Crohn practical issues
Crohn's disease
is an inflammatory disease that can affect any segment of the gastrointestinal
tract.
It is a chronic
disease with phases of exacerbations with long periods of complete remission.
This is
especially the colon and the terminal portion of the small intestine that are
most often affected.
It affects both
sexes. The average age at diagnosis is 27 years, but the disease can be at any
age.
The cause of the
disease is unknown. There may be:
- A factor of
genetic predisposition,
- An infectious
factor of mycobacteria or viruses may be involved in the onset of disease,
- Immunological
factors (immune abnormalities).
These factors
appear to sit for the occurrence of the disease.
Crohn's disease
is not contagious. It does not appear to be related to stress or dietary
factors.
Complications
can occur:
1 to 1 severe
exacerbation sometimes requires hospitalization,
2 to 1
contraction of an intestinal segment may cause obstruction,
3 -
exceptionally intestinal perforation,
4 - the
formation of abscesses and fistulas.
The rate of
exacerbations is impossible to predict. Some sick very rarely, other more
frequently. There are no signs to predict.
The drugs used
are:
1 -
sulfasalazine and its derivatives (pintasa, Rowasa, dipentrum)
2 - the
glucocorticoid (Solupred, Cortancyl). The steroid treatment (see
corticosteroids EXTENDED) requires some caution (low salt diet, low in
carbohydrates) that the doctor will tell the patient.
You should know
that the withdrawal will be delicate and often followed by recurrence
A new steroid
seems to have high hopes, because it has a high anti-inflammatory activity of
the intestinal mucosa and is virtually Typically without systemic side effects.
it is that of
budesonide taken orally.
It seems most
effective on relapses minimal or moderate disease ileocolic straight.
Studies are
ongoing to assess its efficiency in the most severe forms of the disease.
3 -
anti-infective drugs, especially for anal with (flagyl, Ciflox)
4 - sometimes
immunosuppressants (Imurel).
Other drugs are
in clinical trials, particularly cyclosporine.
Surgical
intervention is often required, particularly when the occurrence of an
occlusion. This may include the removal of a diseased segment of the intestine,
with suture end to end of intestinal portions. Sometimes, the surgeon can
simply make a longitudinal incision of the diseased segment to cut the muscular
part of the intestine, which allows the removal of spasm.
Surgery, as well
as medical treatment, the disease does not free from recurrence.
In general, the
majority of patients with Crohn's disease can lead a normal socio-professional
life outside of outbreaks. There are no family impact. Pregnancy is not against
inappropriate. The school must be outside normal breakouts. There is no
profession prohibited to a patient with Crohn's disease. The sport is not
cons-indicated, however, fatigue and pain can interfere with the practice of
gymnastics.
Finally, you
should know that smoking significantly worsens the disease and it is essential
that patients stop smoking.
See;
- CROHN
- EXTRA EVENTS
CROHN DIGESTIVE
- CROHN DIET
- CROHN NEW
TREATMENT
- CROHN
CUTANEOUS SIGNS
- CROHN AND
MEASLES
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