19岁小伙患上“绿色癌症”,没法治愈!发病率加强,警觉——
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">近期</span>,英国<span style="color: black;">媒介</span><span style="color: black;">报告</span>凯特王妃疑患克罗恩病,这一<span style="color: black;">信息</span>让克罗恩病这个消化道“头号怪病”再一次跃入<span style="color: black;">公众</span>的视野。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">克罗恩病</strong>有<strong style="color: blue;">“不死的癌症”“绿色癌症”</strong>之<span style="color: black;">叫作</span>,若不进行积极治疗,病情得不到有效<span style="color: black;">掌控</span>,可能<span style="color: black;">诱发</span>消化道大<span style="color: black;">流血</span>、急性肠穿孔、肠梗阻等严重<span style="color: black;">状况</span>,<span style="color: black;">乃至</span>危及生命。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">19岁小伙患上“绿色癌症”</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">直呼“想不到”</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">据宁波广电传媒<span style="color: black;">报告</span>,宁波大学<span style="color: black;">附庸</span><span style="color: black;">第1</span>医院消化内科<span style="color: black;">专家</span>医师蒋琦介绍,克罗恩病是一种慢性非特异性消化道炎症<span style="color: black;">疾患</span>,属于炎症性肠病(IBD)中的一种。炎症性肠病<span style="color: black;">曾经被</span>认为是“西方人的<span style="color: black;">疾患</span>”,但<span style="color: black;">相关</span>数据<span style="color: black;">表示</span>,该<span style="color: black;">疾患</span><span style="color: black;">日前</span>在国内的发病率呈<span style="color: black;">明显</span><span style="color: black;">提升</span>趋势。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">近年来,克罗恩病和溃疡性结肠炎,其中不乏十几二十岁的<span style="color: black;">青年</span>人。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">去年,19岁的小李(化名)<span style="color: black;">由于</span>拉肚子到当地医院就诊,经腹部CT等<span style="color: black;">检测</span>,被诊断为急性肠胃炎。在<span style="color: black;">仔细</span>问诊中,蒋琦得知他<strong style="color: blue;"><span style="color: black;">显现</span>慢性腹痛腹泻<span style="color: black;">已然</span>有相当长一段时间</strong>,病情比较可疑,于是<span style="color: black;">意见</span>他做进一步<span style="color: black;">检测</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">检测</span>结果<span style="color: black;">火速</span>出来了:小肠CT提示<strong style="color: blue;">小肠多发炎症</strong>,肛周MRI(核磁共振)提示<strong style="color: blue;">肛瘘</strong>,血生化提示<strong style="color: blue;">轻度低蛋白血症</strong>,血常规提示<strong style="color: blue;">轻度贫血</strong>。综合各项<span style="color: black;">检测</span>结果,小李<span style="color: black;">最后</span>被诊断为克罗恩病。听到这个陌生名词时,本以为自己只是普通肠炎的他直呼“想不到”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>克罗恩病的治疗,<span style="color: black;">日前</span>多采用<strong style="color: blue;"><span style="color: black;">药品</span>治疗<span style="color: black;">掌控</span><span style="color: black;">疾患</span>活动及维持<span style="color: black;">疾患</span>缓解</strong>,但<span style="color: black;">倘若</span>肠管<span style="color: black;">出现</span>了严重病变,还是<span style="color: black;">必须</span><span style="color: black;">即时</span>手术切除<span style="color: black;">出现</span>严重病变的肠管,<span style="color: black;">由于</span>这部分肠管的<span style="color: black;">功效</span><span style="color: black;">已然</span>丧失,<span style="color: black;">倘若</span>不处理还可能<span style="color: black;">引起</span>全身机能的恶化。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">蒋琦<span style="color: black;">暗示</span>,<span style="color: black;">因为</span><span style="color: black;">发掘</span>得早,小李的克罗恩病在<strong style="color: blue;">发病<span style="color: black;">初期</span>就得到了<span style="color: black;">干涉</span>,经过<span style="color: black;">药品</span>治疗,症状有了<span style="color: black;">显著</span>改善</strong>。日前门诊随访时,他高兴地<span style="color: black;">暗示</span>自己状态很好。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">克罗恩病是什么?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">身体<span style="color: black;">显现</span>这些信号要<span style="color: black;">警觉</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">据<span style="color: black;">认识</span>,克罗恩病多见于<strong style="color: blue;">15岁-45岁的青壮年</strong>,男女患病率相近,发病部位多<span style="color: black;">位置于</span>回肠末段和升结肠,<span style="color: black;">亦</span><strong style="color: blue;">可<span style="color: black;">出现</span>在<span style="color: black;">全部</span>消化道的任何部位</strong>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">该<span style="color: black;">疾患</span><span style="color: black;">拥有</span><strong style="color: blue;"><span style="color: black;">没</span>法治愈、并发症多、复发率高、致癌<span style="color: black;">危害</span>高</strong>等特征,严重影响<span style="color: black;">病人</span>的<span style="color: black;">存活</span>质量,<span style="color: black;">亦</span>会给家庭带来较重的医疗经济<span style="color: black;">包袱</span>,早<span style="color: black;">发掘</span>早治疗<span style="color: black;">针对</span><span style="color: black;">掌控</span>克罗恩病很<span style="color: black;">重要</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但克罗恩病又是一种容易被漏诊、误诊的<span style="color: black;">疾患</span>,<span style="color: black;">因为</span><strong style="color: blue;">前期症状不<span style="color: black;">显著</span></strong>,很容易被忽略或被当成普通的肠炎、阑尾炎来对待,<span style="color: black;">引起</span>治疗延误,<span style="color: black;">导致</span>不可逆的后果。<span style="color: black;">倘若</span>青春期起病而没得到<span style="color: black;">即时</span>治疗,极易影响生长<span style="color: black;">生长</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240307/f51758a4ee8043498446d30615891fd2.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span>,<span style="color: black;">怎样</span><span style="color: black;">才可</span>做到早<span style="color: black;">发掘</span>早治疗呢?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当身体<span style="color: black;">显现</span>以下这些信号时,要<span style="color: black;">导致</span><span style="color: black;">警觉</span>,<span style="color: black;">即时</span><span style="color: black;">看病</span>排查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">腹泻、腹痛、腹部包块等消化系统症状;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">发热、食欲不振、体重下降、营养不良等全身性症状;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">关节炎、结膜炎、皮肤口腔黏膜损害等肠外症状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另外</span>,消化道<span style="color: black;">流血</span>、肠管狭窄并梗阻、肠穿孔、腹腔脓肿、肛裂、肛瘘和肛周脓肿、癌变等是克罗恩病比较<span style="color: black;">平常</span>的并发症。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“<span style="color: black;">倘若</span>肠镜做出来<span style="color: black;">发掘</span>有溃疡,<span style="color: black;">同期</span>又<span style="color: black;">身患</span>风湿免疫<span style="color: black;">疾患</span>,须更加<span style="color: black;">警觉</span>克罗恩病,<span style="color: black;">由于</span>克罗恩病可能与免疫系统<span style="color: black;">反常</span><span style="color: black;">关联</span>,合并风湿免疫<span style="color: black;">疾患</span>的<span style="color: black;">状况</span>并不少见。”蒋琦提醒。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大夫</span>提醒:生活起居有规律,禁食生冷不洁<span style="color: black;">食品</span>,适当进行体育<span style="color: black;">熬炼</span>,注重精神<span style="color: black;">调理</span>,保持心态平和、心情愉快……这些<span style="color: black;">针对</span>克罗恩病的预防都有<span style="color: black;">必定</span><span style="color: black;">功效</span>。</p>
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