka makhetlo a 5-6 ka letsatsi.
Decoction khahlanong le letšollo
Lijo:
- Lihlahisoa tsa Bilberry - 100-140 g;
- metsi - litara e le 1.
Ho itokisa, sebelisa:
- Pheha monokotsoai ka metsing a belang metsotso e 10.
- Hlahisa compote e hlahisoang.
- Noa pheko nakong ea letsatsi.
Infusion ea Spasmolytic
Lijo:
- metso ea marang-rang ke 100-150 g;
- metsi - 50-80 ml.
Ho itokisa, sebelisa:
- Hlatsoa le ho khaola likotoana tse nyenyane tsa thepa e tala.
- E tšela ka metsi a batang ka sejana se tebileng, e le hore mokelikeli o koahele metso feela.
- Tsitlella lihora tse 6-10.
- Tlosa sefate se hlahisoang ka har'a sejana se arohileng.
- Noa 2 tsp 2-4 linako tse ling ka letsatsi, u eketsa moriana ho khalase ea metsi.
Antioche decoction
Lijo:
- Ho hlatsoa metso ea licorice - 2-3 g;
- metsi - 150-200 di ml.
Ho itokisa, sebelisa:
- Pheha lihlahisoa tse tala ka metsi a belang (metsotso e 10-15).
- Tsitlella halofo ea hora.
- Senya tharollo.
- Noa pheko pakeng tsa lijo ka makhetlo a mararo ka letsatsi.
- Pholisa nako e telele ho feta khoeli, joale nka khefu 'me u tsoele pele.
Lefu la Crohn - liphello
Ho kula ho na le mokhoa o sa foleng, kahoo o tsoelapele kamehla 'me o atisa ho lebisa maemong a kotsi. Lefu la Crohn - mathata:
- ho tsoa ha lesela le ka hare ho sebaka sa mpa;
- li-fissures ;
- ho senyeha ha likokoana-hloko;
- dysbiosis;
- kankere ea colone;
- litlhaku;
- fistula .
Ka lebaka la tlhekefetso ea limatlafatsi, lefu la Barill le tsamaea le:
- ho felloa ke matla ka ho lahleheloa ke matla;
- hypovitaminosis;
- dysbacteriosis.
Lefu la Crohn - ho hlasela
Ka ho feletseng phekolo ea terminal leitis ha e khone, motho o tla tlameha ho khomarela lijo tsa hae ka linako tsohle, a sebelise phekolo le ho thibela mafu. Le hoja motho a ka khona ho laola lefu la Crohn feela - ho tsebahala ha bophelo ho molemo, ho fanoe ka:
- ho latela litlhahiso bakeng sa ho thehoa ha lijo;
- ho lahleheloa ke lithethefatsi;
- ho etela ka nako e telele ho gastroenterologist;
- phekolo e nakong le thibelo ea mathata.