Thandizo Labwino Pambuyo Opaleshoni Ili ndi Phindu Pa Kukhala Pamoyo
Kwa anthu ena omwe ali ndi zilonda zam'mimba, chisankho chokhala ndi colectomy kwa matenda awo ndi chovuta. Nthawi zina, kusankha kumapangidwa mosavuta - kuyamba kwa khansara yamtundu kumapezeka, kuperewera kwachitika, kapena kuchipatala kumalephera. Koma nthawi zambiri, kukhala ndi colectomy ndizochita, m'malo mofunikira.
Kodi Colectomy Ndi Chiyani?
Colectomy ndikuti, kuchotsa matumbo akulu (colon).
Pambuyo pa matumbo akuluakulu amachotsedwa, ndioostomy imapangidwa, ndi stoma pamimba yomwe imagwiritsidwa ntchito kuthetsa zinyalala. Tsopano, izo zikunenedwa, pali mfundo zambiri zabwino ku opaleshoni ya colectomy. Cholectomy ikhoza kuchitidwa pa zifukwa zingapo, kuphatikizapo kuchiza matenda opatsirana (IBD), khansara yamtundu, kapenanso banja la adenomatous polyposis (FAP) . Chifukwa cha colectomy chidzalongosola zofuna zambiri pa momwe opaleshoniyo yachitidwa komanso
Colectomy amatanthauza kuchotsa matumbo, koma nthawi zina kachilomboka, kapena mbali ina ya rectum, yatsala m'malo. Izi zimapangitsa kuti pakhale mwayi wovomerezeka. Ndi ulcerative kolitis ndi FAP, anthu ambiri ali ndi mwayi wokhala opaleshoni ya j-poch after colectomy. Mu opaleshoniyi, gawo lomalizira la m'mimba mwachinyamatono limasulidwa kukhala "j" kuti likhale ndi chitseko. Pambuyo pake zimagwirizanitsidwa ndi rectum kapena anus, kotero wodwala akhoza kuthetsa zinyalala popanda kufunikira kachipangizo cha ostomy.
Nthaŵi zina za IBD, makamaka ku Crohn's disease, kugwirizanitsa ntchito sikungagwire ntchito bwino, kotero kuti ileostomy yam'mimba ndi yosatha imalengedwa.
Anthu ena omwe ali ndi ulcerative colitis angasankhe kuti asagwirizanenso, koma kukhala ndi ileostomy yosatha. Zifukwa za chisankhochi ndizokhaokha, koma zikhoza kuphatikizapo chikhumbo chokhala ndi ana (mwa akazi), nkhawa za mavuto ndi j-pouch, kapena kupewa opaleshoni yowonjezereka.
Ndani Amasankha Colectomy?
Nchiyani chingayambitse munthu mmodzi ali ndi ulcerative colitis kuti asankhe colectomy, pamene wina alibe? Kafukufuku wofalitsidwa mu The American Journal of Gastroenterology amawunikira kumvetsetsa zambiri za anthu omwe ali ndi ulcerative colitis amene amasankha colectomy ndi omwe sali.
Kafukufuku adawoneka pa magulu atatu: anthu omwe analibe zilonda zam'mimba, anthu omwe anali ndi zilonda zam'mimba komanso alibe colectomy, komanso anthu omwe anali ndi zilonda zam'mimba omwe anali ndi colectomy. Anthu omwe anali ndi zilonda zam'mimba osati a colectomy ankawona kuti kukhala ndi colectomy kunali kofanana ndi kukhala ndi ulcerative colitis. Anthu omwe anali ndi colectomy ankakonda kukhala ndi thanzi labwino poyerekeza ndi matenda a ulcerative. Chimodzi mwa kusiyana kwakukulu pakati pa magulu awiriwa chinali chithandizo cha umoyo: awo omwe anali ndi colectomy anali ndi chithandizo chochuluka kuposa omwe sanatero.
Kupanga Kusankha Zosankha Zanu
Zotsatira za phunziroli zimakhala zomveka bwino: ngati munali ndi ulcerative colitis ndipo mumadziwa ena omwe ali ndi zilonda zam'mimba zomwe zimawoneka kuti ali bwino pambuyo poti opaleshoni ya colectomy, mungayesedwe kuti muthe opaleshoniyi. Pamene zikuyimira, palibe njira yeniyeni yowonetsera opaleshoni yanu ndi zotsatira zake kuti ena apindule ndi zomwe mukukumana nazo ndipo angaphunzire kuchokera ku zolakwa zanu.
Gastroenterologist wanu kapena dokotala wa opaleshoni akhoza kukugwirizanitsani ndi ena omwe ali ndi IBD, kapena colectomy, kapena j-pouch , kapena mukhoza kupita ku gulu kapena uthenga wa bolodi kwa anthu omwe ali ndi IBD. Ngakhale zili choncho, ndikufunitsitsa kuti ambiri a ife tigwiritse ntchito nthawi yambiri kufufuza kugula galimoto yathu yotsatira kuposa momwe tingafunire opaleshoni ya colectomy.
Chinthu chinanso cha kusankha kwanu ndi lingaliro lakuti pangakhale zovuta. Zovuta ndi opaleshoni ya colectomy si zachilendo, koma kudera nkhawa zomwe zingatheke kungalepheretse ena kuchita opaleshoni. Pamapeto pake, kupatula ngati opaleshoniyo ikulamuliridwa ndi zifukwa zomveka, zosankhazo ndizokhaokha, ndipo zimakhala ndi zotsatira zambiri zazomwe zimapangidwira komanso chithandizo chomwe chilipo kwa odwala.
Chitsime:
Waljee AK, Higgins PD, Waljee JF, et al. "Zozindikira ndi Zenizeni za Moyo Ndi Ulcerative Colitis: Kufanizitsa Odwala Ndi Odwala Ambiri." Amer J Gastroenterol 2011; 106: 794-799. 3 May 2011.