Feem ntau cov kab mob hauv plab hnyuv yuav zoo rau kev kho mob thiab tsis ua teeb meem rau kev phom sij. Lub ntsiab kev hem thawj yog mob mob, cov pab pawg uas muaj xws li lub davhlau ya nyob twg lossis cov kab mob uas muaj tus kab mob (granulomatous, regional enteritis).
Crohn tus kab mob - ua rau
Cov kws kho mob tseem tsis tau paub tias xyov yog vim li cas qhov kev mob nkeeg no tshwm sim, muaj ob peb txoj kev xav ntawm nws lub hauv paus. Npaj ua rau davhlau ya nyob twg:
- cov noob caj noob ces;
- autoimmune ntshawv siab;
- kis kab mob kis los yog kab mob.
Crohn tus kab mob - kev faib tawm
Muaj ntau hom kab mob uas tau piav qhia, uas tau muab faib ua ob peb pawg nyob ntawm qhov chaw nyob ntawm qhov kev ua kom muaj kev mob nkeeg, nws qhov mob hnyav, xwm thiab lwm yam. Raws li niaj hnub thoob ntiaj teb cov qauv, qhov davhlau ya nrog tus kab mob (tus kab mob hu ua Crohn's disease) yog cais raws li 4 yam:
- hnub nyoog ntawm tus neeg mob;
- phenotype ntawm tus kab mob;
- localization ntawm tus mob;
- qhov tseem ceeb ntawm kev mob ntsws.
Cov pawg hnub nyoog:
- mus txog 16 xyoo (A1);
- los ntawm 17 txog 40 xyoo (A2);
- tom qab 41 xyoo (A3).
Crohn tus kab mob nyob ntawm lub phenotype:
- inflammatory (B1) - lub qog pathology tsis nyuab, qee zaum qhov perianal lesion koom ua ke;
- Kev nyuaj siab los yog lub cev stenosing (B2) - cov phab ntsa ntawm txoj hnyuv hnyav, muaj ib qho kev mob loj ua ntej los yog ua kom ob sab;
- Qhov tob tob (B3) - muaj cov fistulas, cov kab mob inflammatory thiab abscesses.
Hom mob pathology los ntawm qhov chaw nyob:
- ileitis (L1) - nrog;
- plab (L2) - txoj hnyuv loj ntawm cov dig muag thiab ncaj;
- withocolitis (L3) - txhua qhov chaw ntawm lub qhov quav thiab lub tsho ascending ntawm txoj hnyuv loj;
- kabmob ntawm lub plab hnyuv taum (L4).
Cov ntaub ntawv ntawm tus kab mob los ntawm qhov siab:
- lub teeb;
- ntsis;
- siab;
- kev zam txim;
- exacerbating;
- Postoperative recurrent.
Crohn tus kab mob - cov tsos mob
Clinical manifestations ntawm tus qhia pathology sib haum mus rau nws cov degree, localization thiab ntev ntawm txoj kev inflammatory, zaus ntawm relapses thiab lwm yam. Muaj qee cov kev tsis pom muaj qhov tshwm sim nrog lub davhlau ya nrog cov paib - cov tsos mob ntawm ib qho dav dav:
- ua npaws lossis qaug zog;
- tsis muaj zog;
- qhov kev nkees tas li;
- poob lub cev hnyav;
- mob plab;
- tsis muaj qab los noj mov;
- Zawv plab ntev tshaj 6 lub lis piam.
Terminal catarrhal ileitis
Qhov no hom ntawm tus kab mob yog tsiag ntawv los ntawm o ntawm tsuas yog mucous daim nyias nyias ntawm lub plab hnyuv siab raum ntawm gastrointestinal ib ntsuj av. Crohn tus kab mob ntawm daim catarrhal daim ntawv no yuav tau nrog cov kab mob hauv plab hnyuv quav thiab mob plawv. Thawj pab pawg neeg saib mob tshwm sim muaj xws li:
- mob, xyaum tus kab mob mob hnyuv ;
- xeev siab;
- anorexia;
- ntuav;
- tsam plab;
- mob raws plab.
Cov tsos mob hnyav heev ntawm Crohn's disease:
- conjunctivitis, uveitis lossis keratitis;
- aphthous stomatitis;
- sclerosing cholangitis ;
- cirrhosis;
- pyelonephritis;
- fatty degeneration ntawm lub siab;
- cholelithiasis;
- cystitis;
- hydronephrosis;
- cholangiocarcinoma;
- amyloidosis ntawm ob lub raum;
- nephrolithiasis.
Terminal follicular ileitis
Nyob rau hauv lub submucosa ntawm nyias thiab nrogum, muaj coob tus Peyer lub plawv nyob. Cov no yog cov qog tshwj xeeb cov qog, uas yog tsim los ntawm cov tshuaj tua kabmob (immunoglobulins). Terminal ileitis feem ntau cuam tshuam zoo li cov qauv no, ua rau muaj cov tsos mob uas twb tau teev tseg thiab lwm yam kev tshwm sim tshwm sim:
- tus kab mob kis mus rau ntau zaus, tshwj xeeb tshaj yog kis kab mob kis;
- ankylosing spondylitis;
- nodal erythema;
- gangrenous pyoderma;
- angiitis;
- nplaum xyoob;
- monoarthritis;
- peritonitis;
- cov hauj lwm fistulous;
- intra-abdominal abscesses;
- txhuam cov lumen thiab plab hnyuv txhuam;
- tsua nce nyob rau hauv lub cev kub.
Erosive tus davhlau ya nrog
Qhov no Crohn tus kab mob yog tsiag ntawv los ntawm tsim ntawm tob ulcers on mucous daim nyias nyias ntawm lub plab hnyuv siab raum ntawm gastrointestinal ib ntsuj av. Tus mob o nrog rau cov txheej txheem yaig yog suav tias yog ib hom kev phem tshaj plaws ntawm qhov davhlau ya nyob twg, ua rau muaj kev phom sij thiab txoj sia yuav tsim teeb meem. Mob khaub thuas Crohn tus kab mob - tshwm sim:
- perforation ntawm plab hnyuv ntsa;
- sab hauv;
- lom megacolon;
- mob vim yog mob lwm yam.
Crohn tus kab mob - mob
Daim duab kab mob ntawm qhov davhlau ya nyob twg tsis yog qhov tshwj xeeb, yog li ntawd thaum thawj tus kws kho mob hnyav tau cais tawm ntau lwm cov kab mob uas zoo sib xws. Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm cov kab mob digestive, nrog rau raws plab, thiab Crohn tus kab mob - txawv txoj kev kuaj mob xws li:
- mesenteritis;
- appendicitis;
- salmonellosis;
- enteritis;
- shigellosis;
- mob plab;
- plab hnyuv tub ntsws;
- angiitis;
- gonorrheal lossis chlamydial proctitis;
- amebiasis;
- lymphoma ntawm txoj hnyuv.
Cov kev siv twj paj nruag thiab kho vajtse yog siv los tshawb xyuas qhov davhlau ya dav hlau:
- kuaj txoj hnyuv;
- endoscopy thiab kuaj nqaij;
- radiograph ntawm plab kab noj hniav;
- magnetic resonance lossis computed tomography ntawm txoj hnyuv nrog qhov sib txawv.
Crohn tus kab mob - kev ntsuam xyuas
Kev tshawb nrhiav txog kev kuaj kuj pab tsim kho qhov tseeb. Txoj kev txhawm rau txhawm rau kuaj Crohn tus kab mob yog ib txoj kev kuaj ntshav:
- rau cov tshuaj tiv thaiv rau Saccharomyces cerevisae (raug xa mus rau ASCA);
- ntau;
- biochemical;
- immunological.
Tsis tas li ntawd, quav tsom xam cov ntsiab lus:
- bacteriological;
- mus rau theem ntawm calprotectin;
- noj haus.
Crohn tus kab mob - kev kho mob
Vim hais tias tsis muaj cov paub zoo uas ua rau tus kws kho mob tau piav ntev ntev, kev kho tshwj xeeb rau qhov kev tshem tawm tseem tsis tau tsim. Txhua txoj kev xaiv, yuav kho tus kab mob Crohn li cas, rhaub kom tsis txhob muaj kev mob nkeeg, tiv thaiv teeb meem thiab rov mob dua. Lub ntsiab ntawm txoj kev kho yog cov tshuaj noj thiab kev noj haus. Thaum muaj qhov loj ntawm qhov davhlau ya nyob twg, qhov kev kho phais yog ua tiav.
Crohn tus kab mob: kev kho mob - siv yeeb siv tshuaj
Lub ntsiab lus tseem ceeb nyob rau hauv kev kho mob ntawm tus kab mob yog tshem tawm ntawm o thiab kho tshiab ntawm lub qub digestive txheej txheem. Terminal Ileitis - kev kho mob yuav tsum muaj cov neeg ua haujlwm nram no:
- glucocorticoids - Prednisolone, Methylprednisolone;
- salicylates - Mesazalin, Sulfasazalin;
- immunosuppressants - Methotrexate, Azathioprine;
- tshuaj pleev cov tshuaj hormones - Budesonide, Beklazone;
- tshuaj tua kab mob - Rifaximin, Ciprofloxacin ;
- txhim kho roj ntsha ntawm genetic engineering - Etanercept, Infliximab thiab lwm tus.
Crohn tus kab mob tseem yuav raug tshawb fawb, yog li cov kws tshawb fawb tseem pheej nrhiav kev tshiab los daws cov davhlau ya nrog. Cov txheej txheem zoo yog:
- blockers ntawm integrin receptors - Vedolizumab;
- nyob noj lossis hloov cov kab mob hloov ciaj sia;
- sorbents;
- conjugated linoleic acid;
- DNA sequencing;
- nanotechnological npaj;
- enzymes;
- plasmapheresis;
- qia hlwb - polychrome;
- muab tso rau hauv ib chav pw hyperbaric;
- txhais tau tias marijuana - Naltrexone;
- plasmabsorption;
- tshuaj txhaj tiv thaiv kab mob plab zom plhaw pathologies;
- kev npaj los ntawm qe ntawm porcine worms (TSO) thiab lwm tus.
Nrog Crohn tus mob
Tag nrho cov neeg mob uas muaj tus kws kho mob hnav muaj tus kab mob uas tau qhia ntawd yuav tsum tau txais kev noj haus tshwj xeeb. Kev noj haus rau cov davhlau ya nrog cov paib tau raug xaiv los mus ntsuas tus xwm txheej ntawm tus kab mob thiab muaj cov teeb meem. Qhov yooj yim dua cov degree ntawm pathology, ntau cov zaub mov pub rau noj. Kev noj haus rau tus kab mob Crohn no yog ib qho kev zam:
- cov hmoov nplej tshiab thiab khoom noj khoom haus tshiab;
- khoom noj txom ncauj;
- nplua nuj kua nplua nuj;
- zaub thiab cereal kua zaub;
- cov khoom haus luam yeeb;
- mis nyuj thiab khoom siv mis nyuj;
- fatty nqaij, ntses;
- cov zaub mov kaus poom;
- barley, millet, pearl barley;
- taum;
- tej khoom qab zib;
- zaub;
- txias thiab dej qab kab;
- cocoa lossis kas fes nrog mis.
Cov khoom noj uas pom zoo:
- cov khoom noj los ntawm cov ntses uas muaj roj tsawg lossis nqaij nyug, steamed los yog rhaub (soufflé, cutlets thiab lwm tus);
- rusks los ntawm hmoov nplej siab tshaj plaws;
- calcined los yog grated tshiab tsev cheese;
- tsis muaj zog lossis tsis muaj rog dawb nrog cov qe ntses qe, nqaij npua plua plav, nqaij cereal ua kua (los ntawm mango, mov);
- qe (boiled soft-boiled, steam omelet);
- butter, zoo li daim filling ntawm cov tais diav;
- grated raw txiv ntseej;
- oatmeal, nplej, semolina porridge hauv dej hauv daim ntawv khib nyiab;
- ntsuab tshuaj yej;
- kas fes los yog cocoa on dej;
- txiv hmab txiv ntoo kua txiv hmab txiv ntoo;
- kua txiv hmab txiv ntoo ntxiv;
- kissel;
- broth ntawm dogrose.
Nws yog ib qho tseem ceeb noj ntau zaus thiab me me, ntxiv rau cov zaub mov thiab cov vitamins, tshwj xeeb yog pawg B, A, D, E thiab K. Yog tias tsim nyog, tus kws kho mob yuav kho qhov txawv ntawm qhov kev noj haus (cov lus 4 raws li Pevzner) raws li cov nram qab no:
- nta cov kab mob pathology;
- qhov hnyav ntawm qhov mob tshwm sim;
- hnyav ntawm cov tsos mob;
- muaj cov kab mob sib kis thiab mob nyhav;
- kev noj qab haus huv ntawm ib tug neeg;
- phiv tshuaj ntawm kev siv tshuaj kho.
Crohn tus kab mob - kho nrog pej xeem tshuaj
Ntau hom zaub mov txawv pab ceev kom txhob muaj kev ywj pheej sai dua thiab muab txoj kev zom kom zoo. Kev pab tswv yim pab tswv yim yuav kho tus mob hnyav li cas nrog rau txoj kev kho tshuaj. Tsis tas li ntawd, kev kho tej yam ntuj tso tau me me, yog li lawv siv los ua lwm yam kev ntsuas kev noj qab haus huv.
Anti-inflammatory tshuaj yej
Cov khoom xyaw:
- paj ntawm chamomile lub tsev muag tshuaj - 30-35 g;
- boiling dej - 200-210 ml.
Npaj, siv:
- Ncuav zaub raw cov khoom siv nrog dej kub.
- Insist 1-3 teev.
- Haus dej kom tag nrho cov tshuaj ua ntej noj mov.
- Rov ua li 5-6 zaug ib hnub twg.
Decoction tawm tsam raws plab
Cov khoom xyaw:
- Bilberry txiv hmab txiv ntoo - 100-140 g;
- dej - 1 liter.
Npaj, siv:
- Boil lub berries hauv boiling dej rau 10 feeb.
- Lim lub resulting compote.
- Haus tshuaj thaum nruab hnub.
Spasmolytic infusion
Cov khoom xyaw:
- lub keeb kwm ntawm marshmallow yog 100-150 g;
- dej - 50-80 ml.
Npaj, siv:
- Yaug thiab txiav mus rau hauv me me pieces ntawm raw cov ntaub ntawv.
- Ncuav nws nrog dej txias rau hauv ib lub tais sib sib zog nqus, thiaj li hais tias cov kua tsuas npog cov hauv paus hniav.
- Ntsig 6-10 teev.
- Tua cov kua qaub ncaug rau hauv ib lub thawv cais.
- Haus 2 tsp 2-4 zaug ib hnub, muab tshuaj rau ib khob dej.
Antiulcer decoction
Cov khoom xyaw:
- Lim licorice keeb kwm - 2-3 g;
- dej - 150-200 ml.
Npaj, siv:
- Boil zaub raw cov ntaub ntawv nyob rau hauv boiling dej (10-15 feeb).
- Hais kom ib nrab teev.
- Lim cov tshuaj.
- Haus ib qho tshuaj rau nruab nrab ntawm noj mov peb zaug ib hnub.
- Kho tsis ntev tshaj li ib hlis, ces siv sij hawm so thiab mus ntxiv.
Crohn tus kab mob - lub txim
Txoj kev kuaj mob ntawm tus mob no muaj qhov mob ntev, yog li ntawd nws tau nce zuj zus thiab feem ntau ua rau yus muaj mob txaus ntshai. Crohn tus kab mob - cov nyom:
- qhov tawm ntawm cov quav mus rau hauv qhov chaw plab;
- qhov quav fissures ;
- mob plab mucous membranes;
- dysbiosis;
- colon cancer;
- abscesses;
- fistulas .
Vim yog kev ua txhaum ntawm kev muab cov khoom noj, Barill tus kab mob yog los ntawm:
- qaug tshuaj nrog lub zog hnyav heev;
- hypovitaminosis;
- dysbacteriosis.
Crohn tus kab mob - raug
Kev kho kab mob hauv qhov davhlau ya nrog tsis muaj zog, ib tus neeg yuav tau ua raws li kev noj haus txhua lub sijhawm, koom nrog kev kho thiab tiv thaiv kev mob ntsws. Thaum ib tus neeg tuaj yeem tswj hwm tus kab mob Crohn tus kabmob - lub sijhawm ntawm lub neej muaj txiaj ntsim zoo, muab:
- ua raws li kev pom zoo rau kev tsim cov khoom noj khoom haus;
- kev tso tseg ntawm kev quav yeeb quav tshuaj;
- niaj zaus mus ntsib tus kws kho mob;
- kho cov kev tu ncua thiab kev tiv thaiv ntawm cov teeb meem.