Indwara Ya Crohn

Indwara ya Crohn ni ubwoko bw'indwara y'umwijima uterwa n'uburwayi (IBD) itera kubyimba no gucika intege kw'ingingo, bikitwa kubyimba, mu muyoboro w'igogorwa. Ibi bishobora gutera ububabare mu nda, impiswi zikomeye, umunaniro, igihombo cy'uburemere n'imirire mibi. Kubyimba biterwa n'indwara ya Crohn bishobora kugira ingaruka ku bice bitandukanye by'umuyoboro w'igogorwa mu bantu batandukanye. Crohn ikunda kwibasira impera y'umwijima muto n'intangiriro y'umwijima munini. Kubyimba kenshi birawuka mu mpande zikomeye z'umwijima. Indwara ya Crohn ishobora kubabaza kandi igahagarara. Rimwe na rimwe, ishobora gutera ingaruka zikomeye cyangwa zishobora kwica. Nta muti uzwi w'indwara ya Crohn, ariko ubuvuzi bushobora kugabanya cyane ibimenyetso byayo ndetse bukanatuma habaho kumera neza igihe kirekire no gukira kubyimba. Hamwe n'ubuvuzi, abantu benshi barwaye indwara ya Crohn bashobora gukora neza.

"Ibimenyetso bya Crohn's disease bisanzwe birimo: Impiswi. Umuhumeko. Kwumva unaniwe. Kubabara mu nda no gucika intege. Amaraso mu ntege. Ibirenge mu kanwa. Kugabanuka kw'irari no kugabanyuka k'uburemere. Kubabara cyangwa gusohora ibyuya hafi cyangwa hafi y'inyuma kubera kubyimba mu muyoboro ugana ku ruhu, bita fistula. Crohn's disease ishobora kwibasira igice icyo ari cyo cyose cy'umwijima muto cyangwa munini. Bishobora kuba bigizwe n'ibice byinshi, cyangwa bishobora kuba bikurikiranye. Akenshi bibasira igice cya nyuma cy'umwijima muto. Mu bamwe, iyi ndwara iba iri mu gifu gusa cyangwa mu muwijima munini. Ibimenyetso bya Crohn's disease bishobora kuva ku buringanire kugeza ku kuremereye. Bisanzwe bigenda bigaragara buhoro buhoro, ariko rimwe na rimwe bishobora kuza imbere bitunguranye, nta kimenyetso. Umuntu ufite Crohn's disease ashobora kugira igihe nta bimenyetso afite. Ibi bizwi nka remission. Abantu bafite Crohn's disease ikomeye bashobora kandi kugira ibimenyetso bitari mu mara, birimo: Kubyimba kw'uruhu, amaso n'ingingo. Kubyimba kw'umwijima cyangwa inzira z'ibinyabuzima. Amabuye y'impyiko. Kugabanuka kw'ibinyabuzima by'umutungo, bita anemia. Gutinda gukura cyangwa gutinda gutera imbere mu mibonano mpuzabitsina, mu bana. Reba umuganga niba ufite impinduka zikomeza mu myitwarire yawe yo mu mara cyangwa niba ufite ibimenyetso bya Crohn's disease, nka: Kubabara mu nda. Amaraso mu ntege. Isesemi no kuruka. Impiswi iramara ibyumweru birenga bibiri. Kugabanyuka k'uburemere utabishaka. Umuhumeko uherekejwe n'ibimenyetso ibyo ari byo byose."

Jya kwa muganga niba ufite impinduka zikomeza mu mirire yawe, cyangwa se ufite ibimenyetso bya Crohn, birimo ibi bikurikira: Ububabare bw'inda. Amaraso mu ntebe. Kugira isereri no kuruka. Impiswi iramara ibyumweru birenga bibiri. Gutakaza ibiro utabishaka. Guhinda umuriro uherekejwe n'ikindi kimwe muri ibi bimenyetso.

Impamvu nyakuri y'indwara ya Crohn ntiracyamenyekana. Mbere, ibyo kurya n'umunaniro byari bikekwa, ariko ubu abaganga bazi ko ibyo bintu bishobora kubyutsa, ariko ntibitera indwara ya Crohn. Ibintu byinshi bishobora kugira uruhare mu iterambere ryayo. Genes. Genomes zisaga 200 zifitanye isano n'indwara ya Crohn. Ariko kandi, abashakashatsi ntibabizi neza uruhare bagira muri iyo ndwara. Kugira imwe cyangwa nyinshi muri izi genes bishobora gutuma umuntu arwara indwara ya Crohn. Sisteme y'umubiri. Birashoboka ko udukoko, virusi cyangwa ibindi bintu byo mu kirere bishobora gutera indwara ya Crohn. Urugero, imikoro imwe mu mara ikekwa ko ifitanye isano n'indwara ya Crohn, ariko ntibiramenyekana niba ibyo bikoko biterwa n'indwara ya Crohn. Iyo système y'umubiri igerageza kurwanya udukoko cyangwa ibindi bintu byo mu kirere, igikorwa kitari cyo cya système y'umubiri gitera système y'umubiri guteraho utubuto mu mara.

Ibintu bishobora guteza indwara ya Crohn birimo: Amateka y'umuryango. Abantu bafite umuntu wo mu muryango wa hafi, nka mubyeyi, umuvandimwe cyangwa umwana, bafite ibyago byinshi byo kurwara iyo ndwara. Abantu bagera kuri 1 kuri 5 barwaye indwara ya Crohn bafite umuntu wo mu muryango ufite iyo ndwara. Imyaka. Indwara ya Crohn ishobora kubaho mu myaka yose, ariko ikunda kugaragara cyane iyo uri muto. Abantu benshi barwara indwara ya Crohn babimenya mbere y'imyaka 30. Uko umuntu aturuka. Nubwo indwara ya Crohn ishobora kwibasira ubwoko ubwo aribwo bwose, abazungu nibo bafite ibyago byinshi, cyane cyane abantu bakomoka mu burasirazuba bw'Uburayi (Abayahudi ba Ashkenazi). Ariko kandi, umubare w'abarwara indwara ya Crohn ugenda wiyongera mu bantu b'irabura baba muri Amerika ya Ruguru no mu Bwongereza. Indwara ya Crohn igaragara cyane kandi mu baturage bo mu Burasirazuba bwo Hagati no mu bimukira muri Leta Zunze Ubumwe za Amerika. Itabi. Itabi ni yo ntandaro ikomeye ishobora kwirindwa yo guteza indwara ya Crohn. Itabi rinatuma indwara ikomeye kandi yongera ibyago byo kubagwa. Niba unywa itabi, ni ngombwa ko urekera. Imiti igabanya ububabare idakomoka kuri steroide. Ibi birimo ibuprofen (Advil, Motrin IB, n'ibindi), naproxen sodium (Aleve), diclofenac sodium n'ibindi. Nubwo bidatera indwara ya Crohn, bishobora gutera kubyimbagira mu mara bigatuma indwara ya Crohn ikomeye.

Indwara ya Crohn ishobora gutera bimwe cyangwa byinshi muri ibi bibazo bikurikira: Gutumba kw'amara cyangwa kubuzwa gukora. Indwara ya Crohn ishobora kugira ingaruka ku mwiru wose w'inkuta y'amara. Mu gihe, ibice by'amara bishobora gukomera no gutoha, ibyo bikaba bishobora kubuza ibyo kurya kunyura, akenshi bizwi nka stricture. Kubaga kugira ngo hagurwe stricture cyangwa gukuraho igice cy'amara kirwaye bishobora kuba ngombwa. Umuhondo. Kubabara kudasiba bishobora gutera ibisebe bifunguye bizwi nka ulcers ahantu hose mu muyoboro w'igogorwa. Ibi bishobora kuba mu kanwa, inyuma ndetse no mu gitsina. Fistulas. Rimwe na rimwe, ulcers zishobora gukwirakwira mu mwiru wose w'amara, zigatuma habaho ubwumvikane hagati y'ibice bitandukanye by'umubiri bitagomba kuba bifitanye isano. Ibi bizwi nka fistula. Fistulas zishobora kuvuka hagati y'amara n'uruhu, cyangwa hagati y'amara n'undi mubiri. Fistulas ziri hafi cyangwa hafi y'inyuma ni zo zihoraho cyane. Iyo fistulas zivutse mu nda, bishobora gutera indwara n'amasuguru y'ibisebe bizwi nka abscesses. Ibi bishobora kuba bibi cyane niba bitavuwe. Fistulas zishobora kuvuka hagati y'ibice by'amara, mu kibuno cyangwa mu gitsina, cyangwa mu ruhu, bigatuma ibintu byo mu mara bikomeza gukwirakwira mu ruhu. Anal fissure. Iyi ni inenge nto mu mubiri upfundikira inyuma cyangwa mu ruhu ruri inyuma aho indwara zishobora kuba. Ikunze guhurirana no kubabara mu gihe cyo kunyara kandi bishobora gutera fistula. Imivure mibi. Kugira impiswi, kubabara mu nda no gucika intege bishobora gutuma bigoye kurya cyangwa amara akabura ubushobozi bwo kubona intungamubiri zihagije. Kandi biramenyerewe kugira anemia kubera ibyuma bike cyangwa vitamine B-12 bituruka kuri iyi ndwara. Cancer ya colon. Kugira indwara ya Crohn igira ingaruka kuri colon byongera ibyago byo kurwara kanseri ya colon. Amabwiriza rusange yo gupima kanseri ya colon ku bantu badafite indwara ya Crohn asaba ko hakorwa colonoscopy nibura buri myaka 10 uhereye ku myaka 45. Ku bantu barwaye indwara ya Crohn igira ingaruka ku gice kinini cya colon, colonoscopy yo gupima kanseri ya colon irasabwa nyuma y'imyaka umunani uhereye igihe indwara yatangiriye kandi muri rusange ikorwa buri mwaka 1 cyangwa 2 nyuma yaho. Baza umuganga niba ukeneye gukora iyi isuzuma vuba kandi kenshi. Indwara z'uruhu. Abantu benshi barwaye indwara ya Crohn bashobora kandi kugira indwara yitwa hidradenitis suppurativa. Iyi ndwara y'uruhu irimo ibisebe binini, imiyoboro n'amasuguru mu maboko, mu gitsina, munsi y'amabere, no mu gice cy'inyuma cyangwa mu gitsina. Bimwe mu buvuzi bw'indwara ya Crohn binongera ibyago byo kurwara kanseri y'uruhu, bityo isuzuma rya buri gihe ry'uruhu ni ngombwa. Ibindi bibazo by'ubuzima. Indwara ya Crohn ishobora kandi gutera ibibazo mu bindi bice by'umubiri. Muri ibyo bibazo harimo ibyuma bike, bizwi nka anemia, osteoporosis, arthritis, amabuye y'impyiko, ibibazo by'amaso, n'indwara y'umwijima cyangwa umwijima. Ibyago by'imiti. Imiti imwe y'indwara ya Crohn ibuza imikorere y'ubwirinzi ifitanye isano n'ibyago bike byo kurwara kanseri, harimo lymphoma na kanseri y'uruhu. Binongera kandi ibyago byo kwandura. Corticosteroids ishobora kuba ifitanye isano n'ibyago bya osteoporosis, amagufwa acika, cataracts, glaucoma, diyabete n'umuvuduko ukabije w'amaraso, mu bindi bibazo. Korera hamwe n'umuganga kugira ngo umenye ibyago n'inyungu z'imiti. Ibisubizo by'amaraso. Indwara ya Crohn yongera ibyago by'ibisasu by'amaraso mu mitsi n'imijyana.

Umuhanga mu by'ubuzima ashobora kumenya indwara ya Crohn gusa nyuma yo gukuraho izindi mpamvu zishoboka z'ibimenyetso. Nta kizami kimwe cyo kumenya indwara ya Crohn. Ibizami byinshi bishobora gukoreshwa mu gufasha kwemeza uburwayi bwa Crohn, birimo: Ibipimo bya Laboratwari Ibipimo by'amaraso. Ibipimo by'amaraso bishobora kugenzura ibimenyetso by'indwara cyangwa ububabare bw'amaraso - ikibazo aho hataboneka uturemangingo tw'umutuku duhagije gutwara ogisijeni ihagije mu mubiri. Ibi bipimo kandi bishobora gukoreshwa mu kugenzura urwego rw'uburiganya, imikorere y'umwijima cyangwa kubaho kw'indwara zitakira, nka tuberculose. Amaraso ashobora kandi gupimwa kugira ngo harebwe ubudahangarwa bw'indwara. Ibyavuye mu guhanagura. Igipimo cy'umusemburo gishobora gukoreshwa mu gupima amaraso cyangwa udukoko, nka bagiteri ziterwa na bagiteri cyangwa, gake, udukoko mu musemburo, kugira ngo turebe impamvu z'uburwayi n'ibimenyetso. Rimwe na rimwe gushaka ibimenyetso by'uburiganya mu musemburo, nka calprotectin, bishobora gufasha. Uburyo bwo kuvura Colonoscopy. Colonoscopy ikoresha camera nto ku mpera y'umuyoboro woroshye kugira ngo irebane neza umwijima wose n'imperuka y'umwijima. Muri ubu buryo, ibice bito by'umubiri, bizwi nka biopsy, bishobora gufatwa kugira ngo bipimwe muri laboratwari. Ibi bishobora gufasha mu gupima uburwayi. Ibice by'uturemangingo tw'uburiganya bizwi nka granulomas bishobora kugaragaza uburwayi bwa Crohn. CT scan. CT scan ni uburyo bwihariye bwa X-ray butanga amakuru menshi kurusha X-ray isanzwe. Iki kizami kireba umwijima wose ndetse n'imiterere iri hanze y'umwijima. CT enterography ni CT scan yihariye isaba kunywa ibintu byo gusiga umwijima no kubona amashusho y'umwijima. Iki kizami gitanga amashusho meza y'umwijima muto kandi cyasimbuye X-ray ya barium muri byinshi mu bigo by'ubuvuzi. MRI. MRI ikoresha ikibanza cya magnétique n'amahano ya radio kugira ngo ikore amashusho y'imiterere n'imiterere. MRI ikoreshwa hamwe n'amazi yo gusiga, bizwi nka MR enterography, ifite akamaro cyane mu gusuzuma fistula hafi y'umushitsi cyangwa umwijima muto. Rimwe na rimwe MR enterography ishobora gukorwa kugira ngo harebwe uko uburwayi buhagaze cyangwa uko buzamuka. Iki kizami gishobora gukoreshwa aho gukoresha CT enterography kugira ngo hagaruke ibyago by'imirasire, cyane cyane mu bantu bakiri bato. Capsule endoscopy. Iki kizami kigizwe no kumira capsule ifite camera irimo. Camera ifata amashusho y'umwijima muto kandi iyohereza kuri recorder yambaye ku gikapu. Amashusho hanyuma ashyirwa kuri mudasobwa, agaragazwa kuri ecran kandi harebwa ibimenyetso bya Crohn. Camera isohoka mu mubiri nta kibazo mu musemburo. Endoscopy hamwe na biopsy bishobora kuba bikenewe kugira ngo hameze uburwayi bwa Crohn. Abantu bafite indwara ya Crohn y'umwijima muto bashobora kuba bafite ibyago byinshi byo gufatwa kwa capsule mu mwijima, cyane cyane niba hari amateka yo kugabanya cyangwa kubaga umwijima muto. Capsule endoscopy ntikwiye gukorwa niba hari ubwoba bw'ubwumvikane cyangwa ikibazo, bizwi kandi nka obstruction, mu mwijima. Kwitaho muri Mayo Clinic Itsinda ryacu ryita ku barwayi b'inzobere za Mayo Clinic rishobora kugufasha mu bibazo byawe by'ubuzima bifitanye isano n'indwara ya Crohn Tangira hano Amakuru y'inyongera Kwitaho indwara ya Crohn muri Mayo Clinic Barium enema Capsule endoscopy Colonoscopy CT scan Fecal occult blood test Flexible sigmoidoscopy MRI Reba amakuru y'inyongera

"Ubu nta muti uravura indwara ya Crohn, kandi nta muti umwe ukora kuri buri wese. Ariko rero, hari imiti myinshi yemewe mu kuvura indwara ya Crohn. Intego imwe y'ubuvuzi ni uguca umuriro utera ibimenyetso. Intego indi ni ukubaka ubuzima bw'igihe kirekire binyuze mu kugabanya ingaruka. Mu bihe byiza, ibi bishobora gutuma hatabayeho gusa kugabanya ibimenyetso ahubwo no gukira burundu. Imiti ica umuriro Imiti ica umuriro ikunze kuba intambwe ya mbere mu kuvura indwara y'umwijima. Irimo: Corticosteroids. Corticosteroids nka prednisone na budesonide (Entocort EC) bishobora gufasha kugabanya umuriro mu mubiri, ariko ntibikora kuri buri wese ufite indwara ya Crohn. Rimwe na rimwe, imiti ya steroide itangwa mu mitsi ikoreshwa mu bitaro igihe gito. Corticosteroids ishobora gukoreshwa mu gihe gito (amezi 3 kugeza kuri 4) kugira ngo ibimenyetso bigabanuke kandi kugira ngo hagaruke ubuzima bwiza. Corticosteroids ishobora kandi gukoreshwa hamwe n'umuti ugabanya ubudahangarwa bw'umubiri kugira ngo hagaruke akamaro k'indi miti. Hanyuma irashirwaho buhoro buhoro. 5-aminosalicylates yo kunywa. Iyi miti rimwe na rimwe ikoreshwa ku ndwara ya Crohn yoroheje cyangwa yo hagati. Irimo sulfasalazine (Azulfidine), irimo sulfa, na mesalamine (Delzicol, Pentasa, izindi). 5-aminosalicylates yo kunywa ikora neza ku ndwara ya Crohn iri mu mara ariko ntikora neza iyo indwara iri mu ruhago. Abagabanya ubudahangarwa bw'umubiri Iyi miti igabanya umuriro, ariko igabanya ubudahangarwa bw'umubiri, ari bwo butera ibintu biterwa n'umuriro. Kuri bamwe, guhuza iyi miti bikora kurusha imiti imwe gusa. Abagabanya ubudahangarwa bw'umubiri barimo: Azathioprine (Azasan, Imuran) na mercaptopurine (Purinethol, Purixan). Aya ni yo miti ikoreshwa cyane mu kuvura indwara y'umwijima. Kubifata bisaba ko ukomeza gukurikiranwa n'umuganga kandi amaraso yawe akagenzurwa buri gihe. Ibi ni ukureba ingaruka mbi, nko kugabanuka kw'ubudahangarwa bw'umubiri no kwangirika k'umwijima. Iyi miti ishobora kandi guteza isereri n'kuruka. Methotrexate (Trexall). Iyi miti rimwe na rimwe ikoreshwa ku bantu bafite indwara ya Crohn batitabwaho n'indi miti. Uzajya ukomeza gukurikiranwa kugira ngo harebwe ingaruka mbi. Biologics Uyu muryango w'imiti ugamije poroteyine ikorwa n'ubudahangarwa bw'umubiri. Ubwoko bwa biologics bukoreshwa mu kuvura indwara ya Crohn harimo: Infliximab (Remicade), adalimumab (Humira) na certolizumab pegol (Cimzia). Izwi kandi nka TNF inhibitors, iyi miti ikora binyuze mu kugabanya poroteyine y'ubudahangarwa bw'umubiri izwi nka tumor necrosis factor (TNF). Ustekinumab (Stelara). Ivura indwara ya Crohn binyuze mu kubangamira imikorere ya interleukin, ari yo poroteyine igira uruhare mu muriro. Vedolizumab (Entyvio). Ni ubwoko bw'imiti izwi nka monoclonal antibody. Ikora binyuze mu kubuza imisemburo y'uturemangingo tw'ubudahangarwa bw'umubiri - integrins - kwifunga ku zindi cellules mu ruhago. Vedolizumab ni umuti ukorera mu mara gusa kandi yemewe ku ndwara ya Crohn. Risankizumab (Skyrizi). Risankizumab na yo ni monoclonal antibody. Iyi miti ikora ku kintu kizwi nka interleukin-23. Risankizumab yemejwe vuba aha mu kuvura indwara ya Crohn yo hagati cyangwa ikomeye. Imiterere ya biologics, yitwa biosimilars, iboneka mu kuvura indwara ya Crohn. Iyi miti ikora nk'imiti ya mbere ya biologics, kandi ishobora kuba ihendutse. Janus kinase (JAK) inhibitors JAK inhibitors ni ubwoko bw'imiti izwi nka small molecules. Iyi miti mishya ifasha kugabanya umuriro binyuze mu kugabanya ibice by'ubudahangarwa bw'umubiri biterwa n'umuriro mu mara. Ifatwa mu kanwa. JAK inhibitors ishobora gusabwa ku ndwara ya Crohn itaravuwe n'indi miti. Ikigo cy'Amerika gishinzwe ibiryo n'imiti (FDA) cyemereye imiti ya JAK inhibitor upadacitinib mu kuvura indwara ya Crohn. JAK inhibitors ntizisabwa gukoreshwa mu gihe cyo gutwita. Antibiyotike Antibiyotike ishobora kugabanya umunyu uva mu myanya y'umubiri n'ibicurane kandi rimwe na rimwe ikabakiza ku bantu bafite indwara ya Crohn. Bamwe mu bashakashatsi batekereza ko antibiyotike ifasha kugabanya udukoko twangiza dushobora kuba duteza umuriro mu mara. Antibiyotike zikunze kwandikwa harimo ciprofloxacin (Cipro) na metronidazole (Flagyl). Indi miti Usibye kugenzura umuriro, imiti imwe ishobora gufasha kugabanya ibimenyetso. Ariko ubanze uvugane n'umuganga mbere yo gufata imiti ugura udafite resept. Bitewe n'uburemere bw'indwara ya Crohn, umuganga ashobora kugusaba kimwe cyangwa birenga ibi bikurikira: Imiti igabanya impiswi. Ibiryo byuzuye, nka psyllium husk (Metamucil) cyangwa methylcellulose (Citrucel), bishobora gufasha kugabanya impiswi yoroheje cyangwa yo hagati binyuze mu kongera ibintu mu ntege. Ku mpiswi ikomeye, loperamide (Imodium A-D) ishobora kugira akamaro. Iyi miti ishobora kuba idakora cyangwa ikaba mbi kuri bamwe bafite ibibazo mu mara cyangwa indwara zimwe na zimwe. Ubanze ubone umuganga mbere yo gufata iyi miti. Imiti igabanya ububabare. Ku bubabare buke, umuganga ashobora kugusaba acetaminophen (Tylenol, izindi) - ariko si indi miti igabanya ububabare, nka ibuprofen (Advil, Motrin IB, izindi) cyangwa naproxen sodium (Aleve). Iyi miti ishobora kongera ibimenyetso kandi ikongera indwara. Vitamine na imiti yuzuza. Niba utarya ibiryo bihagije, umuganga ashobora kugusaba vitamine n'imiti yuzuza. Ubuvuzi bw'imirire Umuganga ashobora kugusaba indyo idasanzwe itangwa mu kanwa cyangwa imiyoboro y'ibiryo, yitwa enteral nutrition. Ibiryo bishobora kandi gutangwa mu mitsi, yitwa parenteral nutrition. Ibi bishobora kunoza ubuzima muri rusange kandi bigatuma umwijima uruhuka. Kuruhuka kw'umwijima bishobora kugabanya umuriro mu gihe gito. Umuganga wawe ashobora gukoresha ubuvuzi bw'imirire mu gihe gito akabuhuza n'imiti, nko kugabanya ubudahangarwa bw'umubiri. Enteral na parenteral nutrition bikunze gukoreshwa mu kugira ngo abantu bazamuke mbere y'ubuganga cyangwa iyo indi miti itashoboye kugenzura ibimenyetso. Umuganga wawe ashobora kandi kugusaba indyo ikennye mu bintu bikomeye cyangwa ifite fibre nke kugira ngo agabanye ibyago byo gufunga umwijima niba ufite umwijima muto, witwa stricture. Indyo ikennye mu bintu bikomeye igamije kugabanya ingano n'umubare w'intege. Ubuganga Niba guhindura imirire n'imibereho, imiti, cyangwa ibindi bivura bitagabanya ibimenyetso, umuganga ashobora kugusaba ubuganga. Hafi kimwe cya kabiri cy'abafite indwara ya Crohn bashobora gukenera ubuganga byibuze bumwe. Ariko, ubuganga ntibuvuza indwara ya Crohn. Mu gihe cy'ubuganga, umuganga akuraho igice cyangiritse cy'umuyoboro w'ibiryo hanyuma agahuza ibice byiza. Ubuganga bushobora kandi gukoreshwa mu gupfuka imyanya y'umubiri no gukuraho ibintu byangiza. Akamaro k'ubuganga ku ndwara ya Crohn akenshi kaba ari igihe gito. Indwara ikunze kugaruka, akenshi hafi y'umwanya wahujwe. Uburyo bwiza ni ukukurikira ubuganga hakoreshejwe imiti kugira ngo hagabanywe ibyago byo kugaruka. Amakuru y'inyongera Kwita ku ndwara ya Crohn muri Mayo Clinic Acupuncture Home enteral nutrition Gusaba gahunda Hari ikibazo kuri amakuru yagaragajwe hepfo kandi usubiremo ifishi. Bona amakuru mashya y'ubuzima ava muri Mayo Clinic yoherezwa kuri email yawe. Kwiyandikisha ubuntu kandi ubone igitabo cyawe cyimbitse kuri igihe. Kanda hano kugira ngo ubone icyitegererezo cya email. Imeri ya email Ikosa Agasanduku k'imeli gasabwa Ikosa Shyiramo aderesi yemewe ya email Aderesi 1 Kwiyandikisha Menya byinshi ku ikoreshwa ry'amakuru rya Mayo Clinic. Kugira ngo tugutange amakuru afatika kandi akubereye, kandi twumve amakuru afitiye akamaro, dushobora guhuza amakuru yawe ya email n'amakuru y'urubuga hamwe n'andi makuru dufite kuri wewe. Niba uri umurwayi wa Mayo Clinic, ibi bishobora kuba harimo amakuru y'ubuzima abitswe. Niba duhuza aya makuru n'amakuru yawe y'ubuzima abitswe, tuzabyita byose nk'amakuru y'ubuzima abitswe kandi tuzakoresha cyangwa tukahagaragaza ayo makuru nk'uko byagenwe mu itangazo ryacu ry'ubuzima bwite. Ushobora guhagarika imenyekanisha rya email igihe icyo ari cyo cyose ukande kuri link yo guhagarika imenyekanisha muri email. Murakoze kwandikisha Igishushanyo cyawe cyimbitse cy'ubuzima bw'igogora kizaba kiri mu imeri yawe vuba. Uzabona kandi imeri zituruka muri Mayo Clinic ku makuru mashya y'ubuzima, ubushakashatsi, n'ubuvuzi. Niba utahabwa email yacu mu minota 5, jya urebe muri SPAM folder, hanyuma utuvugishe kuri [email protected]. Mbabarira ikintu cyaraye kibaye mu kwiyandikisha Wa, gerageza ukongera mu minota mike Ongera"

Indwara ya Crohn ntiigira ingaruka ku mubiri gusa-igira n'ingaruka ku marangamutima. Niba ibimenyetso n'ibibonwa biremereye, ubuzima bwawe bushobora kwibanda ku gukenera kujya mu bwiherero buri gihe. Nubwo ibimenyetso byawe ari bito, imyuka mibi n'ububabare mu nda bishobora gutuma bigorana kuba mu ruhame. Ibyo byose bishobora guhindura ubuzima bwawe kandi bigatuma ugira ihungabana. Dore bimwe mu bintu ushobora gukora: Menya amakuru. Kimwe mu bintu byiza byo kugira ububasha ni ukumenya byinshi bishoboka ku ndwara ya Crohn. Shaka amakuru muri Crohn's & Colitis Foundation. Jya mu itsinda ry'ubufasha. Nubwo amatsinda y'ubufasha atari ku bantu bose, ashobora gutanga amakuru y'agaciro ku kibazo cyawe ndetse n'ubufasha bwo mu marangamutima. Abanyamuryango b'itsinda bakunze kumenya ibijyanye n'ubuvuzi bushya cyangwa imiti yunganira. Ushobora kandi kubona ihumure mu kuba uri kumwe n'abandi barwaye indwara ya Crohn. Ganira n'umujyanama. Bamwe basanga ari ingirakamaro kuvugana n'umuhanga mu buzima bwo mu mutwe uzi indwara y'umwijima uterwa n'uburiganya n'ingorane zo mu marangamutima zishobora guteza. Nubwo kubaho ufite indwara ya Crohn bishobora guca intege, ubushakashatsi burakomeje kandi ibintu biracyaza.