Opaleshoniyi imagwiritsidwa ntchito kutsegula gawo lochepa la m'matumbo
Opaleshoni imagwiritsidwa ntchito pochiza matenda a Crohn. Ndipotu, pafupifupi theka la anthu onse omwe ali ndi matenda a Crohn m'matumbo ang'onoang'ono adzachitidwa opaleshoni zaka khumi zoyambirira atatha kupeza matenda. Ngakhale opaleshoni yofala kwambiri ndi resection , yomwe imagwiritsidwa ntchito kuchotsa ziwalo za matenda, kachiwiri kachitidwe kawiri ndi strictureplasty.
Katswiri wochita opaleshoni ndi mtundu wa opaleshoni yomwe imagwiritsidwa ntchito kutsegula gawo lochepa la m'matumbo. Mosiyana ndi opaleshoni ya resection, ziwalo za matumbo sizichotsedwa pa strictureplasty, zomwe zimapangitsa kuti zikhale njira zabwino kwambiri zogwiritsira ntchito resection ngati n'kotheka. Kuwombera pansi kungapangidwe nokha, kapena kungatheke panthawi yomweyo ngati resection.
Strictureplasty sichimachitika kwa mtundu wina waukulu wa kutupa matumbo (IBD) , ulcerative colitis. Ichi ndi chifukwa chakuti ulcerative ululu umakhala wochepa kwambiri kusiyana ndi matenda a Crohn omwe amachititsa kuti zikhale zovuta.
Kodi Ndikutani?
Chigwirizano ndi pamene gawo la matumbo limakhala lochepa. Mu matenda a Crohn, chimbudzi chimayambitsa pamene makoma a matumbowa amatha kutentha komanso kuphulika. Minofu yofiira imalowa mkati mwa danga la matumbo, lomwe limatchedwa lumen . Popanda malo okwanira kuti zowonongeka zizidutsa, chophimba chingamange mkati mwa matumbo kumalo osungirako malo, zomwe zimachititsa kuti pang'onopang'ono pang'onopang'ono .
Izi zikhoza kuchepetsa kwambiri khalidwe la moyo, chifukwa chakudya nthawi zambiri chimakhala choletsedwa , ndipo pakhoza kukhala zizindikiro monga ululu ndi kutsekula m'mimba.
Pali madigiri osiyana siyana, ndipo ena sangayambitse mavuto. Komabe, pamene kugwedeza kumakhala kovuta, kungafunikire kutsegulidwa kudzera opaleshoni.
Kodi Ntchito Yogwira Ntchito Imakhala Bwanji?
Pali njira zingapo zomwe dokotala angayang'anire zovuta. Ndi njira iti yosankhidwa idzadalira kukula kwa chiwerengero ndi zomwe amakonda kwa opaleshoni wamkuluyo. Pali njira zosiyana zogwiritsira ntchito strictureplasty zomwe zapangidwa pofuna kuteteza matumbo ambiri ngati n'kotheka. Kuchotsa intestine yaing'onoting'ono kwambiri kungayambitse mavuto okhutira zakudya m'thupi, kotero ndikofunikira kupeŵa kuchotsa zigawo ngati n'kotheka.
Kodi Ndizoopsa Zotani Zopangira Opaleshoni?
Zoopsa zingakhale zosiyana malingana ndi njira yogwiritsira ntchito opaleshoni. Kafukufuku wina anapeza kuti panali mitundu 15 yochitidwa opaleshoni yophatikizapo mankhwala m'zinthu zofalitsidwa. Kafukufuku wina, meta-analytical, adawona opaleshoni 3,259 opaleshoni yapamwamba kuti abwere ndi masewera ena omwe amawopsa. Kwa odwala omwe anachitidwa opaleshoni yokhala ndi leamu kapena jejunum (pakati ndi kumapeto kwa matumbo aang'ono), 4% anali ndi vuto lopweteka, fistula, kapena abscess. Pambuyo pazaka zisanu, panali odwala 28 peresenti omwe anali ndi chizolowezi chobwerezabwereza. Olembawo anatsimikizira kuti kutsika kwapakati pa leamu kapena jejunamu kunali njira yabwino komanso yothandiza.
Panali opaleshoni yochepa kwambiri yomwe inkachitidwa pa gawo loyamba la matumbo aang'ono (a duodenum) komanso m'tchikoni kuti adziwe zogwira mtima, kapena ngati chithandizo chofunikira chingafunike m'tsogolomu.
Kodi Mukufunikira Kudziwa Zotani Musanapange Opaleshoni?
Zina mwa zinthu zomwe mukufuna kufunsa dokotala wanu asanakhale ndi strictureplasty ndi awa:
- Kodi zimakhala zazikulu bwanji?
- Kodi m'matumbo anga onse ayenera kuchotsedwa?
- Kodi opaleshoniyo idzachitika motani? (Monga momwe, kufotokozera kwakukulu kwa njirayi.)
- Kodi kuopsa kwake ndi kotani?
- Kodi pali malingaliro omwe alipo pakakhala vuto losayembekezereka?
- Ndidzakhala ndi nthawi yayitali bwanji kuchipatala?
- Kodi ndidzakhala ndi nthawi yayitali bwanji?
- Ndidzabwere liti kuntchito zanga (monga ntchito kapena sukulu)?
Mfundo Yofunika Kwambiri
Strictureplasty, mwachidule, ndi opaleshoni yotetezeka ya Crohn's disease. Zili ndi phindu lopulumutsa ziwalo za m'mimba. Pali zoopsa, monga zilili ndi opaleshoni iliyonse, koma kafukufuku wasonyeza kuti ali ochepa.
Zotsatira:
ADAM "Matenda a Crohn: Matenda Opatsirana Opatsirana." ADAM, Inc. 29 Oct 2011.
Heppell J. "Opaleshoni Kwa Matenda a Crohn." Kufika pa 16 Oct 2012.
Jobanputra S, Weiss EG. "Strictureplasty." Makliniki ku Colon ndi Opaleshoni Yachilendo . 2007; 20: 294-302.
Michelassi F, Taschieri A, Tonelli F, et al. "International, Multicenter, Prospective, Observational Study of Side-to-Side Isoperistaltic Strictureplasty mu Matenda a Crohn." Chigawo cha Dis Colon 2007 3: 277-284.
Yamamoto T1, Fazio VW, Tekkis PP. "Kutetezeka ndi kuthandizira kwa strictureplasty kwa Crohn's disease: ndondomeko yowonongeka ndi kufufuza." Dera la Dis Colon . 2007 Nov; 50 (11): 1968-1986.