Kulumikizana Kwambiri pakati pa Zakumapeto Zanu ndi IBD

Kafukufuku wochuluka anafufuza kugwirizana pakati pa matenda opweteka a m'magazi (IBD) - matenda a Crohn ndi ulcerative colitis -ndi zowonjezereka.

Kafukufuku wina wasonyeza kuti appendectomy (kuchotsedwa kwa zowonjezereka) imakhudzana ndi chiopsezo chochepa chokhala ndi ulcerative colitis. Chotsutsana ndi matenda a Crohn-kafukufuku wina wapeza chiopsezo chowonjezeka pambuyo pa appendectomy.

Ofufuza sakudziwabe chifukwa chake mabungwewa alipo, ndipo chifukwa chake zowonongeka zikuoneka kuti zili ndi zotsatira zoopsa pa matenda a Crohn ndi matenda a zilonda zam'mimba.

Ndizosavomerezeka kuchotsa zowonjezereka pamene zikuwoneka zathanzi. Palinso kutsutsana pa kuchotsa zowonjezereka pamene opaleshoni ikuchitidwa pa chifukwa china: kutenga zoonjezera chifukwa dokotala wa opaleshoni wayamba kale kuchita njira ina. Komabe, kutulutsa zowonjezereka kwa munthu wathanzi chifukwa cha chiopsezo poyambitsa matenda a zilonda zam'mimba sizinapangidwe.

Kodi Zakumapeto Ndi Ziti?

Chiwalo chaching'ono ichi chikhalabe chodabwitsa pang'ono, chifukwa chiribe ntchito yovomerezeka. Ili pa tsamba loyamba la matumbo, ndipo limawoneka ngati nyongolotsi kapena chubu. Ngakhale kuti sizikuwoneka kuti zimachita chilichonse, zimatentha, zomwe zimatchedwa appendicitis.

Chaka chilichonse, munthu mmodzi mwa anthu 500 ali ndi appendectomy.

Ngati zowonjezera zowonjezera sizichotsedwa, zikhoza kupasuka. Zowonjezereka zomwe zasweka zingayambitse matenda aakulu omwe angakhale opha. Kuchotsa zowonjezereka sikuwoneka kuti kumayambitsa matenda ena onse.

Kugwirizana kwa Ulcerative Colitis

Kafukufuku wambiri amasonyeza kuti kuchotsa zowonjezereka kungachepetse chiopsezo chokhala ndi zilonda za zilonda zam'mimba ndi 69%.

Anthu omwe ali ndi zilonda zamatenda sangakhale ndi appendectomy, mwina chifukwa cha appendicitis kapena chifukwa china, kuposa anthu ambiri.

Pakalipano pali zifukwa zitatu zomwe zimachititsa kuti anthu omwe ali ndi zilonda zam'mimba azikhala ndi zochepa chabe kuposa anthu abwinobwino.

1. An antigen mu zowonjezereka akugwirizana ndi kuyamba kwa ulcerative colitis.
2. Zovuta m'mimba mwa anthu omwe amayamba kudwala matenda a zilonda za m'mimba zingakhale ndi zochitika zochepa zowonjezereka.
3. Kukhala ndi appendectomy mwinamwake kumateteza munthu kuti asatenge zilonda zam'mimba.

Lingaliro lomalizira layesedwa pa zinyama. Nyama zomwe zowonjezera zowonjezera sizingatheke kuti zikhale ndi zilonda zam'mimba. Nyama zomwe zinali ndi appendectomy pakatha masabata awiri zinapezedwanso kuti zilibe mabakiteriya Bacteroides . Thupi ili likhoza kuyambitsa kutupa kwa m'mimba mu IBD. Ofufuza akuganiza kuti izi zikhoza kutanthauza kuti zowonjezera zimagwiritsidwa ntchito pambuyo pake. Zowonjezereka zingakhale ndi gawo mu chitetezo cha mthupi, chomwe chimatetezera thupi kuteteza matenda.

Zotsatira za kuchotsa zowonjezereka pambuyo pa kuyambika kwa ulcerative colitis sizikudziwika. Kwenikweni, chiyanjano pakati pa zilonda zam'mimba ndi ululu wa puloteni sichidziwika bwino.

Komabe, ngati coloni imachotsedwa ( colectomy ) kuti iwononge matenda a zilonda zam'mimba, zowonjezereka zimachotsedwanso (chifukwa zimamangirizidwa ku colon).

Kugwirizana kwa Matenda a Crohn

Kafukufuku awiri atsimikizira kuti chiopsezo cha matenda a Crohn chimawonjezeka zaka 20 kuchokera pamene kuchotsedwa kwazowonjezereka; Amayi makamaka anali ndi chiopsezo chachikulu chotenga matenda a Crohn pambuyo pa appendectomy, malinga ndi kafukufuku woyamba.

Ofufuza pa kafukufuku wachiŵiri amaganiza kuti, mwa odwala ena, chiyambi choyambirira cha zolembera chikhoza kukhala choyamba cha matenda a Crohn. Zizindikiro za Crohn zikulakwitsa chifukwa chotenga kachilomboka komanso appendectomy.

Patatha zaka zingapo Crohn atapezeka atapezeka. Choncho, chiopsezo cha Crohn mwa omwe ali ndi appendectomy sichikuwonjezeka. Ofufuzawo akuganiza kuti kufufuza kwina n'kofunika kuti mumvetse mgwirizano uliwonse pakati pa matenda a Crohn ndi appendectomy.

Mawu Ochokera

Umboni umenewu sutanthauza kuti tonsefe tiyenera kuthamanga ndikulimbikitsa abale athu omwe ali pachiopsezo chotenga zilonda zam'mimba kuti azikhala ndi matenda. Sitiyeneranso kukhala ndi chisankho chochotsera chowonjezera cha munthu amene ali pachiopsezo cha matenda a Crohn. Umboniwo siukukakamiza kuti uchite opaleshoni yaikulu kapena kuteteza appendectomy. Mtundu uliwonse wa opaleshoni uli ndi zoopsa zingapo, ndipo mpaka tidziwa zambiri, zoopsazi sizingapitirire zopindulitsa.

_Zotsatira:

_{Andersson RE, Olaison G, Tysk C, Ekbom A. "Appendectomy imatsatiridwa ndi chiopsezo chowonjezeka cha matenda a Crohn." Gastroenterology Jan 2003.}

_{Carbonnel F, Jantchou P, Monnet E, J. Cosnes "Zinthu zoopsa pa matenda a Crohn's disease ndi ulcerative colitis: mfundo." Gastroenterol Clinic Biol . 2009 Jun; 33 Suppl 3: S145-S157.}

_{Gilaad G Kaplan, Bo V Pedersen, Roland E Andersson, Bruce E Sands, Joshua Korzenik ndi Morten Frisch. "Kuopsa kokhala ndi Crohn's disease pambuyo pa appendectomy: Kuphunzira kwa gulu la anthu ku Sweden ndi Denmark." Gut Sept 2007.}

_{Koutroubakis IE, Vlachonikolis IG, Kouroumalis EA. "Ntchito yowonjezereka ndi appendectomy mu tizilombo toyambitsa matenda a ulcerative colitis: ndemanga yovuta." Inflamm Bowel Dis Jul 2002.}

_{Roland E. Andersson, Gunnar Olaison, Curt Tysk, ndi Anders Ekbom. "Appendectomy ndi Chitetezo ku Ulcerative Colitis." N Engl J Med 15 Mar 2001.}