Kambiranani za Zopindulitsa ndi Gulu Lanu Labwino
Anthu omwe ali ndi matenda opatsirana kwambiri (IBD) nthawi zina amachitidwa opaleshoni monga chithandizo cha matenda awo. Mitundu iwiri ya IBD, ulcerative colitis ndi matenda a Crohn, amachiritsidwa ndi mitundu yosiyanasiyana ya opaleshoni. Ndi matenda a Crohn, omwe angakhudze matumbo akuluakulu ndi aang'ono , resection kuchotsa gawo lotentha la m'matumbo ndi opaleshoni yomwe imachitika nthawi zambiri.
Nthawi zina matenda a Crohn, opaleshoni ya ostomy-mwina yachisawawa kapena yosatha-inatha kuchitanso. Kwa opaleshoni ya ulcerative, yomwe imakhudza matumbo akuluakulu, opaleshoni yomwe imakonda kwambiri ndi yochi-anal anastomosis (IPAA), yomwe imadziwika kuti j-poch . Akuti anthu 30 peresenti ya odwala ulcerative colitis amafunika opaleshoni kuti athe kuchiza matenda awo.
Kodi J-Pouch Surgery N'chiyani?
Mu opaleshoni ya j-pouch, matumbo akuluakulu amachotsedwa ndipo gawo lomalizira la m'mimba mwachinyamatayi imagwiranso ntchito kuti apange thumba (nthawi zambiri mofanana ndi "J," ngakhale kuti maonekedwe ena amachitanso nthawi zina). J-poch imagwirizanitsidwa ndi anus, kutanthauza kuti wodwala akhoza kuthawa zambiri "mwachizolowezi." Matumbo aakulu apita, koma palibe chosowa chokhazikitsa stoma ndi kuvala kwazomwe zimagwiritsidwa ntchito kunja kukasonkhanitsa chopondapo.
J-poch sichitikira matenda a Crohn. Chifukwa chachikulu cha izi ndi chifukwa chakuti matenda a Crohn angakhudze thumba (lomwe lapangidwa kuchokera ku ileamu) itatha kulengedwa.
Ngati j-poch ikuwotcha, ingayambitse mavuto ndipo zotsatira zake zingatheke. A j-poch inalephera kutanthauza opaleshoni yowonjezera kuti ichotsere ndikupanga ileostomy. Kuchita opaleshoni zambiri, ndithudi, sikungathandize kusintha moyo wa wodwalayo.
Pamene Crohn Akupezeka Pambuyo pa Kuchita Opaleshoni Yake
Nthawi zina, anthu amene amapezeka kuti ali ndi ulcerative colitis amapezeka kuti ali ndi matenda a Crohn.
Izi nthawi zina zimachitika munthu wodwala atachita opaleshoni ya j-poch, ngakhale kuti si zachilendo. Odwalawa ayenera kuti anali ndi matenda a Crohn kuyambira pachiyambi, ngakhale kuti sikunali koyambirira matendawa. Chimodzi mwa zifukwa izi ndikuti matenda a Crohn nthawi zina amakhudza matumbo ambiri (omwe amatchedwa Crohn's colitis ), kuwapangitsa kuwonekera ngati ulcerative colitis ndiyo yeniyeni yodwala matenda. Pamene nthawi ikupitirira, ndipo zina mwa zizindikiro za matenda a Crohn ziwonekera, matendawa angasinthidwe.
Mwachidziwikire, anthu ena omwe ali ndi IBD omwe akuganiza za 1, 2, kapena 3 opaleshoni kuti apange j-poch angakhale ndi nkhawa yaikulu pokhudzana ndi kusintha kwa matenda a zilonda zam'mimba ku matenda a Crohn.
Kodi Kusintha kwa Matenda Kumayenderana Bwanji?
Kafukufuku wochuluka adawona chiwerengero cha odwala omwe apezeka ndi matenda a Crohn pambuyo pa opaleshoni ya j-pouch. Zikhulupiriro za anthu omwe amawerengedwa kale ndizochepera 1% kufika pamwamba pa 13% pa phunziro limodzi. Olemba a pulogalamuyi omwe amalembera kuti chiwerengero chawo chachikulu chikuwoneka kuti zotsatira zawo zikuwoneka ngati zapamwamba kwa iwo. Amapitiriza kunena kuti amazindikira kuti sizimatsatira bwinobwino maphunziro ena ambiri, omwe ali pa 10% ndi m'munsi.
Maphunziro ambiri kuyambira zaka zingapo zapitazi aikapo chiwerengero cha pafupi 5% chifukwa chakuti odwala omwe amadziwa kuti ali ndi mawonekedwe abwino a IBD akuwongolera. Zotsatira zake ndi zosiyana pakati pa zipatala zosiyana siyana zomwe zimachita opaleshoni ya IPAA. Pa kafukufuku wina wopangidwa ndi ana omwe ali ndi zilonda zam'mimba kapena matenda opatsirana, matendawa a Crohn's baada ya opaleshoni anali 13%.
Ochita opaleshoni ku Cleveland Clinic (malo opambana a ubwino kwa IBD ndi opaleshoni ya j-pouch) amafotokoza odwala ambiri omwe akupezeka ndi Crohn's disease pambuyo pochita opaleshoni ya IPAA pakapita nthawi.
Pamene njira yowona bwino imathandizira, choncho chiwerengero cha odwala omwe ali ndi matendawa chikuchepa.
Kodi Tingalengeze Amene Angakhale ndi Matenda a Crohn?
Palibe mgwirizano pa momwe angadziwire odwala omwe ali ndi zilonda zam'mimba zomwe zimawoneka kuti ali ndi matenda a Crohn. Komabe, pali phunziro limodzi, koma odwala omwe anapezeka kuti ali ndi ulcerative colitis ali aang'ono komanso anali ndi zovuta zowonjezera m'mimba amakhala odwala matenda a Crohn pambuyo pa opaleshoni ya j-pouch. Kuphimba "kulephera" ndipo potsiriza kukhala ndi j-poch kuchotsedwa ndizofala kwambiri kwa odwala pomaliza amapezeka ndi matenda a Crohn. Komabe, kwa iwo amene amatha kusunga thumba lawo ndikupeza kuti likuwayendera bwino, sizikuwoneka kuti pali kusiyana pakati pa umoyo wawo ndi umoyo wa iwo omwe anali ndi opaleshoni ya IPAA ndipo adatsimikizira ulcerative colitis .
Mfundo Yofunika Kwambiri
Kupezeka ndi matenda a Crohn ndi matenda a ulcerative colitis ndi opaleshoni ya j-pouch ndizofunikira kwambiri. Kuyenera kuyenera kukambilana nthawi yaitali ndi gastroenterologist ndi dokotala wamkulu opaleshoni asanachite opaleshoni, makamaka kwa anthu amene anapezeka ali aang'ono kapena omwe ali ndi mavuto owonjezera. Odwala ayenera kufunsa opaleshoni awo za chiwerengero cha odwala omwe adatengedwa kachiwiri atatha opaleshoni. Komabe, ndizofunika kuzindikira kuti izi sizinthu zofala -kutheka kuti kusintha kwadzidzidzi kumachepa pakapita nthawi ngati njira zogwiritsira ntchito za IBD zikuwongolera.
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