Kuchita Opaleshoni Yopangidwira Ndi Njira Yodziwika Yothandizira Matenda a Crohn
Pamene mankhwala sakugwira bwino ntchito yothetsera zizindikiro za matenda a Crohn (mtundu wa matenda otupa matumbo kapena IBD), gastroenterologist angapangire opaleshoni. Njira yochiritsira yomwe amagwiritsidwa ntchito pochiza matenda a Crohn imatchedwa resection. Opaleshoni si kulephera kwa mankhwala ena koma mankhwala ovomerezeka. Anthu ambiri omwe ali ndi matenda a Crohn ayenera kuchitidwa opaleshoni kuti athetse mavuto awo.
Pakati pa resection, gawo la matumbo aakulu kapena matumbo aang'ono omwe amakhudzidwa ndi matenda a Crohn amachotsedwa, ndipo matumbowa amagwirizanitsa pamodzi pogwiritsa ntchito mapeto awiri. Kugonjera kumachitika ndi dokotala wochita opaleshoni , wochita opaleshoni amene amaphunzitsidwa mwapadera pa opaleshoni yomwe imapangidwa m'magawo ochepa.
Nthawi zina, opaleshoni ikhoza kuika munthu ndi matenda a Crohn m'zinthu zomwe amatchedwa kuperewera kwa opaleshoni. Izi zikhoza kubweretsa nthawi zochepa chabe kapena zizindikiro za matenda a Crohn. Kukumana ndi opaleshoni nthawi zonse kuli kovuta, koma ndi Crohn's disease, resection ingatanthauze mwayi wochiritsa ndi kubwezeretsa. Anthu omwe ali ndi matenda a Crohn omwe ali ndi nkhawa ngati opaleshoni mwina panopo kapena m'tsogolomu ayenera kukambirana ndi gulu lawo la chisamaliro ndi kulingalira lingaliro lachiwiri ndi dokotala wina wa opaleshoni ndi wodwala kapena gastroenterologist.
N'chifukwa Chiyani Opaleshoni Yotsutsa?
Kuchita opaleshoni yogwiritsidwa ntchito kungagwiritsidwe ntchito kuchotsa miyeso , yomwe ingaphatikizepo kumapeto kwa nthawi yayitali kapena gulu lazitsulo zomwe zimayandikana, kapena zingagwiritsidwe ntchito kuchotsa ziwalo zoopsa za m'matumbo aang'ono kapena aakulu.
Cholinga cha resection ndi kusunga mavitamini abwino kwambiri ndikuthetsa zigawo zina za matumbo omwe sangathe kuchiritsidwa. Makamaka, kuchotsa ziwalo zazikulu za m'mimba mwachinyama kumapewa. Utumbo wawung'ono ndi kumene mavitamini ndi mchere zimalowetsedwa m'thupi, ndipo ngati zochuluka zachotsedwa, zingayambitse kufooka kwa zakudya.
Nthawi zambiri, kuchotsa intestine yaing'onoting'ono kwambiri kungayambitse matenda ochepa a m'mimba. Ambiri mwa anthu safuna kuchitidwa opaleshoni yochuluka yomwe matumbo achidule angakhale odetsa nkhaŵa.
Kodi Kuyanjidwa Kumatheka Bwanji?
Pa resection, ambiri anesthesia amagwiritsidwa ntchito kuthetsa ululu. Opaleshoni ikhoza kupangidwa kudzera mwa opaleshoni yotseguka kapena opaleshoni ya laparoscopic , koma opaleshoni yotseguka imapezeka kwambiri. Opaleshoni ya laparoscopic nthawi zambiri amagwiritsidwa ntchito pokhapokha ngati matenda a m'matumbo ali mu leamu , ndipo palibe mavuto ena.
Mu opaleshoni yotseguka, chombo chimodzi chachikulu chidzapangidwa. Gawo la matenda la chifuwa ndiloledwa ndi kuchotsedwa. Pambuyo pa matenda a m'matumbo amachotsedwa, mapeto awiri a intestine amamangidwa pamodzi (otchedwa anastomosis ).
Kuchita opaleshoni ya laparoscopic, amagwiritsidwa ntchito pogwiritsa ntchito malingaliro 3 mpaka 4. Mimba yadzaza ndi mpweya kotero dokotalayo amatha kuona bwino kuti mimba ndi kamera zimayikidwa kudzera m'modzi mwa zochitikazo. Zonsezi ndizofanana ndi opaleshoni yotseguka: matumbowa amachotsedwa ndipo minofu yathanzi imagwirizananso.
Kodi Nthawi Yotsirizira Ndi Yotani?
Chipatala chimachitidwa opaleshoni yotseguka popanda mavuto omwe angakhale paliponse kuyambira masiku asanu kapena asanu.
Kwa opaleshoni ya laparoscopic, chipatala chimakhala chofupikitsa.
Kubwezeretsedwa kuchokera ku opaleshoni ya resection kungatenge kuchokera masabata 6 mpaka 8. Kubwereranso kuntchito pambuyo pa opaleshoni ndi lingaliro laumwini, koma kawirikawiri lidzakhala masabata 4 kapena kupitirira pambuyo pa opaleshoniyo. Dokotala wa opaleshoni adzapereka malangizo okhudza ntchito, koma kawirikawiri, kukweza katundu, kuyendetsa galimoto, ndi zinthu zina zovuta siziyenera kuchitika kwa masabata angapo pambuyo pa opaleshoni.
Kodi Vuto Lomwe Lingatheke?
Zovuta zowonjezereka zikuphatikizapo zomwe zingathe kuchitidwa ndi opaleshoni iliyonse: matenda, kutuluka m'magazi, kapena kuchitidwa ndi mankhwala opatsirana. Ndi resection, palinso kachilombo kochepa kuti magawo awiri ogwirizana nawo amatha kupatukana kapena kutsekemera (kutchedwa dehiscence), ngakhale kuti izi si zachilendo.
Kodi Kupanga Opaleshoni Kumagwiritsidwa Ntchito Kwa Ulcerative Colitis?
Kugwirizanitsa kwapadera kwa colon sikumagwiritsidwa ntchito pochizira matenda a zilonda zam'mimba. Ichi ndi chifukwa chakuti colitis imabwereranso ku gawo labwino la koloni lomwe latsala. Cholectomy chonse, pogwiritsa ntchito thumba la mkati ( j-poch ) kapena ileostomy, ndi opaleshoni yomwe imagwiritsidwa ntchito kwambiri pochiza matenda a zilonda zam'mimba.
Chidziwitso Chochokera
Anthu ambiri amapeza thanzi lawo limakhala bwino pambuyo pokhala ndi resection kwa matenda a Crohn. Ndikofunika kutsatira malangizo a opaleshoni ndikupitiriza kumwa mankhwala atatha opaleshoni kuti muteteze Crohn's kuti asawononge kwambiri.
Zotsatira:
ADAM Illustrated Health Encyclopedia. "Matenda a Crohn: Matenda Opatsirana Opunduka." MedLine Oct 29 2012.
Crohn's ndi Colitis Foundation. "Opaleshoni ya Matenda a Crohn." CrohnsColitisFoundation.org Aug 2010.
Tilney HS, Constantinides VA, Heriot AG, Nicolaou M, Athanasiou T, Ziprin P, Darzi AW, Tekkis PP. "Kuyerekeza kwa reseparoscopic ndi yotsegula ileocecal resection ya Crohn's disease: metaanalysis." Kupititsa Endosc. 2006 Jul; 20: 1036-1044.